HomeMy WebLinkAboutUntitled City of Arcadia, CA _ Permit NO 11-1970611
.;i /is Development Services Department ----‘ r~ r'=�e^- �(• -1 Permit Type:Tenant Improvement
240 West Huntington Drive,Post Office Box 60021kt• ' tile) F '°1 , i !-` -,- -
Arcadia,CA 91066-6021 a k'� i [ !'work Classfication:Tenant Improvement
I (626)574-5416 t§; Permit Status Approved
ARCADIA - IssueDate:1 Expiration: 09/23/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
121 E Foothill BLVD Arcadia,CA 5771021029
Contacts
HIGHLANDER CENTER LLC C/O GLOBE Owner ALICIA MALDONADO Applicant
PROPERTIES
121 Foothill BLVD (619)702-9448
S&J VENTURES INC Contractor
27671 La Paz RD 200,Laguna Niguel,CA 92677
792398
Description:FACADE REMODEL OF EXISTING PIZZA HUT Valuation: $ 20,000.00 Tenant Pizza Hut
RESTAURANT. SQUARING OFF EXISTING MANSARD ROOF
AND PAINTING BUILDING TO MATCH SHOPPING CENTER Total Sq Feet: 0.00 Plan Check#19-611 Plan#37
IMAGE. —,........—. _.�...
Fees Amount payments Amount Paid
Accessibility Plan Check $39.42 Total Fees $1,393.86
Accessiblity Building Permit $40.43 Cash/Receipt$3 REC-00785-19 $689.32
Building Issuing Fee $47.01 Cash/Receipt#REC-01232-19 $704.54
Building Permit Fees 5404.25
Building Plan Review Fee 5262.77 Amount Due: $0.00
yr
Cal Green Plan Check $26.28
Commercial T.I.Fire Plan Chk. $280.00
Energy Plan Review Fee $80.85
Fire Final Occupancy Fee $200.00
Green Building Standard $1.00
Solid Waste Management Fee 56.25 CALLS FOR INSPECTIONS
Strong Motion Inst.Program Com $5.60 Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
Total: $1,393.86
-I' =n,.s.+C.r 4/1)/10 lin 6'/0•r/ �—
rry, This permit/plan review expires by time limitation and becomes null and
p� akl t.rNfi •r� i 9 �— void if the work authorized by the permit is not commenced within 180 days
Y U'fW� from the date of issuance or if the permit is not obtained within 180 days
from the date of plan submittal.This permit expires and becomes null and
C-i NA;L 9• r •r9 void if any work authorized by this permit is suspended or abandoned for 180
consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
Issued By: Date
May 16,2019 Page 1 of 1
�,}FORy���
:• PERMIT/PLAN REVIEW APPLICATION
t7, 1.-_ „_ ,„
Ela' Development Services Department,240 West Huntington Drive,Post Office Box 60021
thy0H Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
Z6CENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed . er provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Sect'. 000,of Division o'the Business and
Professions Code,te,�and my licens. 1 full force and erect ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class •:3-'t L'% - • 6'Y,XS.e ' •ate �3// compensation, as provided for by Section 3700 of the Labor Code, for the
I performance of the work for which this permit is issued.
Signature of Contractor , ,Pi���1�
OWNER-BUILDER ARATION L® I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under pen:.ty o' .erjury that I exempt from the Contractors of the Labor Code,for the performance of the work for which this permit
License Law for the following on(Section 031.5,Business and Professions rs issued.�Mry workers'compensation� rinsurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier S(�' A�_ Nv���f'�"'r t./
demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number /s M )6 05 &-003/-Oa'Z
for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less)
provisions of the Contractors License Law(Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code)or that he or she is l�I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of I
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I:'ould become subj-.;to the
workers'compensation provisions of Section t t of the Labor C...,I shall
❑I, as owner of the property, forthwith co' ply ;'Eh those provisions.
p perry, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for Date Signature //b. . —
sale(Section 7044,Business and Professions Code:The Contractors License / i
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own - '
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers' -.mpeasation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and-
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for
further information. (�uV/�/,�
/Name d ` 1 J�Iv f�J J Title pi
PRINT N
I ce 'y that I have read this ap' 'cation and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
:/
I a e to comply with an ordinances . i tate Laws relating to building construction. I hereby authorize representatives of the City of
Arca 'a to enter upon the: .. : mentioned�'� erty for inspection purposes.
Sign tore ate '67/C /y
NOTE: DRAWING I Q
SUPERCEDES ORIGINAL Y
APPROVED ACCESSIBILITY J
SITE WORK -
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FOOTHILL BLVD.
RFI 001 FIELD CLARIFICATIONS
• 1492 ht
DATE: 7.10.19
sitkr
4 ` 9 NAME PROJECT:PH ARCADIA /
4I*„_�°1- eADDRESSSS: 121 E.FOOTHILL BLVD. ARCADIA,CA 91006
W CAA-\�O SUBJECT: ACCESSIBILITY UPGRADES REVISION PAGE 1 m O 1 s
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