HomeMy WebLinkAboutUntitled (3) „ x -
rty of Arcadia, CA Permit Na TI-19-2027
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Development Services Department ((��''��}} pe:TenantlmproementBox 60021 I �„, _ ftj1Y ; m1tTY dllJJ& fruwork icissijicotfon:TenantImprovement
u4
(626)574-5416 " - .PermitStatus:issued
ARCADIA - - Issue:Date:10/04/2019 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number `
488 E Santa Clara ST 304 Arcadia, CA 5773009081 A
Contacts 1
FIFTH AVENUE GROUP LLC Owner THE HALE CORPORATION Contractor
488 E SANTA CLARA ST 513 5 MYRTLE AVE,MONROVIA,91016
(626)358-4523 538125 h
Description:T.I.SUITE 304 US NAVY Valuation: $ 110,616.00 Tenant US NAVY
Total Sq Feet: 0.00 Plan Check#19-2027 Plan U 161
Fees Amount Payments Amount Paid
Accessibility Plan Check $126.75 Total Fees $4,045.70
Accessiblity Building Permit $129.99 Cash/Receipt k REC-02893-19 $2,449.53
Add/Alter Ducts $437.36 Cash/Receipt k REC-02707-19 $1,596.17
Building Issuing Fee $47.01
Building Permit Fees $1,299.90
Amount Due: $0.00
Building Plan Review Fee $844.94
Cal Green Plan Check $84.50 q h.11
Commercial T.I.Fire Plan Chk. $280.00 P-IN�` ' I.2. / CDIWPLETc leal Pert Issuance Energy Plan Review Fee $259.98
Fire Final Occupancy Fee $200.00 CALLS FOR INSPECTIONS
Green Building Standard $5.00 Request for inspection by telephone at 626-574-5450. Leave a message
Lavatories $39.63 requesting the address,timeframe and what inspection item is needed.
Light Fixtures $59.10
Mechanical Permit Issuance Fee $47.01
Outlets-Receptacles&Switches $46.38 This permit/plan review expires by time limitation and becomes null and
Solid Waste Management Fee $6.25 void if the work authorized by the permit is not commenced within 180 days
Solid Waste Management Fee 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days
Solid Waste Management Fee 2 $1.00 from the date of plan submittal.This permit expires and becomes null and
Strong Motion Inst.Program Corn $30.98 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
Ventilation Fan(Single Duct) $9.94 Arcadia building inspector for a period of 180 consecutive days.
Total: $4,045.70
7
October 04, 2019
Issued By: Date
October 28,2019 Page 1 of 1
AR
,;n ` PERMIT/PLAN REVIEW APPLICATYON
,.v;
%ata' ~ Development Services Department,240 West Huntington Drive,Post Office Box 60021
Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of t.
Arcadia .
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and ,�
Professions Code,and my license is in full force and effect. C�11 I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. - ,- Exp. Date u La compensation, as provided for by Section 3700 of the Labor Code, for the
ignature of Contrac .r i %� j performance of the work for which this permit is issued.
r
OWNER-BUILDER DECLARATION AEU I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors ( is
3700 of the Labor Code,for the performance. of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, 57, -9e- pv Ndemolish,or repair any structure,prior to its issuance,also required the applicantpolicy Number U"i for such permit to file a signed statement that he or she is licensed pursuant to theprovisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000) of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation ofI certify that in the performance of the work for which this permit is issued,I shallSection 7031.5 by any applicant fora permit subjects the applicant to a civilnot 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 should become subject to the
workers'compensation provisions of Section 3700 of the Labo ode,I shall
❑I, as owner of the property, forthwith comply with those provisions. '/
or my employees with wages as their sole V
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License ate Signature
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'Compensation 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.
0 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.
a //��
nine .V\ 0 l—1 14 L Title PR-cs( S .-t4`
PRINT NAME
3 b rtify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I,agree to comply with all City ordinance :ml State Laws relating to building construction. I hereby authorize representatives of the City of
A :dia to enter upon the above-' entio perty for inspection purposes.
Si_nature - a�� ''w Date fUt 2Pitcii5
- 4/86 e: NOTES" 1456it
Building Inspections Date Insp. Plumbing Inspections Date insp. I - Zo 2 17
100. Setbacks 210. Under firfildg.drain
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbingID•Z�}IA - �o.3i,j9 FSSc tmsS (L' ,pan)
103. Pre-slab 213. Rough gas �� v] on
104. Floor joists 214. Shower pan (.J ��•%3•IT SAM vet- wktcS • ori
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing IO'ZB"1/ 2---- 220. Fixtures - --
111. OccdArea Sept.Wall 221. Final plumbing 1%.25)-1 1
112. Sound walls 222. Sewer cap/demo.
113. T-bar.rid I •2/•I "
114. Insulation-Flr. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing Ia.3o•15 fir 242. Lightshell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building II-2')•f 246. Fence,gates&signs
122. Anal demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Anal slumbin,
150. Power pole 250. Pool cover -
151. Sales lot lighting 251. Pool final
152. Under!round conduit
153. Underslab conduit Reroo(Inspections I Date L Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical wLVS lO18"1 �� 272. Sheathing nailing -
157. Fixtures/76,4- li-jr•il o'-- 273. Finalreroof
158. G.F.C.I.
159. E.St.bonding Sign Inspections Date I Insp.
160. Service panel 280. Setbacwoverhang
161. Final electric Ir•2`)•I281. Footing
282. Conduit/whin'
Mechanical Inspections Date Insp. 283. Disconnect --
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC 1 1.1A-1- Miscellaneous Insp. Date Insp.
183. Fire dampers 290. Are alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Are sprinklers
186. Smoke detectors 293. Monitor system -
187. Metal F.P.rough 294. Hood dry them.
186. Compressor setback 295. Anal - -
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date Insp.
191. Final mechanical fit.D)•19 300. Lateral(main to P/L)
301. Saddle/V
Block Wall Inspections Date Insp. 302. Cass.00l filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Anal wall 306. Trash bin - ---
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` Certificate of Occupancy • ; ,
'' City of Arcadia
Development Services Department—Building Division x
's This certificate issued pursuant to the requirements of the
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.„,i(
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' California Building Code certifying that at the time of issuance this structure was in tq '
it:
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'�",� compliance with the various ordinances of the City regulating building construction or use. •
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1, 4, Permit No. TI-19-1888 ,
a 'ry-
'' r ', t• Building Address: 488 E Santa Clara St Suite 302, Arcadia, CA 91006 ti-
Itt:?
q ItPermit Type: Tenant Improvement Eaect ve cac: 2016 CBC
a 1 Occupancy Code: B Zone Code: R-1
4:r.,:pas/(
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,y,4.1;11
i Final Darr. 12/3/2019 Type of Construction: TYPE V-B, SPRINKLERED - =?
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owner: Fifth Avenue Group, LLC Tenant: New York Life
Ken e[h Field uildi fficial
Post in Conspicuous Place
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±' T +PermrtNO FIRE_19 2072
\li`fy4"' City of Arcadia, CA
a Development Services Department V trio t�jr }- aF Permit Type:Fire
240 West Huntington Drive,Post Office Box 60021 j) !' f`'t! PLL'.. 9
, L� - Work lasstfication:Fire Sprinkler
Arcadia,CA 91066-6021 ��, - `} ; k(626)574-6416 Permit Status:'Issued
ARCADIA Issue-Date:10/22/2019 Expiration: 04/11/2020
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
488 E Santa Clara ST Suite 304 Arcadia,CA 91006-7229 5773009081
Contacts
FIFTH AVENUE GROUP LLC Owner SINGLETON FIRE PROTECTION INC* Contractor
488 E SANTA CLARA ST 12990 BRANDFORD ST G,ARLETA,CA 91331
(818)252-5744 667001
Description:FIRE SPRINKS FOR TI .RELOATE 43 HEADS AND Valuation: $4,800.00 Tenant
ADD 5 HEADS AT UNIT 304
Total Sq Feet: 0.00 Plan Check1419-2072 Plan N
Fees Amount Payments Amount Paid
Fire Issuance $47.01 Total Fees $901.76
Fire Permit Fees $153.75 Cash/Receipt ft REC-02775-19 $700.00
Solid Waste Management Fee 2 $1.00 Cash/Receipt14 REC-02857-19 $201.76
Sprinkler Heads $700.00
Amount Due: n �` $0.00
Total: $901.76 ® � tat
CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
This permit/plan review expires by time limitation and becomes null and
void if the work authorized by the permit is not commenced within 180 days
from the date of issuance or if the permit is not obtained within 180 days
from the date of plan submittal.This permit expires and becomes null and
void if any work authorized by this permit is suspended or abandoned for 180
consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
I
October 22, 2019
Issued By: Date
October 22,2019 Page 1 of 1
• A.
043FOIH.4!,
0$ 1` PERMIT/PLAN REVIEW APPLICATION
,.* # a.
01, ;:U
X13 j Development Services Department,240 West Huntington Drive, Post Office Box 60021
Arcadia, CA 91066-6021, (626)574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class Gni 4' License No. & Exp. Date I/—2'—ig compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor 0111' i - vim— performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of he work for which this permit
License Law for the following reason(Section 70313,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier (is rev rf
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number Seo d 0Q ySS�/ 1�7
for such permit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of 0 I certify that in the performance of the work for which this permit is issued,I shall
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 should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of theproperty, 1 forthwith comply with those provisions.
or my employees with wages as their sole J /'
compensation,will do the work,and the structure is not intended or offered for 2 � L.__ .�
sale(Section 7044,Business and Professions Code:The Contractors License Date 022_'-1 / Signature �""
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'Compensation coverage isunlawful,
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.
0 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.
)Name A S >/ A - Title /`f "`�1 '�— O/.`l "'J
PRINT NAME `�
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes. I / ,� �j
1ignamre 11�/�7 1 Date 12 2 l(/
t,vt• cvPi City of Arcadia, CA i Permit No FIRE-19-2202
Development Services Department -vim "�-f PernIATYRe:Fire
240 Wes[Huntington Drive,Post Office Box 60021 r �nil1C C. ` r
s 1, 1 t l-!.LJ r W64(0055ificatron Fire Alarm
Arcadia,CA 91066-6021
(626)574-5416 `i, i. -_ .. i,.2;x x-.l"-. .- Permit Permit Statds`:issued
ARCADIA Issue Date 11/06/2019 I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
488 E Santa Clara ST Suite 304 Arcadia, CA 91006-7229 5773009081
Contacts v ..a.u.
FIFTH AVENUE GROUP LLC Owner EXECUTIVE SURVEILLANCE INC* Contractor
488 E SANTA CLARA ST P 0 BOX 8245, LA CRESCENTA,CA 912240245
(818)541-1091
Description:FIRE DEVICES FOR UNIT#304 23 DEVICES Valuation: $ 1,900.00 Tenant
Total Sq Feet: 0.00 Plan Check 019-2202 Plan#
Fees Amount Payments Amount Paid
Fire Alarm Plan Check $840.00 Total Fees $987.46
Fire Issuance $47.01 Cash/Receipt#REC-03009-19 $147.46
Fire Permit Fees $99.45 Cash/Receipt#REC-02944-19 $840.00
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $987.46
'1 COMPLETED
CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
This permit/plan review expires by time limitation and becomes null and
void if the work authorized by the permit is not commenced within 180 days
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
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.
•
November 06, 2019
Issued By: Date
November 06,2019 Page 1 of 1
♦ 'A.
atm 1- PERMIT/PLAN REVIEW APPLICATION
�; _:. r,,
0.:>,.....421' Development Services Department,240 West Huntington Drive,Post Office Box 60021
roam„-mom° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
I
I hereby affirm under penalty of perjury that I am licensed under provisions of hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and `.
Professions Code,and my license is in full force and effect. 0 have and will maintain a certificate of consent to self-insure for workers'
License Class
Signature of Contractor License No. Exp. Date I ,,tcompensation, as provided for by Section 3700 of the Labor Code, for the
�
I performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ail have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors "1700 of the Labor Code,for the performance of the work for which this permit
P.
License Law for the following reason(Section 7031.5,Business and Professions 'L,ps issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, ,A arrier
demolish,or repair any structure,prior to its issuance,also required the applicant A
for such permit to file a signed statement that he or she is licensed pursuant to the ? folicy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code) or that he or she is q
exempt there from and the basis for the alleged exemption. Any violation of '❑ I certify that in the performance of the work for which this permit is issued,I shall
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)): p,'i compensation Laws of California,and agree that if I should become subject to the
Jr workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole : forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License .. DateSignature
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'Compensation coverage isunlawful,
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). damagesas 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. j/ yf �y /l
Name , I I. . , J6 ft
0 Title ./1 LC(//� �
jl p•d NAME
?"certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I-Sagree to comp , with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
AArcadia to ente, pon the above-mull .ed property for inspection purposes. // //n �//
`S'gnature /1 I , // Date ! lL A /
v Ake
4o�FF�''9�r
Avrytf.iW)
CO\ j`0
ty tV MEMORANDUM
Fire Department
DATE: November 27, 2019
TO: BUILDING DEPARTMENT
INSPECTOR Steven Roberts
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 488 E. Santa Clara Street#304
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 11-26-2019 Jill Perumean
FIRE ALARMS 11-26-2019 Jill Perumean
HOOD & DUCT
KNOX BOX
OCCUPANCY 11-26-2019 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 11-27-2019 Rita
OF AJr?
411.001'041/444 4Q
11- 1117
�� ••dnP.t l.�W
mm°""YOf MEMORANDUM
Fire Department
DATE: November 27, 2019
TO: BUILDING DEPARTMENT
INSPECTOR Steven Roberts
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 488 E. Santa Clara Street#302
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION I DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 11-26-2019 Jill Perumean
FIRE ALARMS 11-14-2019 Jill Perumean
HOOD & DUCT
KNOX BOX
OCCUPANCY 11-26-2019 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 11-27-2019 Rita