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HomeMy WebLinkAboutTI-18-0444 �.,,; ,� a 5 r fav k'' / : � City of Arcadia, CA p , , _ ., . Permit No TI 18 0444 „” Development Services Department Permit Type Tenant Improvement °4 240 West Huntington Drive,Post Office Box 60021 a ` ( ,'; 'a 'e . , " a fri " Work ClassificationTenant Improvement y Arcadia,CA 91066-6021 �� �' a, 4 r ^� yF .` (626)574-5416 & M ,' "� '- '',ib Permit:`Status Issued ARCA ,� � z ;'04, Issue Date 106/04/2018.1 Expiration: 12/01/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number i' 125 W Huntington DR Arcadia,CA 5775015029 Contacts VG PROPERTY INVESTMENTS LLC C/O Owner GONZALO DE VERA Applicant MIKE SOO 903 CAZLE AMANECER 210,SAN CLEMENTE,CA 92673 125 W HUNTINGTON DR (714)600-2234 Con-Am Inc* General Contractor(B) 903 Calle Amanecer 210,San Clemente,CA 92673 (949)498-1003 Description:2 ELECTRICAL ROOMS AND 1 MDF IN LOWER LEVEL . S Valuation: $ 120,000.00 Tenant `. OF EXISTING PARKING GARAGE. NEW POWER INFRASTURE s 1 r THROUGHOUT SITE AND EXISTING BUILDING.NEW FCU AND Total Sq Feet: 0.00 I Plan Check#18-444 Plan#32524 CU FOR ELECTRICAL ROOMS .d '"" „,,,M.4...104.14 .4...0 ,,� %.”. ` Fees Amount payments Amount Paid Accessibility Plan Check $132.80 Total Fees $3,246.43 Accessiblity Building Permit $136.20 Cash/Receipt#REC-001345-2018 $1,587.40 Building Issuing Fee $44.35 Cash/Receipt#REC-000699-2018 $1,659.03 Building Permit Fees $1,362.00 Building Plan Review Fee $885.30 Amount Due: $0.00 Cal Green Plan Check $88.53 ` Commercial T.I.Fire Plan Chk. $280.00 Energy Plan Review Fee $272.40 Green Building Standard $5.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Corn $33.60 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message Total: $3,246.43 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. 4COMPLETED June 04, 2018 Issued By: Date June 04,2018 Page 1 of 1 Atte OS. Of 1F �4 ,. V ;1: PERMIT/PLAN REVIEW APPLICATION t.#,, P "Ea' . Development Services Department,240 West Huntington Drive,Post Office Box 60021 Q0\ 0 , 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, d my license is in full force and effect. / ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class Lic se No.� i./ Exp. Date r� � ; compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contrac performance of the work for which this permit is issued. OWNER-BUIL CLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors 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 is issued.M orkers'compensati n insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier ,i ..k4 demolish,or repair any structure,prior to its issuance,also required the applicant !� ' 94 for such permit to file a signed statement that he or she is licensed pursuant to the Policy 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 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 the property, or my employees with wages as their sole forthwith com ly with those provisions. compensation,will do the work,and the structure is not intended or offered for q sale(Section 7044,Business and Professions Code:The Contractors License ( Date Z1/ 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. ❑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. ' " V ,7Name iA Title 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 u j,(the . 1 ove-mentioned property for inspection purposes. .rr ��� Signator:` _ Date 05 NOTES77 0 li Building Inspections Date Insp. Plumbing Inspections Date Insp. /f5"--- 100. Setbacks 210. Under ft/bldg.drain 101. Rough grade 211. Copper underslab • UU 102. Figs.&forms 212. Rough plumbing f 103. Pre slab 213. Rough gas �'� /dC.17 104. Floor joists 214. Shower pan ‘e/g-/0 105. Steel 215. Water heater 106. Grout lift 216. Roof ng se 7/n �T 107. Shear nailing 217. Building sewer [ ) � // �, �,>��/�� 108. Diaph nailing 218. Water service �5-/ J) / 109. Roof nailing 219. Final gas 110. Framing 220. Fixtures 111. 0cc./Area Sept.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar.rid 114. Insulation-Flr. Pool Inspections I Date I. Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath ' 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building (II-_ 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date _ Insp. 249. Final.lumbin. 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Under.round conduit 153. Underslab conduit Reroof Inspections I Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Eqpt.bonding Sign Inspections I Date Insp. 160. Service panel 57'1,-/rJ 280. Setback/overhang 161. Final electric/ 0--(eZr 281. Footing - - r 282. Conduit/wirin. Mechanical Inspections Date Insp. ' 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC Miscellaneous Insp. Date I Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. I Date I Insp. 191. Final mechanical 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cesspool filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin SCHAFER4ELECTRIC Telephone(818)845-1622 /E l \ License No,419402 Fax(818)845-1619 INC ELECTRICAL CONTRACTORS 1505 N. SAN FERNANDO BLVD.—BURBANK,CALIFORNIA 91504 August 1,2018 ConAm Building Co 903 Calle Amanecer Suite#210 San Clemente,CA 92673 Project: Building A&B on the 2"d and 3rd floors 125 W. Huntington Drive Arcadia,CA • RE: New meter and main service section Schafer Electric Inc., has completed the new meter-main service installation and guarantees the following: 1. Installation in a workmanlike manner per N.E.0 standards and requirements. 2.All lugs have been torqued to manufacturer's specifications. 3. Original and new service gear sections are manufactured by Square D Company to meet all required engineered ratings and standards. Sincerely Ken Schafer ertafaecl Inspection aboratories Inspection Report 1�1 a a TH Faa El inspector Nicholas Sylvain Job No. 21-001 - - Date: 6-11-18 lob Name USC-Site Modifications Bldg/OSHPD permit ii 18'444 increment N/A Address 125 West Huntington Drive Arcadia,CA 91007 General Contractor ConAm Building Co. Jurisdiction City of Arcadia Architect ZGF Architects Engineer KPFF Subcontractor(If any) Nassau Masonry Concrete Requirements:Limit of one Job number,one permit number per sheet.Identify all work by type and SPECIFIC location. Non-compliant work must be specifically identified.Communication(RFI,sketch,etc.)voiding previous non-compliant must be listed. Note all communications with project engineer,structural engineer,building official,and/or permit granting authority officials. Inspection Type Reinforcement Concrete Masonry Quality Control Admin Fire Proofing Prestress post ten Batch Plant Other Epoxy Dowels Description of Work Inspected , Arrived on site to observe Tito of Nassau install epoxy dowels in the basement level of the parking garage Location:South end of the basement level in the parking garage Plans call for#4 rebar with a 3"embedment using'Hilti HIT-RE 500 V3'epoxy per detail 9/A2.10C-5(and per clarification of embedment/epoxy per SEOR) Drill bit is 5/8"per ESR 3814,hole depth is minimum 3",rebar is correct#4 All holes were properly cleaned following cleaning procedures per ESR 3814 Epoxy is correct'Hilt)HIT-RE 500 V3'(expires 03/2019)and was correctly installed per ESR 3814 A total of 27 epoxy dowels were installed Mix Used -' Design Slump Admixture Design PSI • ,CubicYards. • - - '.5pedmens Additional Page(Page#) Work Performed Meets©the requirements of the Approved Does not meet Q Contract Documents for the Project Time in Time out REG hours OT Hours DT Hours Total Certificate of Compliance 8am 10am C 0 0 CIM I declare under penalty of perjury that all of the above statements are true,and that of my own personal knowledge the work during the period covered by this report has been performed and Acknowledged by Installed In in compliance with the approved plans, specifications supporting authority,e.g.:DSA,OSHFD,City of LA,ETC) • and applicable codes except those noted above Signature: EXCEPT AS NOTED ABOVE Inspector Name:Nicholas Sylvain Inspector ID's: ICC#8470777 • Printed Name:Gonzalo De Vera Inspector Signatie 552 S.Central Park Ave E.Suite C Anaheim CA 92802 www.CertifiedLabs.NET 323-984-9210 . Woman Owned and Managed ertifaed inspection. imilboratoories • Inspection Report cAti DTH oFRI o Inspector Nicholas Sylvain Job No. 21-001 Date: 6-12-18 Job Name USC-Site Modifications Bldg/OSHPD permit# 18-444 Increment N/A Address 125 West Huntington Drive Arcadia,CA 91007General Contractor ConAm Building Co. Jurisdiction City of Arcadia Architect ZGF Architects Engineer KPFF Subcontractor(if any) Nassau Masonry Concrete Requirements:Limit of one Job number,one permit number per sheet. Identify all work by type and SPECIFIC location. Non-compliant work must be specifically identified.Communication(RFI,sketch,etc.)voiding previous non-compliant must be listed. Note all communications with project engineer,structural engineer,building official,and/or permit granting authority officials. Inspection Type`' Reinforcement Concrete Masonry Quality Control Admin Fire Proofing Prestress post ten Batch Plant Other Epoxy Dowels . .Description of,Work Inspected Arrived on site to observe Tito of Nassau install epoxy dowels for a slab footing in the basement level of the parking garage Location:South end of the basement level in the parking garage Plans call for#4 rebar with a 3"embedment using'Hilti HIT-RE 500 V3'epoxy per detail 9/A2.1 oC-5(and per clarification of embedment/epoxy per SEOR) Drill bit is 5/8"per ESR 3814,hole depth is minimum 3",rebar is correct#4 All holes were properly cleaned following cleaning procedures per ESR 3814 Epoxy is correct'Hilti HIT-RE 500 V3'(expires 01/2019)and was correctly installed per ESR 3814 A total of 124 epoxy dowels were installed IVlix Used ;Design Slump,. Admixture, Design PSI : :CubicYards.,, Spedmgns Additional Page(Page#) Work Performed Meets©the requirements of the Approved Does not meet Q Contract Documents for the Project Time in lime out REG hours OT Hours DT Hours Total Certificate of Compliance 6am 730am 0 0 CIIII I declare under penalty of perjury that all of the above statements are true,and that of my own personal knowledge the work during the period covered by this report has been performed and Acknowledged by installed in in compliance with the approved plans, specifications supporting authority,e.g.:DSA,OSHFD,City of LA,ETC) and applicable codes except those noted above Signature: EXCEPT AS NOTED ABOVE Inspector Name:Nicholas Sylvain Inspector ID's: ICC#8470777 . Printed Name:Gonzalo De Vera Inspector Signatide 552 S.Central Park Ave E.Suite C Anaheim CA 92802 www.CertifiedLabs.NET 323-984-9210 Woman Owned and Managed 1 •City of Arcadia, CA a� , '. , Permit NO Elec 18-1378 ckDevelopment Services DepartmentPermit Type Electrical 240 West Huntington Drive,Post Office Box 60021 VP, WorkjCIassification Electrical Commercial Arcadia,CA 91066-6021 =Pt.:: 3 (626)574-5416 `��� -,"\\C,,t%•",:0/4" -� s•"`o� Permlt�Status>aISSUed \ - A.RCAD IA. Issue Date0 ' 8/02/2018 Expiration 1/,2 09/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR Arcadia,CA 5775015029 ,--71.4,,:..:- Contacts -71.Contacts VG PROPERTY INVESTMENTS LLC C/O Owner Con-Am Inc* Contractor MIKE S00 903 Calle Amanecer 210,San Clemente,CA 92673 125 W HUNTINGTON DR (949)498-1003 -,i INZEZENZEta, s. Description:TWO ELECTRICAL METERS FOR BLD A 1ST,2ND Valuation:_ $ 0.00 Tenant AND 3RD FLOOR,AND BLD B 1ST,2ND FLOOR. 800 AMP EA. 125 W HUNTINGTON DR A-2 Total Sq Feet: 0.00 i Plan Check# Plan# 125 W HUNTINGTON DR B-2 � •, a a-�ra.kms, , .-,;, fl r, Fees Amount Payments Amount Paid Commercial service 200 to 1000amps $124.26 Total Fees $169.61 .Electrical Permit Issuance Fee $44.35 Cash/Receipt#REC-001911-2018 $169.61 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $169.61 -, 1 ' lvAC �.. 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. eeifigifilp August 02, 2018 Issued By: Date August 02,2018 Page 1 of 1 of ARO _,yieoky,4, •6' 9 PERMIT/PLAN REVIEW APPLICATION 4.1 Development Services Department,240 West Huntington Drive,Post Office Box 60021 \y/. 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_ License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Con t 1C./ a performance of the work for which this permit is issued. N (�,-� OWNER-BUDDER DECLARATION ❑ 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 the work for which this permit License Law for the following reason(Section 7031.5,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 demolish,or repair any structure,prior to its issuance,also required the applicant N1 rE. for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number Q„) jprovisions of the Contractors License Law(Chapter 9(commencing with Section (This section need nocompleted 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 .- e subj-'t to the workers'compensation provisions of Section 3700 o e Labor C.:e,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 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. ❑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). 0 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 113E 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. 1 Name C !/ : Title 9�/ii 2241Q 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 u - entioned property for inspection purposes. Signature Date o /eq/7,,v �e 1.g 1 . Permit NO.fEIeC 18-0996 I City of Arcadia, CA ' : Development Services Department A r " "Permrt Type:Electrical 240 West Huntington Drive,Post Office Box 60021 fi ° , ,,, , ° °4j �' -.' , ' to Work Classification:Electrical Commercial �� ' '" .OM1 Arcadia,CA 91066 6021 - A i _ ,::':-;--7,::-!..1-411:,.:,.-::' �m (626)574-5416 . � n� h m `Permrt.Status Issued i'lA C '.`IA 0 � / / � Expiration: 12/10/2018 � ens Issue Date 06 13 2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR Arcadia,CA 5775015029 , Contacts VG PROPERTY INVESTMENTS LLC C/0 Owner SCHAFER ELECTRIC INC* Electrical Contractor MIKE SO0 (C-10) 125 W HUNTINGTON DR 1505 N SAN FERNANDO BLVD,BURBANK,CA 91504 (818)845-1622 Description:ELECTRICAL FOR BASEBENT LEVEL IT ROOM AND ti Valuation: $0.00 Tenant ELECTRICAL RM,4 PANELS, 2 TRANSFORMERS 225&150 kva. Total Sq Feet: 0.00 Plan Check# Plan# c 'R!4: a9k" .'A�+w'a_m X a ea«_.....:'a..W..se A&, a":• w w+V_'�l'.�@wn'iaE w..m >'d mn :d.'n R;.'Y,sae '.:e..^ Fees Amount 1 Payments Amount Paid h Commercial service 200 to 1000amps $248.52 Total Fees $368.09 Electrical Permit Issuance Fee $44.35 Cash/Receipt#REC-001424-2018 $368:09 Light Fixtures $30.80 Amount Due: - $0.00 Misc Elec.Conduit,Conductors or Repair $31.10 Outlets-Receptacles&Switches $12.32 ' Solid Waste Management Fee 2 $1.00 Total: $368.09 --Z‘' ( 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. • eogy 0, DJune 13, 2018 Iss d Date June 13,2018 Page 1 of 1 of Ape cl! 11,..- I- PERMIT/PLAN REVIEW APPLICATION °E • Development Services Department,240 West Huntington Drive,Post Office Box 60021 c,„,,,.., .....„<" Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia 17 LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 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 Busine and jProfessions Cod and my license is in ful f r e and ffect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C3 License No. Date '4'''' ', compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. LI Signature of Contractor l OWNER-BUILDER DECLARATION l'41 ave and will maintain workers'compensation insurance,as required by Section 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors 'a, . 00 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 is issued.My workers'compensation i surae carrier and p cy nu ers are: Code.Any city or county which requires a permit to construct,alter,improve, = Carrier //`) 1'S °' 0 �j"� $- demolish,or repair any structure,prior to its issuance,also required the applicant '''Policy Number aW 5 Z 69-3 - 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 '�' 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 •.hould become subject to the workers'compensation provisions of Section 3740 o • e 7id= I shall I, as owner of the roe or myemployees with wa es as their sole ' forthwith comply with those provisions. 0 property, g k compensation,will do the work,and the structure is not intended or offered for ( D` sale(Section 7044,Business and Professions Code:The Contractors License Date tcJ'13'1 a Signature illi /Nor _- .� 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 iemoval prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. !Name Title 49it_E-.. . — I PRINT it 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 a ab a-m nt' d v 01).'ty for inspection purposes. Signature 7. , Date 5a * 13— IT _ 4�� % ':' PermrtNO"MeCh 184064 City of Arcadia, CA i �� , �� � � . '� ' 1. }�x 3 v _ f c+ a l Development Services Department Permlf;Type Mechanical 3 r l 240 West Huntington Drive,Post Office Box 60021 �, r; • 2 " , Work Classificati•on Mechanical,Commercial :c':"1.;se? 1" Arcadia,CA 91066-6021 ` * � I N (626)574-5416 1a� ,x�f � 4 °`Permit Status;Issued ARCAD f �1� Issue Date 06/20/r2018I •Expiration: 12/17/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR Arcadia,CA 5775015029 Contacts VG PROPERTY INVESTMENTS LLC C/O Owner Key Air Conditioning Co* HVAC Contractor(C-20) MIKE S00 10905 Laurel,Santa Fe Springs,CA 90670 125 W HUNTINGTON DR (562)941-2233 LARRY@KEYAIR.NET gt Description:MECHANICAL FOR TI PERMIT 18-444 1 Valuation: S 0.00 4 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Air Handling Units<=10,000 cu ft per min. $42.33 Total Fees $131.35 Compressor 3-5 Ton(3 to 15 hp) $34.29 Cash/Receipt#REC-001506-2018 $131.35 Mechanical Permit Issuance Fee $44.35 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 Ventilation Fan(Single Duct) $9.38 Total: $131.35 5=ec'-- -,-",,,,4( (____ 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. itt l --. 9 June 20, 2018 Issued By: Date June 20,2018 Page 1 of 1 4 oFp A74,6 7 PERMIT/PLAN REVIEW APPLICATION 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 i full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C-2.1) 0 20 ns:f i '= D 1 Exp. Date I'Zb__ compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor 1r OWNER-BUILDER DEC ARATION 0.4 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 700 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 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 ZL C4% demolish,or repair any structure,prior to its issuance,also required the applicant '-`� � /��j — for such permit to file a signed statement that he or she is licensed pursuant to the Policy 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 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)): compensation Laws of California,and agree that' •.uld become subject to the workers'compensation provisions of Se on 11` L labor Co.- 1-shall ❑I, as owner of the roe forthwith comply with those provisions. property,rty, or my employees with wages as their sole 21.veA1.Ir., compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date �� Sign—� ��'I—����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'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. ❑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 I'HB. 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 W't ���-���T �., Title VCE "te '4)Deka- PRINT NAME I certify that I have read I I .li n 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 , I nce •nd State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter .on t • "�� "' ned property for inspection purposes. .geo ��•k•td Date 6/20 ) ' Si /LL0i1Si nature / ' ., is i $ =7f & '# '��.a �, ' a : e7 ' Ar ,a ,ix ' � s i PermitFa i:, RE 18 1251 . t . ' City of Arcadia, CA �A � k I/ � , e, . NI, { Development Services Department 40 �� ,_ e`i `l ¢ Pefrrilt rk "e FIrp 240 West Huntington Drive,Post Office Box 60021 "i ,„ 11 r 1 )i ?t A ,47104-4',, Arcadia,CA 91066-6021 �tc� �i ° k' gs°Work Classifjcation .fire Sprinkler (626)574-5416 &'"" ,1 0 1 � 1 hPermit5tatus Issued ROAD C. . issue Date 07/262018: Expiration: 01/22/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR Arcadia,CA 5775015029 Contacts ' VG PROPERTY INVESTMENTS LLC C/O Owner OPTIMUM FIRE PROTECTION INC* Fire Contractor(C-16) MIKE SOO 13217 JAMBOREE RD 464,TUSTIN,CA 92782 125 W HUNTINGTON DR (714)712-7393 ry.,q .aaxa x.a y'a h'. •Nvxn .::. s+Y aY9 EA'4 6 'w8.:.. &__k.:Js'wab'.,a a ee, is:"..:&&'W;`em"d'C ie^._ "•••=.:4,.: n'd_iYd."' Svm'C a' .�£&*<'h"<3.d4r,,aF'=auW'O`. ..:N.Ca,%' .. �.5'4�.¢56.S..Y e^• Description:10 HEADS FOR LOWER ELECTRICAL ROOMS Valuation: $3.000.001, Tenant Total Sq Feet: 0.00 Plan Check#18-1251 Plan# 1 .a��.a• -.» t���� �� , �� Fees Amount Payments Amount Paid Fire Issuance $44.35 Total Fees $445.70 Fire Permit Fees $120.35 Cash/Receipt#REC-001744-2018 $280.00 Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-001827-2018 $165.70 Sprinkler Heads $280.00 -- Amount Due: $0.00 Total: $445.70 - 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. 0 00, ! •I 4 1/ d14 'e'll ' July 26, 2018 Issued By: Date July 26,2018 Page 1 of 1 of AIle. oFo • 6i 4ot` X41 .0 �- PERMIT/PLAN REVIEW APPLICATION e',1 I\\\tea. 'o 1.I10, Development Services Department,240 West Huntington Drive,Post Office Box 60021 mmop,.y of-' 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 of the Busine and Professions CoSee,and my license is in fu or• 9 t. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Classe • CO Signature of Contractor License No. Exp. Date 2-t) compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. WNER-BUILDER DEC ❑ I have and will maintain workers'compensation insurance,as required by Section 0 I hereby affirm under penalty• perjury that I•+ exempt from the Contractors 3700 of the Labor Code,for the performance of the w for which this permit License Law for the following -. on(Section 431.5,Business,and Professions is issued.My workers'compensation ms ance carrier d policy numbers are: Code.Any city or county which • - . •ermit to construct,alter,improve, Carrier [ J/,.G / OV'' demolish,or repair any structure,prior to its issuance,also required the applicant Polic y ` 3 �54 11 for such permit to file a signed statement that he or she is licensed pursuant to the Number v 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 ❑ I certify that in the performance of the work for which this ;- u' 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 ubj- to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I s uld b--ome subject to the workers'compensatio provisions of Section 3715 of th> abor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith co ply wi those provisions. compensation,will do the work,and the structure is not intended or offered for /g� ..414.sale(Section 7044,Business and Professions Code:The Contractors License Date !, 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 Worke • Com.• sation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to • .i. •enalties 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 AM) 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 " K5-an 1t iAME Title g, \ PRINT I certify that I have read this application and state that the above information is cokrect and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and : Laws relating to building construction. I ereby a horize representatives of the City of Arcadia to enter upon the above-mentioned pr 1 ••• • 'for inspection purposes. Signature Date °el t6- e i� ' Permit NO Comm 18 1154 . . City of Arcadia, CA M^` Development Services Department j '°R°' ""`iF ' r Permit T e Commercial l240 West Huntington Drive,Post Office Box 60021 z a I Arcadia,CA 91066 6021 1 h 7 ;T:::.--LI Wa Classific ahon.'Grading/Shoring/Foundation Only (626)574-5416 , PerrimitStatus Issued 1 �. ARCADIA Issue Date 09/10/2018,` Expiration: 02/26/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR Arcadia,CA 5775015029 Contacts VG PROPERTY INVESTMENTS LLC C/O Owner GONZALO DE VERA Applicant MIKE SOO 903 CAZLE AMANECER 210,SAN CLEMENTE,CA 92673 125 W HUNTINGTON DR (714)600-2234 - Con-Am Inc* Contractor 903 Calle Amanecer 210,San Clemente,CA 92673 (949)498-1003 ^d.kY •...s:.°J..S*4'4.,ip". •. .r`i:Rw. S".d'F"�E°".' •'e••wewA..^•,x>F,' •, 4 t .e., '-< A-,vim}.^h"ttYC£F"-' - ^'.V*&°AP396n.Wa .,:. •'•,_F"F,i2".X" &i.•r�'A"•'�m£.< "Yte'�:a"N^aa •..m,P`:` 4'A0.P:+43b:a.'.:.,.. t R Description:REMOVE PORTION OF SLAB FIRST FLOOR AND Valuation: $ 0.00 Tenant BASEMENT LEVEL,RE-ROUTE STORM DRAIN AND MISC.MEPS, RESTRUCTURE AND POUR NEW SLAB FOR FUTURE Total Sq Feet: 0.00 ' Plan Check#18-1154 Plan#32542 EQUIPMENT.TO BE BILLED HOURLY Fees Amount; Payments Amount Paid Accessibility Plan Check $57.00 Total Fees $487.60 Building Issuing Fee $44.35 Cash/Receipt#REC-002252-2018 $487.60 Plan Check,Per Hour $380.00 Amount Due: $0.00 Solid Waste Management Fee $6.25 Total: $487.60 5a1'.(2,0 );-'" (.' jZ____ 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 inap for a period of 180 consecutive days. O .. CMP/Ertl ii / September 10, 2018 Issued By: Date September 10,2018 Page 1 of 1 Of ARC viil piamir! l l' PERMIT/PLAN REVIEW APPLICATION . 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 a d Professions Code,and my license is in full ff�ori,ee and effect. 7 ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class 800..31/ License No. Io 7463// Exp. Date ! /A, compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contract --- performance of the work for which this permit is issued. OWNER-BUILDE D CLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section 1:3I hereby affirm under penalty of perjury that I am exempt from the Contractors 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 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 demolish,or repair any structure,prior to its issuance,also required the applicant C7 '-74--(GL for such permit to file a signed statement that he or she is licensed pursuant to the Policy 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 exempt there from and the basis for the alleged exemption. Any violation of ❑II 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 the roe forthwith comply with those provisions. property,rty, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date 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. ❑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: f 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. N.me �ehf� At- &'-'e ;tie '�/✓ L'r"-- 4-Wr„ „ 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 'th all C't ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to .- •r upo he above- •ntioned property for inspection purposes. l . ignature / Date ` . .