HomeMy WebLinkAboutTI-19-2372 ia r ' ixu w> S Yd .,»;k' P ;*ik qr a g�;Permrt:k' TI X19 2372''
City of Arcadia,CAta
i Development Services Department i It% to ,a
p p �� g ,v-Permit,,,,TypTenant lmprouement
? s s'3 Iii � �",, 4 14, . " ,oma , syr Y^
..,i 240 West Huntington Drive,Post Office Box 60021 ) ,
`-..; Arcadia,CA 91066-6021 fe .. 1 t3 [ z work Classrjrc!on?Tenant Improvement
(626)574-5416 4a kd ; �k �e Permit Stat is Issued `
A C D ,, Is ue Date 12%03°//191� Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
289 W HUNTINGTON DR 208 Arcadia,CA 91007-3495 5775001034
Contacts
SANTA ANITA LAND HOLDINGS LLC Owner ) THE HALE CORPORATION Contractor
LESSOR S AND H NO 1 LLC LESSEE 513 S MYRTLE AVE,MONROVIA,91016
289 W HUNTINGTON DR 401 (626)358-4523 538125
Description:T.I.FOR CALIFORNIA SKIN INSTITUTE,INCLUDES t Valuation: $ 68,900.00 1 Tenant CALIFORNIA SKIN INSTITUTE
MEP'S
Total Sq Feet:" 0.00 g Plan Check#19-2372 Plan#186
'r >
Fees Amount payments Amount Paid
Accessibility Plan Check $94.11 Total Fees $3,110.59
Accessiblity Building Permit $96.52 Cash/Receipt#REC-03243-19 $3,110.59
Add/Alter Ducts $129.22
Building Issuing Fee $47.01 Amount Due: ' $0.00
Building Permit Fees $965.15
Building Plan Review Fee $627.35
I
Cal Green Plan Check $62.74
Commercial T.I.Fire Plan Chk. $280.00 I: COMPLETED
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $193.03
Fire Final Occupancy Fee $200.00 CALLS FOR INSPECTIONS
Green Building Standard $3.00 Request for inspection by telephone at 626-574-5450. Leave a message
Lavatories $118.89 requesting the address,timeframe and what inspection item is needed.
Light Fixtures $66.52
Mechanical Permit Issuance Fee $47.01
Outlets-Receptacles&Switches $44.26 This permit/plan review expires by time limitation and becomes null and
Plumbing Permit Issuance Fee $47.01 void if the work authorized by the permit is not commenced within 180 days
Solid Waste Management Fee $6.25 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
void if any work authorized by this permit is suspended or abandoned for 180
Solid Waste Management Fee 2 $1.00 consecutive days or if no progressive work has been verified by a City of
Solid Waste Management Fee 2 $1.00 Arcadia building inspector for a period of 180 consecutive days.
Total: $3,110.59
December 03, 2019
Issued By: Date
December 03,2019 Page 1 of 1
v~4 o�F R,„4..d.
=4t
_•
PERMIT/PLAN REVIEW APPLICATION
.� .iii ;,
tows 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,Rd 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.S 3 e 12\ xp. Date 8/2.0 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 ContractoraiM
OWNER-BUILDER DECLARATION OiI 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 0[4 et L-
demolish,or repair any structure,prior to its issuance,also required the applicant
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 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 comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for f
sale(Section 7044,Business and Professions Code:The Contractors License Date 12- — 2Q1 Signature l, 3
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 said 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 (NM"r'C'
Date ` 2-. `7'-'lCSignature 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 ' p ' e'i.,4.9 D I- \1/,L0' Title ?2-(PT t AC>N T
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 an. to Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned p ope ' for inspection purposes.
Signature<.----------:____. 111/.—....20111k. Date N2 —3 —2011
.2a`? W• wilt/ j-�/ '.?(251
NOTES
Building Inspections Date Insp. Plumbing Inspections I Date I Insp.
100. Setbacks 210. Under fir./bldg.drain 0.23-t1 .4°-
101. Rough grade 211. Copper underslab 2--ns -tc ec)i' ., pci- a
102. Figs.&forms 212. Roush•lumbing ( Ar�ceE6 ,C/ C Pry (41'4C.c..5
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
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 220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar•rid - ,i!
114. Insulation-Fir. Pool Inspections Date Insp.
115. Insulation-Wall (2.044)f 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing iZ Z.3 (�j 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 (-Z/-16 . 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final•lumbing
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under•round conduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical ,Zp-Z' Jr,- 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E.it.bondin• -Sign Inspections I Date I Insp.
160. Service panel :0. Setback/overhang
161. Final electric (-Z7-lb 281. Footing
282. Conduit/wirin•
Mechanical Inspections Date Insp. ' 283. Disconnect
181. VentFurnace/A.C.e/A. -�284. Final sign
181. FurnacelA.C.
182. Rouch HVAC (20 Za rim, Miscellaneous Insp. I 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 -EIM Sewers&Offsite Insp. I Date I Insp.
191. Final mechanicalI4 2.b pp 300. Lateral(main to P/L)
301. Saddle/Y
f�
Block Wall Inspections Date Insp. 302. Cess•ool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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a
r Certs• cate of Occupancy _ ,
N City of Arcadia r
' Development Services Department—Building Division
,.;:::::10:::_t\'!„.17(:.:1,,.
i' This certificate issued pursuant to the requirements of the
California Building Code certifying that at the time of issuance this structure was in
• ,:>,
compliance with the various ordinances of the City regulating building construction or use. v,;,...,..,:
rte4it` .
1.
P�` ' �7 Permit No. TI-19-2372 ISI \'
< Building Address: 289 W.HUNTINGTON DR#208 ARCADIA, CA 91007 : a
i o:. Permit Type: TENANT IMPROVEMENT Effective CRC: 2016 C.B.C.
• Occupancy Code: B ;
Zone Code: CO-H6
pt.
te
,,,„ ,. _ ),
Final Date: 1-29-2020 Type of Construction: TYPE III B SPRINKLERED '`
's' A'�-:fit
a
w
k.. Owner: SANTA ANITA LAND HOLDINGS LLC Tenant:CALIFORNIA SKIN INSTITUTE ° , '
Ir v` ‘`,
,V,,, 4
rylC
- '131:@4 k7,.
' 1‘744, Ke neth Fields,B ilding 0 sal
.;
0, ft
ii, ,. ,, ,
Post in Conspicuous Place
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AIR CONDITIONING,INC' •
- LIC,,4431394
IF
CAL ORNIA SKIN'INSTIT.UE
-` ` , '' ' -289 W HUNTINGTON.DR';;:,S!FE..208, • -• •
ARCADIA,CA 91;007 .
. HVAC AIR BALANCE REPORT
• :ZONE/• ROOM/:•
- - AREA •' DIFF.USER DESIGN CFM;. TESTED CFM
:' �`" SYSTEM "
FC 305.2 200 A 300 310'
r 201" •A: 175:, .1.70;
.'s; 202 ;A. _125 120.
203 ,:: A'_, 225 21.5•'
209, A. J75 „ 146 ..:':.-.-.-,-1..-.-:.:.-.•
-
TOTAL 1,000 985
., 704, 110 _
FC 306,1 :44,.':"...-...;..'...'": A' 400 400
B' - •••:‘,..:",.:490.::.::::::: 395`'
• • ' ' 80 ; 79'. TOTAL. 010
0 ,. ,• L. OSA 104 _
FC 306..2 204 A X50 235'
205 A 250 260.
206 . . A -150 1'50, :.
.. 207:" A • 150. : ._14.5 •
•
208 A 150 1.45'
• 210' - '� -A" 50 55.
TOTALS . 1,000 ' :•990
OSA 104 110''
CERTIFICATION
THE DATA PRESENTED JN THIS REPORT'..i.§,-:.AN EXACT RECORD:9.. F...5. . ..,1T`-',.-yPERFORMANCE AND
WAS OBTAINED IN A.CCORDANCE:WITH NEBB STANDARD PROCEDURES ;ANY,VARIANCES FROM
DESIGN QUANTITIES WHICH EXCEED NEBB TO_LERANC - a ED THROUGHOUT THIS
REPORTS ' ANT
�G •pdR CON Q�
1/27C2020 NEo•431i3i' `MARK DAL- SSI
SUNWESTAIRCONDITIONING,IN
:OSA OUTSIDE AIR ' • 0F'CALIFO��\P
1660 BABCOCK.STREET•COSTA MESA,CA 92627•`(949).650 506:1 • FAX (949)650.3844;. :
City of Arcadia, CAS . f ' , �Perrnrt No FIRE �19,2495';;
if: Development Services Department i �' � , � "" 4,,,,4 Perm�t�Type•Flre-
240 West Huntington Drive,Post Office Box 60021 pl., ) s �_ iirt
s _ .- J Work�Glassification FireoSprinkler,,
Arcadia,CA 91066-6021 �) y
kik
(626)574-541677' 4, "I''''4
'
�, Permit Status Issued
ARCADIA ue Date 01/10'/02O;I
Expiration: 06/10/2020
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
289 W HUNTINGTON DR 208 Arcadia,CA 91007-3495 5775001034
1�9K.de,Nh ,,, ,W,Vsa mom m
.Contacts
t
SANTA ANITA LAND HOLDINGS LLC Owner CRAIG FIRE PREVENTION* Contractor
LESSOR S AND H NO 1 LLC LESSEE 123 E CENTRAL AVENUE AVE, MONROVIA,CA 91016
289 W HUNTINGTON DR 401 (626)357-4045 1037827
Description:FIRE SPRINKS FOR TI#208 12 HEADS Valuation: $4,000.00 v Tenant
Total Sq Feet: 0.00 i Plan Check#19-2495 Plan#
Fees Amount Payments Amount Paid
Fire Issuance $47.01 Total Fees $885.06
Fire Permit Fees $137.05 Cash/Receipt#REC-03531-20 $185.06
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-03354-19 $700.00
Sprinkler Heads $700.00
Amount Due: $0.00
Total: $885.06 -
GOMPLF1E .
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.
4.
January 10, 2020
Issued By: Date
January 10,2020 Page 1 of 1
�`4 OFF nvc,,
,_ 0 PERMIT/PLAN REVIEW APPLICATION
it pio
o0 j� Development Services Department,240 West Huntington Drive,Post Office Box 60021
mm4q,tyof*" Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
Crtereby 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 G- G License No. (QS 7�2T Exp. Date ,d compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATIOrJ v 0.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'com�pensaAtion insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier i9W iY/'c4e fI cf ,r
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 2.6 +0 000:07 $ C3
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 mi 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 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 Date ,I r10 7.X12-0 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 1HE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND'1'HE 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 ,! e. (✓".$7 I— itle _0,4/a..--
PRINT NAME
I certify that I have read this application and state that the above information is corr t 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.
Signature :..iiii Date l 0 12 Oy(J
of Ake
otalF Oltiv.N1
•
WI WI*
171 11.2ift
Auryec 3,1903
4 if Ice
�yaity oO MEMORANDUM
Fire Department
DATE: January 29, 2020
TO: BUILDING DEPARTMENT
INSPECTOR John Zurick
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 289 W. Huntington Drive #208
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 1-28-2020 Jill Perumean
FIRE ALARMS 1-28-2020 Jill Perumean
HOOD & DUCT
KNOX BOX
OCCUPANCY 1-28-2020 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 1-29-2020 Rita