Loading...
HomeMy WebLinkAboutTI-19-2545 "ink' Permit NO T 119-2545 City of Arcadia, CA INA P. Development Services Department )j .a i ^, i Permit Type Tenant Improvement .. 240 West Huntington Drive,Post Office Box 60021 i` ' `Work Classificatr n Tenant Improvement Arcadia,CA 91066-6021 ,, rog , E t `1 (626)574-5416 r 4 ,' 5 . *Permi•tStatus`Issued j ARCADI.A. Issue Date 02/27/2020 I Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 301 W HUNTINGTON DR 1&r7 Arcadia,CA 91007-3462 5775001019 Contacts WINDROSE SANTA ANITA PROP LLC C/0 Owner A V CONSTRUCTION INC* Contractor 'CPAC , 18444 WARD STREET WARD ST,FOUNTAIN VALLEY,CA 92708 301 W HUNTINGTON DR (949)356-3274 817879 ALA DESIGN GROUP Architect (562)305-0032 Description:INTERIOR TI FOR MEDICAL OFFICE SPACE UNIT Valuation: $ 185,000.00 ' Tenant 017 WITH EMP Total Sq Feet: 0.00 Plan Check#19-2545 Plan# 230 -. ==G ,.. -1.w.,-.....,,,-..--.-;-: Fees Amount Payments Amount Paid Accessibility Plan Check $176.53 Total Fees $5,090.73 AccessiblityBuilding Permit $181.05 Cash/Receipt#REC-03425-19 $2,113.15 Add/Alter Ducts $248.50 Cash/Receipt 4 REC-03990-20 $2,977.58 Air Handling Units<=10,000 cu ft per min. $29.92 Building Issuing Fee $47.01 Amount Due: $0.00 Building-Permit Fees $1,810.50 Building Plan Review Fee $1,176.83 %/� Cal Green Plan Check $117.69 0 �/L, ��� Zv— 11" --""'; Commercial T.I.Fire Plan Chk. $280.00 Distribution Panel $16.48 , Electrical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS Energy Plan Review Fee $362.10 Request for inspection by telephone at 626-574-5450. Leave a message Fire Final Occupancy Fee $200.00 requesting the address,timeframe and what inspection item is needed. Green Building Standard $8.00 Kitchen Sink $66.05 Lavatories . $13.21 This permit/plan review expires by time limitation and becomes null and Light Fixtures - $61.22 void if the work authorized by the permit is not commenced within 180 days Mechanical Permit Issuance Fee $47.01 from the date of issuance or if the permit is not obtained within 180 days Outlets-Receptacles&Switches $54.86 from the date of plan submittal.This permit expires and becomes null and Plumbing Permit Issuance Fee $47.01 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 Solid Waste Management Fee $6.25 Arcadia building inspector for a period of 180 consecutive days. Total: $5,090.73 COMP1II February 27, 2020 Issued By: Date February 27,2020 Page 1 of 1 401' l)r ' �.:win 7 PERMIT/PLAN REVIEW APPLICATION o�je Development Services Department,240 West Huntington Drive,Post Office Box 60021 421,oitroc ' 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. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class 2.7 License No. S'17 '7 S Exp. Date'Vll/zdi! 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 ContractorC.-I.._o�L� OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section Ei 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"X',n kensL r€ 1.13.ca z Sro1�e'S demolish,or repair any structure,prior to its issuance,also required the applicant A�/ �2q for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number l2 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 0 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 .L sale(Section 7044,Business and Professions Code:The Contractors License Date "--/Z-7/2o2© 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 r further information. 1•(une �° \ A Q gyp,- Title req - '1' rs C \ p' \ PRINT NAME I certify that I have read this application and state that the above information is cor ect 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 gnature ate a/a-7/20 20 _i yM1 J ICI-Zsittc- NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under fir./bldg.drain 3-1-ZZ 101. Rough grade 211. Copper underslab i • •14V-I�I�GI�Tlr1 to/7 102. Figs.&forms 212. Rough plumbing 3-9=� �G3 . 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan 31._2-c. RCs+JI4i EC.EG-riz/c rCOn1 Qv!f_ 105. Steel 215. Water heater4(...:" ., b•GdcLs api[.y. 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 3-1-26 (- Ac,c riitAiti ea- 108. Diaph nailing 218. Water service 3-it:20 f N S o o.J 4 1.-5/2X-461114,•01 L 109. Roof nailing 219. Final gas "'Zq•` 110. Framing 220. Fixtures , 20 uCT P2E'r"�,2q•/ ('/t itc_ $�� 111. Occ./Area Sept.Wall 221. Final plumbing Z�.Z6 _G_1j EL6 vizi fAsFL " " 112. Sound walls / 222. Sewer cap/demo. 113. T-bar grid '/-I3-7..) h i - 114. Insulation-Flr. Pool Inspections I Date I Insp. 115. Insulation-Wall 240. Excavation/steel _ 116. Insulation-Cell. 241. Rough plumbing 117. Drywall nailing 3.14•ZO 4--'" 242. Light shell bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap _ 120. Finish grade45. Gas line&test 121. Final building 5..24.20/e-- 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. Underground conduit 153. Underslab conduit Reroof Inspections I Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground . Roof framing 156. Rought clear 24702+6 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E•it.bonding Sign Inspections I Date I Insp. - 160. Service panel 80. Setback/overhang 161. Final electric X'2b 81. Footing 282. Conduit/wiring Mechanical Inspections - Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC 445-20 h= 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 Sewers&Offsite Insp. Date I Insp. 191. Final mechanical 3214 IrArl."r 300. Lateral(main to P/L) 301. Saddle/Y 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 .... Cot.\„. w"AktA:. YTS d4 a,:YL,l1�, . .t.'i J ,P-414,- .. , . l � I ' ��_r, e�4". Vii+` .'x G „ ,/'',..t;...-1�.�: L '�g. AAA • ,i. .,w" � ��` + { � . �t� 1 , �.,44,V ,/� ` .i-,,,---."-'14.--44.4 .�.r., ar; �` 'an r,, ,y . i � �; ,> , I . + r -, ,,,,v1/1,. 7. y ' rc�� k ) �,-- - .' p — - ' s ' " :_- h'4'c.. '34,.,„...., .1 : W �1�� . . .. , :.i S AMMO'. , 0 .. � i 0 �alma.9cil„ ._, . . i4. OIy7 ;,,,A,,..,,,,,,_,,,:: F ,.01 ; 0.0 �' ra E4itr 5 rfs .,,,*- a ,,, Certificate of Occupancy ( • City of Arcadia Development Services Department—Building Division ' . ,� %<,:, , 5rte.•3 : , • This certificate issued pursuant to the requirements of the a y l' California Building Code certifying that at the time of issuance this structure was in �'14+s� ? compliance with the various ordinances of the City regulating building construction or use" air Iii; • Permit No. TI-19-2545 ,,; �,,,, •l' :,,,l, .4 - - • ' 'q Building Address: 301 W.HUNTINGTON DR#617 ARCADIA, CA 91007 . ' ' v t',.7: '..1, , Permit Type: TENANT IMPROVEMENT Effective CBC: 2016 C.B.C. Occupancy Code: B Zone Code: C-O a* . Final Date: 5-26-2020 Type of Construction: TYPE I A ' moo' Owner: WINDROSE SANTA ANITA PROP LLC Tenant:MEDICAL OFFICE f? i• , Cr \' 4:*:• 1' e ng\,,-.. .., ' r:: J, a �,,yy 1 .A .1 / �� ��R' V{5 K • Kenneth Fields, ilding�.,�T.I glA''.,, ... '1 F ✓--I Post in Conspicuous Place A J .-%..:uix" 'M nY',sd'a: '.lN'ia ..a i:t;,r.Y \`ak#H49b'Y.Yi'M:R'S`FH.t]U} 'r.RNB:...i YA�✓lw+.P. "A :Yi4X,1 '�' +LAYPn 'SY:dTn -5' y�i" ;wywy5$t.'.:.ijy`4Rh1Y Y5'.tfi4t1� +YXn.: .'•iw2ff4X'_`v �rE fa?XXu"'., i� F.RdfX an }T.'. )y; t'- ^\i ;„' 0,..c,'..;. •-: TM -,ll.kl .. ;... w.y �„ 4 �• n- .ati: r +g -' �'� ";� j. W/`\ 1 i`/ A 'Vie/4`\%09-'' ' �'.,/_AW-VA\ ./ Vii/_ et •• ° �. 4', 1',- h :.. ,;.%--,r; r. , j” k�YO: ',,,i•-'v./r`_1 .'°". r.. .... r! .. "'+ Lam.::. a x 1 ,� 4 1- �`- 1, J .`y'�_:11: ., x.: r_ ". ." �. � oRi><` .:r. y���f vp� l � k h. ', � �ci 1p +'f�4�G #tL3(t, n: W r ,� " ',•/%/4/de r'' ^ .''a,` ' F Y, "� ' � �' PerinrtNo�EIRE'20 0484 City of Arcadia, CA Development Services Department i; )r� F _ 7� Per�mt Type Flre.= 240 West Huntington Drive,Post Office Box 60021 � �:t 1.T t � �$ � � `a C w - t aN� Arcadia,CA 91066-6021 WorkClassificahon Fire Alarm �; t x (626)574-5416 ; Permtt5tatus Issued A RCAD iA !Issue _Date 03/25/2020 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 301 W HUNTINGTON DR Arcadia, CA 91007-3462 5775001019 ' Contacts.- WINDROSE SANTA ANITA PROP LLC C/0 Owner Security Signal Devices,Inc Contractor CPAC 1740 Lemon ST,Anaheim,CA 92801 301 W HUNTINGTON DR (714)449-9900 557497 Description:FIRE ALARM RETROFIT Valuation: $ 15,000.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Fire Alarm Plan Check $700.00 Total Fees $1,068.76 Fire Issuance $47.01 Cash/Receipt#REC-04143-20 $1,068.76 Fire Permit Fees $320.75 Amount Due: $0.00 Solid Waste Management Fee 2 $1.00 Total: $1,068.76 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. • le- if *fro. D March 25, 2020 Issued By: Date March 25,2020 Page 1 of 1 OE,y{FOtts,,, , fi! �' PERMIT/PLAN REVIEW APPLICATION .elk 10 j Development Services Department,240 West Huntington Drive,Post Office Box 60021 °tX° 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 Contractor 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 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 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 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: 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 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 upon the above-mentioned property for inspection purposes. Signature Date 'r.--:----:—. et" ,,; m PERMIT/PLAN REVIEW APPLICATION- Developmento Services Department, 240 West Huntington Drive, Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 • ONLINE PERMIT/PLAN REVIEW APPLI• CATION CITY QP - ARCADIA . . LICENSED CONTRACTOR'S DECLARATION. WORKERS'COMPENSATION DECLARATION. . El 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: 0 I have and will maintain a certificate of consent to self-insure for workers' License Class C-7 Gtr)C-16 License No. es�as� Exp. Date 02/28/2021 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 Dana-Ha"nver �Dab.2010➢33516la]ISIM OWNER=BUILDER DECLARATION El I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance Of the work for which this permit I hereby affirm under penalty of perjury that I am exempt from the Contractors• is issued..My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5, Business and Professions Code.Any city or county which requires.a permit to construct, alter,improve, Carrier Everest Premier Insurance Company . demolish,or repair any structure,prior to its issuance,also required the applicant 5300003001191 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 Q I ce•rtify t•hat in t•he perfor•mance 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 file 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 •0 I, as owner of the property, or my employees with wages as their sole forthwith comply with hose provisions. Ppina/,W^NHDuu N.uw, compensation;will do the work,and the structure is not intended or offered for 03/25/2020 '°' "" sale(Section 7044, Business and Professions Code:The Contractors License Date SignatureDat�� HauverfTm- em�: � 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. 01, 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 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=2.000 for further information. - Name.Dana Hauver . . • Title Engineering Manager . PRINT NAME • I certify that I have read this application:and state that the aboveinformation is correct and that I am the owner or duly authorized agent of:the owner. 1 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. Digitallysigned by Dana Hauver :Dana-Hauver , ,DN:cnsDanaHauver.u,eur¢nail=dhauver@ dalarmmm,c=US Date 03/25/2020 Signature nae•2"2n"2 , , nyn na Zc ro-xace•nrno • _ d €"adv City of Arcadia, CA a��a� k z FermlteNC FIRE 20 041± Development Services Department ‘" t o PermtttType Fire,, 240 West Huntington Drive,Post Office Box 60021 h , ,t r �F r.,� t H I � Work Classification Fire Sprinkler 3 Arcadia,CA 91066-6021 Aar t c x a o 3 (626)574-5416 CLt "W,a' hW ra PermlfSta us Issued.-- ARCADiAIssue Date 03 30 2020,r� / / x Expiration: 09/05/2020 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 301 W HUNTINGTON DR 617 Arcadia,CA 91007-3462 5775001019 ,Contacts,= -. WINDROSE SANTA ANITA PROP LLC C/0 Owner PACIFIC FIRE SUPPRESSION INC* Contractor CPAC 249 EMERSON G,ORANGE,CA 92865 301 W HUNTINGTON DR (714)502-0211 423418 Description:FIRE SPRINKS FOR T.I.STE 617 HUNTIGTON HILL I Valuation: $ 5,400.00 Tenant HUNTINGTON HILL IMAGING IMAGING Total Sq Feet: 0.00 Plan Check#20-411 Plan# Fees Amount payments Amount Paid Fire Issuance $47.01 Total Fees $918.46 Fire Permit Fees $170.45 Cash/Receipt#REC-04166-20 $218.46 Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-04075-20 $700.00 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $918.46 - 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. #,/e4 • March 30, 2020 Issued By: Date March 30,2020 Page 1 of 1 AR U~4 ooF ny,99d, y -PERMIT/PLAN REVIEW APPLICATION o o j0 Development Services Department,240 West Huntington Drive,Post Office Box 60021 m�tia,tyof. Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 • City of 0.1....4„...1, Arcadia ICENSED CONTRACTOR'S DECLARATION WO OMPENSATION 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: 11 apter 9(commencing with Section 7000,of Division 3 of the Business and ' 1,, Pro essions Code,and m .censes�is i full force an effect. ❑ I have and will maintain a certificate of consent to self insure for workers' License Class 434 Cii'ceh�o. 13 1 Exp. Date I I IM compensation, as provided for by Section 3700 of the Labor Code, for the K. �,,. performance of the work for which this permit is issued. Signature of Contractor _.'a WNER-BUILDER 1 CLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section QUI 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 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 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 �' of employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): i tcompensation Laws of California,and agree that if I should become subject to the °iworkers'compensation provisions of Section 3700 of the Labor Code,I shall 4forthwi comp with those provisi ❑I, as owner of the property, or my employees with wages as their sole 111'(":t compensation,will do the work,and the structure is not intended or offered for . 1'•.1 7,^� A,�. sale(Section 7044,Business and Professions Code:The Contractors License Date { Uv Signa �� 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 ofcompensation, 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. ( �1 A �_ c' e SXIi )0k k 1 Title O 1\ t'\ O 4 rvc • PRINT NAME I ify that I have read this application and state that the above information is co rect and that I am the owner or duly authorized agent of the owner. - ee to comply with all City ordinances and State Laws relating to buildin construction. I hereby authorize representatives of the City of i, ° dia to enter upon the above-mentioned property for inspection purposes. ; t,�% - f \1, cD� ture +1 ate \ 401342"--Q4 oF4r AuNa!.t9o! �4ai`y°ice MEMORANDUM Fire Department DATE: May 28, 2020 TO: BUILDING DEPARTMENT - INSPECTOR John Zurick FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 30-1 W. Huntington Drive #617 THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS (PC# 20-411) 5-11-2020 Mark Krikorian FIRE ALARMS (PC# OTC) 5-19-2020 Jill Perumean HOOD & DUCT KNOX BOX OCCUPANCY (PC# 19-2545) 5-19-2020 Jill Perumean COMMENTS: Emailed Bldg. Dept. 5-19-2020 Rita