HomeMy WebLinkAboutTI-18-2047 N Al'n4�' z * �, i'y e
$ " +`Aso, , 4..Permit NO TI X18 2047
City of Arcadia, CA �, r
Development Services Department iy :3 + - - ") Permit�Type Tenant;Improvement
c!' ? 240 West Huntington Drive,Post Office Box 60021 @ f
�� g : ' "' L , -Work classification Tenant Improvement;
, � . Arcadia,CA 91066-6021 , � �,� �f a „��icy, a T
TV-- (626)574-5416 T . ' Permit Status Issued,,.
AI• cAD1AN Isse°Date 97/31120191 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
135 E Foothill BLVD Arcadia,CA 5771021029
mama vr.
.. ..
Contacts
HIGHLANDER CENTER LLC C/0 GLOBE Owner KC DESIGN ARCHITECTS,INC* Applicant
PROPERTIES
121 Foothill BLVD (310)446-1888
IMPACT CONSTRUCTION COMPANY* Contractor
15902 Halliburton 125A,Hacienda Heights,CA 91745
(626)524-5000 479410
. � .
Description:T.I.SAKHRANI ARCADIA MEDICAL t Valuation: $ 180,000.00 Tenant
OFFICES(ADDRESS LOCATED AT 121 E HUNTINGTON)WITH
EMP Total Sq Feet: 0.00 Plan Check#18-2047 Plan#95
Fees Amount Payments Amount Paid
Accessibility Plan Check $173.16 Total Fees $4,808.44
Accessiblity Building Permit $177.60 Cash/Receipt#REC-01997-19 $3,010.24
Building Issuing Fee $47.01 Cash/Receipt#REC-002775-2018 $1,798.20
Building Permit Fees $1,776.00
Building Plan Review Fee $1,154.40
Amount Due: $0.00
Cal Green Plan Check $115.44
Commercial T.I.Fire Plan Chk. $280.00
Compressor 3-5 Ton(3 to 15 hp) $68.34
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $355.20
Floor Drain Fee $37.38 CALLS FOR INSPECTIONS
Floor Sink $37.38 Request for inspection by telephone at 626-574-5450. Leave a message
Furnace or Burner<=100,000 BTU $37.48 requesting the address,timeframe and what inspection item is needed.
Green Building Standard $8.00
Kitchen Sink $87.22
Lavatories $24.92 This permit/plan review expires by time limitation and becomes null and
Light Fixtures $70.80 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 $85.80 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
Sewer Connection on Property $31.16 Arcadia building inspector for a period of 180 consecutive days.
Total: $4,808.44
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/7July 31, 2019
Issued By: Date
July 31,2019 Page 1 of 1
PERMIT/PLAN REVIEW APPLICATION
o Olt j�,s..,, illim,of A.Re,ic 4,e-
Development Services Department,240 West Huntington Drive,Post Office Box 60021
„Y,,,v 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.lo
I have and will maintain a certificate of consent to self-insure for workers'
icense Class License No 4( Exp. Dat �J o l� compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
ignature of Contractor
WNER-BUILDER D CLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
El 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 Policy ' 6 )7G ZZ — f
for such permit to file a signed statement that he or she is licensed pursuant to the (ThsNumber
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be ompleted if the pe tis 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 ate I �� 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. /�)) 'A ^l
Name &Q (.l'?tA U Title f Q
PRINT NAME
certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I 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.
1 412,1 t 1
kgnatureDate
NOTES .
Building Inspections Date Insp. Plumbing Inspections Date Insp. « - 20 LC?
100. Setbacks 210. Under flr./bldg.drain /1.4.'1
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing 1 2�.
103. Pre-slab 213. Rough gas II. •/9 P n•rL fAi4 orr%
104. Floor joists 214. Shower pan sti frezi !A✓tnrto L'✓' - W.--
105. Steel 215. Water heater IZ/O.f g 4•&'LEc-t Pvevet Ny ms`s. b
106. Grout lift 216. Roof drains p,
107. Shear nailing 217. Building sewer it•Ca• (? /•,•Zo P •cryo Cofe • D�
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing (•24?a 220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid I.2 ff.20 Ci
114. Insulation-Flr. Pool Inspections Date Insp.
115. Insulation-Wall 14•IS•f 9 240. Excavation/steel i ' ,
116. Insulation-Cell. 241. Rough plumbing ' ,
117. Drywall nailing 1216.0-1' - 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 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 I Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical I•Zy-ZO " 272. Sheathing nailing
157. Fixtures I.24f-zv r' 273. Final reroof
158. G.F.C.I.
159. E.at.bondin. Sign Inspections I Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric 281. Footing
282. Conduit/wirin.
Mechanical Inspections - Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVACr•Zi' Sys- 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/V
Block Wall Inspections Date Insp. 302. Cess.col filled
200. Footings 303. Sidewalk -
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
City of Arcadia, CA � ‘1,01.**-,- Permit No.,FIRE,.,- 9.,2311
Development Services Department v PN, Permit Type Flre.:
�` 240 West Huntington Drive,Post Office Box 60021 I _ j ` ' �i,;
• Arcadia,CA 91066 6021 4 ti , : „a, ,, WorkcCipssif7catloR FIrepSprinkler�
(626)574-5416 ' n, PermltStaS"Issued
A CAI)IA ,, Issue pate 11/19/2019`I Expiration: 05/12/2020
A6'2',1 , 4 ,41 4
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
135 E Foothill BLVD Arcadia,CA 91006-2506 5771021029
Contacts
HIGHLANDER CENTER LLC C/O GLOBE Owner F&H Fire Protection* Contractor
PROPERTIES 1119 Westminster AVE,Alhambra,CA 91803
121 Foothill BLVD (626)262-3876 584319
Description:FIRE SPRINKS FOR TI 34 HEADS Valuation: $ 3,500.00ti 1 Tenant
Total Sq Feet: 0.00 Plan Check#19-2311 Plan#
«\ ''
Fees Amount Payments Amount Paid
Fire Issuance $47.01 Total Fees $885.06
Fire Permit Fees $137.05 Cash/Receipt#REC-03084-19 $700.00
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-03131-19 $185.06
Sprinkler Heads $700.00
Amount Due: $0.00
Total: $885.06
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:'it>i e.
0,,,i/rip
November 19, 2019
Issued By: Date
November 19,2019 Page 1 of 1
Of ARe
ifit; e. PERMIT/PLAN REVIEW APPLICATION
a j" Development Services Department,240 West Huntington Drive,Post Office Box 60021
04,,,AIty 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,andlicense is in fuce and (ffect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class C ( ll f License No. � / Exp. Date V, Z I 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 1Z11 have and will maintain workers'compensation insurance,as required by Section
ID I hereby affirm under penalty of perjury that I am exempt 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'co�t�pensation insurance carrier and olicy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier verciA��,.c ._Lrtq u. �l.e '�t'1-e-y
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number l �(Imo( w Q 1s7for 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 hu dyed 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 ith se 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 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 covers a 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 _ I
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:
CZIZ Lender's Name
Date /19 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.
U‘10( --- TName si4`i/I1i. itle q____
.-A./�/
AME
I certify that I have read this application and state that the above' ormation 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 ( /1440
4
OF ARC
4 c), orikt4
C~
1
Ausurt 5.1907
5.
c%7�ilaitYo 1111.° MEMORANDUM
Fire Department
DATE: April 30, 2020
TO: BUILDING DEPARTMENT
INSPECTOR John Zurick
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 135 E. Foothill Blvd.
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE./ INITIAL
FINAL INSPECTION
FIRE SPRINKLERS (PC# 19-2311) 4-27-2020 Jill Perumean
FIRE ALARMS
HOOD & DUCT
KNOX BOX
OCCUPANCY (PC# 18-2047) 4-30-2020 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 4-30-2020 Rita