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,`a�� �a City of Arcadia, CA = Permit NO RAL'T 19 0059>; 'N.\\11// Development Services Department ks �y ~+ Pie Init Type•Residertial Addition/Alteration '- ft 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 LIUWorkIClass(ficat7on•aRes Addition/Alteration.. (626)574-5416 'Permit-Status:Issued ARCADIA issue Date 02/06/2019 I Expiration: 08/05/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 400 Santa Cruz RD Arcadia,CA 5775017006 i Contacts LARRY WU Owner RAFU CONSTRUCTION INC. Applicant 400 SANTA CRUZ,ARCADIA,91007 5822 MYDA AVE,TEMPLE CITY,91780 (626)394-9768 thelarrywu@yahoo.com (626)484-6051 KYLEIMOTO@YAHOO.COM RAFU CONSTRUCTION COMPANY INC* Contractor 552 JADE TREE DR,MONTEREY PARK,CA 91754 (626)484-6051 62822 ammmmommov T 9 Description:ADDITION OF MASTER BED RM#4,BATH#3, Valuation: $47,945.30 Tenant WALK-IN CLOSET.WITH EMP Total Sq Feet: 338.00 . Plan Check#19-59 Plan#32677 Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $3,036.01 Building Permit Fees $781.00 Cash/Receipt#REC-00315-19 $2,041.39 Building Plan Review Fee $507.65 Cash/Receipt#REC-00068-19 $994.62 Cal Green Plan Check $50.77 Electrical Permit Issuance Fee $47.01 Amount Due: $0.00 Energy Plan Review Fee $156.20 Green Building Standard $2.00 Lavatories $24.92 Light Fixtures $13.86 Mechanical Permit Issuance Fee $47.01 Outlets-Receptacles&Switches $18.48 CALLS FOR INSPECTIONS Parks&Recreation Fee(SFR) $963.30 Request for inspection by telephone at 626-574-5450. Leave a message Plumbing Permit Issuance Fee $47.01 requesting the address,timeframe and what inspection item is needed. Shower $12.46 Single Family Fire Plan Check $280.00 Solid Waste Management Fee $6.25 This permit/plan review expires by time limitation and becomes null and Solid Waste Management Fee 2 $1.00 void if the work authorized by the permit is not commenced within 180 days Solid Waste Management Fee 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days Solid Waste Management Fee 2 $1.00 from the date of plan submittal.This permit expires and becomes null and ' Strong Motion Inst.Program Res $6.24 void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ventilation Fan(Single Duct) $9.38 Arcadia building inspector for a period of 180 consecutive days. Total: $3,036.01 j.\? February 06, 2019 Issued By: Date February 06,2019 Page 1 of 1 OF ARC --r toortiv41 �' PERMIT/PLAN REVIEW APPLICATIN— e04 :44_,,, , Development Services Department,240 West Huntington Drive,Post Office Box 60021 mmtioi,Y.11V 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' f License Class tP License No.34367:7, Exp. Date u/tQ compensation, as provided for by Section 3700 of the Labor Code, for the ,2 performance of the work for which this permit is issued. Signature of ontractor 11 \OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section IDI 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 CtPnr Jt 4 , demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number IQ76a I cul"1 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 jErI 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 Date 2/6I I Signature sale(Section 7044,Business and Professions Code:The Contractors License 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 f ` bo Title kli,ese PRINT NAME I certify that I have read this application and state that the above information is c rrect 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 buildi g construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. ignature01Date 741,1 . NOTES -co Building Inspections Date Insp. Plumbing Inspections Date Insp. 1700 S4, 4 �G1 rE 44.1k._100. Setbacks 210. Under flrJbldg.drain �l f !! 101. Rough grade 211. Copper underslab /� 102. Figs.&forms 212. Rough plumbing �`�' e/1 � 103. Pre-slab 1 �Z 213. Rough gas ��✓ l 104. Floor joists214. Shower pan f�' 7"-fre-L /2 .' / ' 9 40 ter heater ,J 105. Steel 215 Wa a ,X (% ��`l 2,7 Gl/e( 106. Grout lift 216. Roof drains /J /4, 107. Shear nailing 622i4`�� 7/S�1217. Building sewer / // 108. Diaph nailing 218. Water service 109. Roof nailing 'JjC7� 219. Final gas - 110. Framing 7 71 220. Fixtures 111. Occ./Area Sept.Wall 221. Final plumbing ( eOCJ IL 112. Sound walls 222. Sewer cap/demo. 113. T-bar arid • 114. Insulation-Flr. Pool Inspections Date I °Insp. 115. Insulation-Wall _ - ✓ 240. Excavation/steel 116. Insulation-Ceil. 241. RoughLight plumbing - 117. Drywall nailing 242. shell/bonding 118. Interior lath ' 243. Underground conduit 119. Exterior lath '017 244. P-trap 120. Finish grade 245. Gas line&test _ 121. Final building /J-?ef) 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 271. Roof framing 156. Rough electrical c-Y,51::?`97 _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 �� 280. Setback/overhang /'li161. Final electric -g/ 281. Footing 282. Conduit/wiring . Mechanical Inspections . Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVACO /j 44rt ' 7 / 1 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. Date Insp. 191. Final mechanical /Z9'00 �j1 300. Lateral(main to P/L) (1/ 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 &,.,.......#-—.. .*..6,.*.•••.*...,.6..*.* lir i_ ite. .. . + (E)LANDSCAPE* • ••••• �� ')•' / x • • • • • • • • • • • • • • Sr • • • — 4 9 rn cv cc .w...„..111..._.• • • • Sr o • • o + • • • • ••• (Y *iK\C7/7/. •� • • A -j14///... • 'l__ ♦ ,‘„...„...../t/_ IIt i I • Nr . '--,-r-': • �/ I ++*ti +/� 41 ,,' - .. - • • •j 1 /r\• • -� • • • _t1 8� 1` t•r' * •• q, j rf • I • • T • REMOVE CLOSET 1 + + WATER HEATER + .i :•- - ••1 . 1 • • • I + .1. 6-10".SIDE YARD SETBACK • + Inil • Z♦ , • SIDE YARD SETBACK 6'-2e• • a c0 • • • LL T -11:', • • +• iii. • • I *+• • * • • • • • • CO AV plans created by RAFU CONSTRUCTION CO.,INC. • • .• SIDE YARD SETBACK • • • • • • • •• • • • • • • ill are made exclusively • • • • • * • ' K for ARCHITECTURAL purposes(Cal.Bus.&Prof. r • • • _, • • . • AREA ADDITION • w Code§6727).A6 plans created by RAFU do not 1 ••• - • 19'-2° • involve the determination of any property line, rL cc cc and es sudr do not consf�te land surveying 0- (Cat.Bus.b Prof.Code§§6726-8727).to _ +( ) � a m addition,RAFU services and plans do not `+ +•. 1 T,_ '•••+♦••• E CA E •+••• • • • UQ CC _ addition, chill engineering(CaL Bus.8 Prof. ♦ * . • • • Sr Sr ♦ • Sr • Sr • V. Sr FO (!] Code§§6702-6704),and thus should not be M * • Sr • • o * Sr • ` ♦ • • • • w CO1 o •- • • • • • • • • o +1 . CO x O used for anyor aaivides defined as civ6 engineering eringring(Cal.Bus.6 Prot.Code • * o * • o Sr * • ••*+W • * ft W §6731).RAFU makes every reasonable effort to • • . • " .. • • • • • • • • • • • • • y 1.1- VV ensure the accuracy of the information found ► + Sr •••• • SP •••`••• • • • •* • • + • • F p in our plans.In the event that our plans ere ilk • - • • • • ZZ0 w used for masons other than those for which / ~`• • ¢¢• (7 they are specifically intended,RAFU shall not be • • • • • W • • + • • • LL¢ held fable for any damages or any claims + + Sr * + + + + • + KW arising out of such use.Furthermore,RAFU shall Sr * * • • • • • * Sr * Sr • * not be held liable for any damages or any • • • • • • * * * * W * • • Q claims arising out of the use of oar plans Ile 1.1r._ — • • • • • • • Sr• • • • unless such damage or claim is caused by our 1 • • • • • • • * * • * • • negligence.Measurements should be field . — " — —— — confirmed before commencing construction_ PLOT PLAN N.T.S. PROJECT INFORMATION JAN .2019 ADDITION WU RESIDENCE 400 SANTA CRUZ ST. ARCADIAN CA 91007 OWNER: LARRY AND WAILENG WU Printed:27AUG2017,6:35PM Wood Beam Lic.# KW-06009730 Licensee:OandNldesign BEAM#4 CODE REFERENCES: Material Properties Allowable Stress Design 1350 IBC 2012 1350 1600 • 925 580 Douglas Fir-Larch 625 No.1 170 675 32.21 Beam is Fully Braced against lateral-torsion buckling - D(0.288)Lr(0.36) D(1.5)Lr(1.7) V ;. Applied Loads Service loads entered.Load Factors will be applied for calculations. Point Load: D=1.50, Lr=1.70 k @ 4.0 ft,(POINT LOAD BEAM#2) Point Load: D=0.2880, Lr=0.360 k @ 0.0 ft,(POINT LOAD RIDGE BEAM) _ DESIGN SUMMARY Design OK Maximum Bending Stress Ratio 0.757 Maximum Shear Stress Ratio 0.390 -4x12 4x12 1,404.93 82.97 1,856.25 212.50 +D+Lr+H - +D+Lr+H 4.029 0.000 Span#1 Span#1 Maximum Deflection 0.138 1045 0.000 0 0.265 542 - 0.000 0 Maximum Forces&Stresses for Load Combinations IC - INSPECTION CONSULTING SERVICES P.O.Box 2047•West Covina,CA 91793-2047 Serving Southern California Phone(626)926-4236 INSPECTION REPORT icsinspection@yahoo.com Inspector Name Job Number Date - Z ' M 1 T W I F S S (Y?-• Cc,-r V� Job Name Build Permit Number/OSA/OSHPOFile M • Jurisdiction 10-t LI 4=5 reCLcT 19-00.S-9' FI.2cin-.. lA- Address -General Contractor Y©0 5 iy1T4i C IZ1./2 5 r • Architect Engineer Sub Contractor(Ii Any) DVA b 1—0 r.?F"i4 I L5 VI 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 items must be listed. Record conversations and communications with project designers.building and permit granting authority officials. Hours - REGULAR 1.5 X 2 X Mileage: V, r.. LI -r.1-. Expenses: V ❑ Reinforcement ❑ Concrete U Masonry ❑ Prestress Post Ten U Fireproofing • U Structural Steel l3'Epoxy ❑ Other Description of Work Inspected ( A-Z 5 i A-1--t- ta -01,4 z 1 � `I 2E 0A-2 A v w iS \h-/ r i-)-t (© `' (---73-t-A 13 r✓ vL( /1-14 5 t ryL j.)s r-t 3 1-- 7(T p 4..51=. K Is_ :i CC_ CFS.CZ. 2...S-C1 E) ►i-5 F 4, —1 ; II 1 5 p - i Lo e. (i-T lQtT W p- i D BTI ci N. ..S U-r')-. l'c1 s-r Se7rt oN. cs 11=0 O-7-1 Y, C.8 11.1 t — g L1.4„..-re C )CrST� n � l3ur�.C(t �Sj /'"aIZ t��W �j �C�lz� rl r . Z. 1 3 ' - I J Mix Used Design PSI • Cubic Yards Specimens Certification of Compliance I declare under penalty of perjury that all of the above statements. All Inspection based on a minimum of 4 hours and over 4 are true, and that of own personal knowledge that the work hours-8 hour minimum.In addition,any inspection extending during the period covered by this report has been performed past noon will be an 8 hour minimum. If Inspector is called to and installed in every material respect in compliance with the a project and no work performed, a 2 hour minimum will be approved plans,specifications and all applicable codes applied. Inspector Name: AA e e/-40-6---t_ E. CED Ta -„,,, tt i�� Approved/Authorized by: Inspector Signature: - (Project Superintendent) • ' Inspector ID's / 0 6' Y-SJ/3 -T C C Submitted By: V (Inspection Consulting Services) Page: of: �i irPeCmrt J0 EIRE X19 0994`: Aii,.4k4 City of Arcadia, CA �, '. LI', Development Services Department ;tea `*1 ,:' �� `�r"`V t,O a �'Permitjype Fire 240 West Huntington Drive,Post Office Box 60021 t �a ). r l Work C'assi cation Fit S rinkler": Arcadia,CA 91066 6021 sa, � "� „„ ;_ �� k , 1 r j:gip k N° (626)574-5416 r Perinit7Status Issued ARCADIAkii : Issueb�Date 06/24/2019' Expiration: 11/24/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 400 Santa Cruz RD Arcadia,CA 5775017006 Contacts LARRY WU Owner CRAIG FIRE PREVENTION* Contractor 400 SANTA CRUZ,ARCADIA,91007 123 E CENTRAL AVENUE AVE,MONROVIA,CA 91016 li (626)394-9768 thelarrywu@yahoo.com (626)357-4045 1037827 • Description:FIRE SPRINKS 30 HEADS I Valuation: $ 5,250.00 Tenant Total Sq Feet: 0.00 Plan Check#19-994 Plan# �� „ .. . �� Fees Amount Payments Amount Paid Fire Issuance $47.01 Total Fees $918.46 Fire Permit Fees $170.45 Cash/Receipt#REC-01331-19 $700.00 • Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-01612-19 $218.46 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $918.46 -441 COMPLETED CALLS FOR INSPECTIONS COMPLETED 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) June 24, 2019 Issued By: Date June 24,2019 Page 1 of 1 v�4_„w ,c', �_ PERMIT/PLAN REVIEW APPLICATION dlli\\., Fy�'. 0 Etp,„ • Development Services Department,240 West Huntington Drive,Post Office Box 60021 a,,,"giv 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 &-lb Licenser U No. /�37 P2'? Exp. Date 'I/30(Zc compensation, as provided for by Section 3700 of the Labor Code, for the X^ performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER 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 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 insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier w-ry�tw., FG•ry'lam- /7'G.-rcr 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 E345,-/e c2e,r;c9 1 I A 0 ( 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 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 q /J sale(Section 7044,Business and Professions Code:The Contractors License Date�j 0 2.LI /17 Signature L�(A _, 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. ame 7�wA 14.F. wt_ Title OvyL.-.-t 9e.." /i 4- 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 entA....--- r upon the above-mentioned property for inspection purposes. gnature Date 63Z 11/0 ,,4 OFA�F 14?1,.dr V � -��aenrPonted - Ausort 5.1903 Po RIf it o 00 �424aity f�o� MEMORANDUM Fire Department DATE: January 23, 2020 TO: BUILDING DEPARTMENT INSPECTOR John Zurick FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 Santa Cruz Road THE FOLLOWING ITEMS WERE.CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 1-23-2020 Jill Perumean FIRE ALARMS HOOD & DUCT KNOX BOX OCCUPANCY 1-23-2020 Jill Perumean COMMENTS: • Emailed Bldg. Dept. 1-23-2020 Rita •VAR '4G�u °1 ,, Uq11.W %bow,wit WATER DIVISION ISIO1.V .. ATTENTION: . . DATE: / cY? FROM: BUILDING DIVISION" INSPECTOR: :,�K///. 0 ADDRESS: 4- X1e;/9 PERMIT NO.: PLAN.NO:: . " CONTRACTOR: .. e PHONE NO.: ?K.--.7 k---1. OWNER: PHONE NO:: - PLEASE INSPECT THE FOLLOWING ITEMS FOR CONFORMANCE WITH APPLICABLE DEPARTMENT : OF PUBLIC WORKS REQUIREMENTS. Type of:Inspection Date&Initial Date& Initial Final Approval : Meter Location . Blackflow Devices • ''. Z.. Irrigation System "J/A Fire Sprinkler System % / _ Meter Clear A.P.Y. Swimming Pool. N/A COMMENTS: � e 2 . No ac., 6I4.16;: . ' ½ \\e.d ye-7