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COMM-19-0136
/ ° City of Arcadia, CA -- PermlrNO Comm. 19 0136 Development Services Department 1 t*y -." , -4 --�~ v ii"7 ,,APermii,lype Commercial MP ,ii 240 West Huntington Drive,Post Office Box 60021 e� � `_ �w �` Arcadia,CA 91066-6021y 1 Werk Classification Commercial Add/Alt. } 7-1 (626)574-5416 4 s y g b "a PermitStatus ISSUed ARCADIA '� " _; Issue Date 03/07/2019 Expiration: 09/09/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR B 2ND Arcadia,CA 5775015029 FLOOR Contacts VG PROPERTY INVESTMENTS LLC C/O Owner GONZALO DE VERA Applicant MIKE 500 903 CAZLE AMANECER 210,SAN CLEMENTE,CA 92673 125 W HUNTINGTON DR (714)600-2234 Con-Am Inc* Contractor 903 Calle Amanecer 210,San Clemente,CA 92673 (949)498-1003 698311 Description:INTERIOR TI FOR MEDICAL OFFICE BUILDING B Valuation: $ 500,000.00 b Tenant 2ND FLOOR. INTERIOR WALLS AND FINISHES Total Sq Feet: 0.00 Plan Check#19-0136 Plan#32695 Fees Amount Payments Amount Paid Accessibility Plan Check $152.98 Total Fees $9,109.46 Accessiblity Building Permit $398.40 Cash/Receipt#REC-00176-19 $1,868.62 Building Issuing Fee $47.01 Cash/Receipt#REC-00618-19 $7,240.84 ` - Building Permit Fees $3,984.00 Building Plan Review Fee $1,019.85 Amount Due: $0.00 Cal Green Plan Check $101.99 Commercial T.I.Fire Plan Chk. $280.00 Energy Plan Review Fee $313.80 Fire Final Occupancy(Manual) $200.00 Green Building Standard $20.00 Plan Check,Per Hour $2,445.18 CALLS FOR INSPECTIONS Solid Waste Management Fee $6.25 Request for inspection by telephone at 626-574-5450. Leave a message Strong Motion Inst.Program Com $140.00 requesting the address,timeframe and what inspection item is needed. Total: $9,109.46 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. af COMPLETED March 07, 2019 Issued By: Date March 07,2019 Page 1 of 1 v~4 ouF Rr,�9d9 k PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive,Post Office Box 60021 -'YftIIy of•P 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 fo c and effect. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class �J o. /� Exp. Date ��/�� compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Con..:4 performance of the work for which this permit is issued. i OWNER-BUILD DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier /s'01W d&UGG /iti4v,e4xic6 roigia '/'. demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 7.Z we-44 6S Q for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 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 0 I, as owner of the property, or my employees with wages as their sole forthwith co ly ith those provisions. compensation,will do the work,and the structure is not intended or offered for a , Date Signa 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. �l (Name � - UTi r 6 V title P• y i /A , PRRINTINT NAME 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 j,_ i. - . •ntioned property for inspection purposes. S �7ignature Date ` / NOTE.. /` -O/66 Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under flr./bldg.drain -0 101. Rough grade 211. Copper underslab 102. Figs.&forms 212. Rough plumbing l 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan 105. Steel 215. Water heater �� .�t/ 27/� 106. Grout lift 216. Roof drains // r 107. Shear nailing 217. Building sewer e X (�l� � 108. Diaph nailing 218. Water service 0'/ S•(4 cg4r,e6 A , 4' 109. Roof nailing 219. Final gas 110. Framing � 220. Fixtures / 111. Occ./Area Sept.Wall 221. Final plumbing /� /' 4/7_ 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-Flr. Pool Inspections Date °Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building 7/.7// 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. Underground 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 � 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Eqpt.bonding Sign Inspections Date I Insp. 160. Service panel "280. Setback/overhang 161. Final electric 7i7/9 281. Footing 282. Conduit/wirin. Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC .f Miscellaneous Insp. Date 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 Insp. 191. Final mechanical 7 - �/ 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess Icol filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin , - � .?'�'+"kv ':F..-., ; ;.'.: �. 1,.,,`,.n•:.:�., ,. .1r.7,.,'.a..:,",-'„'.,4...ca F.{.=i�.iK,{•-ti,+s.�aa'.� �.e. . +ti�y`i`,t..,,FJ 7�SNt^•Ri"r S., �..,:¢: '.i..:a• ,,a1r.4,'r �4'x<.,..,... . , 7'X^'ic;Y. 'i. :..'•.4�J�'...n k�•,t, - ; 3 fi 'a�, +�" >,~,-•�,!`. 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HUNTINGTON DR#B 2ND FLOOR ARCADIA, CA 910064. ,i, w `'" Permit Type: TENANT IMPROVEMENT Effective CBC: 2016 C.B.C.. 1 `'t • ti • Jt , Occupancy Code: B Zone Code: CG '`' t. C< — . :\•. Final Date: 7-12-19 Type of Construction: TYPE II A SPRINKLERED € _1,,,..1:1„ 0,7' • . VG PROPERTY INVESTMENTS LLC , .4A,1*, Owner: 1 r ` ''tv '- --• i / //' Kenneth Fields ildingfal /ie:/:...... ' i ', 2 •Post in Conspicuous Place ,, '.,\ i,'.. r,i >v.LiYaa..Wtiafi'd:ax i.Y:t4-'A.e'N:Y VM1u*In:1K'v4:'1Th+WT EYP:':u.tYM3Y�1�.•U..'AW t�?,rayV-0aS+r+'4'.e�':1r:hlGllYi,a/f:.•AWv:.>i,4v,YMR:-.�4h..k.R'-.141 }A'iaaRM_}..sar_tl�+d-,...JLW'.,^a 1L lW r��rry,_a �.Y41'i.bw'ur4Tu4N,tl'euTY+N£'i h�1�1$tl 'YfrYd'i 1J'iF#•u'1t's�tAN+u�v. U^.,�.2':..� ".;`>-. ,.', ^ \�(� .,.., _ mac: . ,.. �iY fes - a :i S: -, .-a r.__ _.� - � .? .4_ r ,,7 , _V id _ - ,�,.:.. s '^' ` : �,, ,.z L '$.. ,r, :. _,. .S• K+-f,,,„Y' I: !4'�..�<,vi,,,,- k. ^r,,y '`: i } E:.aq t hL .. •y::•', t,. 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R , \ � j ... y • I• entified C Irkspecti.csia maj.lbaratcoriem Inspection Report • It It It• aoao Inspector William Ortiz Job No. Date:4-12-19 Job Name USC - - Bldg/OSHPD permit It 19-136 Increment Address 125 w.Huntington drive,Arcadia ca 90017 - General Contractor Conam Construction Jurisdiction ARCADIA Architect TURPIN&RATTAN Engineer KPFF • Subcontractor(If any) Castillo Rock concrete Requirements:Limit of one Job number,one permit number per sheet.Identify all work bytype and SPECIFIC location. Non-compliant work must be specifically identified.Communication(RFI,sketch,etc.)voiding previous non-compliant must be listed. Note all communications with project engineer,structural engineer,building official,and/or permit granting authority officials. • Inspection Type Reinforcement Concrete ✓ Masonry Quality Control Admin Fire Proofing Prestress post ten Batch Plant Other . • . Description of Work Inspected Arrived on site and performed rebar i,d and rebar inspections per S0.00-3 and S1.00-3 for concrete infill at 1st floor. Rebar I.D:#3 manufactured by:cascade,ASTM:615 grade:60,Heat#354718.Match heat,number to mill cert and. _Mill cert to S0.00-3.Task 2:Verified the number#3 rebar at each high flute with a22'lap splice 5/1:00-3 Location:Second floor A3.02-3 gridline J.9=8.3. *After material i.d and rebar inspection i was on stand by for the concrete pour.No concrete pour completed • • Due to being cancel. • • . Mix Used Design Slump Admixture Design PSI .Cubic Yards Specimens • • • • LI Additional Page(Page#) Work Performed - Meets 0 the requirements of the Approved Does not meet Contract Documents for the Project -Time in Time out REG hours.'.OT Hours' DT Hours Total Certificate of Compliance 6 am 1 pm al 011 I declare under penalty of perjury that all of the above statements are true,and that of my own personal knowledge the work during the period covered by this report has been performed and " City arcadia Acknowledged by Installed in In compliance with the approved plans, '/ specifications supporting authority,e.g.:DSA,OSHFD,City of LA,ETC) and applicable codes except those noted above Signature:_4/ ✓✓✓ • EXCEPT AS NOTED ABOVE- - • Inspector Name:William.Ortii Inspector ID's: ICC#8191524 Printed Name:BrianAskov W Inspector Signature: - 552 S.Central Park Ave E.Suite C Anaheim CA 92802 www.CertifiedLabs.NET 323-984-9210 Woman Owned and Managed S Cex-tilled In_spectfon . Lboratories 'Inspection Report M T W DTH FRI 5 S c Oo I 0 0 inspector William Ortiz _ Job No. Date:4-15-19 Job.Name USC Bldg/OSHPDpermit S 19-136 increment Address 125 w.Huntington drive,Arcadia ca 90017 General Contractor Conam Construction Jurisdiction ARCADIA Architect TURPIN&RATTAN Engineer KPFF Subcontractor(If any) Castillo Rock concrete Requirements:Limit of one Job number,one permit number per sheet.Identify all work by type and SPECIFIC location. Non-compliant work must be specifically identified.Communication(RFI,sketch,etc.)voiding previous non-compliant must be listed. Note all communications with project engineer,structural engineer,building official,and/or permit granting authority officials. Inspection Type Reinforcement Concrete V Masonry Quality Control Admin Fire Proofing Prestress post ten Batch Plant Other Description of Work.Inspected" - • • •. • Arrived on site to performed the concrete sampling per ASTM C31,C143,C1064 by Castillo rock concrete for infill at 1st Floor • Verified the mix design#63090 on truck#2065 from Robertson's;ready mix.Truck arrived at job site 5:00 am,Slump:5"• . . (0. gallons of_water added),Concrete temperature:53°F.All'sampling per ASTM C31,C143,C1064.Location: concrete Will :. At Second floor A3.02-3 gridline J.9-8.3. ,_ after pour,drop of 2 sample bar to lab: •• . Mix Used '• . Design Slump Admixture Design PSI Cubic Yards 'Specimens' 63090 . 43000 3 El Additional Page(Page#) Work Performed Meets®the requirements of the Approved Does not meet 0 Contract Documents for the Project • Time in' Time out REG hours• OT Hours DT Hours •Total Certificate of Compliance 5 am I declare under penalty of perjury that all of the above statements are true,and that of my own - - • - - - Installed in in compliance with the Y personal knowledge the work during the period covered by this report has been performed and Cit`, approved plans, arcadia Acknowledged by . „:, spedfications supporting authority,e.g.:DSA,OSHFD,City of EA,ETC)and applicable codes except those noted above Signature:jfr EXCEPT AS NOTED ABOVE - • Inspector Name:William Ortiz Inspector ID's: CCM 91524 Printed Name:Brian Askov Inspector Signature: .. . - 552 S.Central Park Ave E.Suite C Anaheim CA 92802 www.CertifiedLabs.NET 323-984-9210 Woman Owned and Managed Certified ixampectiara. ma.albaratc•ries ANCHOR TORQUE TEST REPORT M• T W TH FRI S • 0D0EI00 inspector Nicholas Sylvain Job No. 21-001 Date: 4-8-19 • Job Name USC Arcadia-Building B Level 2 aldg/OSHPDpermitp 19-0136 Increment N/A Address 125 West Huntington Drive Arcadia,CA 91007 General Contractor ConAm Building Co. Jurisdiction City of Arcadia Architect ZGFArchitects Engineer KPFF Subcontractor(if any) Bayside Interiors Requirements:Limit of one Job number,one permit number per sheet:Identify all work by type and SPECIFIC location.Non-compliant work must be Identified. ATTACH FLOOR PLAN DIAGRAM WITH TEST LOCATIONS.Communications(RFI,Sketch,etc)voiding previous non-compliant items must be listed. YOU MUST REVIEW THE PROJECT PLANS AND SPECIFICATIONS TO VERIFY THE TESTING REQU IRMENTS. Description of Work Tested Arrived on site to.observe Kyle and Ian.of Bayside Interiors install anchors for overhead uni-strut andseismic bracing anchorage for lighting on the 2nd.floor Location:Rooms 216,220 227 and 206 per floor plan A2.11-1 .. • :. Plans call for 3/8"Hilti KB 17 with a 2"embedment per detail 4/S1.00-3' - . . . ' All anchors(3/8").and drill bits(3/8").meet requirements of ESR 1917 • : . Holes are drilled to minimum 2-5/8°depth per ESR 1917 • • All holes were'properly•cleaned • All anchors passed initial torque value of 251bs per ESR 1917 • - A total of 40 anchors were installed . • • • • • Torque Wrench:.CDI#0517110253(expires 4-18-19) ICBG•EX Report# Number of Bolts/Anchors . Anchor Type Load Tested and Size Applied Location(RM/FL) Pass/Fail Remarks , 10 3/8"x 3"KB TZ 25tbs Rm 216/2nd fl Pass Initial torque . . 10. 3/8".x 3"KB TZ 25Ibs : Rm 220/2nd fl • Pass Initial torque ,' • 10 . . 3/8"x 3"KB TZ 25lbs . Rm 227/2ndfl . Pass" • Initial torque • 10 3/8"x 3"KB 17 • 25Ibs Rm 206/2nd fl Pass • Initial torque • • Additional Page(Page#) Work Performed Meets® the requirements of the Approved • Certificate of Compliance . , • Does not meet 0 Contract Documents for r the Project Time in lime out REG hours OT Hours DT Hours Total • I declare under penalty of perjury that all of the above statements are true,and that of my own 7am 115pm Mil BM 1:� Eli ' personal knowledge the work during the period covered by this report has been performed and / Installed in in compliance with the City of Arcadia approved plans, j , specifications supporting authority,e.g.:DSA,OSHFD,City of LA,ETC) 1 and applicable codes except those noted above Signature: IInspector Name:Nicholas Sylvain - I Inspector ID's: ICC#8470777 . Printed Name:Brian Askov Inspector Signature: 4/,,,e-A.00:- 552 yi � . 552 S.Central Park Ave E.Suite C Anaheim CA 92802 www.CertifiedLabs.NET 323-984-9210 Woman Owned and Managed • ertified. 410 Irispectimm • ii:LalboraLtcoriles Inspection Report It bODmD Inspector Nicholas Sylvain lob No. 21-001 Date:4-8-19 Job Name USC Arcadia-Site Modifications Bldg/OSHPD permit S 19-0136 Increment NIA Address 125 West Huntington Drive Arcadia,CA 91007 General Contractor ConAm Building Co. Jurisdiction City of Arcadia Architect ZGF Architects Engineer KPFF - Subcontractor(If any) Republic Iron Works Requirements:Limit of one Job number,one permit number per sheet.Identify all work bytype and SPECIFIC location. Non-compliant work must be specifically Identified.Communication(RFI,sketch,etc.)voiding previous non-compliant must be listed. .Note all communications with project engineer,structural engineer,building official,and/or permit granting authority officials. Inspection Type . • Reinforcement Concrete Masonry •Quality Control Admin ' Fire Proofing Prestress post ten Batch Plant Other Epoxy Dowels Description of Work Inspected Arrived on site to observe Daniel and Sergio of Republic install epoxy threaded rods for a slab infill on the second floor • Location:Corridor 250at room 216 per floor plan A2.1173 .. . . .- Plans call for 1/2"threaded rods with a 6"embedment anchored.with'Hilti:HITRE 500 V3'epoxy per detail'5/S1.00-3 All drill bits(9/16"),threaded rods(1/2")and hole cleaning equipment are per ESR 3814 • . Holes are drilled to minimum 6"depth/.Anchors are 1/2"x 8 threaded rods . . Hole cleaning procedures were per ESR.3814 Epoxy is'Hilti HIT-RE 500 V3'(expires 02/2020)and was correctly installed with rods per installationprocedures in ESR 3814 .. • :8 epoxy threaded dowels were installed. • Once epoxy is fully-cured,rods meed to receive torque value of 301bs per ESR 3814 • Mix Used Design Slump Admixture Design PSI Cubic Yards " . Specimens . ' • • • • • El Additional Page(Page#)_ Work Performed Meets th'e requirements of the Approved' . Does not meet❑Contract Documents for the Project • Time in- Time out REG hours:'OT Hours' DT Hours : Total Certificate of Compliance 7am 115pm 0 0 Eilll declare under penalty of perjury that all of the above statements are true,and that of my own personal knowledge the work during the period covered by this report has been performed and City of Arcadia A- 'o aged by installed in In compliance with the approved plans, _ spedfications supporting authority,e.g.:DSA,OSHFD,City of LA,ETC) / / and applimble codes except those noted above Signature: - EXCEPT AS NOTED ABOVE - - - Inspector Name:Nicholas Sylvain - Inspector ID's: ICC#8470777 Printed Name:Brian Askov Inspector Signat4/ a0� 552 S.Central Park Ave E.Suite C-Anaheim CA 92802 www.CertifiedLabs.NET 323-984-9210 Woman Owned and Managed 1¢ .„':),-:%,7,„4::;:i,:,,,,, .{y , i a Permit NO TI 18 2252 a y of Arcadia, CA r: 2:1:' `s i, , � 'tr Development Services Department (' t ` - , " 4 Permit Type Tenant ImproV`ement'' 240 West Huntington Drive,Post Office Box 60021 /lc )1)) i{ Arcadia,CA 91066 6021 A $ : { , f , $i ,Work'C/a551ficatlon Ti=Interior Demolition 4.1 (626)574-54164.;'-','4',,!,;..,-,.7o..;,.',', ,: .. v y. Permit StatusIssued ARCADIA ' Issue Date 12/05/2018'1 Expiration. 06/03/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number _ L125 W Huntington DR Arcadia,CA 5775015029 Contacts VG PROPERTY INVESTMENTS LLC C/O Owner Con-Am Inc* General Contractor(B) MIKE S00 903 Calle Amanecer 210,San Clemente,CA 92673 125 W HUNTINGTON DR (949)498-1003 • Description:INTERIOR DEMO FOR 2ND FLOOR BUILDING B a Valuation: $ 500.00 1 Tenant Total Sq Feet: 0.00 it Plan Check# Plan# Fees Amount Payments Amount Paid Accessibility Plan Check $3.97 Total Fees $138.00 Accessiblity Building Permit $4.07 Cash/Receipt#REC-003058-2018 $138.00 Building Issuing Fee $44.35 Amount Due: $0.00 Building Permit Fees $40.65 Building Plan Review Fee $26.43 Cal Green Plan Check $2.65 Energy Plan Review Fee $8.13 Green Building Standard $1.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Com $0.50 CALLS FOR INSPECTIONS Total: $138.00 Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. 7-/'/1 A ( 6Z_..- 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. * eeib, • D ,, December 05, 2018 Issued By: Date December 05,2018 Page 1 of 1 G~4 OFiFogRy,C9�I - 11'. PERMIT/PLAN REVIEW APPLICATION 00 t • 3p, . 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, nd my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class _' e No.) �J Signature of COntracl0 .. Exp. Date 10#17' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. OWNER-BUILDER i ECLARATION� V 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�•workerscompensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, C ier ' J a� 9> . demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number l 04 at<861 . 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 (T s 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 co ply with those provisions. property,rty, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: 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. Na' e w/G ' 0.- Title riP/, 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. /�f Signatureegit ate (G 5 / --1 o , o 0000 ZGP . 294' iy-- 17-P - IV-V A 5.4l5 5i.4'4-r nwul aumEvz�A1D.Rrnuc minA D sumo LOS MOM WAIMPIOIDN DC NEW YOU VANCOUVER CC _ Su ub 3700 6bw, J'4. -L j-.-----_.-..---'- 1 _ La Anoka.Fla o1Q„ .n r n i�..�._: n e------r^- -t.,--`4, ...._r��. MTS..; T]u 617,1181 I F117817001T 1 wErA7T.em1 I I / I .w I I ee 1 NECJIARIGLL ENGINEER I r Zse.. _ 11 UR TPIN&RATTAN LLc 7 3441 NI& ONUW AVENUE -I - - 11 I / - SUITE 400-MONTROSE CA 91040 Il77164/80611 .'J jr'- .-IIIP', iP', fT'-, ELECTRON-ENGINEER 1 11 11111 10 AEI j/ 1 II \11 j/ 1111 `11 I0 `l 18 W.COLORADO SdAEVARO --_71 IE.7 LI L - - IE iA k JI� t -U PASADENA,CA 81107 L LY T 0267684834 . .. PLUMBING ENGINEER NUIRCU;IRUAGING 151011RAEL STREET Er ��jj s r LOB ANGELES.CA IONS lr 4 •''r -_ _7I S r 1, _'r 1 tl T 518404,1040 RALENGINEER 11 A N I 1 1 1 A 0 1 - .=1 O NPFP '_J I -J ,J .J - - 7.5 )7 SOURIFLOWERSIREET 1 II 4 LOS ANGELES,CA 90017 I �� T 1111 77106861517 I I LL_ . L=- EONPMENERANNER CLUTERION 1 34700 PACIFIC COAST 1EGNWAY 1 L J reead CAPISRRANO BEACH.GWE41 T 9/8-1803159 iL Jf- ;�sa+1 r LIGHTING DESIGNER L JL i t -1 \ oculus r 1 5055 GREEN VALLEY CIRCLE -lT CULVER CM.CA 00230 1 I I I I 7310-715L M I II r.4-1 _ 11== rr11 �l . .. I II 0540I �_57 I ` DAy 'C=7 ire� 11-on ,,....NyaTs/ , J I r--i _ ::-" LLJi, 1 0 L 1 1t%' d i a N 4c,4,15,:10.„..# 56—".' ` --J U.. R.wna L....3� 1t _I----___LV::._ A --;, O -�Y��� � 11 W W 9.7 1 i 125 W. Huntington Drive -Building B 135 W.HUNTINGTON DRIVE ARCADIA.CA 91008 K L J„ , ,,L DanRTa SECOND LEVEL DEMOLMON PLAN / *See Notes GENERAL NOTES-DEMO LEGEND•DEMO mSheet# LADmrzeauuuAurA®ANnwEnmWell -, IMN9WWI>oSSI,, \�\���• eNanxoreWnzlcr 1 001.9BE0EY01.001 ax Nu.. D an 9s AAv au.uaffaD.,, Pan, ChM aum9fLLY. D eteg. mowCIABMMEu.. N A2.01 - 3 ® Project Status P G.3 OHO II'P 79'P �'6 n n if 11 ,, ,, r,, 0 1_ I1 —, r 71.---- L IY r 1tE6 , Tr- f , I I 1 ILEI L----J L____4 I1 r L-_ IILr----. II FI I ITr- I I I . IS_ II, 1 IJ 4--__...,i�I I I1 L_� ;t I' II O 1I L: �'� L-- III I I LE-.7., LL----/ 1 ! II rr JL _J II 1 II I1 �-• i I i II I )'11 II 1 Zi I. in 11 I // L J L„ /, ILL= , IL== III II 1; n 11 4) 0 n1-i ` �! 11 I --- 4 1 5117,6.:1____.___,._._____.A it i . ROUTING ACTION O�EAIOLITION PLw••LEVEL z Date and Initials o ,, �Qy Checkers Fe���G°aOPQee�co/ Planning u d Bing le /4-144 Fire PWS-Water WELO Trees ii ii f• r 1 .. ----()t-4 Villi------71M/ 4-- L . c City of Arcadia, CA � ° Permit No. EIeC 19 .0678 Development Services Department � y Permit TypeElectrlCal jirt, 240 West Huntington Drive,Post Office Box 60021 f � 1., -� Arcadia,CA 91066-6021 l 1 � +.W©FkCIpSSIflCptlOn'Flied-kaI COrn,rnercial. (626)574-5416 b R"€ =Peimit Status Issued ARCA.DIAIssue'Date 04/09/2019 ( Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR B 2ND Arcadia,CA 5775015029 FLOOR Contacts VG PROPERTY INVESTMENTS LLC C/O Owner AMP'T ELECTRIC INC* Contractor MIKE SOO 125 W HUNTINGTON DR (714)204-0728 � . w.. _ .- •�-. �. w - . . b• s. - . . .a . .�� �_e_ tom ;:, . S 4 .. _ . •� ��,: a., Description:ELECTRICAL FOR TI BUILDING B 2ND FLOOR Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Electrical Permit Issuance Fee $47.01 Total Fees $272.21 Light Fixtures $75.00 Cash/Receipt#REC-00895-19 $272.21 Outlets-Receptacles&Switches $149.20 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $272.21 iA 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. *04,, 14t, April 09, 2019 Issued By: Date April 09,2019 Page 1 of 1 ARe U~4OFr Rvi,.1, i9 PERMIT/PLAN REVIEW APPLICATION :4010 • Development Services Department,240 West Huntington Drive,Post Office Box 60021 y Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION gI 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 6,10 License No. CI(11L-1-‘-- Exp. Date-1/6°1;D compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor .4"...._ performance of the work for which this permit is issued. 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 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 ( 4--'tom' demolish,or repair any structure,prior to its issuance,also required the applicant ::00"''1 1 Sc.-1 3 I for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number "t 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 Ice that in theperformance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of ❑ 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. 4blib property,rty or my employees with wages as their sole 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 I/G' (C1 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 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. IYame t•-•"'"\1( 7 L"5 TZ-C- Title ✓t>6tit 1— 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. 11 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 prope ty or inspection purposes. Signature ate q/A/I ' s Z0`. xl City of Arcadia, CA Permit NO. Plum 19 0640. Develo ment Services Department ~( ti Ipi„,,,f ` p p ' ' fPermit Type Plumbing.. 7 240 West Huntington Drive,Post Office Box 60021 . t<a � [ , _ ' ' At Arcadia,CA 91066-6021 t e;'' ; bFill k Classrficatlon Plurnb�ng Commercial .,...q."......_i (626)574-5416 PermltSta us Issued ARCADIA issueADate 04/01/2019;I Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR B 2ND Arcadia,CA 5775015029 FLOOR Contacts VG PROPERTY INVESTMENTS LLC C/O Owner ' PIPELINE PLUMBING INC* Contractor MIKE S00 15510 ILLINOIS AVE,PARAMOUNT,CA 90723 125 W HUNTINGTON DR (562)408-6483 669158 Description:PLUMBING FOR TI AT BUILDING B 2ND FLOOR Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# SII - - -Vf - \ Fees Amount Payments Amount Paid Bar Sink $264.20 Total Fees $456.11 Lavatories $66.05 Cash/Receipt#REC-00840-19 $456.11 Plumbing Permit Issuance Fee $47.01 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Water Closet $62.30 Water Heater and/or Vent $15.55 Total: $456.11 77/ /6/ k4 __, 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. p 01 Ap '.9 April 01, 2019 Issued By: Date April 01,2019 Page 1 of 1 Cs49 .0 il * 0 PERMIT/PLAN REVIEW APPLICATION if n:it DI\\\�.z. L o i j`T Development Services Department,240 West Huntington Drive,Post Office Box 60021 m.,„.ty a ° 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 C7 Lic se 6 ISI Exp. Date '' l/7/' 4 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. WNER-BUILDER ECLARATION ❑ 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 0,-1 F cc" 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. Larne JO I41— Titre s� 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 'h all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter up' I t 1 • • .. •-mentioned property for inspection purposes. ignature to V—/ —/7 404. City of Arcadia, CA Permit NO Mech 19 0630 Development Services Department ) t 11///' P P � 33ggt ;y "� PermitType ,Mechanica240 West Huntington Drive,Post Office Box 60021 r ! ¢.� c „ Arcadia,CA 91066-6021 , @ ' Work,C/ossificotioh:N echanical,Commercial; (626)574-5416 `Permit Status:Issued- A.RCADIA. Issue Date:03/28/2019'1 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR B 2ND Arcadia,CA 5775015029 FLOOR Contacts VG PROPERTY INVESTMENTS LLC C/O Owner VECTOR AIR SYSTEMS* Contractor MIKE S00 25250 VISTA MURRIETA,MURRIETA,CA 92562 125 W HUNTINGTON DR (951)894-2413 Description:HVAC SYSTEM FOR BUILDING B 2ND FLOOR Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Air Handling Units<=10,000 cu ft per min. $119.68 Total Fees $187.57 Mechanical Permit Issuance Fee $47.01 Cash/Receipt#REC-00823-19 $187.57 Solid Waste Management Fee 2 $1.00 Ventilation Fan(Single Duct) $19.88 Amount Due: $0.00 Total: $187.57 7/&/9 /( 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. • itriA March 28, 2019 Issued By: Date March 28,2019 Page 1 of 1 ~4��f y96 v f� : 9 PERMIT/PLAN REVIEW APPLICATION o43 je Development Services Department,240 West Huntington Drive,Post Office Box 60021 m'°om,r or 0o 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' ii License Class License No. Exp. Date 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 OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section hereby affirm under penalty of perjury that I am exempt from the Contractorsf 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 workers'compensation/ insurance carrier�and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier -/jG(YAiClCe W�1,pi9/ff off-he e Weir demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number CV,54S0yG6rJ l e7-0 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 [ I certify that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of 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 3/z//7 Signature . /.4'.---- 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). 0 I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO 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. 7�' Name RINTAME VI/VOA/ 4PRINC Title Oli✓/iec certify that I have read this application and state that the above information is co ect and that I am the owner or duly authorized agent of the owner. agree to comply with all City ordinances and State Laws relating to buildin construction. I hereby authorize representatives of the City of rcadia to enter upon e abo -mentioned property for inspection purposes. çture �� \te 5/2 9A 1 pus ,04 : , ' E . � ��` P rrn�rivo FIRE 9 0701.; City of Arcadia, CA 441"k....'°-).-°,- � i Development Services Department j' '*'" '- ( '' 44 `' k ;�PermsttType Fire 240 West Huntington Drive,Post Office Box 60021 '' '41 4 i4 g r� ,�-,WarkClasstfica n FlreAlarm' Arcadia,CA 91066-6021 � d i. v A.„,,.� wry 1 (626)574-5416 i' � Permrt`Status Issued ds �W 1p*n t k $ 33 w4 A. CADIA , � Pate Issue 04 23/ /2019 IExpiration: 10/20/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 125 W Huntington DR B 2ND Arcadia, CA 5775015029 FLOOR Contacts VG PROPERTY INVESTMENTS LLC C/O Owner A&D FIRE SPRINKLERS INC* s. Contractor MIKE S00 1601 W ORANGE WOOD AVE,ORANGE,CA 92868 125 W HUNTINGTON DR (562)405-5136 Description:FIRE ALARMS 35 DEVICES FOR TI BUILDING B 2ND Valuation: $ 9,750.00 Tenant FLOOR Total Sq Feet: 0.00 Plan Check#19-701 Plan# Fees Amount Payments Amount Paid Fire Alarm Plan Check $840.00 Total Fees $1,125.26 Fire Issuance $47.01 Cash/Receipt#REC-00926-19 $840.00 Fire Permit Fees $237.25 Cash/Receipt#REC-01039-19 $285.26 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $1,125.26 - 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 ei,"7,i, ,,,,,,ip y• April 23, 2019 Issued By: Date April 23,2019 Page 1 of 1 A.R O~4`P,FF rc1i �' PERMIT/PLAN REVIEW APPLICATION o ja Development Services Department,240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class Q Vb Signature of Contractor �Q License No.�U�.O t) ' Exp. Date�.�`��,1� compensation, as provided for by Section 3700 of the Labor Code, for the _ �V\ 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 e(1L hn,4-e.\-\&-�rW G---k ‘.NA. kA\t"CA C-f' demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑ as owner of the roe forthwith comply with those provisions. I, property,rty, or my employees with wages as their sole • compensation,will do the work,and the structure is not intended or offered for1sale(Section 7044,Business and Professions Code:The Contractors Licenseate23�l� Signature C'LJL ) Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand.dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code,interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). 0 I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO 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. c\ Name Q)0,..t\O \ eS Title PRINT NAME certify that I have read this application and state that the above information is corn ct 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 nstruction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. ignature 1, ate l..V_VD,'1\ c/i .`Ivenrpar.md Aory.t 5,19D3 444aityatttMEMORANDUM Fire Department DATE: July 9, 2019 TO: BUILDING DEPARTMENT INSPECTOR ` John Zurick FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 125 W. Huntington Drive, Building B, 2nd Floor THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 5-23-2019 Mark Krikorian FIRE ALARMS 7-1-2019 Mark Krikorian HOOD & DUCT KNOX BOX OCCUPANCY 7-1-2019 Mark Krikorian COMMENTS: Emailed Bldg. Dept. 7-1-2019 Jill M E R I E UX CERTIFICATE OF ANALYSIS. NutriSciences SILLIKER, Inc. • COA No: SCA'4 2461783-0 Supersedes: None. Southern California Laboratory COA Date 6/14/19 6360 Gateway Drive, Cypress, CA 90630 Page 1 of 1 Tel. 209/549 7508 Fax. 714/226 0009 TO: Mr. Bill Holmes Received From:: Agoura Hills,CA Titie;Owner • Received Date: : 6/13/19 Southwest Chlorination P.O.#1ID:: Pipeline Plumbi 6039 Calmfield Avenue LoCation of Test: (except where noted) Agoura Hills,CA 91301 Cypress,CA Analytical Results Desc.1: RM 228 Sink HW QW Laboratory ID: 389126739 best.2.: - Pipeline.Plumbiing Condition Rec'dt NORMAL Desc.3: 125 W Huntington Temp Recd(9C): 18.0 Desc.4: Arcadia Desc:5: . . Bldg B Analyte Result Units Method Reference Test Date.Loc. Total Coliforms Absent /100mL SM 9223'B 6/14/19 Desc.1: RM 206 Sink HW CW • Laboratory ID: 389126747 Desc.2: Pipeline Plumbing Condition Recd; NORMAL Desc.3: - 125 W Huntington Temp Rec'd(°C): 18.0 Desc.4: Arcadia Desc.5: Bldg B , Analyte Result Units Method Reference Test Date Loc.. Total Coliforms Absent /100mL SM 9223 B 6/14/19 COA Comment: A Coliform Count of<11/100ml or Absent/100ml,and Heterotrophic Plate Count of<500 is microbiologically in compliance with the State of California and the U.S.Public Health Services regulations for potable and drinking water. Method Reference:SMEWW Jorge Her d Laboratory Director • Results reported hereinare provided"as is"and are based solely upon samples as provided by client.This report may not be distributed or reproduced except in full.Client shall not at any misrepresent the content of this'report.Merieux NutriSciences assumes no responsibility,and client hereby waives all claims against Merieux NutriSciences,for interpretation of such results. Except as otherwise stated,Merieux NutriSciences Terms and Conditions for Testing Services apply..