HomeMy WebLinkAboutUntitled .� * ' • City of Arcadia, CA ,N"�,z ,'PermitNO TI-19-i935
Development Services Department �w r
pi . PermitType Tenant Improvement
240 West Huntington Drive,Post Office Box 60021 Y
i 1•' ; work`Class�ficati n Tenamt Im rovement
Arcadia,CA 91066-6021 ) _ - t L p n ,
F-.F-7*,,..:..
(626)574-5416 Permit Status:Issued:
,u
ARCADIA Issue Date 02 07 2020,
Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
12 N FIRST AVE Arcadia,CA 5773010004
•:'JSI. .. .T.,y..bl. .y & °1We'xLb.ns.: •a t .k<:.":'t%'*Sw]..43=+.,.f' •...41i*.* ML Y `..`1 tm�_A'XT� "_._e. M �4.^yID3,�l9fR�l. _.4L1n lmb.`vC?�Y. 'a.%.:.`.2•s. �`r'$&**
Contacts
CHENOWETH,WILLIAM M Owner• JOHN KONG Applicant
16 1/2 N FIRST AVE
(626)574-1199 (626)808-7967
SUNNY CONSTRUCTION CO* Contractor
2404 MUSCATEL AVE,ROSEMEAD,CA 91770
(626)825-8628 526986
Description:TI FOR RETAIL PHARMACY WITH CLEAN ROOMS. Valuation: $ 250,000.00 Tenant
WITH EMP
Total Sq Feet: 0.00 Plan Check#19-1935 Plan#220
Fees Amount Payments Amount Paid
Accessibility Plan Check $220.26 . Total Fees $5,689.49
Accessiblity Building Permit $225.90 Cash/Receipt#REC-02711-19 $2,567.25
Bar Sink $13.21 Cash/Receipt#REC-03808-20 $3,122.24
Building Issuing Fee $47.01
Building Permit Fees $2,259.00 Amount Due: $0.00
`Building Plan Review Fee $1,468.35 .
Cal Green Plan Check $146.84 re*Commercial T.I.Fire Plan Chk. $280.001� k""1___ ��,
Dishwasher $13.21 - N
Electrical Permit Issuance Fee $47.01
11/441*
Energy Plan Review Fee $451.80 CALLS FOR INSPECTIONS
Fire Final Occupancy Fee $200.00 Request for inspection by telephone at 626-574-5450. Leave a message
Furnace or Burner<=100,000 BTU $19.86 requesting the address,timeframe and what inspection item is needed.
Green Building Standard $10.00
Kitchen Sink $26.42
Light Fixtures $6.52 This permit/plan review expires by time limitation and becomes null and
Mechanical Permit Issuance Fee $47.01 void if the work authorized by the permit is not commenced within 180 days
Outlets-Receptacles&Switches $21.19 _ from the date of issuance or if the permit is not obtained within 180 days
Plumbing Permit Issuance Fee $47.01 from the date of plan submittal.This permit expires and becomes null and
Solid waste Management Fee $6.25 void if any work authorized by this permit is suspended or abandoned for 180
consecutive days or if no progressive work has been verified by a City of
Solid Waste Management Fee 2• $1.00 Arcadia building inspector for a period of 180 consecutive days.
Total: $5,689.49
/ February 07, 2020
Issued By: Date'
February 07,2020 Page 1 of 1
OF ARC
_10Ry
FO
y�1j,
_° . 7 PERMIT/PLAN REVIEW APPLICATION
o j` Development Services Department,240 West Huntington Drive,Post Office Box 60021
maoi[y°C 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 d
Professions Code and my license is in full force and effect. / 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class 1 ense No.526986 Exp. Dat 3i 20
compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
Professions
of the work for which this permit is issued.
WNER-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
is issued.M;y�wyo kers'compensation insurance carrier and polis numbers are:
License Law for the following reason(Section 7031.5,Business and Professions ''° ' r` �/ �i
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 'S ...e O /l C 1/t 5 !" v N
demolish,or repair any structure,prior to its issuance,also required the applicant ��l
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number F /
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the p 't 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
0 I, as owner of the property, or my employees with wages as their sole forthwith om ly with those provisions. /> Ie
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 L 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.
0 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.
\T
ame Title ��
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter u o bove-mentioned property for inspection purposes.
ignature Date Y
12 rte . R_
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. l I q -
100. Setbacks 210. Under fir./bldg.drain 3.`'24:)_�--- I
101. Rough grade 211. Copper underslab _
102. Figs.&forms 212. Rough plumbing -S•(P•Zo r 3.Z Z 6.1, - AL`_, '
103. Pre-slab 213. Rough gas 3•Co• 20T"- n
104. Floor joists 214. Shower pan `l-(^J4 S. cS VC_ ,PA-AvGLS teew v .
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer _
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 3•/2 •2 ''- 220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing fo•15140�-
112. Sound walls 222. Sewer cap/demo.
113. T-bar arid
114. Insulation-Flr. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 3.23•fpm- 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 (p•I S• 246. Fence,gates&signs •
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final slumbin.
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 3•2„,•20 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E$it.bondins Sign Inspections I Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric (a•IS-. 20 281. Footing
282. ConduithMirin$
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign .
181. Furnace/A.C.
182. Rouch HVAC 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 I Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections • Date Insp. 302. Cesssool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
u City of Arcadia, CA � ,. --
Permrt iNO.
TI-20-0003
-7 Development Services Department D r,-It , --N- i. Permrt Type Tenant Improvement
y` cY.f.„1 240 West Huntington Drive,Post Office Box 60021 , ) 1 f I
Arcadia,CA 91066-6021 <_ �-,, , iIgINo k Classification TI-,InterlOr,Dem9lition;
(626)574-5416 . k ''
Permit Status Issued
ARCADIA Issue Dat e:`01/02/2020,I Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
12 N First AVE Arcadia,CA 91006-3205 5773010004
Contacts
CHENOWETH,WILLIAM M Owner SUNNY CONSTRUCTION CO* Contractor
16 1/2 N FIRST AVE 2404 MUSCATEL AVE,ROSEMEAD,CA 91770
(626)574-1199 (626)825-8628 526986
Description:INTERIOR DEMO ONLY FOR PHARMACY Valuation: $ 500.00 Tenant
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Accessiblity Building Permit $4.07 Total Fees $128.56
Building Issuing Fee $47.01 Cash/Receipt#REC-03488-20 $128.56
Building Permit Fees $40.65
Building Plan Review Fee $26.43 Amount Due: $0.00
Cal Green Plan Check $2.65
Green Building Standard $1.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Com $0.50
Total: $128.56
CALLS FOR INSPECTIONS
�
^ /► Request for inspection by telephone at 626-574-5450. Leave a message
/ ,IC' l/`� v!/ 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.
c., ,,,
en,
111161/748
. qJanuary 02, 2020
Issued By: Date
January 02,2020 Page 1 of 1
OF ARc
ti4'ya°R'yk d�
PERMIT/PLAN REVIEW APPLICATION
10
\ j� Development Services Department,240 West Huntington Drive,Post Office Box 60021
,,,,,nity°t" Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
4 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No ,F(p f g Exp. Date 0I/
Signature of Co ctor c-----, �
_ 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 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, Carriers' Cord p . ftIN_ /4f''
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number .„/6.y,2_/.2,9/7
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 (Ts 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 2�� Signatures
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 -4 _ 7:-. ./(vv) \Title /6(i!4I -_
/ 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.
Si nature /../ Date // e201'
ti
A9 iiik City of Arcadia, CA Permit NO.lElecd9 2030'
a Development Services Department
PRermrtType Type:-Elec •
trical 240 West Huntington Drive,Post Office Box 60021 _„e-„
I—,' eg' Arcadia,CA 91066-6021 A, i I�Work,C/assrficattor "Electrical Commercial
:1!''.4 }-s--. � (626)574-5416 "Permit Status:Issued
ARCADIA Issue Date 02/07/2020 Expiration:
Expiration'
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
12 N FIRST AVE Arcadia,CA 5773010004 c
ten• � a _ .o _ a m �_ . � : . - �a�_��• .���.�. �: x �� _ �. a ....S
Contacts
CHENOWETH,WILLIAM M Owner JOHN KONG Applicant
16 1/2 N FIRST AVE
(626)574-1199 (626)808-7967
SUNNY CONSTRUCTION CO* Contractor
2404 MUSCATEL AVE,ROSEMEAD,CA 91770
(626)825-8628 526986
Description:600 AMP SERVICE FOR ALL UNITS.2 UNITS WILL ' Valuation: $ 0.00 1. Tenant
HAVE 100AMP AND 1 UNITS 400 AMPS.
.A
Total Sq Feet: 0.00 Plan Check#19-2030 Plan#220
Fees Amount Payments Amount Paid
Commercial service 200 to 1000amps $65.86 Total Fees $208.87
Electrical Permit Issuance Fee $47.01 Cash/Receipt#REC-03809-20 $208.87
Plan Check,Per Hour $95.00
Solid Waste Management Fee 2 $1.00 Amount Due: $0.00
Total: $208.87
V10141-- Q c —0>
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 suspthded or abandoned for 180
consecutive days or if no progressive work has el" rifled by a City of
• Arcadia building inspector for a period of 180 dtlen 've s.
*Iii,
•
01.X .
February 07, 2020
Issued By: Date
February 07,2020 Page 1 of 1
V~ c•OAFFo5 y b
� 11' PERMIT/PLAN REVIEW APPLICATION
"E Development Services Department,240 West Huntington Drive,Post Office Box 60021
(1,77..., ,„<"
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
Signature of Contractor and my license is in full force and effect.I
0 I have and will maintain a certificate of consent to self-insure for workers'
License Class_ Il 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. •
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 '5776 aijf4par/ ie* !P'3 FUN,
- 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_qQ_ o 2.424'a'' provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not b o pleted if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code) or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of 0 I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by.any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
0 I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for711(7,0
sale(Section 7044,Business and Professions Code:The Contractors License Date 24 Signature T
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 I W C/
1\Name 5;1-f J y Kir' Title - --
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the a•' •-mentioned property for inspection purposes.
Signature ate �j /1-
of: Rc
4G;,11F0/0„,49 to-10
04 pikitirA
Avpu 5, 903 .. .-
.Po\ .o���Ity Of
MEMORANDUM
. _
Fire Department
DATE: June. 12, 2020
TO: BUILDING DEPARTMENT
INSPECTOR Steven. Roberts
FROM: FIRE DEPARTMENT
SUBJECT:. FIELD INSPECTION
ADDRESS: 12 N. First Avenue
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION
NSP
DATE / INITIAL
FINAL:I INSPECTION
FIRE.SPRINKLERS
FIRE ALARMS
HOOD &DUCT. :.
KNOX:BOX
OCCUPANCY (PC# 19-1935) 6-12-2020Jill.Perumean. :
COMMENTS:
Emailed Bldg. Dept. 6-12-2020:.Rita