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t�� ;i - City of Arcadia, CA -* ' Permit NO 11 19 2195
m� ,� Development Services Department ) 1.,-7---,,,t -" i A Permit Type,',Tenant Improvement,,,
240 West Huntington Drive,Post Office Box 60021 r ' �t r,,-1„"', , ,"
.' ,-••i 1 6 r i •-i,,-.1. : ' iWork Classification Tenant Improvement -
Arcadia,CA 91066-6021 �
I ;-, (626)574-5416 ''' Permit Status:,Issued
ARCADIA Issue:Date 03/06/20201 Expiration:
•Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip ' Parcel Number
11631 CLARK ST Arcadia,CA 91006-5814 8532017048
. Contacts
CLARK INDUSTRIAL INVESTORS LLC Owner STEPHANIE BOLDON/ENV Applicant .-41,
11621 CLARK ST 8530 VENICE BLVD
. (310)287-2180 ext 230
r
CERTIFIED GENERAL CONTRACTORS* Contractor
11914 FRONT ST,NORWALK,CA 90650 r
(310)489-3179 732511
•t.'t*, w,.,,,,e -r,-. . .. ;-a_ g:ra as >-v..r� „ .c..c,:.„ .�, , ..� s,.,, , ...„, s ,,....:,,,„ae a rou,,r a-s„dT
Description:T.I. (INTERIOR)FRONTIER COMMUNICATIONS Valuation: $ 34,000.00 1 Tenant FRONTIER COMMUNICATIONS
Total Sq Feet: 0.00 g.i4. Plan Check#19-2195 Plan#236 t
;...:,eaa i :e-,++:..:,,.-a ax..+..: -• :. s.;a,as.s. .,r. .',aazr;via :$
Fees Amount Payments Amount Paid
Accessibility Plan Check $58.75 Total Fees $1,817.58
Accessiblity Building Permit $60.25 Cash/Receipt#REC-04060-20 $927.53
Building Issuing Fee $47.01 Cash/Receipt#REC-02934-19 $890.05
Building Permit Fees $602.50
Building Plan Review Fee $391.63
Amount Due: .,, $0.00
Cal Green Plan Check $39.17
Commercial T.I.Fire Plan Chk. $280.00 eugpititnEnergy Plan Review Fee $120.50
Fire Final Occupancy Fee $200.00
Green Building Standard $2.00
Solid Waste Management Fee $6.25 CALLS FOR INSPECTIONS
Strong Motion Inst.Program Com $9.52 Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
Total: $1,817.58
- - . - 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.
March 06, 2020
Issued By: Date
March 06,2020 Page 1 of 1
1! PERMIT/PLAN REVIEW APPLICATION
0 ii j� • 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 I 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. q ❑ I have and will maintain a certificate of consent to self-insure for workers'
' License Class 15 License No. z a��k Exp. Date 3/(9 02 l 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.
,r 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 GA O b c.\ Q%K L-L—C.
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 A;-l=5 (o b
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 Li I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
0 I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for �� J 1
sale(Section 7044,Business and Professions Code:The Contractors License Date Si azure v
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 1v t K r roabi ci'n Title V P L
PRINT NAME
I certify that I have read this application and state that the above information is co rect and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature Date _a_U -,),„
• - NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. /f 4,3f cidseK
100. Setbacks 210. Under flr./bldg.drain 3 4.'2b Q
101. Rough grade 211. Copper underslab - T1-C ` `2 fq`s
102. Figs.&forms 212. Rough plumbing 3-L& t) 9v"
103. Pre-slab 213. Rough gas 602•04602•04 gotoirt got-'' p gliK I
104. Floor joists 214. Shower pan � /
105. Steel 215. Water heater . 'QA - L.15- 6F Orr 4-(D4.
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer •
f( 1V
108. Diaph nailing 218. Water service -919�Zp f 1.6- 6F / T11
109. Roof nailing 219. Final gas WV- 17>r)
110. Framing 3-L1-a6 220. Fixtures C 3- 5 v n
111. -Occ./Area Sept.Wall 221. Final plumbing 7-10 20 ((
112. Sound walls 222. Sewer cap/demo. d j� d4474113. T-bar'rid /��/_
p
114. Insulation-Flr. Pool Inspections Date Insp.
115. Insulation-Wall a07.1720 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 L�� 245. Gas line&test
121. Final building 7- -� 1 vV 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final dumbing
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 ground271. Roof framing
156. Rough electrical 3't7 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Eqpt.bonding Sign Inspections I Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric 7-7-7,A) " 281. Footing
282. Conduit/wiring
Mechanical Inspections Date Insp. 283. Disconnect _
180. Venting/flue 284. Final sign
181. Furnace/A.C.tiiC1i frZr) 1
182. Rauch HVAC M •II. •ii I 1. D.t•
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 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections - Date Insp. 302. Cess.00l filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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3., A,4 Certificate of Occupancy '
•
City of Arcadia
j Development Services Department—Building Division • , '"
s -1-4
`4 n This certificate issued pursuant to the requirements of the ' 'e, '
• California Building Code certifying that at the time of issuance this structure was in � ,. i
k•', compliance with the various ordinances of the City regulating building construction or use. °. ' y
; r r Permit No. 'I'd-19-2195 ::4-.4:-,
Is-
-,\ Building Address: 11631 CLARK ST#105 & #106 ARCADIA, CA 91006. 47-
-
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Permit Type: TENANT IMPROVEMENT Effective CBC: 2016 C.B.C. l �a ,
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as ���
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Occupancy Code: B Zone Code: M-1 k <
1;=';',4 ' a
t Final Date. -8-2020 Type of Construction: TYPE III B NON SPRINKL I T/ '- ,
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`, „. Owner: CLARK INDUSTRIAL INVESTORS LLC _ 1 1,,
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Kenn-th Fields, :.ildingOffi•,I G�� i•f'
,it, •N .
Post in Conspicuous Place
4...-....„Ta«r,.,: r mi. au w h '.ate ,.:r �•.
r 4 1Sh-� ,.,.., ;tR a tiY�',.c ..?ifeWR*,k'],'^Jt' •'Zw;a,„`mYt. c,:n,'x',Y,a. vaAtotn,, ex,''a'+.4,6,,,, ;cP:: m»y'FlsSrs.:dta`4sfi3 '+moils°Tr'•'.e,Iain n/2atas15kyR'�a mer:fit=bP 'S'",,,..,7,,,, :rrs9" . ''�'`'�j?'a,
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V' '� Ian s ye {ir}�.c F' .YJ , -4.-%4=,,,,2y Y u "7'�VA,.,<L::%'717:,'''.:', •,"� ', s5waa�1r� r 'I,h .. ,, ?:{
r' r`. ' ;
r ; City of Arcadia, CA - . , Permit NO. Plum-20-1035
�',�, Development Services Department Permrt Type{aPlumbing
x�'1 240 West Huntington Drive,Post Office Box 60021
= ��.A Arcadia,CA 91066-6021Work-Classification:Plumbing Commercial`
v
1 : :, i. (626)574-5416 ''
�, -: 'Permit Status:Issued
ARCA IA IssueaDate:07/08/2020.'1 Expiration: 07/08/2021
•
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
}
11631 CLARK ST Arcadia,CA 91006-5814 8532017048
•-k.. „• max«..::
Contacts
`CLARK INDUSTRIAL INVESTORS LLC Owner G'S PLUMBING&ROOTER INC* Contractor
11621 CLARK ST 251 CHINCHILLA ST,LA HABRA,CA 90631
(714)609-9314 1047349
Description:PLUMBING FOR TI AT FRONTIER 4 Valuation: $ 0.00 Tenant
COMMUNICATIONS
9 Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Floor Drain Fee $13.21 Total Fees • $120.65
Lavatories $13.21 Cash/Receipt#REC-04920-20 $120.65
Plumbing Permit Issuance Fee $47.01
Sewer Connection on Property $33.01 Amount Due: $0.00
Solid Waste Management Fee 2 $1.00
Water Closet $13.21 � easN,Total: $120.65
, /fit,
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.
. fJuly 08, 2020
Issued By: Date
July 08,2020 Page 1 of 1
of Mk,
4 9'y1
�, P'
,
C.1
~
PERMIT/PLAN REVIEW APPLICATION
o j` 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
Lii.._ICENSED 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. ' El I have and will maintain a certificate of consent to self-insure for workers'
License Class C- 3<o• License No.14 y13 WC1•Exp. Date - -
Signature of Contracto�—_ —
a, 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 IDI have and will maintain workers'compensation insurance,as required by Section
El hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
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($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
IDI, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for . - �,_
sale(Section 7044,Business and Professions Code:The Contractors License Date�g• h$- O. Sign.
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 vi co.vela ono r.._--c41 42.g itle o%-a_-• -
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.
agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
rcadia to enter upon the above-menti r inspection purposes.
Signature`411111 411111 Date C • M - 2-C>
."' • City of Arcadia, CA .. . Permit No Mech 20 0407r.„,,,I...tei ` -
ff Development Services Department r ti{1 °Perm(t Type:M2Cha111C21;.
-' s 333 240 West Huntington Drive,Post Office Box 60021 fJ!( ) I� (`� a� `
I J _ ; i 1 , -Work Classification IVlechanical,°Comrnercia6
Arcadia,CA 91066-6021 -T \_
--- (626)574-5416 -PermitStatus:•Issued
ARCADIA issue Date.03'/09/2020 I Expiration:
Addr NO. Dir Prefix-Street Name Street Suffix Unit City,State,Zip Parcel Number
11631 CLARK ST Arcadia,CA 91006-5814 8532017048
•-;Contacts" .., -__,,- -.
CLARK INDUSTRIAL INVESTORS LLC Owner SPECTRUM MECHANICAL INC* Contractor
11621 CLARK ST 9760 RESEARCH DR DD,IRVINE,CA 92618
(949)678-0079 764636
Description:3 ROOFTOP PACKAGE UNITS, 1 DUCTLESS SLIT AND 3 Valuation: $ 0.00k' Tenant
EXHAUST FAN PER APPROVED TI PLANS.
Total Sq Feet: 0.00 Plan Check# Plan#
o
Fees Amount L Payments Amount Paid
Air Handling Units<=10,000 cu ft per min. $14.96 Total Fees $181.96
Compressor 3-5 Ton(3 to 15 hp) $109.05 Cash/Receipt#REC-04070-20 $181.96
Mechanical Permit Issuance Fee $47.01
Amount Due: $0.00
Solid Waste Management Fee 2 $1.00
Ventilation Fan(Single Duct) $9.94
Total: $181.96
10
77
fiklAb ileN) 2/4cqçp
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 fora period of 180 consecutive days.
March 09, 2020
Issued By: Date
March 09,2020 Page 1 of 1
v~4.°FF RNc9d,
a M1. PERMIT/PLAN REVIEW APPLICATION
o '• Development Services Department,240 West Huntington Drive,Post Office Box 60021
a..ity d' Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
_City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
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'
(61
License Class c0 Lic-• 0 • It tr.il / /, e 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 Contracto /L /r/
OWNER-BUILD:R DECLA' •TION I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under p.I alty of.- ury that I am exempt from Contractors 3700 of the Labor Code,for the perfo ance of the work for which this permit
is issued.M orkers'co�npensatio • sura ce carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions /'
Code.Any city or county which requires a permit to construct,alter,improve, Carrier '"i'//e5' ieg147
demolish,or repair any structure,prior to its issuance,also required the applicant j()C 7
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number l 7
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need nQt 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
0 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
sale(Section 7044,Business and Professions Code:The Contractors License Date r:1
�� Sign -
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. /
am e ,ri ��—_� i 1" ,Title _
IIIP
P•� NAME ip
I certify tha ave 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.
)inature/61/11W /^" i447711E-4"7 iDate yly-Ac,
•
-047 City of Arcadia, CA - , °- Permit NO EIeC 20-0437
:ti Development Services Department r•T hf ,'"sr �`\ a;---'',1.C' i Permtt Type:Electrical
.. r x Ak "3 t re �>
240 West Huntington Drive,Post Office Box 60021 { , 1 i °.
� Arcadia,CA 91066-6021 y L j J U j L Work Classification:Electrical Commercial
I7 (626)574-5416 „fl • f, Permit Status:Issued
ARCAD I A ,,.. issue pate 03/12/20.20 I Expiration:
•
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
11631 CLARK ST Arcadia,CA 91006-5814 8532017048
Contacts
CLARK INDUSTRIAL INVESTORS LLC Owner PTL ELECTRIC* Contractor
11621 CLARK ST 15218 SUMMIT AVE 300-418,FONTANA,CA 92336
(909)330-2293 1053321
-gum 1
Description:ELECTRICAL FOR FRONTIER TI t Valuation: $ 0.00 i Tenant
Total Sq Feet: 0.00 Plan Check# Plan#
_.-,» .� .. ,. .:• �� �,.,.,.... t.:..s» � .� r�_ and -,,
•
Fees Amount Payments Amount Paid
Electrical Permit Issuance Fee $47.01 Total Fees $98.54
Light Fixtures $27.71 Cash/Receipt#REC-04110-20 $98.54
Outlets-Receptacles&Switches $22.82
Amount Due: $0.00
Solid Waste Management Fee 2 $1.00
Total: $98.54 •
7-q• 7/i2 *pf&im.. b..) 0
CALLS FOR I S 1 ,-IONS
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.
qf
March 12, 2020 •
. Issued By: Date
March 12,2020 Page 1 of 1
I-- PERMIT/PLAN REVIEW APPLICATION
,E,.;ti`, Development Services Department,240 West Huntington Drive,Post Office Box 60021
°,tY°tt'°e 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. 0 I have and will maintain a certificate of consent to self-insure for workers'n
License Class�i 0 License No.I U S33 Z I Exp. Date 5r3/�2 I compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contracto 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
0 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 merue . work_ ers'compensa ion 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 `j7���'�COO Ca 64
�
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number �i l� 1
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
0 I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions
compensation,will do the work,and the structure is not intended or offered for '� 2I�� Signature
sale(Section 7044,Business and Professions Code:The Contractors License Date gn
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. ,��-,,��, �(
Name `�� Title l."Lk R
�'' P'l 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
rcadiaia t�upo bove-mentioned property for inspection purposes.
ignature d0 Date.." 112.--12-"D
0P0ik4-�
manriy otUo
MEMORANDUM
Fire Department
DATE: June 23, 2020
TO: BUILDING DEPARTMENT
INSPECTOR Jeff Wang
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 11631 Clark Street#105 & 106
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS
FIRE ALARMS
HOOD & DUCT
KNOX BOX
OCCUPANCY (PC# 19-2195) 6-22-2020 Mark Krikorian
COMMENTS:
Emailed Bldg. Dept. 6-23-2020 Rita
r.,:0ty
,,4_ - City of Arcadia, CA "' �Permit nNo Comm-19-2591
i Development Services Department , t ,_ .-- , I Permit Type Commercial
240 West Huntington Drive,Post Office Box 60021
/ ' Arcadia,CA 91066-6021 c , Work Classification Commercial-Add/Alt
r (626)574-5416 Permit Status:Issued
ARCADIA Issue Dile:03/10/2020 I Expiration: 06/27/2020
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
11633 CLARK ST Arcadia,CA 91006-5814 8532017048
Contacts
CLARK INDUSTRIAL INVESTORS LLC Owner STEPHANIE BOLDON/ENV Applicant
11621 CLARK ST 8530 VENICE BLVD
(310)287-2180 ext 230
•
CERTIFIED GENERAL CONTRACTORS* Contractor
11914 FRONT ST,NORWALK,CA 90650
(310)489-3179 732511
s:s w..=.,, n %v* °sr:,aat.'flw sa PS t'.a.rte .ae•.z�!rasnf.. w-ww. +Th W.. ..�:a..ax ...m:.: r.. ., ;,mw.s..az.:a
Description:NEW FENCING/GATES,FREE STANDING ROOF Valuation: $ 50,000.00 Tenant
STRUCTURE,LIGHT POLES,ELECTRICAL OUTLET,PARKING
STRIPING,AND STORAGE CONTAINERS.WITH ELECTRICAL Total Sq Feet: 0.00 Plan Check#19-2591 Plan#237
1
Fees - Amount Payments Amount Paid
Accessibility Plan Check $78.64 Total Fees $2,249.32
Accessiblity Building Permit $80.65 Cash/Receipt#REC-03473-19 $1,096.60
Building Issuing Fee $47.01 Cash/Receipt#REC-04081-20 $1,152.72
Building Permit Fees $806.50
Building Plan Review Fee $524.23 Amount Due: $0.00
Cal Green Plan Check $52.43 -'
Commercial T.I.Fire Plan Chk. $280.00
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $161.30
Green Building Standard $2.00 :...411 ' Ci
Outlets-Receptacles&Switches $16.30LACI. IONS
Pole or Platform Mounted Lighting $132.00 Request for inspection 6y telephone at 626-574-5450. Leave a message
Fixtures requesting the address,timeframe and what inspection item is needed.
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
Strong Motion Inst.Program Corn $14.00 This permit/plan review expires by time limitation and becomes null and
Total: $2,249.32 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
S 719 Z3—PCS 1-(6017- J'JL- void if any work authorized by this permit is suspended or abandoned for 180
Nosconsecutive days or if no progressive work has been verified by a City of
tc5T( S 4 Arcadia building inspector for a period of 180 consecutive days.
7-7-7-0 F-(144-1.- i I
March 10, 2020
Issued By: - Date
March 10,2020 Page 1 of 1
v�4OF RNc9d!
0 PERMIT/PLAN REVIEW APPLICATION
E .' Development Services Department,240 West Huntington Drive,Post Office Box 60021
o\y% 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 Licens ( Exp. DateD���/ao J compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ❑ 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 tet.\ -K . 1--1—C'
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 :,o (o��
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be cmpleteif 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 _t p p�C � gn
sale(Section 7044,Business and Professions Code:The Contractors License Date 3 Si afore
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 1-.Kr- \G-'W' `( 4b LCT Titre V
PRINT NAME
I c rtify 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 aee to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Ar adia to enter upon the above-mentioned property for inspection purposes.
Si afore V Date �'6 - a (),9�
1
r` O City of Arcadia,CA Permit NO. Patio-20,0602
r- ,
t y, Development Services Department 1, { \.
Wog
9 PERMIT/PLAN REVIEW APPLICATION
4 Development Services Department,240 West Huntington Drive,Post Office Box 60021
41m°°l,Y°t- Arcadia, CA 91066-6021, (626) 574- 416,Fax(626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
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
0 I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
❑ 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
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).
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.
Name Title
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature Date
of ARG'
4_1.10010,0e,
0 wow lir
Auvrt S.1907
444aityof1 MEMORANDUM
Fire Department
DATE: July 7, 2020
TO: BUILDING DEPARTMENT
INSPECTOR Jeff Wang
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 11633 Clark Street
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS
FIRE ALARMS
HOOD & DUCT
KNOX BOX
OCCUPANCY (PC# 19-2591) 7-7-2020 Alex Foskarino
COMMENTS:
Emailed Bldg. Dept. 7-7-2020 Rita