HomeMy WebLinkAboutUntitled 7
. aCity of Arcadia, CA Permit NO.TI-19-0988
Development Services Department Permit Type:Tenant Improvement
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Tenant Improvement
(626)574-5416 Permit Status:Estimate
ARCADIA Issue Date: Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
289 W HUNTINGTON DR 304&310 ARCADIA,CA 91007 5775001034
Contacts
THE HALE CORPORATION Agent for owner SANTA ANITA LAND HOLDINGS LLC Owner
513 S MYRTLE AVE,MONROVIA,91016 LESSOR S AND H NO 1 LLC LESSEE
(626)358-4523 289 W HUNTINGTON DR 401
1
Description:T.I.UNITS 304&310(INCLUDES MEP) Valuation: $ 72,050.00 Tenant
Total Sq Feet: 0.00 Plan Check# Plan#44
I
Fees Amount Payments Amount Paid
Accessibility Plan Check $97.36 Total Fees $3,368.53
Accessiblity Building Permit $99.86 Cash/Receipt#REC-01325-19 $3,368.53
Add/Alter Ducts $377.72
Building Issuing Fee $47.01 Amount Due: $0.00
Building Permit Fees $998.55
Building Plan Review Fee $649.06 � (�O uUU���D
Cal Green Plan Check $64.91 U9
Commercial T.I.Fire Plan Chk. $280.00
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $199.71
Fire Final Occupancy Fee $200.00 CALLS FOR INSPECTIONS
Green Building Standard $3.00 Request for inspection by telephone at 626-574-5450. Leave a message
Lavatories $39.63 requesting the address,timeframe and what inspection item is needed.
Light Fixtures $59.10
Mechanical Permit Issuance Fee $47.01
Outlets-Receptacles&Switches $69.70 This permit/plan review expires by time limitation and becomes null and
Plumbing Permit Issuance Fee $47.01 void if the work authorized by the permit is not commenced within 180 days
Solid waste Management Fee $6.25 from the date of issuance or if the permit is not obtained within 180 days
Solid Waste Management Fee 2 $1.00 from the date of plan submittal.This permit expires and becomes null and
Solid Waste Management Fee 2 $1.00 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: $3,368.53
I/ itil
Issued By: Date
May 28,2019 Page 1 of 1
t ARC
4C,Iup°av,4
40.1-40, k PERMIT/PLAN REVIEW APPLICATION
04 w4EN .4
4411-6' Development Services Department,240 West Huntington Drive,Post Office Box 60021
'� �. Arcadia, CA 91066-6021,(626) 574-5416,Fax (626) 447-9173
0maalry o(N
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. 0 I have and will maintain a certificate of consent to self-insure for workers',,
License Class License No. S i C Exp. Date 813 I i' compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contrac6or performance of the work for which this permit is issued.
WNER-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
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number OM F/14
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 ,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 q
sale(Section 7044,Business and Professions Code:The Contractors License ate f/� 1 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 helNown
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.144.4-A-4-42
i , ' L p //
Name 144. -A - ' Ff�l , . Title I-�-r 1[l�Ln'L
PRINT NAME
certify that I have read this application and state that the above information is co t and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and • • Laws relating to buildin onstruction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned 'ro, or inspection purposes.
Signature it,
w� L o'
Date 5/2 / / 4
rTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. 2c? 4/ /A,/777 LC
;T`/
D
100 Setbacks 210. Under fir/bldg.drain
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing r /,
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
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 5.1":2??, (57,_ 220. Fixtures
111. 0cc./Area Sept.Wall 221. Final plumbing I7&')
112. Sound walls 222. Sewer cap/demo.
113. T-bar•rid '•l• 19 -
114. Insulation-Flr. , j- Pool Inspections Date Insp.
115. Insulation-Wall �1��� 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing C-5/ 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building ? - /� 246. Fence,gates&signs
122. Final demo/lot clear ✓ 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final glumbin.
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 T�,1272. Sheathing nailing
157. Fixtures '7.Z-I g'" 273. Final reroof
158. G.F.C.I.
159. E••t.bonding Sign Inspections I Date Insp.
160. Service panel ll1 280. Setback/overhang
161. Final electric 2�`�j-q0�� 281. Footing
282. Conduit/wirin•
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC 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 I Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess•sol filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
City of Arcadia, CA Permit NO. FIRE-19-1012
Development Services Department Permit Type:Fire
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Fire Alarm
(626)574-5416 Permit Status:Issued
A RCA D I A Issue Date:07/24/2019 Expiration: 11/26/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
289 W HUNTINGTON DR 304 & 310 ARCADIA, 91007 5775001034
Tamilmommy �. �..
Contacts
SANTA ANITA LAND HOLDINGS LLC Owner EXECUTIVE SURVEILLANCE INC* Contractor •
LESSOR S AND H NO 1 LLC LESSEE P 0 BOX 8245,LA CRESCENTA,CA 912240245
289 W HUNTINGTON DR 401 (818)541-1091
Description:FIRE ALARMS FOR UNITS 304&310 Valuation: $ 0.00 Tenant
Total Sq Feet: 0.00 Plan Check#19-1012 Plan it
Fees Amount Payments Amount Paid
Fire Alarm Plan Check $700.00 Total Fees $748.01
Fire Issuance $47.01 Cash/Receipt#REC-01354-19 $700.00
Solid Waste Management Fee 2 51.00 Cash/Receipt#REC-01891-19 $48.01
Total: $748.01 Amount Due: $0.00
CALLS FOR 1'" l� 'S EDD
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.
July 24, 2019
Issued By: Date
July 24,2019 Page 1 of 1
of AR
Gp.,,,Fokv,a',
'4 ! PERMIT/PLAN REVIEW APPLICATION
111" lit . 40
e 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. �j ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class e-.1kC Il7 icense N Exp. DatE'' Z1:GtJ�y� 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 DELLA ION ❑ I have and will maintain workers'compensation insurance,as required by Section
liell 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
exempt there from and the basis for the alleged exemption. Any violation of _ElI 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.
ame / v V 1 .I e Title • 44. /�_. i t Au
PRINT NAME II, I
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 ent upon the a I' : en'oned property for inspection purposes.
SignatureC t
ate
7/2q/19
.. City of Arcadia, CA Permit NO. FIRE-19-1028
Development Services Department Permit Type:Fire
240 West Huntington Drive,Post Office Box 60021
° Arcadia,CA 91066-6021 Work Classification:Fire Sprinkler
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:07/08/2019 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
r289 W HUNTINGTON DR 304 & 310 ARCADIA,CA 91006 5775001034
Contacts
SANTA ANITA LAND HOLDINGS LLC Owner CRAIG FIRE PREVENTION* Contractor
LESSOR S AND H NO 1 LLC LESSEE 123 E CENTRAL AVENUE AVE, MONROVIA,CA 91016
289 W HUNTINGTON DR 401 (626)357-4045 1037827
Description: FIRE SPRINKS FOR TI 63 HEADS.UNITS 304&310 Valuation: $ 6,600.00 Tenant
Total Sq Feet: 0.00 Plan Check#19-1028 Plan#
ti
Fees Amount Payments Amount Paid
Fire Issuance $47.01 Total Fees $935.16
Fire Permit Fees $187.15 Cash/Receipt#REC-01389-19 $700.00
Solid waste Management Fee 2 $1.00 Cash/Receipt#REC-01750-19 $235.16
Sprinkler Heads $700.00
Amount Due: $0.00
Total: $935.16 -
OCOMPLIEE 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.
()
July 08, 2019
Issued By: Date
July 08,2019 Page 1 of 1
of AR
A„,, ,
4 : PERMIT/PLAN REVIEW APPLICATION
c,,,,,„..tow._ is
`, Development Services Department,240 West Huntington Drive,Post Office Box 60021
ty Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City of
Arcadia
7ICENSED 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'
License Class C'I (- License No. 103 78 27 Exp. Date q(3c J 1(1 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 have and will maintain workers'compensation insurance,as required by Section
IDI hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier Ay--e.,r4 g4tot. cal It W....p.c.r
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number 2 C1AS wtoc,a,S 18 a i
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 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'11 V/ 161 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.
Zaz`r Oct r -7 z- Title 'Mkt.kl..ar 1.,,.t ✓ --�^--r—
PRINT NAMEv/tie
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.
nature _ Date -if I'J1/el
ti4oFF c9dr
Alipt _'.iwrporated '
Anury1
1903
'`yo`� MEMORANDUM
Fire Department
DATE: July 26, 2019
TO: BUILDING DEPARTMENT
INSPECTOR John Zurick
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 289 W. Huntington Drive #304 & 310
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 7-11-19 Jill Perumean
FIRE ALARMS 7-26-19 Jill Perumean
HOOD & DUCT
KNOX BOX
OCCUPANCY 7-26-19 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 7-26-19 Angelica Rodriguez