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HomeMy WebLinkAboutTI-21-0056 City of Arcadia, CA Permit NO.11-21-0056 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:Issued ARCADIA Issue Date:03/22/2021 Expiration: 03/22/2022 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 308 S FIRST AVE C Arcadia,CA 91006-7341 5779002096 Contacts JAE KIM Agent for owner LILY LI Owner 308 S FIRST AVE A,ARCADIA,CA 91006 (323)833-1888 (626)831-2198 GRAND HOME BUILDERS INC* Contractor 2228 CECIANA DR,HACIENDA HEIGHTS,91745 (626)533-1689 812241 ti Description:INTERIOR OFFICE TI.WITH ELECTRICAL AND Valuation: $ 11,500.00 Tenant PLUMBING. Total Sq Feet: 0.00 Plan Check#21-56 Plan#427 ti Fees Amount Payments Amount Paid Accessibility Plan Check $26.39 Total Fees $1,282.71 Accessiblity Building Permit $27.07 Cash/Receipt#REC-07102-21 $728.66 Building Issuing Fee $47.01 Cash/Receipt#REC-06512-21 $554.05 Building Permit Fees $270.65 Building Plan Review Fee $175.93 Amount Due: $0.00 Cal Green Plan Check $17.60 Commercial T.I.Fire Plan Chk. $280.00 Electrical Permit Issuance Fee $47.01 Energy Plan Review Fee $54.13 Fire Final Occupancy Fee $200.00 Green Building Standard $1.00 CALLS FOR INSPECTIONS Lavatories $13.21 Request for inspection by telephone at 626-574-5450. Leave a message Light Fixtures $16.30 requesting the address,timeframe and what inspection item is needed. Outlets-Receptacles&Switches $34.72 Plumbing Permit Issuance Fee $47.01 Solid Waste Management Fee $6.25 This permit/plan review expires by time limitation and becomes null and Solid Waste Management Fee 2 $1.00 void if the work authorized by the permit is not commenced within 180 days Solid Waste Management Fee 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days Strong Motion Inst.Program Corn $3.22 from the date of plan submittal.This permit expires and becomes null and Water Closet $13.21 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 Total: $1,282.71 Arcadia building inspector for a period of 180 consecutive days. _i COMPLETED March 22, 2021 Issued By:Jeff Wang Date March 22,2021 Page 1 of 1 I h PERMIT/PLAN REVIEW APPLICATION Ql+� ® f-* 0 441 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 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. 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 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 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 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 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�J h•�er information. } Name \M `Title ��I '( —- PRINT NAME J 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 abo •-mentioned property for inspection purposes. // / ignat �, Date '/ z-2I Z I % G„,,tvoRiv. ~ t SOW OP 1E44 ” Cioettrm '°unity ot" City of Arcadia • Building Division 240 West Huntington Drive,Arcadia CA 91007 Office: (626) 574-5416 Fax: (626) 447-9173 When the permit application and the Owner-Builder Declaration have been executed by a person other than the property owner, prior to issuing the permit, the following shall be completed by the property owner and returned to the agency responsible for issuing the permit: AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. I declare under penalty of perjury that I am the property owner for the address listed above, and I personally filled out the above information and certify its accuracy. Property Owner's Signature: Date: -5 Iuj Property Address: -30q Ave 41`r Q►-rGo.,Ari. M lop to Owner's Name: 1.,%-k� L, Owner's Address: 233D Fi Ca,'A CO, `110 0 to Phone # - 44-G- q3(c2- Agent's 2ZAgent's Name: :13 t-A Agent's Address: 12-34 W • l,. A • Gw a,'O l---1 Agent's Phone #: `'�23- $ 53 _\fig Scope of Work: NOTE: This authorization must be NOTARIZED or accompanied by a copy of the homeowner's current photo I.D. (i.e., driver's license, passport or military I.D. with signature), when presented for issuance of a permit. NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 308- Ie-S ' c ` Pie-ST 11C. 100. Setbacks 210. Under ft./bldg.drain l lUr 2v� _ D0�Jr�6l 101. Rough grade 211. Copper underslab 102. Figs.&forms 212. Rough plumbing 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 5t7 ) +7V 220. Fixtures 111. 0cc./Area Sept.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid ‘-411 t 114. Insulation Flr. Pool Inspections Date Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing ,S 24 L1 V v 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building 7,2y-24 'L ,29 2 J 'L% 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. Underground conduit 153. Underslab conduit Reroof Inspections I Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing • 156. Rough electrical 5-11-21 & 272. Sheathing nailing 157. Fixtures � 273. Final reroof 158. G.F.C.I. 159. Eu.t.bondin. Sign Inspections I Date I Insp. 160. Service panel 280. Setback/overhang 161. Final electric 7-2.2.e2,1 d 281- Footing 282. Conduiflwirin. Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Bouch HVAC Miscellaneous Insp. Date Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. Date I Insp. 191. Final mechanical 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess•..I filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin IOL oFFmpippi'��dr 7 • 1.anrpw.wA Asry.S,190) �@4z4aicy e MEMORANDUM Fire Department DATE: July 28, 2021 TO: BUILDING DEPARTMENT INSPECTOR Jeff Wang FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 308 S. First Avenue, Suite C THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS (PC# 21-910) 7-28-2021 Jill Perumean FIRE ALARMS HOOD & DUCT KNOX BOX OCCUPANCY (PC# 21-0056) 7-28-2021 Jill Perumean COMMENTS: Emailed Bldg. Dept. 7-28-2021 Rita •.• City of Arcadia, CA Permit NO. FIRE-21-0910 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 ARCADIA Issue Date:05/26/2021 Expiration: 05/26/2022 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 308 S 1ST AVE C Arcadia, CA 91006-7341 5779002096 Contacts JESSECA WANG Owner F&H Fire Protection* Contractor 1025 DON ROBLES ST,ARCADIA CA,91006-2027 1119 Westminster AVE,Alhambra,CA 91803 (626)262-3876 584319 Description:FIRE SPRINKLER FOR TI 9 HEADS Valuation: $ 1,800.00 Tenant Total Sq Feet: 0.00 Plan Check#21-910 Plan# Fees Amount Payments Amount Paid Fire Issuance $47.01 Total Fees $423.26 Fire Permit Fees $95.25 Cash/Receipt#REC-07725-21 $423.26 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Sprinkler Heads $280.00 ti Total: $423.26 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days rI complETED 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. May 26, 2021 Issued By:Jeff Wang Date May 26,2021 Page 1 of 1 % AR PERMIT/PLAN REVIEW APPLICATION 104 1L-- 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. 0 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 ❑ 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 peanut 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 for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is ❑ 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. 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). 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