HomeMy WebLinkAboutTI-20-1612 ,... City of Arcadia, CA Permit NO.11-20-1612
y Development Services Department Permit Type:Tenant Improvement
240 West Huntington Drive,Post Office Box 60021 Work Classification:Tenant Improvement
Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:03/29/2021 I Expiration: 03/29/2022
,
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1108 S Baldwin AVE Suite B7 Arcadia,CA 91007-7508 5778007029
Contacts
500 PROPERTIES LLC Owner KHANH TRAN Applicant
25 E Huntington DR,Arcadia,CA 91007
(626)821-8777 MSOO@ASIASPEC.COM (657)347-8219
RONGHUA LI* Contractor
340 E FLORAL AVE,ARCADIA,CA 91006
(909)272-8728 1027785
Description:INTERIOR TI FOR TEA SHOP,RELOCATE NON LOAD Valuation: $ 5,000.00 Tenant
BEARING WALL. RELOCATE UTILITY SINK.INCLUDES
ELECTRICAL AND PLUMBING Total Sq Feet: 0.00 Plan Check#20-1612 Plan#430
Fees Amount Payments Amount Paid
Accessibility Plan Check $15.00 Total Fees $982.75
Accessiblity Building Permit $15.38 Cash/Receipt#REC-07166-21 $547.06
Bar Sink $13.21 Cash/Receipt#REC-05663-20 $435.69
Building Issuing Fee $47.01
Building Permit Fees 5153.75 Amount Due: $0.00
Building Plan Review Fee $99.94 -'
Cal Green Plan Check $10.00
Commercial T.I.Fire Plan Chk. $280.00
Electrical Permit Issuance Fee $47.01
Energy Plan Review Fee $30.75
Fire Final Occupancy Fee $200.00 CALLS FOR INSPECTIONS
Green Building Standard $1.00 Request for inspection by telephone at 626-574-5450. Leave a message
Outlets-Receptacles&Switches $13.04 requesting the address,timeframe and what inspection item is needed.
Plumbing Permit Issuance Fee $47.01
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00 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
Strong Motion Inst.Program Com $1.40 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
Total: $982.75 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.
si compiETED 6.;2-7
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March 29, 2021
Issued By: Henry Kemick Date
March 29,2021 Page 1 of 1
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1 __ PERMIT/PLAN REVIEW APPLICATION
,• 41
_____ Development Services Department, 240 West Huntington Drive,Post Office Box 60021
°'izni,Yat'° 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 forceand� efjact. � �� I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. 01.// OQ�( E Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor ./t
performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION 9 I have and will maintain workers'compensation insurance,as required by Section
9 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
(This section need not be completed if the permit is for one hundred dollars or less)
provisions of the Contractors License Law(Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
9 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 .. l/11I ��
sale(Section 7044,Business and Professions Code:The Contractors License _...--
Date �J� ,
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.
9 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).
9 1 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-,_• / . itl ' f /1, /'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 enter upon the above-mentioned property for inspection purposes.
11Signature ate 0//ty/. 92/
Jit92/
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. /16.1 ix 5., e4eAs2tAlb„i ajW 13.-7
100. Setbacks 210. Under fir./bldg.drain
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing 17-3_Z(
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 `'t-(3-2( ""7� 220. Fixtures _
111. 0cc./Area Sept.Wall G 221. Final plumbing ---.5--z4
112. Sound walls 222. Sewer cap/demo.
113. T-bar'rid
114. Insulation-Flr. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. -,0241. Rough plumbing
117. Drywall nailing t{-19-2( 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish gradefj 5 Gas line&test _
121. Final building 4-3.-.Zie6(:::" -
, - - 246. Fence.gates&signs
122. Final demo/lot clear // 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final•lumbin•
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under•round conduit
153. Underslab conduit ti-( - Ai= Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground /271. Roof framing
156. Rough electrical -13-21 :6- 272. Sheathing nailing
157. Fixtures G 273. Final reroof
158. G.F.C.I.
159. E•It.bondin• Sign Inspections Date Insp.
160. Service panel 280. Setback/overhang -
161. Final electric !i-,`tel 281. Footing
282. Conduitlwirin•
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch 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. I Date Insp.
191. Final mechanical ;-C.--7'. 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
NOTES t1
Building Inspections Date Insp. Plumbing Inspections Date I Insp. «b� S, BA,,,Lpw6i•1 j sj 1
100. Setbacks 210. Under fir/bldg.drain f
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. Root drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 220. Fixtures
111. 0cc./Area Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar•rid
114. Insulation-Flr. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final•lumbin•
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under•round conduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground L �-«� 271. Roof framing
156. Rough electrical 1{-S h!" f 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E••t.bondin• Sign Inspections Date I Insp.
160. Service panel 280. Setback/overhang -
161. Final electric 281. Footing
282. Conduit/wirin•
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Insp. I Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. I Date Insp.
191. Final mechanical 300. Lateral(main to PA_)
301. Saddle/se
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
ti ,•
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11 C) IIIII9KIMIA 7
Aery�!,1901
�4aityot� 4 MEMORANDUM
Fire Department
DATE: June 3, 2021
TO: BUILDING DEPARTMENT
INSPECTOR Henry Kemich
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 1108 S. Baldwin Avenue, B7
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
DATE / INITIAL
TYPE OF INSPECTION FINAL INSPECTION
FIRE SPRINKLERS
FIRE ALARMS
HOOD & DUCT
i KNOX BOX
OCCUPANCY (PC# 20-1612) 5-26-2021 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 5-26-2021 Rita