HomeMy WebLinkAboutTI-20-0507 -
City of Arcadia, CA Permit NO.TI-20-0507
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:02/03/20211 Expiration: 02/03/2022
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
[400 S Baldwin AVE Arcadia,CA 91007-1900 5775031034
Contacts
SANTA ANITA BORROWER LLC C/0 Owner ADRIANA CERVANTES Applicant
WESTFIELD SANTA ANITA
400
(213)302-7456
R T STEVENS CONSTRUCTION INC* Contractor
420 MC KINLEY 111-313,CORONA,CA 92879
(909)519-3465 904129
Description:T.I. FOR LULULEMON&SHELVING,INCLUDES Valuation: $ 650,000.00 Tenant LULULEMON
MEP'S
Total Sq Feet: 0.00 Plan Check#20-507 Plan#399
Fees Amount Payments Amount Paid
Accessibility Plan Check $489.36 Total Fees $12,637.91
Accessiblity Building Permit $501.90 Cash/Receipt#REC-05478-20 $5,361.75
Add/Alter Ducts $417.48 Cash/Receipt#REC-06646-21 $7,276.16
Building Issuing Fee $47.01
BuildingPermit Fees Amount Due:
$5,019.00 $0.00
Building Plan Review Fee $3,262.35
Cal Green Plan Check $326.24
Commercial T.I.Fire Plan Chk. $280.00
Commercial Service<200amps $33.32
Distribution Panel $32.96
Electrical Permit Issuance Fee $47.01 CALLS FOR INSPECTIONS
Energy Plan Review Fee $1,003.80 Request for inspection by telephone at 626-574-5450. Leave a message
Fire Final Occupancy Fee $200.00 requesting the address,timeframe and what inspection item is needed.
Floor Drain Fee $13.21
Furnace or Burner<=100,000 BTU $59.58
Green Building Standard $26.00 This permit/plan review expires by time limitation and becomes null and
Kitchen Sink $13.21 void if the work authorized by the permit is not commenced within 180 days
Lavatories $13.21 from the date of issuance or if the permit is not obtained within 180 days
Light Fixtures $323.04 from the date of plan submittal.This permit expires and becomes null and
Mechanical Permit Issuance Fee $47.01 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
Outlets-Receptacles&Switches $83.48 Arcadia building inspector for a period of 180 consecutive days.
Total: $12,637.91
February 03, 2021
Issued By: Henry Kemick Date
February 03,2021 Page 1 of 1
SFA• +
401.,41 * PERMIT/PLAN REVIEW APPLICATION
01:' :*
o i‘,j. Development Services Department,240 West Huntington Drive,Post Office Box 60021
mua„ydN° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
XIICENSED 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. f ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. G t -`� Exp. Date�l 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 ,,,�
ave and will maintain workers'compensation insurance,as required by Section
OWNER-BUILDER DECLARATION I� r na
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
is issued.My workers'compensation insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions r
Code.Any city or county which requires a permit to construct,alter,improve, Carrier S���u �v \
demolish,or repair any structure,prior to its issuance,also required the applicant I 7.z '1
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 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 ' s - •- .me subject to the
workers'compensation provisions of Sectio 700 of th abor Code,I shall
IDI, as owner of the property, or my employees with wages as their sole forthwith comply with those provision 'I
compensation,will do the work,and the structure is not intended or offered for .13lz( Signature
sale(Section 7044,Business and Professions Code:The Contractors License
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 CONSTRUCTION LENDING AGENCY
Code:The Contractors License Law does not apply to an owner of property
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.fo
are \4t---1 .s-\i-etAS Title y c43 ��
PRINT NAME
I ertify that I have read this application and state that the above information is c 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
A dia to enter upon veanentioned property for inspection purposes.
S. nature + �
Date "� 3 i Z )
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp.
100. Setbacks 210. Under fir/bldg.drain 2_1 - (106 64-Pr ird L u tr.., L ig..lYlO/^l
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing 3-232! , 3-22-2/ rR. -1•• 14o, 11(44 ... Otic-r5
103. Pre-slab 3-j --Z4 -'";` 213. Rough gas
104. Floor joists 214. Shower pan 3'23-v L(iic.G P/46. .46- C < '
105. Steel 215. Water heater 3-23-2./ c.api.C45 B,44,V#1
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer RC1-21 nA y4/4GG o.r 4.-l.lC .S
108. Diaph nailing 218. Water service `14-7-7-1 aFG`icoiL7c- a7--
109. Roof nailing 219. Final gas
110. Framing 3-23-74 220. Fixtures 5:7 EF.c ori �(
111. 0cc./Area Sept.Wall 221. Final plumbing `'2 2{
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
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 demoilot 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. Underground conduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical -11 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E•It.bondin. Sign Inspections Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric `/ -u it r r 281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC -2 =LI ,, 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 Insp.
191. Final mechanical q211 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess•.•l filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
FISHER
916 Deputy Inspection Services
Reinforced Concrete Structural Masonry
Seismic Upgrading (Div. 91)
Pre-Stressed Concrete
Structural Steel & Welding Shotcrete / Gunite
email:jfisher@fisherinspection.com
818-349-1806
JACK FISHER
SERVICE TICKET
All Inspections Based on a Minimum of 4 Hours
and Over 4 Hours - 8 Hour Minimum
JOB: i-. LAI— C. MvtJ
• bpd g � — DWilir RCAPJA
ADDRESS: V&ci
CONTRACTOR:
PHONE: ( —a' v�b
DATE:_____-_-3
2 ► THRU:
OUT: TOTAL HRS
TIME
REGULAR TIME:--- 11/2x 2x
Concrete LI
Epoxy Bolts �
Masonry
Verify Rebar �
0Framing
Post Tension �
Structural Steel I Welding
gl Fire Proofing
Number&type of samples prepared for testing:
INSPECTOR (SIGN): L //�"
Arded
VERIFIED (SIGN): /
REPRESENTING:
Fisher Form VII/11/21113
•
ACtI. O DEPARTMENT OF BUILDING AND SAFETY
7 A n CITY OF Arad
/
FIRST INSPLCI'IONS
COUNTY OFr/ �7ehs
44444 Buena Vista Way
v
Lancaster,CA 93536 INSPECTION REPORT
(661) 4110-1051
BUILDING PERMIT NO. JOB NO. DATE:
2-o— !77. .0W:4 .?-4,-/
JOB NAME/ADDRESS�`/. /ec;:in n . 104o S. 1)-/z
GENERAL CONTRACTOR/ADDRESS
6'94 97Ir'41h
ARCHITECT/ENGINEER ADDRESS -e ?;,e
SUBCONTRACTOR/ADDRESS
P7)011 rW710-P1"..7
WELDER/RECEIPT NO.
WELDER/RECEIPT NO.
WELDING REINFORCED CONCRETE P.T.CONCRETE C11 8 FIREPROOFING B STRUCTURAL MASONRY 8 EPDXY INJECTION I OTHER DRILLED-IN ANCHORS H.S.BOLT ASSEMBLY
DESCRIPTION OF WORK
1/4/cc -mv /ti$((A 2viv OfS>iKl*V-7r
(Av C,o,v77,: syr-�v<Y 71:1 /)4cr-���«,
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CONCRETE GROUT MORTAR BLOCK PRISMS DENSITY
DAILY HOURS/TERMS: MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY
All inspections based on a 4 hour minimum for each trade inspected,and over 4 hours is an 8 hour minimum. Any inspections extending past noon
will bean 8 hour minimum. Weekends,holidays,and hours between 6 pm-6 am are paid at time and a half. There is a 4-hour minimum charge if
job is cancelled for any reason,including rain,and inspector is not notified in advance. Testing fees vary and will be indicated on invoice.
ATTORNEY FEES: If any action at law or in equity is brought to enforce or interpret the terms of this Contract,the prevailing party shall be
entitled to reasonable attorney's fees,costs and necessary disbursements in addition to any other relief to which such party may be entitled.
CERT FICATE OF COMPLIANCE
INSPECTOR'S NAME7:-:."-raY ti re INSPECTOR'S SIGNATURE
INSPECTOR'S ID/LIC.NO. tit-2-- has been filed and it states that the above work to the best of
his/her knowledge complieswitI-i the provision of the Unite-Btlllaing Code and meets approved plans and specifications.
I i i
APPROVED/AUTHORIZED BY: ` Project Superintendent
White=Office Yellow=Jobsite Pink=Inspector
FISHER INSPECTION SERVICES
CONSTRUCTION INSPECTION AND TESTING
19360 Rinaldi Street, #350 Northridge CA 91326
Office: 818-349-1806 Fax: 818-349-2340
Cell: 818-618-1052
Dept.of Bid.8 Safety
REGISTERED INSPECTOR'S DAILY REPORT Job No.
City of Dates 31
TYPE OF ❑ Reinforced Concrete - Structural Steel Assembly ❑Quality Control
INSPECTION O Post Tensioned Concrete ❑ Fire Proofing ❑Other
REQUIRED 0 Reinforced Masonry
Job Address Li 0 0 E B>a L D W)N City A cm)]A
Job Name -r ( L L L U L EM, e ,1 Permit-No. ?-j_a0_ 65-p 7 Issued By R R C As,f A,
Type of Structure&J Size Architect
Material Description(type, grade,source) Engineer `CGL j p ,C
Contractor
Inspector(s) Name GiO } L aft R Subcontractor
WELDER LICENSE# WELDER LICENSE#
c A(1 ER DN -roJJ i oL.I N w s
INSPECTION SUMMARY— LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS,
PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT:AMOUNTS OF MATERIAL PLACED OR
WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN,STRUCT.CONNECTIONS
(WELD MADE H.T.BOLTS TORQUED)CHECKED, ETC.
AT o GOLt4 MJv 6Pr5E P2-,1T5 SST j1 i LTI KR -1-Z-
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•
CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE❑ PAGE / OF T—
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE TIME IN TIME OUT REG.HOURS 0.T.HOURSNrEST S.
ALL OF THE ABOVE REPORTED OK UNLESS OTHERWISE NOTED. I HAVE
FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, 0 3o �,�� CIAIIIN
AND APPLICABLE SECTIONS OF E GOVERNING BUI LAWS.
• All Inspections based on a minimum of 4 hours and over 4 hours—B hour
minimum. In addition,an ins.-ction exte ' past noon hour will be an B
A '
SIGNATURE OF REGISr�TE INSPECTOR hour minimum. //� _
V V c 1 r/ 4 r t4 . C f�y Approved By J /%
SPECIALTY NO. AGENCY Project S =nt
Fisher Form VI/11/2014