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HomeMy WebLinkAboutTI-18-1268 Folder 1 r City of Arcadia, CA Permit NO.TI-18-1268 Development Services Department Permit Type:Tenant Improvement 240 West Huntington Drive,Post Office Box 60021 Work Classification:Tenant Improvement I Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued ARCADIA Issue Date:08/21/2018 1 Expiration: 02/17/2019 ^ Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 12359 LOWER AZUSA RD ARCADIA,CA 8541017027 11 �,. Contacts YELLOW IRON INVESTMENTS LLC C/O Owner ALEN MALEKIAN Applicant JOHN D EDWARDS 2255 HONOLULU AVE, MONTROSE,CA 91020 12389 LOWER AZUSA RD,CA, (818)249-5522 GEORGE C HOPKINS CONSTRUCTION CO Contractor INC 919 W GLENOAKS BLVD,GLENDALE,CA 91212 (818)956-0533 397266 Description:NEW BREAKROOMS AND RESTROOMS,ALT OF Valuation: $ 700,000.00 Tenant GLENAIR LOGISTICS EXISTING ROLLUP LOADING DOOR TO EITHER FILL IN OR STORE FRONTS. NEW AC UNITS AND VENTS AT ROOF TOP. Total Sq Feet: 0.00 Plan Check#18-1268 Plan#32580 HOURLY PLAN CHECK FOR RESTROOM REVISIONS 1-24-19 l Fees Amount Payments Amount Paid Accessibility Plan Check $522.99 Total Fees $12,028.06 Accessiblity Building Permit $536.40 Cash/Receipt#REC-00682-19 $142.01 Building Issuing Fee $44.35 Cash/Receipt#REC-001766-2018 $5,711.05 Building Permit Fees $5,364.00 Cash/Receipt#REC-002097-2018 $6,175.00 Building Plan Review Fee $3,486.60 Cal Green Plan Check $348.66 Amount Due: $0.00 Commercial T.I.Fire Plan Chk. $280.00 Energy Plan Review Fee $1,072.80 Green Building Standard $28.00 Plan Check,Per Hour $95.00 Solid Waste Management Fee $6.25 CALLS FOR INSPECTIONS Strong Motion Inst.Program Corn $196.00 Request for inspection by telephone at 626-574-5450. Leave a message Supplemental Building Issuance $47.01 requesting the address,timeframe and what inspection item is needed. Total: $12,028.06 l This permit/plan review expires by time limitation and becomes null and •'1 0'2A3 void if the work authorized by the permit is not commenced within 180 days ?CM/6SL Orlifrom 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. a COMDLETEO August 21, 2018 Issued By: Date March 14,2019 Page 1 of 1 4 ! PERMIT/PLAN REVIEW APPLICATION ,Oto*, 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 t ti Lice 897146 Exp. Date�+V21 compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contra / performance of the work for which this permit is issued. dir OWNER-BUIL i R 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 CAW( R/' /NS (e9 demolish,or repair any structure,prior to its issuance,also required the applicant Policy NumberGCwG 0/3..1t 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 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 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. �,/ Name %C9 / 446/A/1 fr tvntHe Title /e /77414C1192 MUNTI 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 Arced', o en •r upon above-mentioned property for inspection purposes. Sign. i ,. /1/9 Date ..••• City of Arcadia,CA Permit NO.TI-18-1268 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 A Rc:AD IA Issue Date:08/21/2018 I Expiration: 02/17/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number L12359 LOWER AZUSA RD ARCADIA,CA 8541017027 Contacts — YELLOW IRON INVESTMENTS LLC C/0 Owner GEORGE C HOPKINS CONSTRUCTION CO Applicant JOHN D EDWARDS INC 12389 LOWER AZUSA RD,CA, 919 W GLENOAKS BLVD,GLENDALE,CA 91212 (818)956-0533 GEORGE C HOPKINS CONSTRUCTION CO General Contractor(B) INC 919 W GLENOAKS BLVD,GLENDALE,CA 91212 (818)956-0533 1 Description:NEW BREAKROOMS AND RESTROOMS,ALT OF Valuation: $700.000.00 Tenant GLENAIR LOGISTICS EXISTING ROLLUP LOADING DOOR TO EITHER FILL IN OR STORE FRONTS. NEW AC UNITS AND VENTS AT ROOF TOP. Total Sq Feet: 0.00 Plan Check#18-1268 Plan#32580 -, 1 Fees Amount Payments Amount Paid Accessibility Plan Check $522.99 Total Fees $11,886.05 Accessiblity Building Permit $536.40 Cash/Receipt#REC-001766-2018 $5,711.05 Building Issuing Fee $44.35 Cash/Receipt#REC-002097-2018 $6,175.00 Building Permit Fees $5,364.00 Amount Due: $0.00 Building Plan Review Fee $3,486.60 Cal Green Plan Check $348.66 Commercial T.I.Fire Plan Chk. $280.00 Energy Plan Review Fee $1,072.80 Green Building Standard $28.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Corn $196.00 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message Total: $11,886.05 requesting the address,timeframe and what inspection item is needed. , 3 -(O-2--g7 -F` 1 AI OK , This permit/plan review expires by time limitation and becomes null and N \ 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. 4 12 COPLE?ED C&_....2. August 21, 2018 Issued By: Date Page 1 of 1 August 21,2018 Irirro\. * PERMIT/PLAN REVIEW APPLICATION .41 iiiii iii °��Ijr Development Services Department,240 West Huntington Drive,Post Office Box 60021 m°°„y,rN Arcadia, CA 91066-6021,(626) 574-5416,Fax (626)447-9173 City of . Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ra 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 43 Licen .,397246 Exp. Date/13///9 compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contracto IL. , , ! rr performance of the work for which this permit is issued. OWNER-BUILD ' DECLARATION igil 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 cox a / 43' Z ,y me . 60 , demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number C �ryVr G 9v7�a� 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). ❑ 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 �Jf�T�.nwi s`z 7I Title [fir /yiB t ��� 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 Arcadi e% er upon above-mentioned property for inspection purposes. Sign. • I.,L/ — Date ' ''7-1K .•`• City of Arcadia, CA Permit NO. Plum-18-1210 Development Services Department Permit Type:Plumbing 240 West Huntington Drive,Post Office Box 60021 Work Classification:Plumbing Commercial Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued A RCA D 1 A Issue Date:07/12/2018 I Expiration: 01/08/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip 12359 LOWER AZUSA RD Contacts YELLOW IRON INVESTMENTS LLC C/O Owner D R PLUMBING CO Plumbing Contractor JOHN D EDWARDS (C-36) 12389 LOWER AZUSA RD,CA, 28620 MEADOW GRASS DR,CASTAIC,CA 91384 (818)216-0814 Description:PLUMBING WORK FOR FUTURE TENENT Valuation: S 0.00 Tenant IMPROVEMENT Total Sq Feet: 0.00 Plan Check# Plan#W 32529 Fees Amount Payments Amount Paid Fixture with Trap/Misc. $87.22 Total Fees $4,079.10 Floor Drain Fee $348.88 Cash/Receipt#REC-001683-2018 $4,079.10 Floor Sink $87.22 Amount Due: $0.00 Kitchen Sink $87.22 Lavatories $872.20 Plumbing Permit Issuance Fee $44.35 Solid Waste Management Fee 2 $1.00 Urinal Plumbing Fixture $697.76 Water Closet $1,744.40 Water Heater and/or Vent $108.85 CALLS FOR INSPECTIONS Total: $4,079.10 Request for inspection by telephone at 626-574-5450. Leave a message T-1/4requesting the address,timeframe and what inspection item is needed. aklowahe DRAIN PK This permit/plan review expires by time limitation and becomes null and 1041 -I g void if the work authorized by the permit is not commenced within 180 days R— '50°43 50)�t/� C� 4/'v l from the date of issuance or if the permit is not obtained within 180 days f� 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 3_r v ,� consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. 42 COMPLE?ED July 12, 2018 ed By: Date July 12,2018 Page 1 of 1 . G IFOR I.. Irk ! l PERMIT/PLAN REVIEW APPLICATION .+ 4ic- q• Development Services Department, 240 West Huntington Drive, Post Office Box 60021 c' • ,% Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia NSED 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 e-' 3L Licen No.je1/4-1 Exp. Date/-3/-—T. 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 DEC " ' 1=1I 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 for such permit to file a signed statement that he or she is licensed pursuant to the (This ection 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 1:1I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. ir42;l/ // 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 U Signa I �� 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 c.� .(.. • r re Title 6c--(•?11c ( PRINT ME 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-men 'or i perty for inspection purposes. l �I Signature /� Date 7 12 ^ 1 6 Permit No. Elec-18-0970 •losyset - City of Arcadia, CA Development Services Department Permit Type:Electrical 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Electrical Commercial --`-, (626)574-5416 Permit Status:Issued A RCA DIA Issue Date:06/11/2018 ( Expiration: 12/08/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 12359 Lower Azusa RD 85410170271 Contacts YELLOW IRON INVESTMENTS LLC C/O Owner Kent Electric,D. Electrical Contractor JOHN D EDWARDS (C-10) 12389 LOWER AZUSA RD,CA, 6655 San Fernando RD,Glendale,CA 91201 (818)247-1192 Description:NEW FEEDERS FOR A/C UNITS,LIGHTING AND Valuation: $0.00 Tenant OUTLETS FOR BREAK ROOMS Total Sq Feet: 0.00 Plan Check it Plan#32529 Fees Amount Payments Amount Paid Distribution Panel $217.70 Total Fees $831.84 Electrical Permit Issuance Fee $44.35 Cash/Receipt#REC-001400-2018 $831.84 Light Fixtures $185.80 Misc Elec.Conduit,Conductors or Repair $108.85 Amount Due: $0.00 Motors,Generators<1 hp $53.34 Outlets-Receptacles&Switches $220.80 Solid Waste Management Fee 2 $1.00 Total: $831.84 3--i p-Z0 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message / L 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. 0OAIPtETED June 11, 2018 ssued By: Date June 11,2018 Page 1 of 1 APERMIT/PLAN REVIEW APPLICATION •4i o 44, 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 TLICENSED 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 C—I b cense No. �►� 1�s� Exp. Date d 0�a compensation, as provided for by Section 3700 of the Labor Code, for the L/ performance of the work for which this permit is issued. ignature of Contractor OWNER-BUILDER DECLARATION gyri\ 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! 700 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. workers'compensa on insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier A✓i(fiyr+ AP Qi✓R 4 ce demolish,or repair any structure,prior to its issuance,also required the applicant /^ (7 � .3� for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number l! 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 0 1 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 /�I/ l .� 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. 1Ytty arc 1<�t Title PRINT NAME 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-mentioned property for inspection purposes.ignature /Zj�G� Date (/ 1 VP ,.. City of Arcadia, CA Permit NO. Comm-18-0917 Development Services Department Permit Type:Commercial 240 West Huntington Drive,Post Office Box 60021 Work Classification:Commercial Add/Alt Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued ARCADIA Issue Date:06/01/2018 I Expiration: 11/28/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 12359 LOWER AZUSA RD ARCADIA,CA 91006 8541017027 Contacts YELLOW IRON INVESTMENTS LLC C/O Owner GEORGE C HOPKINS CONSTRUCTION CO General Contractor(B) JOHN D EDWARDS INC* 12389 LOWER AZUSA RD,CA, 919 W GLENOAKS BLVD,GLENDALE,CA 91202 (818)956-0533 Description:ELECTRICAL ROOM EXPANSION Valuation: S 10,000.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan#�f Z521 1. NO Fees Amount Payments Amount Paid Accessiblity Building Permit $23.73 Total Fees $532.48 Building Issuing Fee $44.35 Cash/Receipt#REC-001326-2018 $532.48 Building Permit Fees $237.25 Amount Due: $0.00 Building Plan Review Fee $154.22 Cal Green Plan Check $15.43 Energy Plan Review Fee $47.45 Green Building Standard $1.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Com $2.80 Total: $532.48 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message 3-(t - requesting the address,timeframe and what inspection item is needed. fli\CAL 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 ri Arcadia building inspector for a period of 180 consecutive days. COI14pIETED June 01, 2018 Issued By: Date June 01,2018 Page 1 of 1 -„4.,\ i441,4„6„, ! _4 PERMIT/PLAN REVIEW APPLICATION 0� Development Services Department,240 West Huntington Drive,Post Office Box 60021 °.,,°t' Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173 City of Arcadia ,q LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION Yl 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: -..•1 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. e'� 0' 0 I have and will maintain a certificate of consent to self-insure for workers' License Class B ..License N 9 6 Exp. Date oC0 compensation, as provided for by Section 3700 of the Labor Code, for the r performance of the work for which this permit is issued. Signature of Contractor i OWNER-BUILD DECLARATION have and will maintain workers'compensation insurance,as required by Section D I hereby affirm under penalty of perjury that I am exempt from the Contractors 300 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 cy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier /'j L L..demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 1 for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be le 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 0 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 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. 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. �p Name•�t1 ) Title ?i? i fir/ 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 Arcadi enter upo above-mentioned property for inspection purposes. Sig, f,_ a _ . _/i_ -.Al Date 6//t'24:)/5 5 NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. /23.5"7Gatl 117164- /1i/7. 100. Setbacks 210. Under fir/bldg.drain 101. Rough grade 211. Copper underslab 102. Figs.&forms 212. Rough plumbing 103. Pre-slab 7 3'r/J 63 213. 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 220. Fixtures 111. 0cc./Area Sept.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar.rid 114. Insulation-Fir. Pool Inspections Date Insp. 115. Insulation-Wall ;-Q ; n 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 3 1 x-24) V 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. Underground conduit 153. Underslab conduit .0 • 8 .- Reroof Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. _ 155. Water ground 271. Roof framing 156. Rough electrical g-i-1 a 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Eqpt.bonding Sign Inspections Date Insp. 160. Service panel 8 4 APIA, 280. Setback/overhang 161. Final electric 3 ? 9% 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. Date Insp. 183. Fre 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. Anal mechanical 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cesspool filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin a 120A-56 2 NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. / 7v>/�} / J�/�JrQ u5A 100. Setbacks 210. Under W./bldg.drain D-1' •'41 {.G t� f 8---�v'tJ��^- 101. Rough grade 211. Copper underslab T I -- ( 12 68" 102. Figs.&forms 212. Rough plumbing 6-14--1 I l 103. Pre-slab 213. Rough howe pa /2 2 it 1IAJ �Q D Ai LS i� as 104. Floor joists 214. Shower pan Q t/cn! 105. Steel 215. Water heater r.aTat/OH lb I , // 2 ,.S 1) biN 106. Grout lift 216. Roof drains 17G.�J, D { �j f"I^'✓Cher-Al 107. Shear nailing &-i4-i j .(1-)..1 `217. Building sewer a0/1•4 16 3 63_ M. �G,' l 108. Diaph nailing 218. Water service / 8-1t7 F1/601Z D�r. 1S (4_ ow pa 109. Roof nailing 219. Final gas }�,-�1p,�y N '�F��/ 7 110. Framing 6 A��1I a'►J 220. Fixtures 1-t7�1'o'f / ,f, 6 2- 1 gerraW- 2011 111. 0cc./Area Sept.Wall 221. Final plumbing 3-16- • ate► 16 3 bf/ K I 112. Sound walls 222. Sewer cap/demo. 2 t� /"�v n,� pyy [ 113. T-bar grid 040-11 I-2-3-11 11 IS LI4 F,7 c* ke TF��^"I (6 1,16&. 114. Insulation-Flr. Pool Inspections Date Insp. l ' A�� BEeAK E0og163 014_ 115. Insulation-Wall 2-224' 240. Excavation/steel 1-41-4 1-4 q FA) -J 6 1 cC�_ s) o. 116. Insulation-Cell. W241. Rough plumbing 117. Drywall nailing 2 242. Light shell/bonding ` �Ock, M /63 �i dJ 118. Interior lath 243. Underground conduit ;. j?jt4 IAC �'�c7 P 119. Exterior lath 244. P-trap I I N' �((S �O 120. Finish grade 245. Gas line&test ar(z 84 r !,85 AkiI) i32eAt Rtai 121. Final building 3'1 0*-16 Y'V "246. Fence,gates&signs 1 ter / A� 4 6) O� 4-11./ 122. Final demo/lot clear 247. Pool heater it'*�� 248. Final electric 2 4-11 -frfiv WI H ele- A -kr � Electrical Inspections Date Insp. 249. Final.lumbin. (�,r /L84,ig5 atom e11 150. Power pole 250. Pool cover k '�'f�r 151. Sales lot lighting 251. Pool final .Z"Ii'l4'j Oki � O NS asulet 152. Underground conduit 1$34• �1F1 "- , ill" it t 153. Underslab conduit 'eroof Inspections Date I Insp. X10 n i,,,;,..,." � 154. UFER ground 270. Pre-reroof insp. 2-2l-141 Rout{ELeC•,p 4/ 4,Ie 155. Water ground ^-` 271. Roof framing OF t cOM 161,(6z it g 1�` 156. Rough electrical b-14.'1' , 4 272. Sheathing nailing t F+NM t"l 157. Fixtures I D ab-1 'n„j273. Final reroof 413_cK t7 hZ� 1 '\ 158. G.F.C.I. - sva oF g cr �7 159. Eqpt.bonding Sign Inspections I Date I Insp. �y y I.r !� 1' ,►�,,�,,'��(/y 160. Service panel 280. Setbackoverhang 1-� ( , 05,0) �� �ltS ör 620, " 161. Final electric 3404e.> 281. Footing Row / ' j /,.s� �f/Nj i �/,crbptt' 282. Dondninect_L I�T� ►`� �•G� /r"'f 'r'l'�r Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 2.-2.C-0 Pt to _ //'‘ aaMS 181. Furnace/A.C. ` l� r 182. Rouch HVAC . i •I .ne, s Insp. Date Insp. (Ci, /‘Z3 , / 183. Fire dampers 290. Fire alarm ,2_27-(f 1 1\ISUFDS 1AT-16N gaol-1516i 184. Furnace compartment 291. Underground supply 6 116,3 1 b 3 v 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 2-2g-11 SN AL )7 o (6 I 187. Metal F.P.rough 294. Hood dry chem. 162-, (63 U' _` wtl�"L 188. Compressor setback 295. Final 189. Commercial hood 3-411 (alAsti 8 DRofi�S I &RaT744 190. Duct shaft Sewers&Offsite Insp. Date I Insp. !86 � 118.7 k $2r1� ,rSf- e (j/� 191. Final mechanical 300. Lateral(main to P,L) - t ._ 301. Saddle,' 3+1' 'V'- e41-tep fz t recti Block Wall Inspections Date Insp. 302. Cess.00l filled /86)(a7, 3r t W 155 Oso d iii 200. Footings 303. Sidewalk J 201. Steel/rebar 304. Driveway 3-1-(1 ss 3 et1;c. comp its 202. Grout lift 305. Curb replacement _w_-` C 3-�, /,�tiON a J, _, 203. Final wall 306. Trash bin �(� l.W� ) �W / -7 v Building Inspection NOTES 3-13-19 T--l3Ah c6rcu,. 4c-,'i 5 <H 1��rk- l 03 /471.-- ''- 3-1141 7l 3-t941 Dec MAIM op 4484- it `185 0,_ 3-27-1 C 5l4042 , 1/JSt*Wtc (12,41a71#1) A, I- CLEC. #I& , #7r 6 dk ° gatimiklY -West , skies' t +-3-1° "DRYU.Atl- (5E 3184, 41-(85 6k 4.4-f 56464Skf,LS A Izouc3N c._ of agEia l._ 6k dvt! 4-s---1 vitaohLL (DI.�SI CJE b1Jj,() cs AsEa IY o-f -1 p I 4-4-1 11SSu1,ATio01N6,41 131rkgobl�f #Iii (*it DAllO 1:20144-0giVI31N(�r 4 fir. op R-7 A 4-1O-!'t ID riuNL (/SIS t t r) )p f31 k2OUM xt1sr ,t l ur;,A�(ON 'F R ST��MS 1 k6 .4/27 a 1- d� `` "" ,� 4-1g-1 �Diait6 ,L i SY t 444.6 ,-/�2 OK wv � 1' Stec ! 17,6, 12.7 , rg• iv 1 1t--( F1 1✓t t , gOlt6rf1 eiec. + 2-pcs pAp tto-roc Certo 6) o K -41 Asuvrii psi * gotea f. ka31N6r ZcSIEcce-t z6,41-1 7 cj 4-3a-Il ata625Lie vemi4 Res-reoat✓{ iiz4 l2.r ok J S-2-t q FJtZ`t(,t.sesu, 4' it lz 01777 4 1 NG-t [4 0 IZ4_,%(/2r or ivi --3--ot 51.46 op 4-1z4, -Izj- o4 ! 5-8-( T-f OF /3 AK gObet-( It/,r -111131 40D Iim ' L4.6C3 DeAll4styp, Re—STP-00M (2( , *122- 5-14--11 Std OF 12/ , 17 2 f 15TR00M) 4, rAgt4AI.L$ cE i f,C, 166 a f S.--2 --(41C4 -01ti FCC5r1466, OF It 14. #1,1-7, 11•4S A ALD 16r &(2+p eig, -41-‘1 21-1 CitS al 1•k1eS (37-Pcs) O4_ siv4 . .,-6.4` .0_ b AIL, 0 01 ' -ti ± li P ...,. . . .. o '.. a:. . ,_ AIL- . i 6-IH , oabI- dtc• 4 pc -1,Ednia- oP 0-1z4,441zr, 4o1,46 ' 61E6. ( LO1(It() 0P I- (43 ,D PZ Q...1.ki&TT 5st-) of 41144 v1; 6-14-11 p EGLe i, 14,Likt,q1A16 "4-121, 41722, rAti kr pecr of 4421, 0-/z., 113 kio .51-frlf-aikAu-s 6-1 .11 u►� a t6 Cc�v urrS FActi(4A- I.6. b I- Tb avec- iyi 6-4-0 Stioto of #vri, t3T , oRcU .(FAct4T tAl keetfisus&) OF 1124,�1�1' 143 Vizi , st-(72., t31 ,a-1J0 grAtt t l;fr✓G. of 134 P fvI 6-A--i 17z(04.1 - OF 1 Iz2. 1Z3, 012,4, oar * ta,ID6251,042, coxit uc S Dr- kj 6-1-1.1 vgf q 4-12 v, t ole. b 7-10-1 12rze-51,1g nevi pull- ea% -(b -mit .t;1,4) of TrvAct- Ok tki 7-1111 tt - SLAB 13eliAletki full 86X 4 tI eC C. emu) tsk 1 7-a-i 1' T(AL Alta stAP, C01401013 o �J 7-164 1,41J SCA3 . Cal u(zS oK- tvJ 7-17-1 772 -slA <8L6C • ROOMS 24-1 8LE-C. <E12.0 CE (4a6014-cp) r ¢,�j >3-I e . 5erzVice o AMP-- (S&? p e 6 . j ii-.20-1/ A/c- DVOK -T15 o -r15 tk .J2e Ch1 11-2.7-11 uI LL Or- ?OW 4 141t? - k ,,.•., City of Arcadia, CA Permit NO. FIRE-20-0617 Development Services Department Permit Type:Fire 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Fire Sprinkler (626)5745416 Permit Status:Issued ARCADtA Issue Date:05/13/20201 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 12359 LOWER AZUSA RD Arcadia,CA 91006-5889 8541017032 Contacts SCANNELL PROPERTIES 255 LLC LSEE Owner Pacific Fire Protection Contractor YELLOW IRON INVESTMENTS LLC LSOR 821 N Lake,Burbank,CA 91502 C/O JAMES C CARLINO (818)563-3239 974955 12359 LOWER AZUSA RD Description:FIRE SPRINKLERS FOR NEW CANOPY Valuation: $ 30,000.00 Tenant Total Sq Feet: 0.00 Plan Check#20-617 Plan# Fees Amount Payments Amount Paid Fire Issuance $47.01 Total Fees $1,439.51 Fire Permit Fees $551.50 Cash/Receipt#REC-04339-20 $840.00 Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-04453-20 $599.51 Sprinkler Heads $840.00 Amount Due: $0.00 Total: $1,439.51 - 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. n COMPUTED May 13, 2020 Issued By: Date May 13,2020 Page 1 of 1 • A: ` PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive,Post Office Box 60021 ' >t°nnlry otH/. eveopmenArcadia, 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 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 ❑ I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARATION 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 Licenseis issued.My workers'compensation insurance carrier and policy numbers are: 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 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 0 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 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). 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 City of Arcadia, CA Permit NO. FIRE-19-1024 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: 10/31/20191 Expiration: 11/26/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip [12359 LOWER AZUSA RD ARCADIA,CA 91006 Contacts YELLOW IRON INVESTMENTS LLC C/O Owner GLENDALE FIRE SYSTEMS INC Contractor JOHN D EDWARDS 12389 LOWER AZUSA RD,CA, (818)244-3473 757476 Description:FIRE ALARM SYSTEM UPGRADES Valuation: $ 95,000.00 Tenant Total Sq Feet: 0.00 Plan Check#19-1024 Plan# •� ti Fees Amount Payments Amount Paid Fire Alarm Plan Check $980.00 Total Fees $2,210.26 Fire Issuance $47.01 Cash/Receipt#REC-02959-19 $1,230.26 Fire Permit Fees $1,182.25 Cash/Receipt#REC-01379-19 $980.00 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $2,210.26 - 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 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. 0 COMDLETED October 31, 2019 Issued By: Date October 31,2019 Page 1 of 1 41 l PERMIT/PLAN REVIEW APPLICATION 4,1p, 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 0 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 C t License No. YSly?` Exp. Date bl31 I I q 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 �--`'d7��� OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors 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 Paslr` C(in l lovv+So it'n n demolish,or repair any structure,prior to its issuance,also required the applicant J Policy Number W Pr OCS X3100 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 0 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 not employ any person in any manner so as to become subject to the workers' Section 7031.5 by any applicant for a permit subjects the applicant to a civil 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 Date 1 bh li Ft Signature AI. -.7:7 '-r---- 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. 0 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). 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. JName /"VOAc.e 1 T,WI94.v. rtle 5ow�ae- WV0v,..ki e PRINT NAME Nr- 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 buildin construction. I hereby authorize representatives of the City of A dia to enter upon the above-mentioned property for inspection purposes. Sig ature /1- 7„, „_____ Date t {31 het ,c��FF c9 �ti 9 dr 11 : PP19rl or IA.•;: r A ' r, ry , \ j` %,,aity(A MEMORANDUM Fire Department DATE: December 22, 2020 TO: BUILDING DEPARTMENT INSPECTOR Jeff Wang FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 12359 Lower Azusa Road THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS (PC# 19-325) 5-21-2020 Jill Perumean FIRE SPRINKLERS (PC# 20-617) 5-21-2020 Jill Perumean FIRE ALARMS (PC# 19-1024) 5-20-2020 Jill Perumean HOOD & DUCT KNOX BOX OCCUPANCY (PC# 19-521) 6-15-2020 Jill Perumean OCCUPANCY (PC# 19-2028) OCCUPANCY (PC# 20-815) 12-21-2020 Mark Krikorian COMMENTS: Emailed Bldg. Dept. -2020 Rita y.•.i City of Arcadia, CA Permit NO. Comm-19-0521 Development Services Department Permit Type:Commercial • 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Commercial Add/Alt • (626)574-5416 Permit Status:Issued ARCADIA Issue Date: 10/14/2019 f Expiration: 09/10/2019 ( Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number tv12359 LOWER AZUSA RD ARCADIA,CA 8541017027 Contacts YELLOW IRON INVESTMENTS LLC C/O Owner GEORGE C HOPKINS CONSTRUCTION CO Applicant JOHN D EDWARDS INC 12389 LOWER AZUSA RD,CA, 919 W GLENOAKS BLVD,GLENDALE,CA 91212 (818)956-0533 Description:**PHASE 3**NEW DEMISING PARTITION WALLS, Valuation: $ 350,000.00 Tenant ELECTRICAL FOR DISTRIBUTION, MECHANICAL FOR CONDITIONING OF ENTIRE SPACE. Total Sq Feet: 0.00 Plan Check#19-521 Plan It 144 Fees Amount Payments Amount Paid Accessibility Plan Check $287.53 Total Fees $7,275.03 Accessiblity Building Permit $294.90 Cash/Receipt#REC-00683-19 $3,265.87 Building Issuing Fee $47.01 Cash/Receipt N REC-02776-19 $4,009.16 Building Permit Fees $2,949.00 Amount Due: Building Plan Review Fee $1,916.85 $0.00 Cal Green Plan Check $191.69 Commercial T.I.Fire Plan Chk. $280.00 Energy Plan Review Fee $589.80 Fire Final Occupancy(Manual) $600.00 Green Building Standard $14.00 Solid Waste Management Fee $6.25 CALLS FOR INSPECTIONS Strong Motion Inst.Program Corn $98.00 Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. Total: $7,275.03 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 COIVIPLEJEDconsecutive days or if no progressive work has been verified by a City of IyI Arcadia building inspector for a period of 180 consecutive days. October 14, 2019 Issued By: Date October 14,2019 Page 1 of 1 FAR fPERMIT/PLAN REVIEW APPLICATION - E Development Services Department, 240 West Huntington Drive, Post Office Box 60021 '0m.4,,, 0" Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION Igi 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 8 Licen 6S Exp. Date/NW 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 I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILD DECLARATION LII 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 Code.Any city or county which requires a permit to construct,alter,improve, Carrier OAK Riv /A15.,,,,� • demolish,or repair any structure,prior to its issuance,also required the applicant Policy Numberof voce,/3L0/D- 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 orkers'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 °rtttwrth comply with those provisi.� compensation,will do the work,and the structure is not intended or offered for /d7 i9 sale(Section 7044,Business and Professions Code:The Contractors License ate /�/ Signa i'' 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(I)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: I. 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 thhee6/0//40-25 PIq � Title Ry177r /t/Y A. 44 PRINT NAME I certify that I have read this application and state that the above information is cc rrect 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 Arcadi. o enter upon h ove-mentioned property for inspection purposes. i 9 Sign. •) Date ,���/) P -A-Se 3, NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. /. 9 /N ac sA' 100. Setbacks 210. Under fir/bldg.drain `� I i..[a� 101. Rough grade 211. Copper underslab a,('i 4-0.. 1 102. Figs.&forms P1941 11%1 212. Rough plumbing 103. Pre-s'ab 213. Rough gas J / 104. Floor joists 214. Shower pan 10''74. 141 4 4itJ6r, fL r , 105. Steel 215. Water heater /� 0 � �� � e$1'�Ke q &2r,W( 106. Grout lift 216. Root drains (. M i, ! 107. Shear nailing 217. Building sewer r bf 7e. DK _ 108. Diaph nailing 218. Water service `H4-1 ? At-���� � T Ili 109.10Ronailing 219.2Final tu gas /���1_�1 i �� 46 5' bF ONAL° 110. Framing 111411 � 220. Fixtures i`v�/s r 111. Dec'Area Sept.Wall 221. Final plumbing efl2oogs 171 172, 116, 177. 171; 112. Sound walls 222. Sewer cap./demo. 7 ` 1 1� '`/') 113. T-bar.nd '-� ,V 1 [q, 1%13, 181 S/ p ttt 114. Insulation-Flr. Pool Inspections Date I Insp. 120,,,a0 aft . /"I4,1► Day)y) a uxt 6 115. Insulation-Wall 11-2744/ hAl 240 Excavation.steel grtll,ry ► A-F Ok (1)\1, 116. Insulation-Ceil. 241 Rough plumbing 117. Drywall nailing 242. Light shellbonding I pis_! 3. r r ,, -04_ Il 47, 118. Interior lath 243. Underground conduit 7� !%�y i 119. Exterior lath 244. P-trap 120. Finish grade 245. Gas line&test J l_?{}-1 f fri1 4 lu I'-eGec 121. Final building .+ 246. Fence,gates&signs , !-' ir4, &7. /6k D� i 4 122 Final demolot dear 247. Pool heater n _ 248. Final electric 10-21-14, (� //� � w 1r d 4 Electrical Inspections Date Insp. 249. Final n. We Stcb t _k'L1/9� � - 150. Power pole 250. Pool cover �yy / /� ,}ash 151. Sales lot lighting 251. Pool final F 4 1 7 o v�, 4' J 152. Underground conduit ..i �/ . ' r, • ,,\�� 153. Underslab conduit Reroof Inspections Date Insp. /nr - -- 154. UFER ground _ 270. Pre-reroof insp. AZ /2,14,/ �•7. 170> 11 ),172 155. Water ground 271. Roof framing `Z,•Q�(f � ,1�/,V- �,,,ig WS/ 156. Rough electrical 1100461 ) 272. Sheathing nailing 7 I/`` �`''' L7��"1`� 1 1"t ^ 157. Fixtures _Sol OPP fr 273. Final reroof kr-7' 16?.4 rJjk.ACL earpi 158. G.F.C.I. �/ 159. Eqpt.bonding Sign Inspections I Date Insp. p�+ ��G� `/__ 160. Service panel 280. Setbackoverhang 1242"' I r,¢6--ilk/ rp A'// P(cc/l)_ 161. Final electric 6.41.20. I J 281. Footing /r, Pit. 17 7 d 1 l • •v 282. Conduit'wiring h/ a �w �( Mechanical Inspections Date Insp. 283. Disconnect _ 124 L-II 4 p�Izfd o 180. Ventingmue _ 284. Final sign 121 I 11,7. rnfc Dual fee 181. Furnace/A.C. 182. Rouch HVAC _Si'.74 in Miscellaneous Insp. Date Insp. l"• o9 1T 44 p• t 183. Fire dampers 290. Fre alarm • /a 3 -19 lRe D k . �2 4110 184. Furnace compartment 291. Underground supply 07-4 FAD �o460 pee. pot) 185. Combustion air 292. Fire sprinklers 'V7 (x 186. Smoke detectors 293. Monitor system 4 fb6u Mr ' zAI- p 0r i-->, , 187. Metal F.P.rough 294. Hood dry diem. (2-26-)0 Q M� �� AGI,1i �g 188. Compressor setback 295. Final 7Q 189. Commercial hood /, ► OK Y"'. 190. Duct shaft Sewers&Offsite Insp. Date I Insp. _t--.9 c,3b � ■, ,? or _, 191. Final mechanical 4-i.-la uv% 300. Lateral(main to Pt) V{•�, PAK? �F{ QT► 301. Saddles' __� _ ,..Z1 22 13p $ rsep Acta Block Wall Inspections Date Insp. 302. Gess.••l filled z,, t Je. 200. Footings _ 303. Sidewalk _q,!�0^ VVV vvv 201. Steelrebar 304. Driveway 5'2 DIir 4Att, 6 ME22.4111.0 tri 202 Grout lift _ 305. Curb replacement 203. Final wa!I 306. Trash bin f 1 City of Arcadia, CA Permit NO. Mech-19-2168 Development Services Department Permit Type:Mechanical 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Mechanical, Commercial (626)574-5416 Permit Status:Issued ARCADIA Issue Date:10/24/2019 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 12359 LOWER AZUSA RD Arcadia,CA 91006-5889 8541017032 Contacts , SCANNELL PROPERTIES 255 LLC LSEE Owner THERMA, LLC Contractor YELLOW IRON INVESTMENTS LLC LSOR 2390 BATEMAN AVE, IRWINDALE,91010 C/O JAMES C CARLINO (626)446-1854 1027316 12359 LOWER AZUSA RD Description:MECHANICAL FOR T.I. DUCTING OF 7 EXISTING Valuation: $0.00 Tenant UNITED,3 SPLIT SYSTEM UNITS ON ROOF AS PER APPROVED PLANS Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Add/Alter Ducts $49.70 Total Fees $276.45 Compressor<3 Ton(up to 3 hp) $59.58 Cash/Receipt#REC-02891-19 $276.45 Evaporative Cooler(Not portable) 559.58 Amount Due: $0.00 Furnace or Burner<=100,000 BTU $59.58 Mechanical Permit Issuance Fee $47.01 ~ Solid Waste Management Fee 2 $1.00 Total: $276.45 6—i 6-7-0 CALLS FOR INSPECTIONS Fi&f,k1, I Request for inspection by telephone at 626-574-5450. Leave a message Y�f 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 aCOMPLETED consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. October 24, 2019 Issued By: Date October 24,2019 Page 1 of 1 FOIw�.; PERMIT/PLAN REVIEW APPLICATION •4 • ESI*' 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 C'.20 Li nse No. • 73/4, Exp. Date S-3/-21 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 / . _ 0 I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER I ARATION 3700 of the Labor Code,for the performance of the work for which this permit 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers'compensation insurance 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 c1.• demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number LOC—. b"?),I 764- 00 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 al 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 Date /c)_�y_ q Signature sale(Section 7044,Business and Professions Code:The Contractors License 7 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 V e cc Cr x,,n.,. Title Cn 5 neer 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 abo entioned property for inspection purposes. Signature # La.& Date /o- 2'/— /9 �.�.r City of Arcadia, CA Permit NO. Plum-20-0175 Development Services Department Permit Type:Plumbing 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Plumbing Commercial (626)574-5416 Permit Status:Issued ARCADIA Issue Date:05/13/2020 1 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 12359 LOWER AZUSA RD Arcadia,CA 91006-5889 8541017032 Contacts • SCANNELL PROPERTIES 255 LLC LSEE Owner D R PLUMBING CO Contractor YELLOW IRON INVESTMENTS LLC LSOR 28620 MEADOW GRASS DR,CASTAIC,CA 91384 C/O JAMES C CARLINO (818)216-2750 584067 12359 LOWER AZUSA RD Description:GAS LINE FOR MECHANICAL EQUIPMENT. Valuation: $ 0.00 Tenant Total Sq Feet: 0.00 Plan Check q Plan q Fees Amount Payments Amount Paid Additional Plan Review $95.00 Total Fees $236.21 Gas System(Outlets) $93.20 Cash/4eceipt 4 REC-04451-20 $236.21 Plumbing Permit Issuance Fee $47.01 Amount Due: Solid Waste Management Fee 2 $1.00 $0.00 Total: $236.21 p6orL. 41-vsl 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 ISI COMPLETED 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 13, 2020 Issued By: ' Date -- May 13,2020 Page 1 of 1 4 •�'orr, • PERMIT/PLAN REVIEW APPLICATION rt4' watis r . Development Services Department,240 West Huntington Drive,Post Office Box 60021 0, • 0y„h,t 0^ Arcadia, CA 91066-6021,(626)574-5416,Fax(626)447-9173 City of Arcadia ErttENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION eby 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. 3 In License o. L Exp. Datej:3122: 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 9 OWNER-BUILDER DECLARATION/ 7 j}l�ave 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'co pensation insurance er and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier fej (� V demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number V 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 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 S ” n 37 o th bor ode,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 tDte 5 . 1 3 -2 v 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. 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. ame D0 rs<- ! CP r rd.,...)lt U b.) V"LC PRINT N I 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 State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the a e- tioned property for inspection purposes. çnatureaiti Date 5 " ( 3 -z6 D , •., City of Arcadia, CA Permit NO.Comm-19-2222 Development Services Department Permit Type:Commercial 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Commercial Add/Alt (626)574-5416 Permit Status:Issued ARCADIA Issue Date:11/06/2019 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 12359 LOWER AZUSA RD Arcadia,CA 91006-5889 8541017032 Contacts SCANNELL PROPERTIES 255 LLC LSEE Owner GEORGE C HOPKINS CONSTRUCTION CO Contractor YELLOW IRON INVESTMENTS LLC LSOR INC C/O JAMES C CARLINO 919 W GLENOAKS BLVD,GLENDALE,CA 91212 12359 LOWER AZUSA RD (818)956-0533 397266 Description:PHASE 3.ADD TBAR CEILING TO ROOM 177. Valuation: $ 15,000.00 Tenant DELETE TBAR CEILING IN ROOM 180. Total Sq Feet: 0.00 Plan Check#19-2222 Plan# Fees Amount Payments Amount Paid Accessibility Plan Check $31.28 Total Fees $1,016.06 Accessiblity Building Permit $32.08 Cash/Receipt#REC-02970-19 $324.77 Building Issuing Fee $47.01 Cash/Receipt#REC-03011-19 $691.29 Building Permit Fees $320.75 Amount Due: Building Plan Review Fee $208.49 $0.00 Cal Green Plan Check 520.85 Commercial T.I.Fire Plan Chk. $280.00 Energy Plan Review Fee $64.15 Green Building Standard $1.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Com $4.20 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message Total: $1,016.06 requesting the address,timeframe and what inspection item is needed. ft'AL k 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. D COMDLETED November 06, 2019 Issued By: Date November 06,2019 Page 1 of 1 %FA• .1 PERMIT/PLAN REVIEW APPLICATION to*. 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 pi 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 ana. Lic n Nosh 7266 Exp. Date//3/2) 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 Contract. I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARATION 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 is issued.My wor ers'compensation insurance 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 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 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 Sig ❑I, as owner of the property, or my employees with wages as their sole forthwith c mply�w+ith those pro compensation,will do the work,and the structure is not intended or offered for // 6,1/7 •, Date 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 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.. t CoftnAfxse Title pQEI,�--7 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 Arcadient: upon th bove-mentioned property for inspection purposes. vW 1{/6 q Signa , Date ..•.e City of Arcadia, CA Permit NO. EIec-18-0911 Development Services Department Permit Type:Electrical 240 West Huntington Drive,Post Office Box 60021 r Arcadia,CA 91066-6021 Work Classification:Electrical Commercial (626)574-5416 Permit Status:Issued ARCADIA Issue Date:06/01/2018 1 Expiration: 11/28/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 12359 LOWER AZUSA RD ARCADIA,91006 8541017027 Contacts YELLOW IRON INVESTMENTS LLC C/O Owner Kent Electric,D. Electrical Contractor JOHN D EDWARDS (C-10) 12389 LOWER AZUSA RD,CA, 6655 San Fernando RD,Glendale,CA 91201 (818)247-1192 Description: ELECTRICAL FOR T.I. Valuation: S 0.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Commercial Services over 1000amps $155.84 Total Fees $210.43 Electrical Permit Issuance Fee $44.35 Cash/Receipt#REC-001320-2018 $210.43 Light Fixtures $3.08 Amount Due: $0.00 Outlets-Receptacles&Switches $6.16 - Solid Waste Management Fee 2 $1.00 Total: $210.43 1 gJ g ti; ` seevfC vk in) 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. R.] COMPLETED Q.),\\),.... June 01, 2018 Issued By: Date June 01,2018 Page 1 of 1 t i Al • PERMIT/PLAN REVIEW APPLICATION 14,1" isDevelopment Services Department,240 West Huntington Drive,Post Office Box 60021 0,_ ,, ,.��'` Arcadia,CA 91066-6021,(626) 574-5416,Fax(626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 0 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 C 10 License No. 1411 Exp. Date S/7 Ila 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 CLARATION ❑ 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.lyy workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier O'er Cu© S 1 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number I LL 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 Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. ie compensation,will do the work,and the structure is not intended or offered for Date ( ") /1? Signature G 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. 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 •'1 l] \�)-- 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 perry for inspection purposes. Signature Date 7�:� City of Arcadia, CA Permit NO. Meeh-18-1009 0./ Development Services Department Permit Type:Mechanical 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Mechanical,Commercial (626)574-5416 Permit Status:Issued A RCA t)I A Issue Date:06/14/2018 I Expiration: 12/11/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 12359 LOWER AZUSA RD ARCADIA,CA 91006 8541017027 Contacts YELLOW IRON INVESTMENTS LLC C/O Owner INTEGRATED MECHANICAL SYSTEMS HVAC Contractor(C-20) JOHN D EDWARDS INC* 12389 LOWER AZUSA RD,CA, 2390 BATEMAN AVE,IRWINDALE,CA 91010 (626)446-1854 Description:INSTALL 7 HVAC UNITS ON ROOF FOR BUILDING Valuation: S 0.00 Tenant #2 PER APPROVED PLANS. HERS REQUIRED FOR FINAL. (VQ) Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Compressor 15-30 hp $328.02 Total Fees $701.53 Furnace or Burner<=100,000 BTU $131.18 Cash/Receipt#REC-001438-2018 $701.53 Mechanical Permit Issuance Fee $44.35 Amount Due: Solid Waste Management Fee 2 $1.00 $0.00 Ventilation Fan(Single Duct) $196.98 Total: $701.53 —10—?� fusJis-t-, 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 MI from the date of plan submittal.This permit expires and becomes null and COPLETEDvoid 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 da s. Y June 14, 2018 Issued By: Date June 14,2018 Page 1 of 1 • 4 • PERMIT/PLAN REVIEW APPLICATION 0+ lfo tDevelopment Services Department,240 West Huntington Drive, Post Office Box 60021 ° ,,° m` 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 C—20 License No.g' M0 Exp. Date a-31-( 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 / lf ❑ I have and will maintain workers'compensation insurance,as required by Section WNER-BUILDER LARATION 3700 of the Labor Code,for the performance of the work for which this permit j] hereby affirm under pen. ty of perjury that I am exempt from the Contractors is issued.My workers'compensation insurance 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 aur et-1'1 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number W C-SSI 3—NI 002 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 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 sale(Section 7044,Business and Professions Code:The Contractors License Date 6^/� /4 Signature l— 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. n (Name ..P . a co Title P.ro`C c 1- e/l,.5 e t_;'-- PRINT NAME J I certify that I have read this application and state that the above information is cor t 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-.,entioned property for inspection purposes. Signature I /� Date (c. - /`/ "- /5 •., City of Arcadia, CA Permit NO. Comm-19-2028 Development Services Department Permit Type:Commercial 240 West Huntington Drive,Post Office Box 60021 r Arcadia,CA 91066-6021 Work Classification:Commercial-Add/Alt (626)574-5416 Permit Status:Issued ARCADIA Issue Date:12/04/2019 f Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 12359 LOWER AZUSA RD ARCADIA,CA 8541017027 1 Contacts YELLOW IRON INVESTMENTS LLC C/O Owner JOHN CAMPHOUSE Applicant JOHN D EDWARDS 12389 LOWER AZUSA RD,CA, (818)482-1689 Description:8 EXTERIOR CANOPIES,NEW ACCESSIBLE RAMP TO Valuation: $ 300,000.00 Tenant CANOPY 1,NEW EQUIPMENT PADS ALONG NORTH ELEVATION CANOPIES 10,951 SQ FT. **PHASE 4** Total Sq Feet: 10.951.00 Plan Check#19-2028 Plan#187 Fees Amount Payments Amount Paid Accessibility Plan Check $253.89 Total Fees $5,930.21 Accessiblity Building Permit $260.40 Cash/Receipt#REC-02708-19 $2,395.75 Building Issuing Fee $47.01 Cash/Receipt#REC-03253-19 $3,534.46 Building Permit Fees $2,604.00 Building Plan Review Fee $1,692.60 Amount Due: $0.00 Cal Green Plan Check $169.26 Commercial T.I.Fire Plan Chk. $280.00 Energy Plan Review Fee $520.80 Green Building Standard $12.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Com $84.00 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message Total: $5,930.21 requesting the address,timeframe and what inspection item is needed. 2-4'-Zort2CT �/,( r�tet/p ,}_ �'�1 �i( I'•u OF gA-") `c 0"00 This permit/plan review expires by time limitation and becomes null and .. � Oy _ I void if the work authorized by the permit is not commenced within 180 days i•- Q from the date of issuance or if the permit is not obtained within 180 days 2 /_ r.`A'! n�,,�� C from the date of plan submittal.This permit expires and becomes null and -2C � W,W geeodsiZ. J void if any work authorized by this permit is suspended or abandoned for 180 O F 124644 bki consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. 6-1....74:, F.wifki, V COMPLE?ED December 04, 2019 Issued By: Date December 04,2019 Page 1 of 1 4..tiv421,, PERMIT/PLAN REVIEW APPLICATION *41111, q Development Services Department,240 West Huntington Drive,Post Office Box 60021 o00...,., ^e• 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,andmy license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class _a icenT397 Exp. Date�3//'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 A I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILD DECLARATION ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of they workers' Code,compensationr the insuranceuran the work for which m this rs are: License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers' carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier O/ Mi-t� 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 0 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 myemployees with wa es as their sole forthwith comply with those provis ❑ wages / compensation,will do the work,and the structure is not intended or offered for Date/7 y 9 Sign / �L sale(Section 7044,Business and Professions Code:The Contractors License Date// / 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 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. Name ei ibU 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 Arca,to` r upon the ve-mentioned property for inspection purposes. Sign re_ - Date �/ !/� L/. ` j ,,.•.� City of Arcadia, CA Permit NO. Elec-19-2110 Development Services Department Permit Type:Electrical 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Electrical Commercial (626)574-5416 Permit Status:Issued ARCADIA Issue Date: 10/17/2019 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 12359 LOWER AZUSA RD Arcadia,CA 91006-5889 8541017032 Contacts YELLOW IRON INVESTMENTS LLC C/O Owner D KENT ELECTRIC INC* Contractor JOHN D EDWARDS 6655 SAN FERNANDO RD,GLENDALE,CA 91201 12389 LOWER AZUSA RD,CA, (818)247-1192 491250 Description:ELECTRICAL FOR GLENAIR PHASE 3 T.I.4000 AMP Valuation: $ 0.00 Tenant SERVICE, (38)200 AMP SUB PANELS, (6)600 AMP SUB PANELS, (2) 1000 AMP SUB PANELS, (1) 1600 AMP SUB PANEL Total Sq Feet: 0.00 Plan Check q Plan q Fees Amount Payments Amount Paid Commercial Services over 1000amps $165.19 Total Fees $1,968.57 Distribution Panel $774.56 Cash/Receipt q REC-02826-19 $1,968.57 Electrical Permit Issuance Fee $47.01 Amount Due: Light Fixtures $759.76 $0.00 Motors,Generators 50-100 hp $82.45 ~ Outlets-Receptacles&Switches 5138.60 Solid Waste Management Fee 2 $1.00 Total: $1,968.57 6 46-? b CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message fldAlL 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. 4 COA'71LE?ED October 17, 2019 Issued By: Date October 17,2019 Page 1 of 1 r� . PERMIT/PLAN REVIEW APPLICATION .4 ••••••---- R4co\14B Development Services Department,240 West Huntington Drive,Post Office Box 60021 ..,,,,,41 Arcadia, CA 91066-6021,(626)574-5416,Fax(626)447-9173 City of Arcadia ILICENSED 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 (--10\, icense No.�� Exp. Date SI) lafiaD compensation, as provided for by Section 3700 of the Labor Code, for the /�� ormance 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 LiI 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.M workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier E'v&-RA- lir evneear —tart~a Ccr77.47 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 70 00'a 011 77)G I 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 0 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 not employ any person in any manner so as to become subject to the workers' Section 7031.5 by any applicant for a permit subjects the applicant to a civil compensation Laws of California,and agree that if I should become subject to the penalty of not more than five hundred dollars($500)): 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 Date 1 1 p )7/11 Signature y 1100,------ 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. 0 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). 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. M Name Vt. K t Title .t 1 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 State Laws relating to building onstruction. 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