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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. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
\gnature / ate 10/17//C
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