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HomeMy WebLinkAboutTI-20-0557 , . City of Arcadia, CA Permit NO.11-20-0557 Development Services Department Permit Type:Tenant Improvement 240 West Huntington Drive,Post Office Box 60021 Work Classification:Tenant Improvement Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued ARCADIA Issue Date: 11/02/2020 Expiration: 11/02/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 301 111 HUNTINGTON DR 112 Arcadia,CA 91006-3747 5773009065 Contacts SHIGENOBU AND HIKARU TRS KAKU Owner ERIK LINK Applicant FAMILY TRUST KAKU 3605 LONG BEACH BLVD,Long Beach,CA (818)425-7435 L&L CONSTRUCTION SERVICES INC* Contractor 28457 VIA JOYCE DR,SANTA CLARITA,CA 91350 (661)373-1596 940539 Description:MEDICAL OFFICE SPACE T.I.DR.SANG LEE SUITE Valuation: $98,000.00 Tenant 112.WITH ELECTRICAL AND PLUMBING. Total Sq Feet: 0.00 Plan Check#20-557 Plan#354 Fees Amount Payments Amount Paid Accessibility Plan Check $117.72 Total Fees $3,315.01 Accessiblity Building Permit $120.73 Cash/Receipt#REC-05929-20 $1,812.60 Bar Sink $13.21 Cash/Receipt#REC-05362-20 $1,502.41 Building Issuing Fee $47.01 Amount Due: $0.00 Building Permit Fees $1,207.30 Building Plan Review Fee $784.75 Cal Green Plan Check $78.48 Commercial T.I.Fire Plan Chk. $280.00 Electrical Permit Issuance Fee $47.01 Energy Plan Review Fee $241.46 Fire Final Occupancy Fee $200.00 CALLS FOR INSPECTIONS Green Building Standard $4.00 Request for inspection by telephone at 626-574-5450. Leave a message Light Fixtures $36.84 requesting the address,timeframe and what inspection item is needed. Outlets-Receptacles&Switches $53.80 Plumbing Permit Issuance Fee $47.01 Solid Waste Management Fee $6.25 This permit/plan review expires by time limitation and becomes null and Solid Waste Management Fee 2 $1.00 void if the work authorized by the permit is not commenced within 180 days Solid Waste Management Fee 2 $1.00 from the date of issuance or if the permit is not obtained within 180 days Strong Motion Inst.Program Com $27•44 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 Total: $3,315.01 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. C.),,nlir,,i, EKED .„.y,„....f ., 2...„,z/ 4- November 02, 2020 Issued By: Date November 02,2020 Page 1 of 1 F AR `^1.1F OR•,l7 11111911111, II: PERMIT/PLAN REVIEW APPLICATION 4 111EMEMI 10 44 ° Development Services Department, 240 West Huntington Drive, Post Office Box 60021 °°",°11. Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION Q 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 ful orce and_effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Classoode 73 Licens No. 0 3 Exp. Date i / 4/ compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section 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.My workers'compensa ion insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier ©/v 4-C` demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3711.010'› prd- .hall ❑I, as owner of the property, or my employees with wages as their sole 1forthwith/comply with those provisions. compensation,will do the work,and the structure is not intended or offered for D 2 ZOI�i ature ate/(//!/ / 'r sale(Section 7044,Business and Professions Code:The Contractors License l gn 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. ame AIMEE l isle c, ,t/* 7-7 71L/// PRINT •• E 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 al • . dina 1• ✓nd S,,-- aws relating to building construction. I hereby authorize representatives of the City of Arca is to enter apo 1: e-m 1 '�,1 for inspection purposes. Si afar ' � �� ate / // Zoz `-_. NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 0 9 1,4.(• lic/A07"",,,e;T3„c l/2- 100. 100. Setbacks 210. Under fir/bldg.drain 101. Rough grade 211. Copper underslab �f1 102. Figs.&forms _ 212. Rough plumbing 1 1`7-2 lit(--- /(.y-zv j,6a Fc.dcr2c ,,./ /14-LS 103. Pre slab 213. Rough gas ....i.„7- °F- 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 Final gas 110. Framing 11-c{-?,19220. Fixtures // 221. Final plumbing2.-- --2-/ A//(- --/7 --- 7 111. OcciArea Sept.Wall 112. Sound walls 222. Sewer cap/demo. 113. T-bar.rid , -2,- L . 114. Insulation-Flr. Pool Inspections Date Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 41. Rough plumbing 117. Drywall nailing 11-YCSof 242. Light shell:bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 45. Gas line&test 121. Final building Z i-2( l;� 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 Reroof Inspections Date I Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical 272. Sheathing nailing 157. Fixtures j2-23-10 t,/V 273. Final reroof 158. G.F.C.I. 159. E..t.bondin. Sign Inspections I Date I Insp. 160. Service panel {� 80. Setbaclvoverhang 161. Final electric 2-v--.21 44 281. Footing /� , 282. Conduit'wirin• Mechanical Inspections Date Insp. 283. Disconnect 180. Ventingiflue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC Miscellaneous Insp. Date I Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft A Sewers&Offsite Insp. I Date Insp. 191. Final mechanical 2.'$-2( 300. Lateral(main to P/L) - 301. Saddle/11 Block Wall Inspections Date Insp. 302. Cess..•Ifilled 200. Footings 303. Sidewalk 201. Steelirebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin --._ �. Vii/ ,�' ! l` 1., rD1 ; E 9 3 a s A III Q Imo\ \+ t 0 R /I C ,\ \ N CO w .1 c F1: CA ril z v�, \ N 2 8 1 - z 9 01 e \ )1'. 7z) ''" g B M 1 ! . c. � / / O z C -mss UI f r _ t`,► g 5 a 2 ?1'' 1. \ 1:-:., . III n No - 'o I Cr (11 a a r1 / c cr s ' iE.ga /`iv, Aov r s Syp A OA ?• y <. / y n =.f = n -_/IV ./' i tri LTJ ''''-';1"\l' ...,, //' 1 t `y 1 ,-/,/ r ` ` _ ._ ...-. - ... City of Arcadia, CA Permit NO. FIRE-20-1940 Development Services Department Permit Type: Fire 240 West Huntington Drive,Post Office Box 60021 Work Classification:Fire Sprinkler ° Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued ARCADIA Issue Date: 12/10/2020 Expiration: 12/10/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 301 W HUNTINGTON DR 112 Arcadia,CA 91007-3462 5775001019 Contacts WINDROSE SANTA ANITA PROP LLC C/0 Owner A ACTION FIRE PROTECTION INC* Contractor CPAC 14620 NOVICE ST,PANORAMA CITY,CA 91402 301 W HUNTINGTON DR (818)266-9363 489982 • Description:FIRE SPRINKS FOR TI 11 HEADS UNIT 112 Valuation: $ 2,500.00 Tenant Total Sq Feet: 0.00 Plan Check#20-1940 Plan# Fees Amount Payments Amount Paid Fire Issuance $47.01 Total Fees $868.36 Fire Permit Fees $120.35 Cash/Receipt#REC-06092-20 $700.00 Solid waste Management Fee 2 $1.00 Cash/Receipt#REC-06282-20 $168.36 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $868.36 , 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. December 10, 2020 Issued By: Date December 10,2020 Page 1 of 1 ii AR I .. ; 1 PERMIT/PLAN REVIEW APPLICATION i7 ® r'. ,41), Development 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 ❑ 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 d-( 0 se o.4-67%?Exp. Date "30".-31' compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLA ION VI 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 S&7--cclzr,I`zi /t9L demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number--544)C !// `f� : 5 q� 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 3711 . .e Labor Code,I shall 1, as owner of the property, forthwith comply with those provisions. ��� ❑ or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for /0/— /0-- j , sale(Section 7044,Business and Professions Code:The Contractors License 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 infoor�mation. I n ame /4'Jv c TNAME /° Title V7C - �1�-L�Z✓L4.6-----kg----- I .L ' ,\ PRINT NAME I ce ' 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 ordi 1 : 1 . •.• , State Laws relating to buil ng construction. I hereby authorize representatives of the City of Arcadia . t• nip..above-nye ,oned p . 1 •rty for inspection purposes. ignature ��/l `4 ate /02 -�b-7-71) C / City of Arcadia, CA Permit NO. FIRE-20-2066 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:01/04/2021 Expiration: 01/04/2022 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 301 W HUNTINGTON DR 112 Arcadia,CA 91007-3462 5775001019 Contacts WINDROSE SANTA ANITA PROP LLC C/0 Owner GLENDALE FIRE SYSTEMS INC Contractor CPAC 301 W HUNTINGTON DR (818)244-3473 757476 Description:FIRE ALARM FOR TI 8 DEVICES Valuation: $ 7,000.00 Tenant Total Sq Feet: 0.00 Plan Check#20-2066 Plan# Fees Amount Payments Amount Paid Fire Alarm Plan Check $700.00 Total Fees $935.16 Fire Issuance $47.01 Cash/Receipt#REC-06442-21 $235.16 Fire Permit Fees $187.15 Cash/Receipt#REC-06277-20 $700.00 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $935.16 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. /11 January 04, 2021 Issued By: Date January 04,2021 Page 1 of 1 AFAR 4Prom 1 PERMIT/PLAN REVIEW APPLICATION (4 11E5E. a• , id's.,, Development Services Department,240 West Huntington Drive,Post Office Box 60021 4140itY.(14° 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. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class c.to License No. 1S-1`'t11. Exp. Date X213112.1 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 /""/ '�-7-7 OWNER-BUILDER DECLARATION 13 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 kv,Sv rq"c t. Cat 4N i o F itie ores 4- 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 olicy Number W 51] $C9 SF,33 2 b v 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. compensation,will do the work,and the structure is not intended or offered for Date ( µ ' 12 1 21 SuSignatureure 11`7 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 /4%(--11ae i Ttgso,l Title Service ►"'Iq^Aiev- 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. TI to comply with all City ordinances and State Laws relating to building construction. 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