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HomeMy WebLinkAboutSIGN-20-2067 ...Ir. City of Arcadia, CA Permit io.SIGN-20-2067 Development Services Department Permit Type:Sign 240 West Huntington Drive,Post Office Box 60021 ' Arcadia,CA 91066 6021 Work Classification:Sign- Illuminated (626)574-5416 Permit Status:Issued ARCADIA Issue Date:12/10/20201 Expiration: 12/10/2021 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1401 S BALDWIN AVE Arcadia,CA 91007-7922 5383031032 --ims as.. i Contacts , HNS BALDWIN LLC C/O LISA LAU AND CO Owner FLUORESCO SERVICES LLC* Contractor INC 2778 POMONA BLVD,POMONA,CA 91768 217 E GARVEY AVE,MONTEREY PARK,CA 917551811 (909)592-0870 998602 Description:3 ILLUMINATED WALL SIGNS.2 FOR CVS AND 1 Valuation: $ 20,000.00 Tenant HEALTHHUB Total Sq Feet: 0.00 Plan Check#20-2067 Plan# Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $954.66 Building Permit Fees $404.25 Cash/Receipt#REC-06284-20 $954.66 Electrical Permit Issuance Fee $47.01 Sign and Branch Circuit $197.58 Amount Due: $0.00 Sign Connection $49.44 - Sign Plan Review $202.12 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Total: $954.66 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. n� 0 jUu,O I �.- This permit/plan review expires by time limitation and becomes null and l•� void if the work authorized by the permit is not commenced within 180 days 2^" / 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. ll I • December 10, 2020 Issued By: Date December 10,2020 Page 1 of 1 %FA 4 Nor I PERMIT/PLAN REVIEW APPLICATION •4 E 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. ❑ 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 OWNER-BUILDER DECLARATION 0 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 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 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 forthwith comply with those provisions. property, or my employees with wages as their sole 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 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. 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E� x a al u o=T. a 05 M Q m u 9 o o rc ° z o a �� J C u C .� C N W Q E '---:`•d2 E.m >n i ra ! w c c` . Q O C9 a m t..'a` . o w �v $ amd 1 I e& .8/l 9Z .8/L IL (.sL•zs).v/s v-,v V -y w 0„ STATE OF CALIFORNIA Sign Lighting NRCC•LTS•E(Created 11/19) CALIFORNIA ENERGY COMMISSION latil CERTIFICATE OF COMPLIANCE NRCC-LTS-E This document is used to demonstrate compliance with requirements In 4110.9,4110.12 4130.0 4130.3,4140.8,and 4141.0(b)2M for sign lighting scopes using the prescriptive path. Exit signs and traffic signs ore not required to comply with prescriptive requirements per exceptions to 4140.8 and do not need to complete this compliance document. Project Name: CVS PHARMACY Report Page: Page 1 of 4 Project Address: 1401 S.BALDWIN AVE,ARCADIA CA 91007 Date Prepared: 12.3.2020 A.GENERAL INFORMATION 01 Project Location(city) ARCADIA 02 Climate Zone 9 03 ❑Building is a healthcare facility 8.PROJECT SCOPE 0 Table Instructions:Include any illuminated signs that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined in 4140.8 or 4141.0(b)2M for alterations. Exit signs and traffic signs are not required to comply with prescriptive requirements per exceptions to 4140.8 and do not need to complete this compliance document. WARNING: Changing the Compliance Method in this table will result in the deletion of data previously input. If you need to change the compliance method,please open a new form or use"Save As". 01 02 03 04 05 I: Name or Item Tag Complete Sign Description Sign Status' Sign Type Compliance Method' BUILDING SIGN New Outdoor ENERGY VERIFIED Label 'FOOTNOTE:Sign alterations that increase the connected lighting load,replace and rewire more than 50%of the ballasts,or relocate the sign to a different location must comply with1§ 40.8. See 4141.0(b)2M for more details. 'The ENERGY VERIFIED Label compliance method is only applicable if the sign has a permanent,factory-installed,ENERGY VERIFIED label certified by UL or comparable, confirming the sign complies with 4140.8.Note that using an ENERGY VERIFIED label is an optional compliance path,not a mandatory requirement. See the tool tips for this table for more details. C.COMPLIANCE RESULTS 0 Table Instructions:If any cell on this table says"DOES NOT COMPLY"or"COMPLIES with Exceptional Conditions"refer to Table D.for guidance. 01 02 03 04 05 06 07 Name or Total Allowed Total Designed 0 Compliant Light 0 ENERGY VERIFIED Item TagComplete Sign Description (Watts) (Watts) R Sources R Label Compliance Results (See Table B) (See Table B) (See Table F) (See Table F) (See Table G) (See Table H) BUILDING SIGN 2 O O YES COMPLIES R R Controls Compliance(See Table F/G/H for Details)COMPLIES with Exceptional Conditions CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htto://www.eneray.ca.aov/titie24/2019standardf November 2019 L STATE OF CALIFORNIA Sign Lighting NRCCLTSE(Geared 11/19) CALIFORNIA ENERGY COMMISSION 40 CERTIFICATE OF COMPLIANCE NRCC-LTS-E Project Name: CVS PHARMACY Report Page: Page 2 of 4 Project Address: 1401 S.BALDWIN AVE,ARCADIA CA 91007 Date Prepared: 12.3.2020 D.EXCEPTIONAL CONDITIONS This table is auto filled with uneditable comments because of selections mode or data entered in tables throughout the form. Table H.Energy Verified Labeled Signs and Controls Permit Applicant Notes: null:SIGNS ONLY ON AT NIGHT-SHUT OFF SYSTEM IS ENERGY MANAGEMENT SYSTEM E.ADDITIONAL REMARKS This table includes remarks made by the permit applicant to the Authority Having Jurisdiction. F.MAXIMUM ALLOWED LIGHTING POWER AND CONTROLS This Section Does Not Apply G.LIGHT SOURCES AND CONTROLS This Section Does Not Apply H.ENERGY VERIFIED LABELED SIGNS AND CONTROLS 110 Table Instructions:Complete this table to demonstrate compliance with mandatory controls requirements from 4130.3 for illuminated signs using the ENERGY VERIFIED label compliance method per 4140.8(1)as indicated on Table 8 of this compliance document. Complete this table only if sign has a permanent,pre-printed,factory installed,ENERGY VERIFIED label confirming that the sign complies with the Section J40.8 of the California 2019 Title 24,Part 6 Standards. 01 02 03 04 Name or Mandatory Controls Field Ins Item Tag Complete Sign Description pector Shut-Off Dimming Demand Response' Pass Fail BUILDING SIGN Other' Exempt' NA fl n *NOTE:Selections with a•require a note in the space below explaining how compliance is achieved. EX:Sign within tunnel illuminated day&night;EXCEPTION to 4130.3(012A. SIGNS ONLY ON AT NIGHT-SHUT OFF SYSTEM IS ENERGY MANAGEMENT SYSTEM 'FOOTNOTE:Demand response controls are only required for an Electronic Message Center having a new connected lighting power load greater than 15 kW per 4110.12(d j. CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:httDJ/www.energy.cagov/title24/2019standardf November 2019 STATE OF CALIFORNIA Sign Lighting NRCC-LTS-E(Created 11/193 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-TS-E Project Name: CVS PHARMACY Report Page: Page 3 of 4 Project Address: 1401 S.BALDWIN AVE,ARCADIA CA 91007 Date Prepared: 12.3.2020 I.DECLARATION OF REQUIRED CERTIFICATES OF INSTALLATION Table Instructions:Selections have been made based on information provided in previous tables of this document. If any selection needs to be changed,please explain why in Table E.Additional Remarks. These documents must be provided to the building inspector during construction and can be found online at https://www.eneray.ca.aov/title24/ 2019standards/1019 compliance documents/Nonresidential Documents/NRCl/ YES NO Form/Title Field Inspector Pass Fail l: ( NRCI•LTS•O1-E•Must be submitted for all buildings. J.DECLARATION OF REQUIRED CERTIFICATES OF ACCEPTANCE There are no Certificates of Acceptance applicable to sign lighting requirements. CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htto://www.energy.ca.Rov/title;4/2019standards November 2019 STATE OF CALIFORNIA Sign Lighting NRCC-LTS-E(Created 11/19) CALIFORNIA ENERGY COMMISSION 410 CERTIFICATE OF COMPLIANCE NRCC-LTS-E Project Name: CVS PHARMACY Report Page: Page 4 of 4 Project Address: 1401 S.BALDWIN AVE,ARCADIA CA 91007 Date Prepared: 12.3.2020 (DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I certify that this Certificate of Compliance documentation is accurate and complete Documentation Author Name: LYNDSEE VELTRE Documentation Author Signatures F W Company: FLUORESCO SERVICES Signature Date: IS,S.Z02tb Address 2778 POMONA BLVD CEA/HERS Certification Identification(If applicable): City/State/Zip: POMONA,CA 91768 Phone: 909.592.0870 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury,under the laws of the State of California: 1.The information provided on this Certificate of Compliance is true and correct. 2.I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance(responsible designer) 3.The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. 4.The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. 5.(will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections.I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. .. Responsible Designer Name: LYNDSEE VELTRE Responsible Designer Signature yi t60402 . Company: FLUORESCO SERVICES Date Signed: 12.3.202.0 Address: 2778 POMONA BLVD License: 998602 City/State/Zip: POMONA,CA 91768 Phone: 909.592.0870 CA Building Energy Efficiency Standards-2019 Nonresidential Compliance:htto://www.enerm.ca.aov/title24/2019standards November 2019