HomeMy WebLinkAboutMECH-20-1098 *,.,,, City of Arcadia, CA Permit NO. Mech-20-1098
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
ARCA I)[A Issue Date:07/22/2020 Expiration: 07/22/2021
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
156E DUARTE RD Arcadia,CA 91006-3511 5781005020
Contacts
JASON MAK Owner W HOME Contractor
56 F DUARTE RD 102 CONSTRUCTION&DEVELOPMENT*
1054360
Description:CREATE PATHWAY TO VENT SHAFT IN UNIT 105 BY Valuation: $ 0.00 Tenant
INSTALLING NEW DUCT WORK FOR UNIT 106(HANLIN TEA)TO
PASS THROUGH UNIT 105(DANCE STUDIO) Total Sq Feet: 0.00 Plan Check#20-198 Plan It
Fees Amount Payments Amount Paid
Add/Alter Ducts $29.82 Total Fees $77.83
Mechanical Permit Issuance Fee $47.01 Cash/Receipt tt REC-05034-20 $77.83
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $77.83
7-22-- 2-0
Seoe& r CSM) 4 F'ieT
[.. fir- pizE &PAP (PPkt) ,�,,I
� P PooroM 1)14&T e . V"i CALLS FOR INSPECTIONS
�'i/ Request for inspection by telephone at 626-574-5450. Leave a message
7_23-2-t) requesting the address,timeframe and what inspection item is needed.
5 r� 7eST C Torn c�� Z) �D vfd 1 -pH)
GtJi i 2 it 20 L?r'``� r
�� C This permit/plan review expires by time limitation and becomes null and
�t ` C ��fv�3- r I ) void if the work authorized by the permit is not commenced within 180 days
O from the date of issuance or if the permit is not obtained within 180 days
a1i Ci-v\i from the date of plan submittal.This permit expires and becomes null and
6— void if any work authorized by this permit is suspended or abandoned for 180
I.-5- �� T 61 p��f 1 consecutive days or if no progressive work has been verified by a City of
4 `,( I 4) Arcadia building inspector for a period of 180 consecutive days.
firm- 1jpp ( 2ND 01.9-or= 'Foal
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July 22, 2020
Issued By: Date
July 22,2020 Page 1 of 1
li PERMIT/PLAN REVIEW APPLICATION
44 t Development Services Department,240 West Huntington Drive,Post Office Box 60021
°�� /. Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173
0m�m,y of 0
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. /0060 Exp. Date 3. 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 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 worl�e compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 04 ,
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 s 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 Zp 7-.
0
sale(Section 7044,Business and Professions Code:The Contractors License ate
172"?./
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 CodP,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.
are AA,hit in) Gidit
PRINT NAME Title T,"f-ei-h i 1-en cLa,.tt.
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 _("---'4.__("---'4._ Date //�/?7/2-01---0
1-oFAR
F R+v1C9,_
tif
CI .1119M A
Al
Ai. Po°443
c.
m.n.tyo MEMORANDUM
Fire Department
1
DATE: July 1, 2021
TO: BUILDING DEPARTMENT
INSPECTOR Jeff Wang
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 56 E. Duarte Road #105
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION 1
FIRE SPRINKLERS (PC# 19-2486) 9-30-2020 Jill Perumean
FIRE ALARMS (PC# 21-0026) 2-22-2021 Jill Perumean
HOOD & DUCT
KNOX BOX
OCCUPANCY (PC# 19-977) 2-22-2021 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 2-22-2021 Rita
r a
...los.,
+
City of Arcadia, CA Permit NO. FIRE-21-0026
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:Approved
ARCADIA Issue Date:01/11/2021 Expiration: 01/11/2022
,
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
56 E DUARTE RD 105 Arcadia,CA 91006-3511 5781005020
,
Contacts
JASON MAK Owner E R S SECURITY ALARM SYSTEMS INC* Contractor
56 E DUARTE RD 102 4538 SANTA ANITA AVE,EL MONTE,CA 91731
(626)579-2525 705904
Description:FIRE ALARMS FOR T.I.(BALLROOM DANCE Valuation: $ 3,700.00 Tenant BALLROOM DANCE STUDIO
STUDIO)
Total Sq Feet: 0.00 Plan Check#21-0026 Plan#
,
Fees Amount Payments Amount Paid
Fire Alarm Plan Check $280.00 Total Fees $465.06
Fire Issuance $47.01 Cash/Receipt#REC-06483-21 $465.06
Fire Permit Fees $137.05
Amount Due: $0.00
Solid Waste Management Fee 2 $1.00
,
Total: $465.06
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
building inspector fora period of 180 consecutive days.
COMPLEIErCia
D4
January 11, 2021
Issued By: Date
January 11,2021 Page 1 of 1
%FA•
4 4
4E.., PERMIT/PLAN REVIEW APPLICATION
* ter.
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 1 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 1 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 _nI 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 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
PERMIT/PLAN REVIEW APPLICATION
Development Services Department, 240 %Vest Huntington Drive, Post Office Box 60021
• Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
ONLINE PERNII`I'/PLAN REVIEW APPLICATION
:IV1)1
ARCA') Job Site Address: 56 E Duarte #105
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
® 1 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'
e.
License Class C�-IO License No. loll o Exp. Date 11 kiii)d 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 }etb
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
1 hereby affirm under penalty of perjury that I am exempt front 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 i"1�
k4 CaztE,„dp.r"n
demolish,or repair any structure,prior to its issuance.also required the applicant
( �loLCQQnC.� �
for such permit to file a signed statement that he or she is licensed pursuant to the Policy dumber_ t1
provisions of the Contractors License Law(Chapter 9(commencing with Section
(This section need not be completed if the permit is for tine 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 fur which this permit is issued.I shall
Section 70315 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(S500)): 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
UI, 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(t(2-W-I Signature L 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 sewn 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(5100.000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided fur 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 properly 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_ A-9-,r C- Yll-t Lender's Address — —
)RTA T:. 1P1't.ICAl'ION IS IiI:.R1.I31' M.\l)E 1(1 'IIIE BUILDING OFFICIA1. FOR a PERM!r SUBJECT TO THE ('01)l lIONS .½N1
RES.rRK "I'R)\'St-i FORTH ON THIS APPLICATION.. ?N )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 ---------
PKINT'n,\MF.
1 certify that I have read this application and state that the above information is correct and that I am the owner or duty 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 propertyfor inspection purposes.
`aw
Signature '� -� l. — _ Date
FA•
Gr,I,IFOq,4
PERMIT/PLAN REVIEW APPLICATION
•
o� lt j� Development Services Department,240 West Huntington Drive,Post Office Box 60021
�tie�.>.alll 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 ❑ 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
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
exempt there from and the basis for the alleged exemption. Any violation of D. 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.
❑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. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature Date