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HomeMy WebLinkAboutB00-049-441 r 1 � Development Services Department I Ni 240 West Huntington Drive,Post Office Box 60021 %' Arcadia, CA 91066-6021 �'' ' ' 'PERMIT NO BOO-049-441 - City of (626)574-5416,Fax(626)447-9173 w - • Arcadia ':Permit Type:. Comm. TRACT NO. LOT NO. APPLICATION DATE ISSUED BY ! PRINT DATE PERMIT STATUS 0001 3/2/2015 CM 11:33 11/6/2015 Issued ADDRESS NO. Dir.Prefix.. Street Name Street.Suffix. UNIT BLG ASSESSORS PARCEL NO. GEO CODE-130 S First Ave 5773-017-039 OWNER • ' MAILING ADDRESS Sun's Residential Development,L1c PHONE NO. Plan Chk#: 15-128 EMAIL ADDRESS: Plant?: 31780 APPLICANT MAILING ADDRESS Charles Lei School Dist#: 518 PHONE NO. (626)841-3562 EMAIL ADDRESS: f CONTRACTOR/PROFESSIONAL. . „MAILING ADDRESS .. .. - • (626 NO. 841-3562 FAX NO. Charles Lei 910 Las Rosas Dr PHONE West Covina,CA 91791 EMAIL ADDRESS: License No. 964401 Type: B Expires: 8/31/2015 12:00: TENANT ._ MAILING ADDRESS " PHONE NO. FAX NO. DESCRIPTION Corn New - NEW OFFICE BUILDING Construction Type UOM 8 of Units Value Construction Type UOM S of Units Value Air Conditioning Comm sq ft 3,955.00 $21,159.25 Office V N sq ft 3,955.00 $342,938.05 Sprinkler System sq ft 3,955.00 $13,091.05 • ' CONN E TED OCCUPANCY: Offices TOTAL VALUATION: $377,189.00 QTY UOM DESC - AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 2,042.43 2,042.43 01-3103 1.00 each Kitchen sinks 12.46 12.46 01-3105 PC Cal Green 204.24 204.24 01-3103 1.00 each Wtr htr/vent 15.55 15.55 01-3105 PC ADA 306.36 306.36 01-3103 74.00 each Outlets 82.00 82.00 01-3105 each Energy p/c fee 691.28 691.28 01-3103 80.00 each Ltg fixtures 88.00 88.00 01-3105 200.00 Cubic yarc Grading P/C 250.00 250.00 01-3103 Fire plan check 306.36 306.36 01-3109 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 200.00 Cubic yarc Grading fee 250.00 250.00 01-3111 each 'Bldg permit) 3,142.20 3,142.20 01-3104 1.00' Flat Grading iss fee 44.35 44.35 01-3111 Bldg Issue ADA 314.22 314.22 01-3104 SMIP Corn 105.61 105.61 14-2207 1.00 flat Alec issue? 44.35 44.35 01-3105 3,955.00 sq ft general office 10,124.80 10,124.80 156-3116 1.00 Flat 2Mech-issue' 44.35 44.35 01-3105 gin bldg std 16.00 16.00 714-2203 1.00 Flat t Imbg issuan 44.35 44.35 01-3105 1.00 Flat SWMF 2 1.00 1.00 88-3027 3.00 each Fum<100,000btu 56.22 56.22 01-3105 1.00 Flat SWMF 2 1.00 1.00 88-3027 1.00 Flat Corn sv 200-1000 62.13 62.13 01-3105 1.00 Flat SWMF 2 1.00 1.00 88-3027 3.00 each Comp 3 hp 56.22 56.22 01-3105 1.00 Flat SWMF 2 1.00 1.00 88-3027 5.00 each Water Closet 62.30 62.30 01-3105 1.00 Flat SWMF Auto 6.25 6.25 88-3027 1.00 each Distrib panel 15.55 15.55 01-3105 5.00 each Lavatories 62.30 62.30 01-3105 Total Fees: $18,498.23 Balance Due: $0.00 Paid Today: $12,140.12 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 111039 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 943.33 the date of plan submittal.This permit expires and becomes null and void if any work authorized byl this permit 01-3105 645.78 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 01-3111 294.35 Arcadia building inspector for a period of 180 consecutive days. 14-2207105.616 6 10,124.80 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 714-2203 16.00 1 88-3027 10.25 Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. /30 S` MST r5t 74'44I 100. Setbacks 210. Under ft./bldg.drain b-'; & ddd 1 101. Rough grade 211. Copper underslab t 102. Figs.&forms 1 212. Rough plumbing T13(7 � /2- i� ^D; Dept) p� 103. Pre-slab ' '(( l0�`l 213. Rough gas l-� (ILA. 104. Floor joists 214. Shower pan 2 4.-lb r {. egg- LtP O 1 105. Steel 215. Water heater CM IA WAIL Ateag Moatiazir 106.7 Grout lift 216.7 Roof drains f __r' u`,a 107. Shear nailing / �17. Building sewer `� N 108. Diaph nailing (Q-Z1 Lb - 218. Water service _ _ __ �7-(� (y� -r U� /r �K 109. Roof nailing ji-�& A 219. Final gas vK-v1 j A� _' 110. Framing 7�l3-r 7 220. Fixtures W�,rL A"�61ier v�'n� tl 111. 0cc./Area Sept.Wall 221. Final plumbing 7-1S'�1 d'y� • '{7�p -C LLB( , t 112. Sound walls 222. Sewer cap/demo. Q !! {, 113. T-bar•rid 44 `46 3 l/ LIFT CPU 114. Insulation-Flr. Pool Inspections Date . Insp. WAILA p f®u/f grety 115. Insulation Wall q LTf in 240. Excavation/steel .PROPelakr L W& 414 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 1 242. Light shell/bonding It- -L .4I- eazOIAT OPT of C,i-G(4 118. Interior lath 243. Underground conduit RAi�f y,-\ 119. Exterior lath (1 30-17 N 244. P-trap ©''� 120. Finish grade 245. Gas line&test (D-31-46 l i iiL- D iL * '[ '1 121. Final building ?t 2-4 246. Fence,gates&signs 6124 1 cf emu WAIL .ti 122. Final demo/lot clear 247. Pool heater Lt F C' /ter, 248. Final electric I I.,Pk/ $IXtr1 &eou 1- V LI f T 67 Electrical Inspections Date _ Insp. 249. Final slumbin• •150. Power pole ' -I.- 4 250. Pool cover Fmk, _ � b2 151. Sales lot lighting 251. Pool final I l t, ttt r-o"T OPT or 0-0IA 152. Underground conduit vo y,Q ! , 153. Underslab conduit `\ Reroof Inspections Date I Insp. f vV Q Vv 154. UFER ground q-I¢-( _ , , . 270. Pre-reroof insp. 4'Z1-ZI SLDTi OF kl Fae Ai 'r 155. Water ground 271. Roof framing 1. tt t& 4k t�n � 4 (l'I 156. Rough electrical 7�-(3-4 7 r 272. Sheathing nailing i��_• [/� `t V 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E.it.bondin4 Sign Inspections I Date I Insp. 160. Service panel C40W '..4 'II T 280. Setback/overhang 161. Final electric 7 4, 1. 281. Footing 282. Conduit/wirins Mechanical Inspections Date Insp. . 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC - ..I 4L Miscellaneous Insp. I Date 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 Sewers&Offsite Insp. I Date I Insp. 191. Final mechanical 7'i,2 n 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cesssool filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin „. li Development Services Department Q M ', 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. "% Arcadia,CA 91066-6021 BOO-055-308 � City of (626) 574-5416,Fax(626)447-9173 ArcadiaPermit Type: Electrical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 0001 11/8/2016 CM 1 13:44 11/8/2016 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE . 130 S First Ave 5773-017-039 OWNER MAILING ADDRESS Sun's Residential Development, Llc PHONE NO. EMAIL ADDRESS: APPLICANT MAIUNG ADDRESS Charles Lei PHONE NO. EMAIL ADDRESS: e CONTRACTOR/PROFESSIONAL MAILING ADDRESS NO. Charles Lei 910 Las Rosas Dr PHONE (626) 841-3562 FAX NO. West Covina,CA 91791 EMAIL ADDRESS: License No. 964401 Type: B Expires: 8/31/2017 12:00: TENANT MAIUNG ADDRESS PHONE NO. FAX NO. DESCRIPTION T.P.P. Construction Type UOM #of Units Value Construction Type UOM #of Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 flat Elec Issue Auto 44.35 44.35 01-3105 Z- - t 1.00 each Temp power/cons 31.05 31.05 01-3105 II p ] ' J 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 f� eA 5� -r—d(k/ �r W [r�fvS � - l,{�'J(�'al "`III��- ___ co: COpLETED Total Fees: $76.40 Balance Due: $0.00 Paid Today: $76.40 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 114923 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 18d days from 01-3105 - 75.40 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 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. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) .>?~'. Development Services Department ;� l3 f 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-056-181 ':✓ Arcadia,CA 91066-6021 City of (626) 574-5416,Fax(626)447-9173 Permit Type: Fire Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS I 0001 3/6/2017 CM ' 12:13 3/14/2017 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 130 S First Ave 5773-017-039 OWNER MAILING ADDRESS Suns Residential Development,Llc PHoNE NO. Plan Chk#: 17-61 EMAIL ADDRESS: APPLICANT MAILING ADDRESS Electronic Alarm Research Lab PHONE NO. EMAIL ADDRESS: CONTRACTORIPROFESSIONAL MAILING ADDRESS Electronic Alarm Research Lab 4700 Miller Drive#B5 PHONE No. (626)374-2502 FAX NO. Temple City, CA 91780 EMAIL ADDRESS: License No. 477555 Type: C Expires: 8/31/2017 12:00: TENANT MAILING ADDRESS • PHONE NO. FAX NO. DESCRIPTION ASCENDING EAGLE OFFICE FIRE DEVICES 18 DEVICES Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 3,500.00 $3,500.00 • OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $3,500.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 18.00 each fire alarm pc 2 700.00 700.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 137.05 137.05 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 12 C13IVZPLETD Total Fees: $882.40 Balance Due: $0.00 Paid Today: $182.40 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 116050 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3112 181.40 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 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. j CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. , 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Friday') 1 t aTzt., Development Services Department 240 West Huntington Drive,Post Office Box 60021 ` BOO-055-689 Arcadia, CA 91066-6021 PERMIT NO City of (626) 574-5416,Fax(626)447-9173 Arcadia Permit type:' Fire PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 0001 12/22/2016 CM 13:49 2/16/2017 Issued ADDRESS NO. Dlr.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 130 S First Ave 5773-017-039 OWNER MAILING ADDRESS Sun's Residential Development,Llc PHONE NO. Plan Chk#: 16-575 EMAIL ADDRESS: APPLICANT • -MAILING ADDRESS M B B Fire Protection PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL. _ MAILING.ADDRESS 323 NO. M B B Fire Protection 4615 Abner Street PHONE (323)223-7794 FAX NO. Los Angeles,CA 90032 EMAIL ADDRESS: License No. 906926 Type: C-16 Expires: 11/30/2017 12:0( TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION.. FIRE SPRINKS 59 HEADS Construction Type UOM #of Units Value Construction Type UOM N of Units Value Value Value 20,000.00 $20,000.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $20,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 59.00 each sprinkler pck 637.00 637.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 404.25 404.25 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 COPLETDr Total Fees: $1,086.60 Balance Duc: $0.00 Paid Today: $449.60 This permit/plan review expires bytime limitation and becomes null and void if the work authorized bythe P P P Receipt#: 115844 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3112 448.60 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 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. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) i I ;:14i ��. City of Arcadia, CA " ; PerrnitNo.SIGN 2070555 Development Services Department ' it=tire Permit'T a Sign 240 West Huntington Drive,Post Office Box 60021 ). Work Classification:Sign-Illuminated,,. Arcadia,CA 91066-6021 ,._J ' 1 ,-I A ) g (626)574-5416 + y , „,, •Permlt Stti,tus Issued ARCADIA Issue Date:04/22/2020 1 Expiration: 10/12/2020 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 130 S First AVE Arcadia,CA 91006-3605 5773017039 • Contacts SUNS RESIDENTIAL DEVELOPMENT LLC Owner SIGNFASTIC Contractor 308 FIRST AVE F,ARCADIA,CA 91006 287 N Mountain AVE,Upland,CA 91786 (626)321-2429 JASONZHANG@GMAIL.COM 1050070 Description:NEW WALL SIGN FOR JOY REALTY Valuation: $ 3,800.00 Tenant JOY REALTY Total Sq Feet: 0.00 Plan Check# Plan# .. �•::-tea. wimmnma Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees $484.98 Building Permit Fees $137.05 Cash/Receipt#REC-08509-21 $161.66 Electrical Permit Issuance Fee $47.01 Cash/Receipt#REC-04320-20 $323.32 Renewal Fee $161.66 Sign Connection $16.48 Amount Due: $0.00 Sign Plan Review $68.52 '' Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Total: $484.98 Q— 2 ( CALLS FOR INSPECTIONS U �'�� 1 Request for inspection by telephone:at 626-574-5450. Leave a message ��L p� � I requesting the address,timeframe and what inspection item is needed. fl (1, This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. n CORRETED April 22, 2020 Issued By: Date August 16,2021 , Page 1 of 1. Jr• ,� 0 a Linear FT.= 45 • c 45" t . ,*.:, , ,,, e z ,b� &,$,. Sign SQ.FT.= 26 --'—' .6. ti•'.l. alert r tV ,+,f' . ! r`�. }' ,, 1}�if11tl,^ `.►�C it \ �, ) �, 4Rh i \f�\ q I i 1 ' } nix•ts. r = i V1 i ` _ }�r r+r ,, , . pis „ y ,. „ I « 4� ti. s=w I i I . . •F r = j j .�,'' y9t•�.. 4 ( l •�` tia` R.' iZ\O\ I J_L I 1 l Y•' 'R] f 1 .. 4). `t4 '717, $;si4 c , r Lam' rl 4r41: ;i 9.,� R..- ` „ r con I i 1 I I y ry It A:nY 1 f Y:Y C A.ur } ), 1 m m hIf e: I I tt _1 x L 1pNr� _ �1}>, 101,....A ' >. �, g.} f °- � 1 1 j i I �^l I I+v _. { D - Y. 4. �,..�; Yt Ic jCI C i I t Ate` r� r I `:i �� 4'- .I®1 Ir 1 1 is y..— ) 1 1 r. _ .E`. i R3+�r• Q__ ,o .9 .-lL w _._..__ • J i,#� `rill' rit.r,;-, ..•-,..iti I' �' I{ 3\I I ' t t + ~ i I ' �.JL) V yyl a rll ,1 • ��• ,•®i ! , r ..y �etf}t t [ ' E ti i L� I i li i ( ''� �1:� I �y rr', /A1 8. . x , I�r �d ` •� f - I-�8 f1'll(}� SP vlCr „_om, , t, • r 1 - ,.,.s. aC-. y>4 / • ' ..x^' rih a . rr A ,.i - . .i �- .._.%. � 'r4�.-�' -.Ie... 'r a r: I � 1. l �fJ. Fr 'U _t/ - All design text,graphics,selection end arrangements thereof F 2020 D8D Signs.L.L C.D B A I.ucky Sign 7.ALL RIGHTS RESERVED.Any use of this design(Including reproduction•modification.distribution republication)Without the prior written permission Ir. SD Signs L.L C. .E uchy Sign a,is stnclly prohibited. Client Joy Realty ' • Site Address 130 S 1st Ave.Arcadia a � � Client Approval Date I /�j ��' • www.luckySign•co ((( 283 N Mountain Ave.,Upland,CA 91786 909-982-7446 Landlord Approval �?9;re Rep. Pt ST PSOi DAREA—rs ggvSirier._ Date I/26(7,0 • • ism.. .- N r � ••=1,! ", - ,1rt ' Property Owner:626.321.2427 rr. ;, � •r - � n � 4..�]QR�-p.. r•.� � � :�'. °E.a .a. rq�" .. � "�: n,r •• P ., @. ;;Ft.------y u.. - F 1 c ? :7 1 y, I: • ' . T•l.• '•V �-r 1 .J, fir" Sun Residential Development LLC M P't`ama i.ducaUo a *,F. . a' ,. $ '- • I 1 �� �; I i- +•; I a b] + 308 South 1st Ave,Suite F _ sy, .3 ." i�:- ► a o s.ln el Arcadia,CA 91006 •c r hoccalat Day Naar,-1 ; t,+ a i l' fry ;y . , f 1 + I � :2i J� '� a ' .._.-.i,( 1 t�;e.1 , A (; ' ,, - Tenant:SAME AS OWNER ;, 11] - r p� `` $ •I t t i` !` ' , ,- —r r—ar I 1 - 130 South 1st Ave, d l °� r, IF�.° m� ,. A. t" -cam Arcadia,CA 91006 • } w r, "` tom - ,,..a. ,.7- 1.7 e P ^i ii f� `��.� sr rti f , ~Fvoly•S re gtn ,.rkj1 / ' J,,�osL^'�y -ft 6 1.,q' ti. S - I' '�4 C. s1innin J J;r ° r f�..; , ^ �, I. ti�f ti (4� .i.ii - i ..;r ;, � Legal Description: ' R ! + ( ! a , i ) -•. E ' P M 401-58-59 LOT 1 ,nts 1 1 r ( ) t 1 z t"r�.1 ar ,i.. �.: .k ;:I 17 A. I i'i0._ i t1.;71.4& 7. •nflu. . , arir]7. .,r Uk3jy�rQ'(10Avente :t.4"xp tt r1,, ,4i"'' It .:'I �.AF-C? •: t l • /WEST ELEVATION SIGN' - 5 - I ''• t rmw `,, . I {ir.1 . 7 A t 7 k`_ I'.,��i ow rs" rya. r _ s r. .� w ^ -0-i• Bonita st'..24:_: A.P.N. 5773017089 1 -q 7 �y � � i .r _ , 1 :I Bon is St 4 1 ( '•tr i,.k T oit �1 rm 2yp -� ..., i .^ . � .�.»� lt���''- �:� ,,{ .� �" '_-.� �1 ,s •� -'",.. ;• Commercial too-d .si�ry.i 9Cr, a�a •,r, t fi'�r.l 4,.- ,4 o- r, r' 1. r'410. @'eh cal-'lx k i 3 t, !d S. llsA_R; liNw'ti'.' •"� �d! l Nt ,t *i• ,p " 1*k.M...ei t. t '+�v' C. 2 ,r ut 1 1t( AUir'' (n ,I ,,fop 1 ,. 1'1 to r of .9 f� i LA, <pgg� Ai 3�iy .J r G..�I y tN° I, s+r'i `+-rat e�• i +{t'I ?} , i. t, �P-...1, A' �.{.• •, •F,, �. i 2 ( 1 I�y4 «fii It. ,4 i MO � �,-'l, S i�.' S J F 1 iil ' - I r" t y 1--- t. -' ! - If-� EI'Y f' ^�� "�.'. 3tSI i ;( `�3 J . Iire. ; J 77 d� ] ,1 7 i f„--4.Q t. , .''. ® .l fig E, d eat 4.51' •^; •I� '. '° . ,.... c,..: . :st sn ':,n i t..,i t r 4 .sws�i 1 ti "� r 4' t ` 1 ' 4 1 t '1 i LI Ji ►� p{ venue , s ave Lc ''',--n„ :1•-•• it .�, 111 • 1tii r tr!.�! r l ii,ki. 31 t` t3 r -i. � I, ree-jtiV7 I !r b-,,, ..I- : ' f' I .a<•. QT`- . . .01,•u., wr- ,. -vga-• •.� r, _..YJ• .,_t........ *Wit :ar a+ ifi';•i-w e.+. so�- ---.._ ..�...._.." mca. `" -"-All design.text.graphics.selection-and an a noenients the real i'2020 DAD Signs L.L.C..D.B.A.Lucky Sign 7 ALL RIGHTS RESERVED.Any use of this design(iaci iding repkoduction,modification dshibelien,epuhlicationi witiwut Um prim Britten permission .. AD Signs LI.C.J. . Lucky Sign?-is stnetij vi-oll biied — JoyRealty " & Client ,93: coo, . Y / aAl' Site Address 130 S 1st Ave,Arcadia.CA www.LuckySign.co Client Approval Date 0 283 N Mountain Ave.,Upland,CA 91786 edgit Re a 909-992-1446 Landlord Approval PLEASE USE ANY STAMPS ON DESIGNATED AREA ■r®�,,Wn.,'„ef., . Date 444``. F nvy9 i O f4.#.t r i c`0.pa,,,aive� PLANNING SERVICES ATTENTION: DATE: c- 6 - 2.0 FROM: BUILDING SERVICES INSPECTOR: Jeff- , PROPERTY ADDRESS: PERMIT#: 010 'o4' a4 I PLAN#: 3 L 7 o CONTRACTOR: C,OAIZI. L PHONE#: •62-6 ' g41-3J6Z OWNER: SUA 45IT iI1+1 (4t, J Lt PHONE#: PLEASE INSPECT THE FOLLOWING ITEMS FOR COMFORMANCE WITH APPLICABLE PLANNING REQUIREMENTS. TYPE OF INSPECTION DATE& INITIAL DATE &INITIAL FINAL APPROVAL LANSCAPING/IRRIGATION 6,zsTLV TRASH ENCLOSURES PARKING/DRIVEWAYS STORAGE AREAS MECHANICAL EQUIPMENT . / WALL HEIGHT BACKFLOW SCREENING % 2_s-i( -us, COMMENTS: 1 4wFF9 Co\y os� MEMORANDUM Fire Department DATE: August 19, 2021 TO: BUILDING DEPARTMENT INSPECTOR Jeff Wang FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 130 S. First Avenue THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE./ INITIAL FINAL INSPECTION FIRE SPRINKLERS 11-12-2019 Jill Perumean FIRE ALARMS 2-11-2020 Jill Perumean HOOD & DUCT KNOX BOX OCCUPANCY 8-19-2021 Jill Perumean COMMENTS: Emailed Bldg. Dept. 8-19-2021 Rita I f R ' :: 1 "1111191.1:1TAI : i . : : . : :. . : .. : : : ' , ' . ' : : - 1 : - 1. . - .ems . ' . WATER DIVISION ATTENTION: . . E i i C DATE: :, 6--.Z0 FROM: BUILDING DIVISION INSPECTOR: ADDRESS l J 1,:> S fsr: -` PERMIT PLAN NO -3 1 7 : NO.: �6 0~ v�� � ' I . CONTRACTOR::_ "Ci.fi L J_ .LE j PHONE NO::: 6 2.b 7. 84 _ e:Z' OWNER: : . cv'(,(fJ( . riArL V PHONE NO.:. : . • . - PLEASE INSPECT THE FOLLOWING ITEMS.FOR CONFORMANCE WITH APPLICABLE DEPARTMENT: • OF PUBLIC WORKS - - Type of Inspection . : Date&:Initial Date& Initial final•ApProVal ' Meter Location: :- . • Blacktlow Devices - " i� a . t5/ : •a0 Irrigation System - a� a0 5(\k /ago S (l as Fire Sprinkler System : Meter:Clear A,P.P. ':. .. . . •. Swimming Pool 4 . COMMENTS: "ire. IDa :c.k : L' f. DL :.L4 AME5 3OO 55 .(19501-DD) yp�x ( 9: a OD Zbk .1,0-14i:.;) / NeP4,. 37.\ a: R-bOn o 1 r\r�t:lP r W..; vl� .c\ ~ice h2 t c v5 : 4. 6241-2,01 ,<# •�'trn1tY oI9� .. City of Arcadia: DEVELOPMENT SERVICES DEPARTMENT Inter-Departmental Inspection Re uest Date : Public Works Inspector To; . From:' Address: / O S. FIEST 07.i' Permit No.: . 113 06,0�q - 4l Contractot: C.441ssELGSr��_ L 2 Phone No.: Owner egr* - IA o e No:: Please inspect the following items to ensure that the Contractor/Developer is in compliance with all conditions of approval established;for the project,:and that the work performed meets.the City's standard for Public Works construction: Type.of Inspection Date& Initial Date_&Initial Final Approval Drainage. cs Grading :. G Erosion Control Offsite Impo rve P m ents Street Im rovement s P (conduit, curb/curb c4z. - gutter,-curb numbers, driveway approach,. parkway planting, sidewalk, street light, traffic flow, etc,). Sewers) :. (lateral,grease/san � . interceptor, saddle,Wye, etc:) :. . COMMENTS: Rev.I/12/11 y"b: 4, CITY OF ARCADIA r - 240 West Huntington Drive ' Arcadia,CA 91007 ' ATTENTION: Community Development Administrator SUBJECT: Grading Verification for Project No. PM 72892 Address: 130 S. 1st AVENUE Gentlemen: Finish grading operations have been completed for Project No. PM72892 for Lots 1 _ through (if applicable) and has been inspected by the undersigned Registered Civil Engineer or Licensed Architect. Based upon the observations, the grading subsequent to the Rough Grading has been completed in accordance with the approved plans and specifications and is in substantial conformance with the final.grading plan approved by the City and no unauthorized deviations were made. . All required surface drainage.devices have been installed. Provisions have been made for drainage of surface waters around proposed buildings and their appurtenances. Engineer(Signature) Architect(Signature) R.C.E. No. 34587 R.P.A. No. Date: /2/26/2©l 7 . Received and approved: Date: 5—/Z2( C. D. Planning cc. C.D.D./Maint.Ser. C.D,D./Building or 3 IC 1 r.f.16ro. 3•$'587 "!---k,eXr`.-#30/.2/ \s: ciVIV w .'H 10/09/08 i • 130 Office Building,:130First Ave,:Arcadia, CA 91006 " - - Projecf Information: . - : ."Project Name:: 130 Office Building ` ' .. .. • - , .. Project Status: Tracking# GH900-486 9615 Created ' ' • - _ AddressFirst Ave,tCA. 4. _ Permit#:• "� .. Submitted 'Tract Number: NIA Stait Date: 11/18/16 Approved* " • End Date:. 04/17/19 _ ® - - Proect Type New,Construction. - • .. . � :.Building Types' .OMce - , . .. . . . . .. .. .. Tickets Uploaded(16) 0 - 'Construction Type:, N/A .. • .. .. .. Submitted For Final' . . Project Value:'$800,000 " O • . . Square Feet:. 4,850. • Completed " Description File: N/A ' ' "" " Project Description: Demolish:existing one-story office building to be replaced by a new two-story office building.Construction waste management plan for demo/new . - Selected Project Managers . • Name. Position Email Phone Cell - 1. ClarksLel , Manager cklei333famail.coat - Account Holder Info . __.Position -Company Emell Phone .. - - . Charles Lel Manager Chares Lei ckle1333@ gmail.com 1 g. . . @gmall.com- .� 626.841-3562 �. • • • • • 3. . • Robert C. Ferrante SANITATION DISTRICTS OF LOS ANGELES COUNTY Chief Engineer and General Manager 1955 Workman Mill Road,Whittier,CA 90601-1400 Mailing Address:P.O.Box 4998,Whittier,CA 90607-4998 Converting Waste Into Resources ! (562)699-7411 •www.lacsd.org Counter Hours: 7:00 a.m.-4:00 p.m.Mon.-Thurs. 7:00 a.m.-3:00 p.m.Fri. Application No.: 5773017089-002 SEWERAGE SYSTEM CONNECTION FEE RECEIPT Date: June 2,2020 • APN:5773 017 089 District No.: 15 Owner/Situs Address • Applicant Information LC SUNS RESIDENTIAL DEVELOPMENT L Sun's Residential Development LLC-Office building 130 1ST AVE Jason Zhang ARCADIA,CA 91006 130 S 1st Ave Arcadia,CA 91006 Facility Type Measure of Use Unit Rate Amount Office Building D 8,415.00 1000 Sq.Ft. Office Building N 3,955.00 1000 Sq.Ft. $3,200.00/1000 Sq.Ft. $12,656.00 130 1ST AVE,ARCADIA Base Line Credit 3.01 CUs $4,210.00/CUs ($12,656.00) Connection Fee Due S0.00 Type Abbreviations N-New or Additional;C-Change of Existing;E-Existing to Remain;D-Demolition of Existing;T-Tenn!Improvement of Existing;S-Septic to Sewer Includes demolition of 8,415.00 1000 Sq.Ft.of existing Office Building Processor:Elizabeth Padilla Approver:Erika Ballesteros SAtdTATi!ON DISTRICTS D.C.: • I OF LOS NNGEIIS COUNTY Th JAPPROVED Payment Received Check No Anul ROBERTME Jason Zhang $0.00 CHIEF EttllallC.FER R GEN.MGR. Valid Only When Stamped THIS IS NOT A CONNECTION PERMIT. A CONNECTION PERMIT IS REQUIRED BEFORE CONNECTING TO ANY SEWER. DOC#5748116 ---_ _ faeigv. Li ' ilv CITY OF ARCADIA • ® • WATER EFFICIENT LANDSCAPING DOCUMENTATION PACKAGE CERTIFICATE OF COMPLETION This certificate is to be filled out by the project applicant and the property owner upon completion of the landscaping project. Project Information i Date of Project Completion Permit Type and No. 66,0 ^v41.--yy/ Project Address /30 9. f/Rs'i A-t' - , A-RcA-Di.1 , ('fit- laz' 1 Name off�PProject Applicant and Tile Name of Property Ow r. Company Name& Mailing Address Mailing Address Gt/l/o,c17 C'M/Sbeal'r011)w 67Z-eeaw9(44/7 i 3 c g P u sr dr/e; 39413 2/?'vAir &cc'v .#0 e f}RG po-, e)/1--/'/ ,O/ i l'/2tiiiur ev4 9' - c-7 Telephone an Fax No(s). Telephone and Fax No(s). 6,6 -lUl -3S- a 6z,— g -j_. 242--7 Email Address Email Address • Ckt- 3g3 d6'f1,.-�, ee`�/ .—A50.72i-0i � Yr-MIL , Project Applicant - The signer of the landscape design plan, signer of the irrigation plan, the licensed landscape contractor that installed the landscaping and irrigation, or a licensed professional that performed periodic site observations to verify that the project is consistent with , the Water Efficient Landscaping Documentation Package for the project and that the project complies with Ordinance No. 2267. "I/we certify that based upon periodic site observations, the work has been substantially completed in accordance with Ordinance No. 2267 and that the landscape planting and irrigation installation conform with the criteria and specifications of the approved Landscape and Irrigation Plans and Landscape Documentation Package and acknowledge that the project may be subject to inspection and a Landscape Water Audit to verify that the project is maintained in i compliance with Ordinance No. 2267." Signature /-�— Date- Name (print) Telpph ne nd Fax No(s). ; ('k(,g12L i' 6r7 9 is f-3c Title License No. or Certification No. ./4.47t/ ,) 8 /ci S 43 C o i Company Email Address A) i-lrsniL (20A47fr lfdil 2 i9LtialoxiaiJ tKL i»L ti/. 2 -,col Mailing Address I Property Owner "I/we certify that I/we have received copies of all the documents within the Water Efficient Landscaping Documentation Package for our project and that it is my/our responsibility to see that the project is maintained in accordance with the Landscape and Irrigation Maintenance Schedule for the project and in compliance with Ordinance No. 2267, and I/we acknowledge that the project may be subject to inspection and a Landscape Water Audit to verify that the project is being m maintained in compliance with Ordinance No. 2267. 4.-H"L---1-4-4" Property O ner(s)Signature(s) 9Date t-,�_ -_ • "AS-BUILT" GRADING PLAN - PARCEL MAP No. 72892 MAY 25,2021 .a • ," N NOTE:ALL EXISTING ONSITE IMPROVEMENTS TO BE REMOVED. .40O 4,.�' 11 tiYp GRAPHIC SCALE I II SWIM AC. FAVEFENT I a M.T.> II1 ImA-10 n W I- - °' n 1d III t. �, �' w II 1 I , - Q I I II,,,,, g EXISTING BUILDING I ` `\ ` 3 rk aR:A TF M avmAs • PIMPANT T. 21 I'CJ II eT � xlI _� 1� Q E1Ev.tnao mom MEM COMM�avr>� e>� NR9'5EMSE —1`S` F�'T9 , 1 195.OP , g,g � MTV,OF FIRE a Ik''. i 4 , 1 , DFCONCRETE PAVE6 .>j,'vR — 0§ •"tp{f.(; > 'Q��� ...�j 4'DMnaOWPIE� zero a'Pa,` �ca DRAW ALL ROOF WATER TO PAawrvowruaA ] _ .�A�.� ill �.$�> �y -a - .om'j. s ell // h f c PROPOSED amDWO 1 ti k ;' '�"° B� cd R.oxa // �� Q -•. `1,'.`'` P AA.ACDRDw NARKAAY P Can`` PAD = 470.3 T CIS ek a �� $ ANGELUS PERMEABLE INTERLOCKING =I R,,RC /� .3-0 'stfii i ig ;;rn► CONCRETE PAVEMENT Afr iz "‘.. i , ..,\ ii ' htatig I ii.:,..1 S'' 4V,,q, h T. 0. �� �° —.7- - i, \\�>:— '.47 4` N64'S9'iPE �.x P ...,..,. `n i :. ' d -(.-:."2' 7, • ' "\IMP w .,__ fl SDEwAU �— Q° ?;' tea �.:.:_`<�:' e ---- L 'N� SIGN w 1,-,-.„ .7.1 1 J • • y ‘1,, 4i 4 mTAm GYRODERCURB Y M .— I__ _ . BONITA . STREET N aMSD'dIY E N �� CONSTRUCTION NOTES DSD/ENGINEERING *INS IC) 000NSTRUCT NEW ORMAPPROACH m PER t- RAN FOR w APPROVED 0 CONSTRUCT CONCRETE PAVEMENT(SECDDxPE„S=REPORT) MAY 26 2021 0, AILPF>S�.wFPArTm-AEESEAA�CN-TWACONEDRDRNEwAr BY: 0 w1T ran-w cF AND t c sEGTrox FOR vuwNa EOr u1EA vOL REa-�s O INSTAL..•G STWONPPETIODUGN CUM AS SKOWN 944uaYXaw VtIeAd'p.. i C' M rA WTNN�MAGORER AIFP5E4 .EN A1=7 MID // ALSO.ra1.VYEA5D REFUGE ANYDAMAGED OR DEFICIENT SIDEWALK FROMMTO Pit Di REMOVEAND RECONSTRUCT CONCRETE MEW, m PansTDS. APN:5773-017-039 De NSTALLIznrwM EAND MINSITE ADDRESS:130 S.1st AVENUE 0 MULL NODUNPING TM DRAWS TO OCEAN'STENCIL trMA.MMMIM FEE, ` tt ' TOWED BM ,,NWGILBERT ENGINEERING COMPANY,INC. i. , n >rxrn ) UST ROM OA II, UM NO /A-4 M,EOP MC NM) CITY OF ARCADIA WATER EFFICIENT LANDSCAPING - ORDINANCE NO. 2330 LANDSCAPE DOCUMENTATION PACKAGE - SECTION A PROJECT INFORMATION Date:June 1, 2020 Project Name:Asendinq Eagle Project Applicant:W Home Consturction & Development Project Address and Location:130 S. First Ave. Street Address Assessor Parcel Number 130 S. First Ave. 5573-017-039 Arcadia Tract/Parcel Map No.and Lot Number(s) California 91006 Nearest Cross Street Bonita Ave. Project Type (Please check all that apply): ❑x New ❑ Rehabilitation ❑ Single-Family Residential ❑ Private ❑ Public ❑ Multiple-Family Residential ❑x Commercial/Industrial ❑ Mixed-Use ❑ Institutional (i.e., hospital, school, etc.) ❑ Other Please fill in the information below to describe the landscape project: Total landscaped area 363 (sq. feet) Total turf area 0 (sq. feet) Total non-turf area 363 (sq. feet) Total active recreational areas 0 (sq. feet) Total area of Special Landscaped Areas 0 (sq. feet) Total irrigated landscape area 263 (sq. feet) Total non-irrigated landscape area 1 00 (sq.feet) Please check the Water Supplier for this project: ❑x City of Arcadia Water Services — 11800 Goldring Road,Arcadia, CA 91006 — (626)256-6650 ❑ East Pasadena Water Company — 3725 Mountain View Ave., Pasadena, CA 91107 — (626) 793-6189 ❑ Sunny Slope Water Company — 1040 El Campo Dr., Pasadena, CA 91107 — (626)568-4266 ❑ California American Water — 2020 Huntington Drive, San Marino, CA 91108 — (831)646-3252 ❑ Golden State Water Company — 110 E. Live Oak Avenue,Arcadia, CA 91006 — (626)446-1372 Acknowledgment: I agree to comply with the requirements of the City of Arcadia Water Efficient Landscaping Ordinance and submit a complete Landscape Documentation Package. Applicant's Signature Date 6/5/2020 -3- December 1,2015 CERTIFICATE OF VERIFICATION NRCV-MCH-04-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: 130 S 1st Ave Enforcement Agency: Arcadia, Permit Number: BOO 049 441 City of Dwelling Address: 130 S 1st Ave City: Arcadia Zip Code: 91006 (HVAC_Set1_1) A.System Information 01 HVAC System Identification or Name HVAC_Set1_1 02 HVAC System Location or Area Served LOCATION 1 03 Verified Low Leakage Air-Handling Unit Credit from No,credit is not taken NRCC-PRF-01-E 04 Duct System Compliance Category New B. Duct Leakage Diagnostic Test-MCH-04a-Completely-New Duct System 01 Condenser Nominal Cooling Capacity(ton) • 02 Heating Capacity(kBtu/h) 60 03 Leakage Factor 0.06 04 Air Handling Unit Airflow(AHUAirflow)Determination Cooling system method Method „ G 05 Calculated Target Allowable Duct Leakage(cfm5) 120 06 Actual Duct Leakage Rate from Leakage Test Measurement 92 (cfm25) 07 Compliance Statement: System passes leakage test C.Additional Requirements for Compliance 01 System was tested in its normal operation condition. 02 All supply and return register boots sealed to the surrounding material. 03 Cloth backed rubber adhesive duct tape may not be used as the primary air sealing method for duct connections. 04 All connection points between the air handler and the supply and return plenums are completely sealed. 05 Verification Status: Pass-all applicable requirements are met 06 Correction Notes: Registration Number: Registration Date/Time:2020-06-21 21:00:10 HERS Provider:CHEERS PR0120-02588623-000-001-M04000A-0000 CA Building Energy Efficiency Standards Report Version:2018.0.001 Report Generated:2020-06-21 21:04:25 2016 Nonresidential Compliance Schema Version:rev 20180426 CERTIFICATE OF VERIFICATION NRCV-MCH-04-H • Duct Leakage Diagnostic Test (Page 2 of 3) C.Additional Requirements for Compliance The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. D.Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies:All specified verification protocol requirements on this document are met. Sf 5 Registration Number: - Registration Date/Time:2020-06-21 21:00:10 HERS Provider:CHEERS PR0120-02588623-000-001-M04000A-0000 CA Building Energy Efficiency Standards Report Version:2018.0.001 ' Report Generated:2020-06-21 21:04:25 2016 Nonresidential Compliance Schema Version:rev 20180426 CERTIFICATE OF VERIFICATION NRCV-MCH-04-H Duct Leakage Diagnostic Test (Page 3 of 3) Documentation Author's Declaration Statement , 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation"ti Author Signature: John Kwan .Tohn'K,wcm/ Company: Date Signed: J.K.Balancing&Duct Testing 2020-06-21 Address: CEA/HERS Certification Identification(if applicable): 9040 Telstar Avenue#137 City/State/Zip: Phone: El Monte CA 91731 626-274-0522 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 Verification is true and correct. 2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible rater). 3. The installed features,materials,components,manufactured devices,,or.system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with'the applicable requirements in Reference Nonresidential Appendices NA1 and NA2,and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificates)of Installation(NRCI),signed and submitted by the person(s)responsible for the construction or installation conforms to the requirements specified'on,the,Certificate(s)of Compliance(NRCC)approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate of Verification shall be posted,or 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 registered copy of this Certificate of Verification is required to be included with the documentation,the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name(Installing Subcontractor,General contractor,or Builder/Owner) Responsible Builder or Installer Name: `CSLB License: HERS Provider Data Registry Information Sample Group Number(if applicable): Dwelling Test Status in Sample Group(if applicable) N/A HERS Rater Information HERS Rater Company Name: J.K.Balancing&Duct Testing Responsible Rater Name: Responsible Rater Signature: John Kwan `Tohn,KwGm/ Responsible Rater Certification Number w/this HERS Provider: Date Signed: RCN13069 2020-06-21 • NOTICE: This certificate has been generated by CHEERS using information uploaded by third parties not affiliated or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this certificate. Registration Number: Registration Date/Time:2020-06-21 21:00:10 HERS Provider:CHEERS PR0120-02588623-000-001-M04000A-0000 CA Building Energy Efficiency Standards Report Version:2018.0.001 Report Generated:2020-06-21 21:04:25 ' 2016 Nonresidential Compliance Schema Version:rev 20180426 • CERTIFICATE OF VERIFICATION NRCV-MCH-04-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: 130 S 1st Ave Enforcement Agency: Arcadia, Permit Number: BOO 049 441 City of Dwelling Address: 130 S 1st Ave City: Arcadia Zip Code: 91006 (HVAC_Set1_2) A.System Information 01 HVAC System Identification or Name HVAC_Set1_2 02 HVAC System Location or Area Served LOCATION 2 03 Verified Low Leakage Air-Handling Unit Credit from No,credit is not taken. NRCC-PRF-01-E iO4 Duct System Compliance Category New B.Duct Leakage Diagnostic Test-MCH-04a-Completely New_Duct System 01 Condenser Nominal Cooling Capacity(ton) h . 02 ` Heating Capacity(kBtu/h) 03 Leakage Factor F 0.06 04 Air Handling Unit Airflow(AHUAirflow)Determination Cooling system method Method i ;; 05 Calculated Target Allowable Duct Leakage(cfm25) 48 06 Actual Duct Leakage Rate from Leakage Test Measurement 41 (cfm25) 07 Compliance Statement: System passes leakage test C.Additional Requirements for Compliance 01 System was tested in its normal operation condition. 02 All supply and return register boots sealed to the surrounding material. 03 Cloth backed rubber adhesive duct tape may not be used as the primary air sealing method for duct connections. 04 All connection points between the air handler and the supply and return plenums are completely sealed. 05 Verification Status: Pass-all applicable requirements are met 06 Correction Notes: Registration Number: Registration Date/Time:2020-06-21 21:01:07 HERS Provider:CHEERS PROJ20-02588623-000-001-M04000A-0000 CA Building Energy Efficiency Standards Report Version:2018.0.001 Report Generated:2020-06-21 21:05:39 2016 Nonresidential Compliance Schema Version:rev 20180426 CERTIFICATE OF VERIFICATION NRCV-MCH-04-H Duct Leakage Diagnostic Test (Page 2 of 3) C.Additional Requirements for Compliance The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. D.Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies:All specified verification protocol requirements on this document are met. • • S 1 Registration Number: Registration Date/Time:2020-06-21 21:01:07 HERS Provider:CHEERS PR0120-02588623-000-001-M04000A-0000 CA Building Energy Efficiency Standards Report Version:2018.0.001 Report Generated:2020-06-21 21:05:39 2016 Nonresidential Compliance Schema Version:rev 20180426 CERTIFICATE OF VERIFICATION ,NRCV MCH-04-H Duct Leakage Diagnostic Test (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: John Kwan To1,141.Kw airy • Company: Date Signed: J.K.Balancing&Duct Testing 2020-06-21 Address: CEA/HERS Certification Identification(if applicable): 9040 Telstar Avenue#137 City/State/Zip: Phone: El Monte CA 91731 626-274-0522 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 Verification is true and correct. 2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible rater). 3. The installed features,materials,components,manufactured.devices;orsystem performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with.the applicable'requirements in Reference Nonresidential Appendices NA1 and NA2,and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the Certificate(s)of Installation(NRCI),signed and submitted by the person(s)responsible for the construction or installation conforms to the requirements specified on'the,Certificate(s)of Compliance(NRCC)approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate of Verification shall be'posted,or made available with the building permit(s)issued for the building,and made available to the enforcement agency for all applicable'irispections.I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name(Installing Subcontractor,General Contractor,''or Builder/Owner), Responsible Builder or Installer Name: CSLB:License: HERS Provider Data Registry Information Sample Group Number(if applicable): Dwelling Test Status in Sample Group(if applicable) N/A HERS Rater Information HERS Rater Company Name: J.K.Balancing&Duct Testing Responsible Rater Name: ' Responsible Rater Signature: John Kwan �To-hwv Kwct lv Responsible Rater Certification Number w/this HERS Provider: Date Signed: RCN13069 2020-06-21 NOTICE: This certificate has been generated by CHEERS using information uploaded by third parties not affiliated or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this certificate. Registration Number: Registration Date/Time:2020-06-21 21:01:07 HERS Provider:CHEERS PR0120-02588623-000-001-M04000A-0000 CA Building Energy Efficiency Standards Report Version:2018.0.001 Report Generated:2020-06-21 21:05:39 2016 Nonresidential Compliance Schema Version:rev 20180426 CERTIFICATE OF VERIFICATION NRCV MCH-04-H Duct Leakage Diagnostic Test (Page 1.of 3) Project Name: 130 S 1st Ave Enforcement Agency: Arcadia, Permit Number: BOO 049 441 City of Dwelling Address: 130 S 1st Ave City: Arcadia Zip Code: 91006 (HVAC_Set1_3) ' A.System Information 01 HVAC System Identification or Name HVAC_Set1_3 • 02 HVAC System Location or Area Served LOCATION 3 03 Verified Low Leakage Air-Handling Unit Credit from No,credit is not taken NRCC-PRF-01-E 04 Duct System Compliance Category New B.Duct Leakage Diagnostic Test-MCH-04a-Completely}New Duct System 01 Condenser Nominal Cooling Capacity(ton) 3'r 02 Heating Capacity(kBtu/h) "36 03 Leakage Factor 0.06 04 Air Handling Unit Airflow(AHUAirflow)Determination Cooling system method Method 05 Calculated Target Allowable Duct Leakage(cfm25) 72 06. Actual Duct Leakage Rate from Leakage Test Measurement 68 (cfm25) 07 Compliance Statement: System passes leakage test C.Additional Requirements for Compliance 01 System was tested in its normal operation condition. 02 All supply and return register boots sealed to the surrounding material. 03 Cloth backed rubber adhesive duct tape may not be used as the primary air sealing method for duct connections. 04 All connection points between the air handler and the supply and return plenums are completely sealed. 05 Verification Status: Pass-all applicable requirements are met 06 Correction Notes: Registration Number: Registration Date/Time:2020-06-21 21:01:24 HERS Provider:CHEERS PRO120-02588623-000-001-M04000A-0000 CA Building Energy Efficiency Standards Report Version:2018.0.001 Report Generated:2020-06-21 21:05:42 2016 Nonresidential Compliance Schema Version:rev 20180426 • CERTIFICATE OF VERIFICATION NRCV-MCH-04-H Duct Leakage Diagnostic Test (Page 2 of 3) C.Additional Requirements for Compliance The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. D. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies:All specified verification protocol requirements on this document are met. • Registration Number: Registration Date/Time:2020-06-21 21:01:24 HERS Provider:CHEERS PROJ20-02588623-000-001-M04000A-0000 CA Building Energy Efficiency Standards Report Version:2018.0.001 Report Generated:2020-06-21 21:05:42 2016 Nonresidential Compliance Schema Version:rev 20180426 • CERTIFICATE OF VERIFICATION NRCV-MCH-04-H Duct Leakage Diagnostic Test (Page 3 of 3) . • Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: John Kwan To-714v Kwc{ vi' • Company: Date Signed: J.K.Balancing&Duct Testing 2020-06-21 Address: CEA/HERS Certification Identification(if applicable): 9040 Telstar Avenue#137 City/State/Zip: Phone: El Monte CA 91731 626-274-0522 • 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 Verification is true and correct. 2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible rater). 3. The installed features,materials,components,manufactured devices,porsystem performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the applicable requirements in Reference Nonresidential Appendices NA1 and NA2,and the requirements specified on the Certificate of Compliance for the building approved by the enforcement agency. 4. The information reported on applicable sections of the,Certificate(s)of Installation(NRCI),signed and submitted by the person(s)responsible for the construction or installation conforms to the requirementsspecifed on the;Certificate(s)of Compliance(NRCC)approved by the enforcement agency. • - 5. I will ensure that a registered copy of this Certificate of Verification shall be posted,or made available with the building permit(s)issued for the building,and made available to the enforcement agency forall applicable"inspections.I understand that a registered copy of this Certificate of Verification is required to be included with the documentation the builder'provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name(Installing Subcontractor,General Contractor,or Builder/Owner);^_ ,_.. Responsible Builder or Installer Name: CSLB:License: HERS Provider Data Registry Information Sample Group Number(if applicable): Dwelling Test Status in Sample Group(if applicable) N/A HERS Rater Information HERS Rater Company Name: J.K.Balancing&Duct Testing Responsible Rater Name: Responsible Rater Signature: John Kwan Jam/ c / Responsible Rater Certification Number w/this HERS Provider: Date Signed: RCN13069 2020-06-21 NOTICE: This certificate has been generated by CHEERS using information uploaded by third parties not affiliated or related to CHEERS. Therefore, CHEERS is not responsible for,and cannot guarantee, the accuracy or completeness of the information contained in this certificate. Registration Number: Registration Date/Time:2020-06-21 21:01:24 HERS Provider:CHEERS PROJ20-02588623-000-001-M04000A-0000 CA Building Energy Efficiency Standards Report Version:2018.0.001 Report Generated:2020-06-21 21:05:42 2016 Nonresidential Compliance Schema Version:rev 20180426 • CERTIFICATE OF VERIFICATION NRCV MCH-04-H Duct Leakage Diagnostic Test (Page 1 of 3) Project Name: 130 S 1st Ave Enforcement Agency: Arcadia, Permit Number: BOO 049 441 City of Dwelling Address: 130 S 1st Ave City:' Arcadia Zip Code: 91006 (HVAC_Set1_4) A.System Information 01 HVAC System Identification or Name HVAC_Set1_4 02 HVAC System Location or Area Served LOCATION 4 03 Verified Low Leakage Air-Handling Unit Credit from No,credit is not taken NRCC-PRF-01-E 04 Duct System Compliance Category New • B.Duct Leakage Diagnostic Test-MCH-04a-Completely•NewDuct System 01 Condenser Nominal Cooling Capacity(ton) > t` 3` 02 Heating Capacity(kBtu/h) 36 03 Leakage Factor 0.06 04 Air Handling Unit Airflow(AHUAirflow)Determination Cooling system method Method ,. 05 Calculated Target Allowable Duct Leakage(cfm25) 72� 06 Actual Duct Leakage Rate from Leakage Test Measurement 66 (cfm25) 07 Compliance Statement: System passes leakage test C.Additional Requirements for Compliance - 01 System was tested in its normal operation condition. 02 All supply and return register boots sealed to the surrounding material. 03 Cloth backed rubber adhesive duct tape may not be used as the primary air sealing method for duct connections. 04 All connection points between the air handler and the supply and return plenums are completely sealed. 05 Verification Status: Pass-all applicable requirements are met 06 Correction Notes: Registration Number: Registration Date/Time:2020-06-21 21:01:54 HERS Provider:CHEERS • PROJ20-02588623-000-001-M04000A-0000 CA Building Energy Efficiency Standards Report Version:2018.0.001 Report Generated:2020-06-21 21:06:26 '2016 Nonresidential Compliance Schema Version:rev 20180426 CERTIFICATE OF VERIFICATION NRCV-MCH-04-H Duct Leakage Diagnostic Test (Page 2 of 3) C.Additional Requirements for Compliance The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met unless otherwise noted in the Verification Status and the Corrections Notes in this table. D. Determination of HERS Verification Compliance All applicable sections of this document shall indicate compliance with the specified verification protocol requirements in order - for this Certificate of Verification as a whole to be determined to be in compliance. 01 Complies:All specified verification protocol requirements on this document are met. Registration Number: Registration Date/Time:2020-06-21 21:01:54 HERS Provider:CHEERS PROJ20-02588623-000-001-M04000A-0000 CA Building Energy Efficiency Standards Report Version:2018.0.001 Report Generated:2020-06-21 21:06:26 2016 Nonresidential Compliance Schema Version:rev 20180426 CERTIFICATE OF VERIFICATION NRCV-MCH-04-H Duct Leakage Diagnostic Test (Page 3 of 3) Documentation Author's Declaration Statement 1. I certify that this Certificate of Verification documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: John Kwan • To-h ry Kwam/ Company: Date Signed: J.K. Balancing&Duct Testing 2020-06-21 • Address: CEA/HERS Certification Identification(if applicable): 9040 Telstar Avenue#137 City/State/Zip: Phone: El Monte CA 91731 626-274-0522 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 Verification is true and correct. 2. I am the certified HERS Rater who performed the verification identified and reported on this Certificate of Verification(responsible rater). 3. The installed features,materials,components,manufactured devices,or system performance diagnostic results that require HERS verification identified on this Certificate of Verification comply with the ap'plicable`requirements in Reference Nonresidential Appendices NA1 and NA2,and the requirements specified on the Certificate of Compliance`for the building,approved by the enforcement agency. 4. The information reported on applicable sections of the'Certificate(s)of Installation(NRCI),signed and submitted by the person(s)responsible for the construction or installation conforms to the requirements specified on`the,Certificate(s)of Compliance(NRCC)approved by the enforcement agency. 5. I will ensure that a registered copy of this Certificate of Verification;shall be posted,or made available with the building permit(s)issued for the building,and made available to the enforcement agency forall applicable"inspections.I understand that a registered copy of this Certificate of Verification is required to be included with the documentation.the builder provides to the building owner at occupancy. Builder Or Installer Information As Shown On The Certificate Of Installation Company Name(Installing Subcontractor,General Contractor,or Builder/Owner) ; Responsible Builder or Installer Name: ' '=`CSLBLicense HERS Provider Data Registry Information Sample Group Number(if applicable): Dwelling Test Status in Sample Group(if applicable) N/A HERS Rater Information HERS Rater Company Name: J.K.Balancing&Duct Testing Responsible Rater Name: Responsible Rater Signature: John Kwan `Tah4r1/KwaNi/ Responsible Rater Certification Number w/this HERS Provider: Date Signed: RCN13069 2020-06-21 • • NOTICE: This certificate has been generated by CHEERS using information uploaded by third parties not affiliated or related to CHEERS. Therefore, CHEERS is not responsible for,and cannot guarantee, the accuracy or completeness of the information contained in this certificate. Registration Number: Registration Date/Time:2020-06-21 21:01:54 HERS Provider:CHEERS PR0J20-02588623-000-001-M04000A-0000 CA Building Energy Efficiency Standards Report Version:2018.0.001 Report Generated:2020-06-21 21:06:26 2016 Nonresidential Compliance Schema Version:rev 20180426 :Certificate of Verification NRCV-PROJ-01-E Non-Res Project Information (Page 1 of 2) 'Project Name: 1130 S 1st Ave Enforcement Agency: (Arcadia,City of Permit Number: (B00 049 441 Address: 1130 S 1st Ave !City: Arcadia ,Zip: 191006 A. Project Information 01 'Street Address: 130 S 1st Ave 02 I City: Arcadia PJ 03 ;Zi Code: 91006 04 3 NRCV-PLB-21 Required? No 05 Auto-generate HVAC system names? [Yes 06 [Auto-generate PLB dwelling names? ;Yes " • B. HVAC System Type Information ' 01 [Verified Low Leakage Air-Handling Unit INo 'Credit from NRCC-PRF-01-E: i _rv02 [Duct System Compliance Category: 'New 03 [Installing Contractor Company: [Alliar ce,Profession HVAC Inc. 04 'Installing Contractor Contact Name: €BIAN JUN 05 I Number of HVAC Systems of This Type: 14' C. HVAC System IDs or Names 1 `System Name: [HVAC_Set1_1 2 ISystem Name: t.--JHVAC_Set1_2 3 [System Name: IHVAC_Set1_3 4 !System Name: j HVAC_Set1_4 ID. PLB Dwelling Type Information (Multifamily buildings) E. PLB Dwelling Unit IDs or Names (Multifamily buildings) :PROJECT INFORMATION CONFIRMATION `The Project Information Form is used to identify and name the systems for this Non-Residential project site.Also identified is the installing contractor for each system.This information is used to generate the appropriate forms and if sample groups are used,to identify the criteria that allows grouping • per the CEC regulations. !Notes: (1)NRCV-MCH-04e"Altered Duct System Using Smoke Test"requires 100%testing.It cannot be used as part of a sample group per CEC regulations. Responsible Designer Name: 1 Responsible Designer Signature: John Kwan John Kwan ' 'Company: [Date Signed: J.K.Balancing&Duct Testing I 6/21/2020 Address: I License: 9040 Telstar Avenue#137 [ RCN13069 Registration Number:PROJ20-02588623 Registration Date/Time:06/21/2020 20:59 HERS Provider:CHEERS CA Building Energy Efficiency Standards-2016 Residential Compliance April 2017 Certificate of Verification NRCV-PROJ-01-E, Non-Res Project Information (Page 2 of 2):. City/State/Zip: t Phone: El Monte,CA 91731 i 626-274-0522 • • NOTICE: This certificate has been generated by CHEERS using information uploaded by third parties not affiliated or related to CHEERS. Therefore, CHEERS is not responsible for, and cannot guarantee, the accuracy or completeness of the information contained in this certificate. Registration Number:PROJ20-02588623 Registration Date/Time:06/21/2020 20:59 HERS Provider:CHEERS CA Building Energy Efficiency Standards-2016 Residential Compliance April 2017 ";;1 City of Arcadia, CA Permit NO Wall 18-2209, Development Services Department ' 1 Permit Type.:.Wall 240 West Huntington Drive,Post Office Box 60021 , • ° Work Classification Wall-Garden Wall �� 6 6021 n . Arcadia,CA 9106 (626)574-5416 Permit Status:Issued ARCADIA Issue Date 11/28/2018J Expiration: 05/27/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 130 S FIRST AVE Arcadia,CA 5773017039 Contacts SUNS RESIDENTIAL DEVELOPMENT LLC Owner Charles Lei General Contractor(B) 308 FIRST AVE F,ARCADIA,CA 91006 910 Las Rosas DR,West Covina,CA 91791 (626)321-2429 JASONZHANG@GMAIL.COM (626)841-3562 Description:BLOCK WALL ON NORTH SIDE OF PROPERTY.6'H Valuation: $ 1.799.04 Tenant X16'LF.TRASH ENLCOSURE 6'H X 16'LF PER APPROVED PLANS Total Sq Feet: 0.00 �. Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $145.85 Building Permit Fees $95.25 Cash/Receipt#REC-002996-2018 $145.85 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $145.85 Farrif% aT 4 rge_a/�5U� r~ CALLS FOR INSPECTIONS J - Z-i'7 Request for inspection by telephone at 626-574-5450. Leave a message 1� � requesting the address,timeframe and what inspection item is needed. pgp 4 U�" l r- 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. • November 28, 2018 Issued By: Date November 28,2018 Page 1 of 1 • Development;Services Department . r Engineering Division �' •mef• * 240 West.Huntington Drive/Post Office Box 60021776 _PE RMIT E Arcadia,CA'91066-6021 • toriEoaoss • (626)574-5411 . . '. mit'Type: ' R-O-W Temporary ('� r whatw.ArcadiaCA:gov Per • City Of PROJECT: Y ': TRACT NOAPPLICATION Arcadia 0001 . : LOT1/16/2018pTE ISSUED I. 11 as lii6rzo18 NO PERMR STATUS . Issuid ADDRESS No. Cir.Prenx 'Street Name - etneot Suffix uurr .. BLO ' - AeseaaoRa PARCEL rfo. oEo cons 130 •S First Ave 5773-017-039 OWNS. Suds Residential.Development,Llc ' {626)321-2429 PHO NE NO. EMAIL ADDRESS: .' . APPIJCANi MAWNG AODRE$6 PHONE NO. . . CONrRACToRIPRoFEahRONAL MAILING A•DCRE66 Charles Lei PHONE'NO: (b2 - FAX NO. 910 Las•Rosas Dr . 6)84i:3.562 West Covina,CA 91791 :. EMAIL ADDRESS:.. License No- 964401 ::Type:. B _ • Expires: .8/31/2019 12:00 •-'TENAM . . : MAILING ADmtE9a .. • - •• .. .. PHONE NO. . FAX NO: . • Pedestrian accessible scaffolding around property through July 1,2018: Constraedoo Type UOM :: : . f+l of Uahb value Coo.tncN.f Type UOM of Valli ' • Value : • OCCUPANCY:' .. - • TOTAL VALUATION: . .. .. SO QTY UOM- DESC AMT' AMT PAID ACCT . QTY.UOM DISC. AMT . AMT PAID ACCI' 100 Flat Engr permit fee ' . 50.00 50.00 01-3111. 2.00 Locus lnspeat-Engr '120.00 120.00 01.3505 q ti) Ir1 • • • • Total Feu; $170.00 Balance Due: . .. - Paid Today:. , $il.00. . :S170.00 • All Off-Site Permits (except Sewer Improvements:and Construction Bins)shall expire and become'null and void If, 1)the work authorized under the:permit Is not commenced within 60 days from the date of permit.Issuance;2)'the work Receipt#: .. 119$52 Is suspended or abandoned fora period of 60.days after the work has commenced;3) ires time limitation one � � (1) 01-3111 50.00' year after permit Issuance. Work authorized-under this permit for Sewer Improvement work shall be completed to the tO1-3505 120:00 satisfaction of the City Inspector within 120 . . days'from the date of perraR issuance. Bins are permitted on • City streets for a maximum of three(3)weeks only. This permit shall not be.transferred or assigned to any other person. • '. CALLS FOR INSPECTION . INSPECTOR'S OFFICE.HOURS Requests:for inspection.'should be.made. at: . Monday—Friday. 1 • • - least two (2) business'days in advance of the 7:00 a.m.--8:00a.m. Inspection by telephone at (628) 254-2725 for CLOSEPON ALTERNATE FRIDAYS F offsite work • INSPECTOR'S OFFICE PHONE.(626)254-2725 BOUNDARY SURVEY 130 S. 1ST AVENUE, ARCADIA PREPARED FOR: SUN'S RESIDENTIAL DEVELOPMENT, LLC nN 308 S. FIRST, SUITE F • ARCADIA, CA 91006 1-1 SCALE: 1" = 30' ILLI 40.00 N 89°59'10" E 135.04' 175.04' s � ' 06 g2 W Us J 2 :.CI) nD Q Lo o o o o I."'.. Z C!) o 0 d 0 - a r^ wl Lop r VJ - UJ o � 0 I- . oo W ( z z U0 T o H 1-------....L ...... "---) N 89°59'10" E 135.04' in 0 co — 175.04' — _ — N 89°59'10" E BONITA ST. . (,..,--,6---- LANp S� . ECKF 'PL L.S.5279 0 Exp. 12/31/17 * PREPARED BY: N� ��� GILBERT ENGINEERING COMPANY, INC. �' / `<' 2028 EAST ROUTE 66 SUITE 203 A OF CAL\FO GLENDORA, CALIFORNIA 91740 (626) 852-1600 j4g/L- ..,, FAX (626) 852-1601 email - gilbertcivil,©gmail.com K-SPECIAL INSPECTION , INC. env 9746 Woodleaf Dr. Rancho Cucamonga, CA 91701 1 Tel: (213)382-81001 Email:ksi8100aa,'&grnail.com Sivwvw.kspecialinspecfion.com NSPECTION SPECIAL INSPECTION REPORT Date: 07-21-2017 City of: Arcadia Permit#: s00-049-411 Project Name: Arcadia Office Building Address: 130 S. First Avenue Contractor:Ray Liu Associates,Corp Off Site_Fabricator: Type of Inspection: Steel Construction j Continuous Periodic Date S M T W T F S 8 hrs 8 hrs 8 hrs 8 hrs 8 hrs 8 hrs Type(s)of sample: Q'ty• Required f'c: Slump:_Tempe Mix Design: In accordance with Section 1702 of the International Building Code,special inspection has been provided for the followings; -Steel opening Frame- 1. Place and weld 3-HSS 4x4x1/4 columns on existing wide flange beam with 1/4 inch thick stiffeners and 6x6x1/4 inch thick connection plates as per detail Section 1. 2. Place&.weld 1/4 inch thick top and connection plates to the top of the HSS4x4x1/4 Columns. Weld 8"x12"x1/4 inch thick plate to HSS6x4x3/16 beams to connect to the HSS4x4x3/16 columns as per detail Section 2 for a opening on 2nd floor. -Trellis on Second Floor- Weld 1/4 inch thick connection plate and stiffener plates to existing wide flange beam for 5-HSS4x4x3/16 connections as per detail 4. Welder:Jose Arturo Chonay. Lab Name:ASB Test Lab. (Simi Valley Adult School. Lab Number:246584. Date:08-27-2009 Expiration Date:02-01-2018 Note(s): Based upon inspections performed and our(my),substantiating reports,it is our(my)prspfessional judgment that,to the best of our(my) knowledge,the inspected work .. erfo in accordance-wi . .* :; dads,specifications and applicable workmanship previsions of the Intemation.._Bull,. t a+� } Inspector's Signat Date: 07-21-2017 Print Full Name:YOUNGSCHICK(DEN )K(IM Certificate Number: 1005331 • ."'EXTI7CATE NO.(471X,Af dal) :5402197 Pagel of4 t ,�7 7� r oF>551nq �dst�l) .2ols ll.Iy V 4 1 AIHY1lf11DRI "(f�� T�� �} • STEEL MKIRALTlP�NO.(44YG1') :A16956 MILL TEST CERTIFICATE ; FiYt1I�1DAIS�. 1, 21tN0.{iff-`1 LtYq :200117066EN •Ika3"3 : ft)'�W"1 %la 70614)683-7(1 a4anTYca1$y) :H.3w.STF9.PIPE 10204TYPE3.I-20(34 (1ILSANPLAl3I} cos Y.o.�,,.n,I�o�uv,.r�., TEt .52-71OQ1I4.FA%ffi-S2-7d7.8916 SPEC)FTCATIONOTX-dal) :API51.3775UfA5T14A533/ASH6SA53a CUS OMER(.211$). EymlthL&eei USA.]NC. rT[P& Syllaetatie Tango Ptnpenha not ltngh:2lnh) Haome Tarr&CYRlopaaTlx AIHT Test(t) • Or SIZE LIENCLEI No. PIPE L PC5 W}3GHT Tat s� Tm�rSet�L Yield Y/R �d GVN3u u 74t11:1 lil END OVDDIA:T)IICL KLENGTH HEAT N... �' °� �u Roe ward Rest uaat) sr.>: LW'1 x q.i x dlol) Thar Tel+ AbA`bed • 1' cf uP' > `, % N e3o I Z 3 Ark A )�1 ` 2 lSia xl -i I�SG17 y0 cam) (XG) (1) PM SEC IKZ 415 415 245 i x3i X7 iar awl.:LiLadlt17» L EB E 3-1/Y x o23T X 24.004E 20 23Q 480 )s4s4a 2240 5 L w 3ss in - m 16 4.3/t X ozir X Ji 30D00P 21 3,074 6)0 �i45;4 724(1 S L 459 3 3 ffi 13E 4-12' x 0237• x 40DpOF 21 4.Q79 84) )S1544 nsv 5 L58 459 ns i 3, 6,"5C/4 tEO 4 En BE 6-58 x (LJSr X 26.003p 14 3.130 364 N65L98 34 1800 5 L tsi 3fi5 38 Cme3tadCe®paltSoa(SCa ---- - - �- --- - - `- + { 1 1l ZerCatela<Te c r RC-Tex IgiCTac paw C Si { 1fa P s Cu 1 Ni Q• I Ile V T! Nb 1 At 6all Ie6 PCII En Cowing CoppeSedttre rOfe CC[4 CM. Csa SSCC a11)Type of plpc end(iE�)No. Ha+c rta 1 i 11 [ f tl 11 Tea ltueace • Test. Y&B4W81a$BBDasdbd - K2)L-Ian�mdlaaL T:7flma,eae 'go `�°° atao n� MDdu 2Gas 8a+k pd %I % % 013)E: ae Da .W:Well Lb..IL Seat Maned 7aae K4• t - - 144)H:84t{Ladie)Ansbiko.P:Boise Analysis ` 76 - TZD 33 33 50 SO 50 15 J 1p ` x Cs?CEQ. .ftat6.t�+71nVf/s.SSII.(ax)ns(iF,coO.IZ) II 4 1 S4 i2 3 t - ` x6)YCM.C.5036.(Yn.6•bjRWHU60.I�[di5.07/10T58 , (IX Cs0.12) P 3 1 53 II 2 2 I I I TA TR TR l 347)80z each redaafaa of 0.01%below the epa1Hlei max. P 4 1 54 33 3 2 I i 1 TR SR TR 2 far C.sn Lh eaof0.0Sfb averhredmar- 2 154544 H 4 1 54 12 • 3 45 ' ` fox 11b is Paea6as1D1t 4 to a mar-mar-o Ld5% f 1456 X SPLC YEAR-API 5L h Eiltion1 013yASrM A53(2012)/A P- 3 -1 53 ' IZ 2 2 1 1 1 TR Ta SLQSA63(Aln - - ' -- --- at i I P• 4 1 , 54 13 3 2 1 1 1 : : : . 117 3>z 2z t 1 L 1 - ( �;;-. -i:y :. ...-1L../�Z F P 4 1 St 13 3 2 I .1 1 TR TR TR 3 y1.•-. .rr 4_ _ /_.Si .fo 4 L`166138 H 7 1 54 15 7 - t i 0i_r C!�:r pE-.:rl- a`j 7G l� P ; is 2 76 15 7 2 1 1 1 TR u. TB TR I Ft_ P 6 1 75 14 6 2 1 . 1. I_ TR Tit TR TR • ..._._.o�..�_._. __ Maoist ' Hex2maaeaa - --'-' --_{ - �C7:US) Oatda23ad TOR v6aat 6:na.m,a. �t'ebe PionseTec • HadosTac CsahTeac�Iteai�dltrme® :-t true copy from'i our records. GOOD GOOD GOOD GOOD _ (mil 1 '4i e•V 11,e-2lN k4iligfre-.i•01IL1 L I •� .i TIMPL3YCra7DY'IHATMATERIALDES� H1l5 DESCRIBED N 1tFENALC1<PLIDI�HaA)AMORD NcEV/Rf1T11E PR/MIMED sk wsamG41QN BDFR At0)U �- sU1tVE70A -14144'aH-1 KfTr�7�1$�1+F-F•1 t 1- 3-t17F'4i4 i'zl" > .1. *VAT A.'1li41 4%4.1 41- i-.121 i'404 4:14re114-. oaf DYE-1331-631-1-QI.T - .-. - ..- IITUNDAI 3TL8L 97) i S, ,, Contract No. ;11 • P.' INSPECTION CERTIFICATE ;13'::F'''4HYUrlEIR1 G GLOBAL C I rrit' IM: CusIontel .'-:•': STEEL . , s LiC No. Head Office 63.Jun ObOnCr-Ciaef0.D011Q-CIU, :••="7•••1•01,10,! ncheon,401-712.S.Korea Eniiirm•.:a. • P/0 No. 1• EN 10204(2004)TYPE 3. CoMfleate No.40201512ABOI 1 11-120160200978-25 • Commodity Class Cest.No. ' H-BEAM ...._.,\i.,...,..„:;: ••:N.:: ' . i ASTM A572 650/A992/ 1.. C5A G f I ral.nte.'il-j,hil, irIZ.;!_-_ _ S ifi i Dat pec cation t 40.21-13 50WM(3415WM) e oIssue: 2016-U2-L15 - Chemical Composition(9(;) Tensile Test - - Impact Test(V-notch)Pieces - Nb Sn CEil) Remarks Ht N ; Dimensions Cu Mo Al Tensile eao. C Si Mn P S Sttenolh Y1e14.1 point Eiongationt2) Yield AVG 1 2 3 (Impact Specimen Size} ; &Length Ni Cr V Ratio , r i Wefahts , - (ku) x100 x1D00 x100 x1000 x100' Nimm2. . 12X12X96 1 25.0 0.725 F.1864 84 19 14 101 20 13 22 1 ,2 542 391 3 10 41 35.00 14T 1,524 9 11 'It 537 3/35, 25.0 0.72 - . . 12X12X96 3 21. 3 4 541 394 24.5 0.73E 186485 18 20 99 1 e 52 15 39 35_00 FT 4.572' i 7 7 15 540 383 24.5 0.71 12)(12X96 E 186140 1 18 18 96 27 9 21 2 4 4 9 40 560 402 26.0 0.7 40.00 FT 1,742 , 10, 17 15 555, 398 26.5 0.72' 12X12X96 4 18 2 99 18 2 15 39 21 3 4 541 394 24,5 0.73 E 186485 0 6 •40,00 FT 6,968- 7 7 15 54D 383 24.5 0_71, 12X12X96 1.- t 186486 14 18 13 104 21 it 21 2 2 4 10 41 544 3927 24.5 0.72 40.00 FT 24,388 8 15 16' 538 386 24.5 0.72 4 541 3941 24_5 0.73> 12X12X96 E 186485 8 le 20, 99 18: - 21 3 2 15 39 45.00 FT 15.680 7 7 15 540 383: 24.5 0.71' _ ... 12X12X96 186486 20 2- 18 13 104. 21 le 21 2 4 10 41 544 392 24.5 0.72/ 45.00 FT 39.200 13) 15 16 538 386 24.5 0.72' 12)(12X96 11 'E 156454 23.958 19 14 101, 2II, 13 2i, 1.I/ 4 3 10 41 5421 391 25.0 0.7i 50.00 FT537 385 25.0 0.72 - - I 2X12X96 4 21 3 4 541 394 24.5' 0.73 50.00 FT 8,712 E 166455 18 2 99' 18 5 7 7 15 2 16 SPA 540 383 24.5 0.71 . -.• : 66 . SUB TOTAL ,126,744_ I r- ..„,„,,,,,,,„,.„,,,,,!,,,4,,z,.r...,,.„,,;-,,-.,„,,,...„.„‘:.„,,,,,,,, -..7,..., ,„ ,,,,......,„„r i.,,,,,,,,,,„,,,-..,,...,,,o,,,,,,,,,,,,,,,q,, „4„...,,.„,,,,..„,.. „....„).-,.„...„,,,... -,..„,.........-.,..„:„....„- ,.....,-,...,,,,,„, . . -fi L. ' 41,. 701 1; 171.1i:Atil 10;;Vir.VW.T.,::Pl'i•ilnit:4";1.1:1:-..4..V4•11:-•ii 1 tit ;544)kii,: Aqi-1;;;.:4*.j,rz.:::'.5.;;;-; 2:iaNgi VI•f!'..'L r WI 'ligilf liSilhil' . --,'E'N't ..,. %yam,lw•••••%• : ;;:.4,-!..4.-..it.14;;:i:J:--.-..-.4,. .•)i..t.i.:;,.--::;,-A::...:;?, ,a.:,:ii_;;,0,,:12,;; •:-,:l.:f...:•-....;-;s-: -.:b,.*.,,:::;i,--,-.,?.y.:ii...,;•,-:i:,.;;I..,'.::-:2-1•:::;-;::in,-4:-..--;:i:g.:41;.!,<Pitz1*.V4r.,......1,1,4..=_56......s.1: .•'..,41. ..,..;!;;;D',„.1.„1 111,irp:A.,Lig,,, t,,,k2,14;:,irr'.:-.''si ig.,-,.:::.:::1::.‘;':.:A:4-.:.;;.,.N 'Witi°2:PZI'gri.iWgiNifg:t9t1. efregilip.goi,10 lwatinfirvigsww,livrimPi j C • A A . ri -•:•.-W51,:lialifidgFITIPNIAilT allmAipitWITIAc *Ei iiiffmAA ANISCirlirtiltitribagiciArkiegAtfilit„%i_tg 'Ote,ii: is- p::.-s. ..-• - -1.1- - - ''''.- 4: f . •1 a f tr hat 7..-•"e" i).fterVflilffrABOVrefilDEICItN3 lir"' :rAPP:,-/ t4,,ig,6,8inpl§95,12159ttill .01'firt-P t.•.r1 glit%le.IN•!II. .kg-i-vit 4-,s1,„F. ....- ;1,-r.--- ?,..-' ;-'.- i'-' PTIw ,..4,,,!viOlik:te.4342-;:ltp,-,, ,Pedtyri01,,,D .mciiR:- 1114111:1,1e0 ,1/4-11 Er-,'--.. ••1-.y?pri,,,-, ,..,A.T,;(kiro, •T; All. General Manager°I CA Team U.L.,''i.' 5--...4:1%.,'It‘....1:74:1L.ir,41-...141A5L1•W.t.'1.:E4s.z... 3.rst- 5'." !,...'11klilik;•1.4rrts.4:. Pra.,-...%.5...• --1.MS I 102(A)-3a '.. OR [. C.,Real-Apr&**al a-lt ti-zIon Af-854--e clialg 1-14.(01,1cotle scanec App:'Great') 2910632 A4(210x 297) • illuin!L;,:;;;;pviii • RFM•fkORCeap...igaktnr, J•1,!..n.„_,...,"..4,1,..-• lty.iitt:••••,tiAteaW.11 _.,,,,AttliSekapatta.M.A.ZitiVet ....W.ITYX:iptt..§,SSOWT:ettWASM,÷2•1 *•$ . 1V;•51. ii,NT,Ili if i!;;;1*ill ._ ••K,0,1.v.., _-'4'0..*••••gitt -14A.:: Ill,;.;4./"."3 -2.-5 .4'11....t5:54. ''''''' 4,;',3 ,-.°-1-1.....:- *.4-.•.:,,..1!" • -.• 51. .-..„ilt,V,K5.: WW'rtilt"PA..,. ittar,Vatry:4tW . ..i.").;..'..k..,..,.,„,!(-..11::.:•' iiilillAIIP,;:t iillilA ‘.;: .'_--4.M,T., r -i:Vilit,:i' 4:!•,. Ye(4)1. 11 ' -s:,?-#.1ST06- lc,: 2. 'Attes, '11' 51;.- -`-`-' 't'' ?-3";,, .:4$:''14-&-'4- ',M• - ,a. In -‘,11;;;,.,...4 „ix:4r r--;,-..9.R '..Vtrit..I-'5;•544.14-k....-.J .11,."1W-14 .'••__:• .'-„... PiEliqb; tjlfilii1;i1:1 79.M.2a-la.5'14.;••i .... ----`1 rife./Ai.',:r:S":1 _)--.,, .i-4- .N '44,...,:;:lq.,•.-4;..Szt, ... .4.,3.414;r,.t-h 4:41..1.'4;1g; ' -tteefnif.- -,71,..:,,.,-4,-s...„_3;v:..---A-A.0- X 11,1 Cil Al . 1 •,',.- 763 AI-1-Erj Al-,•-., t•-•j,--1 Al-V-0 3, At-g- 1-X1 52,3i,47-1-1 ck Al--Vr c?-,1 7-J 4-Dr),-.1 a.464 -7--Al 71 um LI cl,tr 02-772-2125 • • r , Connect No. ; INSPECTION CERTIFICATE <�.•.�; HYLJT EIRI STEEL Q� .c__ . M ■ Customer GS GLOBAL v�LS•,i UC No. Head Office 63. lunpbonp-daero,OonO-Ou. f.� ' ti' lncheon,401-712,S.Korea r P/ONo. 4o2o1512ABO1• EN 10204(2004)TYPE 3.1 Corllticate No. , ;�al�i:i If-120160200978-25 , ' Commodity ' 1i-BEAM f-1, is ClassCeR. N . ASTM A572 G50/A992ICSA G •)lj yi:��-s'.l tl`:irQs_ Specification 4p_21-13 50WM(345WM) Date of iSsue . 2U16-U2-US Chemical Composition(%) Tensile Dimensions ^ Pieces Impact Test CV-notch) g Length Heat No. 0 5i Mn P S Cu Mo Al Nb Sn 11) Tensile Remarks wal9I,ts r Ni Cr V _ CE 51ren0th Yield goint'Elnnpation(ZI Ratio AVG 1 2 3 "(Impact Specimen Size"; (kg) x100 x1000 ' x100 _ x1000 x100 N�,;12 % , (') • •c 12X12X96 E 185484 I 1 i4 101 20 13' 22 1 2 3 101 41 542 391k, 25.0 0.72' .d 35.001 T 1,524 9 11 15 537 385' 25.0 0.72 35XD0 12 XFT96 E 186485 4.572 18 20 99 le 5 21 7 15 2' 15 313 541 394 24 0.73, 540 383 24.5 Oil 12X12X96 l^186140 1 16 18 96+ 27 „ 21 2 4 4 9 40 550 402 28.0 0.72' 40.00 FT 1,742 10 11 15_ 555 398 26.5 0.72, :12X12X96 E186485 4 18 20 99 18 5 21 3 4 2 16 39 541 .' 394 24.5 0.73 40.00 FT 5,968 7 7 15_ 540 ' 383 24.5 0.71' _ 12X12X96 IE 186486 14 18 13 104 21 IC 2i 2 2 q 10 41 544 392 24.5 0.72 •40.00 FT 24.388 815 16 538 388 24.5 0.72 ,12X 2 O2XFT998 1=186485 f 5,688 18 20' 99 18 5 21 3, 4 2 15 39 541 394 24.5 0.73$ - 7 15 540. 38.}3 24-5 0.71 i 12X12X96 186486 20 i13 13 104 21 IC 21.• 2 2 4 10 41 544 39< 24.5 0.72/ 45.00 FT 39,200 5 15' 16 53a 3861 24.5 0.72' 12X12X96 186484 11 t�+ 14 101 20 13 22 1 2 3 10 41 542 391 25. 72 50.00 FT 23.958 9• 11 15 537 385 25.0- 0.72 12X12X96 E 186485 4 i8 2R 99 18 g 21 3 4 2 i5 38 541 394 24.5 O.7". 50.00 FT 8,712 7 7 15 540 3834 24.5 0.711 SUB TOTAL 66 126,744 {NOtB'�rk la Yd 7,t b,•'V:Ka":.• t ,: _.._ _a .! ..♦ _ _ - }11 1 -Gag 1 o , 4 r. r.• ...••c•_. f!'...,; 1. :::1' a:ti :, _ -. .r71 _ _ _ ,i ,fir) {CI:G 1rtfS+GrLS-VI5t oIS IV li6t6uh15} ,11�i p'i'a i�..••Iti. .2)`.6abge,I neth,., 0' s sr y! �a r r•4, ' `- ,•,....- zi;,1 �• ;L •1' . .,;t i rra.a �.: ,I.,r'• yin.!i ..1 {?':p'fIt'p. r. .�. 0+-.,.�+;a�_',' .-�3Pr�t r� ($_�l_ylel0lf��ti�i�; •: �r rt ;;rrfit "1 .•<tiS r;�. •b ;.K,•.ri. r I �lli , �y {{ {_ ',�, � ,: ,.i.1 a 1..�..: !.•. .�-r,:;": ,L, l'et&C1 t.. , .r wt•:!Fthll 3!'irrtKi'l?({t�.ri.'!?a, . .i17.•e"r.41• 1.'41 r•-.1: .LI4!-,;:Y 4:;..l,•, 1ifi :`!:. `;,9 a `+�•\`, ],.. ��. ifi'r�' "'1,i= _ I -.�,- ',I ••"t, �a .1.:1.. 3� J,•,, ILrrzL. ,�:.aG7S1 f' 1-1 ,.. 'b-� ° 'r � yi.� �. t:�:f!, ty�9b K$i f 4 - ]G. '15,�1 vJ I�. :;• < l•� .,,•" F4� l ; � t :. > 7 I •Ze -1 7?it : "'1-:5-y�::--..:.im-s_r �-.:;*:9-:- Lam::4:°f .4:e..,,,;I,,1}�'Y•I.;1!_, I,,5,4s., Iiirq1:y;: 1�.7,:,14;;..1. +.tr,•, +'}�tii" •'�;1'.• ';K: +'s .-ii:3,{ '� .:v ,.t i' S.S.. r1�:' ',.92;4.i:. 'A �: 1. �{:-I 15. .r* _ .;Yap,.. •:/.t•itt t•.:191...�t� , ' y �$ f' i1 i% , , ' ''F *F.IF :.;::., i:;;,:�.;.... ^,i ,. ..:a ,tFn..::11. ::Y.r...•,•.• -4:��.7, :L: �-• �t �,''"iti� 1 �;�1 r� , � ,�.�` �:�r-� �'7•- -.iv-:5•r�� �' - -_ -:i•`r: }n; :•r:r}',:: fari-t:•�r,t��.:'P •vn..k_il_!.L:..._.u....,iF.?:F` s.:� �F�1c}.•..t'F,:�: � MM .�•,,s.;' .. :`�' �r"•'4:"� .'ff7:-.-3 r _4 c :.!•i��-_ z3-f�sS'•r'-'..3Z"•!- 7,.Et i.' ;�x1xr}3r���r••_ ir„�,' .ily .E.9•a .•4, 1 „r•'• ....2"�.��a-'�U.,°°;is^,1 A •31 'e' .:3I: F. •"n.Y�':E 1 �,,QQ ' (� t�+�i �_� r •aFa'C; `'�{j'T����{e �pr¢a Y.i,,J? I?3. •1^ S'.;: • - . DE L); µ , •. gL:.Y \_,s141.4...1'1:4L• 1•. •.t;. n s: 'z WE FIEREBYGERIIRWTFt'A7'7�Mf,a I -t r1a l' "1" T '� �i' ) t �� . A - r r,jti_y, `. ,. i, R A�,f•i t3 E11)"INA��E: `�S!LQ'!rv"l a ¢�4N�ci<wITH,THEE' > �; i VV "� !�'t�'}' ABQVE'sSPECf FiCAT[aNA.iVtS LS( ;Vill�ti;FWrI nrrU Mgt a prF �j , L r T ��ry�/l j1� iy., d re! ;±11 •,4 , , 1,•!.7 `S. 11 0'p:. EA,WV,;;1 ORbAA:•iR� t 4,1 ! �f General Manager , x! -R .: • e k 1.; L 1,nL �,'„• -t r r �!r, r {� '.ICi; -..oti••'•1' 4' 4'=".; t 7 �',�'F�i F' �F�S.-,ti 1•SI' i^' :'i"�' �`1t J'- x! ��yy 1 i•��: 1. '�yy fh,fr;. 1.3 k r i c7� a --•• �,,-:�1 t,tl•[;.. '- •ii of O.A Team c.�$; `c• Jb'1; art' l's(t_ E: s ' v S' tp ' 2Pr=.Fr 3` ?;.•!"�.. . • -'41 11 N .-!114•h• ) ;:z,i•....:_::�s.5 1_ .-r,.ia.4s? . �a: �.,rt;..-.".-4.,..1•'b b. rliA.,1451'. ..+-,eY>Tk y.`ra51:"k_ (r=' _.cs;:..-vt... I.x 11 : r 4 HMS 1102{A)-3a 3i QRo ti:•- 'OF eat"A.t)0fi irei0i-. i't JIe1(AEQ5-1-t u}3'221_J CE-(ORcode scarier Atap:'Deaf) I F :r1:j"IiI t•!gip' r��'r-a-�y '= ••� '�: w '':r1r.- ,�' - 2010632 A4{2i Ox297) 17•� � j�I,F .i.lr t, 8!it'3 S .0��++ ���L,�„' 5' w a. +.,. ,r,• _ � _ _1�l 5 i tt,.ii lit�t r ^!R' re..:.'r{ 1Ftt t •1,laz <� `iVIP--' ie�" _;• d2n' r'o- ,..-.-4,C•...:�L.f- i- ',„ tyA..+zvc : 1! ,rr,r ,�,.1•.J14., i'.iil j. Iill�7''Ila i �T•,.r, J.A.,,::'.. * !,, r _,- si - .�: 4' ` r.+,4'.' •i ••• ► 1. k"- � •' 47---,R _ "65vrBs`�..•'it : il' .,,.al rqe S u r• ` {�..._ .a-•^• ':?ii s _•�i?,' �'1 �..'�d..: '. •w : ems' ,..C�lJY,'Y -r -,�+--r.' . '•Z .�'•'_'. 'rt: `•.,...M,' �"r.':s a-�.,```"��r•-�;SFn-,w,"�a -j�"' ; .`ice . ?' ..,?.?,c.�a•:_W:...: -etr:.c'...- .+.s:_ e;t+ 'l.?'1- �•1: 3 „!~+1i1=".rl' ,..1kp i dgss.• 1 r11 4 1-2_- 7,J Al.--Ti.o'tl A1' 1-°0. A1--$-M-71 a=1-1 cf. -v Al--I'_-0J ?o 41-'I_Ti a}° -Tr•.t171 111- }-t-1 Ti-.x3 02-772-2125 , • Contract No. INSPECTION CERTIFICATE ;,::.;" l"lY i`1flA! Customer GLOBAL •. STEEL ' ' . GS _�4- tic No. Head Office 83,Jun9bon9-daero• Dong-gu. ;+f•�•gl" incheon,401-712•S. Korea i., P/0 No. 462015 i 1 A643 EN 10204(2004)TYPE 3.1 Certificate No. 1142O160100656-15 Commodity H_BEAM Class Cert.No. ASTM A572 G50/A492/CSA G Specification Data of Issue i 40.21-13 50WM(345WM) _2016-01-06 Pieces Cnemical Composition(%) Tensile Test i impact Test 0/-notch) Remarks - Dimensions [feat N . ��=© �' ,.,, Yield AVG 1 2 3 (Impact Specimen Size) Weight- Hato - (ka) x100 x1000 x100 x1000 x100 N/mm2 % ( ) o 12X12X87 v+ E 186141 1 .1. t• 97 24 7 22 2 31 'p13 41 560 396 24.4 0.71 f' • t60.00 FT 2,38= 9 17 1- 558 393 23.^ 0.70 12X12X87 3 24 2 .d 557 397 26.. 0.71 60.00 FT 186142 7,104 1' 14 9 2 11 9 17 1= 41 12 40 552 395 25.- 0..72 12X12X96 E185894 1: 1. 95 19 8 25 2 2 17 39 538 385 26.'. 0.72 35.00 FT 7,62• 8 134', 1 5351 • 384 27..r 0.72- 12X12X96 4 25 3 - 565 392 25.4 0.59 35.00 FTE 185895 6 09= 1• 1•• 99 23 5 9 17 1• 4 13 42 563 391 24.'1. 0.6 12X12X9fi E 185894 2 1 T 39 1• 25 2, 538 355 26.- 0_72' 1= 1 95 • • .95.00 FT 27.44r 8 13{ I 535, 384 27.0 0.72. 12X12X96 4 26 3 565 392 25.• 0_69' f_185895 1• 1 99 2 5 4 13 42 45.00 FT 7,84• 9 i7 1 563 391 24. 0.69 12X12X96 185497 1 1 99 3 -r g 24 2 4 12 40 538• 3871 27. 0.721 • 50.00 FT 4,35= 20. 1 _ 544 392 27.0 .0.72\ ' 12302X96 E 185894 1� 1= 95 19 8 25 2 2 17 39 538 385 26.55 0.72 50.00 FT 4,35= 8 13 1 535 384 27.0 0.72 12X12X96 25 3 - 565r 39 25.0 0.69 • 50.00 E 185895 13 0• 1• 1• 99 23 5 3 17 1. 4 13 42 563 391' 24.5 0.69 • SUB TOTAL 41 �80,2"• � 1 c M VO r :.IY,d,i,13.....vY.•H; 4i ITT.f�n �4.3 ig kz, •s. .,:3 Qt ,...tr v d 9 - .' r .q e•N. i .,,c c,„AI: t0 7„ i. 7 ,Yv ,,• 'i 44100 �tl•(F lB+C V l.3o 5il1 _1' ,15 t. I :`4- ,( )' page lehQth FQf i� �y yp :1.1 •;1•Oti A • ih $ � � • r �• ,,ti�;!7vs- � r ry�,.�,.���' �,r._3, � t� i�., a5"••�•; 5.�p4� bi ( �g��'•'b � .� ":8'�a:��� �ZI� L._ :1 .,&'• r i C f�1w� » :�.t:,.... 1r , -0 ns pp t iL tt 4. L i., iYS. = � 3�+N44 �� � i3 7y fit, . t; 5 • ' nF.� i:v773.,:L1i.'-:11 ,y3 c Air- s. j P 1tt :J,3'lar 3 tj 1 AA n %litTiV.e . T,1 = q ei,(" •14= �;C ' �e5 t�lQ�C •A' C'A Ats: _E i �• ( , ` B P �s s L 1 IA SI (fLt`D 1k{Er B Q EF3 i. . :psi; •I Genera(Manager of Q.A Team p 1 `•l i'c + • >• 3! `- �' , ,� ri__ .A . ';z-�.-=�`� fi3% - -Z 7�.:fi;i�`wry%':.^',uCr,-'y�.:'--r� `•c L.=':xfl' cr. � -:�%;�;'� :-xsv' 2� .E,w - , ��s _-;r:{?Ili �E�L��-�;1K�. :�, �: ,1y•��`~�''1.+.'r� +�, )c:•�-sn��`;-'-��rsh '3.v�,•�.�,'b= *2_br�n '�'.}�`..y���•���7�-�i;:Y n��^����� x-' .' .ik 5 V _ F. :� �5 SR-.. .i=�'~ o`! g� :, s• i.#i. 1..,_t;4 "�•. .F[ 1 -�..}2.....:,,�_� �,ri h 7N;. tZ...:.r-„�Yti x Kl 4; R=ri'�'.=.y.4NZ? r u •'; f_. 1 .z�_ {-'- t f 4- '• -v'_?�,-Ti• �t "���i-', 'Ff , ..1 zs-', y T ACC "��'1 s-i ?� bF�n• :�'r_ - �txx t• •t �•'}3� � f-- ter S `�• .� � •ti.�yr:-, ati.. .�. i n �:''- �.y ��3LLr� S?..:.t ,�y.�,.s �i.4v�� 'e�' i. �... c�.�! �. rN.'�^+.�_}�•'` -2. .` �:' �" l e1-,tcrt�j�1'�- � -3:• . :I; ._ 'E'Z 1.im.'h1R� ,,2.s7�,!taL ...-;_-Ai i:.:' s. a- , . �r �,tn' t..y� -. �/4, r. .t ' • 2':31!=f:::i'- : ':i' .'s +::• ?��u; � � �}�,'�'!i'� �'r•:F2. �aFcx ��.5."._r 3.�.v^iS7''•v �-.":S^. �d ra 0 ztd tl 4 4 II AT-1-'>o Al z * ' o -Al***71 n *. *A} na 1 T L�3IF -rhl 71 til.*' mil-.ft 02-772-2125 P S CI R. • • Contract No. ;7 ..-• I:. HYYf OR� INSPECTION CERTIFICATE , {°.:..;:,:<< 4. C Customer -,, STEEL.' -�Fti GS GLOBAL %Fi Hs. t 63.Junpbong-daero,DonQ-Qu, :t,_-t- 1• - UC No. Hasid � inche0n.401-712,S.Korea P/O No. 4620151 DA601 EN 10204(2004)TYPE 3.1 Certificate No. t>92D1 51200959-14 ' Commodity - Class CerL No_ H-BEAM AA Specification ASTM A572 G501A992/CSA G -y Date of Issue • 40.21-13 50WM(345WM) O R I G �� t'� 2015-12-07 J Chemical Composition(96) Tensile Test Pieces "' Impact Test(It-notch) Dimensions .Heat Na. C Si Mn P S Cu Mo Ai Nb Sn (1) Tensile Yield point i2) Yteld Aema,ics. 8'Length weigh' , Ni Cr V CE StrengthElongation Ratio AVG 1 2 3 (Impact Specimen Slzl ., (kp) x100 xi goo xi oo xl000 x100 Nlmm2 % (.f I 'C 12X12X87 E 185578 3' 19 15 95 20 '16 25 2 2 15 40 539 3': 28.5� 0.74 50.00 FT 5,919 8 11• 14 533 38 28.5 0.73 12X12X87 E 185103 1' 19 15 97 . 24 6 28 2: 3 1 41 549 37 i 24.5 0.6 60.00 FT 2,368_ 10, 14 15 543 37• 25.0L 0.6 12X12X87 225 2 4_ 551 • 38• 24.0 0.7 , E185104 18 17 98 2' 10 21 40 60.00 FT 4,736 10 12 .15, _ 546 381 25.0 0.7 12X12X87 E 186141 1 19 14J 97 24 7 2c2 2 3 13 41 560 39: 24.0 0.71 60.00 FT 2,368 9� 17 15 558 39 23.5 0.7 12X12X96 2 24 2r 3 538 38 27.5 0.7 . 45.00 FT E 185497 3,920 17 15 .99 3 9 3 20 . 17 4 12 40, 544 39. 27.0 0.7 '12X12X96 E i 85506 . 1 19 1 fi 96 1 ' 6• 22 2 3 3 11 41 545 39 26.5 0.7 45.00 FT 1.960 9 15 14 551 401 28.d 0.7 12X12X96 5- 28 2 3 537 27.0 0.7 45.00 FT E 1135582 9 600� 191 15 96 21 4 9 13 15i 18` 41` 539� 26_C 0.71 12X12X96 12 27 2 4 543, 4o 1 26.5 0.74 45.00 FT 185583 23,520` 20 14 36 21 3 9 13 15 18 42 535 38 26.5 0.7 12X12X96 4 27 2. - • 535! 38 27.0 0.72 . 45.00 FT 1E 185584 7,640, 19 16 96 20 13 9 12 .14, 18 40 541 3Br 26.0 0.71 , 31 SUS TOTAL - - 62,431 1 c _:�:: .'� .K,: s;La'1;:t:a(4` r-y :;.^.ias 4r�i s ,c«a; x.r,.;is •, . �.n3• •�S • �+r'�pr=•Li r.,, n.sr .v..S u - + •_ y - xfiEye+ „AC +o:sr,•r .. o 4> > - - - i" '4-.1.-15, t i-.Ce G+.�1{i/ i S Cii•9+G`difOr' - Utit SN Il:' _r tit 1. kit thl-'fL_063Mit ' I!. 31. i 4--• ' IY . ^.fit I `- i l{O� - 'n. I?'�k ttI hli Jai ,J • b� T•J ems,] ,C ��,, 1. f; , �y ''t.-17 ` J j ',1 v�i (. It ti , I�"a �! i �'+ �t� �._ 4 �-9 �` �i� ( r[J'� q ? 7 I I , , •is r•�RI - ,n i''4--. ��1i, r I•' 1 l,:.,;Sz::toi4. - 's4"4J ,ert:.�nl�f �F�" i 'f.',F �.9}f ` .it4• 'is&• .., .•At. t '. ;. '¢ t.' 4-. ,. ;1,.. •_0,1¢ • ..72. ',dt...'i. vtalAi4�',e. ,.., ,",..r,i;s,` ,,,„ t? Z - _ ���i�� - .. 1 z� G -1st), w 7 , � :'� '+ a,3�.' �S�,M 1�., „:•I� ti��" y, , .!,• "$ ."%, t u' n a 1. , G r _ y .i`•• f` :.,'. i�,6 c f_; 4 ri' 1 t �.:: AA vd£;HER Y CERTti _ r I a 1± .. �r�1AS _.�i�iQ' SG D`t ,AG."o + _ E ,=fix.,,'. . * -7'1'�.10'� 1.0A801(E1§17a it 31013{.Ni1 A, WIT'ie ' Audi3�ig M rots! ,, Q i:3OABOVer+'isi5 NI 6; ill- Gs": ,, General Manager of G A Tearn $-,S,,A'`•g3• • rgbi • • - ,•J i, - • t . �` $,j •-• ,lam . ��� _ � --�- r ?�':� ...._. ' - !}o2el;, a rQ _ - :. _ ..o.., - 0, r a - '• - . •' � i ':: � � %iT -r4b41 Ii�w:sFea- ..__� ►S�: v ����'r,_'�_c..}.."«. •1�7..'�.•.�.. iiL_-.�n:,�t�.�� L'�'�Sr'.. Q' �2�'. ':°- y�•�'_'sl. ;�ii�-�' �v�'-��C'�.a y.�~3 'M.' ,{zly{.a. ° 1l fix; Aii- • -A1-- o 1.I-- -t1- 1 )44 . *A1- °a o T-•i l f°I -i AI 71 } - cf.Et 02-772-2I25 h -•,<,.,=:=-:_.... 66 R 1 fl • • • • Contract No. - •,�Y i 9�R Q INSPECTION CERTIFICATE -..,,1' s' 'Q g Customer 1.t3S GLOBAL r • ' STEEL ' L/C No_ - -•- •--- ----- - - - --- - - - -- - -- - 53, 1nn bon Caera,DonO Du, ' - - N Head Office 9 g- •L --- Incheon,401-712•S. Korea 1:1-cr•`:-sty P/0 No. 46201507A603 EN 10204(2004)TYPE 3.1 Certificate No. IH2O151 D04082-15 • Commodity H-BEAM :;� _'�; -t• Class Cent.No. ASTM A572 G501A992/ • ``�~`--' Specification CSA 350W Date of Issue 2015-10-15 ,.. Pieces Chemical Composition(%) ; Tensile Test Impact Test(V-notch) . L. Dimensions • rks Heat No. C Si Mn r P S ' Cu NM AI Nb Sn (1)r Tensile Yield point (2)' Yield • Bh Wet Ni Cr V _ Strength Elongation Ratio AVG 1 2 3 {impact Specimer,Size) (ko • x100 x1000 x100 X1000 x100 s N,r:nm2 % (s1 "C 1 12X5-1/2X30 26 31 2 3 540 39 • 24.5 0.73 ,55.00 FT D 128652 19,448 17 14 62 23 9 7 2L 19 3 18 15 34 544 39- 25.0 0.73 •12X6-1/2X30 028 5 18 16 60 16 14 25 2 3 79 14 33 522 36' 22.5 0.74 651 60.00 FT 4,895 9 12 3 519 38: 23,0 0.74 { 12X6-1/2X30 24 a 31 2 3 1 7 34 540 39 24.5 0.73 D 128652 17 14 6� 23 60.00 FT 19,584 12 19 3 81 _ 544 39' 25.0 0.73 12X6-1/2X35 D 128645 •61 18 1 58' 17 $, 27 2 4 17 13, 33 509 37 26.0 0.73 45.00 FT 4,284 10 12 2 514 37- 26.6 0.74 . • 12X6-1/2X35 8 21 1 22 515 40• 26.5" 0.78i' 55.00 FT 1)128644 5,238 11 26 119 11 4 9 - 8 36 5 14 35 518 40• 26.0 0.79 12X6-1/2X35 50.00 FT D 128644 2 859 11 2E 115 11 4 9 8 36 5 14 35 518 40• 26.0 0.79 17 14 59 21 12X6-1/2X35 6r 25 2 17 11 34 526 40: 27.0 0.77 60.00 FT D 129280 5,718 10 21 524 40. 26-01 0.77 12X6-1/2X35 6 26 2 515 37. 24.0 0.72 80.00 FT D 129733 5,71B 16� 12 18 5 9 13 17 14 31 512 35: 25.0 0.72 12X8X40 8j 2 2 536 39: 24. 0.74 50.00 FT D 1265.33 7.25Q 18 16 59 18 8 17 17 14 34 541 40• 23.5i 0.74i +9 0 - - ` SUB TOTAL 97 75,001 Nei (1)Ceq:(CE 4-Mn/6-r-Cr/5+V/5+Mo/5+Ni/15+Cu/15) I Lam!I�.I {tea(2)Gauge length:200 mm (3)Yiel J io=YP/TS r--i i 1 L^Joc AA rtWE HEREBY CERTIFY THAT THE MATERIAL HAS BE EN MADE AND TESTED IN ACCORDANCE WITH THE " r`o,.k-t`., �Y:'e��r"�.I der-.•._.,{-a� , • . ABOVE SPECIFICATION AND ALSO WITH THE iOUIREMENTS CALLED FOR THE ABOVE ORDER ,:.--- _ ,me,µ.; '• -f. General Managerci Q.A Team -_". ' y'_ .-OR0 . . _np...r.. .,_- , ., o - -,o ..i Z. o' a a-,c .•. i' - �' 6 .�la.�y' ci.=c?•- •n.. = lk• .:,'.' -y�5'. t.,,�", �..-r:�{ 'q..• ;fir 7u• ?t'• �a• -7',�^?'�c • t-,r, �. �'.• -i► x .-T_•,'i.. r-q. -p --•�'. 'La 4';.?4 _ ^`L .�i_. --.,'1'i:'1- 1.. �7t'.1::e-zp:, �i.'0C i.`. . +... , - .,. „,,,t Y' ! fL�`^,�yi.' ;,�. `` ire 4 -'17,0•.=�•. .ie„�'4 •'t ii . _ : •_'..: -ate it / i..tr -~ V �.L. e••) 3>•' • ' t .ri - .r .n.'{e.+, ;4 --•„l '4 _ ..' v-.. f:r_ S. " 3G:st- 'r:•17'y `.t 4k. 1.T. ''•y.a'r- �•1:-"t`x:•` J`•• J t :::- .?a ''• Mt:.: ''r '�aVG.�, .+Y.; -� t - = y •` 41..1 .. eL,�' f.;'. .'�:+� s.•'F' ,f•`.. '.'. 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Mapri9 - ra ^.:3af1 D:�99 • `1c r: nopI3-.oa1;7 :slop' Gia i�' :o:;.1,re. �damm(. ;.Late /.usher tl:: , Pt ant, .-rll.nnc4 7..3 4,0:11)L �;5'a 1- HHTTO 101 1,und!r• • e"" n e_ ruxnal 1.1:.y _ 1 ••38 5 • 19291 . 5o%50u '~ W12x39(W313x166) 60 a St 7 5.110 Al2Ei744 . . 2 • 38 5 1s29: 50%50u 4112xs0(W313x166) _ 60 'ft _ _.a _ _6.50i12E57+ _ . - -.._1._ . - 3 39 5 ]9291 mo150y �rL2x30(W3131t166)_ - -60 - fe 8 E,SOS A13E574! 4 1 98 5 19291 -- -50%5zw ' - ' -'' i w12x30(W313x166) -Tit- _-..�_._ CO- ft 8 5,51D Al2es34a 31 25.230 . wacitm31 eooras, % Chemical composition, % P: C I Ym 51747�-�-D Cr ! Na tti-.(•...A] `Ti• V ••1m He 1 -a ' an • Au , G aT L i i 1 ) 1 ; S . ' I .1_ 1 i ' 6 I i I _I 4 _ 1 . S 1 _IS �_..S._7 i I s 1.____ 0.212 0.91 0.109'0,017 0.011,O.Oa6 0.052 0.013 D.035.0.0O25:0.030 < 3.O05C c 0,005 0.0333.4-0.0205 0 00:7:0,0005 0.OD3110.3s.1( ' d 715 0.9: o 399 c el7 0.cif(0 it%'o os2 3 5:3.-0.035 O.UO?s•o.D30 S 5'OOSG c ].DOS 11.Oh33 <O.D�05 0 cC17 0.000E O.J03]!3701 0 3 67212. .yi!o.i99iO.0.7�O.D1t''.00d 0.00i._7.2:.i 3.055 0:Q0:_;^..03::4'5';7sC,i 7,o0K0 ' .0033 c C•� 0703 O.OL`1'7,•7.nii6 0.303110 38i;4-Q.Y2-0.9393)D.19010,C11 I0.Da1ID ,0.046 _032 0.2:3 3 03501 0025(V.030 4 0,3054 < 0,00!0.0033 c D_000510.Oo17 00. 005 O.0031 0.354' - -xaslrtocxae caa%irea Mechanical propertlap^ '1Dpoaor. Texyvac M •Eperteneom conpor14i.1011MB C^( MTe1. Y,old point, Tensile strength, Ywn monms ' Mos (kax) 14PA Max) a i • 1 -377(55) 3741541 _ 51.(74) 523(76fT------- 27 24 2 377(555) 374(54) " ' -51:s74) 923(16) 27_24 (5 3• . 3775) 374("r4 �._ ). - •"SSa('1d) 523(76j - . -57 24 • 4 .377(55) 374(5C)- 1• ,51.1(74) 523(76) 27 24 fh ' flpnvoqammeitoles :LOT 1 ' 0n14vecrao naxmTon 1 no 7 cryx,3 no 8 MTyti. Number of packets 1 to 7 pioces.3 to 8 pieces. uec peKsezeTa - 0.08T. Woigth props - 0,D8 t. 'TO73ap cOOTP11'0TnyeT .IB11CTnyazo.u1 S POCCMH CTaxgap'aN, ^OKHNVYCNMM yt/10BMRl1 14 MO*CT di1T1. OT:pywom Ha 9xCnC1Y . .ha quality of goods .s in conformity with rho Russia Standards and Specifications and the goods may bn :xportmd, . :TopltCn eu nannoH 14 i7porssenow a Pocaw,. , 'terial is malted and manufactured In Rnasia. . PWDH - l }v4'• I 3"ca7,0;-0 4a? oDoxo/E1a_k_:1g:White Colour marking en each bundle Cloini(Cu; .1, k ca7,C:tH1 signatures: :he roO e�en;zrive o. DQ /4 ",`re 30.12. 0 -/v9 Sr' b.fi, i r. • q r 1 • Contract Na. INSPECTION CERTIFICATE ❑ o r = custom et GS GLOBAL y STEEL H 63,JurtObonO-daero,Dono-ou. -_P_�j'�r•c L/C No. Head Off Incheon401-712• ,S.Korea i_I? PIO No. 46201511AB01 EN 10204(2004)TYPE 3.1 Certificate No. IHZOt 60100559^21 �.•11 Commodlly }t-BEAM Class Cert.No. Specttication ASTM A572 G50/A3821CSA G Date of Issue 40,21-13 50WM€345WM) _, 2016-01-06 - Pieces Chemical Composition(16) Tensile Test Impact Test(V-notch) 0tmenstons Heal No. C Si Mn P ] S Mo r AI Nb Sn tti) Tensile Remarks &�� yy��� i . Ni Cr V [ 10E strength txrim ElonOation€�1 AVG 1 1 2 3 (impact Specimen Size) _Ad_ x100 x1000 x100 ' x1000 ,x100 , NLrBm2 96 (') I 'c 1>1b Q0 !i 5 F 130918 5,715" 16 16 59 30! + 6 7 0 16 2 15' 8 31 515 360 67 25.5_ 0_71 12X8X40 2 31r 2 3 517 391 25.0 0.7 35.00 FT 3 128605 1.270 18 16, 59' 22 8t 101 22 2, 15, 13 35 521 393 25.5\ 0.7 12X8X40 0 131035 10 16 15 60 29 , 7 34 2 26 16 16 33. 526 394 26.0 0.7 3.5.00 FT 6,350 12 1 531 �.39E� 25.5 0_T 12X8X40 1 33 2E 562 392 26.5' 0. ' 40.00 FT 0 129807 726' 19 16 781 27 na 12 18 3 22 16� 33' 567 898k 26.0 0.7 12X8X40 0 129853 4 16 15 69 24 6 27 2 a 19 16r 36 548 401 26.5. 0.7 40.00 FT 2,904 ^ 9 22 4i 552 4Q2� 26.0‘ 0.7 ` 12X8X40 'D 131035 6 16 15' 60t 29 7` 34 2 26 16 15t 33 526 394 26.0 0.7 40.00 FT 5,808 12 17 3t _ 531 396 25.5 0.7 - 12X8X40 D 126606 4 16 15 59r 23; 11 31 2 3 15 •13 32 523 379 27_0 0.7 • 45.00 FT 3,268 12 16 2 529 381 26.5 0.7 12X8X40 2 3E 2 2534r 400 24.6 0.7 45.00 FT 0 131034 ' 1,634 16 14 59 33 5 12 17 3 17' 14' 33 526 395 25.0 0.7 12X8X40 12 32 2 3, 548 411 23.5 0.7 _ D 131033 20 17 74 30 5. 22 14 39 50.00 FT 13,058 i , 11 18 3, 550 41423.0 0.7 SUB TOTAL 4g 6.. '40,746t . 3r 1 ! 1rt,Fit .•5pC•Lt fu.: J -�^�+ ,x cur:.., ,�� 1y . :7 'i+r-.i' SU•�t`� �'3 : d '+ + t Q 4 tl'. r. _ ,• l _t l - �• rr �.,:.Mr' i:14 a., . a a ajl.§rwy e. A t. � 20 11,m :t- :j 4:6>:t- (N t�3� �. c� �` r °Crt'wy�M� _i +u�5 2 �Il�i1 t -> 'l I'`4r .� j� •F t �h�'�A4= (�' 1 „ - - , : ' j,.�{I { tIN - �0 ,-:z r - r ' i --- _.. - ,c ';. �t ��is�f/- �� .� • t .,la{:,., +, 'i •r �. ' •' f1� ` L.ig - t ,- >'- 1. xf :,:g1 g..-a! ti' ti/- ""u•' 'i �711•' •_ y F _k E.% + � 4: . :4 I iV 2 + � � _ 3 • _a1� _ _ 'i 'ice:. -. , _..o. r.: �t -Et"'. --1 1 tilisi • -1" C , AA Pi !IV - :: .:0Lagtk,G •' -,li;17V 4 . , 41,2- ;‘,. General Manaprjr of!A Team 3 r�r ! _ - x: ; 'f 1 ' 'i ;4.1 '; •' e ,,II''rr r i - __ r'fc:- ••c.I'•J' - �--'- - -. - L "'� - . . Ct r.t et ii��i:-a•_.'�m:E-� .�r � -��`%r'- }„-N;<fa. '�i��-�f �wt�+�� •'-L�4ic 4i:•��{_>.�•;G. ..'s...:�i.•�. -�,�,tir � cc >' . ._ S.a. . Fy t_.i =s: .:;1; � 1'4'u' ' r .Y�' + _ e ,c:S. iL• yyr r. • ,41••� : •r•-tk•-<' ',:�.,1N��.{4v'C/r . �_- :a •am• i i r_�:= ,- t ,;�r„.at > a.c- . " �,-,,eti st,41 - -t. ? 2+��=`Y t . kr. ,,,. . :¢ > �•�;� �(?A ,Nt*;« ., �,;' `. Hilt lii,I A:ina= "I: t ,',r`ncr-72. ; •+yj? ;ti L4�, -:,,c C..:§cra�r_Y4-.,-.:`,s�Y. �r-A•l.ti' �Vi _c± k`" ,Ly, y r'd�'t. ,i.4.''. . .. 'W� ..,r.L:r!�i :te_:...- rY�1•'"��rtil....�z :=��7a':+t�3. :� aLt5 �s::c :12Y4+,1S�� .. ;•L••"'�. .3,.���� G. ., � Y.�,�, e•,•X�i�ls�...._f7c�••� C1_. t7�?a,ittev.�tt�� ' `�i.._ d ?Y 41 ail j. iki't-13g IM M. 41-A1- .o A}-$-?-5 a- 1-1 4. .t}- (0. 7gT 1-.1�v}. :1 -1-AI 71 41-1'1.1 mil-. 23 02-772-2125 - PS@Q • Conlrac1 No. INSPECTION CERTIFICATE "= �"�YUII�F I Custome1 GS_GLQBAL • STEEL Q4 =;©� r 1:5; • a' t L/C No, Head Office 6:3,Jungbono-daero,Uono-ou, _.T,.%BI ' inch�n,401-712.3.Korea ©;4 ' P/O No. 4t3201512A801 EN 10204(2004)TYPE 3.1 Certllicate No. IH201 fi020Q978- 18 Commodity 1-1-BEAM -} Class Cart.No_ ASTM A572 G50/A992/CSA G 0�1a t r'i' r"t L Specification 40.21-13 50WM1345WM1 `''� Date of issue 2016-02-05 Chemical Composltlon(%) Tensile Test Dimensions Pieces Impact Test(V-notch) Heal No. C Si Mn P S ' Cu ' Mo ' Al ' Nb Sn CO) tensile Remarks 8 Lenpth Wel¢hts Nt Cr V E Siteripih field Point F{onQationt�1 aflo AVG 1 2 3 (Impact Specimen Size) Yield ( ) 1 x100 x1000 x100 x1000 X100. N1mm2 % 12X90(40 0 130376 4 11 21 110 32 3 31 3 '�17 3, 13 39 648 388 25.5 0.71 '0 -40.00 FT 2,904 10 25 46 551 390 25.0 0.71 12X8X40 24 21 2 9 539- 391 25.5 0.72 t40.00 FT D }31222 17 424 13 22 114 21 4 g? 9 4Q 37 4 15 542 393 25_0 0.72 12X8X40 f`187572 4 18 14 66 21 6 24 2 3 i 13 35. 526 418 25.5- 0.8 40.00 FT 2,904 1 9• 15 1 a - 527 . 422 26_0 D.80 12X8X40 D 130376 4 11 21 110 32 3 31 3 17 3 13 39 54e 388 25.5 0.71 45.00 FT 3,268 10 25 48 551 390 25.0 0.71 12X8X40 D 131181 a 17 20 60 29 5 26 4 4, 17 16 34' 528 420 27.0 0.80 45.00 FT 6 536. 13 la 3534 421 26.0 0.79 12X8X40 0131034 17• 16 14 59 33 5 36 2 2 17 14 33 534r 400 24.5 0.75 50.00 FT 15,419 12_ IT 3 _ 526, 39`5 25.0 0.76 12X8X40 4 26 4 4 528 420 27.0 0,8U . - 50_00 FT p 131181 3,628 17 20 601 29 5 13 1 , 31 17 15 34 534 421 26.0 0.79 12X8X40 12 21 30 544 416 25.5 0.76 D 131221 11 19 111 20 4' 3 10 34 60.00 FT 13,066� _ 9 8 41 540 415 25.0 0.77 12X8X40 12 21 2 9 539 391 25.5 0.72 60.00(-1 0 131222 }3,068, 13 22114 21 4 9 9 40 4 }5 37 542 393, 25.0 0.72 SUB TOTAL 89 78.219 No[e 1 •754:Ni • ..(1 15 _ i .e`1. •x• "r h•�::i - i.. .1d ( ?y�II'(•1 eeR:�ltESC MriICK?3!•ii 5t14lo f_}_%.1..!ftigk1 ;Lik (2}•Gau4. lenAlh}:. 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',•_?;:_.. • tyi ittip,grioefotgrT#4sieO'etsi4.,gOig,ite-gti9iviLie_.hgcf-Ai-,diqte:dt, , . . ,---,--- .13-as_erli.Irpoi ,:th0.:JObsetv.",a_ti_cirs.§•;,,::ti.ig,T.d.up••.0adiiig,.:i.t L.0"*.).hO.liS"teg.:4b.00'ihaV;e• .,.. . 0irip.):010-ek in ccitalozokarlgg:with ig4Ii&firiialke-a -WITMD,YED"'iiy..tti.e.,,C.Ity: 'The,W,9tk .---,.-_:-. • .4itta1440:15ilt?4 41.0t.limited..fo,'.thg.i.alb-*Itgl:,•. tl_adigs,to ..appilo.gitri.are fiTial:1-61eations;i ..... ._- .., staking of'property diti-06;.16.dgfit3t:i,.atoil,‘-gto,..di-e-rtt,o,f fc4t.irictfill,groges;TIOditiO1-4.0mgr. $0e.tiOa1 (Olttlirottratiori, iiICI• t:10-072-4iilegpa•aieritoof drainage oaksl,aptd, terraces berms '.... - cipigtall-ed.iv.ticber-pifnaltatod;'AtiitecNitt.a'aiaTikaggygo: ovidea 0-S',p .'•"6.411.:.t.t.adOtgggcts: .,..,,--• :-.-1----.1.- . • F450.1o0-4;lidr0witiv:.1.5 a'StaAtie:eoti ;14ti;--;).b.-Iteptif§x`, he Boill*t Division f4.110.ii:ts, !.--'!..,'•- _ 'fetiliiife-_ft.ort,,,,asife$'1.6,:iiieft.lvill'4,taip-ett*iiilletfmQrg411ail 12)'!: _ . _____. _.--.-_- ..,i7 .i-"4.. .. . . Iiiiiiiiii:SigtfaiiiiY — _ ,Aeclift6ettSigtfligre)i, R:102.t446: 14 6r-1 i A, .,•NO.,'• -__:-_,=:_:. ..._-_--------- - OF ES c- - - - ' - — -------------/,s?,,---....‹),4/ s ------ - - ,-.- -- l-c•:::' ' ECir - 4-'-;.•=i-.:,... lf:0-ate _ /7. 21‘ - e6 ""•).--/- ' • e *\; A \ ' e'cO.i:7:1'ed;.4444PRE::07V,0-4:-'- 1G •flo. 34587 1.-77, 1-f;•,.--,---% ,;,.4 : 1.-,-) • . .,-.......„ . .f.?.--1.-----_:- - -• -, - CIO. . `Ik", ; ' _ _ . __ 1.4-:-'•.•-.:- - . _C•_.2_1?..133i1.,./1?I'dytg co:. .e,.1v-p?.//m4i.ot..51,-. ,,.„.:_. • :.c:3115.1,ttillidiiig.. ..,..,:-.,-.•-.-,. . - -c...:„...F.,_ . it)roi9lAois -...,;-,..r..-.•-•:;,..- - ; . , DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM Report No: This report includes all construction work through � day of Pa , 20 (4, No. of Project Address: Structural Observer of Record(SOR) Phone No.of SOR: P7 D S I S-r !a"T- ( ((c Building Permit No: Structural Observation Performed by: Professional Lic./Reg.No.of Observer. Phone No.of Observer: e 5-4get& OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR PORTION OBSERVED,IF NOT WHOLE ❑ Footing,Stem Walls ❑Concrete ❑ Steel Moment Frame ❑Concrete 'OF fMM//.(' (O orpii ❑ Mat Foundation ❑ Masonry ❑Steel Braced Frame ❑Steel 7 p(? PlzkiiiA16 /t'f/}/'// ❑ Caisson, Piles,Grade Beams [Wood ❑ Concrete Moment Frame []'Wood (/JAkarwp-(i(, oNry/r/A,J ❑ Retaining Foundation ❑Other: ❑ Masonry Wall Frame 12Others: DEL f12A'!-1 C r✓ak1 ftWicd ❑ Others: ❑ Others: i2-017" L OBSERVED DEFICIENCIES: pi 2. 9VO Gr e CT • SIGNED 7 1 OF ?-(Q1, 1 ' IC,AT l "'Ot(/G�vi ,CA i DAY MONTH YEAR CITY r; r, EtcAi WET SIGN RE OF REGISTERED CIVIL OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS. r- f ,4 '",'i� , K-SPECIAL INSPECTION , INC. Ai 9746 Woodleaf Dr. Rancho Cucamonga, CA 91701 *\* S I Tel: (213) 382-8100 I E-Mail: ksi8100@yahoo.com INSPECTION Website:www.kspecialinspectioninc.com SPECIAL INSPECTION REPORT f Date:cab --'-Z�d City of: A-Rog P i Permit#: POO•-ort 99 — Al Project Name: - tZ) & tJ). OAddress:J37 '_ / --r- Contractor: Off Site Fabricator: Type of Inspection:ilk //(e 1 ❑Continuous ❑Periodic Date S M T W T F _ S Hours Type(s)of sample: Q'ty:_Required f c: - - Slump: Tempt: Mix Design# In accordance with Section 1702 of the International Building Code, special inspection has been provided for the followings; 6(} 4-9 /''''--.‘- >(/--2- X );hiE -cra 7 C gY ,ea*/e Pf,/P 1 61 ''-''—- e 1,(,)'2-k- 96 ee/- i-Ws fr7 -/& ( '- ce- - 45 r f)-i 9/.. I , /1--gh c ._....,-/9,-D 6 .> �` n , - l _ r _l' Z� `- (V off-- 7� � - <>r (,i s ,9 `� p1 a��o-frz-- oc fir-r/Ai (-i 7 - ,t,. , 1._( C; - ' ©o, 6f 0.) c---, . - - a 1e7 ---,-- ,/,eja-ro fi-ND (vM)---A6ter Note: Based upon inspections performed and our(my)substantiating re orts,it's our(my)professional judgement that,to the best of our(my) knowledge,the ins ected work erf din accordance w' a app ved plan spegifications and applicable workmanship provisions of the Internationale Building ode Inspector's Signature: ate: ©F ZZr/Z Print Full Name: t9C( Gil .e('/C /d-iTi/ C Certificate Number: ,/ e,c� •5 1 i r � a'n- ,, K-SPECIAL INSPECT,ION , INC. IV 9746 Woodleaf Dr. Rancho Cucamonga, CA 91701 NI. SI Tel: (213) 382-8100 I E-Mail: ksi8100@yahoo.com INSPECTION Website:www.kspecialinspectioninc.com SPECIAL INSPECTION REPORT Date: 0 i—AI City of: A Cl PP la Permit#: &C9 ,--L9C --4 / Project Name: -e C P 7Address: /3O �4 / 5 Contractor: Off Site Fabricator: Type of Inspection: _e/ I ❑Continuous ❑Periodic Date S M T W T F S Hours Type(s)of sample: Q'ty: Required f c: Slump: Tempt: Mix Design# In accordance with Section 1702 of the International Building Code, special inspection,has been provided for the followings; �` PhCt • y s- fJG i tdP-- W /ifvfi5 Fria FR -#L- MP Por o-PeT .21 - _ �-) CL -- l� IC-97(A— Dr':Vriti --(4760 r _ G ►f/ C' /'- v � � , ci) ->.— r kflAialf 4 /_ --- c �` c / -, ,Li c)03 X-6 '..9 /A-rA/--rd (/(4,A7tre( Note: Based upon inspections performed and our y)substantiating reports,it is our(my)professional judgement that,to the best of our(my) knowledge,the inspected work w rfo ed io accordance with t prove plan rspecifications and applicable workmanship provisions of the International Building Code. / Inspector's Signature: � Date: G' c) Print Full Name: ertificate Number: / S 3' 4 '" ���, K-SPECIAL INSPECTION , INC. 9746 Woodleaf Dr. Rancho Cucamonga, CA 91701 ITel: (213) 382-8100 I E-Mail: ksi8100@yahoo.com INSPECTION Website:www.kspecialinspectioninc.com SPECIAL INSPECTION REPORT Date:6/7--t2 City of: / -R(. -o lii Permit#:000 —04P.-- ,4G 7 Project Name:s , fC 1449GAddress: (: 7 .; a / ---.r Contractor: Off Site Fabricator: Type of Inspection.M_j��i} f7/, 0 1 ❑Continuous ❑Periodic Date S M T W T F S Hours Type(s)of sample: Q'ty:_Required f c: Slump: Tempt:— Mix Design# - - In accordance with Section 1702 of the International Building Code, special inspection has been provided for the followings; (� � �� • ...r ,i F t, - ---C,T7[Z: ..2--07:2) ---- . ,•• . c.0 Q � ( p1 , A -// ,-,1. 0-1/4_' .•-/,t7,r (?5-y S.— :-1- ki-fp ( 9/f)--- -z---'---, ibriirs12__ :r7,/44/2 L- L. -- --- , '9 � , //-C fp0� Ottc C �( . *S5/47C: 3 !'-‘ 61--A711 Note: Based upon inspections performed and ur(my) ubstantiating reports,it is our(m )professional judgement that,to the best of our(my) knowledge,the inspected work was er orm n a roan h the proved s,specifications and applicable workmanship pro isions of the International Building Coc} . Inspector's Signature. Date:.O d —� / Print Full Name: v ' ertificate Number: /(�‘"�� / , ,44- % K-SPECIAL INSPECTION , INC. 9746 Woodleaf Dr. Rancho Cucamonga, CA 91701 , I Tel: (213) 382-8100 I E-Mail: ksi8100@yahoo.com INSPECTION Website: www.kspecialinspectioninc.com SPECIAL INSPECTION REPORT Date:( --G'5 /{ City of: /--�i4-171 iC Permit#: _0R-- l Projectame: '- f. 7 SS a '4 , �- N ���' ��� Address. r_ �� • ___ Contractor: Off Site Fabricator: __ Type of Inspection:I(Ci7/Ae __IEl❑Continuous Periodic Date S M T, �W T F S Hours Type(s)of sample: - Q'ty:- - Required f c: - - - Slump: Tempt: Mix Design# - __ In accordance with Section 1702 of the International Building Code, special inspection has been - provided for the followings; • 6svL ' � t z � 7 ` - , 1 � ., Pt W i f) --- . -/ f' t 4 - 3 fitsf/D f , te),::: g , R i7' /---/ - -- , -, . - / � . L i , - do 3 56 ,,, �." 4 �, ,. ,� raj /, Note: Based upon inspections performed and our(my)substantiating reports,it is our(my)professional judgement that,to the best of our(my) knowledge,the inspected work w rfor d in ccordance with the approved lans,specifications and applicable workmanship provisions of the International Building de. �� ��_ Inspectors Signature: Date: 7 1 ] r. Print Full Name: F`- 6 �,. ✓G Certificate Number: e7C,--. ,4 '"=���, K-SPECIAL INSPECTION , INC. 9746 Woodleaf Dr. Rancho Cucamonga, CA 91701 Ni` SI Tel: (213) 382-8100 I E-Mail: ksi8100@yahoo.com INSPECTION Website: www.kspecialinspectioninc.com SPECIAL INSPECTION REPORT Date: 9i9—l/7 —l6 City of 6-0i Y Permit#: s 0 — r � Project Name: • 7 - ow- Contractor: 4i4 l„-4 Off Site Fabricator: 5460 ( A,-/r7C7 Type of Inspection: L � ❑Continuous ❑Periodic Date S T W T F S Hours Type(s)of sample: Q'ty:_Required f c: Slump: Tempt: Mix Design# In accordance with Section 1702 of the International Building Code, special inspection has been provided for the followings; r f -r j f L.._ Gig cy.� f, pg--(=-0-- 0 _2i.. e56 � z Note: - O Based upon inspections performed and our(my)substantiating reports,it is our(my)professional judgement that,to the best of our(my) knowledge,the inspected work ,a per , med i :- sal with the approve• . ans,specif cations and applicable workmanship provisions of the International Building f od: C� Inspector's Signatur- �• �1 Date: /'O -- Print Full Name: t4 ;if A ; _ . V Certificate Number: G c � / 'ATI*, K-SPECIAL INSPECTION.,.INC. 9746 Woodleaf Dr. Rancho Cucamonga., CA 91701 SI Tel: (213) 382-8100 I E-Mail: ksi8100@yahoo.com INSPECTION Website:www.kspecialinspectioninc.com SPECIAL INSPECTION REPORT Date: City of: /•'j` P I Permit#: pOO-04-9 _4L f Project Name:/fl ,dG $1i? Address: (&17 _ T1 Contractor: Off Site Fabricator: r4 �� a '.. ff: Type of Inspection: �t 1 F. y .;S ❑Continuous ❑Periodic Date S Hours ' - Type(s)of-sample: - -- - -:Q'ty �equu'ed-::Required --- - -- S tunp—`=Tempt:--.=--=—=Mug°Design °`- - - - . _'_. -- In accordance with Section 1702 of the International Building Code,special inspection has been provided for the followings; e()r-4-0 X y;_t_ /3,11jcs -- Pf eto4r,N,a,,,/ fry2-4_ ( - r. . A/14 6 - 4.."- - &of, .-,-- -/-/d7,44 _ (2,6cffitrue ._ c e ©i •. 1 1,L�'� •P — $- . Note: Based upon inspections performed and our(my)substantiating re.orts,it's our(my)professional judgement that,to the best of our(my) knowledge,the ins ected work ..: .erf• '-d m accordance w' • e app eyed plan spe ifications and applicable workmanship provisions of the International Building C ode t Inspector's Signature: - r Pate:OF Print Full Name: . .may- „ Certificate Number: e '�A •;, K-SPECIAL INSPECTION , , INC. �V9746 Woodleaf Dr. Rancho Cucamonga, CA 91701 NI S I Tel: (213) 382-8100 I E-Mail: ksi8100@yahoo.com INSPECTION Website:www.kspecialinspectioninc.com SPECIAL INSPECTION REPORT Date: 0 f'Al City of: 1 Q--P i / Permit#: 0 7-tC , —LA G/ Project Name: €, (4W67 Address:_730 S, /9. Contractor: Off Site Fabricator: Type of Inspection: d . , 4, 1g t49,e., 4: ❑Continuous ❑Periodic Date S M T W T F S Hours .Type(s)of sample:-.__- ___ Q ty:_ Required-f c:.. . Sump: Tempt:=— =Mix Design - In accordance with Section 1702 of the International Building Code, special inspection has been provided for the followings; Z` ail cry • — y.___.• o G V -: (1(/C 6 Cal,(1 i!fr .&- 4tLE MP 'for°—( cc'iff � - (. --- t , , c, D . 171-/ „a-V. --- „ ,-- /1=fk-r-t-) cl6o2 74M e-o &,- 1-0 cez,,,,,, (vd-_ __ � ,.C-, 7 ' ,.. (i) r,(o_c?-(->-- r /Amy 4 , Ils --- 1 9 , �G - .— k - 6" o —a6 — �/ / 4c' - Note: i Based upon inspections performed and our y)substantiating reports,it is our(my)professional judgement that,to the best of our(my) knowledge,the inspected work w rfo- ed in accordance with t1e approve plan specifications and applicable workmanship provisions of the International Building Co e. Inspector's Signature: L : Date:Oil—a (--/(J/ Print Full Name: L' IC ' 61- ertificate Number: /aas_ >I ,4 '" K-SPECIAL INSPECTION INC. 14 '' 9746 Woodleaf Dr. Rancho Cucamonga, CA 91701 `\v SI Tel: (213) 382-8100 I E-Mail: ksi8100@yahoo.com INSPECTION Website:www.kspecialinspectioninc.com SPECIAL INSPECTION REPORT Date:617--177 City of: AP -172il Permit#:&ems — 41— 4 4e-- 7 Project Name: N��'� GilfC �_�G�ddress: f3� � • /se fi Contractor: Off Site Fabricator: Type of Inspection: V 7/ �' f ❑Continuous El Periodic Date S M T W T F S Hours _ � - _ _ - - ._---TYpe(s).ofsampf :-. . -. - --- P -_ 1?: _-- - ---- -- - --_ -= Q tY:—�Zequtred f'c:- - S`um -"'rim t-~- Mix esigri In accordance with Section 1702 of the International Building Code, special inspection has been provided for the followings; ori—.. -- l' cyP - i`�� /r " — - • i _ • ,/ l If b �✓�v V Cj�t. (/sue/e- ,/7! !Q , 7 , a�f `----Infl. _,_20/_-::; --•- Alkiil . ..,// s—:_-3 cs n , -, - _ ir) . 11)- (4)- -172- mexp,2_if - i,_ , ,-- • , .n c �t_ - - ( ? i S57,e; e- 61.-/cfq' Note: Based upon inspections performed and ur(m ) ubstantiating reports,it is our(m )professional judgement that,to the best of our(my) knowledge,the inspected work was orm n a rdan h the proved s,specifications and applicable workmanship pro isions of the International Building Cori Inspector's Signature- C ;Date:Qj7-a Print Full Name: �- /`"fertificate Number: / , / r - t , K-SPECIAL INSPECTION INC 'It 9746 Woodleaf Dr. Rancho Cucamonga, CA 91701 Tel: (213) 382-8100 I E-Mail: ksi8100®yahoo.com INSPECTION Website: P www.ksP ecialins ectioninc.com SPECIAL INSPECTION REPORT Date:���4�-��a� City of: AP W/ Permit#: aye Project Name:, , L6rOAddress: f 30 e3 Contractor: n Off Site Fabricator: Type of Inspection:Er,whpr ❑Continuous ❑Periodic Date S M T W T F S Hours — --- -Type(s)of:sample:-- -- - -Q'ty _R.equired Pc:— -Slump: renzpt — 3vfix Hesign# In accordance with Section 1702 of the International Building Code, special inspection has been provided for the followings; fil i%st��L7� / '4 C . l / i _ j � 096 3 1127,4D i G f � r Note: Based upon inspections performed and our(my)substantiating reports,it is our(my)professional judgement that,to the best of our(my) knowledge,the inspected work w rfor ed in ccordance with the approved Tans,specifications and applicable workmanship provisions of the International Building de. Inspector's Signature: Date:0/7 o9 fr Print Full Name: �,1 t �� Certificate Number: /'fc',9 � Ki-SPECIAL 'INSPECTION INC p4 p\ • . • 9746 Woodleaf Dr. Rancho Cucamonga, CA 91701 No - S Tel: (213) 382-8100. I E-Mail: ksi8100@yahoo.com INSPECTION Website:www.kspeCialinspectionitic.com • SPECIAL INSPECTION REPORT Date: --r City of:MCA-OA Pennitit: /- Project Naiiie:Mealtt Address: b - • Contract:Jr:6v/PA 0:XS LE.-j Off Site Fabricator: 5/44,u tt1iL,V7 Type of Inspection4 co) - Continuous CI Periodic Date S T W Hours Type(s)of sample: Q'ty:_ReqUired c: Tempt: Mix Design# In accordance with Section 1702 of the International Building Code,speeial inspection has been provided for the followings; Cc A91-0ry t_ 0 7"-g. b Note: C ,. Based upon inspections performed and o (my)substantiating,reports,it is our(my)professional judgementthati-to the best of.our(my.) knowledge,the inspected work •• pe •ed . .? with the approve. t ,specifications and apphcable workmanship provisions of the InternatiOnal Building odt - - Insector's Signatur-:- Date: p (9,y . : Print Full'Name: Certifidate.NUinber: July. 12, 2017 Building Official Building and Safety CITY of Arcadia Regarding: Office building construction 130 S . 1st Ave. Arcadia, Ca 91006 Dear Building Official: This letter is to verify that Simpson hardware H2 . 5T in structural detail 10/S2, 14/S2, 21/S2 and 9/S2 is not required. The connector H2 . 5T is needed only when floor joist overhang over 10' -0" which is not happen at this project. ��pP ck0 F ES S/0.::_:.. LI 0 No.S3948 rn rn , Exp.03/31/7,0q Sincerely, • Peter Lee, SE 3948 Engineer of Record INSPECTOR'S DAILY REPORT OF COMPACTED FILL n Job Name Job Location as1 'T 'Job No Page of h �c � . ' �� iu3 0 P) / j i `> J1 _red - _ General Contractor Grading Contractor / Date Day of Week l.__ 1�l v Grading Shift Hrs. Contractor's Supt of Foreman 8 Signature Fieldf'Tech""_„) Hrs on Site . / .- .---- P\f .14'7 �.�",,� , ' _From c _)-ci(-',-n-To; o •_. Source and Descriptions of Fill Materials Approximate Fill Yardage Total Req'd Placed this shift Total to date . Weather ,Report Sequence No. Test Test Elevation Soil Fill Test Dry %of Max Remark No. ' Location or Type Moisture Density Dry ,/ Depth % Ibs/cu.ft. Density // :' 1 / / r �/ ,r' Of,,' �.5(.`'�C> g -r,/ �(--Ati�w;/f' �d P V C=.SDI^ .]s\'..1 k- /. _,-- '°"/ (. (''f*`4 Ui i;e (1,1C.4A -ti.13i ,Ul,- i, ^\..la°``.'Ci4—(.- :4�'.�,L_6,:,,t x—,').t_'. / r. ` rr a'. :5 ,1r/*.4 SLL-4. '"__ (Pi .5-:-4-1f'' M .. R(� -Clit't • /., �''' �✓>. `% tl I. ( fi�`:�:(4-7 d.li-1 `i ila,i l `L `---3,1'-t.C..,t f6t .-.. �%i R `k i4'',. f 4 B 1 1 r . s/` _- ' Remarkst u (Describe ec uipment used hauling, spreading,watering, condition and compacting; also report thickness if lifts, removal of poor soil insufficiently compacted, and comment in unusual events.) 1 A. 7 ff 89 a P S f� h � . Sketch 1 1 U `;\' ii f -' ,41 • --- _ itf ! JJ ; t!Iii. .. ,,,, ' i Copy to Client( Copy to QCI ( ) CAL LAND ENGINEERING, INC. -,:. s:._._� f-- �4 ,/ Company Policy:Four(4)hours minimum Charge(including travel time) 1 � -- lc'— ' :,; r h� Quartech(Consultants, Inc. by:, „� �` e` �_ L INSPECTOR'S DAILY REPORT OF COMPACTED FILL it Job fName 8 Job Location ,y Fi • .- Job No Page of r d p a{{ )C7 y..s 8 \--(1�F ti ) .. 4 E). r (:t d 0 E�-� '- k`r�Vf�`C'I�}p�.—` ^f [t.-.7._�� �L� ^^l. "i{� All'ti�Y •�. General Contractor Grading Contractor if Date Day of Week Grading Shift Hrs. • Contractors Supt.of Foreman&Signature Field Tech Hrs on Site /'`\ / •/24," rr'/).1.- _ =___, :.> ~'From c.,.':< ..) To , . _^. Source and Descriptions of Fill Materials Approximate Fill Yardage - 1 �t .(1 fry+�"':�-'s(� � �i(• _ Total Req'd Placed this shift Total to date '7f HT! \`s1--i/1.ei/"yit - s-. :'=ice'_r '';t 1:.`,.(iii,',ti,y YWeather ---- -- - . Report Sequence No. t • `- i V• Test Test Elevation Soil Fill Test Dry %of Max Remark No. Location or i Type Moisture Density Dry°/1,3 r- �'�y Depth Ibs/cu.ft. Density g { / . `, 4. D + L ✓` !-) I r 1 —Y'`-,__ i _, '`'s _._- a-_ ..� �. irc—f!".�fil: . .., t i` ,t.I?.'i`7\ --~c`�( i' ( ,iali ..�°,..:.° ' <°0 .�"'"-- .. �� 'Kirv'�� V°r �`�(r k:.l4 ), ( Ir \..,k._tY-,G h t•'-.. u E.",S . ,,,.�` "r..,-r-.P - -- -- ‘,A,----,,,,of k(k:=3di c 4`7?` - i "., ; `{'t•-?,.= ( °id ALA(--- -tr'a' Remarks (Describe equipment used hauling, spreading,watering,condition and compacting; also report1 ' .thickness-if-lifts, removal of poor soil insufficiently compacted,and comment in unusual events.) 11 li ilv`t, i ri 5 7 ! II 1 e I' l i n Sketch h �° i ci -, / J �~ { +� f « jam ,.•-� /. r t� ' i1. r 1 6 l Copy to Client( Copy to QC;( ) CAL LAND ENGINEERING, INC. .--�,•m_-.=r (''' .�, J Company Policy:Four(4)hours minimum Charge(including travel time) -"`•"- _ _ _ ` ' i Quartech Consultants, Inc. by: : '=-- ° i l'' i ,s . , .. . . , _ .. . .. .. . .. .. . , . ... . INSPECTOR'S DAILY REPORT OF COMPACTED FILL Job Nacre Job Location'M • . .. f , 'Job No Page ofb r r‘;t0 • r, . C..4hcliiiavo-11 . (sc‘, ' '' Au-T-- ,-/--iiicS,A, - toc----(• ,General,Gontractor—. Grading Contractor t Date Day/of Week (3v, ijA rs-A-c-fddjl .--6.?\( , ( if i 4';,3 ,, Grading Shiftitirs. Contractors Supt of Foreman&Signature Field Tech --- Hrs on Site .-- , 1 / 4,.i .1/4 0 A./ ,„---------„-c.....:"" ----... ,From . •-..„.:C44,,,Tol'Irkar‘,4"1 - . : Source and Descriptions of Fill_Materfal, .. Approximate Fill Yardage .....-- ...--'- / Total Req'd Placed this shift . Total to date ..... . .7' / /.7 Weather _Report Sequence No. .., --" Test / Test Elevation Soil Fill Test Dry %of Max Remark No. // Location or Type Moisture Density Dry / -- —---) Depth % lbs/cu.ft. Density - r ./ e•-"-- ,/ / .....----. ' / .....". . . / ,••••'"--' ,,../- / ..,--'''' I / , --.• . ..- kl. ''- ' rV. Cc. ,, . .. .,.. . kr, ,L-4/Y----_- 1..A,1‘.-';; --kkC.'-') // - ...--- 2 ' --..:.. . t-, 1— C..;\-lc:'''':- \I 4' . , ,.„-, ._ .," _ . , „.- 4' nci&A at€7:411. ) qv'c, ..c.-.,;:„7„,, ,, ... „...j _ ,.....„ ,....„ ,..., / ,..-- Lx-yi—k i i • .„---- .. /- .- ' 1 .) t / , ( 4v- fi ) ii&IN i (, kt.G.-a-twltlfi)i:t1,:- ('''...'a)• f ig,• ,.„---- / / ---- - . _ - - -' , Remarks (Describe equipment used hauling, spreading,watering,condition and compacting; also report ,. thickness if lifts,removal of poor soil insufficiently compacted, and comment in unusual events.) ..,.. .,...,.., .,, , . V) -‘,r) . - 012 ...,.....-00 ...,.., ti! e 1 . . 1 1 viti„,, il 1 i i i 4 - i Sketdh ' , 0 • [,.4 1 ! ,,,,... ,,... ‘,...t Vs) .....- 1 -. .......--.41e.... ....... ..." . . r ,,,,,,-5'"''' fid" \ t A • d - 6 '' ,7 .C) -,:i •i N- t / 0 7::;i1 14 \t. hi . 6 • Copy to Client( ) Copy to OCI ( ) CAL LAND ENGINEERING, INC. .-\-1.",------.:"\ \ Company Policy:Four 14)hours minimum Charge(including travel time) Quartech Consultants, Inc. by ..,---'-'::;--- --'-'_.,-,'=-- L.I (:•,,. ,,:' . , . . . .. . ,, • , . , . . INSPECTOR'S DAILY-REPORT OF COMPACTED FILL I. Joplame i . : Job Location 1 .--,:r.- 4 'Job No . ,. Page of fi lUir PrCA-1141 i:„.(f7C,. ' - + . !,2r, A —- Aud- / ,,,,,.1-„N IC...A.3 'or ,;7'. tii,./%1- '. ... . ._,...111.- ........., • .‘General-Goniractor--, /1 el) Grading Contractor i Date ,Day of Week kcs-t-- ocs..{....._ N . . ...........,..... . , k , 01 - t).- (6 1113.( 1-01. , Grading Shift Hrs. . Contractor's Supt of Foreman 8 Signature Field Jech Hrs on Site / t A\,/ ill< Ail ----- c.---"'-'-'-'----1.3 i 1 Source and Descriptions of Fill Materials ---„,,,1 --Approximate i • :. ------ ate Fill Yardage a ' V)). tiniASA c'-z,:_-..4 ski -(::::::::::00 ' A Total Req'd Placed this shift Total to date . _ . ..-- - - • / - . • , 4 't / Weather . _Report Sequence.No. Test Test Elevation - . Soil Fill Test Dry %of Max Remark No. Local on or k Type Moisture Density Dry Depth % . lbsicusft. Density ,fr4,- 'S,'f,o•-t. COT'''14:\° -.‘ --- CD- •--) i fqem') • i C4 1.- 0 ificrl.,At k‘i (-13,6 2 A 4 %,,_,,,iss..... t al.-4' ,_.----.'----- / - , -- ,......----- ,..,- ..- .----- . 1 -- 1 0'; --- - I rA\ -7----.7,---,- t—ti;:2--_-,\ PF:si (72(k)o—\- -._,, ,i(_21.—lkkr--,. .7;1 - ---- ,.--- 2 "-- _CI'fY),c)(1.C'..ti' '(i'''r''t • 'NI , i if j--?'.-- ..,...--+- 5 le:-.1ti 11' ' I Ir;Z:i .(7:11'1:,"<- '''1 - - -4 ,_ ',----,-1 ,i./..-c- !::":- k 1 1-, .----' (\_<:',,,..„..,„ , kki\.,,:;)1 ,N, ,, ,,,A. („),.‘ i,'.'A ‘ - '-',,-,T.1--)''v r \,....),, c y 1, ---, -,---- . i fria...,i_e.A, _i_h.,...,-s ,,,,iii,,,,,:-,.,,,,Jr,tc:-.„(-4, :30,/.: (q.‘•ri)_hict,-.--) ..... ,, 5 — ----. "4"1------- ' (. )61/).C;:-..t.0 id\h‘ :-. , acritg::. _.„-- - ._ ,............._. , ..., ,. •..---- . Re e„...„--marks (I (Describe equipment used hauling,spreading,watering,condition and compacting; also report. thickness if lifts,removal of poor soil insufficiently compacted,and comment in unusual events.) It , q M It 1 P t , ' 11 i I 11 I 1. . . . . • . 11 • • 11 ' • . 1-1 1 • 11 Sketch . - ‹•- e * il .....4) , < . 4, 1 PI - -1 i 41 ' 1 • •,zA !g-,,,,,,. ,,1!\ \ '1. -., , N,\-, r. 1 • 1 . 0 (77 ----"--,,,,„ .72---.---,,;.------/-7-r--_,;,-, „;- ,.-- ..>-------t: ,.7----e--77-kl ..- - 1 • i • / ...•.' -.•' .7 1 ..,,-- .." „,... ,,, 11 r\ 1 i , / ,.// / ,..! . , ' Copy to Client( ) Copy fo,CliCI( ) . :. . CAL LAND ENGINEERING, INC' ,c,.:,--7.-.77---- r. 14, , Company Policy:Four(4)hours minimum Charge(including trays)time.) ( N 1, /-1_ -'7--i:•,--- 5---7-7.. ‘ki, V ,/ - QUaltech Consultants, Inc. by: j:. (,-.,,.. cc) M . `,,-.4.-.0 , INSPECTOR'S DAILY REPORT-OF COMPACTED FILL JobANt ame t r ( Job Locatioq. �.r 'Job No Page of • GenefarContractor— Grading Contractor r Date Day of Week `~ Grading Shift Hrs. Contractor's Supt of Foreman 8 Signature Field Tech.. Hrs on Site fr-N,/ ,J 4. /\f ..� ..._. ' FromV;A:ak.114 To°t[:f .Gt'!.1 Source and Descriptions of Fill Materials Approximate Fill Yardage -%\,,, '-..-..,C k ' i (_ 13,1{ --jj L 1 W__} (( Total Req'd Placed this shift Total to date Y . - 3 4...0- ex v Weather Report Sequence No. a Test Test Elevation Soil Fill Test Dry %of Max Remark No. Location or Type Moisture Density Dry a Depth % Ibs/cu.ft. r Density A A of � B� �k cam,r _ r f U . {3 etc -a 1 . �g t-ei :,7 rg ) t ' 4t om -1 VS o�' _ ..,-- , __ 01. & 1, E( o� ram`" „2, ,. `---,,," '' - l'�"`?; Z fit f t tit 1- c ‹7L_ .14 - ' ' V-{-._-. (e-r+t_2 ".-� r' -s-. r' ,, .� ".`-e t?_' iff-m, Fr fit. Y `1/4- .::j,1 r ir e �$���.ii c.'1�,�,'� k. �� r•-�.,�_ �3S,` � d �.a.l _.�4 �pjiJE. �i`� . W �-` r V ( +k�t . .II '��..9s`a R `.1. -1,- 1:-7-.) ( �K..,.ti 1.4 5:, ..-.:.�_. 'ijf:.J' :..` Lx,:;d':`_ .._ Remarks (Describe equipment used hauling,spreading,watering,condition and compacting; also report thickness If lifts, removal of poor soil insufficiently compacted,and comment in unusual events.) 11 ii P ,'� I' `• r/f -^ � �9 L Y ? t ,. ,� a C ,-fit 11 1 .`"_ )! . `fir Sketch • \ '1 '� fii_ I�i E ! I( / ,`~ In ----- -"k.----;..t,:-----,....----ir-------. ....--...........--,,,-,..^,n-4,-, -..,.........- .........- -(4,-..-.1......:-..:".. 911)'* Copy to Client( Copy to(ICI ( ) °'�CAL LAND ENGINEERING, INC. f , ,,, `"��"'t1 Company Policy:Four(4)hours minimum Charge(including travel time) �i .y. _: -_ 4•--.,- �� , O Quartech Consultants, Inc. by: I�w4- °-W` - • - • . -• ,...,J. • • ;' • ' • - ..-- . . •...;- ..., . . ' ' " " • • • . . , . . . , . . - INSPECTOR'S DAILY REPORT OF COMPACTED FILL, - Job Name, _ . I r. i .Job Location if _ ., 'Job No ' Page of 6 Name) _LS . -- ,-, . 11 .3.'',C,_ . ii --1-- c.,"c5,44 ical,&.--c-ili.r.:;. /11 . ILL,-1(... • GenerarGontractor---. Grading Contractor f i- r r Date Day of Week Cyt - p ... fr -t (1 1_, 4 ,,,,-- A fyzy-- ,,,k, Grading Shift Hes. Contractor's Supt of Foreman 8.Signature Field-Tech;—-Hrs on Site ' / , l',..„..,,_ ___..) /41.1.„ 6i/A _----------c.:7— ,„c From-i&r-10-,..... mi:e<-_-s:::,. , Source and Descriptions of Fill l Materias •, .; Approximate Fill Yardage .., ,, / A---1-, .1 (---- . ,,,„1 , _')1(7)(Av i .1‘-204 ....:-''•5,,f-ljZ,kji_., L Total Req'd Placed this shift • Total to date • --...-.- --.-- --- ---- - '-• - - ' -C „ . .. . Weather _Repo n Sequence No. i . • Test • Test Elevation '',Soil Fill Test Dry %of Max Remark No. Location or Type Moisture Density Dry . . Cif Depth "/. lbs/cu:ft. Density -'--:: A(\II- a 'n. (-; . c----- ........c p.• ..,.......,' i -:.7 P k 1 rTh CH. (.:-. - ‘ ' t3- :."--i ,,, - . `) ii.:_5(±)16A 11 >49 , "----->Ai--yi- a_.)--(-14- C--)-1---7' 1 Dk.-JIM k• - ___.) - ' 1 . •• , , . , . .. .,...---"---- ../ . .---"" _....... ' • , .. .........-- .... . r-i-x-fil L--Viz11,-.-1,c.- --- . \if-----d--L' :---1,.c-, -----k--. (..\:•-- .,,....... 4 rj(H:::''';.f.:'It)E7- j (t.I.r. '-.<,-)( (''''''i irL CC'N((16111±-—(--0(: .. .....,......y-...u..._ -,) - ic k('-' —----4......1-, s-._..,. 4, ''' , • . . ,•,.. ),,,, . — . —•-:-•": --- -'-•-' "'".----•- .". (; ,,-T,„,/ :jiii..cs :,:,,1-----.-, ,lezz, ,,,-ii(5-kfili -....--- ... ."-- , j ,--VjA.6 . vt c,iif .(1\ gin:/:. Vf---4::(----rfik\I (7),--0,1 A r::Z.11,-306/71 ,>-,.,--- . . -,-,. ' . '---...z-- . Inc l'..- et i .._ -- ..„,-- k.h._1.--A•-•,...'", ' s•J'.._. -../. C.:•%,,,\4, 1", .,..-4-• . . • .. .,,,.-•• . . • _ . . . • . ' s Remark .._ . • . (Describe equipment used hauling, spreading,watering,condition and compacting; also report thickness if lifts, removal of poor soil insufficiently compacted, and comment in unusual events.) .1 • il . fil.lt • , '', -T.t., -. f'-\, ., 11 _ . - t)• E --Ts 63. . if • 1.2. ri--1 , ) . c..N . C\D (710 • 1 . . - • II • l'-•-•- . ..I , g _ ....__ ..._ , 1 Sketch 1 c-- •.......-..... • ,. 17 —.,.. . ,.7). : - N / 'll d 75 • (....) CD Cj , .• _,,,,i0 i-1.7, rN-1' 4 `..-70:;`,/ - , •,, _': I 1 A ' , , 1 i I/ . ' Ai i .4 .• . i esi i I' 1 II i, 7 , s . , . , , _ ,,_42_....„.=...)..............fr 7 -, ;..--; - -.„,,' ,,..,'' /1 f , ' .. ... I. 11 Copy to Cli•nt( ) Copii`16,QC!( , ) - ,) .CAL LAND ENGINEERING, INC._ : . ,./ Ili ' C:,771:1-f--fiAl) ,.....-----...:-)--------.-. Company Policy:Four(4)hours minimum Charge(including travel time)._A., , • -,,,t ',..-, -=',,------ --,s•.:3",.-:.-_L.-,-, JI'/01/ '''.1'--Y Qu artech Consultants, Inc. by: ,-i --------t,--?;e2,..---- . , l:;:)q;'''.... .:•,';• ' ./11'.7- .. _ ----- • S • 111604 .10 CITY OF ARCADJA 240 West Huntington prime Arcadia,CA 9I007 R'QIJGH GRADING VERIWJCATION ATTENTION: Community Development Administrator SUBJECT: Grading Verification for Project No. Address; /. _l • Gentlemen Rough grading operations have been completed for Project No. for Lots _. _ through _ (if applicable) and has been inspected by, the undersigned Registered Civil Engineer or License.Architect. Based upon the observations, the rough grading of the lot(S) listed above have been completed in conformance with plans marked "APPROVED" by the City. The work includes but is not limited to the following: grading to approximate final elevations; staking of property lines; location and gradient of cut and fill slopes; location, cross- sectional configuration and flow-line gradient of drainage swales and terraces; berms I4 installed where indicated;and required drainage slopes provided on building pads. Enclosed herewith is a Soil and Compaction Report for the Building Division which is required on all sites which will be raised or filled more than 12". Engineer(Signature) Architect(Signature) R.C.E.No. 14 6- /F; .A.No. Date: ' Received and approved: ` No. 34587 rs7.7 C.D.D./Pianning =_^ ccT C.D.D./Maint.Ser. C.D.D./Building = 10/09/08 • Cal Land Engineering, Inc. dba Quartech Consultants Geotechnical, Environmental, and Civil Engineering January 19, 2016 Sun Homeland, Inc. 308 South First Avenue Suite F Arcadia, California 91006 Attention: Mr. Jason Zhang Subject: Soil Compaction Report, Proposed Office Building Development, 130 South First Avenue, APN: 5773-017-039, Arcadia, California QCI Project No.: 14-125-002C Gentlemen: This report presents results of our field density tests performed on the proposed building pad at the subject site. The site conditions, field and laboratory test results, and post-grading recommendations are presented as follows: SITE CONDITION This report present result of our field density tests performed on the proposed building pad. The building pad as depicted on the attached Site Plan (Figure 1) was excavated to a minimum depth of four feet below the final pad grade, and four feet horizontally beyond the building footprint or until the limits of the existing structure. The loose and/or disturbed soils were removed and exposed competent natural soils within the building pad area. FIELD DENSITY TEST 1. Field density test was performed using the Nuclear Gauge Method (ASTM D-6938-10) and/or Sand Cone Method (ASTM D-1556-07). The field density test results are presented in Table I. Approximate locations of the test are shown on the enclosed Site Plan (Figure 1). 2. Field density tests were performed at random locations to check compaction effort provided by the contractor. The test results exceeded minimum required relative compaction of 90 percent. The test results herein are considered representative of the compacted area. • LABORATORY TESTING The laboratory maximum dry density and optimum moisture content for the onsite soils were determined according to laboratory standard ASTM D-1557-09. The following table presents the test result of representative soil samples collected from the subject site: 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 Sun Homeland, Inc. Page 2 QCI Project Number: 14-125-002C January 19, 2016 TABLE II LABORATORY TEST RESULTS Soil Type Maximum Dry Density Optimum Moisture Content (pcf) (%) A- Brown silty sand 132.0 8.0 POST-GRADING RECOMMENDATIONS 1. All utility backfill should be brought to near optimum moisture content and then compacted to obtain a minimum relative compaction of 90 percent of the laboratory standard. 2. Soils generated from footing excavations to be used on onsite should be compacted to 90 percent minimum relative compaction, whether it is to be placed in landscape areas or within areas to be improved. This material must not alter positive drainage patterns away from the structural areas. 3. All trench excavations should conform to CAL-OSHA and local safety codes. REGULATORY COMPLIANCE The field compaction tests were performed in accordance to the American Society for Testing and Materials (ASTM) standard procedures. The test results would not indicate the conditions of the subsurface materials underlying the fills. The engineering performance of the underlying materials and other materials are therefore not included in this report. Our field observation and soil tests were conducted in conformance with generally accepted professional engineering practices, and no further warranty is implied nor made. This report is subjected to review by the controlling authorities of this project. This opportunity to be of service is appreciated. If you should have any questions, please call the undersigned. Respectfully submitted, CalLand Engineering, Inc. (CLE) dba Quartech Consultants (QCI) �`JGK c C��<�2�2 Fr)Ja•:dI l� :3:2417 ck C. Lee, GE 2153 (wghn Thurlo Principal Engineer , x � Project Engineer 0,. OTECH0.f�o� Encl.: Figure I—Site Plan Dist: (4)Addressee 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 Sun Homeland, Inc. Page 3 QCI Project Number: 14-125-002C January 19, 2016 TABLE I FIELD DENSITY TEST SUMMARY Depth Moisture ! Dry Relative Test Test Test Soil Below Content Density Compaction NO. Date Location FS (ft) (%) (pcf) (%) Type X-1 1-9-16 Building Pad 2 7.1 121.8 92.3 A X-2 1-9-16 Building Pad 2 8.6 122.8 93.0 A X-3 1-9-16 Building Pad 2 8.0 120.1 91.0 A X-4 1-9-16 Building Pad 2 7.4 118.8 90.0 A X-5 1-9-16 Building Pad 2 8.3 122.1 92.5 A X-6 1-12-16 Building Pad 2 8.3 120.1 91.0 A X-7 1-12-16 Building Pad 2 9.2 119.6 90.6 A X-8 1-12-16 Building Pad 2 9.5 121.4 92.0 A X-9 1-13-16 Building Pad FS 8.3 121.4 92.0 A X-10 1-13-16 Building Pad FS 9.0 120.8 91.5 A X-11 1-13-16 Building Pad FS 8.2 120.1 91.0 A X-12 1-13-16 Building Pad 2 10.0 119.7 90.7 A X-13 1-13-16 Building Pad 2 8.5 121.3 91.9 A X-14 1-14-16 Building Pad FS 7.8 120.9 91.6 A X-15 1-14-16 Building Pad FS 9.0 119.2 90.3 A X-16 1-14-16 Building Pad 2 8.4 120.1 91.0 A X-17 1-14-16 Building Pad 2 8.8 120.8 91.5 A X-18 1-15-16 Building Pad FS 9.0 120.5 91.3 A X-19 1-15-16 Building Pad FS 9.9 119.7 90.7 A X-20 1-15-16 Building Pad FS 9.4 120.1 91.0 A X-21 1-15-16 Building Pad FS 8.1 119.5 90.5 A X-22 1-15-16 Building Pad FS 8.5 118.8 90.0 A X-23 1-15-16 Building Pad FS 9.1 119.2 90.3 A Note: FS = Finish Surface 576 East Lambert Road, Brea, California 92821; Tel: 714-671-1050, Fax: 714-671-1090 I D z W Q f I NEIGHBOUR BHOP, rf 7 i i y / -_ g N89' 945.E7 135.04' --- / ,�'JI f X-9X-14X-18X-1OX-15X-19 X-81 ' /� X-1 X-20 I o f I I o X-23 X-2 .7/ %✓ f:� I X-4 I ft // t . „s\ Z X-22 X-21 I Z__ X-5 X-3 z I— `1t 5 (n 4- \ ' - T 717...59.49 E 135.04' \N.,,, BONITA STREET . CalLand Engineering, Inc. Project Address: dba Quartech Consultants LEGEND APN: 5773-017-039 Geotechnical, Enviromental & Civil 130 South 1st Avenue Engineering Services Arcadia, California X-1 Approxmiate Field Density Test Location — — — — Approximate Limit of Compacted Fill Placed Under Purview of This Report SCALE AS SHOWN SITE PLAN 1/16 FIGURE 1 DEPARTMENT OF BUILDING AND SAFETY • STRUCTURAL OBSERVATION REPORT FORM Report No: This report includes all construction work through 2A) day of F-to'Yµe+I;7 , 20 1 —7 No. of Project Address: Structural Observer of Record(SOR) Phone No.of SOR: ( o s. 1ST AvcG:�;C'�� r. Lee G 2-6- g Building Permit No: Structural Observation Performed by: Professional Lic./Reg.No.of Observer. Phone No.of Observer: 17-L ep ` cr-E OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR PORTION OBSERVED,IF NOT WHOLE ❑ Footing,Stem Walls ❑Concrete USteel Moment Frame ❑Concrete pd, ?7L({i'r(ed c ( P(A,G(. ❑ Mat Foundation ❑Masonry ❑Steel Braced Frame ❑Steel Fez-) g ( 9(A-p`i Li Caisson,Piles,Grade Beams aiWood ❑ Concrete Moment Frame U'Wood � g�G f�,6ioty �L r ❑ Retaining Foundation Li Other: ❑ Masonry Wall Frame ❑Others: ❑ Others: ❑Others: p OBSERVED DEFICIENCIES: tiJ PEric ( -, ' ?.Or / SIGNED ?Ay P OF &I VA t� AT t et cA ,CA DAY MONTH� YEAR CITY - .. r:. WET JIGNATURE OF REGISTERED CIVIL OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS. DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM Report No: This report includes all construction work through --A Srday of 06-,-&70.. _ , 20 (.6 No. of Project Address: Struct ral Observer of Record(SOR) Phone No.of SOR: cp Building Permit No: Structural Observation Performed by: Professional Lic1 Reg.No.of Observer. Phone No.of Observer: ),Lee - -314 OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR. PORTION OBSERVED,IF NOT WHOLE ❑ Footing, Stem Walls ❑Concrete ❑Steel Moment Frame • ❑Concrete Ft?ro• 1)jCtp�✓o / 2•-wx-! ❑ Mat Foundation ❑Masonry ❑Steel Braced Frame ❑Steel • b 1,-(boy ,` J � �/l.6ti: I' V ❑ Caisson, Piles,Grade Beams 1 Wood ❑ Concrete Moment Frame [Wood _ �6�,5,�✓k�,� �� ❑ Retaining Foundation ❑Other: ❑ Masonry Wall Frame U Others: LiOthers: U Others: !/ OBSERVED DEFICIENCIES: . /�l ' P6 rc-it,-,Ai c-=� 5 t_ = . SIGNED -I c OF O -1 ��` 7/D16,AT ✓ ,CA r,. / J`A' r DAY MONTH YEAR CITY • P ,s` 1 V-UN °1---e--12--- WETS! NATURE OF REGISTERED CIVIL OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS. DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM Report No: This report includes all construction work through t t. day of te- ' ^ , 20 /6 No. of Project Address: Structural O server of Record(SOR) Pone No.of SOR: / b Ss_ (Sr A-JP. /�YC'Let,: .L47rJ L (-z o,00- Building Permit No: Structural Observation Performed by: Profession I Lic./Reg.No.of Observer. Phone No.of Observer: 12 Lee 93 818 OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR PORTION OBSERVED,IF NOT WHOLE Footing,Stem Walls ❑Concrete U Steel Moment Frame ❑Concrete G t4t'E ee 9-M N f �7 ❑ Mat Foundation U Masonry ❑Steel Braced Frame ❑Steel i C cot e, i,) (24P ❑ Caisson, Piles,Grade Beams ❑Wood ❑Concrete Moment Frame ❑Wood U Retaining Foundation ❑Other: ❑ Masonry Wall Frame U Others: ❑ Others: ❑ Others: G 'i4., aeVed 5717 4,if, 1Pall OBSERVED DEFICIENCIES: . /) PEf<<i //(7 . -- �'^ _ _- AI-'L \`/ � <� jvy l�-- ,1,- _ II 3/3 I I 4m '� (� �^ -(4.� / / 411(4SIGNED T OF J� '��9 � AT D'1'r'1(li CA � ..',�^� d DAY M NTH YEAR ITY �' `'' ` - ''i D-�-�+ "r X - WET SIA ATURE OF REGISTERED CIVIL OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS. DEPARTMENT OF BUILDING AND SAFETY STRUCTURAL OBSERVATION REPORT FORM Report No: This report includes all construction work through *11"kday of ���''`'/ , 20 .6 No. of Project Address: Structural bserver of Record(SOR) Phone No.of SOR: tom° S . lC% UZ- A cPo 1LGL 62-6--2- j--?Gb • Building Permit No: Structural Observation Performed by: Professional Lic./Reg.No.of Observer. Phone No.of Observer: F, L6- 52, 14 ? OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS FOUNDATION WALL FRAMES FLOOR PORTION OBSERVED,IF NOT WHOLE ❑ Footing,Stem Walls ❑Concrete ❑Steel Moment Frame U Concrete 5( i._ 66(u 4 N ❑ Mat Foundation ❑Masonry ❑ Steel Braced Frame ❑Steel 0/ v r cA e A, cetb(Z ot-; U Caisson,Piles, Grade Beams ❑Wood ❑ Concrete Moment Frame U Wood 1 ❑ Retaining Foundation U Other: U Masonry Wall Frame U Others: y Others: 4(.6.a., a Li it 'D A ❑Others: pi-A-t) ` OBSERVED DEFICIENCIES: NV )0 (0aocr . 4:')- r,10 �3943 ITO fn g ='i r g 'If ;tip.03f31/ f SIGNED ,)1Z1 OF I V` , 14 ,AT (d k�tln ,CA ,-) r� _ ;1 DAY MONTH YEAR CITY <'� �" '�/ .11\s27_ WET SINATURE OF REGISTERED CIVIL OR STRUCTURAL ENGINEER OR LICENSED ARCHITECT STAMP OF ENGINEER OR ARCHITECT STRUCTURAL OBSERVATION DOES NOT WAIVE ANY OF THE REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THIS DEPARTMENT DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO THE APPROVED PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTRIBUTIONS. .. h 2 y';, / // j [os An„ eles Uniform Coe Program A Unif rm Proce ore Ir-7: Spledfo;Inspectio. s AR u :$ ECIAL INSPECTION t EPORT :, c ri op ikrZ-c.Ai9r1-. SPECIAL INSPECTION 'REPORT ,% " E C tS ttl P N l N fxCONFORMANCE °,, Ail disctopanc.les shalt be brought to Um Imm :tote attention of the if work conforms to approved,design and code requrrernnents submit this Contractor for'correction. If corrections ore not made In a ttmely report to Building Oepartme€Ot"""and,copies to Contractor Eng€Weer Or mariner,this report shalt too utaod na a discrepancy natica,Submit the Architect of record and Owner no later than the business day following original to ,:autiding Depprtmnornt and copies to Contractor, the conclusion-Of the special inspection.For inspections greater than 5 Engine rtArchttectof record and Owner, days duration,submit a conforfaance report et least once every We A• This is a: " Progjress Re,ort —Final Re r rt Report No.:" ..,;, I Page No _4._ ;__ _of.,.,} Praia tAcltht W Dascep€onarProject "'"""""""`""" -',� .'.�."-`-""' „_ u. M t_cVEn finer eeorct -Contractor:. Permit Nutni:ar, CI�,ft9f: �rchi w 9 ,ii Full[game err 41-pect to pectoo " City 1 strut in Menntor: Co npany: Phone Number Type of inspection: ` , °Reinforced Concrete JStructural Masonry °Piling,Piers and Caissons / ` .Smoke Control w,lPrestressedtPasl-tensioned °Bo€tsin Cancrete/Masanry ,ClExcavationn0Fitis i, °Energy.Compiiance ; DShotcrete/Gunite DStructurai iNelding DSpray-Applied Fire Proofing Testing Reports. Jinsutatng:Concrete(Gy( 'ate ,High Strength Bolting °Other Time Time ` • Date Arrived Departed Description,,and Location of Work inspected "A' . Lt,(p_r/ik,„1.,!.saA k9,1.,RP_ _0..Q_Y-1,1. .N—i-itc,t-iiil,2•O Oil -*..,,c.. P-f. OP'4(..$' "r1:7 __, ., ;;,. .t L. , e_ t 4o ix . x , c42#4 le Ii �� .4-"'Ole Remarks;._ ,. . o I HEREBY DECLARE THAT THE FOLLOWING IS TRUE TO THE BEST OF MY KNOWLEDGE: i '" -1. I AM,OR'MY COMPANY tS;RETAINED BY THE'OWNER OR`THE ARCHITECT/ENGINEER•OF ReetiRp To PROVIDE SPECIAL I€SPEGTrON FOR THEWORK COVERED IN THIS REPORT: ' 2, I HAVE PERFORMED THE REQUIRED INSPECTION DURING Tii tE TIME PERIOD AS STATED ABORT i 3. THE WORK COVERED IN THIS REPORT IS IN CONFORMANCE TO THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE • WORKMANSHIP PROVISIONS OF THE CODE CEP-TAS INP,i3OATED OTHERWISE; , �.na€u€a Date ` (Revised 10/2%2) I Pae e 1 of i I . .4, . Ray Liu Associates, Corp. • . : - ' , . 600 West Main Street Suite#212,Alhambra;CA 91801 Tel:(626)308-2196,Fax:(626)308-2195;E-mail:ray@raylivassociates.com September 8, 2016 _ To: Mr. Jeff Wang City of Arcadia Development Services Department 240 West Huntington Drive, Arcadia, CA 91007 RE: 130S. 1st Avenue;Arcadia, CA 91006 Permit No.: BOO-049;441 . Structural Observation Report No..1 (Field Work.on Columns) .. Dear Mr.Wang, . . The design engineer of strengthening column rigidity performed a structural observation at. the above construction site dated on September 8, 2016. We provide the structural observation report regarding aforementioned tasks, the observed location refer to attached report and photos per City approved document. . . If you need any additional information;please contact us @(626) 308-2196, Very"truly:yours, e1;1(r fi' e/1"144 Ray Liu; Ph.D.;P.E. Principal Ray Liu Associates,Corp: 600 West Main Street,Suite#212 Alhambra, CA 91801 . ray@a,rayhuasso ciates.com i County of Los Angeles'. DEPARTMENT OF PUBLIC WORKS BUILDING & SAFETY DIVISION PUBLiO WORKS Los Angeles Regional Uniform Code Program STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system for general conformance to the approved plans and specifications,-at significant construction stages and at completion of the structural system. Structural observation does not include or Waive the responsibility for the inspections required by Section 108, 1704 or other sections of the Los Angeles County BuildingCode. (Bections 106.4.5, 1709) Report No. / This report includes all construction work through e day of jet it*6.6-t- 20_ iS Page NO. / of 7 Project Address: /6 ,5 Structural Observer of Record (SOR): SORPhone No,: /17?-c-adi4, CA 7/00 ro4-de Lig : (4414)43s7jeg71 Building Permit No.: Structural Observation Observr Professional Lic./Reg. No.: Observer Phone No:: 13°O'd t-f-*1. I P!rformOd by: I. r.L . c o eL4,#33 4677 OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS ELEMENTS/CONNECTION FOUNDATION WALL FRAMES FLOOR OBSERVATION LOCATION 0 Footing, Stem Walls 0 Concrete Steel Moment Frame 0 Concrete: coot - ir+1.1 o Mat Foundation 0 Masonry Q Steel Braced Frame 0 Steel Deck .2 .3 o CaiSson, Piles, 0 Wood 0 Concrete Moment 0 Wood 7/fra eel Meet' Grade Beams. Frame , et,/ to-eof de tat; ( El Retaining Foundation 0 Others: 0 Masonry Wall 0 Others: CI Hillside Special Anchors Frame /6;3 mat.of , . 0 Others 0 Others: • NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general Conformance with the approved plans or in the load path: (A final report by the structural observer which states that all observed deficiencies have been resolved is required before acceptance of the work by the building officials.) No 0'4 t-St4-4-cilitl dei(tem c,i&s A.)-crc $Cie a 4/facRei fhotei tacikedt tido fri.ift / re.#Irce I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE: 1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE • CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS OF THE COUNTY OF LOS ANGELES. Vre9f?r 2. I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS A ,--:71N 0 UN G UNDER MY RESPONSIBLE CHARGE;HAS.PERFORMED THE REQUIRED SITE VISITS AT ,f,' ---74-7" EACH.SIGNIFICANT CONSTRUCTION STAGE TO VERITY 10 THE STRUCTURE IS IN 11-~ .* I . z GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; 70729cz.) 3. ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED — ER Ogld° -"-47 ABOVE; (51.97, • CAM.- 4. I RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY •e cky: OF ciko OF LOS ANGELES BE WITHHELD UNTIL ALL OBSERVED DEFICIENCIES ARE CORRECTED. e'44 p&p" 7- d' (STAMP OF STRUCTURAL OBSERVER) SIGNATURE OF ST CTURAL OBSERVER DATE Version 1.0(2008 LACBC) Jan.10 200/3 v12Y96 - v12Y96 -v13Y96 1,0,1t96 w 8 A • 8 S m 5 A •./� v13F9 a12Y96' v921t9fi -p. a13 F96 :I : I 1 . Ili•r. .l ir:e•� � R' �R. .9 E .. 1 • " - y• •�h 4j Cy I az ;rl2loo ars3io' %' T . rn II L 2� O � -♦6xi.n 1% O' S I • i , I.j , ¢» �L. r I .II II 1% • r-e• , g i rum Ile[NGMmaNG,ING ggg (.(�• PROPOSED NEW OFFICE BUILDING ? - ��) � STRUCTURAL PLAN • • • JOB NO f• b •. %l: • dray :Liu Axsociales,• .Corp . .. ;PROJECT./.9®4 /. t4ve•,Aile'al'� . -DATE 7-22 14 .• .. 600 West Main Street,Suite#212,Alhambra,'CA 91801: • Tel:(626)300-2196,.Fax:(626)308-2195' • - • - PAGE: • ..OF .: • i ' `� r t . 1. / l ?: E r i .(N�'r ii 4X I"1 < 6 w- /i ?® i ® • i 1. I Ir • . { I. N • - i_ ; r : � ( ! i t 1 ,. • • • t. •� i I ` 1 r t • j t I r ! { j: r j f 1 I i •, J .- - i' t f. r 1 I i• '' I►_is4 --r iid�•:. b��, -�v,�#`Tt•1Y r. ,. e _ _ .. F ' t I i ( i r f f f ; t r I • I I • • 1 ••r I'' \ I i � f 1 i r , I. . . 1• r • r' I 4 i • o , • I r t 1 }7 r� I s' r i I' 1 'b �� °: . �, t i j , j j 1 r f , • j • f G I ' 1 i I. .1 • I - I r ' ( )! • , . /2 c 74 { . qj -• . • JOB NO . ! i //e' day Li ssocites9 ® pe PROJECT f 3®�5. � � � AD. _ e DATE Z ./ - 600 West Main Street,Suitett212,Alhambra,CA 91801 .. • Tel (626)308-2196,Fax (626)308-2195 • PAGE OF t •f t _s 0! 1 . I ®B f i 1 l i l i •t I. s f ! ! t i ! . (•N) slti' c i/� f . E t • a .0 I i f. j • i ' civ.,' 2- fcr i7s, t 1 " .. I I. I ® I I 1 .( 1 `• i I I : I • 'i i f_ 7 i i i.t k l ' _ - •(Ei) • ,g . i�tc®�I P1- - : 1 : 1. ! I l t s ) - I } < ' �® l ( l 1 1 •s. •y�� /�( 1 • 1 1 f .t - f( ! 1 i i � f 1 .111 ; � + ; t / /' .1 i k 1 f• _i. i } IL_'I 1.4 � i ' i' • 1 t t i t ! f • I 4 t • .. : I -1 .I 1 1 {y( 1 t 1 t i.,- l ' I .i,. t _ • j� .. .& t% 1 • I i 1 U.1 . i t .a i• . I ) k ..I_ I �.. ice; .1 I i I j i i i I —1 ••1 ' ! : ! I j- e o. j.9®! I ® t • �p al. (/V, si- t 1 i )o l y�O i t ; I t • I� f i/</, t :- E . r. f • t I i f 1 {{ i E I f• I �.. I- i L. f E L. t' i - ' 7 i-� f ' � 1 r 1- t j• . f i t C-- f - t- i 1 ? 1 , 1 i 1 i` I i , ` � j I xi! I I _ 1 (r!/hi'�.l c,e.: `ai - 4tf�- .-o t sg6. ire 1) . • . - •: • -. • - -.: -. • •. . ICJ _ ' c ,p �,� ^Y ways t' _ , - / 46. < �c 'k e ;� * fir I. �, Y; . 'rid, -a 7 3 „� Y� s, �^ 6 �� i yam✓ 9 S F 1,y F' ,` :',., ,1:49.."'":.,,,,,'1't-::- : - 7:---7-I J L .r'. 01",�J�'-`.�-4 Es FIGURE 1: The steel plates welded to splice connection @ column in place (TYP, total of 8 locations) li ;3 • 4 if i V, , .. f . ‘ ' ;ii I FIGURE 2: The sandwiched steel plate fillet weld to column flange in place (TYP) q•••••• II T. . JJJ `r i; `1. ' L`a 0. _ - a. �t r' ' ,It, 'N.._ o q,, ., 1 .?"i l n, s FIGURE 3: Top welded stiffener on top of welded sandwiched plates in place (TYP) 4 L.g r - . i' K ` p • �•E 6 - 1 ��yy i - ... Y' Cry W M^ n y tZ t - 'P ' n I }x I .4 i ' C\ ` 2R ,. ;iv. * �e • FIGURE 4: Welded connection between base plates and sandwiched plates in place (TYP) , L / ' ,..r.1 t .` .r = �# .r; ,v t k ': Ali' r 1,.. l �..y. yu i` , 9. i .14 ( 7 , li a-ss .. .. . . s`- I. D :n e FIGURE 5: Sandwiched plates attached to column FIGURE 6::Sandwiched plates welded to splice weak axis in place(TYP) base plates in place(TYP). u. 4 t � y`� "" `;` • f 1 i sue`` \ ..,.....,,i,--..:. ' ' a tr d * k, / .4.,)p . • .. ,:iii,„ FIGURE 7: K-curvature with voids in wide flange FIGURE Stiffener plates welded to column and column m place(TYP) sandwiched plates in place(TYP) 1 i . 1 ' Ray Liu Associates, Corp . ..,, : : . . 600 West Main Street,Suite#212,Alhambra,CA 91801 Tel:(626)308-2196,Fax:(626)308-2195,E-mail:rav@raylivassociates.com August 1,2016 To Building Officer . City of Arcadia Development Services Department . 240.West Huntington Drive; . • Arcadia, CA 91007 RE • 30 S '1st Avenue,Arcadia; CA 91006 Permit No.:.B00-049-441 . - Detail of Field Repair(Column Shortage) . Dear Sir/Madam; - : . We as the shop drawing f rm reviewed the attached structural drawing Sheet S-5 and shop drawings Sheet E4:1 and E4:2 along with a Site visit on May 30, 2016in regard to.field-,verify the : . column shortage issue. We provide a detail for General:Contractor's field repair-. If you need. additional information,please contact us @(626) 308-2196. Very truly yours,: . :44 ///47 -, / .• . - : - ./ } 0F Slp4, Ray Liu, P1i.D.,P.E. .�14 kii Cs'`/G�,�` Principal. . — :.70729 = z. :;Ray Liu Associates, Corp: : ,. * lap. �/ 0630 600:West Main Street,Suite#2.12. • q ...crV[1- . �\' ',- Alhambra, CA.91801 .. 1-OF CAL. G \\N........_ livassociates.com ray@ra y . . -/-=�-°J 4 . : . . fROU T EG J ONA('TIDale and - /` ��\' 7:K;0 SeriInitials of �2��o O._e GoRc; on S Oic # Checker CP Planning Eng. —i Building '►�� * I ' :. Fire .. - PWS=Water WELO - Trees I_ : lo.l.wo or • a, I FRAME 41 1 FRAME 21 1-FRAME 11 wlxxw Top or eau .•DOUM SEPARATION PER PROCECTUR.11 Pt. 6 :�,.. Cam-- • wl]ra TOP Or MU 1D' I \ . I yy . 0x s ' !3l F.J.2-N1$01B-0..01 I R A [FRAME 11 1 - / 1 �' I I � ...Si. s TOP Or BE. ' "' 000 �� 0 1 _b I 7 k '. RM. . V s 1 `/ 12,2-2XI IOO,CA1 7` C v 'v _r_.;12 _'i_as,,t.. I Al ® 'FRAME 2I I .--® -® a ',d In tf' y ` . L7 _TOP Or SEW ! • 4 E ,�� U .12•• I WI .o W12X2d (. IFRAME 3-161' nt.il., "� LJ 0a. r123011) .TOP 0r OEM -ir / Z . s m IFRAME 31 a • O'r CONSOLIMET 8 Q O] C�m.FcwutN z SECOND FLOOR FRAMING/FIRST FLOOR PLAN 4.rw SCALE:1/4`- I.-O' N '^% .o:'mn° pj 6 la e• NOTES ItlF la g` 1 ._m M1]OO TOP Or BE. 00 1 rOrmEs RO0Rmr nu O traGrll UHO.T f,'p.ps — 0tr0cOTrJ MP lams Sob o... 0. 'FRAME 41 5-5 MATERIAL U5T DIPNG ASSBLY NO. SUE LENGTH NOTES MARS NI PIS _tl ONE W12.2% 11 3 IL • 2 P1.1/2,S3/1' 0 111/4 s0A) sgr..,, �OEL,A, / < Pl)/IC.10.3/<' 0 3 OF , OFWO.o[VOW Cl ONE W12.96 11 3 PLI/t.s3/1• 0 111/I f4 I.e 1 �� m fd B e I • R 0 )/]61101/1' 3 114 tl OIU WIL% 13 9 vL1ms3/1• 1R3n BIMIFIA nz.P i e PL)/161163/1• 33/1 - 1 8 PLS/1}S9/1' 0 99/1 • 1T1 G ONE WIM6 23 9 _ I 8 PL)/16•.10.3/1• 0 33/4 =MI IV • ONE—COLUMN—CI n„o R,.,o .1.w OF CP MOM MO AT ONE—COLUMN—CO ONE—COLUMN—C4 11 A3 O), me, pco 131r 211egblo Dral COM ! FFla • iOWA FO%COMO� -COWw 0O4.EC0004 Sew n,Pcc ONE—COLUMN—C$ CLIMILVI• n WC PIO MD.9�M NO, •.IIIISIl RAY LIT ASSOCIATES,CORP. owPK E.00LO1..MOWN 600 WEST MAIN ST.SUITE 212 ALHAMBRA,CA 91801 1011(626)308.2196,FA3I:(626)308-2195 PROTECT STEEL SHOP DRAWING,16.110' PROJECT SITE 130 5.IST AVE.ARCADIA CA 91006 DRAWN BY P.L DATE 3/25/2016 SHEET COLUMNS • SHEET NO. E-4.1 NO. DATE ISSUE REVISIONS 3 MATERIAL LIST SNPxG MSOI] N0. IENGi NEE NOTES NOTE1 MARK AIM[ PCS 13 ONE W1166 23 9 - • e 4 N.1/2153/1' 0 103/4 I I 91.3/161101/1• 0 33/1 a I N.1/1153/1• 0 33/1 Ad O/ POEM I _ I I SOMA I /d �O[2a] • AO[LI a 6 OKW12e% 2l 9 IIf f I IV �� RI/11i9/1' 0 I0l/1 I^1 Ia Ago mrtol I 6 R]/1611D3/1' 0 39/1 !n.■� , R RI/1153/1• 0 33/1 ii M , 1■ �.8 C] ORE W12496 23 9 I L iI e ;: ; fAce ® ONE• 1 VIZ. 1 1 93/1 a Md111 Le tame _ . ),,. ONE-COLUMN-CO ONE-COLUMN-C8 ONE-COLUMN-C7 ONE-COLUMN-CB nmei]D]b03ct Eriu-N rycllvlr1ne 3 - m ). bL SIC i/PEE I R I II MOM SOY /1441. ECWI]Aar/3IAE]WOO u.moat' g OM ■W41111111111 s/sum MD MS FO VI.UK FROSI Mr Of Ava NITPH.r COM'bAmINN �ti RAY 1,1E ASSOCIATES,CORP. 600 WEST MAIN ST.SURE 212 . ALHAMBRA.CA 91801 TEL:(626)308-2196,FAX:(626)308-2195 PROJECT STEEL SHOP DRAWING.16-118 PROJECT SITE 130 S.1ST AVE ARCADIA.CA BOWS DRAWN BY P1. DATE 3/25/2016 . SHEET COLUMNS SHEET NO. E-4.2 NO. DATE ISSUE REST SONS STRUCTURAL CALCULATION AND DETAILS FOR ���,�C�IT Y OP STRENGTHENING RIGIDITY IN COLU1V11Vnen( '•cr`912�:iiv, Thi•. , �j�� ll<c.s f�, AT on c s sc t Of'• /)/al) ft(� 'j�� (hlr(/))c r)t •,r)b al al/ s�Incl•s/)(,cili., ;j 130 S. 1STAVF7 shall be 1' )(s.a,) (rltiOns./))u. t be ARCADIA, CA�1 �j�t)In)pin�, (.vccZ, k; iq ' ;:c !h(�/;l al', per; Ind ,ti I)I two rukrpro (E.10 be, Vl)('('i!1(,. /). .)7On• any • r111On s I. � 1 (r(n l)pro��)! •()I the U), s�h<Il/not rl Or g(�l((,la{f PREPARED FOR SUN'S RESIDENTIAL DEVELOPMENT,LLC. 308 S. 1ST AVE. #F, Ncz,O�ES$( ARCADIA CA 91006 oq. S 70729 m EXP.a63o)e/,' PREPARED BY RAY LIU ASSOCIATES, CORP. 600 WEST MAIN STREET, SUITE#212, L ALHAMBRA, CA 91801 TEL: (626) 308-2196 FAX: (626) 308-2195 RayLiu Associates, Corp. PROJECT I3 aS'e J. �� ; NO /s t Ave;,Atcaatiq DATE 7-22-J-0jA 600 West Main Street,Suite#212,Alhambra,CA 91801 Tel:(626)308-2196,Fax:(626)308-2195 'PAGE / OF 3 • 7. - _ _-_ 1 11 1 1 I I 1 I j i (A/)Isti e-n It.4��f R.alcfiside NI I I -. ire'b 1. - —_______ i,Xi , 7".' ' i' I 1 la • — fr. -— % 14— 71 1.- ' _ • '. 1::' _1 '.1 _I . ' 1,---ii • - li _ .. il L i 1., + __ . „ 1 (El.4r—l_i_A/ __Iv.._)le.T:li___-._1 h_ ..r]..i. 1 l.,'+__._ iw - ' ...c . 1-..-.-----14-----J,.--- l ! T T, . 1 IT .1:. 1_- ,,,_I....,1- -11 __ •.. :..--_-_ -. ‘, .11 • _ , , __ 1 1 J . ___1__::i____ _ 1 _____ ___ ___1____ 1 1 _ LI 17 . .1....k........1 LT_ .._ _ ___1_ 1.— _: i . '. _.1_-_-...... i _____________L _ 17. __I__ _ __. ___ I. i____ _ ___1_ : [.. . ..1 lei 1 f : 1 1 _____1 .-1 1 (.. -)--s--itit ! i__.___t ---.---- -- _ ,_____ f._ _each:side ,.. a �.heftela ___ ._ _- ! AAt. TIP I 1 ! I i I _i -I ) _ I I 1 . .LiI7 \t I j, i 1 1 ' 4 I .i i 1 • i i • i .1 I i 1i.... _4_ (E) C,o-1-y-e-______ : re 'I— I ` ( r t.— — I I LL I [ 1 4 d 1_1_1_1 J. _ _ . . .._I„_, A._ _ _... i 1 II. f _ ! 1.....1 I I z ! 1 ` ? I ; i• 1----LI- - 1 1 . .iutiTer tiff-r (fp-eiz- t4e;,..-7- i%zi co-Ming-4 . ,•', i , 1 1 ! i I I i. ! i j a � j I { i i i !. Ii ! i ; i i i j . i 1 ° i i I vl E f 1 s 1 ; , I ! ! i i S. ' JOB NO /44 -//8' Ray Liu Associates, Corp. PROJECT/3 045. /s t f(,/c.,,47-cad;q DATE 7-2•2--1-0/4 600 West Main Street,Suite#212,Alhambra,CA 91801 Tel:(626)308-2196,Fax:(626)308-2195 PAGE 2- OF 3 IJF _ ;I ' t _- (N) iti —} f i - � .. - u _�_IEI1 ' v '- d moo/ : o,,td: —_I:Li___Jr_________ :1.....1 o 1 _1 1-1-1 1. --1- - ...L 1 T A /Y1117113111PAITI__._____7:1___ 7 _-_..1_1_____ _ , 4 (E)_ r citiLi _15 rt5 4 to (i_) ,I 4 r C(Ai) ff_4._ ., Eller___ILt____I J 1 i y_ . [- to (._ IL 1 1_ t ,�'�- _m n _ _s /4 �L1) ;.4__ 1 (<CJP. 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I � i i yyj i I i I ; I 1 ( i 1 I I ! h ( I 1 i, 1HH-_ l ; i I I : , .f, ,i I I , I 1 SMF Beam/Column Splice(SPL) 1.SMF:Beam/Column properties Fy= 50 ksi : : . : :..Mp=: . . 7350 k-in AISC 341--0 D2.5b/D1.4a Mu=1:1 RyFyZx .. 8893.5 k:in AISC:341=0:. D2:6c: Base PL :- : Mu= 741.1 k-ft H.story= 14 ft. H used Conservatively for talc.only, Vp=EMpc/H : 87.5 k W12X96: : . A. . .28:2: in2. .• . . b k des min tis. in Aw=d'tw=. .• 7.0. in2 . Sx �31 : in3 .. rx - sa4: : in. lyy 270 . in4 8 Zx: '147 in3' :.2:SPL Plate Design Web Side PL(2 sides total) . Fyp :. 50 ksi - - Use:GJP from Column Flange to Web'Side PL t _ 0 9"0 6*fy*tf=p.total- : .: 4an : . . Rw= . 24.3 krn. . . ; '.- b 15 in. Lw.re Mu/d /2/ + • . P- . 4-( ( -tfl).. Rw" tf' ` 1T.3 in " ; ; : Ap- 60.00 in2. i.web : 6760.0.in4 • USE CJP weld at Column Flange to Side PL Z• .PL= :- . 225.0 in3:. each side. w/min'Length 18,0.in .: : • Mp.web= 10125 k-in .. 3..Check Z,Ix,.Mp:and Vu Demand. :: ; . . .. . Design:Flange+Web = _ xc.. � . . < ,Elp . . •6757. in4 ' ; OK-.. . 833:in4. . : . Zx = - -147 in3 . .. <. £Zp. , 226 in3 : . , .. Ol( :.. = • 8,894 k-in: . <:: EMP.= 10,125 .k-in.; OK ; Mu . Vu= 88."k � itiVn.web . . . . 1620 k.: :OK USE(2)Side PL s: PL 2 in X 15 in Wide X-18.in Long-Bich side of SPL&each side of Column I . . STRUCTURAL CALCULATION AND DETAILS FOR SPLICE CONNECTION IN COLUMN AT 130 S. 1ST AVE. ARCADIA,CA 91006 PREPARED FOR PETER LEE RNGINEERING,INC. 8748 VALLEY BLVD.#L, ROSEMEAD, CA 91770 k a•�0LlN ve� =' 70729 111 6i1 rn EXP.06 30 30/ .i kr * CNIV PREPARED BY c OF Cp:Uft RAY LIU ASSOCIATES,CORP. ,e4i,/G. 600 WEST MAIN STREET, SUITE#212, ALHAMBRA, CA 91801 TEL: (626)308-2196 FAX: (626) 308-2195 Ray ��� 06 NO /6 ``/�' Associates, Corp.Corp• PROJECT/3sis./Si Are., li-read i4 DATE ‘-3 - /t 600 West Main Street,Suite#212,Alhambra,CA 91801 PAGE / OF 1 Tel:(626)308-2196,Fax:(626)308-2195 • • t 1' : ki,tiltitliet4.‘Z tiOt i i '!: `. i , . i , , , . , -� 7 , , , r ` ,3 � ('vV X C& c See, rt ; 2:54L7n t ,f" z • • ® b e tl:'; l •is � r�• ,r!` this c�� i�. t i"t • • 5 ` OB NO / _ I1 .. Ray Liu Associates, Corp.l PROJECT /3 a s. 1st /'Y •,hreALi q • DATE —cfl— /4 600 West Main Street,Suite#212,Alhambra,CA 91801 Tel:(626)308-2196,Fax:(626)308-2195 PAGE / OF 2. £ s L. f i - i Lit-A-..s 4, t 141-e- a-AA: j'yq/e4e. 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Z T / — I +i J•H•V+ H+ ( -�,-i�j1•g•v+ 1� ! g+ Zl z\ Zi ZI r • c,, ZT {g+H) 17 +z�1 —,y 1 g v+cg•1� +L(T—H i•H."+cH•v 1 c ZI ZT Z }} 9 z\�{+v,•g•v+cv•g+ £g•v+z1 g+la,!•H•v•4+cv•II9 {g+HZ) vLI + I --I.H•v•Z+ zl H) cH•v P9 P9 t (ta—c(uZ+( )')•Z o (,a—r(vZ+a)).`' ( a-z(v +0)•it 0 Z t f- 9 Z I 9w =z .; ,1'0_ ;Svim+g)).:j --Eg•v , ,r EH ',{i +H�)•g+EH•v (Q+H)•°•Z ' ZI 11 ZI Zt I 7•v cv'7 e7•v GU!] "'"I 4147 x'i [zu!] ''V ade9S Ray Liu Associates, Corp. 600 West Main Street,Suite#212,Alhambra,CA 91801 Tel:(626)308-2196,Fax:(626)308-2195,E-mail:rayaravlivassociates.com June 6,2016 To: City Inspector City of Arcadia Development Services Department 240 West Huntington Drive, Arcadia, CA 91007 RE: 130 S. 1st Avenue,Arcadia,CA 91006 Permit No.: BOO-049-441 Detail of Field Repair(Column Shortage) Dear Sir/Madam, We as the shop drawing firm reviewed the attached structural drawing Sheet S-5 and shop drawings Sheet E4.1 and E4.2 along with a site visit on May 30,2016 in regard to field verify the column shortage issue. We provide a detail for General Contractor's field repair. If you need additional information,please contact us @(626) 308-2196. Very truly yours, , 707 —eir Ray Liu,Ph.D.,P.E. Principal Ray Liu Associates, Corp. 600 West Main Street, Suite#212 Alhambra,CA 91801 ray(airaylivassociates.com f Y jOB NO R Liu Ass cia 1es Corp. / �`�i.f PROJE p PRCT/3�s.I.,fie,, ATt,etelret DATE 6-3-s--fl/g 600 West Main Street,Suite#212,Alhambra,CA 91801 Tel:(626)308-2196,Fax:(626)308-2195 PAGE / OF 1 1 i. I ! £ } ( !. , � I � ; 1 � ,... �I T , 1 i._ _�.,w-_p_,__. } . ' I 7 £ 3 I 1 �' _; = I i f Ai , t , i 77 1¢. 3' �, ,: iv iii t_ i_lA/I E}, _1.-/7 ,,_.. K ibr=. . ( 1. '� . (. -,' .} ..;__.., ;. . .t... +_.,,, l } 1, t}} „1, (/.,t i • i i i - : lI✓ M J • 6 ( 1w= d 1 ; I k . ;. i 1 , I _ 1- i 1 (k- :l e a- £ , i ... i , i } t , m.v< I ,_ I _ . . , ,..__ k.._ 4. i.. ? 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EXISTING BUILDING 30 5. I ST. AVE. ARCADIA, CA 9 I OOG u ( , rJ Cn 2 Exp.O3/31 JA(7 S'T-e OCT' Certificate No. 20121023 — 518 ARCADIA UNIFIED SCHOOL DISTRICT 150 South Third Avenue,Arcadia, CA 91006 • (626) 821-8300 Ext. 6732 (Certificate of Compliance with Fee Provisions of Government Code Section 65995) This new Fee Schedule is effective December 26,2012. Any Developer Fee Worksheet brought in on or after this date will be charged at the new rate. Address of Development: 130 S. 1st Ave. , Arcadia, CA 91006 Number of Buildings in Project: one Plan Check Number: 15—12 8 [ ] [ ] [X] [ ] Exempts (500 sq.ft.or less. Residential2 Commercial/Industrial Commercial/Industrial Future additions chargeable $3.20/sq.ft. $0.51/sq.ft. Parking Structure at regular rate) $0.26/sq.ft. Area in Sq. Ft.: A developer may request refund of fees to the 3, 9 5 5 District within twelve months of payment of fees, in the event the Building Permit expires or the Developer Fee: $ project is canceled. The refund will be reduced by 2 , 017 .05 a $100 administrative fee. The refund check will Receipt No. [X ] 318 0 6 6 [ ] N/A be issued in the name of the original payee and mailed to the address of payee. Owner: Sun' s Residential DevelopmenYeie�l�per: Address: Address: 308 S . 1st Ave #F Arcadia , CA 91006 Home Phone: Business Phone: 6 2 6—3 21—2 4 2 9 Pager/Cell Phone: Pager/Cell Phone: 'This is to certify that the above-described development has been determined to be exempt from the developer fees of Government Code Section 65995 and a Building Permit may be issued therefore. 2This is to certify that all fees due to the Arcadia Unified School District, under provision of Government Code Section 65995, as a prerequisite to the issuance of a Building Permit by the Building Department of the Development Services Department,have been received. Based on the information presented above, this Certificate of Compliance is hereby executed. ➢ The District charges a $100 fee to process reinstatement of the Developer Fee Certificate of Compliance resulting from an "insufficient funds" check in addition to a $35 fee for the bounced check. Only cash or a Cashier's Check will be accepted as payment thereafter. ➢ The District charges a $100 fee for any amendments to or cancellation of a Developer Fee Certificate of Compliance issued on any type of development. Said request for refund of fees paid to the District must be made within twelve months of payment of fees. Applicant confirms that he/she is authorized to sign on behalf of the owner/developer and that the information he/she provided herein is true and accurate to the best of his/her knowledge. Signature of Applicant: District Approval: Date: 11/6/15 WHITE—City YELLOW—Accounting Dept PINK—Business Servicee GOLD —Applicant Certificate of Compliance(10-23-12) ®fir RC,�� v � November 17, 2014 r..w,,,903 Mr. Ben Wu oo\ 308 S. First Ave., Suite F '44nnity°f 1A° • Arcadia, CA 91006 LAtyof Subject: Tentative Parcel Map No. TPM 14-07 (72892) • Architectural Design Review No. ADR 14-06 Arcadia Caula Modification Application No. MC 14-04 130 S. First Ave. Dear Mr. Wu, Development Services At its meeting on November 12, 2014, the Arcadia Planning Commission voted 3 to 1 with one abstention, to conditionally approve`Tentative Department Parcel Map No. TPM 14-07 (72892), Architectural. Design Review No. ADR 14-06 and Modification Application No. MC 14-04 for a two-unit, residential-condominium subdivision at 130 S. First Avenue, subject to Jason Kruckeberg the conditions listed in the attached Resolution No. 1924, which was Assistant City Manager! adopted at the same meeting. Development Services Director Approval of TPM 14-07 (72892), ADR 14-06 and MC 14-04 shall not take effect until the applicant/property owner has executed and filed the attached.Acceptance Form to indicate acceptance of the conditions of approval within 30 days following approval by the Planning Commission. There is a ten (10) day appeal period from the date of approval. Appeals must be submitted in writing to the Community Development Division with an appeal .fee by 5:30 p.m. on Monday, November 24, 2014. You will be notified if an appeal is filed. This tentative tract map will expire twenty-four months (November 25, 2016) from the effective date. If an extension is necessary, a written request and fee must be submitted to the Community Development Division in time for the Planning Commission to consider the extension request prior to the expiration date. If you have any questions, please contact me at (626) 574-5422 or via email at tschwehr@ArcadiaCA.aov. Sincerely, DEVELOPMENT SERVICES DEPARTMENT Comm nity Development Division/ Planning Services Tim Schwehr Associate Planner 240 West Huntington Drive Enclosures Post Office Box 60021 Arcadia,CA 91066-6021 (626) 574-5415 (626)447-3309 Fax www..ArcadiaCA.gov 1 it ; t.► PERMIT/PLAN REVIEW APPLICATION \2aj. 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 g License No.`7 644 v( 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 .Aa� —ems OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section Li 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 I 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 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 forthwith comply with those provisions. IDI, as owner of the 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 f ( 2�'f/d 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 e/aA-R C xS Lc--( 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 A cadia to enter upon the above-mentioned property for inspection purposes. Si nature Date T/ /)J /1 l OAF Ake :.N 17 PERMIT/PLAN REVIEW APPLICATION Et , 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 CO. License No. 0 50070 Exp. Date9''2,/J2 3 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 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 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.4I /4/2 1 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 attomey'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 N ate, dq f 16/21 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. an1e �6'Tfe,r ,i,®!Yf"ez!/i' Title U, 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 G / le /•� U~4OFF R.v,../6 Y_ PERMIT/PLAN REVIEW APPLICATION '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: r ❑hapter 9(commencing with Section 7000,of Division 3 of the Business and rofessions 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,'—1(P License No.qb6 (.)-(O Exp. Date(t 130(17 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 ❑ 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 s issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions y Code.Any city or county which requires a permit to construct,alter,improve, Carrier (t- Fl l-e.-. demolish,or repair any structure,prior to its issuance,also required the applicant olicy 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 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 1 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 ©G+JN,Q'� Asvt� � 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 -----)" bate c 266p7 of ARL, °~ el ' PERMIT/PLAN REVIEW APPLICATION .f Development Services Department,240 West Huntington Drive,Post Office Box 60021 'mm�o,.Y°,x 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 ofessions 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.— ID icense No. 4-0 5 C Exp. Date 313Ii 17 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 'ilea.---- OWNER-BUILDER DECLARATION IDI have and will maintain workers'compensation insurance,as required by Section CI 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 s 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 ❑ 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 4(4(J tle ec e \\\ 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 on the above-mentioned property for inspection purposes. 1 (Zcf gnature teG III C7 of AR G�LIFOR�.�C9A 11 PERMIT/PLAN REVIEW APPLICATION • j 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 aI 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 15 License No. 1440 I Exp. Date eisSI/('7 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 ElI 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 ElI 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 ofICalifornia,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). AI am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date S; Ai 0 t'I 245 f 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 61 tirtrt r Lc t 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 1 f' / 2/I 4°tr ,4d 9 o 9 " } PERMIT/PLAN REVIEW APPLICATION j 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 1. License No. 9 p 440 !Exp. Date k(.>(/l1 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-BUILDeit 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 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 ❑ 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 ElI, 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 t I/ , `t Signatures_ 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. J Name (/ N.6\V A C Title C/en-C4 O C.-- 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 VA /6 /L S