City of Los Angeles CALIFORNIA
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1 BOARD OF BUILDING AND SAFETY COMMISSIONERS City of Los Angeles CALIFORNIA v:- DEPARTMENT OF BUILDING AND SAFETY 201 NORTH FIGUEROA STREET LOS ANGELES, CA VAN AMBATIELOS PRESIDENT E, FELICIA BRANNON VICE PRESIDENT JOSELYN GEAGA-ROSENTHAL GEORGE HOVAGUIMIAN JAVIER NUNEZ miss ERIC GARCETTI MAYOR RAYMOND S. CHAN, C.E., S.E. GENERAL MANAGER FRANK BUSH EXECUTIVE OFFICER February 23, 2016 Honorable City Council Room 395, City Hall Los Angeles, CA RE : Refund Claim All Area Plumbing Inc Job Address : W. Santa Monica Blvd The Department of Building & Safety ( LADBS) received payment for building permit number from All Area Plumbing Inc in the amount of $ 135, customer is requesting for a refund in the amount of $ 111, due to the original permit being re-issued as three separate permits. This was done to accommodate project phasing requirements. The amount to be refunded is $ 87,882,82 ($111, less 20% administrative charge of $ 21,970,70, one stop surcharge of $ and miscellaneous fees $ are not refundable). Attached are copies of customer s cancelled check, permit and other supporting documents. The Department therefore recommends approval of refund claim This refund in accordance with LAMC sections and Raymd:, Chan, C. E., ST. E. General Manager Department of Building & Safety LADBS G-5 (Rev. 11/20/2014) AN EQUAL EMPLOYMENT OPPORTUNITY - AFFIRMATIVE ACTION EMPLOYER
2 > On CLo PC' RECEIVED SLA 2015 OEC 29 PH l 0 DBS AUTO SES PARTMENT OF BUILDING AND SAFETY 2 ACCS $S CITY OF L#S AN SELES FINANCE SERVIOH ZElTL SUlUlNS &SAP I I EZ JsND/Ne, /aj dopy vf V/A m/c.. CLAIM #_ I26AZI OS O) CD OO r+ CITY CLESK 330 s u e RECEIVED u iiy o t f t b u h r e PRINT NAME OF Claimant (Last) (First) Mailing Address (Street) (City; (Slate/Zip) All 'f /c'tot-jp/ttg l.56?w &*dcgf'rk{ Zerkti, /V y D?V?ZZ (Area Code) (Phone Number)? -zaz REFUND INFORMATION JOB LOCATION:!(X&? U/. MetofSA At&AcfZX 6? Amount Claimed $ i//s ts/,# v Ait ate Fees Paid: RECEIPT #/PERMIT #/REFERENCE #: tp'&zsg 779 ~7 /V&Y2- /7f7f STATE REASON FOR REQUESTING A REFUND - (Details): 7^?F^/r/r^! 'pe'm /</ brsn Yt-ifftscJ -kltrec^ 6tftov*U pcrnik &T rttyircw*. /Oe^ timbers am <2$ > isot/z -/OaOo-ZSIZ5, an<l!s<74z-f0cg0-z$lzr NOTE: A Claimant may be required to submit to examination under oath. (Charter Section 63.) Presentation of a false claim is a felony. (California Penal Code Section 72.) I HEREBY CERTIFY THAT THE ABOVE STATEMENTS ARE TRUE. /Z-Zi'15 remarks: -. L2 SIGNATURE AND TITLE OF CLAIMANT FOR DEPARTMENT OF BUILDING & SAFETY USE ONL AMOUNT APPROVED FOR REFVND$ DATE Audited by: Approved by: It 4 - Date: ~3~- f Date: Wtn LADBS-Finan. Frm 1 (4/2003)
3 W Santa Monica Blvd Permit #: f Plan Check #:M14LA03255 Printed: 12/21/15 08:31 AM Plumbing GREEN - MANDATORY Commercial Regular Plan Check Plan Check 1. PROPERTY OWNER is5 Event Code: City of Los Angeles - Department ofbuilding and Safety APPLICATION FOR PLUMBING PLAN CHECK AND INSPECTION Issued On: Last Status: 01/09/2015 Issued Status Date: 01/09/2015 SM PROPERTY LLC 2. APPLICANT INFORMATION (Relationship: Engineer) ROBERT 3. TENANT INFORMATION 2200 BISCAYNE BLVD MIAMI FL PARKWAY CALABASAS SUITE 30 CALABASSAS CA (818) CONTBACTOK. ARCHITECT & ENCINEER NAME ADDRESS CLASS LICENSE* PHONE * (C) ALL AREA PLUMBING INC (E) KRAUT, PETER A 1560 W INDUSTRIAL PARK ST COVINA, CA AMBRIDGE DR, CALABASAS, CA C M31498 (818) M14LA03255 S, APPLICATION COMMENTS Pressure at city main 66psi high, 57psi low. Hydraulic design for 4.8psi/100' for podium level. All other areas sized for 5psi/100'. 8" WM with RP. Booster pump rated for 250gpm@57I head. Gas company providing: DESCRIPTION OF WORK Installation of complete plumbing system for (40) story high rise with 3 levels ammenities and the rest are apartments. Includes domestic water with quadplex booster pump, waste and vent, storm drain, and medium pressure gas. Underground checked under " ". 7. CHECKLIST ITEMS: W Santa Monica Blvd COUNCIL DISTRICT: 5 9. APPLICATION PROCESSING INFORMATION Plan Check By: Irene Pool Tamayo For inspection requests, call toll-free (888) LA4BUILD ( ). Outside LA County, call (213) or request inspections via To speak to a Call Center agent, call 311. Outside LA County, call (213) OK for Cashier: Irene Pool Tamayo W/O #: For Cashier's Use Only Signature: NOTICE: Date: The work included in this permit shall not be construed as establishing the legal number of dwelling units or guest rooms. That number is established by a Building Permit or a Certificate of Occupancy. In the event that any box (i.e. 1-10) is filled to its capacity, it is possible that additional information has been captured electronically and could not be printed due to space restrictions. Nevertheless, the information printed exceeds that required by Section of the Health and Safety Code of the State of California. io. fee information FINAL TOTAL Plumbing Permit Total Permit Fee Subtotal Plumbing Permit One Stop Surcharge Final Fee Period Permit Sys. Development Surcharge Permit Issuing Fee Permit Supp. Issuing Fee Plan Check Balance Plan Check Subtotal Plumbing P. C. One Stop Surcharge P. C. Sys. Development Surcharge Green Building PC Fee' 23,810,37 Permit Fee: 111,951,07 135, , , / 2, , / , , , l'\ 1 I > 2 1? » 0 0 Payment Date: 01/09/15 Receipt No: Amount: 0 * P FN *P FN*
4 / >6 f LA Department of Building and Safety LA /9/2015 2:53:08 PM PLCJMBINGPERMIT-COMM ONE STOP SURCH SYSTEMS DEVT FEE PLUMBINGPERMIT-COMM PLUMBINGPERMIT-COMM MECHANICAL PC ONE STOP SURCH SYSTEMS DEVT FEE $103, $2, $6, $23.00 $0.00 $22, $ $1, Sub Total: Permit #: Receipt #: Payment Records Receipt No Total Amount: Check:
5 4. City of Los Angeles Department of Building and Safety REPORT ON CLAIM FOR REFUND Sent to. Location tua! Lfr CLAIM NO. J. OPERATING DIVISION REPORT AND RECOMMENDATIONS 1. Did Building and Safety perform any work for which the permit or receipt was issued 2. Are reasons given by claimant correct? NO YES,, YES NO... N.A. If NO," please explain Of the gross amount claimed, is the portion of the amount claimed pertaining to (these) particular item(s) correct? YES... NO Should be $ Hi 4^1,07? 4. If computations are involved, show computation on reverse side of this form or attach a separate^fje^b cz - 5. Did Department initiate action resulting in an error? YES... NO Should ~c... S.. If YES, please explain 6. Is claim over one year from date of expiration? If "YES, was permit extended? 7. Is a refund recommended? 8. Is this a duplicate permit or receipt of the same job or item? ^-~If YES, indicate other permit or receipt numbers) YES NO YES NO... YES... NO*... Explain under Item 10 YES...k^NO... t L23> r«s» m...sjfi-g...a erasers </>2> ><2: <n m S m So* CO o 9. ENTER THIS CLAIM FOR REFUND NUMBER ON YOUR OFFICE COPY OF THE RECEIPT AND/OR PERMIT, OR OTHER RECORD. DATE ENTERED O en /S > % r/ocoo- -psr/ zsr 10. FURTHER COMMENT OR CLARIFICATION OF THE ABOVE DATE IF NEEDED (use back of form if more space required): ?_wf$±r..<s,..«(...i ±h-,. 1 \...auu/lcxii Date... Division..X....Nobl'UlC' Signature of * Recommender Approved;- pk... Ext. Bureai (a. District or Branch Head 08-B & S FS-20 OL4/92)
6 r» Page 1 of 1 A / Stops - Images - Search image Front: A All Area Plumbing, Inc. H»Jaf Cmm PAY TO THE ORDER OF ALL AREA PLUMBING, INC. I860 W INDUSTRIAL PARK STREET COVINA, CA y DATE / If 090*337M4 E WallfMktvAKA. TES REQUIRED FOR AMOUNTS OVER $1, a Si-i?. tup" FOR.»B00D000E, Image Back: b1 l Ok OkLT SAT TO -l-rie CisSER G SLLL5 FAibSO City oi [un Buiiriirtcj and Safety j6 0 i- r SvOOo i l/5 /2 u 3 l e.: 5 3 : vo i n j.02g4s"&47 tj,» I- in m m QTf_GI oauk -i Item Details Deposit Details Routing Number Transaction Type: Credit Discretionary Data Details Deposit-id: Deposit Name: La-02 Created By. Eric Vega Deposited Item Details Maker Routing Number: Maker Serial Number: 6394 Deposited Item Amount: 135, Master Account Number/Master Account Name: /CITY OF LOS ANG Account Number/Account Name: /CITY OF LOS ANG Amount: 181, Type Code/Description: 301/COMMERCIAL DEPOSIT Posting Date: 01/12/2015 As of Date: 01/12/2015 Item Sequence Number: Ceo Id: CITYOFLA Deposited By: Eric Vega Maker Account Number: Description: Check Deposited Item Sequence Number: Discretionary Data Details Extemal-isn: Privacy, Security & Legal Copyright Wells Fargo. All rights reserved. 1/15/2016
7 ^ CLAIM FOR REFUND - PAYMENTS CLAIM# FEE FUND FUND AMOUNT DIS- ADJUSTED 20% NET TYPE TYPE PAID ALLOWED FEES RETENTlOh REFUND P-PR 48R/08/3228/3243 AP OSS 438/50/4659/ AP SYS 48R/08/4001 /3800 AP TOTAL
prct? " CiTY CLtRivi Grr GE 2016 FEB 16 AH 9:57 C1TYCLFRK KY >S. i^poty February 12, 201fe
February 12, 201fe Office of the City C'erk 200 North Spring Street Room 395 Los Angeles, CA 90012 Attn Clerk of the Council APN: 2039-021-013 CiTY CLtRivi Grr GE 2016 FEB 16 AH 9:57 C1TYCLFRK KY >S. i^poty
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