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Development Services Department 4.
240 West Huntington Drive,Post Office Box 60021 PERMIT NO.
�% Arcadia,CA 91066-6021 B00 046 613
City of (626)574-5416,Fax(626)447-9173
Arcadia Permit Type: Tenant Improve w/energ:
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
5/5/2014 JB 11:53 6/26/2014 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave #Fc-4 T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: cris
Los Angeles, CA 90025- EMAIL ADDRESS:
Plan Chk#: 14-253
APPLICANT MAILING ADDRESS Plan#: 31298
Barth Builders Inc. PHONE No. (951)830-3968
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Barth Builders Inc. 1508 Gratton St PHONE NO. (909)781-7272 FAX NO.
Riverside, CA 92504 EMAIL ADDRESS:
License No. 761027 Type: B Expires: 4/30/2015 12:00:
TENANT MAILING ADDRESS
Sarku Japan PHONE NO. FAX NO.
DESCRIPTION
TENANT IMPROVEMENT
Construction Type (tOM #of Units Value Construction Type UOM #of Units Value
Value Value 50,000.00 $50,000.00
polien.... --).--rfrit(
n COMPLET ,
OCCUPANCY: Tenant Improve TOTAL VALUATION: $50,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY 11OM DESC AMT AMT PAID ACCT
each Plan review 524.23 524.23 01-3103
each Energy p/c fee 177.43 177.43 01-3103
PC ADA 78.63 78.63 01-3103
PC Cal Green 52.42 52.42 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 806.50 806.50 01-3104
Bldg Issue ADA 80.65 80.65 01-3104
1.00 Flat Plmbg issuance 44.35 44.35 01-3105
4.00 each Kitchen sinks 49.84 49.84 01-3105
100 each Floor drain 12.46 12.46 01-3105
3.00 outlets Gas piping 15.55 15.55 01-3105
1.00 each T.I.Fire Pkc 235.00 235.00 01-3109
SMIP Corn 10.50 10.50 14-2207
grn bldg std 2.00 2.00 714-2203
100 Flat SWMF Auto 6.25 6.25 88-3027
1.00 Flat SWMF 2 1.00 1.00 88-3027
Total Fees: $2,141.16 Total Amount Paid: $2,141.16 Paid Today: $1,073.45
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 Receipt#: 105498
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 931.50
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 1 -2107 1 10.50
14-2207 1 0.50
cadia building inspector for a period of 180 consecutive days. 714-2203 2.00
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 88-3027 \ 7.25
Requests for inspection should be made at least Monday-Thursday Friday
N\.;\\*.\.%. '\•.1 j
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)
•
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A
GL,FU�.„1,,
4 wail 1� PERMIT/PLAN REVIEW APPLICATION
Development Services Department,240 West Huntington Drive,Post Office Box 60021
P
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Yc,, 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 IS License No. Z - i V2.7xp. Date I i compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
performance of the work for which this permit is issued.
O NER-BUILDER DECLARATION ■ ave and will maintain workers'compensation insurance,as required by Section
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
'co�ensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier ?r. Piotu.-t
molish,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 pro- Policy Number
visions of the Contractors License Law(Chapter 9(commencing with Section 7000) (This section need not be completed if the permit is for one hundred dollars or less)
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 Section 7031.5 ❑ I certify that in the performance of the work for which this permit is issued,I shall
by any applicant for a permit subjects the applicant to a civi 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 sol: forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered fo
sale(Section 7044,Business and Professions Code:The Contractors License Date — Li 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,and
sale.If,however,the building or improvement is sold within one(1)year of 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 did hundred thousand dollars($100,000),in addition to the cost of compensation,
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 who CONSTRUCTION LENDING AGENCY
builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency
tor(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 RE-
STRICTIONS 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 fur-
ther information. ,t
N e �4 ? Title lr 0
RINTNAME
I ertify 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 gree 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.
-
Sign ure �_•••. Date &N- -+-S----i y
OPERA`ilON NO OPERATION NOTES
•Building Inspections Date Insp. Plumbing inspections Date Insp.
100. Setbacks _ 210. Under flrJbld..drain 05- F
101. Rough grade 211. Cogger lab
102. Figs.&forms 212. Rough plumbi ng S4a1(0 7-4947t> 026Y'01-g-'61/3
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing` 219. Final gas
110. Framing 220. Fixtures
111. OccJArea Sep.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
114. Insulation-fir. •Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
121. Final building 246, Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date I Ins . 249. Final Plumbing
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit.
153. Undersiab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Root framing •
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Eqpt.bonding • Sign Inspections Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric 281. Fooling
282. Conduit/wiring
Mechanical Inspections I Date Ins . 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rough HVAC Miscellaneous Insp. Date I Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&OffsiteInsp. . • Date Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Ins.ections Date Ins'. 302. Cesspool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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U CORRECTEDN, t"s INITIALS: PLAN CHECK OFFICIAL INSPECTION REPORT
COUNTY OF LOS ANGELES<•DEPARTMENT OF PUBLIC HEALTH
ENVIRONMENTAL HEALTH
OPERATOR INITIALS: � RETAIL INSPECTION • .
III WHOLESALE INSPECTION
SECTION I: TYPE OF INSPECTION
oW Preliminary Inspection 90-Day Evaluation
Follow Up Inspection Equipment Evaluation
~ .1a- Final Inspection-NEW Revocation Evaluation
o , Final Inspection-REMODEL +' III Other:
SECTION II: STATUS OF PERMIT/ LICENSE
LAPPROVED:The facility/establishment is approved to operate pursuant to the following contingencies:
DENIED:The facility/establishment is NOT
approvedt to operate..To obtain approval,roval,the requirements uirements needed are:
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N a a w i u) Submit 3 sets of detailed plans: See Construction Requirement Guidelines at www.publichealth.lacounty.gov/eh
w
`_ -Obtain local Building&Safety, Fire Department and other agency permits and approvals
4.a Z SECTION III: LIMITS & RESTRICTIONS
W
t4, `� w The approved facility/establishment may engage in the processes/activities marked below:
w
U o Train Employees Use Multiservice Utensils
NI �y 0 Stock Prepackaged/Non-Potentially Hazardous Foods Serve Alcoholic Beverages
O
'Ng; Stock Perishable/Potentially Hazardous Foods May NOT Serve Alcoholic Beverages For On-Site Consumption
.' N 1`% Food Preparation Food Demonstration
�Z '
tii `a V m o Y Food Preparation-LIMITED FOOD PREPARATION Wholesale Food Processing
Q rn a 2 w f ■ Food Preparation-NO COOKING PERMITTED . Food Market,Wholesale
? ,•:U 2 w # ■ Food Market Retail,Prepackaged Foods Only LI Other: 4 U 1 ! , to ( 0.6 - , a ' ".
0� ..IM�� �;W V) CL a. a ` SECTION IV: FEES/ADMINISTRATIVE ACTIONS
■ A fee in the amount of$ must be paid prior to the next field inspection.
I 0
I— 2 z ■ CLOSURE:Operating without final approval and/or without Public Health Permit,OR License
IQ c ■ Administrative Review/Office Hearing has been scheduled on: at a.m./p.m.(Provide Valid Photo Identification)
J O o SECTION V: DISCLOSURES
Q a V It is a misdemeanor violation to begin operation without a valid Public Health permit/license.The Public Health permit/license will be
f— Y O issued by the Plan Check Inspector at the job site following final inspection and approval by all applicable agencies.Remodeled areas of
Z an existing food facility/establishment must obtain a final inspection and approval from all applicable enforcement agencies prior to use
W0
LLl . Any future alteration,construction,building,renovation,repair,change of equipment,change of the operation of a food facility/
_ 00 establishment or change of menu may require plans to be submitted to the Health Department Plan Check Program.Additional approvals
Z U ° may be required from other enforcement agencies.
LZ It is improper and illegal for any County officer,employee or inspector to solicit bribes,gifts or gratuities in connection with performing
Q their official duties.Improper solicitations include requests for anything of value such as cash,discounts,free services,paid travel or
5 J U Cyr) entertainment,or tangible items such as food or beverages.Any attempt by a County employee to solicit bribes,gifts or gratuities for any
Z CL E C) reason should be reported immediately to either the County manager responsible for supervising the employee or the Fraud Hotline at
LL! w (800) 544-6861 or www.lacountyfraud.orq.YOU MAY REMAIN ANONYMOUS
in SEE REVERSE SIDE FOR ADDITIONAL CRITERIA . Page 1 of ,
H-3086 (1-09) CUSTOM : R
CORRECTED: PLAN CHECK OFFICIAL INSPECTION REPORT
COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ENVIRONMENTAL HEALTH
OPERATOR INITIALS: vs 44'.RETAIL INSPECTION ■ WHOLESALE INSPECTION
SECTION I: TYPE OF INSPECTION
5 Preliminary Inspection 90-Day Evaluation
0 a Follow Up Inspection Equipment Evaluation
~ F X Final Inspection-NEW Revocation Evaluation
Z o Final Inspection-REMODEL `` III Other:
w
m SECTION II: STATUS OF PERMIT I LICENSE
co 72 APPROVED:The facility/establishment is approved to operate pursuant to the following contingencies:
L- m DENIED:The facility/establishment is NOT approved to operate.To obtain approval,the requirements needed are:
A, riOd F;Cddy' aft isp-a 7,6- i,-,- , 1-9„ ----)
Ci (5:3 49
co , % .��c� a � i
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o Z W w /.72r��? CEP l'Pa �s wriA� �� a/�Pn Gn
LIJ CL i.Z '- ° (-21-17-friza` 7000 ii(//nAi' —il /au 6Sio _/2y aeeiteo 09408
Z 0 W "a.,W ,, Nm
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a rn
, r
N a w cv N Submit 3 sets of detailed plans: See Construction Re4uireme'(Guidelines at www.publichealth.lacountv.dov/eh
O "'Z I Obtain local Building&Safety, Fire Department and other agency permits and approvals
w �- ,a c iL SECTION III: LIMITS & RESTRICTIONS
�� YAW '
r rn �_, The approved facility/establishment may engage in the processes/activities marked below:
_,' U c& ` ° i� Train Employees ■ Use Multiservice Utensils
L • J p l Stock Prepackaged/Non-Potentially Hazardous Foods Serve Alcoholic Beverages
A ., Oz - Stock Perishable I Potentially Hazardous Foods May NOT Serve Alcoholic Beverages For On-Site Consumption
I 0,x Food Preparation ' ■ Food Demonstration
U °w Y Food Preparation-LIMITED FOOD PREPARATION Wholesale Food Processing
tu M 6 6 c a 2 w t Food Preparation-NO COOKING PERMITTED Food Market,Wholesale
Z h � z
Food Market Retail,Prepackaged Foods Only
1111 Other:
aV °',�w a o Q
a a SECTION IV: FEES/ADMINISTRATIVE ACTIONS
A fee in the amount of$ must be paid prior to the next field inspection.
I a
J z CLOSURE:Operating without final approval and/or without Public Health Permit OR License
IQ a Administrative Review/Office Hearing has been scheduled on: ,at a.m./p.m.(Provide Valid Photo Identification)
O z SECTION V: DISCLOSURES
Q 1- 1 U -0 It is a misdemeanor violation to begin operation without a valid Public Health permit/license.The Public Health permit/license will be
I— O CS issued by the Plan Check Inspector at the job site following final inspection and approval by all applicable agencies.Remodeled areas of
Z L11 an existing food facility/establishment must obtain a final inspection and approval from all applicable enforcement agencies prior to use
U �
ll.l i_.: •- Any future alteration,construction,building,renovation,repair,change of equipment,change of the operation of a food facility/
establishment or change of menu may require plans to be submitted to the Health Department Plan Check Program.Additional approvals
Z U ° may be required from other enforcement agencies.
Z It is improper and illegal for any County officer,employee or inspector to solicit bribes,gifts or gratuities in connection with performing
'- their official duties.Improper solicitations include requests for anything of value such as cash,discounts,free services,paid travel or
Q v M entertainment,or tangible items such as food or beverages.Any attempt by a County employee to solicit bribes,gifts or gratuities for any
Z d E C3) reason should be reported immediately to either the County manager responsible for supervising the employee or the Fraud Hotline at
Ili (800) 544-6861 or www.lacountyfraud.org.YOU MAY REMAIN ANONYMOUS
0 SEE REVERSE SIDE FOR ADDITIONAL CRITERIA -1 1 of
H-3086 (1-09) CUSTOMER
v�nx�
s; Development Services Department
a 240 West Huntington Drive,Post Office Box 60021
°fr`.� Arcadia,CA 91066-6021 PERMIT NO. B0O-047-414
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
7/16/2014 CM 14:41 7/16/2014 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: AFD
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
United Fire&Safety Co. PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
United Fire&Safety Co. 12305 Doherty Street PHONE NO. (909)279-8208 FAX NO.
Riverside,CA 92506 EMAIL ADDRESS:
License No. 621096 Type: C16 Expires: 6/30/2015 12:00:
TENANT MAILING ADDRESS
Sarku PHONE NO. FAX NO.
,
DESCRIPTION
FIRE HOOD SYSTEM FOR SARKU
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Value Value 500.00 $500.00
C COMPLETED
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $500.00
QTY 1.10M DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
2.00 each Fire Ext.Sys. 235.00 235.00 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 40.65 40.65 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $321.00 Total Amount Paid: $321.00 Paid Today: $321.00
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 Receipt#: 105720
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3109 235.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3112 85.00
cadia building inspector for a period of 180 consecutive days. 88-3027 1.00
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)
to
I PERMIT/PLAN REVIEW APPLICATION
aa o0�t�d jm, 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,a my license is in full orce and eff-ct. �e// -0 I have and will maintain a certificate of consent to self-insure for workers'
License Class G Li : o� g Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILD DECLARATION ❑.I'bave and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under .-nalty 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 fe owing reason(Section 7031.5,Business and Professions is issued.M U�s worke om satin nsurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier fn �N7
molish,or repair any structure,prior to its issuance,also required the applicant for /..2 76'71Z -/3
such permit to file a signed statement that he or she is licensed pursuant to the pro- Policy Number
visions of the Contractors License Law(Chapter 9(commencing with Section 7000)
(This section need not be completed if the permit is for one hundred dollars or less)
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 Section 7031.5 ❑ I certify that in the performance of the work for which this permit is issued,I shall
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
❑1, 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,and
sale.If,however,the building or improvement is sold within one(1)year of 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 did hundred thousand dollars($100,000),in addition to the cost of compensation,
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.
❑1, 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 who CONSTRUCTION LENDING AGENCY
builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency
tor(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 RE-
STRICTIONS 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 fur-
ther information. f
Name d v N N ' ' Title PA//V��
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 u t above-mentioned property for inspection purposes.
-7/4p/45
Signature Date
i 1.1` Development Services Department
240 West Huntington Drive,Post Office Box 60021
s.•:; >% Arcadia,CA 91066-6021 PERMIT NO. B00-047-357
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
7/10/2014 CM 9:48 7/15/2014 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave Fc-4 T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 14-415
Los Angeles, CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
B.E.C. PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Building Electronic Controls Inc. 2246 Lindsay Way PHONE NO. FAX NO.
Glendora, CA 91740 EMAIL ADDRESS:
License No. 729905 Type: C Expires: 11/30/2014 12:01
TENANT MAILING ADDRESS
Sarku Japan PHONE NO. FAX NO.
DESCRIPTION
FIRE ALARMS FOR TENANT IMPROVEMENT
Construction Type UOM #of Units Value Construction Type UOM it of Units Value
Value Value 4,500 00 $4,500.00
IrI COMPLETED
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $4,500.00
QTY EOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
9.00 each fire alarm pc 2 587.50 587.50 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 153.75 153.75 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $786.60 Total Amount Paid: $786.60 Paid Today: $786.60
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 Receipt#: 105684
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3109 587.50
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar-
01-3112 198.10
cadia building inspector for a period of 180 consecutive days.
88-3027 1.00
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.
PERMIT/PLAN REVIEW APPLICATION N
Development Services Department,240 West Huntington Drive,Post Office Box 60021
#I � Arcadia, CA 91066-6021,(626) 574-5416,Fax(626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
rel 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. II I have and will maintain a certificate of consent to self-insure for workers'
License Class C\� License No. ' "l 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 _ _ its _ w
mg
OWNER-BUILDER DECLARATIONI have and will maintain workers'compensation insurance,as required by Section
ID 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,de- Carrier Y\CYN AYYIe0 A'\,,ll \ (C,s(I� CGS
molish,or repair any structure,prior to its issuance,also required the applicant for
Policy Number C. r‘1 i`-t 0-2--
such permit to file a signed statement that he or she is licensed pursuant to the pro- `-�
visions of the Contractors License Law(Chapter 9(commencing with Section 7000) (This section need not be completed if the permit is for one hundred dollars or less)
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 Section 7031.5 I certify that in the performance of the work for which this permit is issued,I shall
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 �s \d-1/4 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,and
sale.If,however,the building or improvement is sold within one(1)year of 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 did hundred thousand dollars($100,000),in addition to the cost of compensation,
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 who CONSTRUCTION LENDING AGENCY
builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency
tor(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 RE-
STRICTIONS 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 fur-
ther information. `/
Name I1\C\C 1 -1-CV \vr( Title Cc ‘-'C —GL 1
PRINIFNAME
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 �lreMilI ■ '4.t ' N Date // ‘S/ C"-
i y'.1 Development Services Department
240 West Huntington Drive,Post Office Box 60021
'' '":,e- 'Arcadia,CA 91066-6021 PERMIT NO. BOO-047-074
City of (626)574-5416,Fax(626)447-9173
Arcadia Permit Type: Sign
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
6/11/2014 CM 11:45 6/11/2014 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO.
Los Angeles, CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Global Sign Systems PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Global Sign Systems 12819 S Main Street PHONE NO. (310)327-6757 FAX NO.
Los Angeles,CA 90061 EMAIL ADDRESS:
License No. 836016 Type: C45 Expires: 4/30/2015 12:00:
TENANT MAILING ADDRESS
Sarku Japan PHONE NO. FAX NO.
DESCRIPTION
ILLUMINATED LED CABINET SIGN FOR SARKU JAPAN
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Value Value 2,850.00 $2,850.00
Fi W)r1.-- 4.9"/
ki COMPLETEDA
OCCUPANCY: Sign TOTAL VALUATION: $2,850.00
QTY UOM DESC AMT AMT PAID ACCT QTY 110M DESC AMT AMT PAID ACCT
Sign plan rev 67.40 67.40 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 120.35 120.35 01-3104
1.00 flat Elec issue 44.35 44.35 01-3105
1.00 branch cin Signs elec 59.17 59.17 01-3105
1.00 each Sign Connection 15.55 15.55 01-3105
1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $353.17 Total Amount Paid: $353.17 Paid Today: $353.17
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 Receipt#: 105302
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3103 67.40
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3104 164.70
cadia building inspector for period of 180 consecutive days. 01-3105 119.07
g p p y 88-3027 2.00
e
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. ,..\,.....)%t
(Closed on alternate Fridays)
♦F A;
!I ! 1 PERMIT/PLAN REVIEW APPLICATION•
to*, Development Services Department,240 West Huntington Drive,Post Office Box 60021
of`" 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 C1-1 5 License No..3(oDJto Exp. Date/'l' -/L 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 Ii"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 worke s'c mpen n insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier--4- '
molish,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 pro- Policy Number 0 1'l v '(7- gty(D
visions of the Contractors License Law(Chapter 9(commencing with Section 7000) (This section need not be completed if the permit is for one hundred dollars or less)
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 Section 7031.5 ❑ I certify that in the performance of the work for which this permit is issued,I shall
not employ any person in any manner so as to become subject to the workers'
by any applicant for a permit subjects the applicant to a civil
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,and
sale.If,however,the building or improvement is sold within one(1)year of 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 did hundred thousand dollars($100,000),in addition to the cost of compensation,
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 who CONSTRUCTION LENDING AGENCY
builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency
tor(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 RE-
STRICTIONS 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 fur-
ther information.
Name ha b 6('4z ---;0.-mot-//
Title
PRINTAVAME
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 upobove-mentioned property for inspection purposes.
Signature Date ! / I--(