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B00-048-042
4-11-',,,,, Development Services Department 240 West Huntington Drive,Post Office Box 60021 `) Arcadia,CA 91066-6021 PERMIT NO. B00-048_042 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Tenant Improve PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 9/25/2014 CM 12:52 10/8/2014 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave 231 E-19 T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 14-556 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT Plan#: 31387 MAILING ADDRESS M. Fredeluces Company PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS M. Fredeluces Company 9528 Somerset Blvd#A PHONE NO. (562)682-0667 FAX NO. Bellflower, CA 90706 EMAIL ADDRESS: License No. 799162 Type: B Expires: 9/30/2015 12:00: TENANT MAILING ADDRESS White Lie PHONE NO. FAX NO. DESCRIPTION TENANT IMPROVEMENT**INCLUDES ELECTRICAL** Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 15,000.00 $15,000.00 ^ I'Z- /1-13-1 Y 4/ OCCUPANCY: Tenant Improve TOTAL VALUATION: $15,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY 110M DESC AMT AMT PAID ACCT each Plan review 208.49 208.49 01-3103 PC Cal Green 20.85 20.85 01-3103 PC ADA 31.27 31.27 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 al each Bldg permit 320.75 320.75 01-3104 Bldg Issue ADA 32.08 32.08 01-3104 COMP! I.00 flat Elec issue 44.35 44.35 01-3105 2.00 each Outlets 3.08 3.08 01-3105 42.00 each Ltg fixtures 50.00 50.00 01-3105 1.00 each T.I.Fire Pkc 235.00 235.00 01-3109 SMIP Corn 4.20 4.20 14-2207 grn bldg std 1.00 1.00 714-2203 1.00 Flat SWMF 2 1.00 1.00 88-3027 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $1,002.67 Balance Due: $0.00 Paid Today: $1,002.67 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#: 106635 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 397.61 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified b a Cit of Ar- 01-3104 397.13 cadia building inspector for a period of 180 consecutive days. y y 01-3105 97.43 01-3109 235.00 0 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 74 4.00 714 4--220 2203 1.00 Requests for inspection should be made at least Monday-Thursday Friday 88-3027 7.25 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) 4 woos PERMIT/PLAN REVIEW APPLICATION *' E Development Services Department,240 West Huntington Drive,Post Office Box 60021 * ;,Y ` 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 d Professions Code,and my license is in orc- a • effect. • I have and will maintain a certificate of consent to self-insure for workers' License Class --irga.�qr +� • xp. Dat 3y compensation, as provided for by Section 3700 of the Labor Code, for the C'� =�,.'- performance of the work for which this permit is issued. Signature of Contractor __ OWNER-BUILDER D '�TION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under • ty of perju that I am exem,.t from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for ollowing reason(Se. on 7031.5 :usiness and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a pe • . onstruct,alter,improve,de- Carrier 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) (I hIS 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 i I certify that in the performance of the work for which this permit is issued,I shall there from and the basis for the alleged exemption.Any violation of 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 - I • the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith compl wi those pro At 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 �',iiii, 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 r ers'Compen ation coverage is u awful,and sale.If,however,the building or improvement is sold within one(1)year of shall subject an employ to criminal penal -s and civil fin- up to one completion,the owner-builder will have the burden of proving that he or she did hundred thousand dollars($100,000),in additio to the cost• compensation, not build or improve for the purpose of sale). damages as provided for in Section 3706 of the :.. ode, 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 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 ...I L. 1 ii ■ -irt__ ■ Title PRINT NAME I certify that I have read this a• ' ' : 'on.. 1 i .to that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply wi i all City I dinances and •: .• Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon th• : ,' e- S ntion•. 'roperty for • pection purposes. Signature ' � I 1� f Date g 411 BOO--04t-o4:2 MITE NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. ,100. Setbacks 210. Under ft./bldg.drain p � �' �"`� t 101. Rough grade 211. Copper underslab 102, Figs.&forms 212. Rough plumbing 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. 0cc./Area Sept.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-Flr. 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 41311( 4/ 246. Fence,gates&signs 122. Final demo/lot clear L (/ 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final plumbing 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical i07,13-$1 4/ 272. Sheathing nailing ,157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E..t.bondin. Sign Inspections I Date I Insp. 160. Service panel 280. Setback/overhang 161. Final electric J1-13-41 1 281. Footing 1 282. Conduit/wiring Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC Miscellaneous Insp. 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 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cesspool filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin i � � ) � l \ : \ : ) : } . \ . \ - ' r } \ 7 , '� ,\ if '� �\ /,:�"� \ ■ ` F l /7...,, ; n n r,,,' 0- ;„ a - .v+ o 1��1 C O 4". coo o - L n ° a � r. egg C -- r: i:clog).S.. n .41 0 0 fD c 0 0 ° rb < aro w 3 -) ' �. �t `f G ay CA killili " O - ° Ly (I.) 1 , 1 r 0 g O. C A sir `L a Fi r > r0 N Oro p� y• ♦ '1j� r' „!r./; n m .7 I cr Y o d gz cp �p e r'17/ 0 en ti a xe �` P.. ':j k- gca t n '� -1 o pp ^'. y -.� fill 7 b ,-- C17 O •gyp 7 ' C WGy y w., � '�'' 1 m A A ? J Q O' ■R '°'� C• �c C 9., n < A c r, d. m o co .0)-- - ; , ■ n F cn .o M•e 2 G o E , f) - ' ' c 7 2 N \ ,'' ' 1 W p PO CA ,- z ?i.:,,AM, I tri ,ll /-Z:1 '''. . \ r y, 7 �I �� �� i`J � d�< . -. I.vF•1�� C lC � �. � (15,4 �7,'�r 1 b �yF ' _ 4 l; 1t� w Al � '� , October 27, 2014 Mr. Don Stockham, Building Official CITY OF ARCADIA BUILDING DEPARTMENT 240 West Huntington Drive Arcadia, CA 91007 RE: Permit# B00-048-042- Tenant Improvement: White Lie Dear Mr. Stockham, This letter serves to inform you that I am removing all responsibility from the above-mentioned project. If you have any questions, you may contact me at your convenience. Thank you, r Matt re.eluces ) 6:2-06. Contract License# 99162 Development Services Department 5 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 PERMIT NO. BOO-048-449 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Miscellaneous PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 11/7/2014 CM 11:31 11/7/2014 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#: CRIS Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Roman Construction PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Roman Construction 1457 E Philadelphoa St#30 PHONE NO. (909)229-2099 FAX NO. Ontario, CA 91761 EMAIL ADDRESS: License No. 971274 Type: B Expires: 3/31/2016 12:00: TENANT MAILING ADDRESS White Lie PHONE NO. FAX NO. DESCRIPTION CHANGE OF CONTRACTOR WHITE LIE PERMIT B00-048-042 Construction Type UOM #of Units Value Construction Type UOM #of Units Value CCOMPLETE ,F-t ,, - 11-13-/11 4 OCCUPANCY: TOTAL VALUATION: $0.00 QTY DOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT • 1.00 Flat Bldg issuance 44.35 44.35 01-3104 1.00 Flat SWMF 6.25 6.25 88-3027 Total Fees: $50.60 Balance Due: $0.00 Paid Today: $50.60 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#: 106960 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 44.35 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 88-3027 6.25 cadia 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 ‘C\-._)\\\\:i — 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) O A; IIIII h PERMIT/PLAN REVIEW APPLICATION ii 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 ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 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 nd m y license is in full force and effect. I have and will maintain a certificate of consent to self-insure for workers' License Class ens No. :IN Z Exp. Dae3�'�/ •IC. 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 • WNER-BUILDER DECLARATI ❑ I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier © M , L� molish,or repair any structure,prior to its issuance,also required the applicant for Policy Number such permit to file a signed statement that he or she is licensed pursuant to the pro- (This section need not be completed if the permit is for one hundred dollars or less) visions of the Contractors License Law(Chapter 9(commencing with Section 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 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 co ply with those provisions. compensation,will do the work,and the structure is not intended or offered for Zp( sale(Section 7044,Business and Professions Code:The Contractors License Date Signature r 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 CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contrac- 1 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. N e �( L.' co a Title OGtM� 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. agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of rcadia to enter up. the e-mentioned property for inspection purposes. / ' / b Si/>//-Si nature Date f�