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Home My WebLink AboutB00-048-225 ,0-14`:, Development Services Department 5 ' 240 West Huntington Drive,Post Office Box 60021 -... tr/ Arcadia,CA 91066-6021 PERMIT NO. BOO-048-225 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 10/15/2014 CM 13:38 12/4/2014 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave #9021 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#: 14-594 APPLICANT MAILING ADDRESS Commercial Decor Group, Inc. PHONE NO. Plan#: 31434 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Commercial Decor Group, Inc. 920 Mendocino Ave PHONE NO. FAX NO. (707)526-5193 Santa Rosa,CA 95401 EMAIL ADDRESS: margaret @commercialdecorgroup.com License No. 829563 Type: B-General BuExpires: 12/31/2015 12:0( TENANT MAILING ADDRESS Polaroid Fotobar PHONE NO. FAX NO. DESCRIPTION KIOSK TENANT IMPROVEMENT(POLAROID FOTOBAR)**PERMIT INCLUDES ELECTRICAL** Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 7,000.00 $7,000.00 Q COMPLEED Ti , 0..-184e, 4 OCCUPANCY: Tenant Improve TOTAL VALUATION: $7,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 121.65 121.65 01-3103 �{ PC Cal Green 12.16 12.16 01-3103 %I-•i(.( l PC ADA 18.25 18.25 01-3103 J_^ 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 • f�/ each Bldg permit 187.15 187.15 01-3104 !,/ Bldg Issue ADA 18.72 18.72 01-3104 Pt 1,..43....... rz.,I/` ;1�i /��'C�I(,( 1.00 flat Elec issue 44.35 44.35 01-3105 --v (/ ✓ l f 18.00 each Outlets 27.72 27.72 01-3105 SMIP Com 1.96 1.96 14-2207 gm 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: $484.56 Balance Due: $0.00 Paid Today: $484.56 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#: 107212 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3103 152.06 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3105 272.07 01-2107 72.07 cadia building inspector for a period of 180 consecutive days. 14-2207 1.96 6 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 714-2203 1.00 88-3027 7.25 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) •F A_; 0,10ORA,,;, Film PERMIT/PLAN REVIEW APPLICATION \411,4°, 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 Cod:, d my license is in ful o a ff ct. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class cense N- axp. Date 1231 ~ compensation, as provided for by Section 3700 of the Labor Code, for the i performance of the work for which this permit is issued. Signature of Contractor — —•. OWNER-BUILDER DECLA' ION 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 p rforman e of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My work rs' om s i ncjto a d of c n tubers are: Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier / G� 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 W El. L/� V 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 th Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith o ly 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 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 LJU Title UJ1 Yn 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 ith all C' y ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to ente u n the a e-mentioned property for inspection purposes. Signature Date I 214 4 0V Al? G� JQ�I C% r Ivcorporoted Av�rt 3,1901 �taity of�° MEMORANDUM Fire Department DATE: December 16, 2014 TO: BUILDING DEPARTMENT ATTN: INSPECTOR Chris Ingram FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue #9021 (Polaroid Fotobar) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS FIRE ALARMS TANKS HOOD & DUCT KNOX BOX OCCUPANCY 12-15-2014 Jill Perumean COMMENTS: Emailed Bldg. Dept. 12-15-2014 RC