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B00-047-530
$wu'"` Development Services Department z, 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. B00_047_530 ,.." Arcadia,CA 91066-6021 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 7/29/2014 CM 9:54 11/3/2014 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave 810-L 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#: 14-452 APPLICANT MAILING ADDRESS . Level Construction Group, Inc. PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Level Construction Group, Inc. 1720 E Washington Boulevard#228 PHONE NO. (626)255-2038 FAX NO. Pasadena, CA 91 104 EMAIL ADDRESS: License No. 991265 Type: B Expires: 3/31/2016 12:00: TENANT MAILING ADDRESS Charley's Philly Steaks PHONE NO. FAX NO. DESCRIPTION TENANT IMPROVEMENT M pLE� Construction Type UOM #of Units Vain ruc #of Units Value Value Value 78,000.00 $78,,000.01 PI f.in.-- ')- -'')- 6 l 5 & OCCUPANCY: Tenant Improve TOTAL VALUATION: $78,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 676.20 676.20 01-3103 each Energy p/c fee 228.87 228.87 01-3103 PC ADA 101.43 101.43 01-3103 PC Cal Green 67.62 67.62 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 1,040.30 1,040.30 01-3104 Bldg Issue ADA 104.03 104.03 01-3104 1.00 each T.I.Fire Pkc 235.00 235.00 01-3109 SMIP Com 16.38 16.38 14-2207 gm bldg std 4.00 4.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $2,524.43 Balance Due: $0.00 Paid Today: $1,215.31 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 106905 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 1,188.68 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 16.38 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 714-2203 4.00 cadia building inspector for a period of 180 consecutive days. 88-3027 6.25 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) r i 4. 0i,01,0AN' 4 li PERMIT/PLAN REVIEW APPLICATION a_rot.,� 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 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 License No.571%r Exp. Date �'p compensation, as provided for by Section 3700 of the Labor Code, for the ignature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION I:�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 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 U.)to s/n t nS• molish,or repair any structure,prior to its issuance,also required the applicant for policy Number W L3 O / such permit to file a signed statement that he or she is licensed pursuant to the pro- 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 CI 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 (Section Date tiny _1 L Signature , i 1 -4 sale Section 7044,Business and Professions Code:The Contractors License 3 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. f_______, r Name H-f Q u._cv/D I]O �lct J r' e., Title p i .a ' z:{..,- / ' / 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 t Arcadia to enter upon the above-mentioned property for inspection purposes. Signature — Date /14-9 v-- 03.-_ /L f � A W k % ', XIS '. Is 00 , .CD s,„'� N Q , p 1,,„ '' U W N -A C h fA N >" N �� 3 r. IO `o o o It � a 'Imo,.. v •i.M CO ^ .C N l W N F. G�. U 'z II� C �i vai 4= 441P V V y o :vat r. i ... ( , '''\ 44 .- ,.., c(i'DCO G.A III a I e H ` � c � �J • • %\ . v =r.. el.) q •— o o L. > ci •N a) a) U "� tie d' 3 ' `• .� E Ts,' g, > QI a> a) y.t °• 4. Q . > > m e bo. `o ` `f a . DL p a b = /j` Z o d v I 0 ' • 7)17- .. \ .1:j C V L U '`� OD y O o y 6 u i F 110 _ f y '- om' f T I ") ' ) as s t s . JO OPERATION NO OPERATION NOTES -Building Inspections Date Insp. Plumbing inspections Date Insp. 100. Setbacks _ 210. Under!Ir./bldg.drain 101. Rou.h Grade 211. Cogger underslab 102. Figs.&forms 212. Rough Glumbing , 103. Pre-slab 213. Rough gas 104. Floor'oists 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'' .11.11=Mill 219. Final Gas 110. Framin• ,Jr ��g220. Fixtures ` 111. OcciArea Sep.Wall 111111111 221. Final slumbin. 1 112. Sound walls 222. Sewer ca./demo. 113. T-bar.rid - . 114. Insulation-fir. -- Pool Inspections Date ( Insp. 115. Insulation-Wall _ 240. Excavation/steel 116. Insulation-Cell. _ 241. Rough plumbing � 117. D all nailing u�il_ 242. Light shell/bondin. 118. Interior lath ME 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade ME 245. Gas line&test 121. Final building. it•kirtnr!'- 246. Fence,Gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric I Electrical Inspections Date I Insp. 249. Final Plumbing 150. Power.ole -- 250. Pool cover 151. Sales lot lighting - 251. Pool final 152. Under.round conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER .round 270. Pre-reroof ins.. 155. Water'round ��� �l. �. 271. Roof framing 156. Rough electrical II VII 157. Fixtures IIIIIIIII 273. Final reroof 158. G.F.C.I. _ 159. Eqpt.bonding Sign Inspections Date I Insp. 160. Service Ianel 280. Setback/overhana 161. Final electric Ij IIILV- 281. Footin 7 282. Conduit/wirin. Mechanical Inspections I Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. . Furnace e/A.C. 182. Rouch HVAC Miscellaneous Insp. Date I Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground suggI 185. Combustion air - 292. Fire sprinklers 186. Smoke detectors 293. Monitor s stem 187. Metal F.P.rough _- 294. Hood d 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 Inspections Date Insp. 302. Cesspool filled 200. Footin.s -- 303. Sidewalk 201. SteeVrebar _- 304. Drivewa 202. Grout lift -- 305. Curb replacement 203. Final wall -- 306. Trash bin 4 DATE VIOLATIONS EHS INITIALS: PLAN CHECK OFFICIAL INSPECTION REPORT CORRECTED: COUNTY OF LOS ANGELES•b DEPARTMENT OF PUBLIC HEALTH ENVIRONMENTAL HEALTH OPERATOR INITIALS: r4 RETAIL INSPECTION 1. WHOLESALE INSPECTION SECTION I: TYPE OF INSPECTION j Preliminary Inspection 90-Day Evaluation ° 14 Follow Up Inspection Equipment Evaluation a .1 Final Inspection-NEW Revocation Evaluation F- 0 Final Inspection-REMODEL Other: W — ' SECTION II: STATUS OF PERMIT I LICENSE .✓ i, APPROVED:The facility/establishment is approved to operate pursuant to the following contingencies: ' > pl . DENIED:The facility/establishment is NOT approved to operate.To obtain approval,the requirements needed are: ..-9 1 1 F)Or\ Fc. c...06._ 1 a if f yo-vo A -to C 6 . • , _4 . ALA A • t1;,,�1 Q 'O >12146414' ... w O N a • Q Q Q SQ a (�g O U OIL w I— Q� /� vim) co H o " ! Z `° ° 1- - lN er \ Ø, 3°F 2.% :, rn w aw m r �t P ov s f W n g 0 ek d o ,.�-� N > `gip 'T a�� Q f'- ) 9 E �?�n -A. -e e G.1 t 1/0) r F1 re /sirs ©Ct,l.t .r-ii F 16/t<- N-- r-- a 1 Submit 3 sets of detail plans:See Construction Requirement C1�}J elinresat pUblichealth.lacounty.gov/eh v T t. Z Obtain local Building&Safety, Fire Department and other agency tt )--; �. "o,O ('� 9 Y P 9 y Permds and .,�[� �•�},t � � •> a _t -._. ai. \ Z w- SECTION III: LIMITS & RESTRICTIONS - c-.`� 2 Nid The approved facility/establishment may engage in the processes/activities marked below: U 1 ,� 00(�3;a Train Employees Use Multiservice Utensils w_..1,- L// ate, ,cr.--e., Stock Prepackaged/Non-Potentially Hazardous Foods Serve Alcoholic Beverages = Stock Perishable/Potentially Hazardous Foods ay NOT Serve Alcoholic Beverages For On-Site Consumption .u 2 Food Preparation Food Demonstration di 4ti•� w ..m w° 4i!471-- Food Preparation-LIMITED FOOD PREPARATION Wholesale Food Processing Y Q C/�— w cn w Food Preparation-NO COOKING PERMITTED Food Market,Wholesale Z cc m••t^w o Food Market Retail,Prepackaged Foods Only Other: < oa W '`W = 5-� a a"Q'-a:�rt a o.. SECTION IV: FEES I ADMINISTRATIVE ACTIONS A fee in the amount of$ must be paid prior to the next field inspection. I o .~.I , z CLOSURE:Operating without final approval and/or without Public Health Permit OR License `Q � > ? a Administrative Review/Office Hearing has been scheduled on: at a.m.l p.m.(Provide Valid Photo Identification) C7 4; w� •_771 J O ; r g �, z Y, SECTION V: DISCLOSURES < a ( U U `n v vA It is a misdemeanor violation to begin operation without a valid Public Health permit/license.The Public Health permit/license will be ' ` -1-1 � O 'U J issued by the Plan Check Inspector at the job site following final inspection and approval by all applicable agencies.Remodeled areas of Z V W c4 O an existing food facility/establishment must obtain a final inspection and approval from all applicable enforcement agencies prior to use G/. 2 w ,: ^ Any future alteration,construction,building,renovation,repair,change of equipment,change of the operation of a food facility/ Z l S u) "establishment or change of menu may require plans to be submitted to the Health Department Plan Check Program.Additional approvals U ''y+ J N may be required from other enforcement agencies. It is improper and illegal for an County officer,employee or ins inspector to solicit bribes,gifts or gratuities in connection with performing Z < C") (-) '?. ‘"-.' 9 any Y P 9 9 _ < p._, a their official duties.Improper solicitations include requests for anything of value such as cash,discounts,free services,paid travel or > J d C a o ch entertainment,or tangible items such as food or beverages.Any attempt by a County employee to solicit bribes,gifts or gratuities for any Z a <1 E 01 reason should be reported immediately to either the County manager responsible for supervising the employee or the Fraud Hotline at w G� ai (800) 544-6861 or www.lacountyfraud.orq.YOU MAY REMAIN ANONYMOUS S ° SEE REVERSE SIDE FOR ADDITIONAL CRITERIA Page 1 of I H-3086 (1-09) QUSTOMER FLOOR FINISH INSTALLATION GROUT CORRECT METHOD OF QUARRY I CERAMIC TILE FLOOR AND COVE BASE CORRECT METHOD OF INSTALLING THE S3619T INSTALLATION SLIMFOOT CERAMIC BASE ALUMINUM TOP CAP DRAIN LINE _Fdd SHEET VINYL fS Minimum C up well 1-AIR OAP 18"MINIMUM RADIUS ---- V STICK COVE MOLDING --' COMMERCIAL SHEET VINYL INSTALLATION FLOOR SINN AIR CAP LICENSES AND PERMITS: Public Health Permit: A separate fee is required for the Public Health Permit. A bill will be sent to the permit holder annually by the local County of Los Angeles Treasurer Tax collector's office. The fee is required to be paid to perform or carry on, conduct or engage in any food facility/establishment activity listed in Los Angeles County Code, Title 8, Section 8.04.720. State and Local Licenses and Permits: Contact the State of California and your local city hall regarding additional license and permit requirements. OPERATION OF YOUR FACILITY: Restrooms: Customers may use restroom facilities if they are located in a customer area. Customers may not enter the food preparation area, food storage area, or the utensil washing/storage areas in order to access the restrooms. All food, utensils and equipment must be protected from contamination. Routine Inspection: The County of Los Angeles, Environmental Health Division, conducts routine inspection of all food facilities in Los Angeles County. Following the issuance of your Public Health Permit by the Plan Check Program, an Environmental Health Specialist from your local district office will conduct an inspection of your facility. If your Business is located in a city that has adopted the grading ordinance, the inspector will post a grade or score card at your facility. Grade/Score cards are not issued by the Plan Check Program. \ Development Services Department 240 West Huntington Drive,Post Office Box 60021 A4,—.. Arcadia,CA 91066-6021 PERMIT NO. BOO-047-530 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 7/29/2014 CM 13:11 11/21/2014 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave 810-L 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#: 14-452 APPLICANT MAILING ADDRESS Level Construction Group, Inc. PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Level Construction Group, Inc. 1720 E Washington Boulevard#228 PHONE NO. (626)255-2038 FAX NO. Pasadena, CA 91104 EMAIL ADDRESS: License No. 991265 Type: B Expires: 3/31/2016 12:00: TENANT MAILING ADDRESS Charley's Philly Steaks PHONE NO. FAX NO. DESCRIPTION TENANT IMPROVEMENT Construction Type UOM 8 of Units Value Construction Type UOM N of Units Value Value Value 78,000.00 $78,000.00 f COMDLETES )1 9..-2.6-/ 5 4/ OCCUPANCY: Tenant Improve TOTAL VALUATION: $78,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 676.20 676.20 01-3103 each Energy p/c fee 228.87 228.87 01-3103 PCADA 101.43 101.43 01-3103 PC Cal Green 67.62 67.62 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 1,040.30 1,040.30 01-3104 Bldg Issue ADA 104.03 104.03 01-3104 1.00 each T.I.Fire Pkc 235.00 235.00 01-3109 SMIP Com 16.38 16.38 14-2207 grn bldg std 4.00 4.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $2,524.43 Balance Due: $0.00 Paid Today: 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#: 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 Ar- 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 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'FA.ze tv PERMIT/PLAN REVIEW APPLICATION t i', Development Services Department,240 West Huntington Drive,Post Office Box 60021 otN� 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 License No. 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 ❑ 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 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 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 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,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 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 Ame Development Services Department Arcadia,CA 91066-6021 k,. 240 West Huntington Drive Post Office Box 60021 ' � PERMIT NO. $QQ_048_318 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Comm Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 10/22/2014 CM 15:09 10/22/2014 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave F-10 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 Level Construction Group, Inc. PHONE NO. 5 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Level Construction Group, Inc. 1720 E Washington Boulevard#228 PHONE NO. (626)255-2038 FAX NO. Pasadena,CA 91104 EMAIL ADDRESS: License No. 991265 Type: B Expires: 3/31/2016 12:00: TENANT MAILING ADDRESS Philly Steaks PHONE NO. FAX NO. DESCRIPTION DEMO SPACE IN PREPARATION FOR FUTURE TENANT IMPROVEMENT Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 800.00 $800.00 n COMPLETED rte... 2-')■.t-1 5 V OCCUPANCY: Tenant Improve TOTAL VALUATION: $800.00 QTY IIOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 34.61 34.61 01-3103 each Energy p/c fee 11.72 11.72 01-3103 PC Cal Green 3.46 3.46 01-3103 PC ADA 5.19 5.19 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 53.25 53.25 01-3104 Bldg Issue ADA 5.33 5.33 01-3104 SMIP Com 0.50 0.50 14-2207 gm bldg std 1.00 1.00 714-2203 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $166.66 Balance Due: $0.00 Paid Today: $166.66 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 106815 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3103 54.98 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 102.93 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 14-2207 0.50 cadia building inspector for a period of 180 consecutive days. 714-2203 1.00 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 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) a • A �,viroK,ytq ,,, 1 P81941 PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive,Post Office Box 60021 \'� t/� 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. have and will maintain a certificate of consent to self-insure for workers' License Class 13 License No.9q I-2 ,s-Exp. Date'Z j 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 Contracto` have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit ❑ 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 W GJ d 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 3 O aCq ' 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 Daten4. 2 2, —/y Signatu `--+ „.) 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(I)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).P Pare ) 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/i-nf_ormation. y / �-7�- Name /r Stp 13O ,ea j %An Title pl < r�-/ / ( / VV 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 6[--/---r— 2 2 - Q /c 0. 0 -w.. ,, Development Services Department ' j` 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 PERMIT NO. B00-048_559 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Mechanical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 1 1/20/2014 JB 10:38 11/20/2014 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave 810-L 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 Premier Heating&Air PHONE NO. , EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Premier Heating&Air 1883 E Washington Blvd PHONE NO. (626) 791-0001 FAX NO. Pasadena, CA 91 104 EMAIL ADDRESS: License No. 949130 Type: C-20 Expires: 6/30/2016 12:00: TENANT MAILING ADDRESS Charley's Philly Steaks PHONE NO. FAX NO. DESCRIPTION DUCT WORK FOR TENANT IMPROVEMENT 0 Construction Type UOM a of Units Va ue o nstr tiSh IET ■EDOM #of Units Value a ue PI 1\•411■---- 7.N'. ?‘6--45 OCCUPANCY: Tenant Improve TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT I 00 Flat Mech Issue Auto 44.35 44.35 01-3105 1.00 Flat Add/Alter Ducts 9,38 9.38 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $54.73 Balance Due: $0.00 Paid Today: $54.73 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#: 107086 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 53.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 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 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) 0 Of A' a' PERMIT/PLAN REVIEW APPLICATION L - Development Services Department,240 West Huntington Drive,Post Office Box 60021 Y!N 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 �, 2.N License No. ct 41150 Exp. Date."3041- 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 _ �r�=� ..----'�� — ❑ I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDS' i -•---I' - • 3700 of the Labor Code,for the performance of the work for which this permit ❑ I hereby affirm under nalty 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 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 i_©ertify 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 Section 3700 of the Labor Code,I shall CI 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 (( —20 ( 9 Signature _ Law does not apply to an owner of property who builds or improves thereon,or �--'' -- 1 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:Failur cure 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 6 e'I.,3 49_.:4>pip q... Title Ott 11Acc J 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 pro•• r 1 '■ 1• •1 n 1 1 oses. Signature Date I' 1 y J-. Development Services Department 240 West Huntington Drive,Post Office Box 60021 '` _ii Arcadia,CA 91066-6021 PERMIT NO. B00-048-551 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Electrical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 11/19/2014 CM 13:23 11/19/2014 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 Level Construction Group, Inc. PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Level Construction Group, Inc. 1720 E Washington Boulevard#228 PHONE NO. (626)255-2038 FAX NO. Pasadena, CA 91 104 EMAIL ADDRESS: License No. 991265 Type: B Expires: 3/31/2016 12:00: TENANT MAILING ADDRESS Charleys Philly Steaks PHONE NO. FAX NO. DESCRIPTION ELECTRICAL FOR T.1. dCon struction Type UOM q of Units UOM 8 of Units Value ir, 2-2 -G -/ 5 t 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 1.00 each Distrib panel 15.55 15.55 01-3105 25.00 each Outlets 33.00 33.00 01-3105 27,00 each Ltg fixtures 35.00 35.00 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $128.90 Balance Due: $0.00 Paid Today: $128.90 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#: 107078 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 127.90 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 88-3027 1.00 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 \ \ 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) V F 14 vow 1 PERMIT/PLAN REVIEW APPLICATION rg I a* 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, my license is in full . d effect. /� • I have and will maintain a certificate of consent to self-insure for workers' License Class Licen - • • _'!.a�t0.J Exp. Date3 0( 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 f Witee-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 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 I.CJ 0 ,/l$c4i2,,A,P CO. molish,or repair any structure,prior to its issuance,also required the applicant for Policy Number(A)w G3o1G ar I 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 wa es as their sole forthwith comply with those provisions. ❑ P Pe Y� Y g 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 I I 20gSignature 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($100,000),in addition to the cost of compensation, not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who CONSTRUCTION LENDING AGENCY builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency tor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RE- STRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures.. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for fur- ther information. ,- �,r Name I�GT`�_- 13 %C4.4 1 c Title C'? i NT NAM�$i..//- 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 tin to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-men • perry for inspection purposes. ,/ Signature Date v l 11 I c� )la4 ` (' tJ Development Services Department 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 PERMIT NO. 800_048_795 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 12/18/2014 CM 11:37 12/18/2014 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 Hydro-Matic PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Hydro-Matic Fire Protection 1161 Rosedale Avenue PHONE NO. (818)247-9812 FAX NO. Glendale, CA 91208 EMAIL ADDRESS: License No. 718393 Type: C-16 Expires: 6/30/2015 12:00: TENANT MAILING ADDRESS Charlie's Philly Steaks PHONE NO. FAX NO. \ DESCRIPTION SPRINKS FOR TENANT IMPROVEMENT Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 600.00 $600.00 n COMPLETED OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $600.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 6.00 each sprinkler pck 235.00 235.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 44.85 44.85 01-3112 1,00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $325.20 Balance Due: $0.00 Paid Today: $325.20 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#: 107359 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 b y City 88 a Cit of Ar- 88-31-30227 7 1 89.20 cadia building inspector for a period of 180 consecutive days. .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 A; OOP 4. PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive,Post Office Box 60021 "4,-.....„.,L. #�` Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173 �ny otN f f City of Arcadia LICENSED CONTRACTOR'S DE RATION WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury ,r m licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Sa '.n 704:00 .f Division 3 of the Business and Professions Co.' a . my lice .e si i r, '+i lr `ect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class — r i-ens •`e RP )/ Exp. Da'P 30 / 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 / / 1:3 I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER I 'C A' •TION ❑ 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 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- 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 a-rmit 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 om: .,ect to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree th i s , a e-come subject to the workers'compensation provisions of Secti 711 . t e Labo Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith mpl with those provisions. compensation,will do the work,and the structure is not intended or offered for 12 /C J '4 / 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 1 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 Title _A lei PRINT NAME I certify that I have r•: ' this • I plication 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 h al it i rdinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter •;.n th, i o • mentioned property for inspection purposes. �j Signature I Date )2 0)4 i . Aminegi _^^, Development Services Department illlib 240 West Huntington Drive,Post Office Box 60021 ' � PERMIT NO. BOO-048-744 Arcadia,CA 91066-6021 City yof (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Fire PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 12/10/2014 CM 15:58 12/19/2014 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. Plan Chk#: 14-700 Los Angeles, CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS T.R.L. Systems PHONE NO. EMAIL ADDRESS: CONTRACTORJPROFESSIONAL MAILING ADDRESS T.R.L. Systems 9531 Milliken Avenue PHONE NO. (909)456-2651 FAX NO. Rancho Cucamonga, CA 91730 EMAIL ADDRESS: License No. 413747 Type: C-10 Expires: 11/30/2015 12:01 TENANT MAILING ADDRESS Charlies Philly Steak PHONE NO. FAX NO. DESCRIPTION FIRE ALARMS FOR TI Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 978.00 $978.00 COMDLETED OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $978.00 QTY UOM DESC AMT AMT PAID ACCT QTY 110M DESC AMT AMT PAID ACCT 4.00 each fire alarm pc 2 235.00 235.00 01-3109 I.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 61.65 61.65 01-3112 1 00 each SWMF 2 Auto I.00 1.00 88-3027 Total Fees: $342.00 Balance Due: $0.00 Paid Today: $342.00 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 01-3109#: 107385 0 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 106.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3112 101.00 cadia building inspector for a period of 180 consecutive days. y y 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) \ 4 F A.; POR,Vt9', ill 011911" i PERMIT/PLAN REVIEW APPLICATION ��E�ge, Development Services Department,240 West Huntington Drive,Post Office Box 60021 �!,,,o1N' Arcadia, CA 91066-6021, (626)574-5416,Fax(626)447-9173 City of Arcadia I ENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION I reby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: apter 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 00 Gt(e icense No. ' (.1 1 —Exp. Date t kfLoll� 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 Contracto e=�1�_ p OWNER-BUILDER D CLARAT`' 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 ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers' ompensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions 1 Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier 5+► u..- Watt)f 4......c.A_ molish,or repair any structure,prior to its issuance,also required the applicant for -4.-V• -- -0 1 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) i 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 7031.5400e' 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 civ 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 Sectio 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 kl-'lek lk Signa _ 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. e�'� Na e /1/4 „,33. LJ+k� Title �O�t�c.yr PRINT NAME t 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 %e abov•-mentioned property for inspection purposes. Signature I maz� Date '1 711 Development Services Department 240 West Huntington Drive,Post Office Box 60021 `` 'J Arcadia,CA 91066-6021 PERMIT NO. B00_04$_793 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 12/18/2014 CM 9:56 12/18/2014 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: Plan#: IN FILE APPLICANT MAILING ADDRESS Reyner Sign& Lighting PHONE NO. EMAIL ADDRESS: , CONTRACTOR/PROFESSIONAL MAILING ADDRESS Reyner Sign& Lighting 25 Oakbrook PHONE NO. FAX NO. Trabuco Canyon, CA 92679 EMAIL ADDRESS: License No. 728278 Type: C-45 Expires: 10/31/2016 12:01 TENANT MAILING ADDRESS Charlies Philly Steaks PHONE NO. FAX NO. DESCRIPTION ONE ILLUMINATED CHANNEL SIGN FOR TENANT IMPROVEMENT Construction Type UOM ii of Units Value Construction Type UOM ii of Units Value Value Value 2,500.00 $2,500.00 V. COMPLETED �� -2,,.G-i 5 // OCCUPANCY: Sign TOTAL VALUATION: $2,500.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM 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 Balance Due: $0.00 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 01-3103 3103#: 107356 01 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 64.70 0 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 01-3104 164.70 cadia building inspector for a period of 180 consecutive days. y y 01-3105 1 12.00 88-3027 2.00 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) 4F AR .0,0FUky49;, ki. PERMIT/PLAN REVIEW APPLICATION , ) 11161111111 q`g i, Development Services Department,240 West Huntington Drive,Post Office Box 60021 ,,,.a(N° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173 City of Arcadia LICENSED CONTRACTOR"` E ARATION WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of per ry th/ am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Sec.on 70V,,of Division 3 of the Business and Professions Co ens: is in f I irce and effect. ,,^^ ❑ I have and will maintain a certificate of consent to self-insure for workers' Al License Class Co e • Exp. Da('0J3) I1V compensation, as provided for by Section 3700 of the Labor Code, for the 1 ��jj/ 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 ), 'L,''ATION 3700 of the Labor Code,for the performance of the work for which this permit ❑ I hereby affirm under pens of pe,ury that I am exempt from the Contractors is issued.My workers'c nsaUon i suranc arrier and policy numbers are: License Law for the folio • reason(Section 7031.5,Business and Professions Code.Any city or county ich requires a permit to construct,alter,improve,de- Carrier 1 5791 molish,or repair any struc I re,prior to its issuance,also required the applicant for such permit to file a signeI statement that he or she is licensed pursuant to the pro- Policy Number visions of the Contractors icense 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 Busi ess 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 wit' 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 •-come subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree th. if I sho ./.-come subject to the workers'compensation provisions of Sectio'3700 s.'t e 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 l2M14_) 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'C• pen lion coverage is unlawful,and sale.If,however,the building or improvement is sold within one(1)year of shall subject an employer to crimin. penal -s 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),i addition to the cost of compensation, not build or improve for the purpose of sale). damages as provided for in Section :706 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 Mans! ent District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials r- ires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for fur- ther information. A. i Title Name . •. . .�. _OLDA:1210( P• NT AME I certify that I have rea. hi•applic tion nd state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply wit' all City ' .ina i ces and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upo he ab. e- i�•ntio •d property for inspection purposes. `(� Signature Date S 1? 1 Q�l 4