HomeMy WebLinkAboutB00-048-418 ,p."'',':'.""7',, Development Services Department
't 240 West Huntington Drive,Post Office Box 60021 -
`rt"
Arcadia,CA 91066-6021 PERMIT NO. B00-048-418
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
11/4/2014 CM 11:52 12/4/2014 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- Inspector#: cris
EMAIL ADDRESS:
APPLICANT Plan Chk#: 14-635
PPLICANT
MAILING ADDRESS
Sturdy Built Inc. PHONE No. Plan#: 31432
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Sturdy Built Inc. 668 Flinn Ave#25 PHONE NO. (805)552-9927 FAX NO.
Moorpark, CA 93021 EMAIL ADDRESS:
License No. 971510 Type: B Expires: 3/31/2016 12:00:
TENANT MAILING ADDRESS
Boarders PHONE NO. FAX NO.
DESCRIPTION
T.I. FOR BOARDERS
Construction Type UOM N of Units Value Construction Type UOM N of Units Value
Value Value 284,000.00 284 l.;t
i PLEI
ED
A., X31
OCCUPANCY: Tenant Improve TOTAL VALUATION: $284,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 1,620.84 1,620.84 01-3103
each Energy p/c fee 548.59 548.59 01-3103
PC ADA 243.13 243.13 01-3103
PC Cal Green 162.08 162,01 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 2,493.60 2,493.60 01-3104
Bldg Issue ADA 249.36 249.36 01-3104
1.00 each T.I.Fire Pkc 235.00 235.00 01-3109
SMIP Corn 79.52 79.52 14-2207
gm bldg std 12.00 12.00 714-2203
1.00 Flat SWMF Auto 6.25 6.25 88-3027
Total Fees: $5,694.72 Balance Due: $0.00 Paid Today: $5,694.72
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#: 107205
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3103 2,574.64
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3104 2,787.31
cadia building inspector for a period of 180 consecutive days. 01-3109 235.00
14-2207 79.52
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 714-2203 12.00
Requests for inspection should be made at least Monday-Thursday Friday 88-3027 6'25
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 ,. PERMIT/PLAN REVIEW APPLICATION
if' t
to Development Services Department,240 West Huntington Drive,Post Office Box 60021
"�;;Y!R`. Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173
City of
Arcadia
,LICENSED 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
ofessions Code,and my license is in full force and effect. rug 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class d License No. �—1 [ 154/ p. 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 a-- 4 .-
OWNER-BUILDER DECLARATION -0 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
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 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
0 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 O
sale(Section 7044,Business and Professions Code:The Contractors License Date I .' 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.
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).
0 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 ..,-con A(Ur,
f Title :a4—ST'SZ-r--
RINT NAME
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 upon the above-mentioned property for inspection purposes.
ignature i Date t —2--)L ti C"-(
A
..10 f3PERATI0N NO OPERATION
•8uitding Inspections Date Insp. Plumbing Inspections Date Insp.
NOTES
100. Setbacks p•
210. Under
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing J * . •,15...11111
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 jr
109. Roof nailing 219. Final gas
110. Framing / -ate/ J 220. Fixtures
111. Occ./Area Sep.Wall `` 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T•bar.rid
114. Insulation•flr. Pool Inspections Date + Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. ^ 241. Rough plumbing
117. Drywall nailing N '"t /r_ / 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 -0135 4, " 246. Fence,gates&signs
122. Final demo/lot clear __//'' 247. Pool heater
248. Final electric
Electrical Ins sections ( Date I Ins 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 4/" 271. Roof framing
156. Rough electrical I U 272. Sheathing nailing
157. Fixtures l 273. Final reroof
158. G.F.C.I.
159. Eqpt.bondin. ,Sign Inspections Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric • a345 4/ 281. Footing
282. Conduit/wiring
Mechanical Inspections Date Ins.. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC VEjlrjAIIII 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 shah :-Sewers&OffsiteInsp. . Date Insp.
191. Final mechanical �7 300. Lateral(main to P/L)
301. Saddle/Y
elockWall Inspections Date Ins.. 302. Cesspool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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MEMORANDUM
Fire Department
DATE: January 13, 2015
TO: BUILDING DEPARTMENT
ATTN: INSPECTOR Chris Ingram
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 400 S. Baldwin Avenue #2195 (Boarders)
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 1-8-2015 Jill Perumean
FIRE ALARMS 1-12-2015 Jill Perumean
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 1-12-2015 Jill Perumean
COMMENTS:
Emailed Bldg. Dept, 1-13-2015 RC
Development Services Department
240 West Huntington Drive,Post Office Box 60021
"`',: " PERMIT NO.
._,, J Arcadia,CA 91066 6021 BOO-048-598
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
11/24/2014 CM 11:03 12/10/2014 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#: 14-669
Los Angeles, CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Allready Fire Sprinkler Co. PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Allready Fire Sprinkler Co. 818 N Grand Av PHONE NO. (626)913-6720 FAX NO.
Covina, CA 91723 EMAIL ADDRESS:
License No. 358795 Type: C16 Expires: 7/31/2015 12:00:
TENANT MAILING ADDRESS
Boarders PHONE NO. FAX NO.
DESCRIPTION
FIRE SPRINKLERS FOR BOARDERS
Construction Type UOM Of of Units Value Construction Type UOM #of Units Value
Value Value 6,900 00 6,90100
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $6,900.00
QTY 11OM DESC AMT AMT PAID ACCT QTY 110M DESC AMT AMT PAID ACCT
51.00 each sprinkler pck 587.50 587.50 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 187.15 187.15 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $820.00 Balance Due: $0.00 Paid Today: $232.50
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 pemut is not obtained within 180 days from Receipt#: 107280
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 231.00
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)
•t A;
,,.. o,',\BORN1.,-A
•
I PERMIT/PLAN REVIEW APPLICATION
t ., Development Services Department,240 West Huntington Drive,Post Office Box 60021
'`;,r a/' 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 Co ,an my license is in full ct. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class L'c se N .�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 411116, 41
OWNER-BUILD 1 LARATION ❑ 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 pena ty of perjury that I am exempt from the Contractors is issued.My workeks'coope/nsa_ trj insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions N (� '
Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier Cl ,`-
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,l 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,1 shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with t se 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 � � Signatures/� ���...Award
Law does not apply to an owner of property who builds or improves thereon,or
4 '
who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING:Failure to secure Workers'Compensation coverage is unlawful,and
sale.If,however,the building or improvement is sold within one(1)year of shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she did hundred thousand dollars($100,000),in addition to the cost of compensation,
not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property who CONSTRUCTION LENDING AGENCY
builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency
tor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RE-
STRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures..
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of
asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for fur-
ther information.
Name • WASIBAVIM-drAin Title • ,1�1L
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.
d '—��
Signature Date 4
,e'it
Development Services Department
240 West Huntington Drive,Post Office Box 60021
�`,, Arcadia,CA 91066-6021 PERMIT NO. B00_048_']$']
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
12/17/2014 JB 14:00 1/7/2015 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave #231 T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 14-711
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Building Electronic Controls PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Building Electronic Controls Inc. 2246 Lindsay Way PHONE NO. FAX NO.
Glendora, CA 91740 EMAIL ADDRESS:
License No. 729905 Type: C Expires: 11/30/2014 12:0(
TENANT MAILING ADDRESS
Boarders PHONE NO. FAX NO.
DESCRIPTION
FIRE ALARMS FOR BOARDERS
Construction Type UOM N of Units Value Construction Type UOM Si of Units Value
Value Value 7,480.00 $7,480.00
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $7,480.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
20.00 each fire alarm pc 2 612.50 587.50 01-3109
I 00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 203.85 203.85 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $861.70 Balance Due: $25.00 Paid Today: $836.70
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 107501
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 587.50
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 248.20
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)
OF A;
o tii''OR',,
a
PERMIT/PLAN REVIEW APPLICATION
E4 v' Development Services Department,240 West Huntington Drive,Post Office Box 60021
`.„.,u..,„.0,- 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,any license is in full force and effect. 1,3 I have and will maintain a certificate of consent to self-insure for workers'
License Class C' U License No 1 ' IIP!.-Exp. Date •ib 1 • 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 .A�,41� 1�/
OWNER-BUILDER DEC ARATION •AO ave and will maintain workers'compensation insurance,as required by Section
1:1 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 nd policy numbers are
Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier`CA - Q \ cxy-ics2_,
molish,or repair any structure,prior to its issuance,also required the applicant for wCi `Q��
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 s 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 Date /`/1��
sale(Section 7044,Business and Professions Code:The Contractors License 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 jDih C A,l -rowu6 Title C ( o c 1 (
PRINT NA
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 o enter upon the above-mentioned property for inspection purposes.
Signatu - .ag ∎ ,,A_AA'/k Date ' 1/\
V
�"' Development Services Department
i1I ' 240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 PERMIT NO. B00-048-572
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
11/21/2014 JB 9:00 11/21/2014 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
Ruane Heating&Air Conditioning PHONE NO.
EMAIL ADDRESS:
CONTRACTORIPROFESSIONAL MAILING ADDRESS
Ruane Heating&Air Conditioning 17007 Sierra Hwy PHONE NO. (661)250-0046 FAX NO.
Canyon Country, CA 91351 EMAIL ADDRESS:
License No. 584115 Type: C20 Expires: 3/31/2016 12:00:
TENANT MAILING ADDRESS
Boarders PHONE NO. FAX NO.
DESCRIPTION
DUCT WORK AT TENANT IMPROVEMENT
Construction Type UOM N of Units Value Construction Type UOM N of Units Value
12 COMPlETED 2 3 /5
OCCUPANCY: TOTAL VALUATION: WOU
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 Flat Mech Issue Auto 44.35 44.35 01-3105
1.00 Flat Add/Alter Ducts 9.38 9.38 01-3105
100 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#: 107096
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 53.73
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)
•F A:
1
PERMIT/PLAN REVIEW APPLICATION
o Development Services Department,240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173
�aoly of
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. al have and will maintain a certificate of consent to self-insure for workers'
License Clas //J No.c - V Exp. Date! (5. compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contr for performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION b I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier C
molish,or repair any structure,prior to its issuance,also required the applicant for 3 1 r-s-
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 /!/"mil` . (� v Title ECG- 1_ '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 u • • tioned property for inspection purposes.
Sig re _— Date !1 2 0 1/
DevelopmentServices Department
240 West Huntington Drive,Post Office Box 60021
City f"o Arcadia,CA 91 066-6021 PERMIT No. BOO-048-691
Arcadia (626)574-5416,Fax(626)447-9173
Permit Type: Electrical
(PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
12/4/2014 CM 11:59 12/4/2014 Issued
ADDRESS NO. Dlr.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. I I
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Sturdy Built Inc. PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Sturdy Built Inc. 668 Flinn Ave#25 PHONE NO. (805)552-9927 FAX NO.
Moorpark,CA 93021 EMAIL ADDRESS:
License No. 971510 Type: B Expires: 3/31/2016 12:00:
TENANT MAILING ADDRESS
Boarders PHONE NO.
FAX NO.
,
DESCRIPTION
ELECTRICAL FOR BOARDERS
Construction Type 110M NofUnits Value on ctiL1 ° OMPLf1.tb C
- -- - -- - -- -- -- -
A of Units Value
►, -2,3-is 4i/
OCCUPANCY: Tenant Improve TOTAL VALUATION:
$0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC
1.00 Flat Elec Issue Auto 44.35 44.35 01-3105 AMT AMT PAID ACCT
150.00 each Ltg fixtures 158.00 158.00 01-3105
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $203.35 Balance Due: $0.00 Paid Today: $203.35
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#: 107206
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 202.35
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City ofAr-
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 y
P 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.;
G�ywogvi�
PERMIT/PLAN REVIEW APPLICATION
Drive,Post Office Box 60021
Development Services Department,240 West Huntington ,
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 Lic Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION ❑ 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'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 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 not employ any person in any manner so as to become subject to the workers'
by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole
forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for l Z •
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 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- 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
IT 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 Z
I