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Home My WebLink AboutB00-047-509 ,:,e'''.1:'S Development Services Department 5 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 PERMIT NO. BOO-047-509 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Tenant Improve 1PROJECT TRACT NO. LOT NO.APPL CATION DATE ISSUED BY PRINT DATE PERMIT STATUS 7/24/2014 CM 13:35 8/26/2014 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- Plan Chk#: 14-444 EMAIL ADDRESS: APPLICANT MAIUNG ADDRESS Plan#: IN FILE Nakamera-Beeman(Mike) PHONE NO. (562)696-1400 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Nakamura-Beeman Inc 8520 Wellsford Place PHONE NO. (562)696-1400 FAX NO. Santa Fe Springs, CA 90670 EMAIL ADDRESS: License No. 685301 Type: B Expires: 3/31/2014 12:00: TENANT MAILING ADDRESS Cellular Village PHONE NO. FAX NO. DESCRIPTION KIOSK FOR CELLULAR VILLAGE Construction Type UOM N of Units Construction T Value Value .00 n Type UOM q of Units Value dig01 f - r° 12.......-p OCCUPANCY: Tenant Improve TOTAL VALUATION: $15,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 208.49 208,49 01-3103 PC Cal Green 20.85 20.85 01-3103 PC ADA 31.27 31.27 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 320.75 320.75 01-3104 Bldg Issue ADA 32.08 32.08 01-3104 1.00 each T.I.Fire Pkc 235,00 235.00 01-3109 SMIP Corn 3.15 3.15 14-2207 gm bldg std 1.00 1.00 714-2203 100 Flat SWIM Auto 6.25 6.25 88-3027 Total Fees: $903.19 Balance Due: $0.00 Paid Today: $407.58 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 : 106149 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 1 -2107 397.18 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 714 2203 3.10 cadia building inspector for a period of 180 consecutive days. 1.00 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) OF A' . O. rill! ; PERMIT/PLAN REVIEW APPLICATION id ,E Development Services Department,240 Wes.Huntington Drive,Post Office Box 60021 `' Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173 r City of Arcadia jtCENSED 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: i 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 Z License No. 9530 I Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the 1 performance of the work for which this permit is issued. Signature of Contractor_e =s{ It I 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 1:1 I hereby affirm under penalty of perjury ry that I am exempt from the Contractors is issue workers'com ensation insur nce carper and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions Carrier Code.Any city or county which requires a permit to construct,alter,improve,de- molish,or repair any structure,prior to its issuance,also required the applicant for Policy Number GA I 0000 83 yo 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 compensation Laws of California,and agree that if I should become subject to the penalty of not more than five hundred dollars($500)): workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. El I, as owner of the property, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for Date /./J S Signature sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING:Failure to secure Workers'Compensation coverage is unlawful,and sale.If,however,the building or improvement is sold within one(1)year of shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she did hundred thousand dollars($100,000),in addition to the cost of compensation, not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contrac- 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. j� �f n/ Name fl/ e 1 e ' " 7 'M t' 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-mentio roperty for inspection purposes. Signature � � Date �y / 41