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HomeMy WebLinkAboutB00-047-607 or k. Development Services Department 240 West Huntington Drive,Post Office Box 60021 g :� „�i Arcadia,CA 91066-6021 PERMIT NO. City of (626)574-5416,Fax(626)447-9173 B��-047-6�7 Arcadia Permit Type: EMP Combo PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 8/5/2014 CM 15:55 8/5/2014 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. Inspector#: CRIS Los Angeles, CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS University Mechanical PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS University Mechanical& 1000 N Kraemer PI PHONE NO. (714)632-2600 FAX NO. (714)632-7520 Anaheim, CA 92806 EMAIL ADDRESS: Ilindquist @umec.com License No. 460213 Type: B Expires: 7/31/2015 12:00: TENANT MAILING ADDRESS Center Court Rennovation PHONE NO. FAX NO. DESCRIPTION MECHANICAL(DUCT WORK ONLY)AND PLUMBING(CLEANOUTS)FOR CENTER COIRT RENNOVATION Construction Type UOM #of Units Value Construction Ty f fof i Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY COM DESC AMT AMT PAID ACCT 1.00 Flat Mech issue 44.35 44.35 01-3105 Ci- Irfn.*, P/44.714/.... - dam"_°u -O / - 1.00 Flat Plmbg issuance 44.35 44.35 01-3105 1.00 Flat Add/Alter Ducts 9.38 9.38 01-3105 or) ` g- q 1 -11-1 fr 12.00 Fixtures Plmbg fixture 149.52 149.52 01-3105 1.00 Flat SWMF 2 1.00 1.00 88-3027 1.00 Flat SWMF 2 1.00 1.00 88-3027 Total Fees: $249.60 Total Amount Paid: $249.60 Paid Today: $249.60 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from Receipt#: 105946 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3127 247.60 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 88-3027 2.00 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) MI 0901", 1 PERMIT/PLAN REVIEW APPLICATION 1 + E Development Services Department,240 West Huntington Drive,Post Office Box 60021 j1 Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173 444.,, ec Neese• 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 Bu •ness and Professions Co rid my license is in fu o e ffect. �� �� ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class Lk: se N. Exp. Dat compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Con actor , performance of the work for which this permit is issued. ����� Mil•A'=7► ..OWNER-BUILDER D • • ❑ 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 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 I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith c m y with those provisions. Ain iniiiii 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 8 5 J 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(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 Io IL Ilk — Title ArifaCV 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 t :doh..., 1 •I 11. E 1 'ills 1• tion purposes. Signature A • ' WW' k Date 0 BM J4 1' Report# TWINING CONSULTING Irvine Corporate Office:949.336.4325 Long Beach i San Bernardino!San Diego(Ventura i www.twiningconsutting.com STRUCTURAL STEEL Testing& Inspection Report INSPECTOR CODE/C�AFAr A�o I TOR NUMBER DATE JOBNAME h esrF w J4Aerh A/J,TA t?'jfZZ/2e�yl �M T OW QT OF Q5 QS t DSA FRE 6lOSNPD INC./ ADDRESS /� �f �C f Y ip S /U/I{.O"yid J Av �so iS i 7'w � aA/CA DSA AnpL.Y;OSNPO/PERMITM GENERAL CO�TRACT INL`.�'r►> �.�/JStf'�W �� �t M'T JURISDICTION n `ry d` "tom 0,4 ARCN�fT T ENGINEER Ra /- N7S/ ' 3 rF.�.v ,pL-Sr�,,J I �4A./ c trig SUBCONTRACTOR U�eny - t' w` leo yeIR REQUIREMENTS!Limit one Job number,one permit number par sheet.Identity as work by type and SPECIFIC b eanen,Each Joint must the specifically Identified for SSW/H$bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations end communications with protect designers,building and permit granting authority officiate. El Shop ❑ Field 14 Welding ❑ Sampling ❑ Fireproofing ❑ NOT tEl Bolting ❑ Other DESCRIPTION OF WORK INSPECTED �D — 3 / c“..CZ 28— 2-4/ T—J. "ewe: s 2-, I. wo.¢sc 1.,J PC., /r4_,-Cj 07 "9fr'C#-1'1Ey iSy ' i wi t QF 2-) wr2Y2-6 RGA�lS 2_ 4-0/A/47 c F L. y y x Sig C ilT. �-o C &J 6'•1 4.4=O r7y [ .c 70 /(t Qy //SF Fit.�% , o P 7-/ 3. ix►s:A u/t i? .✓ o G 2D R! A./4 te' (Z) 3�i� .,c 3 i _4c 6 w�/S sipeoo ( 2) IAJ /2 x 2( RCA e-tJ2 Y ^ LJJ OAS-- r ❑ Contains Non-Compliant Items REPORT ❑Additional Page(page#)SS .T Does Not Contain Non-Compliant Items WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report# TWINING A CONSULTING Irvine Corporate Office:949.336.4325 Long Beach I San Bernardino I San Diego I Ventura I www.twiningeoasulting.coni STRUCTURAL STEEL Testing& Inspection Report INSPECTOR CODE A w`A r/„_ w JOB NUMBER DATE /Clyf!' .�.wCa�sJ � 0�23,2,�►y, om or •w OT OF Os Os JOB NAME �'✓is l f i YA,rA A,j/77 DSA FILE NM Wei/ ADDRESS yeo S /3/11.49"/A/ A v S.�Z` / , qI' n DSA APPt R:09HP(NPERMtTF GENERAL CONTRALTO i.i /4"11:10,e d iN, JURISDICTION wEsAW., `4,D eoAl r.Cv r ow C 77 a F A/1(,4„0071 ARCHICi ENGINEER RUBCC�TRpLTOR any) t✓t,t r"F.c.O AC-s�� t*tw,J c K w Y� O ✓oyere i1EOUlROMITS:Limit one job number,one permit number per sheet.Identity all work by type and SPECIFIC location;Each joint must the specifically Identified for SSWili$bolt Inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous noncompliant items must be listed, crowd conversations and cOmmunioations with prefect designers,building and permit granting authority officiate. ❑ Shop ❑ Field [id Welding --❑ Sampling p 9 ❑ Fireproofing ❑ NOT ❑ Bolting Other DiA ``7°0�y DESCRIPTION OF WORK INSPECTED - >67 At/cif aIt- /c L3 FDA- L '/of y- 3 X04"6 /�G14Nj J')� 3)-3 gpCea Z-7/ z- - ?ter' j fir - S2 -1 / . ezjz.,f'ei) -„M/c-',j'3 t�/g I?,AAi t!2/GS 'i o-c _ 6 6:"flllro 2 - c .Ai✓/.✓'t Mu 71-/ /.f.4u4 HI ♦- Ca, tsec A ti€ . -1_ ,2e A LP0 -1',#7#".i. /✓ J2?&,✓4- 'a C J Zo/SJ - 1i/lt•Ii1 aiC I1 71 1y24.7.4-^OCC),r4o OJ A S r�J A 3 a7, 1 Z o - 3 Su/Po ritione5 CZ z8- z111 -/ / - tirf449 IA/y oe rr • S c.F Pf.476 (c-xgS•-/A/9 kJ 33 Di / £' j 4i- ' •/ec PLA--Z 12-V fi 3/4 2 _ 1.�E� '4 A.d 4 o f Al S C y K i 67 C./94� 44,��J,.dy .!i0 i %✓0 10(A /2 it /2 A 3./y- ❑ Contains Non-Compliant Items REPORT El Page(page#)SS Does Not Contain Nan Compliant Items WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report# ATWINING CONSULTING Irvine Corporate Office;944.336.4325 Long Beach I San Bernardino(San Diego I Ventura I wwwtwiningconsahing.com STRUCTURAL STEEL Testing& Inspection Report INSPECTOR CODE/C AAA-4r Afecio JOH NUM I ER DATE O?�2t/ I OM OT OW OT OF OS OS JOE NAME ,_ eSrF.$ fA.✓TA AAnTA OSA FILE Stoos4++PD 1NCs ADDRESS Yao S �A i°4:*f�/� ! A16,Soar e2,st a/A�'„cA bEA APPL.r;OEHPUtf'ERMIT GENERAL CCN7TRpG� /` � /� ♦ L ,�/1 Q `✓ pR / ;ri NJ `+ON.(%e4CJ �.fr ��/'ti~, JURISDICTION if I 77 a�/` ,4i-CjIrs)f A AgCHIi CT EMGINEEq 1 SUBCONTRACTOR 5I ARy'} c'Ae4.✓i° ✓ort-'2.._ REQUIREMENTS:Limit one job number,one permit number per sheet.Identity MI work by type and SPECIFIC location.Each Joint must the specifically Identified for SSW/1-1$bolt inspection.Nonn.eornpllant work must be specifically identified.Communication(RFI,Sketch,etc,)wilding previous non-compliant items must be listed, record conversations*id cammunioattnne with project designers,btdkding and permit granting authority officials. ❑ Shop ❑ Field ❑ Welding El Sampling ❑ Fireproofing— ❑ NOT ❑ Bolting ❑ Other DESCRIPTION OF WORK INSPECTED - !vtzc/>in/G, e, Svc4.12/Zi1A/, S7/2c.u'7�/ /`�z D- 3 LLC,f� ' — z. / - J Pon-. s?- I r • w��v�-.1 �Y C✓P o/- C4P.4✓cf c'z.,,✓,r a F (2j /4-11 Sx 414- /4 ,',.ho . 2 . fL;4eD 14/di /3,, Pl u4 kv e-d.A/1 o F /4/2— Tb P o c- (2') Aft 2-.c s:ZatSL /icA,-f. 3 . s 14i.t/.. di- /le ,°C/1 Zs 7 c i o P or— Y✓12 K ZG Y. (v &-O,,1le4 "eccfA-[r te Se” -Z` LC ) %2 ' fl-C Tv' I!y 7j/.sc / C.4- et4s. 5"--_ c/az—v., c,A z- ,e L- y is y Je / sue 47 7i4 2"GZ) t2- T-0 /7/11 Y K I/2 — G—'P r / - VGA.Il se, p/¢s&[IA! .c> f1 i-'t.t-i— I2'-p. L 2 - G[GA/►/s.✓h s.v,7W /t ,/t HP etia- ,i j2 2 AP?LAp /h ter'o S:ror- A14-71c ,f Cr- eP `x 9 0 /y„sJ1 P c/z. t - L L i' - 2 so e 4.4 if/2- z 5 -I 7 c l 4 ° ` (L) Go N 3t� ❑ Contains Non--Compliant Items REPORT ❑Additional Page(page#1 SS Ai Does Not Contain Non-Compliant items WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report S TWINING A Irvine Corporate Office:449336,4325 C CN S U [ T i N G Long Beach San Bernardino I San Diego i Ventura i www.twiningconsutting.com CONCRETE / MASONRY Testing& Inspection Report it4PECTOR CODA ` alp 406 NUMBER GATE 7 12S/l �f IOM OT OW OT OF OS OS Srf g,0 ,SANTA Agate ABA FILE NOSHED arca Aooteetot yo,D S /3AlAw�.✓ ye, 4 t If mom** OSA APPL.itOSMiPAMERMIT! OENE3Ui RACT 7� �„- JUf11841C w T Peet-n S ; 91 -1 �tfT -SUBCOt TOR fiG� DES►tyJ K�� caw yo �/a.✓ w yCZ EitainlIMMT.:t i ntario**mtttthar.ens peraitriuraber par anaet k lantify oll work by type and sPECIRC troth foist nwsit eopesiRcarty lr Oar 8 l9lltiaipaee n.Noo lnpitatt work Mustbo to tea.;fin Fl ! eot,eta)voiding.preortoue norreor ptkutit tba ,oros d atawar�oms nnttoommuak tiso vPrPftill011#01ansok Metro and Walk o rtY ttYt lee. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PEAODa(i ❑ Mileage ❑ Expenses '! oot eatletakin,earliptiMepprepitllorsitalibrfbeinwo ❑ Reinforced _© Concrete Placement ❑ Masonry ❑ Pre/Post Tension ❑ Batch Plant 0 Quality Control •DESCRIPTION OF WORK INSPECTED - t/GR C.o 0 EGu. 2 S— zg/ .Z -3 f' V E.Q i i't LD Z N t ;4-tic de Ti o f l) — 3 W a w zo G A .4,44. 69."// -C"f) f,,2- --f Lei G It t/S,tC� S 7,€jJ CA U/1.4! . F,e4Afe SWPPv/z,7iAA, T. Rt./Tro t1 PvLI c44- A-.& et=om.�-tf 2 - ✓47- £ i F I C 0 ,9 t A i -p cA-c-<i•t a 5d; c 3 r e- o- A-c-f frki.fry oVL/c- i " /e;s "NO mar was taken; Approved/Authorized b MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS .SPECIMENS CERTIFICATION OF COMPLIANCE The WORK 0'41 inspected in accordance with the wits/wasnoi All inspections based on minimum of 4 hours and over 4 hours-- requirements of the�R oved documents. 8 hours minimum.if Inspector is called to a 0.ciiy,� P project and no work is performed,a 2-hour minimum charge will be applied. The WORK INSPECTED .mpl the requirements of the �R� approved documents. Approved/Authorized by itSSA,OaNPD,City alp, ( j ne.Prodentettive MATERIAL SAMPLING. ormed in accordance with rwa iipitldlA ° Submitted by OSA,oeiiPO,pry,etc.approved documents. TWintng Conautting,Inc. Inspector Name /AAA-j/te69 , Inspector Signature / �rl° El Additional Page(page k)CM Inspector ID/Uc.S / % r/ • This report wilt be distributed to the architect,engineer,client,and governing)unsdlctlon te.g,OSA)as required by applicable codes and project documents. WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report* ATWINING CONSULTING Irvine Corlxaate Office:949.336A325 Long Beach I San(Bernardino f San Diego(Ventura I www.twiningconsutting.com CONCRETE I MASONRY Testing& Inspection Report ttr5PECT63��4rAr/Cep 14osrxtntaER jF �� -oATe p-T l2 to /Y ! OM OT OW OT OF OS OS MI' 51-y.54'O N�/¢ A'NI7? FILE 7/0811P0 tidC.# S '.t4 m,/ A v'e 4 21s"44260.41,4. OSA APPLADSHPQlPERM:T oer w e7-, e; 91.1 t �,N�srn°Trcar �sr fi01.D DESK IEPAIV, C#& d ELIBCO►n TOR@ mitt 1UISIMMEWTB:LtmRwtikleb rwillber,ee tpermR,timit er par MOat Identity el work by type end SI�Fte leaden. enh forntniesteareptiollfeelly fi -Tq� igleint dot irnpsWlan,pierweentpltant wit smut be iami.oelly ides ltut Cammusetatteh(RFI,SHetatt,Ste.)voicing pravtioiar' rot a NIMA mere convetediviseichiemnitanitistisiti with Preisetthlialingoak btSr,6np and permit gn tidne.udiettlY wfietate. HOURS REGULAR 1.5X 2X TIME IN TIME OUT PERIOD ❑ Mileage ❑ Expenses •fnum etistalwn,corrattitosppropdattreetiebri a aow, ❑ Reinforced IN Concrete Placement ❑ Masonry ❑ Pro/Post Tension ❑ Batch Plant 0 Quality Control DESCRIPTIO N iD WORK INSPECTED • Vj i ten /7.4.,,- 6:416- A./1- co.t«.►.¢.,5,' ►o(AC i-t(3i i4 t Fo,ertA/o k. W 2 K 2 0 6q CAr-d s✓,7 a 3 (Z) /2 2 • VtrAiite0 I4/X n g s ic..) c. ,e6Cc cif 9 ( J-bQf /ooZ/J Se/ 0460 .4Y f1eit.R-o c. 3 �o�4C Ma,✓i F w vc 28_ 2_ /I.J� _ y y4,,4Qj If . P.Qc5e.lAA77n..J o,j Se s,' r' ) y •.. p is" cZ - 8 D �-7r -- "' rw.^�P — ti`r* /,c440 3YYd2-- c i- A l St z-i Ffi woos-4e Mpal'wwa talc o na Approved/Authorized t y: , MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS CERTIFICATION OF COMPLIANCE The WORK ?n inspected in accordance with the el. Al i inspections based on minimum of hours and over 4 hours— requirements of the�'� roved documents. 8 hours minimum.it inspector is called to a 0. project and no work is performed,a 2-hour minimum charge will be applied_ The WORK INSPECTED /HC the requirements of the /VA CfrOlA t0.SA,ompb,cuy..a approved documents. Approved/Authorized by e Representative MATERIAL SAMPLING,_, performed in accordance OS3lI s:arau Submitted by with out,oetwn,cur aft.approved documents. Twining Consisting,Inc. Inspector Name Inspector Signature ❑Additional Page(page 1)CM Inspector ID/Lip.# 5/I 881 g Thta report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.RSA)as required by applicable codas and project documents. l WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING A Report# TWINING trvh a Report office:449.33ti.d325 CONSULTING Long Beach I San Bernardino I San Diego I Ventura I www.twiningconsuiting.com STRUCTURAL STEEL Testing & Inspection Report INSPECTOR CODE A wcA(,„__ J Jpe NUMBER bATE 1n^ j24 / j /CII (i✓Ca!J C b�L « 1 *M .l' OW OT OF OS Os JOB NAME WesrF f'1-0 ^ d w•/,X71 OSA FILE P/OSHPD INC.§ ADDRESS 7�O s 19A� ,W11 Al6,Sara 2S IA4 i A/CA ESA APPL.R:OSHPO/PERMIYF GENERAL CONTRACTOR Af�'jFryG A c...2 A.1 S rgti t,(`{. .1 JURJSDIGTION ' ARCHIT"CT w L+ e rY F AjQ�',g�of�- ttE� l I ENGINEER BUBCO RACTOR(itanyl �t>rF -.O .s,,,/ r�� cN�� Y� Ar�'NtN y a--11,.1106/J l aUmEMEPPrS:Limit ocelot)number,one permit number per sheet.Identify all work by type and SPECIFIC Iota Tn,Each!Mint must the specifically Mantled for SSW/H$bolt Inspection.Non-compliant work must be specifically identified.Communication(RFt,Sketch,etc.)voiding previous non•oompitant Items MUM be listed, record conversations end communications with project designers,building and permit tenting authority officials. ❑ Shop ❑ Field ❑ Welding El Sampling p g 14 Fireproofing ❑ NUT ❑ Bolting El Other • DESCRIPTION OF WORK INSPECTED F'RG-PA-4,oFl 4 / • .,e.1 F E S, ., - _ . —ti 4. - -� • 2- VL LIl i t°/? Cs,ia//D ilZn,t) .0_, 7b'ti Ai.,i '.QL9t� 7, es 2t'" dji- '- ' tc.oZ.L "Ix—C / 14 PR•.&u c _--..- r2y 4Z-Z4 ce A-, 7bN1 2s1 za 'y 1 c AA Ay 4P#°L-t O rf.te. /1 a c t1 2 t/v A-61-1"E"4 r,'1-L. i''to.✓v;co se IIIC—C ft-{ ,-i wiz, 2.-C. i3CA"1i /-/ tr G1 Se.s (/y TL' .fc5 I sPC-c-,Fce, 7 1 4<4/C 3- - j 4 c4 to A V Cr 4G- f iJ a LkAilf-s a ex C-(56' s Ia'=c.if" 1-'"- 3.1 se.. , A c4 c'. Avil4A ztr f` lc:F-/2c/4"./ Al ,S 2 -I p_C rAt 2•r,_ / STS _ 4,,, F / /,/ ,...,,,_ ❑ Contains Non-Compliant Items REPORT ❑Additional Page(page#)SS Xr Does Not Contain Non-Compliant Items WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report s ATWINING Irvine Corporate OM=4443364325 C CN S U L T I N G Long Beach San Bernardino I San Diego I Ventura I www.hvirtingconsutting.com CONCRETE I MASONRY Testing& Inspection Report n snEcron cooeA to , D 1 j08 x est o"TE n o/�/ OM Or W OT i F OS OS Kre 7f3 /a iii$•rat Opp AJ'A✓rA /}�t/t%7¢ p���,� DBA FILE UOSSHPO iNC Aounese O� s isA-owl.✓ ,4 (e /� c'r4. OSAAaw..r/osMPOJAERMT7 •- �—�—�--�—� GENERAL CONTRACTOR 9►,�,�.' .JR1 ACTK7N M f>�f1GL 1 Dev5,./ 11:47;:i„/ cow ye suscoNr...roR'a,n utter b. li isle*ar;anti peradtawnbnr tier sOt.&MOM*al work by typo and SPEOted Bash Mat nasal liwapaantaday ti *r bok Attpswlktn,MowoXMpQ.nt work must be spoaterally kitintatiod.CaranitadtalcinArt,belch„eta.)vofdinp pmv o ar non"tootpi lcgN rttltwt loglatitollowmaitans-agwitsfflmorlittatialatWit Pri*NailkiliretS.ba ing and malt orseanO'autherityneadaie. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL P (11ItE) ❑ Mileage ❑ Expenses 11 no meal la talwit,tempt.*opprapdsayt.alibrt b.itwt ❑ Reinforced ❑ Concrete Placement ❑ Masonry ❑ Pre/Post Tension ❑ Batch Plant 0 Quality Control D SCRtP7I aF WORK INSPECTED �G--g.4/1-- P CA c -f S /-""o vN 0 Art o/J 1 . PIA[.T r-1 CA/1 or CB) a#- S G 4C u/Ar /-I r3 a-r a I--/ o gi _ 3SQ x 36._ D[,CcP • A-i f� IA/ S 2• Pt /1�cCf-1Ep1 0 / (6) - 8 GAChi r./_Ay ,4i (t.<2... n r- -r r_ G ..,S'G 3 a (.3 Ce...o �-t-- ,� ! 1 (3 / s i t 3 . Pt,4c,Ety o %(c't) 8 v- (/,6 ) 44. S ..s SHoi- A i I21 XGt_ 8 _ 518 4 • P/4rL t&J oP (2) Tv& w r 77-4 a# Y C" 127 ;r cis 0 /ST. /4-1.. 'j-',i t.l ) Cu A/--, 1fj Z /S 12— ,QGF P t 4ALc A / S y_o Reolon-"NpAtetir WA9 taken: Approved/Authorized by: MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS CERTIFICATION OF COMPLIANCE The WORK I-15 -inspected in accordance with the was/manor All inspections based on minimum of 4 hours and over 4 hours- requirements of the A� iroved documents. 8 hours minimum.if inspector is called to a project and no work is performed,a 2-hour minimum charge will be applied. The WORK INSPECTED t . _the requirements of the A-R CADIAa roved documents. Approved/ by tosA,osttne,city.me On. *Representative MATERIAL SAMPLING -- rformed in accordance rwa�in`na nrrA °� Submitted by with iota,owl on,eft ate.approved documents. TYrirting CtmaullIne Inc. Inspector Name ,mf4l/`S4 Inspector Signature ❑Additional Page(page#)CM Inspector ID/lac.# 5/7 88115 This report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.OSA)as required by applicable codes and project documents. WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report* ATW1NING Irvine Corporate Office:449.336.4325 CONSULTING Long Beach I San Bernardino I San Diego I Ventura I www.twiningconsutting.com CONCRETE I MASONRY Testing& Inspection Report INSPECTOR CODE/444r/ay J.,OS nA,E °7/3(//� J OM OT ®W AT OF as OS JOB OSA FILE IBOSHPO "r/ S r Flo JA,✓rA AOO"Es'yoz. s /3/4060.✓ Aye, ti,A•4+014C/t;- t%AAPPUIO&HPD'PERMIT7 GENERAL CONTNICTOn 6✓4 s (-AO c.f."s r.✓ 9 f t:+1 JURtse r'y .•,,c A A-cfp- )dI S1aGONTnACTOn any)ft) p6s J ! y ✓ CON) d keti 11111101.111111048:UMIttaWlfetrialather,deli parallt-tiumber pet*twat Identity all wlixk by'typ.#nd SPEOWIC location.easitioliitatinitiftiblifittitti Saab . af#0#1111#boa Inepection,Nawaamp litiort wick mast*spoetkelly lawaiRl d.Co kssto n(NFI ameba,ate.)wading pnwfaus matte l 1YS pap '1 llMfe mord twaversationssetvotameWeitaawwille profeot ti•olanwo.4WdIna and milt t Afh algheOrteilimeis. HouRs REGULAR 1.5X 2X TIME iN TIME OUT OiEALPFHIODs( if ❑ Mileage ❑ Expenses •il fro inuutte taken,conwitioreawcppelswrallarf tietnw, .. •❑ Reinforced ❑ Concrete Placement ❑ Masonry ❑ Pre/Post Tension ❑ Batch Plant ❑ Quality Control DE • PTION OF WORK nape', 8 0AnQAtJ j4 fS o; 2 / Sc. o C.0 A n 6 PA-0 2 ! 3" s - 3 b T"Ht ei . vyy D 1 _ ✓ ,C i ti-O 0 R t 1.tiA/ct ( 8 L 1 1/4. A AI f-4-0.C3 i'1/3 C10 Ar G(t S 1 A-/ foa 7-IA./ GI 2- C .C M w/-77-f (3,44 K b- Lo h(PR.c5-ss C) A1/2 - 3 . A PPL-ylAR, GP ox f S i#YP.r0- J .-.e.�1✓4-?fC S %-XP (Or .› E-) c - 'js 1,4 N,bgo.v v F - 8 — -.L. Al /J v.»z c 3 Ai -t)el of _ i _ 3 s Q _ 3 G. F. o;I N ti • (-21 pc/t_. '74 St Reason-No.mew wee Isised: Approved/Authorized byt MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIM• ENS OF COMPLIANCE The WORK Ain wac inspected in accordance with the t was i not At inspections based on minimum of a hours and over 4 hours- requirements of the fra_;y4K.04.S0014roved documents. 6 hours minimum.it inspector is called to a project and no work is performed,a 2-hour minimum charge wi be applied. The WORK INSPECTED /ly�� the requirements of the pRcnolR trdB,w tosA.oaHPn,city,a4o approved documents. Approved/Authorized by • ` -Site Representative MATERIAL SAMPLING_ performed in accordance Submitted by with ostwn. de.approved documents. Twining constrains.inc. • • Inspector Name /Q,r}6A-r 0 Inspector Signature ❑Additional Page(page 1)CM Inspector ID/Lic.# 5/,g g l g This report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.DSA)as required by applicable codes and project documents. j WHITE-SUBMIT TO TWINING YELLOW CUSTOMER COPY PINK-SUBMIT TO TWINING Report# TWINING A CONSULTING Irvine date Office:549336,4325 Long Beach I San Bernardino I San Diego(Ventura I www.twiningconsufting.com CONCRETE I MASONRY Testing& Inspection Report INSPECToS CDDE _ f /'+� tug, Dw�AI /`c12/� JOB NUMBER °ATE 3/e9//Zdty I OM 0T OW OT OF Os Os IYkS+'/cie, ,0 4 irA ibier DIM FILE ros�+POnuc. ^001.108 ye o S ,S,4jAOwS ,4 ve, 4 z s,,# eweivA- °6A APPLVOSHP[ EHktn. aENENu W anr'r� i iG d e fZA11 I Oa 1 JUHIBDICTK7N T eery of Apt l4/�i/d ,waif Pita,, DEsf4 i 17417.1 41►w Yd Aw t� c.,.vw./e-e-C 1 1111013 '8:Und writ gob nuiYtbu:ens permit.mutber par stoat.Identify al wudc bV type and SPECIFIC location.Wags Jotnt tttweE epsell oW i Tonle ttl.iigtr *Wow pan AnpsvYon,tion.ocmpa tvowkonobe sivoolfloolly leontiloo.ctsnmuaragon{RFt,tfilotot,:t*e.)voidingprev iousnote-aoeaRGrttiverwanur bortt(tfl ,. noseteconvereelletsaystoommunivetteseePtPteiletdetibtiest.t, ins ma twrmk:gringInglitattOSSYMWAL HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD ❑ nniieage 0 Expenses •a+w moat atrtkan. noviiii rtiatert. ❑ Reinforced ❑ Concrete Placement 0 Masonry 0 Pre/Post Tension ❑ Batch Plant ❑ Quality Control DESCRIPTION or WORK INSP D to.✓Ge,Q G?(� [A-C,GF-lt^„t-J i ,c} t'— s'—A/2 Fav v0 q 7z oAt) / - ✓L,2/li G 0 ,tic /1-s c u A!Cst-2.c31'-S PrA-c,/'t-t Eti �4 (3/ S/2-7 J I At BIZ., tJ ►AI3,2• , p 2/Six - 2 - i/t:2 131.55/4At/ r- con-c.5-7- S v PPc.r Co r2j !-fo ,&*7' �cr�l[. (= w/,/OAtA,' P[AA?J C./-1 3 c,7 6 ( Re o 5-o 7S, /k 3 O--0. • PST', O. 5 - . P646-016A,r f 4-oIJfC/L0/4-77n0-, w/-y I l ',4-7-2)/1-- 2 S y4/&7f . Pa PA4, r ,,J n A/c J&T 1 f,q.Ii"i 1 J- TlG6lG-r 2 0 2t3 / 2200 $ 30 /22 o.D5'gl2 Reeeorr"Na Mor vele inn, Approved/Authorized by: MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS C/13-c• 76 1,1 a _C3)6X'I Z_ CERTIFICATION OF COMPLIANCE The WORK w,'t.,,m inspected in accordance with the Aii inspections based on minimum of 4 hears and over 4 hours- requirements of the f4i1M0Filifittroved documents. S hours minimum.It inspector is called to a project and no work is performed,a 2-hour minimum charge will be minded. The WORK INSPECTED requirements of the less,p t .c Ieapproved documents. Approved J Authorized by i, site•epreatlmative MATERIAL SAMPUNG mow„ am_._performed in accordance / Submitted by with,-_.approved documents. Y,Wi ng Consulting,Inc Inspector Name /P/4•rk;/P Q Inspector Signature. ❑Additional Page(page ii)CM Inspector ID/Lie.# 5/?88/8' ( -_ ! This report wid be distributed to the architect,engineer,client,and governing funsolction(e.g,DSA)as required by applicable codes and proiect documents. WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING 500 Chaney Street;Suite E Lake Elsinore,CA 92530 MB NM Phone:(951)674-3222 Fax:(951)231-2564 vs Alimon II WO IE (D-1=—NO—NT www.indpsolutions.com U V IONS STRUCTURAL STEEL REPORT INSPELIOR JOB NO. DATE M T IN T F S S ROBERT BUSTAMANTE PENDING 06/11/2014 ✓ III JOB NAME BUILDING/OSHPD PERMIT# INCREMENT WestField Santa Anita Mall B00-043-692 N/A ADDRESS GENERAL CONTRACTOR JURISDICTION 400 S. Baldwin Ave. Suite 231 WestField Corp. Cityof Santa ANITA ARCHITECT ENGINEER SUBCONTRACTOR(if any) Inspection Request# Westfield Design&Const. Westfield Design&Cont CraneVeyour Corp REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC Location. Non-Compliant work must be specifically identified. Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed. Note all communications with project architect,structural engineer,building official and/or permit granting authority officials. Illallart Shop Sampling Bolting ,,/ Welding Guardrail attacheme0 Field SANTA Anita Mall Fireproofing Medical Gas Other Arrived at Westfield Mall as requested by WedField Coro. to perform Period Inspection Weldna Upon arrival I spoke with Jeff(SUPERINTENTANT) with WestField Mall in order to determine scope of work to be conducted. Structral Steel Welding New Guardrails • Reviewed the job specifications and all approved contract documents referencing the scope of work to be performed. Verified welders and machines(volts,amps,wire speed,etc.)were within procedure and code tolerances. Volts: 25 Amps: 195 Wire Speed: 7-10 ipm Monitored pre-heat of members required by AWS D1.1 Table 3.2(where applicable). Inspections are being conducted per the following details:1/S.1-6 Inspection of/Acceptance of work is being conducted per the latest published/acquired set of approved drawings contract specifications, approved procedures, RFI's,and Code requirements. Welding A6.1.1 new guardrail condition 1 area. 1.) Bent plate 4x3/8" x 6x 3/8"Welded 1/4"fillet well welded to existing Post. 2.)Welded to 2-1/2" x 1/2"x 2-1/2" steel plate mounting tab welded to channel @ 12"O.C. Upon departure of the site checked out with Applied Codes: AWS D1.1 Applied Welding Procedures: ON FILE Applied Proccess:FCAW AWS 5.20 Consumables Used: E71T-8-H16 NR-232 .07k dia. W ELDER/BRAZER(S) CERTIFICATION/EXPIRATION DATE WELDER/BRAZERS(S) CERT FICATION/EXPIRATION DATE DANIEL JOE POTTER P008403 2017 EXP. Additional Page(Page#) REPORT Contains Non-Compliant Items Does Not Contain i Certification of Compliance TIME IN TIME OUT REG FIRS OT HRS DT HRS TOTAL I declare under penalty of perjury that all of the above statements are true,and that of my own personal knowledge the work during the period covered by this report has been performed and 11:00PM 4:OOAM 4 4 installed in compliance with the City Of Santa Anita approved plans, (apposing Weeny.el DSA OSHPD.City ol LA,etc) ACKNOWLEDGED BY specifications and all applicable codes,except as noted above: Inspector Name ROBERT USTAMANTE Signature Inspector Signature Inspector IDs cS QC- 501 021 Printed Name A Report# 15 9 9 TW I N I N G Irvine Corporate Office:949.336.4325 CONSULTING Long Beach I San Bernardino I San Diego I Ventura I www.twiningconsulting.com STRUCTURAL STEEL Testing & Inspection Report INSPECTOR CODE 1 JOB NUMBER DATE c3 TJ/,, I A M OT OW OT OF OS OS (( t _/� {, DSA FILE IFOSHPO INC.M (�� V �c -J3 ....U of JOB NAME t.�. q:�1�Fr�. I r�R 1.2.;1... ..A �T I���1 1 .i � 1 7/`•� ADDRESS 2 ,� ' DSA APPL#/OSHPD/PERMIT 7 GENERALCONTRAOR "{•"a`"` I C (•..\ j I JURISDICTION 4 {) c py k> \/3 - C• ARCHITECT C• 9r c.„ SUBCONTRACTOR(il any) c 1- /J yep A (L. C c(?J REQUIREMENTS:Limit one lob number,one permit number per sheet.Identity all work by type and SPECIFIC location.Each joint must the specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERI D'`(TIME) q �� � It C2 Cif.k- 1• C) Ci AN Mileage �� ❑ Expetlses 'It no meal is taken,complete appropriate section below. ❑ g ❑ Shop `Fld "elding ❑ Sampling ❑ Fireproofing ❑ NDT LI Bolting ❑ Other . DESCRIPTION OF WORK INSPECTED 7 „ r C.9/} ( 1)r) /6;E f' p'0 I,%j �,- ' -e-- ,e--- //ex-c) ,,L c . A0 owe) 1'067- P/17G' A t-rl/Y"r (•iJ /.DrAy6 A" it/ '�X.* ' r J TT e - tJ'C 4C 69 CO) j'7C- e--. Re{� / c" f//r' Go -1 D ( / �`" pe)-..::ice 7:-2 S T� - tee-i t f i'-` / , 2 i e (9 G-- / c<-/ y !,- / ,tCy 'S cLr.. i2:7-- 7P r(c),U, L /X14/L V `i0 9 d___ , ,rJ,ff 1-(cc,/2_ G ():_-,rj00 L =rJ . Reason"No Meal"was taken: Approved/Authorized by: (Protect Supervisor) WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE NJ, 1 laT'(% rc)`e t-1 0- j 20 Electrode Used: N.W •S V.0 A •W A 5' 7 L) 1.-_-1 I I - Y "L CERTIFICATION OF COMPLIANCE The WORK WJ inspected in accordance with the was r s not All inspections based on minimum of 4 hours and over 4 hours- requirements of the approved documents. 1t_ 8 hours minimum.If inspector is called to a project and no work is (DSA,OSHPD,City,etc. performed,a 2-hour minimum charge will a applied. 't The WORK INSPECTED 1— the requirements of the met/did not meet A Cu!k 1`,1 i4 Approved/Authorized by --i L� '-'<�' approved documents. pp y On- Representative (DSA,OSHPD,City,etc. F' MATERIAL SAMPLING weslwasno1lNlA performed in accordance Submitted by with approved documents. Twining Consulting,Inc. (DSA,OSHPO,City,etc EEP- 1NI C_t`fo— Inspector Name Inspector Signature " ' 5 1...f ❑Additional Page(page#)SS Inspector ID/Lic.# t5i.r32 ' n c.c./ This report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.DSA)as required by applicable codes and project documents. WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report# 15 88 TWININGIrvine Corporate Office:949.336.4325 CONSULTING Long Beach I San Bernardino I San Diego I Ventura I www.twiningconsulting.com STRUCTURAL STEEL Testing & Inspection Report INSPECTOR COD . , j I JOB NUMBER DATE() 2 - i' I 0 M 0-)- OW 0 T AF OS Os JOB NAME OSA FILE#/OSHPD INC.e ADDRESS ( �r..-.0 j . (�,(�` s r t`4 ��•_.�13-s,Iltt:.. OSA APPL.#/OSHPD/PERMIT# ' :� 0`-�5 d, C,?fa GENERAL CONTRACTOR. 1`1 w .. �`. i��t�. JURISDICTION �. �'r�I f� C�� Al-(-�,�ak4- 5. s eA. , HlT CT EN INFER SUBCONTRACTOR(II any) i/ L ,.f) �t4 � � �I: I u� rt'Ct�.lp v� N rCCrl �_ rj�- V y f REQUIREMENTS:Limit one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must the specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEALPERIOD`(TIME) L( Crl (-/ tCJ;0 t) .Z C,X .A t,-d.- (:4- - ❑ Mileage ❑ Expenses . 'II no meal Is taken,complete appropriate section below. ❑ Shop Y,,4Eieid ;J&elding ❑ Sampling 1:1 Fireproofing ❑ NDT ❑ Bolting ❑ Other DESCRIPTION OF WORK INSPECTED '/ ,4 ce 71/ :4 U -`D 3 LtJ I'r 7 fit, &r ' --iie ij ?;72,A,,7-6 E,1�‹ .5?,,tr L 7-c;-,��'% I,J c f i( (4) f'r l�f,J 0 1/1? —17.4 g T T:-',..— ff%4/F-!'T e, 3/ry,,/,,1 f i rLt ( �L� / 71c-Irte- , rU0D1c- CA)c■x;tAl >�% _j -L_.. (> cis- To I ( >' ) . , 1 til•� 1✓f ti'i S - J(�e-p- �,.Z ez t- a ) Ae,,�,il.) Lc=0 =C, (t9 Reason"No Meal"was taken: Approved/Authorized by: (Project Supervisor) WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE fN-It i-?T1rrz Pnt3.`1`103 .mac ( -1 Electrode Used: / `J , C A'IJ-J !k_(- •7 c ti 1 T-1 r? CERT�IFICATION OF COMPLIANCE 1t The WORK a t inspected in accordance with the All inspections based on minimum of 4 hours and over 4 hours— C approved documents. 8 hours minimum.If inspector is called to a p riled and no work is requirements of the (GSA,OSHPD,City,ere. performed,a 2-hour minimum charge will b 'pplied. , The WORK INSPECTED M k the requirements of the id Ac4c-AD I� approved docummet e/dnts.not meet Approved/Authorized by �Y` r �+ i` (OSA.OSHPD,City,etc. On-Si: eprese alive MATERIAL SAMPLING waslwasnot,N/A performed in accordance l� Submitted by with approved documents. Twining consulting,Inc. (DSA,OSHPD,City,etc. Lipti:Al C Ht 6-) Inspector Name Inspector Signature 'tip ' ❑Additional Page(page#)SS Inspector ID/Lic.# r 7 37 `C'I? IThis report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.DSA)as required by applicable codes and project documents. WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING , , Report# 1586 ATWINING Irvine Corporate Office:949.336.4325 CONSULTING Long Beach I San Bernardino I San Diego I Ventura I www.twiningconsulting.com STRUCTURAL STEEL Testing & Inspection Report INSPECTOR CODE c 1 ft, I JOB NUMBER DATE t,.,� r� f 1'j I CM XT OW OT CS OS [ J� 1 JOB NAME ��„v DSA FILE a/OSHPD INCA S—-7 ADDRESS LA "`'J am c wt� k\l`f; 4�/� 0,4_ DSAAPPL.AIOSHPDIPERMIT# {3 r� .,3-- 6 2 GENERAL CONTRACTOR C� ` JURISDICTION ,/� c ,Iy(J�\ 4 f` c- r (C hft J l i ARCHITECT `�,)„� EN INEEI _ Y '`co�,iC SUaCONTnACTOR lit any)�J!r` 1' ` V" �.t y. C f> , � j! 'r� Lblt�1. � 1 � �� �+ v if fC` � 1`.` ',REQUIREMENTS:Limit onne lob number,one permit number pet sheet,Identify all work by type and SPECIFIC location Each joint must :spectticatly tdenttliad cr SW/HS bolt,Itispection Noncompliant Work'mustbe specifically identified.Communication(RFI,Sketch etc)voiding previous non compliant Items nfusUt listed, [iacordporiuersatlans and communicatlons,withproJeot designers,building and permit granting authority officials, HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD'(TIME) `f (00.e cures 2' c.:,-, c-3 4 fp( ❑ Mileage ❑ Ex enses 'It no meal Is taken complete appropriate section below: ❑ Shop 'Meld elding ❑ Sampling ❑ Fireproofing 0 NDT ❑ Bolting ❑ Other DESCRIPTJON OF WORK INSPECTED 65 t'',3 CPA/7:=D 1 t'I0(a fit E l(C ai,� -1 1(t�'( tA)k t0 k AC / '11-1k X tt fiY )(e. 61-6-.-C t Q. bE TQ 3/r1`r,-0-1 t4-Of V E *-C t CA L. c;ST ?1iG • k+IIt '1 t.tY e tD t,4,' i . Yf 2( z-2'iIlk. t c.e L Sh t ui P1r 1 T 7C "'"/ 5 " t-/ 3/e - X'4-% ST - O p—,,e7` p;11 F 4 , ` '` pg . /./ , . ' vc)(c t j ii c iA,t i ii tn vi? fir- i-c<.--'J I) 1-70o/% /'t/1i l I/`U Ole-R-- r /e S-� Roasort"No Meal was taken Approved/Authorized lzy *• ' ' '(ProJact vupbrvlso) WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE DAa1@Le `€ -- Pc9c L10-3 "2uI - - Electrode Used: A-,,k1) ',4 c A•uj A e O CI 1 .1-- d ry CERTIFICATION OF COMPLIANCE ' The WORK W inspected in accordance with the All inspections based on minimum of 4 hours and over 4 hours- requirements of thl C- approved documents. 8 hours minimum.If inspector is called to a! eject and no work is I SA,°SHPO,City,etc. performed,a 2-hour minimum charge will<,a:pplied. /The WORK INSPECTED �t-1— the requirements of the met I did not meet eaa—C - A approved documents. Approved/Authorized by a ��.e: �.-., (DSA,OSHPD,City,etc. / On-Si -epresentative MATERIAL SAMPLING waslwasnetlNlA performed in accordance Submitted by . with approved documents. Twining Consulting,Inc. toga,OSHPD,City,etc. ft1tn C(-1oJ - e Inspector Name Inspector Signature - ' ❑Additional Page(page#)SS Inspector ID/Lic.# ( %rt-)1 C Sr S ., * C.,C--- 1 This report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.OSA)as required by applicable codes and prefect documents. I WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report# 1 5 8 5 TWININGIrvine Corporate Office:949.336.4325 CONSULTING Long Beach I San Bernardino I San Diego I Ventura I www.twiningconsulting.com STRUCTURAL STEEL Testing & Inspection Report INSPECTOR CODE( JOB NUMBER DATE ` OM OT OW AT OF OS OS JOB NAME OSA FILE 5/05HPD INC.# Wk.1T rte iD �.t>t+Jik AO‘';!t- ��4 K v-5,4 t ,1 ` * y� r OSA APPL.#/OSHPDIPERMIT# (..../ 'f „ j:� 41 /t ADDRESS {-.J i`rf. . ` �W {h� �'�\t{� �I �(LL�I Li'I'��!� ��'./'�-- L) -J ti. GENERAL CONTRACTOR r co.... JURISDICTION l r\ i` /� V 1�y 6 - `'n ��SI'�I�1� p /� 7 V l� frJ ARCHITECT IMO ,03.< SUBCONTRACTOR(it any) C.4'i 4 )3 t 0` ' R C'tI,_. .)• REQUIREMENTS:Limit one Job number,one permit number per sheet.Identity all work by type and SPECIFIC location.Each joint must the specifically Identified for SSW/HS bolt Inspection.Non-compliant work must be specifically Identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR S1.5X 2X TIME IN TIME OUT MEAL PERIOD*(TIME) ❑ Mileage ❑ Expenses It no meal Is taken,complete appropriate section below. ❑ Shop field Welding ❑ Sampling ❑ Fireproofing ❑ NDT ❑ Bolting ❑ Other DESCRIPTION OF WORK INSPECTED C'f)Iv-f t NI 0 t (,.S t EN i l' T \IJ'1Z)t� E.a`� C) 3/S'' X. Lf s/8'� "" -r $ W7 . pItT To t� 3/-, `ti-I I� , 'r:-�L u`J lx-r-■ (IA L Pc" P 1A-7- ‘1t 3`f"`_ ■.A.k.1 r A A5 t I z- m'L- 'I rr L `AL-f<IA'l f 4-TE l {� / .js' LI �t e K r-4=Y e�'r 14 T1: 4.` eP ei-r2 1 l '3- ,) e Vc� ( ►0 g ,c7.-`,/ i tA )(12? - trJ r e 0 c, I is- Reason No Meal"was taken: Approved/Authorized by: (Project Supervisor) WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE NO V,1 f'd 1(— POO Z'sN(c'4--3 2--0 I `/- Electrode Used: A v r c_,A v d 4 ; o 1 .--t t I - 2`i'2_ CERTIFICATION OF COMPLIANCE The WORK " °� inspected in accordance with the All inspections based on minimum of 4 hours and over 4 hours— was was not i. C�G 8 hours minimum.If inspector is called to a pr jest and no work Is requirements of the approved documents.AA,OSHPD,City,ate. performed,a 2-hour minimum charge wil . applied. j The WORK INSPECTED k r t meal the requirements of the me/did no A Q Ctr D< approved documents. Approved/Authorized by o-,.e Representati e (DSA,OSHPD,City,etc. f, MATERIAL SAMPLING was/wasnotlNlA performed In accordance Submitted by with approved documents. Twining Consulting,Inc. (DSA,OSHPD,City,etc. — 2 ,i J C-14 -) Inspector Name _ Inspector Signature ❑Additional Page(page#)SS Inspector ID!Lic.# J 4 This report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.DSA)as required by applicable codes and project documents. WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report# 15 8 3 ATWINING Irvine Corporate Office:949.336.4325 CONSULTING Long Beach I San Bernardino I San Diego I Ventura I www.twiningconsulting.com STRUCTURAL STEEL Testing & Inspection Report INSPECTOR CODE C.v.\-, p I JOB NUMBER DATED , S. , 9 1 OM OT �w OT OF OS Os �l if�7 1 JOB NAME c ,`1 iy, ( 1� 6.4j1. �, `t,.t'q `y r 1 I OSA FILE I/OSHPD INC.f [ r t�' D ' i �QN 'f �{�7JT DSA APPL A/OSHPDJPERMIT M ,s,,../ /' Ce r) ADDRESS r j�.�.i Vl��WW�� 'T Vl I���`'r Y'\� CG, � C'j "'r C./ t"7 (�+– GENERAL CONTRACTOR JURISDICTION ,r``^1 L ' [� j 5 !-' ARCHITECT �'�5 (k-\ EER y SUBCONTRACTOR A `/i, k� \ A II-* I C fi, r!.) k C''\I C (LA L1 F- 'ii:: 1/0 c 1('.1- C'k t_ F)• REQUIREMENTS:Limit one Job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must the specifically Identified for SSW/HS bolt Inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEALPERIOD'(T)ME) ❑ Mileage ❑ Expenses 'lino meat Is taken,complete appropriate section below. ❑ Shop `CEietd elding ❑ Sampling ❑ Fireproofing ❑ NDT ❑ Bolting ❑ Other DESCRIPTION OF WORK INSPECTED c(�.ft iNIJt.0( f-- ) it t�.:e1 �a`4E� or �(8�' Ye ",W, --• 1'MT PP if 'r6 3f Y ,�'F/(- sT-F ''''V t L''Tt cA L. Po• r- �').t'Tk - F;i?F.r- 1)J. 10,tq c,C ‘r z:" -h-'V4-. r -r t-1 t,:2-1 pt q T` --t-o -3/k-'x ', 3/�s' 7l Sri?-L geN - PIA Ti: iart # (/4 . ? - / /3_ - ) e- Unto X11- h Reason"No Meal"was taken: Approved/Authorized by: (Project Supervisor) WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE VilA t.i v.(—V01(14 Vec,S'L( 03 20 1 ' Electrode Used: k'U S fV^Cl: A,W 4c. 20 -- --/ 11 ---6 CERTIFICATION OF COMPLIANCE The WORK LAY A-1). inspected in accordance with the was/was not All inspections based on minimum of 4 hours and over 4 hours requirements of the C'(-- approved documents. 8 hours minimum.If inspector is called to a project and no work is (OS .OSHPD,City,etc. performed,a 2-hour minimum charge will .Qapplied. / The WORK INSPECTEDltld eat the requirements of the /not r_ —C approved documents. Approved/Authorized by / 1 r / ..,— 4 -....4.a c,. (DSA,OSHPD,City,etc. On-'le'epresentative MATERIAL SAMPLING was/wasnot7NlA performed in accordance Submitted by with approved documents. Twining Consulting,Inc. (DSA,OSHPD,City,etc. 1 ( KJ' C 14' 1..) Inspector Name ) Inspector Signature "' ❑Additional Page(page#)SS Inspector ID/Lic.# " 2 . S — " t S This report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.DSA)as required by applicable codes and project documents. I WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report# 15 9 S TWININGIrvine Corporate Office:949.336.4325 CONSULTING Long Beach I San Bernardino I San Diego I Ventura I www.twiningconsulting.com STRUCTURAL STEEL Testing & Inspection Report INSPECTOR CODE {!-1 1` I I� JOB NUMBER DATE y) 19 I' I Q M AT Ow OT OF OS OS J08 NAME t {1 L `_,ft'LC,,:��1 _ ^t /, q ,f 13 DSA FIILEE##/OSHPD INC.d ADDRESS 430 S /341t) tot fq 4\t p, it r-,c4.\1 r OSA APPL.#/OSHPO/PERMIT# 4 e, \ .- y Lc GENERAL CONTRACTOR ' JURISDICTION C 1 r! c� T i i=+r> C C A t� 4 0 4- {�, C - ARNIT Y,{ i E E§ `�.-^ f'�C..w riot /SUBCONTRACTOR(il any) {� /•,. ,,(/`�\�r ,) .. C♦\ (.2 p, T c,-r� etb I x.,70 t 1-)c Irl \ aflhlf M VVL� t7 REQUIREMENTS:Limit one job number,one permit number per sheet.identify all work by type and SPECIFIC location.Each joint mu t the specifically Identified for SSW/HS bolt inspection.Non-compliant work must be specifically Identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant Items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD*(TIME) Y /9' . P." to.ai.1 2 2,.-",c., ❑ Mileage ❑ Expenses 'II no meal is taken,complete appropriate section below. ❑ Shop c.Ektield elding ❑ Sampling ❑ Fireproofing ❑ NDT ❑ Bolting El Other DESCRIPTION OF WORK INSPECTED Coro fir"VC)fKJ F%1 F - (.1.)1=( I) t N' c.:ae 3/ ' x (i &?i1% 6 'rNr`T f- 1/)Tr- 7D -AI .-rt- )"C s 71)81-, lif-{e,TI C,4 L PCk../ P/4T 6" . r/i7 7 WUIDInc of V?�' -iI-/lc c7E'E �' ,H4 ?/y F. '7c� 3/2(.> 9 / X6 T&-CL d Ri-nrr Pb,p - ,4-5 (& (eg- / -/ 3- G Vor j I7 r Reason"No Meal"was taken: Approved/Authorized by: (Project Supervisor) WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE OAti t IL. etx7 E-, F `(G3 c,4 t- Electrode Used: Aryl c._, A W A s..2c9 0-7 i ,j - j< t a, CERTIFICATION OF COMPLIANCE P The WORK �� inspected in accordance with the was was not All ins ections based on minimum of 4 hours and over 4 hours— requirements of the ? �-`�" approved documents. 8 hours minimum.If inspector is called to a,project and no work is (D A,OSHPO,city.em. performed,a 2-hour minimum charge wire applied. The WORK INSPECTEI4bL'c I— the requirements of the Y melt did not meet ,l t.2.i— approved documents. Approved/Authorized by f ','r"2/V-tf ��!! ."cc"IX' (DSA,OSHPD.City,etc. •-- O , its Repro esrnt>Iirve MATERIAL SAMPLING performed in accordance was/was not/N/A Submitted by with approved documents. Twining Consulting,Inc. (DSA,OSHPD,City.etc. il-'3°) i ij C VC G 1/44) Inspector Name Inspector Signature ❑Additional Page(page#)SS Inspector ID/Lic.# j f+17<5 2 4-06- 1i This report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.DSA)as required by applicable codes and project documents. WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report# 1594 ATWINING Irvine Corporate Office:949336.4325 CONSULTING Long Beach I San Bernardino I San Diego I Ventura I www.twiningconsulting.com STRUCTURAL STEEL Testing& Inspection Report INSPECTOR CODE c... C o, i I JOB NUMBER 06 C}_1 ,- i ,f DATE �-,( I Se M OT OW 0T OF OS OS JOB NAME '1 ow LV-• [„ "T DSA FILE of_ INC.#1 7� UJvs.r fi i (0 Sf i4 AN:r.¢ t 1,1 ADDRESS .` DSA APPL.d/OSHPD/PERMIT A r} GENERAL CON RACTOR 'i JURISDICTION g y. ^ Et�Czl{F ( !�1 ' „ SUBCONTRACTOR(il any) ('��4, t` \I'(D L n� l C!'`..!-; t 1 t11F a�f ,e4:,t� If d ti}I _ l 0.J` ty/ V REQUIREMENTS Limit one lob;number'one permit number per sheet.Identify all work by type and SPECIFIC location.Faoti`joint must the specifically Identified for i SSW/H$bolt inspection Non-compliant;workmust be specifically Idenilied,Communication(AFI,Sketch,etc.)voiding previous noncompliant items mustbe listed rppprd cOnyersations and communications with-project designers,building and permit granting authority officia s. HOURS _ REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD*(TIME) ti `� + 10.: DO 2 UCH " ❑ Mileage ❑ Expenses 'if no meal is taken complete appropriatesection beloy - ❑ Shop Field I Welding ❑ Sampling • . ❑ Fireproofing ❑ NDT ❑ Bolting ❑ Other DEStCRIPTION OF WORIC�INSPEDTED roar "yid(AS ` C' � LUF Y '� (-jr 311?'.- ?(- c kl i_ P)4? E To 3I "7Pk, s'r&rte u V€=f'r'7fcA L Po=r; el 7)_., bi/p 1(0 C= 1I�r�'c- f' tl� r tL �s'r r� t u� I rI � , 1 °x ci 318 x (c to r� l_ 4 &,Q•r P/IrE 4 Sp&� ��`� � t/c � J� f 3 eaaan"NQ Meal"was taken Approved/Authorized by iProject S.upervisoor) :..... ... WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE qt t L PoTPrA. I o t tY 03 2 0/ : Electrode Used: .1A'. -L) S -;' •4-, A C._ '2.c, -' 1 t. "`z< 2 3 2 CERTIFICATION OF COMPLIANCE The WORK `,'5 inspected in accordance with the P was/was not All inspections based on minimum of 4 hours and over 4 hours- requirements of the* Er-C1 approved documents. 8 hours minimum.li inspector is called to a project and no work is (D A,OSHPO,City,etc. -y^ performed,a 2-hour minimum charge will /applied. e The WORK INSPECTED m ,a�idnotmee, the requirements of the c A p',1- approved documents. Approved!Authorized by •� y� (DSA,OSHPD,Coy.etc. o ite Representative MATERIAL SAMPLING wasrwaenoUwA performed in accordance Submitted by with, approved documents. Twining Consulting,Inc. (DSA,OSHPD,City,etc. -,-.. /ai(4 C;,K o t,c.) Inspector Name Inspector Signature � - ❑Additional Page(page#)SS Inspector ID/Lic.# -5(.T3 9 g C` IThis report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.DSA)as required by applicable codes and project documents. I WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report# 15 81 TWININGIrvine Corporate Office:949.336.4325 CONSULTING Long Beach I San Bernardino I San Diego I Ventura I www,twiningconsulting.com STRUCTURAL STEEL Testing & Inspection Re\oort INSPECTOR CODE C' to \ I JOB NUMBER DATED a \R I Om OT O O T OF OS OS JOB NAME ` 1 -� a3J fr Ul 1\\ t(� ►'1('\ D�M-riEE�Mb3N�D�hC.p (�: can.. O 3— La( „�, `�C r i I i DSA APPL COSHPD/PERMIT* ,r� Ls, ADDRESS vlr/ r\ GENERALCONTR CTOR (,� JURISDICTION I ; I Fre/I) CU\2 A�ZCA9 k K J) ARCHITECT„`3' f P(f It�NGIN af( I t) p.5 _t,r(,)4 SUBCONTRACTOR(it any) c. gA� ,t z 1,/' 12 / 0i2,p REQUIREMENTS:Limit one job number,one permit number per shoe.Identify all work by type and SPECIFIC location,Each joint must the specifically identified for SSW/HS bolt inspection.Non-compliant work must be specifically Identilled.Communication(RFI,Sketch,etc.)voiding previous non-compliant Items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD*(TIME) � 1 O. '00 rft, a 'C---(J A.M. ,`J�J '11 no meal Is taken,complete appropriate section below. ❑ Mileagb ❑ Expenses ❑ Shop Meld X.1,,Welding ❑ Sampling ❑ Fireproofing ❑ NDT ❑ Bolting ❑ Other DESCRIPTION OF WORK INSPECTED cer,SF/2vi,/J j P.! 0 Uh /h) 4 GT 7h'f --61/o Lid i, / F�'// ph- fi) I,a 3/K7 X `l 3/r 6'' 6eN T ?1,01--- r o - /y.T/1/t V E, c 4 c-.. P T /9 I . ,//p 7 /c O, . y. rt�lc. � /� j / � 7� tl 4-S r/L 6-, / / .�_ -� Uo [) .A- F .11_ fi ns7 ooA Ieoof (t vFL w0/Zlc_. ) J (P1P5i Reason"No Meal"was taken: Approved/Authorized by: (Protect Supervisor) WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION I EXPIRATION DATE D A k i•1 t+i-L p c.5 - pO«vL03 ?_0.1 fi Electrode Used: A W . S 1=,C )k. A„ . 20 E7 /1--- a' a3_ CERTIFICATION OF COMPLIANCE The WORK was was not inspected in accordance with the All inspections based on minimum of 4 hours and over 4 hours— requirements of the C-- approved documents. 8 hours minimum.If inspector is called to,project and no work is (OSA,OSHPO,City,et. performed,a 2-hour minimum charge w'll be applied. f.) The WORK INSPECTED met ao meat the requirements of the AP-CA D( 4 approved documents. Approved/Authorized by C •-->^ ,�( .'4.-ce ',r/ (OSA,OSHPD,City,etc. pp On- a Represen,tal ye MATERIAL SAMPLING Was/wasnat/N!A performed in accordance Submitted by with approved documents. Twining Consulting,Inc. (DSA,OSHPD.City,etc. t J CEbCi3 Inspector Name Inspector Signature ^( fl /t ❑Additional Page(page#)SS Inspector ID/Lic.# j C tb ('t ) Cam,l.__. A This report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.DSA)as required by applicable codes and project documents. WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING Report# 1 582 TWINING Irvine Corporate Office:949.336.4325 CONSULTING Long Beach I San Bernardino I San Diego I Ventura I www.twiningconsulting.com STRUCTURAL STEEL Testing & Inspection Report r INSPECTOR CODE �'-' � ` I JOB NUMBER DATE O(% ©� ' V OM OT OW OT QF Q S' OS JOB NAME �� W DSA FILE M/OSHPD INC.# / /�'� rcS1 Tr,c ICJ ,. {t-rJ 1 A ittO tT A- MO 1 ADDRESS DSA APPL.#/OSHPD/PERMIT# ,b c�ti _.b y S_ ,et-2 4 GENERAL CON RACTOR\ r s ).(D C ,�`t? ,J\ JURISDICTION �CA p t .4 1." . ( ARCHITEC R C 7� v 1T1./ 1I� SUBCONTRACTOR(if an)—. 41 Ai _ \{J,,} { \ C_.-:, tj1�C'���Itit� ENGINEER, nar�l '/�I ell) p�v� y t�_�rf I,I � " V V(•,,l p.– REQUIREMENTS:Limit one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint musCtthe specifically Identilie for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant Items must be listed, record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEALPERIOD"(TIME) ❑ Mileage ❑ Expenses *If no meal is taken,complete appropriate section below. ❑ Shop ❑ Field ❑ Welding ❑ Sampling ❑ Fireproofing ❑ NDT ❑ Bolting ❑ Other DESCRIPTION OF WORK INSPECTED 3-0 rp CCL ��jib P % 57 �S - _ c.) A i\s (ST k--..( ,. ,,,,;-_-s ,. ..j,- \\J Q ( ell TC-I'l 9_, 1,/\1(1'3 Reason"No Meal"was taken: Approved/Authorized by: (Project Supervisor) WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE Electrode Used: CERTIFICATION OF COMPLIANCE The WORK was/was not inspected in accordance with the All Inspections based on minimum of 4 hours and over 4 hours-- requirements of the approved documents. 8 hours minimum.If inspector is called to a prs fect and no work is (DSA,OSHPD,City,etc. performed,a 2-hour minimum charge will bfpplied. 4 The WORK INSPECTED the requirements of the / 7 met/did not meet if approved documents. Approved/Authorized by _(��.� ✓ �fy (DSA,OSHPD,City,etc. 'On-S I:Representative MATERIAL SAMPLING performed in accordance was/was not/N/A Submitted by with approved documents. Twining Consulting,Inc. (OSA,OSHP),City,etc. Inspector Name Inspector Signature El Additional Page(page#)SS Inspector ID/Lic.# This report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.DSA)as required by applicable codes and project documents. WHITE- SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK-SUBMIT TO TWINING I �,ti /.1 �y ,(i ; Tl►T I 14 1 NT Q i Long Beach 562.426.3355/Sacramento 916.649.9000 I San Bernardino 909.383.6660 �/ `/ 4_➢ San Diego 858,974.3750 I Ventura 805,6445100/www.iwininginc.com STRUCTURAL STEEL Testing & Inspection Report INS E T R C E JO N h99ER I DATE T w T F S S `.. N I -�a X01.1. a�y .12s NAME r OSH O PL 11'8I DSA•APPII DSA-FII.Etl c�tti --- �`- -,.���' JURISDICTION 4 -SS •- n ` ENE A.0 NT(>,ACTpil\ , m t, `°� © S0_ B 1 U t•%i JL L VI.a AVC -CAtC..L1)C' P__i L<1.i1 EL rE! C f! „ c6,16'‘14r,:,�tL 1 CINEFR ,j- ,y CONTRACrOR(it Any) _0Ir OTI :1 S.YL\IC1,l'l. iVNW k--J g'■(}�,5til h 4"C4b�,�l/P�/C ii- .Catt.p Ip - REQUIREMENTS:Limit of one job number,one permit number per sheet.Identify all work by type and SPECIFIC location.Each joint must be specifically Identified for SSW/HS bolt inspection.Non-compliant work must be specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials, HOURS REGULAR 1.6X 2X _ TIME IN ' TIME OUT MEAL PERIOD* TimeL, 144 ii :cF,I o .: w A V\ 'It no meal,complele [] 0 Expenses appropriate section below. Mileage __ _,... 0 Shop 0/Field, ,..-- [K'Welding n Bolting. []Sampling 0 Fireproofing 0 NOT(FIRS)_ - DESCRIPTION OF WORK INSPECTED d LOA, . . t o st / ` IA �•o A c.�. ' A cx t N v C _ de k;31 Vow a�r; (cif y t�� g� .��icx�s+�a A 61 �. CNv'l U)45 140 tno V vGCs.L Tor. f-NS 140 C~'..tAle-1I , (f c+oi i.ic9P@rO •4-(n t.u6(4. )Ut- of `T-SS p --. recta+ (� I a! Cady f o`� Av-CracA tc( iro t/t°a c)i(� r A�ra, I `„I __ W 1 t�� tin all'f�e.c4 \I.TO'�. t_$..._.. r�/t C.o t4?p()a u+tQ l _ld___c&l CyrU`f VY`e.i,�t f o. t �k_� �_.r_.. _! i . ' aC I t .. 0 1 r I G �J ..- ± v bic v....__.yid( cev'S tt! +(IQ. , • p11' (ea°t(' Q1A 0± Mat Qvtct Lb. Reason for WaV 1 .> Con- i A(Ll ik Cf.ls "No Mean Approved/ 5J Aelhodzed by: (Project Supervisor) WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION I EXPIRATION DATE - o t t e, P1)051403 6/2 t:,1.2/3 t r n — Electrode Used: A s A 5,10 E,r7 t I-- : .012" ` A '41 A km. i `2 a. CERTIFICATION OF COMPLIANCE 0 Additional Page(Page/1)CM The WORK i 'as w�s not Iptspecte in accordance with the requirements of the .�2. Ire:' roved documents. (OSA.OS PD, of L..A.,elc.l All inspections based on minitnum of 4 hours and over 4 hours-0 hours minimum. The ORI<I ECTF C met ❑did not meet the requirements in addition, any Inspection extending past noon will lie an 0 hour minimum. of th / yet ifv (approved docurnenls. I1 inspector is called to a project and no work is,performed,a 2 h.ur minimum (OS ,�SNPO,CilyolL.A.,ok.) ��� charge will be applied. ' MATERIAL SAMPL NG Q was ti,was not I'_'fN/A porformed in accordance with _C� cdpproved documents. Approved/Authorized by ''�'/IAA !''r:�� (USA, SHPO.City of 1..A.,Co 1- t'' (ProjeN Superintendent) Inspector's Name C ."c• 'b i i i� Inspector's Signature 1"1 �. 'L •1.A. Submitted by INS a Twining, Inc. Inspector's ID/Lic.# -�=irV✓* C)4'_Qca...._ This report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.DSA)as required by applicable codes and project documents. ---� _ 1 T'(?TWINING Report# TWININGIrvine Corporate Office:949.336.4325 C O N S U L T I N G Long Beach I San Bernardino l San Diego 1 Ventura I www.twiningconsulting.com CONCRETE I MASONRY Testing & Inspection Report INSPECTOR CODE .aA >4 „� � i DAT° L7 /20 y2 j OM OT OW ST OF OS V.S. Joe NAME c f.,7,7,C�- S/4 � a_!/✓A OSA FILE g//OSRPD I ADDRESS .0-0, 117,4 1.404,44/ 1721/ mail- OSA APPL.a/OSHPDIPERMI r"r ��GE�NNERAL CONTRACTOR _ -^ eo .> u�� JURISDICTION G 1 JrC .4,e...0.1-0 i.4- _` O!M �. SUBCONTRACTORtdanyl)"..-"/✓J - e /✓Wi2 x.,,-.).,!":.• r:t �..:. .r -ai rtii ]„i t l ,lit+r t �r., 3U II, ."�.' 1. �rj l il.'r i,`rt`r 'l 7 -Y t`-tt74:11-'lit isp av-rra } 1 }_ -t' , (t' It t ,,-- I l3 /! n, .1 blt/). i .1■r..11.Ia PII.jlh1.IiiN.� fi-.:1 Ijaittr 11Pr r ir' i i ib In 1 ,1 4 1 t t r1',Jrir 4i L„1 , , -I PI ''tl.,•a1 ...! I( ; i1r�nly- ;.rs alar-- ill,•i,tA l ;.} tell!!':-S!LWn9 Jla -` r���-, 1* . `.tsl w.),V Op ,■n_ 7yia 1&1e ��.t- -- .: - - --- -. HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEALPERtODt(T1ME) ❑ Mileage ❑ Expenses p... r,-, - t,. In l -r•,.r.,.,F/ ;-v..- • ❑ Reinforced NI Concrete Placement ❑ Masonry ❑ Pre/Post Tension ❑ Batch Plant 0 Quality Control 1 ,. Ifect i/rG- r `Ld-cr^*'1 CA/t-4a *f ` P..!Y3i u---t--) A- 'D JL a w LA y .14-f,4-3” w-i t/ e4.44-IA A -i-2..oc -:,mss L Y 474._ C ANO It° � ! v:✓'r?rc-f , /L. y'TOG` try t Lt A4.dr4%/-,112 2 - t/i/2e•Gtt?0 e...-e--44 Ai en/5 ..- •-Tj n AA- -r4art_. ff a;T1A1, t,., 'I Lc f,c M« 0 efic,,t.) f�"L` C»:A/C4 .t,-L 4-1,3 5,r�■ L..L c_ &1 Y ^ P r t1 e Z7 iv- ®• Att c.n A�,tr4, ,..i 1 7-/ ✓/4/4-iii, G /z r 4 41JJ S - p R 5- A i L Ii �7 a _,ae,,2 s e S oielL ) G. t 2 y-4HPcr"--i ra" if=-G A4' Ate--_ 6 2 °f _ o- 1 -}1 Y-L;ry oI k , ,W.. ��W++,,, ! 1).,,,.t ' , . Isla ry Q` 1<r • ....- r-_— ..., r.. ....,14 d;; .�a.� n'.!: L.&IC.'.t iIt.:. ...-e --.,,. !__ - . i?. ' •MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS C7M3 -7 _ 3a.,2 �' )/2- J4 a[I-, }I} . CERTIFICATION OF COMPLIANCE The WORK W inspected in accordance with the All inspections based on minimum of 4 hours and over 4 hours— was/was not p requirements of the d % i-pproved.documents. 8 hours minimum.It inspector is called to.a project and no work is� (OSA,.,SHPD,City.etc. performed,a 2-hour minimum charge will be applied. n The WORK INSPECTED �r'� the requirements of the t�/i met)Ed not meet � � approved documents. Approved/Authorized by }sA,osHPD. y.ma an-sit epresemative .5"..- MATERIAL SAMPLING_ _performed in accordance Submitted by with approved documents. Twining Consulting,Inc. (OSA,061-1PD,Oily.etc. Inspector Name ,4 FA-'1- , Inspector Signature 0 Additional Page(page#)CM inspector ID/Lic.# El 1 se,2 L This report will be distributed to the architect,engineer,client,and governing jurisdiction(e.g.DSA)as required by applicable codes and project documents. 1 WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK SUBMIT TO TWINING A TWINING CONSULTING Report# Irvine Corporate te Office:949.3364325 Long Beach'San rdino I San Diego'Ventura I www.twiningconsulting.com CONCRETE / MASONRY Testing& Inspection Report INSPECTOR CODE 1;. A.�-„c _ JOB NUMBER DATE,. . /Z / OM O'1- �W QT OF ©S OS J08 NAME AIcs�/�'�`J,� �^y�,SSA/✓r/9 AT//TA OSA PILE WOSHPD INCA .OA q (.4/f/r`4 .—t' 4v6 I2Z//,,, /)I 055 APPL.310SlfPQ/PEHWIn�I 3 /T• �j�(J GENERAL CONTRACTOR JURISDICTION Airi e9 42�,, - �710 G 1 ‘214 iy a t et✓/ Q SUBCONTRACTOR{H an y) d qj - / 644/6.v21:56- I 71 .t I • Zlltll J0 11 ItlJp. TAt ;iW'rI a r1>tt !`.II? r :1WTI 1 � W'"•'�rf iq a 'Y 'r{U ly..i t.,,IL i'. 1 t a .L..,,k(wtLtar NC'f 1 Il�lht1.E�/at.f.tt:, r,g �.0 Utr'' It Su tilt ltd 1,i i 1..5, r, t,� _ ., i'i luT,.:0,L6J..1 q:,.1._, ,;t :lsih•:.I ..1.11,12/ g ;.?3,atl i*{IJ;49.1•..S�i)? 1k t" ,miir ,.,aT�. ut w k.^111t8- JA HOURS REGULAR 1.5X 2X TIME IN TIME OUT MEAL PERIOD*TIME) Q Mileage ❑ Expenses '*' an,, . 'Reinforced Q Concrete Placement ❑ Masonry D Pre/Post Tension ❑ Batch Plant D Quality Control ''' _ -- - - -- 1/1.------v2,./.-/e r ,e'/ivAy -c.5 -1 ,A-7`,7- (' 2) ca -1----iii./.; t/Cs rim', r—) P t4 c_c5'-t€' •!' #P 12 0 --c �e.E4 �% ; j o? v e.,,,..)-71-1) t-'1 o T tZ' 1--19 - A r /6- / 5---J rd 13= b< ,e •F- 13c9n1 S-t - O "v- De--PA-ItI - 7, 'l / ,S-1-2.___ Len ..y[ �y JI 1 I, ,y,�„ J w �.l.tF:M�` .s.dilk��_. . '}t. kl 1I ^' 9'de�4�'�,.5i rY•1 MIX USED DESIGN SLUMP ADMIXTURE DESIGN PSI CUBIC YARDS SPECIMENS . CERTIFICATION OF COMPLIANCE The WORK W inspected in accordance with the All inspections based on minimum of 4 hours and over 4 hours— was!was not requirements of the Al % '-pproved.documents. 8 hours minimum.It inspector is called to a`projact and no work is (DSA,'.SHPO.Cily.Mc. performed,a 2-hour minimum charge wi 9e applied. q Pielf-The WORK INSPECTED roataal the requirements of the ,/ A r 0e approved documents. Approved/Authorized by _ ' •.t. . ( SA,O$HPD,. Ily,MC. On- -- •epresentative MATERIAL SAMPLING- ii_,r _performed in accordance Submitted by with a proved documents. . Twining Consulting,Inc. (DSA,OSHPD,DIM Mc. p • Inspector Name ,t4/CAT- "leg/ Inspector Signature ❑Additional Page(page#)CM Inspector ID/Lie.# Sr 9.3'81$ This report will be distributed to the architect,engineer,client,and governing Iurlsdiction(e.g.DSA)as required by applicable codes and proiect documents. ' WHITE-SUBMIT TO TWINING YELLOW-CUSTOMER COPY PINK SUBMIT TO TWINING Don Stockham From: Bob Mahlebashian <BMahlebashian @us.westfield.com> Sent: Wednesday, August 13, 2014 10:41 AM To: Don Stockham Cc: Danny Yu (dannyyu @ANFstructural.com) (dannyyu @ANFstructural.com); Tim Bell; Jeff West Subject: decorative lighting Don, In regards to the lateral bracing for the suspended lights we offer the following. 1. The calculations prepared by ANF Structural engineers incorporate a lateral load into the supports of 1.4 times the dead load and a factor of safety of 5. 2. The fixtures are supported by 1/8" stainless steel aircraft cable. 3. Number of supports exceeds the minimum required by calculation. Largest fixture required a minimum of 6 supports, 12 have been provided. 4. The lights are at different vertical heights. Fixtures swaying would not contact adjacent fixtures. 5. When fixtures sway they may make contact with support wires of adjacent fixtures. The flat surface of the light would not cut the 1/8" cable. Please let us know if you need further information. Regards 1 §‘' ., ..,•7, , Development Services Department 240 West Huntington Drive,Post Office Box 60021 17 Arcadia,CA 91066-6021 PERMIT NO. BOO-047-541 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 7/29/2014 JB 15:12 8/6/2014 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#: 14-457 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Simplex Grinnell, L.P. PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Simplex Grinnel, L.P. 12728 Shoemaker Avenue PHONE NO. (562)405-3800 FAX NO. Santa Fe Springs,CA 90670 EMAIL ADDRESS: License No. 986047 Type: C-10,C-16 Expires: 8/31/2015 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO Common Area/Handrail DESCRIPTION SPRINKS HANDRAIUCOMMON AREA Construction Type UOM N of Units Value Construction Type UOM 8 of Units Value Value Value 9,800.00 $9,800.00 D 112 COMPLET! OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $9,800.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 86.00 each sprinkler pck 587.50 587.50 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 237.25 237.25 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $870.10 Total Amount Paid: $870.10 Paid Today: $282.60 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 105955 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 281.60 88-3027 1.00 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) i illIrtii�y1POp1, 'I PERMIT/PLAN REVIEW APPLICATION r,� ,�,tj, Development Services Department,240 West Huntington Drive,Post Office Box 60021 "°''Y°t"° Arcadia, CA 91066-6021, (626)574-5416,Fax (626)447-9173 City of Arcadia INCENSED 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. /�ii/ ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C`I is License N .1 (004 Exp. Date S h compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION 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 700 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. worker k'coAmpensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier K►L"l Alit Li-A-0 I Ii cj. 60■ molish,or repair any structure,prior to its issuance,also required the applicant for I I'J C47-3 Z3 such permit to file a signed statement that he or she is licensed pursuant to the pro- Policy Number ✓� q � ' 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 La r Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith co ply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date f�� 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 ❑I, as owner of the property, am exclusively contracting with licensed attorney's fees. contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who CONSTRUCTION LENDING AGENCY builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency tor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RE- STRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures.. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for fur- ther information. /� ' Name I 1 f!"f�►v 6 (_i✓ f Title 1 ititi4 MIS t-' PRIN 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 en r upon the abov entioned property for inspection purposes. Signature (1/1U Date 8 1 ip fi 4- Development Services Department 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-046-038 `' .� Arcadia,CA 91066-6021 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 3/10/2014 CM 13:09 5/5/2014 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#: CHRS Los Angeles,CA 90025- EMAIL ADDRESS: Plan Chk#: 14-137 APPUCANT MAILING ADDRESS Plan#: 31251 Westfield Design-Robert PHONE NO. (626)227 4463 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS J.C. Penny(New Stairs) PHONE NO. FAX NO. DESCRIPTION INTERIOR REMODEL,NEW STAIR LOCATED AT CENTER COURT,GYPSUM CEILING FLANKING CENTER COURT,SOLAR TRACKING SKYLIGHTS, JC PENNY COURT VOID INFILL,REMODEL EXTERIOR AT JC PENNY ENTRANCE Construction Type UOM q of Units Value Construction Type UOM #of Units Value Value Value 432,000.00 $432,000.00 o COMPLETED P, „,, 2.-?4, -/ c4 OCCUPANCY: Tenant Improve TOTAL VALUATION: $432,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 2,284.62 2,284.62 01-3103 each Energy p/c fee 773.26 773.26 01-3103 PC Cal Green 228.46 228.46 01-3103 PC ADA 342.69 342.69 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 3,514.80 3,514.80 01-3104 Bldg Issue ADA 351.48 351.48 01-3104 1.00 each Corn.Fire Pkc 235.00 235.00 01-3109 SMIP Com 90.72 90.72 14-2207 grn bldg std 18.00 18.00 714-2203 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: $7,890.63 Total Amount Paid: $7,890.63 Paid Today: $4,026.60 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 104823 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 3,910 63 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 90.72 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 714-2203 18.00 cadia building inspector for a period of 180 consecutive days. 88-3027 7.25 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. 3 \.•. \\\?" (Closed on alternate Fridays) / h• PERMIT/PLAN REVIEW APPLICATION E t'' Development Services Department,240 West Huntington Drive,Post Office Box 60021 0 /�. Arcadia,CA 91066-6021,(626)574-5416,Fax (626)447-9173 '�nnl ry of 0 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 Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ 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 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 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 f ❑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 ate 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 A 5((c y Si . 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 Na e .- ../ / o S ( (v Title / l PRINT NAME ' I ce tify 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 a ee to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arc dia to enter upon the above-mentioned property for inspection purposes. Signa ure Date .(5-(( i Development Services Department .r . 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. B0O-043-692 .` Arcadia,CA 91066-6021 City of (626)574-5416,Fax(626)447-9173 Permit Type: Comm Add/Alt Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 7/3/2013 CM 13:32 4/30/2014 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. lnspector#: CRIS Los Angeles,CA 90025- EMAIL ADDRESS: Plan Chk#: 13-354 APPLICANT MAILING ADDRESS Plan#: KEEP IN Robert Mahlebashian PHONE NO. (626)227-4463 EMAIL ADDRESS: CONTRACTORIPROFESSIONAL MAILING ADDRESS PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION EXISTING GUARD RAIL UPGRADE(SECOND FLOOR) Construction Type UOM N of Units Value Construction Type a Value Value Value 300,000.00 $300,000.00 D C°WIRES.0 pi ,,._ 2, ,, 6,i 5 V OCCUPANCY: Tenant Improve TOTAL VALUATION: $300,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 1,692.60 1,692.60 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 2,604.00 2,604.00 01-3104 1.00 each Com.Fire Pkc 225.00 225.00 01-3109 SMIP Com 63.00 63.00 14-2207 grn bldg std 12.00 12.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 I 00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $4,648.20 Total Amount Paid: $4,648.20 Paid Today: $2,730.60 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 104786 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 2,648.35 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 63.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 714-2203 12.00 cadia building inspector for a period of 180 consecutive days. 88-3027 7.25 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS '), . —E,) 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) Ise o ' il il 901 li PERMIT/PLAN REVIEW APPLICATION omit' ,, Development Services Department,240 West Huntington Drive,Post Office Box 60021 '' ao 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 Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ 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 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 L or Code,I shall ❑I, as owner of the property, or my employees with wages as their sol forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for ate ll /3o/ ■ l sale(Section 7044,Business and Professions Code:The Contractors License 4 ` 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 exempt under Section 7044,Business and Professions Code,for this reason: L( / h Lender's Name Date l l �j' V' 1 Lik Signature Lender's Address IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RE- STRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures.. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for fur- ther information. N/fine - (c X (LO(/,`a t(`'�`�` Title 9 PRINT NAME V Iicertify that I hive 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 cadia to enter upon the above-mentioned property for inspection purposes. f Si nature AO- Date H I v! I'I