HomeMy WebLinkAboutB00-044-190 Development Services Department
240 West Huntington Drive,Post Officio Box 60021 PERMIT NO. B00-044-190
City of Arcadia,CA 91066-6021
Arcadia (626)574-5416,Fax (626)447-9173 Permit Type: Comm Add/Alt
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
8/19/2013 .IB 11:48 8/19/2013 Estimate
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: CRIS
Los Angeles,CA 90025- EMAIL ADDRESS:
Plan Chk#: 13-447
APPLICANT MAILING ADDRESS
Hermann Klaas, A.I.A. PHONE NO. (952)944-7576 Plan#: OUT-SFA
EMAIL ADDRESS:
CONTRACTORJPROFESSIONAL MAILING ADDRESS
PHONE NO. FAX NO.
EMAIL ADDRESS:
License No. Type: Expires:
TENANT MAILING ADDRESS
Crocs(Racks) PHONE NO. FAX NO.
DESCRIPTION
RACKS FOR UPCOMING TENANT IMPROVEMENT
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Value Value 6,583.00 $6,583.00
OCCUPANCY: Tenant Improve TOTAL VALUATION: $6,583.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 121.65 01-3103
each Energy p/c fee 41.17 01-3103
1.00 Flat Bldg Issue Auto 44.35 01-3104 TIanDecK :0381 ^�each Bldg permit 125.00 01-3109 5(,J(I.00 each Com.Fire Pkc 225.00 01-3109 _+
SMIP Corn 1.38 14-2207
gm bldg std 1.00 714-2203
1.00 Flat SWMF Auto 6.25 88-3027
1.00 each SWMF 2 Auto 1.00 88-3027
EXPIRED
Total Fees: $628.95 Total Amount Paid: Paid Today:
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the
permit is not commenced within 180 days from-the date of issuance or if the permit is not obtained within 180 Receipt#:
days from the date of plan submittal. This permit expires and becomes null and void if any work authorized by
this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by
a City of Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m. to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
16 O ,, 1 PERMIT/PLAN REVIEW APPLICATION
1111 111LBAll ill
E4$b Development Services Department, 240 West Huntington Drive,Post Office Box 60021
°`,.°"'°. Arcadia, CA 91066-6021,(626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS' COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of 1 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'
compensation, as provided for by Section 3700 of the Labor Code, for the
License Class License No. Exp.Date
performance of the work for which this permit is issued.
Signature of Contractor
❑ I have and will maintain workers' compensation insurance,as required by Section
OWNER—BUILDER DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit is
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors issued. My workers'compensation insurance carrier and policy number 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,
demolish,or repair any structure,prior to its issuance,also requires the applicant Policy Number
for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less.)
provisions 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 ❑ 1 certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of not employ any person in any manner so as to become subject to the workers'
Section 7031.5 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.
❑ 1, 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 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,
sale. If,however,the building or improvement is sold within one(1)year of and 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 hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code,interest,and
attorneys fees.
❑ I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions 1
I
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who oontracts°for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuantlflIgiht gontractosi License Law), for the performance of the work for which this permit is issued(Section 3097,Civil
•.• i k ' d , Code).
❑ 1 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
RESTRICTIONS 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 further information.
Name Title
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or the duly authorized agent of the
owner. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature Date
Joanne Bevelaqua
From: Hermann Klaas <Klaas @l-m.com>
Sent: Monday, August 19, 2013 8:37 AM
To: Joanne Bevelaqua
Subject: Crocs -Santa Anita -Arcadia, CA
Hi Joanne,
I will be overnighting the shelving drawing/talcs to Mark Ingram as we discussed, so I would imagine it'll make its way to
your office later this week.The cost of the shelving system is$6583, not including shipping and engineering. Let me
know if you those numbers as well. Thanks.
Hermann Klaas, AIA, LEED AP BD+C I Associate Architect
direct: 952-828-817
email: klaas(c�l-m.com
L&M Associates, Ltd. I Architectural Design&Planning
10907 Valley View Road I Eden Prairie, MN 553443730
phone: 952-944-7576 I fax: 952-944-7585 I website: www.l-m.com
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