HomeMy WebLinkAboutB00-048-175 §vjDevelopment Services Department
240 West Huntington Drive,Post Office Box 60021 "
Arcadia,CA 91066-6021 PERMIT NO B00-048-175
City Hof (626)574-5416,Fax(626)447-9173
Arcadia
Permit Type: Tenant Improve w/energ:
!PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
10/9/2014 CM 16:43 1/21/2015 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO GEO CODE
400 S Baldwin Ave Fc-11 T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO.
Los Angeles,CA 90025- Plan Chk#: 14-584
EMAIL ADDRESS:
Plan#: 31467
APPLICANT
MAILING ADDRESS
Craft Construction Company(Chris PHONE NO. (702)682-6261
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Craft Construction Compny 2306 Losee Road PHONE NO. (702)639-9000 FAX NO.
North Las Vegas,NV 89030 EMAIL ADDRESS:
License No. 790985 Type: B,C-10 Expires: 2/28/2017 12:00:
TENANT MAILING ADDRESS
Panda Express PHONE NO. FAX NO.
DESCRIPTION T I
TENANT IMPROVEMENT**PERMIT INCLUDES ELECTRICAL**
Construction T ype UOM 8 of Units Value C onstructi on T-yp-e
UOM Hof Units Value
Value Value ES0.00 kid
g '5-2-5-1 s
OCCUPANCY: Tenant Improve TOTAL VALUATION: $85,000.00
QTY tIOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 714.19 714.19 01-3103
each Energy p/c fee 241.73 241.73 01-3103
PC ADA 107.13 107.13 01-3103
PC Cal Green 71.42 71.42 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 1,098.75 1,098.75 01-3104
Bldg Issue ADA 109.88 109.88 01-3104
1.00 flat Elec issue 44.35 44.35 01-3105
3.00 each Outlets 4.62 4.62 01-3105
19.00 each Ltg fixtures 29.26 29.26 01-3105
1.00 each T.1.Fire Pkc 245.00 245.00 01-3109
SMIP Corn 23.80 23.80 14-2207
gm bldg std 4.00 4.00 714-2203
1.00 Flat SWMF Auto 6.25 6.25 88-3027
1.00 Flat SWMF 2 1.00 1.00 88-3027
Total Fees: $2,745.73 Balance Due: $0.00 Paid Today: $1,376.26
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#: 107635
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 1,252.98 01-3105
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3109 10 00
cadia building inspector for a period of 180 consecutive days. 10.00
14-2207 23.80
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 88 4.00
88--330273 027 7.25
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
A
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pop ii PERMIT/PLAN REVIEW APPLICATION
rot Development Services Department,240 West Huntington Drive,Post Office Box 60021
' Y!m` 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 C n ense is in 9%tq ect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class � License N (' JJ Exp. D. �I compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor
❑ I have and will maintain workers'compensation insurance,as required by Section
OWNER-BUILDER DECLARATION
0 I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the workers'Code,for the tion insurance a the work for policy n m this numbers are:
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier
molish,or repair any structure,prior to its issuance,also required the applicant for
Policy Number
such permit to file a signed statement that he or she is licensed pursuant to the pro (This section need not be completed if the permit is for one hundred dollars or less)
visions of the Contractors License Law(Chapter 9(commencing with Section 7000)
of Division 3 of the Business and Professions Code)or that he or she is exempt
there from and the basis for the alleged exemption.Any violation of Section 7031.5 I certify that in the performance of the work for which this permit is issued,I shall
by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwi com ly 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_ 21 Signature I
I
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. 1
a
Name ,M\'• _ Title 1/,■, 0
P'INT NAME
I certify that I hav read is 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 compl ith City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter u th tove-mentioned property for inspection purposes. ( )5--------
Signature / Date , 21
41
N0 OPERATION
NO OPERATION
Building Inspections Date Insp. Plumbing Inspections NOTES
100. Setbacks Date )n=
210. Under flrJbld.,drain
101. Roush *rode 211. Co••er underslab a)
•
102. Fi.s.&forms 212. Roush •lumbin. -
, _- _
103. Pre-slab ��
104. Floor'oisls 214. Shower.an
105. Steel -_ 215. Water heater
106. Grout lift 216. Roof drains allnIIIIIIIIIIIIIIIIIIIIIIIIIIW
107. Shear nailin. 217. Buildin.sewer
108. Diaph nailin. Mil.
109. Roof nailin. --
110. Framin• ,
111. OcclArea Sep.Wall � 220. Fixtures
� 221• Final .lumbin. ���'�
112. Sound walls _= 222. Sewer ca./demo. Min
113. Insulation rid -�_�
Insul
114. ation•tlr.
Pool Inspections Date I Insp.
115. Insulation.Wall 111111111111111111111111 240. Excavation/steel _
116. Insulation•Ceil. __
�' 241. Roush .fumbin.
117. D all nailin. ar 242. Li.hf shelllbondin. -
118. Interior lath - P43. Under.round conduit 5
119. Exterior lath -_ 24.4. P•Irap __
120. Finish .rode 245. Gas line&test __
121. Final buildin. ��
122. Final demo/lot clear 247. Pool heater =-
248. Final electric
Electrical Inspections Date I Insp. 249. Final P►umbin. _
150. Power.ole =_ 250. Pool cover _-
151. Sales lot a conduit
q 251. Pool final --
152. Under.round conduit.
153. Underslab conduit _- Reroof Inspections Date Ins p.
154. UFER •round I A
�- 270, Pre-reroof Ins..
-
155. Water'round 271. Roof framin. " -
156. Roush electrical
157. Fixtures IIIIIIIIIIIIIIIII 273. Final reroof
158. G.F.C.I. IMIIIIIIIIIIIIIIIIIIMIIIII
159. Eqpt.bondin.
Sign Inspections r OI In=
160. Service•anel M11111111111111 280. Setback/overhan.
161. Final electric j r"E 281, FootIn -
.1111111!11111111111
282. CondulVwirin.
Mechanical Inspections I Date Insp. 283. Disconnect
180, flue -= 284. Final si.n -�
181. Furnace/A.C.
Furnace e/A.C.
182. Rough HVAC Miscellaneous Insp. Date
183. Fire dam.-rs in=
-� 291. Fire alarm
184. Furnace com.artment _ P91, Under•round sup.►
185. Combustion air
-- 292, Fire sprinklers
186. Smoke detectors
_
- 293. Monitors stem
187. Metal F.P.rou.h P94. Hood d chem. Mill_
188. Com.ressor setback 295. Final __
=
189. Commercial hood _
190. Duct shaft .SewersB�Offsitelnsp: . Date
191. Final mechanical Insp.:
-_ 300. Lateral(main to P/L
IIIIIIIIIIIII 301. Saddle/Y _
�Ieck1Va11 Inspections ?ate Insp. ` 302. Cess.00l filled
200. Foolin.s - 303. Sidewalk .-
201. Steetrebar
- 304. Drivewa
202. Grout lift - 305. Curb re•lacement _-
203. Final wall _- 306. Trash bin
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIIIMIIINIEIMIIIII
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DATE VIOLATIONS EHS INITIALS:
CORRECTED: PLAN CHECK OFFICIAL.INSPECTION REPORT
•
COUNTY OF LOS ANGELES+b DEPARTMENT OF PUBLIC HEALTH
OPERATOR INITIALS:
HEALTH
�, RETAIL INSPECTION III WHOLESALE INSPECTION
SECTION I: TYPE OF INSPECTION
o - Preliminary Inspection III 90—Day Evaluation
Follow Up Inspection Equipment Evaluation
Final Inspection—NEW Revocation Evaluation
Final Inspection—REMODEL Other:
w _
m
SECTION II: STATUS OF PERMIT l LICENSE
APPROVED:The facility/establishment is approved to operate pursuant to the following contingencies:
L
DENIED:The facility/establishment is NOT approved to operate.To obtain approval,the requirements needed are:tr-.„. ,... (,--
ii ,
. c,) .
,.. , . le NI inSiantitit
>Kt 1 hau cr". Wale Y'r2 e 4--::-,i
4 o ct 'z)rt CPAN t 11 CO V
( off' 14 (I. y141). 0 OtOr 13l/Atyr vie) ?ear ! r lie W f
Z U �O W ae
R. < w cif i.MJ ovraterJ
a a
z soo
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— v w i<.w ci m •'� ® W 't .c ^ l fM'w Z
N a ii.VOLS
' Submit 3 sets of detailed plans:See Constru do Requirement a 9 urdehnes afwww.publichealth.lacountv,gov/eh
.. 0 Z. O� Obtain local Building&Safety, Fire Department and other agency permits and approvals
�- Wes" SECTION III: LIMITS & RESTRICTIONS
co
y Z w The approved facility/establishment may engage in the processes/activities marked below:
�\U CCI N,..,a- Train Employees ,
�° Use Multiservice Utensils
• fi 0 , p Stock Prepackaged!Non'Potentially Hazardous Foods Serve Alcoholic Beverages
_ Stock Perishable/Potentially Hazardous Foods Ma NO
I �� � � ` y NOT Serve Alcoholic Beverages For On-Site Consumption
z ood Preparation • Food Demonstration
tL
cz >- y�o i .� Food Preparation LIMITED FOOD PREPARATION Wholesale Food Processing
eo
J�03 i� Yom°°'°
w \zo w Food Preparation-NO COOKING PERMITTED
Z � # = ti Food Market,Wholesale
ja u.l J °° Food Market Retail,Prepackaged Foods Only ■Other:
° S —W SECTION IV: FEES/ADMINISTRATIVE ACTIONS
_ F=— Q ►: A fee in the amount of$ ` must be paid prior to the next field inspection.
I— 2 —a 1 Z CLOSURE:Operating without final approval and/or without Public.Health Permit OR License
.< i.=¢ .F o Administrative Review/Office Hearing has been scheduled on: ,• ; ,at a.m./p.m.(Provide Valid.Photo Identification)
C�
-I c',=.1.-,�cc¢ SECTION V: DISCLOSURES
WQ a, t1 W U Q� It is a misdemeanor violation to begin operation without a valid Public Health permit/license.The Public Health permit/license will be
��} Y W®T • issued by the Plan Check Inspector at the job site following final inspection and approval by all applicable agencies.Remodeled areas of
Z j Q Imo- iZ an existing food facility/establishment must obtain a final inspection and approval from all applicable enforcement agencies prior to use.
1.--1^14 i O 4 Any future alteration,co"
onstruction,building,renovation,repair,change of equipment,change of the operation of a food facility/
Z W H M ...IL- establishment or change of menu may require plans to be submitted to the Health Department Plan Check Program.Additional approvals
Z
0 [p�}a 5 0p Z may be required from other enforcement agencies.
0 �Z['t►�C 5 eu �,g It is improper and illegal for any County officer,employee or inspector to solicit bribes,gifts or gratuities in connection with.performing
N. • their official duties.Improper solicitations include requests for anything of value such as cash,discounts,free services,paid travel or
LV r U M entertainment;or tangible items such-es food or beverages.Any attempt by a County employee to solicit bribes,gifts or gratuities for any
Z a CI 0) reason should be reported immediately to either the County manager responsible for supervising the employee or the Fraud Hotline at
Ill _ (800) 544—6861 or www.lacountvfraud.orq.YOU MAY REMAIN ANONYMOUS
SEE REVERSE SIDE FOR ADDITIONAL.CRITERIA iPage 1 of I
H-3086 (1-09)
i 7i'd11.
°°` Development Services Department
240 West Huntington Drive,Post Office Box 60021
., '" Arcadia,CA 91066-6021 PERMIT NO.
BOO-049-182
City of (626)574-5416,Fax(626)447-9173
Arcadia Permit Type: Mechanical
(PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
2/10/2015 CM 9:55 2/10/2015 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT. BLG ASSESSORS PARCEL Na GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. I I
Los Angeles, CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
K&S Air Conditioning PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
K& S Air Conditioning 143 Meats Avenue PHONE NO.
(714)685-0077 FAX NO.
Orange, CA 92865 EMAIL ADDRESS:
License No. 483431 Type: C-20 Expires: 11/30/2016 12:0(
TENANT MAILING ADDRESS
Panda Express PHONE NO. FAX NO.
DESCRIPTION
INSTALL NEW GREASE DUCTS TO EXISTING SYSTEM AT PANDA EXPRESS
Construction Type UOM la Construction Type UOM
tom ���� Hof Units Value
6:1 /
OCCUPANCY: �I�� ^ � ' C
1
TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
100 Flat Mech Issue Auto 44.35 44.35 01-3105
100 Flat Add/Alter Ducts 9.38 9.38 01-3105
1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Q
?CT 1,,,1-174.1-1-4-10,w0 O4 • 3-17 (S
3 l tt1s- 26 t7rto f fee to A •
al. ;$4
Total Fees: $54.73 Balance Due: $0.00 Paid Today:
$54.73
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 107830
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 88-3127 53.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar-
cadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. \
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
tit
(Closed on alternate Fridays)
OFA�
h PERMIT/PLAN REVIEW APPLICATION
•' drib
*' Development Services Department,240 West Huntington Drive,Post Office Box 60021
'� t,..„/„..
Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173
'4444r oI
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 t d License No.,/le 3 y 2 I Exp. Date (t/. 3P/fI compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor •–■----- ®—
OWNER-BUILDE C RATION ❑ I have and will maintain workers'compensation insurance,as required by Section
3700 of the Labor Code,for the performance of the work for which this permit
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers'co nsation insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions ���
Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier s---7,67N
molish,or repair any structure,prior to its issuance,also required the applicant for
Policy Number 0-41),,00 i
such permit to file a signed statement that he or she is licensed pursuant to the pro-
(This section need not be completed if the permit is for one hundred dollars or less)
visions of the Contractors License Law(Chapter 9(commencing with Section 7000)
of Division 3 of the Business and Professions Code)or that he or she is exempt ❑ I certify that in the performance of the work for which this permit is issued,I shall
there from and the basis for the alleged exemption.Any violation of Section 7031.5 not employ any person in any manner so as to become subject to the workers'
by any applicant for a permit subjects the applicant to a civil compensation Laws of California,and agree that if I should become subject to the
penalty of not more than five hundred dollars($500)): workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.,,,
compensation,will do the work,and the structure is not intended or offered for Date ,Y/rf7/l r Signature:59 — .
sale(Section 7044,Business and Professions Code:The Contractors License
Law does not apply to an owner of property who builds or improves thereon,or
who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING:Failure to secure Workers'Compensation coverage is unlawful,and
sale.If,however,the building or improvement is sold within one(1)year of shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she did hundred thousand dollars($100,000),in addition to the cost of compensation,
not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions CONSTRUCTION LENDING AGENCY
Code:The Contractors License Law does not apply to an owner of property who
builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency
tor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued(Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RE-
STRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures..
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of
asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for fur-
ther information.Y
Name IL Y c Title Aclr.<J/
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature -� Date 2,/i P/./f
e °"i' Development Services Department
a 240 West Huntington Drive,Post Office Box 60021
- Arcadia,CA 91066-6021 PERMIT NO.
City of (626)574-5416,Fax(626)447-9173 BOO-049-086
Arcadia ( )
Permit Type: Plumbing
(PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
1/30/2015 JB 11:50 1/30/2015 Issued
ADDRESS NO. Dlr.Prefix Street Name Street Suffix UNIT
BLO ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave Fc-11 T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. I
Los Angeles, CA 90025- I Inspector#: CRIS
EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Alliance Plumbing PHONE NO.
> EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Alliance Plumbing 17843 Chase St PHONE NO. (818)212-8967 FAX NO.
Northridge, CA 91325 EMAIL ADDRESS:
License No. 575350 Type: c36 Expires:
TENANT MAILING ADDRESS
Panda Express PHONE NO. FAX NO.
DESCRIPTION
MOP SINK AT PANDA EXPRESS
Construction Type UOM i of Units -- -
Value Construction Type UOM #of Units Value
COMPLETED
P, ,. 3.2-6-_Lc 4
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
I.00 Flat Plmbg Issue A 44.35 44.35 01-3105
I.00 Fixtures Plmbg fixture 12.46 12.46 01-3105
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $57.81 Balance Due: .
$0.00 Paid Today: $57.81
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#: 107717
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 51.01
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar-
1.00
cadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
F A,
0,,,,P0Rk11
PERMIT/PLAN REVIEW APPLICATION
, a .
Development Services Department,240 West Huntington Drive,Post Office Box 60021
�;,, Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my certificate of consent to self-insure for workers'
License Class C' Y license is in full force and effect. I have and will maintain a certifi Lice se Ncfsn r ° Exp. Date O�0�j/4/° compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION ID 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
❑ y Pl Y P j rY P is issued.My can ens ion insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions
Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier
molish,or repair any structure,prior to its issuance,also required the applicant for Number ��3 7
such permit to file a signed statement that he or she is licensed pursuant to the pro (This section need not be completed if the permit is for one hundred dollars or less)
visions of the Contractors License Law(Chapter 9(commencing with Section 7000)
of Division 3 of the Business and Professions Code)or that he or she is exempt ° I certify that in the performance of the work for which this permit is issued,I shall
there from and the basis for the alleged exemption.Any violation of Section 7031.5 not employ any person in any manner so as to become subject to the workers'
by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
CI I, as owner of the property, or my employees with wages as their sole forthwith comply with provisions.
compensation,will do the work,and the structure is not intended or offered for Date O!/ /go ( f Signature
sale(Section 7044,Business and Professions Code:The Contractors License
Law does not apply to an owner of property who builds or improves thereon,or
who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING:Failure to secure Workers'Compensation coverage is unlawful,and
sale.If,however,the building or improvement is sold within one(1)year of shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she did hundred thousand dollars($100,000),in addition to the cost of compensation,
not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions CONSTRUCTION LENDING AGENCY
Code:The Contractors License Law does not apply to an owner of property who
builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency
tor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued(Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RE-
STRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures..
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of
asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for fur-
ther information.
Name Qt (A—co/1-- M 4'I'"c-GL Title CO Wi}Li. -
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter u•in the above-me ioned property for inspection purposes. /70//11—
Signature _� Date
S Development Services Department
w , ,
, 240 West Huntington Drive,Post Office Box 60021
`tt`
Arcadia,CA 91066-6021 PERMIT NO. BOO-049-606
City of (626)574-5416,Fax(626)447-9173
Arcadia
Permit Type: Sign
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
3/17/2015 CM I1:38 3/17/2015 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: CRIS
Los Angeles, CA 90025- EMAIL ADDRESS:
APPLICANT Plan#: IN FILE
MAILING ADDRESS
Tako-Tyko PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Tako-Tyko 5010 Venice Blvd PHONE NO. (323)937-4445 FAX NO.
Los Angeles,CA 90019 EMAIL ADDRESS:
License No. 690492 Type: C10 C45 Expires: 6/30/2016 12:00:
TENANT MAILING ADDRESS
Panda Express PHONE NO. FAX NO.
DESCRIPTION
TWO ILLUMINATED SIGNS FOR PANDA EXPRESS
Construction T ype UOM #of Units
--y- --- ----- .M
Value Construction Type --------A of -"_-- - -- -
YP e UOM Units Value
Value Value 2,200.00 $2,200.00
COMPLETED
h 3-602.,5-1 S 4/
OCCUPANCY: Sign TOTAL VALUATION:
$2,200.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
Sign plan rev 67.40 67,40 01-3103
1.00 Flat Bldg Issue Auto 44,35 44.35 01-3104
each Bldg permit 120,35 120.35 01-3104
1.00 flat Elec issue 44.35 44.35 01-3105
2.00 branch cin Signs elec 59.17 59.17 01-3105
2.00 each Sign Connection 31.10 31.10 01-3105
I.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $368.72 Balance Due: $0.00 Paid Today: $368.72
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from Receipt#: 108219
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3103 64.70
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3105 134.62
cadia building inspector for a period of 180 consecutive days. 01-3127 134.62
CALLS FOR INSPECTION 88-3027 2.00
INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection
P 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
•@ A.;C.
PERMIT/PLAN REVIEW APPLICATION
� "" Huntington Drive,Post Office Box 60021
E tip Development Services Department,240 West Hunt g ,
'm�`;,Y Arcadia,CA 91066-6021, (626)574-5416,Fax(626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
0 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)jcense is in full force and effect. IJ I have and will maintain a certificate of consent to self-insure for workers'
License Class f 0 C A License - q° Y ` . Date 3 17 / compensation, as provided for by Section 3700 of the Labor Code, for the
/, performance of the work for which this permit is issued.
Signature of Contractor �� �,j�/'
OWNER-BUILDER DECLARATION I have and will maintain workers'compensation insurance,as required by Section
700 of the Labor Code,for the performance of the work for which this permit
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers'compensation insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions "('(jAV � -
Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier !� q
molish,or repair any structure,prior to its issuance,also required the applicant for
Policy Number U(�2 607 a 3 /
such permit to file a signed statement that he or she is licensed pursuant to the pro (This section need not be completed if the permit is for one hundred dollars or less)
visions of the Contractors License Law(Chapter 9(commencing with Section 7000)
of Division 3 of the Business and Professions Code)or that he or she is exempt ❑ I certify that in the performance of the work for which this permit is issued,I shall
there from and the basis for the alleged exemption.Any violation of Section 7031.5 not employ any person in any manner so as to become subject to the workers'
by any applicant for a permit subjects the applicant to a civil compensation Laws of California,and agree that if I should become subject to the
penalty of not more than five hundred dollars($500)): workers'compensation provisions of Section 3700 of the Labor Code,I shall
0 I, as owner of the property, or my employees with wages as their sole
forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for /
sale(Section 7044,Business and Professions Code:The Contractors License Date � ��Ill J Signature ��A
Law does not apply to an owner of property who builds or improves thereon,or
who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING:Failure to secure Workers'Compensation coverage is unlawful,and
sale.If,however,the building or improvement is sold within one(1)year of shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she did hundred thousand dollars($100,000),in addition to the cost of compensation,
not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions CONSTRUCTION LENDING AGENCY
Code:The Contractors License Law does not apply to an owner of property who
builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency
tor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RE-
STRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures..
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of
asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for fur-
ther information.
Name I-6(-) r>Cf-t- U`ACIaf"14/'\ Title A/f 14 t- 4 r Cc.A4 40c,-413
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the ab 1 •-m Toned property for inspection purposes.
Signature ./ Date
3/1 7/ /
1