HomeMy WebLinkAboutUntitled Development Services Department
240 West Huntington Drive,Post Office Box 60021 PERMIT NO. $00-049-252
A:I.L,� 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
2/17/2015 CM 7:58 4/6/2015 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. Plan Chk#: 15-84
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Level Construction Group, Inc. PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Level Construction Group, Inc. 1720 E Washington Boulevard#228 PHONE NO. (626)255-2038 FAX NO.
Pasadena,CA 91104 EMAIL ADDRESS:
License No. 991265 Type: B Expires: 3/31/2016 12:00:
TENANT MAILING ADDRESS
Storage Space/Makawaya PHONE NO. FAX NO,
DESCRIPTION
NEW STORAGE SPACE FOR MIKAWAYA
Construction Type UOM ts Value Construction Type UOM 0 of Units Value
Q ValkilitO0 Value $30,000.00
OCCUPANCY: Tenant Improve TO AL VALUATION: $30(1_1_1
0 0.00
QTY UOM DESC AMT AMT PAID ACCT QTY 1.1OM DESC AMT AMT PAID ACCT
each Plan review 358.48 358.48 01-3103 try 4,2 each Energy p/c fee 121.33 121.33 01-3103 ftVqt.- d°' QZ- • G t 32yf S
PC Cal Green 35.85 35.85 01-3103
PC ADA 53.77 53.77 01-3103 //�� �/
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 0. " 0-i • C1--- 1
each Bldg permit 551.50 551.50 01-3104
Bldg Issue ADA 55.15 55.15 01-3104
1.00 each Corn.Fire Pkc 245.00 245.00 01-3109
SMIP Corn 8.40 8.40 14-2207
grn bldg std 2.00 2.00 714-2203
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: $1,483.08 Balance Due: $0.00 Paid Today:
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#:
pennit 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
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)
•• A;
k r PERMIT/PLAN REVIEW APPLICATION
0
to,* , Development Services Department,240 West Huntington Drive,Post Office Box 60021
oco, 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
not employ any person in any manner so as to become subject to the workers'
by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature
Law does not apply to an owner of property who builds or improves thereon,or
who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING:Failure to secure Workers'Compensation coverage is unlawful,and
sale.If,however,the building or improvement is sold within one(1)year of shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she did hundred thousand dollars($100,000),in addition to the cost of compensation,
not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property who CONSTRUCTION LENDING AGENCY
builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency
tor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RE-
STRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures..
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of
asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for fur-
ther information.
Name
Title
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature Date
MR.
ti4�FF �vc`9'r
lucsrver.esd
Avry.t 5.190J
49
G'o�0 laity u/
MEMORANDUM
Fire Department
DATE: April 10, 2015
TO: BUILDING DEPARTMENT
ATTN: INSPECTOR Chris Ingram
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 400 S. Baldwin Avenue, S 1270 (Mikawaya Storage)
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 4-7-2015 Jill Perumean
FIRE ALARMS
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 4-9-2015 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 4-10-2015 RC
a°`"``' Development Services Department
240 West Huntington Drive Post Office Box 60021
Arcadia,CA 91066-6021 PERMIT NO. BOO-049-701
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
3/26/2015 CM 12:25 3/26/2015 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BI,G ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave S1270 T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: AFD
Los Angeles,CA 90025- EMAIL ADDRESS:
Plan Chk#: OTC •
APPLICANT MAILING ADDRESS
Bob's Fire Protection PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Bob's Fire Protection 10136 Langmuir Avenue PHONE NO. (81 8)388-7737 FAX NO.
Sunland, CA 91040 EMAIL ADDRESS:
License No. 512804 Type: C16 Expires: 6/30/2016 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
SPRINKS FOR NEW STORAGE UNIT NEAR FOREVER 21 AND GOLDS GYM FIRST FLOOR
Construction Type UOM #of Units Value Construction Type UOM N of Units Value
Value Value 1,000.00 $1,000.00
7 COMPLETED
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $1,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
4.00 each sprinkler pck 245.00 245.00 01-3109
100 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 61.65. 61.65 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
•
Total Fees: $352.00 Balance Due: $0.00 Paid Today: $352.00
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#: 108328
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3109 206.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3112 101.00
Y Y 88-3027 1.00
cadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday \
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
!,.
4 PERMIT/PLAN REVIEW APPLICATION
. ra,
144,*' 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,.aand my license is in full force an e t. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class U 0 p
License No. 7 Exp. D ---1---16.� compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ 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
Policy Number
such permit to file a signed statement that he or she is licensed pursuant to the pro-
visions of the Contractors License Law(Chapter 9(commencing with Section 7000) (This section need not be completed if the permit is for one hundred dollars or less)
of Division 3 of the Business and Professions Code)or that he or she is exempt
there from and the basis for the alleged exemption.Any violation of Section 7031.5 ❑ I certify that in the performance of the work for which this permit is issued,I shall
by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for Date 3- 2 W «5tgtLe 4 icz, ~�\
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
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 L • A, • Title
— PRINT NAME
I c rtify 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 gree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Acadia to enter upon the above-mentioned property for inspection purposes.
ignature /1`P( Date J Z.,6 �y
\ ____