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HomeMy WebLinkAboutB00-048-797 A` 7 Development Services Department ' 240 West Huntington Drive,Post Office Box 60021 , ...,,,►=" Arcadia,CA 91066-6021 PERMIT NO. B00_048_797 City of (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 12/29/2014 JB 11:43 3/11/2015 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: Plan Chk#: 14-720 APPLICANT MAILING ADDRESS Development Support Services PHONE NO. Plan#: 31506 e EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Development Support Services 1515 Alton Avenue PHONE NO. (714)957-8250 FAX NO. Santa Ana,CA 92704 EMAIL ADDRESS: License No. 748446 Type: B Expires: 4/30/2016 12:00: TENANT MAILING ADDRESS Cotton On PHONE NO. FAX NO. f DESCRIPTION TENANT IMPROVEMENT**PERMIT INCLUDES EMP** Construction Type UOM Hof Units Value Construction Type UOM Hof Units Value Value Value 200,000.00 $200,000.00 CCOMPLETED zNiiii_ 4-8-t5 4/ OCCUPANCY: Tenant Improve TOTAL VALUATION: $200,000.00 QTY IIOM DESC AMT AMT PAW ACCT QTY UOM DESC AMT AMT PAW ACCT each Plan review 1,244.10 1,244.10 01-3103 gin bldg std 8.00 8.00 714-2203 each Energy p/c fee 421.08 421.08 01-3103 1.00 Flat SWMF Auto 6.25 6.25 88-3027 PC ADA 186.62 186.62 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027 PC Cal Green 124.41 124.41 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 1.00 Flat SWMF 2 1.00 1.00 88-3027 each Bldg permit 1,914.00 1,914.00 01-3104 Bldg Issue ADA 191.40 191.40 01-3104 1.00 flat Elec issue 44.35 44.35 01-3105 1.00 Flat Mech issue 44.35 44.35 01-3105 1.00 Flat Plmbg issuance 44.35 44.35 01-3105 2.00 each Lavatories 24.92 24.92 01-3105 70.00 each Outlets 78.00 78,00 01-3105 50.00 each Ltg fixtures 58.00 58.00 01-3105 2.00 each Air unt 10m cfm 28.22 28.22 01-3105 1.00 Flat Add/Alter Ducts 9.38 9.38 01-3105 1.00 each T.I.Fire Pkc 245.00 245.00 01-3109 SMIP Com 56.00 56.00 14-2207 Total Fees: $4,775.78 Balance Due: $0.40 Paid Today: $2,564.57 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#: 108158 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 2,149.75 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3105 331.00 cadia building inspector for a period of 180 consecutive days. 01-3109 10.00 14-2207 56.00 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 714-2203 8.00 88-3027 9.25 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) � P ERMIT/PLAN REVIEW APPLICATION to*, Development Services Department,240 West Huntington Drive,Post Office Box 60021 ,.-!F`+ 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 Cod and my l' ense is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class_ icense No. 741g441., Exp. Date4hei ti� compensation, as provided for by Section 3700 of the Labor Code, for the ',A performance of the work for which this permit is issued. w • Signature of Contractor •- w`OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section O y R-B under penalty DECLARATION perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit ❑ I WN is issued.My workers' License Law for the following reason(Section 7031.5,Business and Professions compensation m insurance carrier r and�policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier 5TA?t 4L1U 0/St 1e.J FLK ip molish,or repair any structure,prior to its issuance,also required the applicant for Policy Number qt°94i c 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 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 inAn ation. Name l lairJ M c�'TI Title SUf31�l J7 J41 11 Dt• PRINT NAME Sop a, I certify that I ve 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 co with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to ent r upon the 4bove-mentioned property for inspection purposes. Signature v Date �1 tt/ . Amonimmila -'!0 OPERATION NO OPERATION Building Jnspectian Dot NOTES �'1 In p 'iumbing In4 ctions Date 100. Setbacks 210. Under flrJbld .drain 101. Roush 'rade 211. Co •er underslab • , DO - if.l - it. . ..... a _ 102. Fits.&forms 212. Routh •lumbin. 1i"� 103. Pre-slab 213. Rough gas �� 1 i . 04. Floor joists 214. Shower 105. Steel 215. Water heater ' 106. Grout litt %•J ' I 1.!-, i 216. Roof drains Qi1 ©-.Z, -/e t`J 107. Shear nailin. 217. Building sewer 108. Diaph nailing 218. Water service :. .' 109. Roof nailing •. it P� / 110. Framin. 219• Final gas I - 220. Fixtures p All i 111, Occ./Area Sep.Wall 221. Final .lumbin• _erir� / 113. Sound walls 222. Sewer ca /demo. 3-P4d 6 'Y 113. T-bar.rid 114. Insulation-fir. - -Pool Inspections Date ins . 115. Insulation-Wall I p 240. Excavation/steel 116. Insulation-Ceil. /} 241. Rough plumbing _ 117. Drywall nailing :. .1. ' A 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119, Exterior lath 244. P-Trap 120. Finish grade 245. Gas line&test 121. Final building . .'"/„5 K1-1/ 246. Fence,gates&signs 122. Final demo/ol clear 247. Pool heater 248. Final electric Electrical Inspections Date I Ins.. 249. Final Plumbing 150. Power pole 250. Pool cover 151. Sales lot lighting v 251. Pool final 152. Underground conduit 153. Underslab conduit eroof inspections Date I p Ins . 154. UFER ground 270. Pre-reroof Insp. e 155. Water ground 271. Root framing 156. Rough electrical 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Eg.l.bondin. NM Inspections Date Insp. 160. Service •anel ( p 280. Selback/overhan!. 161. Final electric � yam''" 281. Footing 282. Conduit/wiring Mechanical Inspections I Dale Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Routh HVAC OM, ' ,1.scellaneous Insp. Date Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shall e vcrs&Dffsiteinsp, . Date 191. Final mechanical t Insp. 1 /' 300. Lateral(main to P/L) 301, Saddle/Y !lack1Vall Inspections Date insp. 302. Cesspool filled 200. Footings 303. Sidewalk 201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin , / _ I. ` s \ ,) r - 1 , 1 '/''''./ \'' U 0 W o c L. N 7 W N >. \\I\\(//-I'-', 5 o U U F� f ±, I c � 3 .� o ', \1\ ' / A a - U U s t �I CA o °' C CO e CA d -0 U ,� F CA'`e / 'b w U V O Q Of.../7 G OO- C -4. ' G U � o -5,,, O y d UN 1 -r O V 09 .-3`-' � � I•i ... %/AP f l 1 -p� , \ a O = 0 0 ,'1, \�i T -_ �o (� F�1 C .rte" U (, �. \ I i:� ,t �1/ Vi cd bA V 4 Q � CA F 1:3 4.) o/ V el.) I Q NN b C /d o L /a a) U ' CD Q 3 c ►L o e 0.7 3 E. 0 0 v A € u .e. / -) ' F" � C g g U,c d co o C U , I(7,'; \77 ' 76.* C p N N u co Q � 5 y u U t. R F' w p / _ C �/ 7 H E e C C; /'J ti CO D O.i O (-� Off\ Q , ja ,„,., ...,7 //:,,,, ,/7 \\JR . . //).,. \ /_ , �/-- \_� j�� - `F_, jam \\,---___j_ \y �,��_ ,1)b Vv ,;< V AR ti4 010,1F R4r it r'-uo ' Aory.P S,1901 MEMORANDUM Fire Department DATE: April 8, 2015 TO: BUILDING DEPARTMENT ATTN: INSPECTOR Chris Ingram FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue, B9 (Cotton On) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL INSPECTION FINAL FIRE SPRINKLERS 4-2-2015 Jill Perumean FIRE ALARMS 4-6-2015 Jill Perumean TANKS HOOD & DUCT KNOX BOX OCCUPANCY 4-6-2015 Jill Perumean COMMENTS: Emailed Bldg. Dept. 4-8-2015 RC 307 Roswell Avenue Dispatch: 714.642.5842 Long Beach, CA 90814 Fransen Inspection Technology Fax: 888.456.0144 Project City or Name: .„........:, i Li .4, County of: Job , ;�� h . , ! Permit �f Address: !--" % i..! it 10, W 1 tai Lit i ' 0 ^�1.497-— f 7 Number ) Architect: 1 C L Material _ ) i' Description: �/"''''`y�{--e �-�. , ` f Engineer: . Y 1 016'10 � 1 ��..J . :),„,,,A.%,..,,,, ! 1 f Y�AJ � fyr,��t ��^�'„i'3§ � e:,, J 0. `t Inspector's Name: : Contractor: Samples Taken: X X Quantity: Subcontractor: -~�1 f' Description of Work Inspected: Concrete Masonry Welding Fire Proofing Epoxy Other: I Date: , i.�-" I ) ' i , 0 I .—. 4 i t ) ) : A i1 (Y. ,Y1 CI s� ry� tL. . IA ■.j Thr 1 rat ..f _ s n1 +- - 7tS1 .(.,.r( itAb - / �-,, itfl) BSc'. " � r 1 f,(t Y ..t 0 er-16,4...1 %L4T S I-_2 w 3/il 1 i 11 '1 ., /, 7e". /i S , 2-cc -At' J. 7/3 ii tc/ JEI --,„ ,94). i td 1 rnt-..c cf.,i Page of_.ATTORNEY'S FEES-If any action at law or inequity is brought to enforce or to interpret the terms of this contract,the prevailing party shall be entitled to reasonable attorneys fees,cost and necessary disbursements in relief to which such party may be entitled. Reg Hours OT Hours #Samples CERTIFICATE OF COMPLIANCE I hereby certify that I have inspected to the best of my knowledge all of he above reported work and All ins coons are based on a minimum of 4 hours.If over 4 hours or after unless otherwise noted,have found this work to comply with the approved plans,specifications and 12:00 noon,an 8 hour minimum will be billed and past 12:00 midnight,an 8 hour applicable sections of the governing building laws. minimum and time and a half will be billed.Sundays&holidays are billed at j ' �,..� ',1 '/. r r double time for an 8 hour minimum. . ` ' tild ---,`,-.,r- ) ATURE OF THE REGISTERED INSPECTOR Approved b pp X- '°,,I'eielli, ,�^� Specialty/Cert#/Agency: 44 ._. 1-.mac; "re.',),. �Vr'!°-r���� The best FIT for your inspection needs/ _ t yellow-inspector's copy pink-job site copy miaow 307 Roswell Avenue Dispatch: 714.642.5842 Long Beach, CA 90814 Fransen Inspection Technology Fax: 888.456.0144 Project 1 � City or Name: } `"Co 7"Onty of: .— 11 Job �"} �{ Permit �y "� Address: CJ t 3/'� I , q yr� I�: Number: 60 4J0 (1.181- l /7 ++ 'W i ' Architect: - J Material Description: Engineer: Inspector's y Name: r�,T,-1 Contractor: r ; - C� 1 Samples jr Taken: � X X Quantity: Subcontractor: _.,. Description of Work Inspected: Concrete Masonry ' Weldin Fire Proofing Epoxy Other: Date: "t - ) ) `1 , h . t- 3 '3X Jo e' i• r-71 cvile T.3")//4 7, 1 4( '41 --41 /lc , ._,i i' 41 1 1, Tai D nr 5 � 1 A S 3 V3 X,. V •, - NSjs y " y -<' "v /71.• f, t.,.,rj ,f ) I \ e I, (,) t . 7)//::- _ �[ : f to Jt F . '1/4.-ki E".' f-:---.1 4., li, , 41 e'r � ,� ' _ � "'j' ,1F„ I } 1. r x 1� �T 1 _._ F 7. _ 4 s M A Lx.1 4, Ls,:r; ti 7•i / Page of .ATTORNEY'S FEES-If any action at law or inequity is brought to enforce or to interpret the terms of this contract,the prevailing party shall be entitled to reasonable attorneys fees,cost and necessary disbursements in relief to which such party may be entitled. Reg Hours OT Hours #Samples CERTIFICATE OF COMPLIANCE I hereby certify that I have inspected to the best of my knowledge all of he above reported work and All inspections are based on a minimum of 4 hours.If over 4 hours or after unless otherwise noted,have found this work to comply with the approved plans,specifications and 12:00 noon,an 8 hour minimum will be billed and past 12:00 midnight,an 8 hour applicable sections of the governing building laws. minimum and time and a half will be billed.Sundays&holidays are billed at double time for an 8 hour minimum. I RE OF THE REG( FRED INSPECTOR ,,q�f' i Approved by: J6c. c. ;;,.,, Specialty/Cert#/Agency: L,, dig.,) .. Zr ,: . %,,i �O' /'(S I . C. - `" ,/ )S.:5-/ 3/ -5. yellow-inspector's copy The best FIT for your inspection needs! pink-job site copy a j"�,`':' Development Services Department . 240 West Huntington Drive,Post Office Box 60021 X% Arcadia,CA 91066-6021 PERMIT NO. B0O-049-456 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 3/3/2015 CM 14:40 3/3/2015 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: Plan#: IN FILE APPLICANT MAILING ADDRESS Southwest Sign Company PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Southwest Sign Company 1540 Commerce St#G PHONE NO. (909)734-6275 FAX NO. Corona,CA 91720 EMAIL ADDRESS: License No. 724929 Type: C45 Expires: 7/31/2016 12:00: TENANT MAILING ADDRESS Cotton On PHONE NO. FAX NO. DESCRIPTION ONE ILLUMINATED CHANNEL LETTER SIGN FOR COTTON ON Construction Type UOM q of Units Value Construction Type UOM #of Units Value Value Value 6,500.00 $6,500.00 i COMPLETED �-C OCCUPANCY: Sign TOTAL VALUATION: $6,500.00 QTY UOM DESC AMT AMT PAID ACCT QTY tIOM DESC AMT AMT PAID ACCT Sign plan rev 104.80 104.80 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 187.15 187.15 01-3104 1.00 flat Elec issue 44.35 44.35 01-3105 1.00 branch cin Signs elec 59.17 59.17 01-3105 1.00 each Sign Connection 15.55 15.55 01-3105 1.00 Flat SWMF 2 1.00 1.00 88-3027 1.00 each SWIM 2 Auto 1.00 1.00 88-3027 Total Fees: $457.37 Balance Due: $0.00 Paid Today: $457.37 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#: 108064 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3103 104.50 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 01-3105 231.07 cadia building inspector for a period of 180 consecutive days. y y 01-3105 119.07 88-3027 2.00 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) w • A; epPORIN ., PERMIT/PLAN REVIEW APPLICATION *il to* 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 m license is in full force and effe t. /�, I have and will maintain a certificate of consent to self-insure for workers' License Class_Li -•.- • 2 x.. - ! /0 compensation, as provided for by Section 3700 of the Labor Code, for the t<;- 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 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.M workers'compen lion insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions �]j Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier urt'�� molish,or repair any structure,prior to its issuance,also required the applicant for Policy Number Q�p R �O 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 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. ID 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. C b �+ itle Name e ,pRN I\F Ti "� 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 AI City or roan es and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to •• upon ;• . 'i n: property for inspection purposes. Signature '/_�i+ ."„' �� Date `J I te. Development Services Department MI • 240 West Huntington Drive,Post Office Box 60021 ■`ti` 1 Arcadia,CA 91066-6021 PERMIT NO. B00-049-142 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 2/4/2015 CM 13:28 2/11/2015 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#: 15-62 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Collin -T R L Systems PHONE NO. (909)456-2644 EMAIL ADDRESS: ' CONTRACTOR/PROFESSIONAL MAILING ADDRESS PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS Cotton On PHONE NO. FAX NO. 1. DESCRIPTION FIRE ALARMS FOR COTTON ON Construction Type UOM 01 of Units Value Construction Type UOM N of Units Value Value Value 4,000.00 $4,000.00 i COMPLETED OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $4,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY 1.10M DESC AMT AMT PAID ACCT 17.00 each fire alarm pc 2 612.50 612.50 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 137.05 137.05 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $794.90 Balance Due: $0.00 Paid Today: $182.40 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#: 107857 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 8 8-3127 1 81.00 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) A, 4 wow it PERMIT/PLAN REVIEW APPLICATION r Development Services Department,240 West Huntington Drive,Post Office Box 60021 ° ,!F` Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION cereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: apter 9(commencing with Section 7000,of Division 3 of the Business and fessions Code,and my license is in full force and eff q I have and will maintain a certificate of consent to self-insure for workers Y ► I ❑ ense Class C lO C.I Date I compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. nature of Contractor WNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ereby 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 N 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 t.- Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith compl 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 �\ • IL 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). 0 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. N MOO I C R iVRL(\Ot7 -1 Title 9../SI AA ( -S1 E-)1Ve." 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 a ree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Ar dia to enter upon the a ve- entioned property for inspection purposes. Sign tore 6 v /Date �l / I I I IC A