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HomeMy WebLinkAboutB00-048-602 ° Development Services Department 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 PERMIT NO. B00-048-602 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 12/9/2014 JB 10:58 3/19/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave H2-B T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 14-699 Los Angeles,CA 90025- EMAIL ADDRESS: Plan#: 31517 APPLICANT MAILING ADDRESS Solex Contracting, Inc. PHONE NO. EMAIL ADDRESS: e CONTRACTOR/PROFESSIONAL MAILING ADDRESS Solex Contracting, Inc. 42146 Remington Avenue PHONE NO. FAX NO. (95 1)526-6247 Temecula, CA 92590 EMAIL ADDRESS: License No. 842101 Type: B Expires: 7/31/2016 12:00: TENANT MAILING ADDRESS G.N.C. PHONE NO. FAX NO. DESCRIPTION T I TENANT IMPROVEMENT Construction Type UOM #of Units Value 'Construction Type UOM #of Units Value Value Value 85,000,00 $85,000.00 E1I COMPLETED OCCUPANCY: Tenant Improve TOTAL VALUATION: $85,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY 11OM DESC AMT AMT PAID ACCT each Plan review 714.19 714.19 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027 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 1.00 Flat Plmbg issuance 44.35 44.35 01-3105 1.00 each Lavatories 12.46 12.46 01-3105 14.00 each Outlets 21.56 21.56 01-3105 26.00 each Ltg fixtures 34.00 34.00 01-3105 1.00 each T.I.Fire Pkc 245.00 245.00 01-3109 SMIP Com 23.80 23.80 14-2207 grn 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: $2,825.22 Balance Due: $0.00 Paid Today: $1,455.75 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 108249 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 1,252.98 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3109 1 01-3109 10.00 10.00 cadia building inspector for a period of 180 consecutive days. 14-2207 23.80 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 714-2203 4.00 88-3027 8.25 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) •F' PERMIT i� !PLAN REVIEW APPLICATION ' Development Services Department,240 West Huntington Drive,Post Office Box 60021 . I . �YOitY„co.N 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 Bus' ess and Professions Cod d my licen - is in f ,:of j ra -i ct. �7 ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class ens-.'o.r1 Ain Ex, Date! / 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 x1 • ✓✓ ir%Liu✓/,. OWNER-BUILD • DECLA' •TION II I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performan of the work for which this permit ffi ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5,Business and Professions is issued.My worker ' pensatio rnsur e carriernd olicy numbers are: Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier n Ch 1t/ l molish,or repair any structure,prior to its issuance,also required the applicant for WG� 1 Z f'] such permit to file a signed statement that he or she is licensed pursuant to the pro- (This Number r, / ;,j ` 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 ompl with those provisions. compensation,will do the work,and the structure is not intended or offered for 1 9 sale(Section 7044,Business and Professions Code:The Contractors License Date i/ 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 informati•n. A Name T,r illinEggii Title M l /Alit 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 1 Arcadia to enter nth bov men 'I ned�,perty for i spection purposes. Signature f/ Date 3 )915 1 NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. F•l/2� 69-1)L I` 100. Setbacks 210. Under fir/bldg.drain A#0,6 ',lb/• 101. Rough grade 211. Copper underslab 102. Figs.&forms 212. Rough plumbing 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing 219. Final gas 110. Framing �-i,'j 41) 220. Fixtures 111. 0cc./Area Sept.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-Flr. Pool Inspections Date Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing U 7-.115 242. Light shell/bonding 118. Interior lath 7Y 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building 1-I1.11f 5 a,V/ 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final plumbing 150. Power pole 250. Pool cover _ 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical L/_`_1 272. Sheathing nailing 157. Fixtures { 273. Final reroof 158. G.F.C.I. 159. E.it.bondin• Sign Inspections I Date I Insp. 160. Service panel 280. Setback/overhang 161. Final electric LI it 4� ✓ 281. Footing 0� 282. Conduit/wiring Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC � Miscellaneous Insp. I Date I 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 shaft Sewers&Offsite Insp. Date Insp. 191. Final mechanical 11/1145 A 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cesspool filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin \.y ./.•••,.--- ,. / Y:\' .1',,.- `1 _ 1 �'- •\ .i \-/\r,, /.��j -'�`, /�r"\�� `�/ / " , 4 �, i , hi ',_ a C7 VJ/ � ( : ':''.\ ' /� ` A C 0 - y C A m W A ,c s n a rw�\ co y-- '< "0 SI a .w. c. d A / c n. r. 0 1 n n o s p r' CC II1• ro Go O O O �' a. `G r.v ; tr: I .1 WWW .. < < Er: •• cl < 0.1 = ,i'.. .'7,'\ il:' 'V ..-1 y 04. ■-■ cr, Cz.. f'D ri.) fl7 CA�j > • n 7 C A �� �._ll� '�..co Oa ■ A v O o );<.\ 1 , "*-af\ wa / r.. t Oro co c p r O ` J O c o @ vs (116Z ems ems phpi� O C .7 D d C t• © C t7 VJ a' r a N a•°i: y A o '4 ❑ 1:1 ' �. V; n o 2 -t r p. ( ' tc, ,..--). ' o .■ x N , • Z o d /' `.1 ��•,\ /i/ \\ �_/• 1,,,, _../',"!../ V( /" •,\ iM!/, V` \ . A/ \;\ ' 1 wry`/ ‘'�� /" •\ _...---).. �JV � . ' � � �l V 4°FF Rc ill U~ 9# li 117 111 14 MEMORANDUM Fire Department DATE: April 24, 2015 TO: BUILDING DEPARTMENT ATTN: INSPECTOR Chris Ingram FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue, H2B (GNC) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 4-14-2015 Jill Perumean FIRE ALARMS 4-16-2015 Jill Perumean TANKS HOOD & DUCT KNOX BOX OCCUPANCY 4-21-2015 Jill Perumean COMMENTS: Emailed Bldg. Dept. 4-21-2015 RC 1 04,!{;._ Development Services Department 240 West Huntington Drive,Post Office Box 60021 " '% Arcadia,CA 91066-6021 PERMIT NO. $QQ-049-167 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Sign g PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 2/9/2015 CM 14:20 2/9/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT 8LG 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 Signage Solutions Corp PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Signage Solutions Corp 1336 Allec Street PHONE NO. (800)655-9972 FAX NO. Anaheim,CA 92805 EMAIL ADDRESS: License No. 608238 Type: C 45 Expires: 12/31/2015 12:01 TENANT MAILING ADDRESS G N C PHONE NO. FAX NO. DESCRIPTION ONE CHANNEL LETTER ILLUMINATED SIGN FOR GNC Construction Type UOM #of Units Value Con YP e #of Units Value Value Value 2,000.00 $2,000.00 � �U 041i1— t+--3-IS ' OCCUPANCY: Sign TOTAL VALUATION: $2,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT Sign plan rev 58.04 58.04 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 103.65 103.65 01-3104 1.00 flat Elec issue 44,35 44.35 01-3105 1.00 each Sign Connection 15.55 15.55 01-3105 1.00 Flat SWMF 2 1.00 1.00 88-3027 100 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $267.94 Balance Due: $0.00 Paid Today: $267.94 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 107817 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3103 58.04 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 148.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3105 59.90 cadia building inspector for a period of 180 consecutive days. 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) ■ AR 4 1( PERMIT/PLAN REVIEW APPLICATION r 44, *4 memo -ill t ,, Development Services Department,240 West Huntington Drive,Post Office Box 60021 %,.,�.,,Yt Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ereby 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 Professions Code and my license is in full force and effect. ��/ IJ I have and will maintain a certificate of consent to self-insure for workers' License Class AS ' e e No. 0• , xp. DateI2/I?I, i. compensation, as provided for by Section 3700 of the Labor Code, for the i/ / /, �� performance of the work for which this permit is issued. Signature of Contract. / NER-BUILD LARATI ON I have and will maintain workers'compensation insurance,as required by Section I hereby affirm under pe f perjury that I am exempt from the Contractors TT��``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.Myworkers' mpensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier 0 it) molish,or repair any structure,prior to its issuance,also required the applicant for Policy Number �l(/s/9�TQZ? 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/ all 0 I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisi. / 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 Sign. / /�/�i/� Law does not apply to an owner of property who builds or improves thereon,or I 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. 1 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 me ! I _AO ...// Title J[ £2 ,41)rn lid PRINT NA E '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. agree to co • with all City ordinances add State Laws relating to building construction. I hereby authorize representatives of the City of rcadia to e •r u'on the above : _ entioned perry]nspection purposes. Stgnatu•- 'J � pr _ Date Ii All Development Services Department 240 West Huntington Drive,Post Office Box 60021 '� Arcadia,CA 91066-6021 PERMIT NO. BOO-048-998 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 1/20/2015 CM 13:37 2/4/2015 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#: 15-32 Los Angeles, CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Collin-T R L Systems PHONE NO. (909)456-2644 e EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS General Nutrition Center PHONE NO. FAX NO. DESCRIPTION FIRE ALARMS FOR GENERAL NUTRITION CENTER Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 1,500.00 D C 61,m500.00 LETED OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $1,500.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 5.00 each fire alarm pc 2 245.00 245.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 82.65 82.65 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $373.00 Balance Due: $0.00 Paid Today: $128.00 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#: 107779 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit O1-3112 127.00 Y Y P 88-3027 1.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- cadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS ` \, �'`\ Requests for inspection should be made at least Monday-Thursday Friday \ �\ `, ',.� one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. \\:) by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) Of A-+C O0al'ORA,1 I iNesiii k PERMIT/PLAN REVIEW APPLICATION •_ 1 t, 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 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 performance of the work for which this permit is issued. Signature of Contractor El I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARATION ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier molish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the pro- Policy Number visions of the Contractors License Law(Chapter 9(commencing with Section 7000) (This section need not be completed if the permit is for one hundred dollars or less) of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption.Any violation of Section 7031.5 ❑ I certify that in the performance of the work for which this permit is issued,I shall by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor 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 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 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. ame (.o /l S4-V (tfon Title Sys71e'.• 0t5:5aet 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. 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. Si ature Date 2 — q- i s Development Services Department - . 240 West Huntington Drive,Post Office Box 60021 ` .` Arcadia,CA 91066-6021 PERMIT NO. BOO-049-710 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 9:42 4/1/2015 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#: FIRE Los Angeles,CA 90025- EMAIL ADDRESS: Plan Chk#: 15-192 APPLICANT MAILING ADDRESS Allready Fire Sprinklers PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS 626 NO. 913-6720 FAX NO. Allready Fire Sprinkler Co 818 N Grand Ave PHONE ( Covina,CA 91723 EMAIL ADDRESS: License No. 358795 Type: C16 B Expires: 7/31/2015 12:00: TENANT MAILING ADDRESS Gnc PHONE NO. FAX NO. DESCRIPTION FIRE SPRINKS FOR GNC- 14 HEADS Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 1,550.00 $1,550.00 Value Value 0.00 $0.00 4 COMPLETED OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $1,550.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 14.00 each sprinkler pck 612.50 612.50 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 86.85 86.85 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $744.70 Balance Due: $0.00 Paid Today: $132.20 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#: 108385 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 131.20 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 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. r (Closed on alternate Fridays) of A; PERMIT/PLAN REVIEW APPLICATION *4 ego till of Development Services Department,240 West Huntington Drive,Post Office Box 60021 0 47YA11Y Ct N• 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 Co a my 1"cense is in full force and effect. ` ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class� � License o. O Al Exp. Date��/ compensation, as provided for by Section 3700 of the Labor Code, for the nature of Contractor ��� performance of the work for which this permit is issued. OWNER-BUILD. ' I LARATION / ❑ 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 7031.5I 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 1i i1 ) 5' s 7 ale(Section 7044,Business and Professions Code:The Contractors License Date f Signature // 4 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. ( -'` ' /� y1 (Na " Title II if )Ci� / 1l PRINT NAME 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. 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. I Signature e,/17 Date —0(/ 'i5 4 ,