HomeMy WebLinkAboutSBARRO qr , Development Services Department
240 West Huntington Drive, Post Office Box 60021
Arcadia,CA 91066-6021 PERMIT NO. B00-049-983
City of (626) 574-5416,Fax(626)447-9173
Arcadia Permit Type: Tenant Improve
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
4/23/2015 CM 15:03 8/5/2015 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#: 15-263
APPLICANT MAILING ADDRESS #: 31679
^^
New York Ancor Inc MIRE*'E No. Plan -
L ADDRESS:
CONTRACTORIPROFESSIONAL MAILING ADDRESS
New York Ancor Inc 831 James Street 2nd Floor PHONE NO. (315)233-1300 FAX NO. (315)233-1314
Syracuse,NY 13203 EMAIL ADDRESS:
License No. 734579 Type: B Expires: 4/30/2017 12:00:
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
T.I.SBARRO
Construction Type UOM #of Units Value Construction Type UOM N of Units Value
Value Value 110,000.00 $110,000.00
OCCUPANCY: Tenant Improve TOTAL VALUATION: $110,000.00
QTY UOM DESC AMT AMT PAW ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 840.45 840.45 01-3103 /�
PC Cal Green 84.05 84.05 01-3103 g-/3...(r s e s4iO cLr c. rye( /
PC ADA 126.07 126.07 01-3103 & 4( t 5 /� _
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 ( 7\w4a / c,64 E Ej j,E Pt c-.y
each Bldg permit 1,293.00 1,293.00 01-3104 4/4ki-riAl: ^--/ "�r A'1,-4.1
Bldg Issue ADA 129.30 129.30 01-3104
1.00 each T.I.Fire Pkc 245.00 245.00 01-3109 a^ t 6-t- �i. 4,` F`0 $L�/T
SMIP Coin 30.80 30.80 14-2207 C (�' G.
gm bldg std 5.00 5.00 714-2203 s..c a-r c -79.../�L 8 _i LOs�C ry'� f2L4 4
1.00 Flat SWMF Auto 6.25 6.25 88-3027 I • b/�
04 e_ts' i, ilerV
Total Fees: $2,804.27 Balance Due: $0.00 Paid Today: $1,564.77
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the R.«;F,t 01• 109910
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 1,466.65
14-01-310
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 7 56.07
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 7220 35.00
714-2203 5.00
Arcadia building inspector for a period of 180 consecutive days. 88-3027 6.25
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)
oFA'c
°~a oglippi 1' PERMIT/PLAN REVIEW APPLICATION
tgVI' Development Services Department,240 West Huntington Drive,Post Office Box 60021
`'
y Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
ICENSED 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 al.effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class •-S�'o�.-S ti' TyExp. Dat- r // 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 Contr. or
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, Carrier
demolish,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 Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
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 ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 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 Sec 'c I I o the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisio
compensation,will do the work,and the structure is not intended or offered for
Date _ ".( _/�
sale(Section 7044,Business and Professions Code:The Contractors License �J Signa •
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
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 CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(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:
�r Lender's Name
Date Sign. -- Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures..
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for
further information.
Name i rti, de e--O' Title mammy VA '-
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 y o nances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter u•• e ab •roperty for inspection purposes.
Signature Date S [ 5
Development Services Department
240 West Huntington Drive,Post Office Box 60021 PERMIT NO.Arcadia, CA 91066-6021 BOO-051-116
City of (626) 574-5416,Fax(626)447-9173
Arcadia Permit Type: EMP Combo
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
8/12/2015 CM 10:00 8/12/2015 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.
Los Angeles, CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
New York Ancor Inc PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
New York Ancor Inc 831 James Street 2nd Floor PHONE NO. (315)233-1300 FAX NO. (315)233-1314
Syracuse,NY 13203 EMAIL ADDRESS:
License No. 734579 Type: B Expires: 4/30/2017 12:00:
TENANT MAILING ADDRESS
Sbarro PHONE NO. FAX NO.
DESCRIPTION
ELECTRICAL AND PLUMBING FOR SBARRO
Construction Type UOM 8 of Units Value Construction Type UOM N of Units Value
Mt
<: .'
OCCUPANCY: Te t Improve TOTAL VALUATION: $0.00
QTY EOM DESC AMT AMT PAID ACCT QTY DOM DESC AMT AMT PAID ACCT
100 flat Elec issue 44.35 44.35 01-3105
I 00 Flat Plmbg issuance 44.35 44.35 01-3105
I.00 each Lavatories 12.46 12.46 01-3105
4.00 each Outlets 6.16 6,16 01-3105
18.00 each Ltgfixtures 27,72 27,72 01-3105
I.00 Flat SWMF 2 1.00 1.00 88-3027
100 Flat SWMF 2 100 I.00 88-3027
Total Fees: $137.04 Balance Due: $0.00 Paid Today: $137.04
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the R,..eipt t 109999
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3105 135.04
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 2.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
I
AR,C1t
PERMIT/PLAN REVIEW APPLICATION
E ft► 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 Co and my license is in ful ce d effect. O ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License N tsc7xp. Date J �f 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 ARATION ❑ 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, Carrier
demolish,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 Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
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 ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 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 /// N Signat
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
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 CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(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
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures..
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for
further information.
Name (! !� Title to €( , 0 n
■
' .r -
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 Ci • antes and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon • : ove-lo• Toned erty for inspection purposes. /
Signature Date "' `
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Revisions
LA 04/03/15 ISSUE FOR R PERMIT&
LL APPROVAL
�1� 05/18/15 REV,PER LL
2 05/28/15 CLIENT
REV,PER HEALTH
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AS NOTED EEIAIW FOR:
�T�GNT ( � 4--f' I HEREBY CERTIFY THAT THE
G BEG�y,
rot:OF FOOD�:;�:S -> � HAVE BEEN PREP THESE PLANS
�iPP$OVAL r0 �`�C P.1172.43...:.e.'; ;'.`ttiT AND UNDER MY SUPERVISION AND THAT
YOUR ZNSpE�QI,;. LAW,U.� ,� . �: a tii�:VIOLATION TO THE BEST OF MY
If�AL.r r INAN CL OR I::I:aYL►LATION. IG1'�iltr'+ 'd Y SAME COMPLY WITH KNOWLEDGE THE
Y ME ;��"ROVED; ,----- REGULATIONS AND ORDINANCES RULES,
LA +f DATE
BY: . ARCA— DI--q�CA.RELATING p NCES OF
REMODEL,r -L.- AND BUI A GS. STRUCTURE•
^C fj T ,c 'PLAN f_''! PMEC.� e• ^f1773 I.
Drawn By C
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:ter TH By
Scale
Date
AS NOTED 04/03/2015
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OPERATION virrnouT A FINAL INSPECTIO'Ni- 1,Aw.ORDLNANC:!..,0 k 1V;LIt.t11,1N.
AND VALID HEAura PERMIT.. YOUR HEAL
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PERMIT WILL BE ISSUED BY TI-IE PLA.■',1 4ft,C;;.°81.-ir r1.1C.711(..0,
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a-col-lent.
VUST ALSO HAVE A RNA L rNs pr....,cTioNT
EQUIPMENT PLAN