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HomeMy WebLinkAboutB00-049-997 .`1'44,'N, Development Services Department • -� .1 ;� 240 West Huntington Drive,Post Office Box 60021 t Arcadia, CA 91066-6021 PERMIT NO BOO-049-997 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 4/24/2015 CM 7:40 8/17/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 15-266 Los Angeles,CA 90025- EMAIL ADDRESS: Plan#: 31690 APPLICANT MAILING ADDRESS Shrader& Martinez Construction, I1 PHONE NO. EMAIL ADDRESS: f Shrader CONTRACTOR/PROFESSIONAL Martinez MAILING ArDyDRES/S'w �n n^�( (�D ( ) Shrader&Martinez Constr Inc 160 D C�C 'lUtr`yvinll'IJ'I11JJr' �11UII IILLr�, D PHONE NO. (928)282-7554 FAX NO. Sedona, AZ,Z3 EMAIL ADDRESS: License No. 511268 Type: B Expires: 5/31/2009 12:00: TENANT MAILING ADDRESS Pandora PHONE NO. FAX NO. DESCRIPTION T.1. PANDORA Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 110,000.00 $110,000.00 F7,‘n C -3(.) -‘) ,----7*. OCCUPANCY: Tenant Improve TOTAL VALUATION: $110,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 840.45 840.45 01-3103 each Energy p/c fee 284.46 284.46 01-3103 PC ADA 126.07 126.07 01-3103 PC Cal Green 84.05 84.05 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 1,293.00 1,293.00 01-3104 Bldg Issue ADA 129.30 129.30 01-3104 1.00 each T.I.Fire Pkc 245.00 245.00 01-3109 SMIP Corn 30.80 30.80 14-2207 gm bldg std 5.00 5.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $3,088.73 Balance Due: $0.00 Paid Today: $1,508.70 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt H: 110045 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 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 714-220 30.80 714-2203 5.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 88-3027 6.25 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) Goa OFF RC,�7 PERMIT/PLAN REVIEW APPLICATION E4#*' 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 Et I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class T License No.V Exp. Date j-/J 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, CarrierLaXi ty 'ea h,32,,GO' -.-' 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(.YC 2..1_' /N 60.5-75-QSS O2 S 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 0 '1 J S�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, 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 /Of 7/ JJ)G/` . y Title . (-',.- 1.1260.9‘e .K✓�- 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. Signatur- 4_ Date NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under flr./bldg. •drain d�`� /kW /%-)0'6 �l�+2 101. Rough grade 211. Copper underslab „� , 4 r'i `.' 1~4(16 8-2.2-I 5 4/ 102. Figs.&forms 212. Rough plumbing 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan X i,y^' 105. Steel 215. Water heater � g�G� � ��✓�Zr 106. Grout lift 216. Roof drains ���,//��rr//�� `�/� /, �� 107. Shear nailing 217. Building sewer �r%�Iw/ 12 � /�/'�'�L 108. Diaph nailing 218. Water service 109. Roof nailing 219. Final gas !'� �` 110. Framing R-3-45 220. Fixtures C C 111. Occ./Area Sept.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar.rid -!?-!s 114. Insulation-Flr. Pool Inspections Date Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 9.513 0/ 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 45. Gas line&test 121. Final building 130-/5- :✓ 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final.lumbin. 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 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E..t.bondin. Sign Inspections Date Insp. 160. Service panel 280. Setback/overhang 161. Final electric c} -/5" 281. Footing 282. Conduit/wiring Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC • _i$ iMIN Miscellaneous 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 shaft Sewers&Offsite Insp. I Date Insp. 191. Final mechanical 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 .10r 7., (\,,, ■ j i .. I p i � m H w CC, . d n A '-0 A O H f, \\\ i''' ( '41 oo ii, CD G n = a i / �It 1 \ ( p A el)..,. 2 .>. : -� ,7 took `�i ° S� C 'r>' O ,-n Q: o et : �,: VI Y 5 w rt b r"h O a v+e. , . O °= O `.' '"c ego a� ` � ,c,°- \r � !ft S `pa i� 05o pc �J Fi'i`• / ��,, P es �O C CT �G-n C S� (�I , � C7 .°� r '<' \G o v� (� Di W V` 1 api -�. I y \.;,,,, i ( tri - d i -.)-) l y 'v J ] 4Qt Development Services Department '5010 240 West Huntington Drive,Post Office Box 60021 " _% Arcadia,CA 91066-6021 PERMIT NO. BOO-051_313 City of (626) 574-5416,Fax(626)447-9173 Arcadia Permit Type: Mechanical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 8/28/2015 JB 11:39 8/28/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: CRIS Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Ruane Heating&Air Conditioning It i NO. rJC 1,1") DDRESS: ' CONTRACTOR/PROFESSIONAL MAILING ADDRESS Ruane Heating&Air Conditioning 17007 Sierra Hwy PHONE NO. (661)250-0046 FAX NO. Canyon Country, CA 91351 EMAIL ADDRESS: License No. 584115 Type: C20 Expires: 3/31/2016 12:00: TENANT MAILING ADDRESS Pandora PHONE NO. FAX NO. DESCRIPTION MECHANICAL FOR TENANT IMPROVEMENT Construction Type UOM #of Units Value Construction Type UOM #of Units Value C i c- 9 3�._,c OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT I 00 Flat Mech Issue Auto 44.35 44.35 01-3105 1.00 each Furn<100,000btu 18.74 18.74 01-3105 1.00 each Comp 3 hp 18.74 18.74 01-3105 I.00 each SWIvIF 2 Auto 1.00 1.00 88-3027 Total Fees: $82.83 Balance Due: $0.00 Paid Today: $82.83 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt A: 1 10247 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 81.83 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 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) of AR LPVrORN�9 , PERMIT/PLAN REVIEW APPLICATION 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 Q 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 e,and my license is in full fie and lect. al have and will maintain a certificate of consent to self-insure for workers' License Class C— License N . �—(�/ Exp. Date /-3/' 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 Cori OWNER-BUILDER DECLARA have and will maintain workers'compensation insurance,as required by Section 0 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.M ers'compensation insurance carrier and policy numbers are Code.Any city or county which requires a permit to construct,alter,improve, Carrier —- C-'• crc 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�i V "� T Q 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 p2-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 �._l`) sale(Section 7044,Business and Professions Code:The Contractors License Date Signatur ■•■■"--- 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. 0 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). 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 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\ X \ti t u '� Title/ L.L.�\ e 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 —r y ",` Development Services Department �? 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 PERMIT NO. BOO-051-269 City of (626) 574-5416,Fax(626)447-9173 Arcadia Permit Type: Electrical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 8/25/2015 CM 11:47 8/25/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave B-4 T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: CRIS Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS J.R.G. Electric PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS J.R.G. Electric Company 13610 Imperial Highway#12 PHONE NO. (562)926-7271 FAX NO. Santa Fe Springs, CA 90670 EMAIL ADDRESS: License No. 762898 Type: C-10 Expires: 5/31/2017 12:00: TENANT MAILING ADDRESS Pandora LEO PHONE NO. FAX NO. DESCRIPTION ' t �ELECTRICAL FOR TENANT IMPROVEMENT✓ COp°°�f Construction Type UOM N of Units Value Construction Type UOM #of Units Value � , �' C 3 ' • OCCUPANCY: TOTAL VALUATION: $0.00 QTY 110M DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 flat Elec Issue Auto 44.35 44.35 01-3105 1.00 each Distrib panel 15.55 15.55 01-3105 2800 each Outlets 36.00 36.00 01-3105 38.00 each Ltgtixtures 46.00 46.00 01-3105 100 each Miscelec 15.55 15.55 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $158.45 Balance Due: $0.00 Paid Today: $158.45 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the R«<;Nt b. 110166 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 157.45 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 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) o AR 0Pt.troay4,4 wals, PERMIT/PLAN REVIEW APPLICATION top, Development Services Department,240 West Huntington Drive, Post Office Box 60021 '°uni,y otN 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 G"(l) Licens .7 6.24 ?P Exp. Date S 31—(7 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 DE 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 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, 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 �l�lGr1 1 f, L.�.J Title zw„re-14__ 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 t entioned property for inspection purposes. _ Signature Date ?— �� S iDevelopment Services Department 240 West Huntington Drive, Post Office Box 60021 Arcadia,CA 91066-6021 PERMIT NO. B00-051-326 City of (626) 574-5416,Fax(626)447-9173 Arcadia Permit Type: Plumbing PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 8/31/2015 JB 11:59 8/31/2015 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 Bellows Mechanical, Inc. PHONE NO. j/"'4' Lal2 n � MAIL ADDRESS: CONTRACTOR/PROFESSIONAL ' MAILING ADDRESS'J Bellows Mechanical, Inc. 7876 Grimes Canyon Rd PHONE NO. (805)910-6868 FAX NO. Moorpark, CA 93021 EMAIL ADDRESS: License No. 568001 Type: C36 Expires: 10/31/2015 12:0( TENANT MAILING ADDRESS Pandora PHONE NO. FAX NO. DESCRIPTION PLUMBING FIXTURES FOR T.I. (PANDORA) Construction Type UOM #of Units Value Construction Type UOM #of Units Value OCCUPANCY: Tenant Improve TOTAL VALUATION: $0.00 QTV UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 Flat Plmbg Issue A 44.35 44.35 01-3105 1.00 each Water Closet 12.46 12.46 01-3105 1.00 each Lavatories 12.46 12.46 01-3105 100 each Kitchen sinks 12.46 12.46 01-3105 1.00 each Floor drain 12.46 12.46 01-3105 2.00 each Wtr htr/vent 31.10 31.10 01-3105 1.00 Fixtures Plmbg fixture 12.46 12.46 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $138.75 Balance Due: $0.00 Paid Today: $138.75 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Kecelpt fi: 1 IUL4U 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 137.75 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 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) OF A'e. GPLIFORAgi V PERMIT/PLAN REVIEW APPLICATION 44, Development Services Department,240 West Huntington Drive,Post Office Box 60021 • 0%..„oi'' 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. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class C-36 License No.6-6./ Exp. Date/0-Y"' 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 ECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section 0 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 4130 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 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 a/LIcJ- 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, 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. 0 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). 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 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 At/7 A /-2- 674'.4.--5-- Title 194-e'S/tPl-9 W— 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 I"—..7/4— _j a" Development Services Department ■5t 240 West Huntington Drive,Post Office Box 60021 c.7rirer.. Arcadia, CA 91066-6021 PERMIT NO. B00-051-295 City of (626) 574-5416,Fax(626)447-9173 Arcadi a Permit Type: Sign PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 8/26/2015 CM 14:31 8/26/2015 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#: CHRS Los Angeles, CA 90025- EMAIL ADDRESS: Plan#: IN FILE APPLICANT MAILING ADDRESS Mall Sign Service PHONE NO. cO rYr oll�D EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADD �J Mall Sign Service 12439 Magnolia Boulevard Ste 113 PHONE NO. (818)764-1909 FAX NO. N. Hollywood,CA 91607 EMAIL ADDRESS: License No. 811074 Type: C45 Expires: 7/31/2016 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION NEW ILLUMINATED SIGN FOR PANDORA Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 1,500.00 $1,500.00 4`- ;-:,/, c 9 -3 cs-- OCCUPANCY: TOTAL Sign $1,500.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT Sign plan rev 46.28 01-3103 1.00 Flat Bldg Issue Auto 44.35 01-3104 each Bldg permit 82.65 01-3104 1.00 Flat Eke issue 44.35 01-3105 1.00 branch cir.Signs elec 59.17 01-3105 1.00 each Sign Connection 15.55 01-3105 1.00 Flat SWMF 2 1.00 88-3027 1.00 each SWMF 2 Auto 1.00 88-3027 • Total Fees: $294.35 Balance Due: $294.35 Paid Today Receipt tf: I IUhUb This permit/plan review expires by time limitation and becomes null and void if the work authorized by 01-3103 46.28 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days fi 01-3104 127.00 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this per 01-3105 119.07 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a Cit' 88-3027 2.00 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 e 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 I (Closed on alternate Fridays) of AR I' PERMIT/PLAN REVIEW APPLICATION 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 fu 1 force and effect. °7 ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class � , License No 11074 Exp. Datel-31-'(7 compensation, as provided for by Section 3700 of the Labor Code, for the performance . the work for which this permit is issued. Signature of Contractor I�✓�� OWNER-BUILDER DECLARATION /►o- ave 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.Myrkers'co nsation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier ---`I �ti Al 0 demolish,or repair any structure,prior to its issuance,also required the applicant 6 Z7 S 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 Q 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, 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. ,/� -�j� Name 1`E ( C-, Title ��L' — PR T 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. / Date 8 -26 1 J Signature =���i1tr��t .4 17-- Cr) ncn = * -I _ ro'm ��m 0.11 1 �on D * 13i* OO � lol�l wi p -� mmcnm � 5, .ii i i I�) Zg -1 = 0 2" r I — L m rzDD - > zvz t— ':_? < Ir..,_ ' Z � nm .,,,..> DpDmm _ cv, 10 — _ r m c == Z v m CD mx I I DP p' .. 1 –1 y�" �0� C� Ir v , , -,\ `, -1 2 m A T N N 0" AO >2 tN 22 �Ct' O r 4e ! �/r s.T m C.Z'^ y .4. Lc-D. .w U? 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D D z SIIMIPIIIIRIMIIIIIIIIIIIIIIIIIIIIIe 4 4:4.. ., Development Services Department j,l240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 PERMIT NO. $00_051-267 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 8/25/2015 CM 15:51 9/1/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave #216 T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 15-537 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Allready Fire t o. 0 Cara� aDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Allready Fire Sprinkler Co. 818 N Grand Av PHONE NO. (626)913-6720 FAX NO. Covina, CA 91723 EMAIL ADDRESS: License No. 358795 Type: C16 Expires: 7/31/2015 12:00: TENANT MAILING ADDRESS Pandora PHONE NO. FAX NO. DESCRIPTION SPRINKS FOR PANDORA Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 1,000.00 $1,000.00 OCCUPANCY: Fire Sprink/AIm TOTAL VALUATION: $1,000.00 QTY EOM DESC AMT AMT PAID ACCT QTY EOM DESC AMT AMT PAID ACCT 10.00 each sprinklerpck 245.00 245.00 01-3109 1.00 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 Receipt If: I IUL66 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3109 245.00 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 106.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 88-3027 1.00 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) •F ARC. GPI.IFOR4.1q °• �� PERMIT/PLAN REVIEW APPLICATION ii: ii.thk. r-,. Box 60021 t *, Development Services Department,240 West Huntington Drive,Post Office `' 4,,,,,,,,"' �� Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia JQICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION CrI hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions C e,a d my license is in ful fo ce ect. 1r-ill-to/ ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No.rExp. 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 OWNER-BUILDERCL ATIO ❑ 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.M worke oWpeenssaLJon insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier Y Y ��I demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 53 alp )+l for such permit to file a signed statement that he or she is licensed pursuant to the 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 ose provisions. compensation,will do the work,and the structure is not intended or offered for llu2-4.'et sale(Section 7044,Business and Professions Code:The Contractors License Date Signatu 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. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a 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 AM)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 Gi�f Title 6 _" 1' PRINT NAM. 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 .t::: /1 .,.C11‘-'2"CA'''"( Date Tr 01 at^tt4" \ Development Services Department 240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO. B00_051-283 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 8/26/2015 JB 15:27 9/3/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave #B-4 T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 15-542 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS B.E.C. PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Building Electronic Controls Inc. 2246 Lindsay V►ay1 c�U,VI���� NE NO. FAX NO. Glendora, CA 91740 �� ADDRESS: License No. 729905 Type: C Expires: 11/30/2015 12:01 TENANT MAILING ADDRESS Pandora PHONE NO. FAX NO. DESCRIPTION FIRE ALARMS FOR TENANT IMPROVEMENT Construction Type UOM Hof Units Value Construction Type UOM #of Units Value Value Value 4,460.00 $4,460.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $4,460.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 153.75 153.75 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $199.10 Balance Due: $0.00 Paid Today: $199.10 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Recdpt#. l lOz92 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3112 198.10 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 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. ci. (Closed on alternate Fridays) mow. •FA•O °� 11116 7, PERMIT/PLAN REVIEW APPLICATION iii rio J j 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(commenci . ith S- ion 7000,of Division 3 of the Business and Professions Code,a,■ my 1' ense is in full for.• . . effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class ' = License,No'1� cke ' Exp. Date U• • i - compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor k )■yL_NI' t OWNER-BUILDER DECLARATION ift ave 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 Contractor is issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions Code.Any city or county which requires a permit to construct,alter,improve, Carrier -Iv sr-LCl^ r,c c• ,-. -1--t'-.S demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number V1C 0.0 4l I 0% for such permit to file a signed statement that he or she is licensed pursuant to the 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. e work for which this .-rmit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in . manner so as to become .ub -ct to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of Cal''ornia,and a: -e a : if I shou i. bect e subject to the workers'compensation .rovisions of ection '00 oft e La.or Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with ose provisions compensation,will do the work,and the structure is not intended or offered for \j� Si na a'V ' ;■— sale(Section 7044,Business and Professions Code:The Contractors License Date Cl 3 ' g Law does not apply to an owner of property who builds or improves thereon, a 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 CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a 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). ❑ 1 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 `— —EM- +r Title ZIEWRIIIMAgr - PRINT NAME I certi that I ave read this applicatio and at that the above information is correct and that I am the owner or duly authorized agent of the owner. I al,•e to co ply with all City ordin nces a State Laws relating to building construction. I hereby authorize representatives of the City of Ar•:dia to •nt•r upon the gbove-menti ned prop ty for inspection purposes. Signature ` 1 \ l...,... I.C.). S.— Date ' 4 O1 V A 9A %il it A Aaryrt rt 5,1fq Oo`., '/`e 4,4aity of�o MEMORANDUM Fire Department DATE: October 7, 2015 TO: BUILDING DEPARTMENT ATTN: INSPECTOR Chris Ingram FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue, B4 (Pandora) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 9-25-2015 Jill Perumean FIRE ALARMS 9-24-2015 Jill Perumean TANKS HOOD & DUCT KNOX BOX OCCUPANCY 9-29-2015 Jill Perumean COMMENTS: Emailed Bldg. Dept. 9-30-2015 RC ..11.11.. .........._........ t INNOVATIVE Special Inspector's Daily Report INSPECTION SERVICES,INC 1204 W.Gardena Blvd.Suite B-Gardena,CA 90247 Phone(31 O]493-1072 Fax(310]817-5153 Job Address City 400 S. Baldwin Ave. Space B4 Arcadia Job Name Pandora Permit No. Issued By Arcadia B00-049-997 Type of Structure Architect Material Description(type,grade,source) Engineer Simpson SET-XP and ET-HP Contractor Shrader& Martinez Construction Inspectors)Name Christopher Klunk (310)951-5095 Subcontractor Melroy Co. Type of work Concrete/Rebar Masonry Welding Fire Proofing Epoxy Prestressed other inspected: Concrete TESTS PERFORMED Type of Sample Slump Quantity in Set Additional Remarks on Samples Inspection Summary—Locations of work inspected,test samples taken,work rejected,job problems, progress,remarks,etc. includes information about -amounts of material placed or work performed, number,type&ident. No's of test samples taken: Struct. Connections(weld made H.T bolts torqued)checked,etc. 1)Performed visual inspection of epoxy and dowel placement for 76 pieces of#4 dowel with 4 inches minimum embedment in to existing slab for slab on grade trench infills. a)Holes cleaned prior to placement. b)All placement as per approved construction documents and manufacturer's instructions. Date 09/02/15 Certification of Compliance Continued on Next Page ❑ Page Of I hereby certify that I have observed to the best of my knowledge all of the above reported work unless otherwise noted.I have found this work to Time In Time Out Hou O.T.Hours Cylinders comply with the approved plans,spec tions,and applicable sections of the governinggbuildi is 6:00 am 8:00 am 4 All inspections based on a minimum of 4 hours and over 4 hours—8 Signature of Registered Inspector hours minimum. Over 8 hours charged at overtime rate per hour. Saturdays charged at overtime rate.Sundays charged at doubletime RC/DIA P021221 LA City rate. 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Ir�� o-d f li-r ''MMinl►. ,.. fA ' 7 i ' oN oZ e. ° Z i � S e.7c j j "p z j ,a cri -7 omostoft,c r_ Daily Inspection Report • Date: Start: Stop: SE Job# N/A Project Santa Anita Mall 08/12/a 11am 12p13 ailed Juretdietion:1 es0 City Of Arcadia Job Pandora Store Spoke To: Junsdichon Permit# 1300-050-793__ Location 400 S. Baldwin Ave. Arcadia, CA. Call Center Page 1/1 Ell Concrete Fireproofing Masonry Steel Field El Steel Shop izj Other Decertptoot of Work Inspected I Verified that plans were wet stamped and approved. Verified all holes drilled were cleaned and brushed. Measured all holes depth to be between 4.5" - 5". #4 rebars used @ 20"0/C each side of saw-cut slab. Observed epoxy used, a Simpson epoxy SET-XP. All work observed were as best to my knowledge, from what I observed on the approved plans. tifk Not to f omptianre The work ci2 W AS 0 WAS NO insnemed