HomeMy WebLinkAboutB00-048-937 e Development Services Department
240 West Huntington Drive, Post Office Box 60021 PERMIT NO B00_048_937
Arcadia, CA 91066-6021
City of (626) 574-5416,Fax(626)447-9173
Arcadia Permit Type: Tenant Improve wiener&
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
1/15/2015 JB 7:52 9/22/2015 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave #T-14 T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 15-24
Los Angeles, CA 90025- EMAIL ADDRESS:
Plan#: 31723
APPLICANT MAILING ADDRESS
Triad Retail Construction, Inc. PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Triad Retail Construction, Inc. 2206 Oday Rd PHONE NO. (281)485-4700 FAX NO.
Pearland,TX 77581 EMAIL ADDRESS:
License No. 975700 Type: B Expires: 8/31/2016 12:00:
TENANT MAILING ADDRESS
Shoe Palace PHONE NO. FAX NO.
,
DESCRIPTION
TENANT IMPROVEMENT
Construction Type UOM #of Units Value Construction Type UOM 8 of Units Value
Value Value 105,000.00 $105,000.00
si <a
v i
a1
OCCUPANCY: Tenant Improve TOTAL VALUATION: $105,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 818.03 818.03 01-3103
each Energy p/c fee 276.87 276.87 01-3103
PC ADA 122.70 122.70 01-3103
PC Cal Green 81.80 81.80 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 1,258.50 1,258.50 01-3104
Bldg Issue ADA 125.85 125.85 01-3104
1.00 flat Elec issue 44.35 44.35 01-3105
40.00 each Outlets 48.00 48.00 01-3105
81 00 each Ltg fixtures 89.00 89.00 01-3105
100 each Misc elec 15.55 15.55 01-3105
I.00 each T I.Fire Pkc 245.00 245.00 01-3109
SMIP Corn 29.40 29.40 14-2207
gm bldg std 5.00 5.00 714-2203
1.00 Flat SWMF Auto 6.25 6.25 88-3027
1.00 Flat SWMF 2 1.00 1.00 88-3027
Total Fees: $3,211.65 Balance Due: $0.00 Paid Today: $1,667.25
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt N: 110445
1,428.70
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 5
-2
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 1 1 196.90
14-2207 29.40
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 5.00
Arcadia building inspector for a period of 180 consecutive days. 88-3027 7.25
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)
•
of ARC
• Grt,POgy��1,
�' 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 nd
Professions Co jnd my license is in full force and effect. /'- ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class +�" icense NoT 7J / Exp. Dater) 31 KO 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 D CLARATIO [ 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 worke 'al ensatilminsur�ce carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier /?t
demolish,or repair any structure,prior to its issuance,also required the applicant ( �,�T/1/
—° �{
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number��o ��
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 4th ,�'�"�,t,l /qa.vsale(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 Title C0ihcdDY
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 EIANA4 4,-7 Date 9).34)5
4
bac) - Q c13 ?
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. ��- ‘2.1/11...6( /�n n 1�
100. Setbacks 210. Under flr./bldg.drain �^f--
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 19. Final gas
110. Framing ((-2-1s � 20. Fixtures
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. 242. Rough plumbing
117. Drywall nailing ((-2-lt 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test _
121. Final building 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 71. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E•it.bonding Sign Inspections I Date Insp.
-
160. Service panel 280. Setback/overhang
161. Final electric 281. Footing
282. Conduit/wiring
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC /(-3- 1 11 A 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 I Insp.
191. Final mechanical U,23-14- Ar 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
96
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Development Services Department
ii 240 West Huntington Drive,Post Office Box 60021
`` Arcadia, CA 91066-6021 PERMIT NO. BOO-051-772
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
10/15/2015 CM 12:43 10/22/2015 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#: 15-677
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 Way PHONE NO. FAX NO.
Glendora,CA 91740 EMAIL ADDRESS:
License No. 729905 Type: C Expires: 11/30/2015 12:01
TENANT MAILING ADDRESS
Shoe Palace PHONE NO. FAX NO.
DESCRIPTION
FIRE ALARMS FOR TENANT IMPROVEMENT
Construction Type UOM N of Units Value Construction Type UOM N of Units Value
Value Value 5,820.00 $5,820.00
0 . . ,,
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $5,820.00
QTY UOM DESC AMT AMT PAID ACCT QTY [TOM DESC AMT AMT PAID ACCT
13.00 each fire alarm pc 2 612.50 612.50 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 170.45 170.45 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $828.30 Balance Due: $0.00 Paid Today: $828.30
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the ReLclpt 14. 110E22
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 612.50
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 214.80
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)
v,4 oFF R"'c9
Ot Si: (7 PERMIT/PLAN REVIEW APPLICATION
0,1.4 774
to*. Development Services Department, 240 West Huntington Drive,Post Office Box 60021
of 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 •
N CZ—Exp. Date 1t/22, v. compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor �► V performance of the work for which this permit is issued.
OWNER-BUILDER D CLARATIONC�� • 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. workers'f'compensation insurance carrier and po'cy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier UC' 1_ ,C(')'(\Ct vk •
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 \CC\ 0'2\ \\O Z--
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 \(42,-7,1 6 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 1�\iIlaCkl` da3fv3\�tvfh Title -tw\ c- /6
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-men •• ed property for inspection purposes.
`
Signature •....�.∎\ � 11A 1,.�.t_�_.1 A Date `,Q11/2■/
i vi Development Services Department
240 West Huntington Drive,Post Office Box 60021 $0�-052-171
~ Arcadia,CA 91066-6021 PERMIT NO.
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
11/23/2015 CM 15:47 11/23/2015 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave #T-14 T-387
OWNER MAILING ADDRESS
Westfield Corporation,Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO.
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Triad Retail Construction,Inc. PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Triad Retail Construction,Inc. 2206 Oday Rd PHONE NO. (281)485-4700 FAX NO.
Pearland,TX 77581 EMAIL ADDRESS:
License No. 975700 Type: B Expires: 8/31/2016 12:00:
TENANT MAILING ADDRESS
Shoe Palace PHONE NO. FAX NO.
DESCRIPTION
DUCT WORK IN TENANT IMPROVEMENT
Construction Type UOM N of Units Value Coustru on Type UOM N of Units Value
51 4.,,- - , ' ,, ,,
�W
1
OCCUPANCY: Tenant Improve TOTAL VALUATION: $0.00
QTY 1.1OM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 Flat Mech Issue Auto 44.35 44.35 01-3105
1.00 Flat Add/Alter Ducts 9.38 9.38 01-3105
I.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $54.73 Balance Due: $0.00 Paid Today: $54.73
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 111203
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 53.73
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)
C. oF'11' R
PO ',9 r
. v PERMIT/PLAN REVIEW APPLICATION
o 4s k• 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
0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Cod nd my license is in full force and effect. f� ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class Lit se I� ��(� Exp. Dat J / compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor �t 1♦lk performance of the work for which this permit is issued.
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 I 1123i f 144 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 Title Ccn_Ic2xro(
RINT AME
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' .above-mentioned pr•perty for inspection purposes.
Signature 4' 1 trite ' Date ) 112 3)15'
4t Development Services Department
240 West Huntington Drive Post Office Box 60021
PERMIT NO B00-052-117
Arcadia, CA 91066-6021
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
11/17/2015 CM 13:08 11/17/2015 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. Inspector#: CRIS
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Mr. Build Home Improvement PHONE NO.
,
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Mr. Build Home Improvement 8391 Beverly Boulevard#340 PHONE NO. (888)792-8453 FAX NO.
Los Angeles,CA 90048 EMAIL ADDRESS:
License No. 439166 Type: B Expires: 2/29/2016 12:00:
TENANT MAILING ADDRESS
Shoe Palace PHONE NO. FAX NO.
DESCRIPTION
ELECTRICAL FOR SHOE PALACE
,
Construction Type UOM #of Units Val . Type 4$. --
struct,On � #t��M q of Units Value
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
I.00 flat Elec Issue Auto 44.35 44.35 01-3105
1.00 each Distil)panel 15.55 15.55 01-3105
40.00 each Outlets 48.00 48.00 01-3105
200.00 each Ltg fixtures 208.00 208.00 01-3105
I.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $316.90 Balance Due: $0.00 Paid Today: $316.90
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt U: 111125
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 315.90
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)
pF ARC.
LPUFOR.y,q
'4 ; v PERMIT/PLAN REVIEW APPLICATION
0 o 4,.. 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
0 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,pand my license is in full forcc,1and effect. ,/ I have and will maintain a certificate of consent to self-insure for workers'
License Class C 10 Lice e No. , L `�G Exp. Date 21 (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 z.--,--�`–'-
OWNER-BUILDER DECLARATION , I have and will maintain workers'compensation insurance,as required by Section
O I hereby affirm under penalty of perjury that I am exempt from the Contractors p 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 (VI 2/ 1 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.
rIONT Name Y0 Lt.n t /9 5 („--( ,,`lk Title oV 9 z/
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.
v/ t)
Signature •--- G.--- Date
,e,14: Development Services Depa]talent
240 West Huntington Drive, Post Office Box 60021
Arcadia, CA 91066-6021 PERMIT NO $QQ-051-998
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
11/4/2015 CM 9:51 11/4/2015 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.
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING.ADDRESS
Castillo Building PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Castillos Building And Plumbing Co 8903 S Denker Ave PHONE NO. (213)494-7731 FAX NO.
Los Angeles,CA 90047 EMAIL ADDRESS:
License No. 882274 Type: B Expires: 8/31/2016 12:00:
TENANT MAILING.ADDRESS
Shoe Palace PHONE NO. FAX NO.
f
DESCRIPTION
REPLACE WATER CLOSET CAP OFF LAV,FLOOR DRAIN AND ADD INSTANT HOT-REPLACE ONE PUMP WITH SMALL MOTOR
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
1_
s
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 flat Elec issue 44.35 44.35 01-3105
1.00 Flat Plmbg issuance 44.35 44.35 01-3105
1.00 Flat Elec Issue Supp 15.50 15.50 01-3105
1.00 each Water Closet 12.46 12.46 01-3105
1.00 each Power 1 hp 7.62 7.62 01-3105
1.00 Fixtures Plmbg fixture 12.46 12.46 01-3105
1.00 Flat SWMF 2 1.00 1.00 88-3027
(� 6 04/764(4400/4 d , Rrsvla Pt Pc_c_rei ae.-cG,
7/4";/-
Total Fees: $137.74 Balance Due: $0.00 Paid Today: $137.74
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the xecetpt P: I IU9S
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 136.74
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 o
ne(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)
OFp �9 ,
1 PERMIT/PLAN REVIEW APPLICATION
afa
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.v/r-779 f �1 Exp. Date 'D'/r • compensation, as provided for by Section 3700 of the Labor Code, for the
D
•/ ,,f f Performance of the work for which this permit is issued.
Signature of Contractor Y !1 �
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
Code. carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier Si c)- C F U y( d
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 �!,/f p
?- COO .461s-0
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(l)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 a _. Title Q up We R.—.•
PRINT N M
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 uon the above-mentioned property for inspection purposes. r
Signature er,-
[I/l d) r l�-0 �5 1/70 Date / (.5" •
1,. ..g,-, Development Services Department
240 West Huntington Drive, Post Office Box 60021
'ter'':7 PERMIT NO BOO-051=911
i Arcadia, CA 91066-6021
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
10/26/2015 CM 16:51 10/26/2015 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#: FIRE
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING'ADDRESS
H.C.I. PHONE NO.
EMAIL ADDRESS:
,
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
909 NO.
H.C.I. Systems 1354 S Parkside Place PHONE (909)628-7773 FAX NO.
Ontario,CA 91761 EMAIL ADDRESS:
License No. 905493 Type: C-16 Expires: 2/29/2016 12:00:
TENANT MAILING ADDRESS
Shoe Palace PHONE NO. FAX NO.
f
DESCRIPTION
FIRE SPRINKS FOR TI-SHOE PALACE-36 HEADS
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Value Value 12,204.00 $12,204.00
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $12,204.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
36.00 each sprinkler pck 612.50 612.50 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 287.35 287.35 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $945.20 Balance Due: $0.00 Paid Today: $945.20
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 110876
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 612.50
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 331.70
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)
ov ARC
`,�,,Af oN.y q'9t,
�' PERMIT/PLAN REVIEW APPLICATION
0 -;' 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 ClasC—t Le se Diji6I '3 Exp. Dat� compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contrac;y�/+� i ,
performance of the work for which this permit is issued.
OWNER-BUILDER DECL, ' ,TION ❑ 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 la.4t,cal 01.1 Q\S k_ l'NOIJN..,X n 1 \)•-'S .
demolish,or repair any structure,prior to its issuance,also required the applicant 1 1 a°0�`AG
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number W
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 124 2-i /- .<2-14.1_10' Title rsF' r 1 O 14> W‘ 3A.L,ne. �_
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 • h all Cit/ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to ente ••n the . /, -mentions• . : .erty for inspection purposes.
. /AO.
SignaOLLl" Date in( �/J—