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HomeMy WebLinkAboutT.I. 2015 Y "° Development Services Department 240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO B00-051-484 City of( 626) 574-5416,Fax(626)447-9173 Arcadia Permit Type: Tenant Improve wienerg; PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 9/17/2015 SC 9:34 10/15/2015 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#: 15-596 APPLICANT MAILING ADDRESS Roland Construction Service PHONE NO. School Dist#: 31753 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Roland Construction Service 1226 W Maxzim Ave PHONE NO. (714)720-9611 FAX NO. (714)628-0778 Fullerton,CA 92833 EMAIL ADDRESS: License No. 845321 Type: B Expires: 8/31/2016 12:00: TENANT MAILING ADDRESS Popbar PHONE NO. FAX NO. , DESCRIPTION TI FOR NEW RESTAURANT-POPBAR-SPACE T-62 Construction Type UOM #of Units Value Construction Type ^, UOM #of Units Value - Value Value 23,000.00 $23,000.00 s`1O 1,0 RAtA-e._ /2,-2.3 -t 5" / OCCUPANCY: Restaurants TOTAL VALUATION: $23,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 295.33 295.33 01-3103 each Energy p/c fee 99.96 99.96 01-3103 PC ADA 44.30 44.30 01-3103 PC Cal Green 29.53 29.53 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 454.35 454.35 01-3104 Bldg Issue ADA 45.44 45.44 01-3104 1.00 each T.I.Fire Pkc 245.00 245.00 01-3109 SMIP Corn 6.44 6.44 14-2207 gin bldg std 1.00 1.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $1,271.95 Balance Due: $0.00 Paid Today: $631.66 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Rcs,.irl N. 110738 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3103 73.83 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 544.14 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 6.00 71 0273 .25 Arcadia building inspector for a period of 180 consecutive days. 88-3027 6 027 6.25 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m. to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) GrI.IFORNI99d ' PERMIT/PLAN REVIEW APPLICATION "4 Box 60021 Development Services Department,240 West Huntington Drive,Post Office Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of 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 AM) 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 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 ti NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under fir./bldg.drain _ 101. Rough grade 211. Copper underslab 102. Figs.&forms 212. Rough plumbing 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing 219. Final gas 110. Framing 11-3445 Y 220. Fixtures 111. 0cc./Area Sept.Wall 'r(/ 221. Final plumbing �t- /-�5 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-Flr. Pool Inspections Date Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 11 1kJ /' 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 12-25-6- 246. Fence,gates&signs 122. Final demo/lot clear ��I��' ��` 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final plumbing 150. Power pole 250. Pool cover _ 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical l I-3-13' n- 272. Sheathing nailing 157. Fixtures (� 273. Final reroof 158. G.F.C.I. 159. E..t.bondin. Sign Inspections I Date Insp. 160. Service panel _ 0. Setback/overhang 161. Final electric I e41-1f 281. Footing 282. Conduit/wiring Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC Miscellaneous Insp. I Date 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 12-21-IS , 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 A X11 ,*. 111l t , 11 !f l Al_ ; 1l ; _ 1i t' 4 ' of 11/ 0 y O O "o,, ..,, E.A A a , L. y w aro 4 fl Ct A 2 a d 'y n G7 0 A e .)) al IT. 2 iii S4 O a coo o • C 0 H C g M )1'w Ng tv C70 y d �.., < a Q L a ►b < ado w _- ( .0 O .y .s rr C N a sD V S'!v oho / # !.a, )11 ' © ( / ' )1. s, \ W A i V ice, 4 451 Oh GIII C ii °E. c 0 1 r E. ti*, is- - 0 )1•4 �' L" '� ~r9" n Pall fl *'.\C.- ' 4 fg LQ 1, 5' r ,010) cn 0 ) , ( .1.11 E a ati„. �; 'Vial `_ 1 ;rr - . v _ - �J 11 'wit ,� 1 r_ l� t Ill •FAR 0,1FO .' N4aity MEMORANDUM Fire Department DATE: December 24, 2015 TO: BUILDING DEPARTMENT INSPECTOR Chris Ingram FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue, T62 (Popbar) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 12-22-2015 Lili Huang FIRE ALARMS 12-17-2015 Jill Perumean TANKS HOOD & DUCT KNOX BOX OCCUPANCY 12-22-2015 Lili Huang COMMENTS: Emailed Bldg. Dept. 12-24-2015 RC c iDevelopment Services Department 240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO. BOO-052_318 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 12/10/2015 CM 12:28 12/10/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLO 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 Roland Construction Service PHONE NO. , EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Roland Construction Service 1226 W Maxzim Ave PHONE NO. (714)720-9611 FAX NO. (714)628-0778 Fullerton,CA 92833 EMAIL ADDRESS: License No. 845321 Type: B Expires: 8/31/2016 12:00: TENANT MAILING ADDRESS Popbar PHONE NO. FAX NO. DESCRIPTION SPLIT SYSTEM FOR TENANT IMPROVEMENT Construction Type UOM #of Units Value Construction Type 1 Units Value riia.4L /2-23-1$ OCCUPANCY: Restaurants TOTAL VALUATION: $0.00 QTY UOM 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 each Furn<100,000btu 18.74 18.74 01-3105 1.00 each Comp 3 hp 18.74 18.74 01-3105 1.00 each SWMF 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 n: 111355 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) v~�OFFORC9T7 PERMIT/PLAN REVIEW APPLICATION 44 .• Development Services Department,240 West Huntington Drive,Post Office Box 60021 °'%.,„oak'''' Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 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 Busines and Professions Cod- d my license is in full force and effect. Q ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C. •cens- .o.ui I ∎ .s. Dates fk 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 Contracto ' -___A t.l. ` 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 is issued.My workers' License Law for the following reason(Section 7031.5,Business and Professions compensation insurance carrier and policy numbers are: ^o Code.Any city or county which requires a permit to construct,alter,improve, Carrier ST/�� L.3 0 C . demolish,or repair any structure,prior to its issuance,also required the applicant 2,'-7 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 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. j'� w Name QCtN�.o a t t"—L.. IJ Title L--C•tci va 1R.LN-U lZ 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 . corn• , 'th all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadi to ente/ •on the a ove-mentioned property for inspection purposes. Signatur: i� Date ) 2)1 oil c j Development Services Department 1 240 West Huntington Drive,Post Office Box 60021 •, Arcadia,CA 91066-6021 PERMIT NO. BOO-051_941 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 10/29/2015 CM 10:40 10/29/2015 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: APPLICANT MAILING ADDRESS Roland Construction PHONE NO. , EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Roland Construction Service 1226 W Maxzim Ave PHONE NO. (714)720-9611 FAX NO. (714)628-0778 Fullerton, CA 92833 EMAIL ADDRESS: License No. 845321 Type: B Expires: 8/31/2016 12:00: TENANT MAILING ADDRESS Popbar PHONE NO. FAX NO. DESCRIPTION ADD NEW SINK-POPBAR Construction Type UOM N of Units Value Construction Type UOM s - N of Units Value OG,,i_zep,, 1,c, ,.4(kG k2 23-as //k-7-" ''' OCCUPANCY: TOTAL VALUATION: $0.00 QTY 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 Kitchen sinks 12.46 12.46 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $57.81 Balance Due: $0.00 Paid Today: $57.81 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt Ff: 1111511.5 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 56.81 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. (f/- __---- 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) Od9 PERMIT/PLAN REVIEW APPLICATION ti. Development Services Department,240 West Huntington Drive, Post Office Box 60021 y 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 Licen °`/// c3 2 Exp. Date__ compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier sr/\Ti FCC p demolish,or repair any structure,prior to its issuance,also required the applicant 83? 7 7 — �'�/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 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 `D�v 's IQG, Title GL–.S...ILA fcL 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 co I. • with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to .nter up on bove-mentioned property for inspection purposes. L O l /Lc- Signature Date / 2 9 e" Development Services Department 240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO B00-051-932 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 10/29/2015 JB 7:58 10/29/2015 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 Alpha Electric PHONE NO. , EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Alpha Electric 9479 Ellis Ave PHONE NO. (714)493-9920 FAX NO. Fountain Valley, CA 92708 EMAIL ADDRESS: License No. 961072 Type: C10 Expires: 6/30/2017 12:00: TENANT MAILING ADDRESS Popbar PHONE NO. FAX NO. DESCRIPTION ELECTRICAL FOR POPBAR Construction Type UOM #of Units Value Construction Type UOM #of Units Value .../660;„LAA,i7 D OCCUPANCY: Tenant Improve 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 4.00 each Outlets 6.16 6.16 01-3105 20.00 each Ltg fixtures 30.80 30.80 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $82.31 Balance Due: $0.00 Paid Today: $82.31 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the rcecelpt g: I IDYUS 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 81.31 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) •F AR �q 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 ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Cod and my license is in .1 force and Meet. �/31 J ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class ice�.=No IE.J`i l7L Exp. Dat 17 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 LARATION I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My worker gm m ensatioon ns rape er and policy numbers are: Code.Any city or county which requires a permit to construct,alter, improve, Carrier OIDI I J t l demolish,or repair any structure,prior to its issuance,also required the applicant A9 W C 5 T o 8 / esC 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 n(1I I sale(Section 7044,Business and Professions Code:The Contractors License Date`(O L.9) 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 ,I it . ^ I Title W.1rri.-JreT P'I 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. ISignature Date I )15 Development Services Department 51 240 West Huntington Drive,Post Office Box 60021 ,,. Arcadia,CA 91066-6021 PERMIT NO. $QD_QSj_S95 City of (626) 574-5416, Fax(626)447-9173 Arcadia Permit Type: Comm Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 9/29/2015 JB 10:07 9/29/2015 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 Roland Construction Service PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Roland Construction Service 1226 W Maxzim Ave PHONE NO. (714)720-9611 FAX NO. (714)628-0778 Fullerton,CA 92833 EMAIL ADDRESS: License No. 845321 Type: B Expires: 8/31/2016 12:00: TENANT MAILING ADDRESS Pop Bar PHONE NO. FAX NO. DESCRIPTION DEMOLISH INTERIOR SPACE IN PREPARATION FOR NEW TENANT IMPROVEMENT Construction Type UOM #of Units Value Construction Type J,IOM N of Units Value Value Value 6,000.00 $6,000.00 `..P GuGG ,O, /-1 e-c. i Z—Z.3 iS 0 OCCUPANCY: Tenant Improve TOTAL VALUATION: $6,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 170.45 170.45 01-3104 Bldg Issue ADA 17.05 17.05 01-3104 SMIP Com 1.68 1.68 14-2207 gm bldg std 1.00 1.00 714-2203 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 1.00 Flat SWMF Auto 6,25 6,25 88-3027 Total Fees: $241.78 Balance Due: $0.00 Paid Today: $241.78 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Rccelpt#: 110544 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 231.85 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 1.68 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 1.00 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) Oh4OFF wvC• Ih7 PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive,Post Office Box 60021 .,„,„of V Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and m license is in full force and effect. I have and will maintain a certificate of consent to self-insure for workers' License Class l� se S3 Exp. Datets/3✓4 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 [a I have and will maintain workers'compensation insurance,as required by Section El 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 worppkers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier STl'v u F O M demolish,or repair any structure,prior to its issuance,also required the applicant 91 f J �7 --2-C for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 32_7 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 o _- tion 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 provisi� compensation,will do the work,and the structure is not intended or offered for Z9. / sale(Section 7044,Business and Professions Code:The Contractors License Date /9 ( 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 20lr\�,il �v:t-rmPo Title Cc\ca)2,_E.-I — `6■AN—'_Y3CA-012-- 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 omp with all Cit ordina s and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia t enter u!on the a S en ' roperty for inspection purposes. • Signature Date i f`' Development Services Department 240 West Huntington Drive, Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO. BOO-051-381 city y of Arcadia (626) 574-5416,Fax(626)447-9173 Permit Type: Fire PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 9/8/2015 JB 8:11 9/21/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-62 T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 15-566 Los Angeles, CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS T.R.L. Systems PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS T.R.L. Systems 9531 Milliken Avenue PHONE NO. (909)456-2651 FAX NO. Rancho Cucamonga, CA 91730 EMAIL ADDRESS: License No. 413747 Type: C-10 Expires: 11/30/2015 12:01 TENANT MAILING ADDRESS Popbar PHONE NO. FAX NO. DESCRIPTION FIRE ALARMS FOR POPBAR Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 2,100.00 $2,100 00 N..._ 6,' k die, 0 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $2,100.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 4.00 each fire alarm pc 2 245.00 245.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 120.35 120.35 01-3112 100 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $410.70 Balance Due: $0.00 Paid Today: $410.70 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the R...tiNt#. 110415 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 1 64.70 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. (..-(i...i (Closed on alternate Fridays) 4.�FMO R,C9d ca rom ' PERMIT/PLAN REVIEW APPLICATION Mal RisiiihO till to*, Development Services Department,240 West Huntington Drive, Post Office Box 60021 ' y `- Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia 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 C:::(1=> Licen e No. — Exp. Date \\ t\' 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 Contract. .- _ __�"— i OWNER-BUILDER DEC ARATI 1 N Q 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'comyen ation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier C.. —•••— c«'-"k`k \'..SoJ • C demolish,or repair any structure,prior to its issuance,also required the applicant Policy _� for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 37 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). 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 f*w r 1 c,.lt-- Title c/ 0,4-�.-..`',-/a ). cr PRINT NA E 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 th• love-11•,tioned property for inspection purposes. Signature Ir�r►- Date / IF 4r?, `� Development Services Department � 240 West Huntington Drive, Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO. $QO_051_$10 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 10/20/2015 CM 9:50 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. Los Angeles, CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Allready Fire Sprinkler PHONE NO. , EMAIL ADDRESS: 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 Popbar PHONE NO. FAX NO. DESCRIPTION 1.'4 FIRE SPRINLKS FOR TENANT IMPROVEMENT �C���� Construction Type UOM #of Units Value Construction Type UOM Of of r.. • D- Value Value Value 1,350.00 $1,350.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $1,350.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 4.00 each sprinkler pck 245.00 245.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 78.45 78.45 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 PAID OCT 2 6 2015 Shannon Huang-Treasurer Total Fees: $368.80 Balance Due: $0.00 Paid Today: $368.80 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 110860 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from o 1-3109 245.00 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 122.80 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) ▪O ARc PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive,Post Office Box 60021 o �- Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION cl 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 Copt a ll my license is in f f. 0 and effect. �J l '] ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class —1U icense Non 0 /41 Exp. Dates j1 / 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 ❑ 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 worker(s''compensation i s an�(e carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier Eve Iee` -` demolish,or repair any structure,prior to its issuance,also required the applicant (-�.-�-�J� 3 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 L� 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 act( 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 ) q )5 DATE AEDNS EHS INmALs: PLAN CHECK OFFICIAL INSPECTION REPORT CORRECTED: CTED: COUNTY OF LOS ANGELES.DEPARTMENT OF PUBLIC HEALTH ENVIRONMENTAL HEALTH OPERATOR INITIALS: fa RETAIL INSPECTION . WHOLESALE INSPECTION SECTION I: TYPE OF INSPECTION Preliminary Inspection 90-Day Evaluation 0 id 0 a Follow Up Inspection Equipment Evaluation 2 a \'- a " -A�f Final Inspection-NEW Revocation Evaluation o '` i- Final Inspection-REMODEL Other: w SECTION II: STATUS OF PERMIT l LICENSE . 2 APPROVED:The facility/establishment Is approved to operate pursuant to the following contingencies: co DENIED:The facility/establishment is NOT approved to operate.To obtain approval,the requirements needed are: is 1 . t ! t. ` 1s��� } F ,-rt t�+ .4l c inc t`)� , t 2� ,� t c �'-ter 0 co al z Q 0 0 CI Z U W L O Z ..� w r, 1 2 U .i u ti i w - 0 w 0 z_. Z0 = �_ :co ? v w EE Nm w.r o w C )n,3C J f t..,C.11-X. ,-a 6- . ell- CID C� -. --. G T w O. :61., , !-deCvJam, ,/4t4, is- I . .r00- ©s1--96-# N d N Submit 3 se l of detailed plans:See Construction Requirement Guidelines at www.Dublichealth.lacountv.clov/eh Zl Obtain local Building&Safety, Fire Department and other agency permits and approvals ill NI a3 SECTION III: LIMITS & RESTRICTIONS i�.. wI W rn Z s� w The approved facility/establishment may engage in the processes/activities marked below: D w . ..5 o Train Employees Use Multiservice Utensils - . 9 Stock Prepackaged/Non-Potentially Hazardous Foods Serve Alcoholic Beverages Stock Perishable/Potentially Hazardous Foods ��j{May NOT Serve Alcoholic Beverages For On-Site Consumption C Food Preparation f Food Demonstration 3 t W o 0 m I" ""• Food Preparation-LIMITED FOOD PREPARATION Wholesale Food Processing ?- v1 ET-3 -X `n w,,,s1„. 4 Food Preparation-NO COOKING PERMITTED Food Market,Wholesale z o Q I. r'w N ! 5 ; Food Market Retail,Prepackaged Foods Only Other: m-a°'o 0OP_ g o < 'a o! a a SECTION IV: FEES /ADMINISTRATIVE ACTIONS I a A fee in the amount of$ must be paid prior to the next field inspection. J , > i Z CLOSURE:Operating without final approval and/or without Public Health Permit OR License Q c^�., ^ ( Administrative Review/Office Hearing has been scheduled on: ,at a.m./p.m.(Provide Valid Photo Identification) W 0 C c _< C1 F,cU `' o, y� SECTION V: DISCLOSURES Qim-- 4y xl `n U t's-b It is a misdemeanor violation to begin operation without a valid Public Health permit/license.The Public Health permit/license will be limm ` p.4 O L) issued by the Plan Check Inspector at the job site following final inspection and approval by all applicable agencies.Remodeled areas of an existing food facility/establishment must obtain a final inspection and approval from all applicable enforcement agencies prior to use Z` U a �i' 9 tY P PP PP 9 P H Any future alteration,construction,building,renovation,repair,change of equint,change of the operation of a food facility/ 2 l'"4 O Z N o establishment or change of menu may require plans to be submitted to the Health Department Plan Check Program.Additional approvals Zw 0 ,c; may be required from other enforcement agencies. �•/ It is improper and illegal for any County officer,employee or inspector to solicit bribes,gifts or gratuities in connection with performing their official duties.Improper solicitations include requests for anything of value such as cash,discounts,free services,paid travel or © o ) entertainment,or tangible items such as food or beverages.Any attempt by a County employee to solicit bribes,gifts or gratuities for any IZ k IC E 0) reason should be reported immediately to either the County manager responsible for supervising the employee or the Fraud Hotline at _c (800) 544-6861 or www.lacountvfraud.orq.YOU MAY REMAIN ANONYMOUS Owl ° SEE REVERSE SIDE FOR ADDITIONAL CRITERIA Page 1 of H-3086 (1-09) CUSTOMER FLOOR FINISH INSTALLATION • CORRECT METHOD OF QUARRY!CERAMIC TILE FLOOR AND COVE EASE CORRECT METHOD OF INSTALLING THE S3619T INSTALLATION SLIMFOOT CERAMIC BASE ALUMINUM TOP CAP --.—_ II R_—__-1 DRAIN LINE SHEET VINYL ----- Mlnimwn S'upwall / V'AIR OAP W'MINIMUM RADIUS STICK COVE MOLDING COMMEMULSHEET VINYL INSTALLATKIN } , . ,. . "�4 FLOOR SINK AIR OAP LICENSES AND PERMITS: Public Health Permit: A separate fee is required for the Public Health Permit. A bill will be sent to the permit holder annually by the local County of Los Angeles Treasurer Tax collector's office. The fee is required to be paid to perform or carry on, conduct or engage in any food facility/establishment activity listed in Los Angeles County Code, Title 8, Section 8.04.720. State and Local Licenses and Permits: Contact the State of California and your local city hail regarding additional license and permit requirements. OPERATION OF YOUR FACILITY: z: Restrooms: Customers may use restroom facilities if they are located in a customer area. Customers may not enter the food preparation area,food storage area,4W the utensirWashing/storage,afeas in orderto access the restrooms. All food, utensils and equipment must be protected from chin#arr►nation: "` Routine Inspection: The County of Los Angeles, vironmental Health Division, conducts routine inspection of all food facilities in Los Angeles County. Followitligthe issuance of your Public Health Permit by the Plan Check Program, an Environmental Health Specialist from your local district office will conduct an inspection of your facility. If your Business is located in a city that has adopted the'grading ordinance, the inspector will post a grade or score card at your facility. Grade/Score cards are not issued by the Plan Check Program. I DATE VIOLATIONS IEHS.NI]IAL3: PLAN CHECK OFFICIAL INSPECTION REPORT CORRECTED: COUNTY.OF LOS ANGELES•DEPARTMENT OF PUBLIC HEALTH ENVIRONMENTAL HEALTH OPERATOR INITIALS: + RETAIL INSPECTION III WHOLESALE INSPECTION SECTION 1: TYPE OF INSPECTION Preliminary Inspection 90-Day Evaluation w a Follow Up Inspection Equipment Evaluation 7 ate, ~ F 4 Final Inspection-NEW Revocation Evaluation ,- , .Final Inspection-REMODEL Other: w R SECTION II: STATUS OF PERMIT/ LICENSE co MIA APPROVED:The facility/establishrnenris approved to operate pursuant to the following contingencies: to Li DENIED:The facility/establishment is NOT approved to operate.To obtain approval,the requirements needed are: F0064 -Vci L:f appuiv,q_ct +0 e9,--&-rx,' I_ ---T t■ f;)i cyfe,„0-t/N-- --) - Jovircild- ob kcos ail:2,620,4D ,ul r-- `Q ' i ! _h. a.� ! (,r ' r`-T4. ,_ J O Z '^ V:) W W V_l o _co W 1-4 ~O co W o 2 „�n- o = ,. -,D73. — €_ Z 0 w t Lu 6 co c— z Z W 0 6--- ° a !fi t!wild 4,- 5Tv" Ri n0. i'"'` W Su /t 3 sets of detailed ns:See Construction Requirefhent Guidelines at www.publichealth.lacounty.ciov/eh qU .? ZO I Obtain local Building&Safety,Fire Department and other agency permits and approvals di cn Z.,4 SECTION HI: LIMITS & RESTRICTIONS sue' Z'` -"-3 z L The approved facility/establishment may engage in the processes/activities marked below: 1- >. D...�. w 00 ' 0 --'' Train Employees �„ U � -,� Use Multiservice Utensils r-p--� Stock Prepackaged/Non-Potentially Hazardous Foods Serve Alcoholic Beverages Stock Perishable I Potentially Hazardous Foods May NOT Serve Alcoholic Beverages For On-Site Consumption zFood Preparation Food Demonstration Z.L.1 m o # Food Preparation-LIMITED FOOD PREPARATION Wholesale Food Processing u) J / w Food Preparation-NO COOKING PERMITTED Food Market,Wholesale . ,--)„,ii,a 5 o _ o�� Food Market Retail,Prepackaged Foods Only Other: w�se o - a X 1 a a SECTION IV: FEES I ADMINISTRATIVE ACTIONS A fee in the amount of$ must be paid prior to the next field inspection. _~I a z CLOSURE:Operating without final approval and/or without Public Health Permit OR License IQ �, a Administrative Review/Office Hearing has been scheduled on: ,at a.m./p.m.(Provide Valid Photo Identification) r... U a SECTION V: DISCLOSURES It is a misdemeanor violation to begin permit permit In UC n eg' operation a valid Public Health ermit/license.The Public Health emHt/.license will be o 1 issued by the Plan Check Inspector at the job site following final inspection and approval by all applicable-agencies.Remodeled areas of Z x W M an existing food facility/establishment must obtain a final inspection and approval from all applicable enforcement agencies prior to use. Z W Z Any future alteration,constructs,building,renovation,repair,change of equipment,change of the operation of a food facility/ o establishment or change of menu mayjequire plans to be submitted to the Health Department Plan Check Program.Additional approvals by O Z fy may be required from other enforcement agencies. ce hr l+y It is improper and illegal for any County officer,employee or inspector to solicit bribes,gifts or gratuities in connection with performing _ v their official duties.Improper solicitations indtade requests for anything of value such as cash,discounts,free services,paid travel or O U M entertainment,or tangible items such as food or beverages.Any attempt by a County employee to solicit bribes,gifts or gratuities for any 9 Y P Y tY 9� 9 Y Z a. C 5 Oh reason should be reported immediately to either the County manager responsible for supervising the employee or the Fraud Hotline at W --4. g- (800) 544-6861 or www.lacountvfraud.orq.YOU MAY REMAIN ANONYMOUS p� SEE REVERSE SIDE FOR ADDITIONAL CRITERIA Page 1 of I H-3086 (1-09) CUSTOMER '--FLOOR FINISH INSTALLATION - - r H CORRECT METHOD OF QUARRY/CERAMIC TILE FLOOR AND COVE BASE CORRECT METHOD QF INSTALLING THE$3619T INSTALLATION SLIMFOOT CERAMIC BASE ALUMINUM TOP CAP DRAIN LINE SHEET VINY 1"AIR GAP 1/15.MINIMUM RADIUS =CM SHEET VINYL traTuumoit - '- FLOOR SINK AIR OAP LICENSES AND PERMITS: Public Health Permit: A separate fee is required for the Public Health Permit. A bill will be sent to the permit holder annually by the local County of Los Angeles Treasurer Tax collector's office. The fee is required to be paid to perform or carry on, conduct or engage in any food facility/establishment activity listed in Los Angeles County Code, Title 8, Section 8.04.720. State and Local Licenses and Permits: Contact the State OtC40ifornia and your lopailftfIliell regart*talOOnaljr.en,le ar)Opermit requirements. OPERATION OF YOUR FACILITY: Restrooms: Customers may use restroom facilities if they are located in a customer area. Customers may not enter the food preparation area,food stOrageir4 ratora6e areas in order to access the restrooms. All food, utensils and equipment triust'bia pibtected from contamination. Routine Inspection: The County of Los Angeles, Environmental Health Division, conducts routine inspection of all food facilities in Los Angeles County. Following the issuance of your Public Health Permit by the Plan Check Program, an Environmental Health Specialist from your local district office will conduct an inspection of your facility. if your Business is located in a city that has adopted the grading ordinance, the inspector will post a grade or score card at your facility. Grade/Score cards are not issued by the Plan Check Program.