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Home My WebLink AboutUntitled (2) DevelopmentServices Department t rtt=: 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 PERMIT NO. Ci adia (626)574-5416,Fax(626)447-9173 B�0-049-ZSZ Permit Type: Comm Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 2/17/2015 CM 13:38 3/11/2015 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. l Los Angeles, CA 90025- I Plan Chk#: 15 84 EMAIL ADDRESS: APPLICANT MAILING ADDRESS Level Construction Group, Inc. PHONE NO. E EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING AD DCS S car n7 Level Construction Group, Inc. 1720 E Washington Boulevard#228 PHONE NO. (626)255-2038 FAX NO. Pasadena, CA 91 104 EMAIL ADDRESS: License No. 991265 Type: B Expires: 3/31/2016 12:00: TENANT MAILING ADDRESS Storage Space/Makawaya PHONE NO. FAX NO. DESCRIPTION '"-- NEW STORAGE SPACE FOR MIKAWAYA Construction Type UOM U -" Hof Units Value Construction Type UOM H of Units Value Value Value 30,000.00 $30,000.00 c1 / i-lE-Illy OCCUPANCY: Tenant Improve TOTAL VALUATION: $30,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 358.48 358.48 01-3103 each Energy p/c fee 121.33 121.33 01-3103 PC Cal Green 35.85 35.85 01-3103 PC ADA 53.77 53.77 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 551.50 551.50 01-3104 Bldg Issue ADA 55.15 55.15 01-3104 1.00 each Corn.Fire Pkc 245.00 245.00 01-3109 SMIP Com 8.40 8.40 14-2207 gm bldg std 2.00 2.00 714-2203 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: $1,483.08 Balance Due: $0.00 Paid Today: $1,483.08 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from Receipt#: 1 08159 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3103 569.43 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3109 24 5.00 cadia building inspector for a period of 180 consecutive days. 1 1-3109 245.00 CALLS FOR INSPECTION 14-2207 8.40 INSPECTORS'OFFICE HOURS 714-2203 2.00 Requests for inspection should be made at least Monday-Thursday Frida 88-3027 7.25 one(1)business day in advance of the inspection y by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) O'-Ar+ PERMIT/PLAN REVIEW APPLICATION 0 #. Development Services Department,240 West Huntington Drive,Post Office Box 60021 ,, un ...- 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,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers License No.C6�gcr Exp. Date3_ I_(0 compensation, as provided for by Section 3700 of the Labor Code, for the License Class performance of the work for which this permit is issued. Signature of Contractodi..... ... .........■> 0 I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions Carrier c�Q Ceh c�S• r r+ Code.Any city or county which requires a permit to construct,alter,improve,de- ,- molish,or repair any structure,prior to its issuance,also required the applicant for Policy Number kJ-)U� C 30 G9,6 such permit to file a signed statement that he or she is licensed pursuant to the pro (This section need not be completed if the permit is flor one hundred dollars or less) visions of the Contractors License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code)or that he or she is exempt ❑ I certify that in the performance of the work for which this permit is issued,I shall there from and the basis for the alleged exemption.Any violation of Section 7031.5 not employ any person in any manner so as to become subject to the workers' by penalty any applicant for a permit subjects the applicant to a civil compensation Laws of California,and agree that if I should become subject to the penalty of not more than five hundred dollars($500)): workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. 0 I, as owner of the property, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for Date Signature sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING:Failure to secure Workers'Compensation coverage is unlawful,and sale.If,however,the building or improvement is sold within one(1)year of shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she did hundred thousand dollars($100,000),in addition to the cost of compensation, not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency tor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RE. STRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new building and structures.. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering o asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for fur ther information. (�L IIS'eV ab�jy Title CO3,..k't Name -}-(rjCY /-A.1 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 owne I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City t Arcadia to enter upon the above-mentioned property for inspection purposes. ^�—• Date '. - '1 ( Signature g"---