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B00-050-588
f' Development Services Department ' ' 240 West Huntington Drive, Post Office Box 60021 ' PERMIT NO $QQ_050_588 , ,,,,, 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 6/18/2015 JB 12:09 8/10/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave #231 T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 15-397 Los Angeles, CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS K-I Global Construction PHONE NO. ► ri„,riniE__ AIL ADDRES S: CONTRACTOR/PROFESSIONAL MAILING ADDRESS� 11 O K-One Global Construction, Inc. 225 W Elmwo27RA ' LI U HONE NO. (818)480-8111 FAX NO. Burbank, CA 91502 EMAIL ADDRESS: License No. 929090 Type: B Expires: 2/28/2017 12:00: TENANT MAILING ADDRESS Boba Bear PHONE NO. FAX NO. DESCRIPTION TENANT IMPROVEMENT,INCLUDES ELECTRICAL AND PLUMBING**PERMIT INCLUDES ALL EMP** Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 6,000.00 $6,000.00 °COMPLETED t-'/.,* 4- 12-3 -15 'ik -- OCCUPANCY: Tenant Improve AL VALUATION: $6,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 110.79 110.79 01-3103 SMIP Corn 1.68 1.68 14-2207 each Energy p/c fee 37.50 37.50 01-3103 gm bldg std 1.00 1.00 714-2203 PC ADA 16.62 16.62 01-3103 1.00 Flat SWMF Auto 6.25 6.25 88-3027 PC Cal Green 11.08 11.08 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 I.00 Flat SWMF 2 1.00 1.00 88-3027 each Bldg permit 170,45 170.45 01-3104 Bldg Issue ADA 17.05 17.05 01-3104 1.00 flat Elec issue 44.35 44.35 01-3105 1.00 Flat Plmbg issuance 44.35 44.35 01-3105 1.00 each Distrib panel 15.55 15.55 01-3105 4.00 each Kitchen sinks 49.84 49.84 01-3105 1.00 each Floor sink 12.46 12.46 01-3105 1.00 each Floor drain 12.46 12.46 01-3105 12.00 each Outlets 18.48 18.48 01-3105 I.00 each Wtrhtr/vent 15.55 15.55 01-3105 1.00 Fixtures Plmbg fixture 12.46 12.46 01-3105 1.00 each T.I.Fire Pkc 245.00 245.00 01-3109 Total Fees: $889.27 Balance Due: $0.00 Paid Today: $468.28 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt N: 109944 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 1 -2107 221,68 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 I.00 P Y p g Y Y 714-2203 1.00 Arcadia building inspector for a period of 180 consecutive days. 88-3027 8.25 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) V~�OfF C�v� PERMIT/PLAN REVIEW APPLICATION t is Development Services Department, 240 West Huntington Drive,Post Office Box 60021 00,. s 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,a d 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 Nof-1' 0,L) Exp. Date 6///- 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 ---=i ■ 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 p cy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier .Cr,4 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number /93 q� -›-C)//- for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with 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 '/� ° / Title Ciztlaz;243247. _. PRINT ME 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 �bo `" �Gt) Date / / v A/- • NOTES Building Inspections Date Insp. Plumbing Inspections Date Ins!). 100. Setbacks 210. Under fir/bldg.drain r(L.- rr 'WY 101. Rough grade _211. Copper underslab 102. Figs.&forms 212. Rough plumbing Ze‘f*-, 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 16. Roof drains 107. Shear nailing a-7-4` 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing 'j219. Final gas 110. Framing �Z-Y/> I' 220. Fixtures $047( 111. 0cc./Area Sept.Wall / 221. Final plumbing I L 21.-,i 112. Sound walls 222. Sewer cap/demo. 113. T-bar.rid 114. Insulation-Flr. Pool Inspections Date Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 5. Gas line&test 121. Final building /2-34ciliir. 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 272. Roof framing 156. Rough electrical (�-�lS�, 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Es et.bondin. Sign Inspections I Date I Insp. - 160. Service panel _ 0. Setback/overhang 161. Final electric (Z-�(-�`7 281. 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. Date I 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 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 '''CORRECTED, • • PLAN CHECK OFFICIAL INSPECTION REPORT COUNTY OF LOS ANGELES 9:DEPARTMENT OF PUBLIC HEALTH ENVIRONMENTAL HEALTH OPERATOR INITIALS: 4 RETAIL INSPECTION ■ WHOLESALE INSPECTION SECTION I: TYPE OF INSPECTION F Preliminary Inspection 90-Day Evaluation 0 w Q-.-.� Follow Up Inspection Equipment Evaluation m a , a °' Final Inspection-NEW Revocation Evaluation inal Inspection-REMODEL Other: SECTION II: STATUS OF PERMIT I LICENSE paAPPROVED:The facility/establishment is'approved to operate pursuant to the following contingencies: co L'-'; DENIED:The facility/establishment is NOT approved to operate.To obtain approval,the requirements needed are: %Li ii A M t 4 v p r(A + 01 c , C ' t-. .......... A ,-;- 6 rek ( ti,4 04' )4\3 I! ier, AI at F $ , ,,, 5 1 i)0 to id-ro-bil- w w Q _ ., W V)1 Z Z V/ w W ci F, z = S- t- P in t tt1�2. r'hop btu ? fJ" + ? o w a w N m (P& 00 m A iV co 1 j : ` C'° 0 4G V 5-. . ,ecy IC i 6 IC. AO-kr el t'2)7-4 is r: die,,,,,hd- 1300- 05)—,ykg Ch rt = I W 'U por, 6)c Celt`': t-°'�#`f �(r't` - '�f& €lc-tl r� •�jt r 0 ,e 01 f✓ a.. -> E , l J Submit 3 sets of detailed plans:Seel Constructionj?aquirement Guidelines at www.oubiichealth.Iacounty.aov/eh w t is Z Obtain local Building&Safety,Fire Department and other agency permits and approvals a {' Z SECTION III: LIMITS & RESTRICTIONS `n Pa .....1 F_ en w The approved facility/establishment may engage in the processes/activities marked below: U CO err"a Train Employees Use Multiservice Utensils tu `:a Op `� -- Stock Prepackaged I Non-Potentially Hazardous Foods Serve Alcoholic Beverages 0 i 't ' Stock Perishable/Potentially Hazardous Foods May NOT Serve Alcoholic Beverages For On-Site Consumption w v `' Food Preparation Food Demonstration w . 8 •-:,,', Food Preparation-LIMITED FOOD PREPARATION Wholesale Food Processing � w Q 31� J w 2 w, E Food Preparation-NO COOKING PERMITTED Food Market,Wholesale Z J': w c\ o Food Market Retail,Prepackaged Foods Only Other: •Oa ti f!� • , , � /Ted -e tY ,Ga a m- p I Lu, . _ 0 ¢ a CC 10_ a SECTION IV: FEES/ADMINISTRATIVE ACTIONS A fee,irt the amount of$ - -� must`ia as+ rior to the next field inspection. z ! L� ,.t '-' w 4-Y .a p p J` z CLOSURE:Operating without final approval and/or without Public Health Permit OR License < © Q Administrative Review/Office Hearing has been scheduled on: ,at a.m./p.m.(Provide Valid Photo Identification) _ U n W SECTION V: DISCLOSURES Qe OM ', It is a misdemeanor violation to begin operation without a valid Public Health permit/license.The Public Health permit/license will be 4r O p issued by the Plan Check Inspector at the job site following final inspection and approval by all applicable agencies.Remodeled areas of WW an existing food facility/establishment must obtain a final inspection and approval from all applicable enforcement agencies prior to use. rip.; �! Z N Any future alteration,construction,building,renovation,repair,change of equipment,change of the operation of a food facility/ Z ►+y 0 C o establishment or change of menu may require plans to be submitted to the Health Department Plan Check Program.Additional approvals y1 iJ may be required from other enforcement agencies. 0 `'"4" O r It is improper and illegal for any County officer,employee or inspector to solicit bribes,gifts or gratuities in connection with performing Q their official duties.Improper solicitations include requests for anything of value such as cash,discounts,free services,paid travel or Z a a .tt h p M entertainment,or tangible items such as food or beverages.Any attempt by a County employee to solicit bribes,gifts or gratuities for any E 0) *eason should be reported immediately to either the County manager responsible for supervising the employee or the Fraud Hotline at W ON (800) 544-6861 or www.lacountvfraud.orq.YOU MAY REMAIN ANONYMOUS y ° SEE REVERSE SIDE FOR ADDITIONAL CRITERIA Page 1 of / H-3086 (1-09) CUSTOMER FLOOR.FINISH INSTALLATION 411, - CORRECT METHOD OE QUARRY/CERAMIC TILE FLOOR AND COVE BASE CORRECT METHOD OF INSTALLING THE S361 ST INSTALLATION SLIMFOOT CERAMIC BASE ALUMINUM TOP CAP I---- DRAIN LAO I SHEET VINYL AIR GAP N 315 MINIMUM RADIUS coMmEaciAL SHEET VINYL novikt.LATW 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: C.ontacttOlatitabiioreilWrnia'iaild your Wel city nail regarding additional 1. permit requirements. OFiRAT16tfj"'6reo4TA:Cil./TYi " Restrooms: Cgs.tOrners may use re§troom facilities if they are located in a customer area. Customers may not enter the food preparation atefood storage area, or the otemsilivaiThinci4400001aafaae inor*to access the restrooms. All food, utensils and equipment must birrPr 'qtettedfromfrontarninitti!ih. -114 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 I Score cards are not issued by the Plan Check Program. •FAR Gto,uro kt4 i.I 1 Ems- } l'47:3V401 �yaityot�° MEMORANDUM Fire Department DATE: December 24, 2015 TO: BUILDING DEPARTMENT INSPECTOR Chris Ingram FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue (Baba Bear) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS FIRE ALARMS TANKS HOOD & DUCT KNOX BOX OCCUPANCY 12-22-2015 Lill Huang COMMENTS: Emailed Bldg. 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