HomeMy WebLinkAboutUntitled e..-4,t) Development Services Department
M1 240 West Huntington Drive, Post Off1e Bo�'1i0021
"' '' ' PERMIT NO. BOO-052-848
%9 Arcadia,CA 91066-6021
City of (626) 574-5416,Fax(626)447-9173 Type:Arcadia Permit yp : Tenant Improve wienerg;
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
2/22/2016 CM 11:13 4/14/2016 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#: HNRY
Los Angeles, CA 90025- EMAIL ADDRESS:
Plan Chk#: 16-83
APPLICANT �����
OM1 Plan#: 31903
MAI
Cutting Edge Construction IS ESS c iyi PHONE NO.
1 EMAIL ADDRESS:
CONTRACTORIPROFESSIONAL MAILING ADDRESS
Cutting Edge Construction 1701 South Grove Unit H PHONE NO. (909)947-3542 FAX NO. •
Ontario, CA 91761 EMAIL ADDRESS:
License No. 787036 Type: B Expires: 11/30/2016 12:01
TENANT MAILING ADDRESS
Uncle Tetsu PHONE NO. FAX NO.
DESCRIPTION
T.I.UNCLE TETSU
Construction Type UOM k of Units Value Construction Type UOM N of Units • Value
Value Value 100,000.00 $100,000.00
•
i'Z�4-c- 6=5l-2.L i . A
OCCUPANCY: Tenant Improve OTAL V• •ATION: $100,000.00
QTY COM DESC AMT AMT PAID ACCT QTY 11OM DESC AMT AMT PAID ACCT
each Plan review 795.60 795.60 01-3103
each Energy p/c fee 269.28 269.28 01-3103
PC ADA 119.34 119.34 01-3103
PC Cal Green 79.56 79.56 01-3103
100 Flat Bldg Issue Auto 44.35 44,35 01-3104
each Bldg pennit 1,224.00 1,224.00 01-3104
Bldg Issue ADA 122.40 122.40 01-3104
1.00 each T.I.Fire Pkc 255.00 255.00 01-3109
SMIP Corn 28.00 28.00 14-2207
Lon bldg std 4.00 4.00 714-2203
1.00 Flat SWMF Auto 6.25 6.25 88-3027
Total Fees: $2,947.78 Balance Due: $0.00 Paid Today: $1,429.00
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112555 -
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 1,390.75
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 28.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 4.00
Arcadia building inspector for a period of 180 consecutive days. 88-3027 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)
1 I, PERMIT/PLAN REVIEW APPLICATION
\4i* Development Services Department, 240 West Huntington Drive,Post Office Box 60021
4..oity of IV Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
ICENSED 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:
hapter 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 /� Lim. �. = 0 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 L/t:.
OWNER-BUILDER DECLARATION id, 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 ork s'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 (tJb/ _��� [�/ "Q/—G
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number b7 I�b
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not a completed if the permit is for o❑e 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 o ❑ 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 civ 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 sale forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered or /l/ /�
sale(Section 7044,Business and Professions Code:The Contractors Licnse Date / / Signature -''' t9f—'"''''------
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,
employees,provided that such improvements are not intended or offed for WARNING: Failure to secure Workers' Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)y:ar 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 o • 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. �+,
N e ///�4/ CSI+'V re LI1 Title KT-�G
PRINT NAME
I rtify 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 gree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
A adia to enter upon the above-mentioned property for inspection purposes. /
Sign ture Date V'- /y_/SC
r • \ A �'�
" lil ' • '.l ; ' AIM' k"
i
r '�'
..
g
114k.
o z _ n • 3. n• et. a r Iv
IC cn
o
abrilll
illir
ob-* 1k
/� m a
o -+
a
• n
( E. 0 (.,)
\ ° ■ H co f
CD CL 03 C
o r n O 0 :*
o �. � � d et
` a g a E ro ft
s� a ,� '�
co erD ° )1:)
< up w 2 AI.
. 0
co
f < ►� o o 2
a n ria :40
Illi
( 0
cA
8.
Y v
n n o w d 1 C.1i 4� -
i■ '''X-::
_ . b \p CD o f .
0 0
CD CD
/� )....
/ n �? e c N v, v -' J
( .11
�' = P 00 c M
o " `° a
m A 00 a .
y n
c C7
)11-
7( ..
9,(' ..-1
IS
oo � n n G = II
N V7 6,
(/} t.--.) Ctr9 C7 n
16;tt„
• -
4
W I/ b f f
, 4
•
(.-,_-,-, (
6
( , s .
,, , „..., r-'
rri
r„...
4 yl.1 I.
ie
\ -7
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Lisp.
100. Setbacks 210. Under fir/bldg.drain °- .4"ik
101. Rough grade 211. Copper underslab _ �?`�
102. Figs.&forms LL/l/ 212. Rough plumbing 531-/to t,/l-T.«‘
103. Pre-slab 4-234 4 /,ri^ -' '213. Rough gas ry6
104. Floor joists 214. Shower pan
105. Steel 215. Water heater S`�-CG -��GS jam,
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer ST L 6G-c.'y`'ret s
108. Diaph nailing 218. Water service
109. Roof nailing 19. Final gas
110. Framing ,-ir'-jG 220. Fixtures _ 23 CC :a-to RA I 1 If .
111. 0cc./Area Sept.Wall 221. Final.lumbin. ��$�6 ' •
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. �1. Rough plumbing
117. Drywall nailing 4'+3-i :..•-x/242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 45. Gas line&test
121. Final building gr b 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. Under.round conduit A
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground �p G�NN1. Roof framing
156. Rough electrical �i"3('-G�. �/ 72. Sheathing nailing
157. Fixtures -16 / . , 273. Final reroof
158. G.F.C.I. 6�V
159. E..t.bondin• Sign Inspections Date Insp.
160. Service panel - - 280. Setback/overhang
161. Final electric YG ii ' 281. Footing
282. Conduit/wiring
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC 3 3(-'6 Au, 4. Miscellaneous Insp. Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date Insp.
191. Final mechanical r"-rC. "11111/ 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 -
S.7=
NOTES
Building Inspections Date Insp. Plumbing Inspections I Date Insp.
100. Setbacks 210. Under fir/bldg.drain
101. Rough grade 211. Copper underslab 1E3--1-2-e"6 - C7 '( cIy�QVGrS
102. Fills.&forms 212. Roush.lumbin.
103. Pre slab 213. Rough gas 1/-1
104. Floor joists 214. Shower pan S '' ' i�7�lsL ' -
105. Steel 215. Water heater � Y�1L 6^r Z`�6 //per
106. Grout lift 216. Roof drains 'l/
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 220. Fixtures
111. 0cc./Area Sept.Wall 221. Final plumbing
112. Sound walls 2 . Sewer cap/demo.
113. T-bar'rid a-ZY-re!'l Armor/
114. Insulation-Fir. -� Pool Inspections Date I 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 oracle 45. Gas line&test
121. Final building ' 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date lnsp. 249. Final plumbing
150. Power sole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under.round conduit
153. Underslab conduit Reroof Inspections I Date I Insp.
154. UFER.round 270. Pre-reroof ins.. -_
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E..t.bondin. Sign Inspections I Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric 281. Footing
282. Conduit/wiring
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue -�284. Final sign
181. Furnace/A.C.
182. Rouch HVAC : 3:PI.Pr ' Miscellaneous Insp. Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitors stem
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft 'rag sewers&Offsite Insp. I Elate I Insp.
191. Final mechanical : 3'-G - rroirw 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
V°" Development Services Department
._ . 240 West Huntington Drive, Post Office Box 60021'" JINN. PERMIT NO.
Arcadia,CA 91066-6021 B00-054-101
City of (626) 574-5416,Fax(626)447-9173 Permit Type:Arcadia yP : Tenant Improve
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
6/29/2016 SC 11:02 7/11/2016 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO.
Plan#: 31984
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Cutting Edge Construction N PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Cutting Edge Construction 1701 South Grove Unit H PHONE NO. (909)947-3542 FAX NO.
Ontario, CA 91761 EMAIL ADDRESS:
License No. 787036 Type: B Expires: 11/30/2016 12:01
TENANT MAILING ADDR- COMPLEINE U Uncle Tetsu NO. FAX NO.
DESCRIPTION
EXISTING REMOTE STORAGE UNIT FOR UNCLE TETSU-TO INCLLUDE T-BAR CEILING,3 REFRIDG, 1 CLIMATE CONTROL UNIT
Construction Type UOM #of Units Value Construction Type UOM N of Units Value
Value Value 1,500.00 $1,500.00
r«.4 L S-6-2.0 z
OCCUPANCY: Tenant Improve TOT VALUATION: $1,500.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 53.72 53.72 01-3103
100 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 82.65 82.65 01-3104
Bldg Issue ADA 8.27 8.27 01-3104 -
1.00 Flat Elec issue 44.35 44.35 01-3105 -
1.00 Flat Mech issue 44.35 44.35 01-3105
7.00 each Outlets 10.78 10.78 01-3105
2.00 each Ltg fixtures 3.08 3.08 01-3105
1.00 each Htg/cool appl 18.74 18.74 01-3105
SMIP Corn 0.50 0.50 14-2207
gm bldg std 1.00 1.00 714-2203
1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 Flat SWMF Auto 6.25 6.25 88-3027
Total Fees: $320.04 Balance Due: $0.00 Paid Today: $266.32
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt 4: 113563 -
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 135.27
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 121.30
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 0.50
Arcadia building inspector for a period of 180 consecutive days. 714-2203 1.00
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)
F Alt
r PERMIT/PLAN REVIEW APPLICATION
�#jo 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 Bus' s
Professions Cod and my license is in full force and effect. �� i. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class_L. se No. • 02G Exp. Date _ -II 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 DECLARA ON ❑ 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 workfrs'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier COI IJ�T lO'� -�'�a1n�- copyo?� 1
demolish,or repair any structure,prior to its issuance,also required the applicant 116—% 6 37 j,jC 0`,.04-1
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 0) 6 9 1 4 CO WA C 0 Title . k4-1-
VPRINT
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 7/// /6
yi n ry
.t_ Development Services Depat Intent
IA„-. I, 240 West Huntington Drive,Post Office Box 60021
" �;' PERMIT NO. BOO-053-868 Arcadia,CA 91066-6021
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
6/2/2016 CM 11:25 6/2/2016 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, 1 CO l 1601 Wilshire Blvd. 12th Floor PHONE NO.
1c fDA 90025- EMAIL ADDRESS:I.
APPLICANT 1 1
Tempurtures Unlimited PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Temperatures Unlimited 28348 Constellation Road#840 PHONE NO. (805)251-7566 FAX NO.
Santa Clarita,CA 91355 EMAIL ADDRESS:
License No. 687610 Type: C20 B Expires: 9/30/2017 12:00:
TENANT MAILING ADDRESS
Uncle Tetsu PHONE NO. FAX NO.
DESCRIPTION
MECHANICAL FOR TI
Construction Type UOM Not Units Value Construction Type UOM #of Units Value
FAQc. —"2-01‘ //-/
OCCUPANCY: T AL 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 Fum<100,000btu 18.74 18.74 01-3105
1.00 each Hood 14.11 14.11 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: $96.94 Balance Due: $0.00 Paid Today: $96.94
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 113169
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 95.94
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 I.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)
A•
PERMIT/PLAN REVIEW APPLICATION
t # Development Services Department,240 West Huntington Drive,Post Office Box 60021
°0a °fn 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 f ce and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class —.24) � �°n - "�o. `O Exp. Date /7 compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor �
. / performance of the work for which this permit is issued.
OWNER-BUILDS' I ARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under p alty 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. workersnsation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier�1�
demolish,or repair any structure,prior to its issuance,also required the applicant I , 1CZ ?���c L�1? (� / Lea
a
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number V�-� T�T/ 1 l�/�-!
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 I should become subject to the
workers'compensation provisions of Sect' 00 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith c m ly 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 Signa
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 � v Title CeD
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 wi A' all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter u'.fit/; e above-mentioned propert for inspection purposes.
Signature "i,1! Date (40'/Wt tr?"—
l . Development Services Department
0 No �. 240 West Huntington Drive, Post Office Box 60021
�� Arcadia, CA 91066-6021
PERMIT NO. B00-054-147
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
7/5/2016 CM 10:23 7/5/2016 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 C 25- EMAIL ADDRESS:
APPLICANT D MA
Razo Electric PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Razo Electric 10089 Keystone Ct PHONE NO. (909)484-2615 FAX NO.
Rancho Cucamonga,CA 91737 EMAIL ADDRESS:
License No. 887130 Type: C-10 Expires: 11/30/2016 12:01
TENANT MAILING ADDRESS
Uncle Tetsu PHONE NO. FAX NO.
DESCRIPTION
UNCLE TETSU T.1
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
/7/(---,TOTAL LUATION: $0.00
.QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAW ACCT
1.00 flat Elec Issue Auto 44.35 44,35 01-3105
1.00 each Comm svc<200 a 31.43 31.43 01-3105
3.00 each Distrib panel 46.65 46.65 01-3105
22.00 each Outlets 30.00 30.00 01-3105
34.00 each Ltg fixtures 42.00 42.00 01-3105
1.00 each Power 1-10 hp 15.55 15.55 01-3105
1.00 branch cin Signs elec 59.17 59.17 01-3105
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
I
Total Fees: $270.15 Balance Due: $0.00 Paid Today: $270.15
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 113497
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3105 269.15
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday <
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
pF AR
PERMIT/PLAN REVIEW APPLICATION
0,4 1E4E.
tw, Development Services Department,240 West Huntington Drive,Post Office Box 60021
,/ Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class C 10 License No.$y 7/3O Exp. Date — 0— 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 DECLARATI ❑ 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 0 tot . te-
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures..
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for
further information.
Name ED?C 6 o .A--00- Title CE 0
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 ecç - Date
.t r--r.,- Development Services Department
. , f,__, 240 West Huntington Drive, Post Office Box 60021
PERMIT NO. BOO-053-828
Arcadia, CA 91066-6021
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
5/31/2016 CM 9:45 5/31/2016 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.
' o S s•-I-s CA 90025- EMAIL ADDRESS:
APPLICANT A ',
1E1E PHONE NO.
D R St Clatr Plumbtn �
Plumbing
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
D R St Clair's Plumbing 6758 Jerome St
PHONE NO. (951)415-1475 FAX NO.
Riverside,CA 92504 EMAIL ADDRESS:
License No. 1001256 Type: C36 Expires: 2/28/2017 12:00:
TENANT MAILING ADDRESS
Uncle Tetsu PHONE NO. FAX NO.
DESCRIPTION
PLUMBING FOR UNCLE TETSU
Construction Type UOM k of Units Value Construction Type UOM #of Units Value
,Ne4,G.. a3o—Zo1 //-/----
OCCUPANCY: TOTA ALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
100 Flat Plmbg Issue A 44.35 44.35 01-3105
100 each Lavatories 12.46 12.46 01-3105
1.00 each Kitchen sinks 12.46 12.46 01-3105
4.00 each Floor sink 49.84 49.84 01-3105
3.00 each Floor drain 37.38 37.38 01-3105
1.00 each Wtrhtr/vent 15.55 15.55 01-3105
2.00 Fixtures Plmbg fixture 24.92 24.92 01-3105
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $197.96 Balance Due: $0.00 Paid Today: $197.96
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 113119
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 196.96
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)
t ARC,
1 "7. PERMITIPLAN REVIEW APPLICATION
' Development Services Department, 240 West Huntington Drive,Post Office Box 60021
���Ije Arcadia, CA 91066-6021, (626) 574-5416, Fax (626)447-9173
�oolty of N
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 C3 6 icense No. /�/IC Exp. Date 02- 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 th
workers'compensation provisions of Secti 700 of Labor e s
❑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 ,,�+ 1-2011
sale(Section 7044,Business and Professions Code:The Contractors License Date V, 3 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 lnf(/5i /n 5LC4I r Title ()wri er-
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 ating to building construction. I hereby authorize representatives of the City of
Arcadia to enter u a above-m oned pro ins n purposes. ?/� /
Signature // i Date 0 -✓3I 2 /Signature
.1'24 Development Services Department
11-4 -` 240 West Huntington Drive,Post Office Box 60021
`...:_ Arcadia, CA 91066-6021 PERMIT NO. B00-053-516
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
5/4/2016 CM 16:45 8/24/2016 Issued
ADDRESS NO. Dir.Prefix Street Nan» Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation,Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 16-202
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Allready Fire 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: 7/31/2016 12:00:
TENANT MAILING ADDRESS
Uncle Testu PHONE NO. FAX NO.
DESCRIPTION
RELOCATE 7 HEADS
111
Construction Type U ,- 'I ni ..+ Value Construction Type UOM #of Units Value
Value V. ,000,00 $2,000.00
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $2,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
9.00 each sprinkler pek 255.00 255.00 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 103.65 103.65 01-3112
1.00 each SWMF 2 Auto 1,00 1.00 88-3027
Total Fees: $404.00 Balance Due: $0.00 Paid Today: $21.00
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 114034
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3112 21.00
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit
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)
4�vFOaR^',,,
°' 010-411 l PERMIT/PLAN REVIEW APPLICATION
to*, Development Services Department,240 West Huntington Drive,Post Office Box 60021
'0N.o,„ot °e�. 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
Signature of Contractor
performance of the work for which this permit is issued.
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
Policy Number
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, forthwith comply with those provisions.
p perry, or my employees with wages as their sole
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. 1 05-C
Name
_' f ! 0 Title
PRI 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 u on the above-mentioned property for inspection purposes.
Signature yDate Tr-02,f,lI
•t• '`•,. Development Services Department
1
'� 240 West Huntington Drive, Post Office Box 60021 P
Arcadia, CA 91066-6021 ERMIT NO. BOO-053-557
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
5/5/2016 CM 10:43 5/11/2016 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: FIRE
Los Angeles,CA 90025- EMAIL ADDRESS:
Plan Chk#: 16-208
APPLICANT MAILING ADDRESS
Bec 2246 Lindsay Way PHONE NO. (909) 305-1600
Glendora, CA 91740 EMAIL ADDRESS:
CONTRACTORIPROFESSIONAL MAILING ADDRESS
Building Electronic Controls I . 22, .1 PHONE NO. FAX NO.
'�4 4 GI; tr.,3, 1 / II EMAIL ADDRESS:
License No. 729905 Type: C t- • ' I • I 2:01
TENANT MAILING ADDRESS
Uncle Tetsu PHONE NO. FAX NO.
DESCRIPTION
FIRE ALARM-3 DEVICES
Construction Type UOM #of Units Value Construction Type UOM N of Units Value
Value Value 4,130.00 $4,130.00
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $4,130.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
3.00 each fire alarm pc 2 255.00 255.00 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 153.75 153.75 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $454.10 Balance Due: $0.00 Paid Today: $199.10
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112918
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3112 198.10
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
4,00_f 11'01%4
1 ! l' PERMIT/PLAN REVIEW APPLICATION
o� v, Development Services Department, 240 West Huntington Drive, Post Office Box 60021
.,..,„ara Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
pI 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„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. /'.4.21 it Exp. Date 11$0(1 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 .4_,A a∎l�. ■�-110. \ AP
OWNER-BUILDER DE LARATION 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 2-0 i'
V I(C)rN - s1`A li a 1
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 C#omp th l!.\-`1
permit is
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be comp a fo
eted i r one undyed dollars or less)
f
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,� 1 Signatur
sale(Section 7044,Business and Professions Code:The Contractors License Date gn III
_
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 I
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$1 `r "\\ ` r rrT n�fe Title 1 /k -I�'cC �C
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 a •-men '. 'ed property for inspection purposes.
Signature a, : ill ._0. (�I v►i(a 1( ,'i_,S A Date A 1 Ii LX,
Development Services Department
114` �, 240 West Huntington Drive, Post Office Box 60021
PERMIT NO. B00-053_516
'"t1-'' Arcadia, CA 91066-6021
City of (626) (626)626 574-5416,Fax 626 447-9173
Arcadia Permit Type: Fire
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
5/4/2016 CM 9:49 5/26/2016 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 16-202
Los Angeles, CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS PHONE NO.
Allready Fire 1..� COLIP1ETED EMAIL A DRESS:
CONTRACTORIPROFESSIONAL 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: 7/31/2016 12:00:
TENANT MAILING ADDRESS
Uncle Testu PHONE NO. FAX NO.
DESCRIPTION
RELOCATE 7 HEADS
Construction Type UOM #of Units Value Construction Type UOM N of Units Value
Value Value 1,500.00 $1,500,00
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $1,500.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
7.00 each sprinkler pck 255.00 255.00 01-3109
100 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 82.65 82.65 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $383.00 Balance Due: $0.00 Paid Today: $128.00
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 113098
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3112 127.00
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. c.............„,/
(Closed on alternate Fridays)
O• woiui'
17 PERMIT/PLAN REVIEW APPLICATION
e i �t, 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
CI I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Co e,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class —/t0 License No.S N 5 Exp. Date/3///} compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
atei07-6,....-' performance of the work for which this permit is issued.
OWNER-BUILDE CLARATION ❑ 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.py work s'compensation i surance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier ' ' St NohCMI G)
demolish,or repair any structure,prior to its issuance,also required the applicant S3oc �2 S 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
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.It 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 5/70/3 hplo
' - PRI 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 prop y r inspection purposes.
Signature Date 5/267 0
(1
ARC
44OAF ORivii
1
C.: !Ii 11:
Iii Aury.t 5,1901
aItya
° MEMORANDUM
Fire Department
DATE: September 1, 2016
TO: BUILDING DEPARTMENT
INSPECTOR Henry Kemick
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 400 S. Baldwin Ave., M 15, Uncle Tetsu
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 8-18-2016 Jill Perumean
FIRE ALARMS 8-18-2016 Jill Perumean
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 8-18-2016 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 8-30-2016 jp
----- 1\'
(1/444%.
0
S 4 :i _
-7._ 4 : Rio 7 E
r I 0 R
TEST 8c BALANCE
TEST AND BA LAN C E
REPORT
PROJECT: UNCLE TETBU
LOCATION: SANTA ANITA MALL SPACE # M 1 5
400 S BALDWIN AVE., ARCADIA, CA 91 007
REPORT DATE: AUGUST 1 9, 201 6
CONTRACTOR: TEMPERATURES UNLIMITED, INC.
ARCHITECT: ARCHITECTS ORANGE
ENGINEER: SCHNACKEL ENGINEERS ,,,,
.,,
.\00eSt BU�q►e r�`ax Certitea��o
., /J/US/ 0'?.,
(-JAME' IPNS's , C ase C. boy
CERTIFICATI c.i _ OP 1
3504 :: 65 .r
x ai o75eso s
Exp.3/31/18 December 31,2016
c?,/,4 ci Nydroricl
'/if. Super•
840 W LEADORA AVENUE, GLENDORA CA 91741
TEL: 626.771.1012 FAX: 626.963.4237
EMAIL: SUPERIORTAB @GMAIL.COM
INSTRUMENTATION:
DIGITAL MANOMETER ALNOR BALOMETER EBT-72 1
FL❑WHO❑D ALNOR BALOMETER EBT-722
TACHOMETER JAQUET 252
DIGITAL VOLT-AMP METER FLUKE T5-600
ROTATING VEIN ANEMOMETER LCA30 VA
DESCRIPTION OF TERMS:
AK- FREE AREA OF REGISTER, IN SQUARE FEET
ATM- ATMOSPHERIC PRESSURE
CD- CEILING DIFFUSER, SUPPLY
CE- CEILING REGISTER, EXHAUST
CFM- CUBIC FEET PER MINUTE
CR- CEILING REGISTER, RETURN
DD- DIRECT DRIVE MOTOR
FH- READINGS TAKEN WITH FLOWHOOD, NO AK FACTOR
FL- FULL LOAD, AMPERAGE
FPM- FEET PER MINUTE
FR- FLOOR REGISTER, SUPPLY
FRR- FLOOR REGISTER, RETURN
GPM- GALLONS PER MINUTE
HP- HORSE POWER
LD- LINEAR DIFFUSER, SUPPLY
LR- LINEAR REGISTER, RETURN
N/A- NOT AVAILABLE OR NOT APPLICABLE
NL- NOT LISTED
NVL- No VALID LOCATION
OSA- OUTSIDE AIR
PSIG- POUNDS PER SQUARE INCH, READ BY GAUGE
PSP- PERFORATED SUPPLY PLENUM
RPM- REVOLUTIONS PER MINUTE
SF- SERVICE FACTOR, AMPERAGE
SP- STATIC PRESSURE, IN INCHES OF WATER
SWE- SIDE-WALL REGISTER, EXHAUST
SWR- SIDE-WALL REGISTER, RETURN
SWS- SIDE-WALL REGISTER, SUPPLY
TP- THERMALLY PROTECTED, AMPERAGE
VEL- VELOCITY (FEET PER MINUTE)
AP- DIFFERENTIAL PRESSURE
( ØUPERIOK
TEST 8c BALANCE
Fan Test Report
Project: Uncle Tetsu -Arcadia, CA
EQUIPMENT DATA EQUIPMENT DATA EQUIPMENT DATA
Unit Name MAU-1
Location/Area Served Roof Kitchen Hood
Manufacturer/Model Captive Aire A1-G10-MPU
Serial Number 2610870
Motor Make WEG
Motor HP/RPM/Frame 1 1760 56H
Volts/Phase/Hertz 460 3 60
F.L.Amps/S.F. 1.57 1.15
Motor Sheave Diam./Bore VL40 x 5/8"
Fan Sheave Diam./Bore AK79 x 3/4"
Belt Size/#of Belts AX-44 1
Sheave Closed % 40%
Sheaves Center to Center 14 1/4"
TEST DATA DESIGN ACTUAL DESIGN% DESIGN ACTUAL DESIGN% DESIGN ACTUAL DESIGN%
Total Fan Airflow 1710 NVL -
Total Outlet Airflow 1710 1663 97%
Return Airflow - - -
Minimum Outside Air 1710 1663 97%
S.P. Supply/Return 0.26"/Atmos.
External S.P. 0.3" 0.26"
Total S P. - 0.51"
Fan Speed (RPM) - 718 -
Voltage 460 480/478/478
Amperage T1/T2/T3 1.57 1.5/1.4/1.3
NOTES:
1
. UPERIOR
L,...,
TEST & BALANCE
Exhaust Fan Test Report
Project: Uncle Tetsu -Arcadia, CA
EQUIPMENT DATA EQUIPMENT DATA EQUIPMENT DATA
Unit Name EF-1
Location/Area Served Roof Kitchen Hood
Manufacturer/Model Captive Aire NCAI4FA
Motor Make WEG
Motor HP/RPM/Frame 1 1760 56H
Volts/Phase/Hertz 460 3 60
F.L.Amps/S.F. 1.57 1.15
Motor Sheave Diam./Bore VL40 x 5/8"
Fan Sheave Diam./Bore AK46 x 3/4"
Belt Size/#of Belts AX-21 1
Sheave Closed % 20%
Sheaves Center to Center 5 1/2"
TEST DATA DESIGN ACTUAL DESIGN% DESIGN ACTUAL DESIGN% DESIGN ACTUAL DESIGN%
Total Fan Airflow(CFM) 1900 NVL -
Total Inlet Airflow(CFM) 1900 1912 101%
S.P. Discharge/Suction Atmos./NA
Total Static Pressure 1.0" NA
Fan Speed (RPM) - 1198 -
Voltage 460 480/478/477
Amperage T1/T2/T3 1.57 1.3/1.3/1.3
NOTES:
2
( UPERIOR
TEST & BALANCE
Air Outlet Test Report
Project: Uncle Tetsu - Arcadia, CA
SYSTEM NAME/ OUTLET DESIGN PRELIMINARY FINAL % of Note
AREA SERVED # TYPE SIZE AK VEL FLOW VEL FLOW VEL FLOW DESIGN #
VAV-1
Front of House 1 CD 15"x 15" FH - 500 - 448 - 499 100%
Back of House 2 CD 24"x 24" FH - 500 - 652 - 519 104%
Back of House 3 CD 24"x 24" FH - 500 - 719 - 524 105%
Front of House 4 CD 15"x 15" FH - 500 - 703 - 510 102%
2000 2522 2052 103% 1
MAU-1
Front of House 1 CD 12"x 12" FH - 340 - 258 - 314 92%
Front of House 2 CD 12"x 12" FH - 340 - 276 - 322 95%
Front of House 3 CD 12"x 12" FH - 340 - 295 - 331 97%
Back of House 4 CD 24"x 24" FH - 350 - 344 - 356 102%
Front of House 5 CD 12"x 12" FH - 340 - 340 - 340 100%
1710 1513 1663 97%
E F-1
Kitchen Hood 1 Shaft 11"x 10" 0.764 1243 950 1366 1044 1267 968 102%
Kitchen Hood 2 Shaft 11"x 10" 0.764 1243 950 1154 882 1236 944 99%
1900 1926 1912 101%
NOTES: 1 VAV-1 minimum airflow was set to 684 CFM.
Notes correspond to 2
Note#above. 3
3
u) o
•
o b 5
4 Cr-3
V LI 44 g
.4[-.0
Et) 0.1 )-4 c_kf
V
� Lt O
V w
• +� o o
Zez
o
N °' Z
M A p
Cr)Lt 41
C
`. tt f'
4
s
.4
C p, 1
E \ 4
m 1
'''
O
v c-q
. o
U M a>
C3 C • �\` `
L t o
E U b =
co
O ' '
-+-1 2 NO W
O
D 141 4 U L
w
CC
v
in 1
OrleNi 0
• o C3 S 4"� v I
v N i N;tute CO.b,
0 0 a ,r ♦ GSM . �,.♦■
co :i 11411L *I -f
o vi v �
,
b0 A H ° 04:'4
�a
bib.- ~vi o
o a `'4
Q+ t
-►.. 01
t..) ��1 �a �4
�+ O �'• �_
z tc
0
I � -
o
v
Izt
v
� 2 e�w o
�pS•6104. L f0 v 1 Z
OQ� �f 0
6 f---4
p ^t c,.V
r,33y5-„0t."0 .O 0 U C., U
5
u,
0
. e \\ 5, O
ad O rte-+ Z
Ma . E-...
ae y
u ; G� c
(14.5 u
v.
a a
co
14 1
U elizE E""4
U
• N O A
F—� v r,, C
r F!i Llv, w r9 p2t
_ 3
ILl c (� v. UhF
2 =
O s
O
M "O CLw^. C 'v
U at C TG L
a. a
C Cg 0 rZ
rJ C C v "....2:U M• N -,--
1.1.1
_ . & T,I ? .
Iu1
tni VA 43 -pc ...-4
CL ft Z C L N
C - _
co
Cn
c _c s O v
la - o
GA• c
P4
a
ig 6
0
Wt
L _ ____ ___________________ a
4
r
6
Z--/0 0 . ç4w
AL1FORN1A7' DRIVER LIC
b; pt. 0926709
EXP 101.5/201 7 END NONE
LN JIMENEZ
FN EDWIN ROMERO
CORONA,CA 92082 '
. ,
"f4 1/15/1989
HGT 5%11" V
On 01/24/2013814644011IF0/17
— _
60TOT 2.9fillE29 smels Joj.ueos
II 11111 11111 1111 11111 11111 1111 11111 111111
' c14-p
ig4.vvE7g/6Jwraiesa3I Alpan//:duti
virl5
Zatialinc upp3
iioNnoa IWRU
1111111
3aoo
1VNOIIVN2131N I
cfi `* { 1 "�
e
-
__Q -— o
' ..�
VFW s r • 0
..J �. p U M
+. co ei
>
CNI
z_ - , tea H ENO
N.
> -'j xg td) QC N c t 1
a pp ao 0 a as r — O v N •
N
---
r W Z-a a- z
Fr.y 1 ~ YZ t, ~ b vi ~ m O J 1.1.1 tr'tik
m ,,<Yui+ r �C L C .. ¢ 4'
O z- ..
a zzew o u~i G� V O o Q •
8 W J3N2 2 4' Q! C Q J y�
O t , V L O _ 1
s' l� U
a Lo z
y (.(.� C w z°o o V V N
''V.' r x1`' V v V W m•0 cu Y
,kr f T.'�;.1 4 gip 4 _ y� 0 ,
"it
1‹.481Z.R. Consulting PAGE 1 OF 1
K&R JOB NO.
INSPECTORS DAILY REPORT
Type of Work Inspected:❑Reinforced Concrete OStructural Masonry°Structural Steel❑Post Tensioning DEpoxy [Other
Day: ❑Monday ❑Tuesday ❑Wednesday ❑Thursday °Friday ❑Saturday ❑Sunday
i TESTS PERFORMED: ❑Yes ❑ No
Project Name: UNCLE TETSU JAPANESE CHEESCAKE Set# QTY Sample Type Slump Mix Temp AMB Temp.
Address: Santa Anita Mall 400 S Baldwin Ave. ❑Concrete ❑Grout
(Street Address) o Mortar o Prism
Space#M15. Arcadia, CA Sample Location:
(City/State)
Architect: Set# QTY Sample Type Slump Mix Temp AMB Temp.
Engineer: Ken OKAMOTO AND ASSOCIATES, INC ❑Concrete o Grout
❑Mortar ❑Prism
Sub Contractor: STRUCTURAL STEEL FABRICATION,INC. Sample Location:
General Contractor: Cutting Edge Buiders Inc.
Inspection Date: Fri,May 13,2016 Set# QTY Sample Type Slump Mix Temp AMB Temp.
Bldg.Permit(s): B00-52-848 ❑Concrete ❑Grout
❑Mortar ❑Prism
Plan File: Sample Location:
❑ Check Here if Additional Tests Performed&Describe Below
Per request of Cutting Edge Building Inc , a K&R representative has conducted welding inspection.
UNCLE TETSU:
Provided periodic inspection of welding connection of (2) 1/2" base plates to (2) HSS 4x4x5/16" columns with 1/4"fillet weld
all around typ per detail 9 S-4.Also, erection and connection of a W10x60 beam to (2)HSS 4X4X5/16"columns with (4)A325
3/4" M. B.typ per detail 3 S-5, erection and connection of(3) HSS 6X4X1/4" beams to W10x60 beam web, tack welded only.
Additionally, erection and connection of a C10x15.3 channel to (3)HSS 6x4x1/4" beams tack welded only, erection and
connection of (4) HSS 4x4x1/4"beams to W10x60 beam web tack welded only. Lastly, welding of(6) 5"x 3/8"thick plates
to existing beams bottom flanges with 1/4"fillet weld both sides per detail 2/S-4. Work performed took plan in the roof framing
Plan in lines 37 to 37.5 between grids AA to A. Observed certified welders for proper techniques and procedures.
*****Note: Final pretension of bolts and welding will commence on Monday, work still in progress*******
Welding Process:SMAW Welding rod material: E7018 electrodes
Certified Welder:Juan Corso Structural:(Manual-Semi/Automatic process). License#P032846 Exp:01/02/2017
To the best of my knowledge,the above ®WAS/D WAS NOT performed in compliance with the approved plans
and specifications.
Time In Time Out Regular Time Over Time Travel Time Mileage
11:30 am am/pm - •m am/pm 4: hours 1:20 min. 37 miles.
Pro ' in o liconstt tion 'onitoring by K&R Consulting field personnel is not insurance,nor does it guarantee construction of any type. The Owner or
a s c -ssor interest sha waive and indemnify K&R Consulting against all claims,liability,damages,and expenses arising out of or relating to all acts.
eJ1,111410# / ICC#. 8234467
CONTRACT•R/REP•t+rATIVE(SIGNATURE) REGISTERED DEPUTY IGNATURE) CERTIFICATION NUMBER
Eduardo Turcios Edwin Jimenez
CONTRACTOR/REPRESENTATIVE(PRINT NAME) REGISTERED DEPUTY(PRINT NAME)
OFFICE (866) 617-2469 • FAX(951) 658-6935
White-Office Copy Canary-Deputy Copy Pink-Jobsite Copy
KAT-It. Consulting PAGE 1 OF 1
K&R JOB NO.
INSPECTORS DAILY REPORT
Type of Work Inspected:DReinforced Concrete ❑Structural Masonry°Structural Steel❑Post Tensioning❑Epoxy ❑Other
Day: °Monday ❑Tuesday ❑Wednesday ❑Thursday Friday ❑Saturday ❑Sunday
TESTS PERFORMED: ❑Yes ❑ No
Project Name: UNCLE TETSU JAPANESE CHEESCAKE Set# QTY Sample Type Slump Mix Temp AMB Temp.
Address: Santa Anita Mall 400 S Baldwin Ave. ❑Concrete o Grout
(Street Address) ❑Mortar o Prism
Space#M15. Arcadia, CA Sample Location:
(City/State)
Architect: Set# QTY Sample Type Slump Mix Temp AMB Temp.
Engineer: Ken OKAMOTO AND ASSOCIATES,INC ❑Concrete o Grout
o Mortar o Prism
Sub Contractor: STRUCTURAL STEEL FABRICATION,INC. Sample Location:
General Contractor: Cutting Edge Buiders Inc.
Inspection Date: Mon,May 16, 2016 Set# QTY Sample Type Slump Mix Temp AMB Temp.
Bldg.Permit(s): B00-52-848 8557771978 ext 210 o Concrete o Grout
Juliana madrigal slo o Mortar o Prism
Plan File: 1348 399 Sample Location:
❑ Check Here if Additional Tests Performed&Describe Below
Per request of Cutting Edge Building Inc , a K&R representative has conducted welding inspection.
UNCLE TETSU:
Provided periodic inspection of welding connection of(3) HSS 6x4x1/4"beams to W10x60 beam web with 1/4"fillet weld
all around typ per detail 16/S-4 ,welding of(3) HSS 6x4x1/4" beams to C10x15.3 with 1/4"fillet weld all around typ per detail
6/S-4 ,welding of a HSS 4x4x1/4"beam to W10x60 beam web with 1/4"fillet weld all around typ per detail 8/S-4. Welding of
(2) L4x4x3/8 angles to HSS 4x4x5/16"column and W10x60 bottom &top flange with 1/4"fillet weld 3 sides per detailed 3/S-5
Work performed took place on the roof framing plan in lines 37 to 37.5 between grids AA to A.
Observed certified welders for proper techniques and procedures.
*****Note: Final pretension of bolts still pending , work still in progress*******
Welding Process:FCAW Welding material: NR-32
Certified Welder:Juan Corso Structural:(Manual-Semi/Automatic process). License#P032846 Exp:01/02/2017
To the best of my knowledge,the above ®WAS/❑WAS NOT performed in compliance with the approved plans
and specifications.
Time In Time Out Regular Time Over Time Travel Time Mileage
11 :30 am am/pm •m am/pm 4: hours _1:20 min. 37 miles.
Pro ' ',en o i�const r.ction r onitoring by K&R Consulting field personnel is not insurance,nor does it guarantee construction of any type. The Owner or
a s c •ssor interest sha waive and indemnify K&R Consulting against all claims,liability,damages,and expenses arising out of or relating to all acts.
e114t VA i ICC#. 8234467
CONTRACTOR/REP•r rATIVE(SIGNATURE) REGISTERED DEPUTY 'IGNATURE) CERTIFICATION NUMBER
Eduardo Turcios Edwin Jimenez
I CONTRACTOR/REPRESENTATIVE(PRINT NAME) REGISTERED DEPUTY(PRINT NAME)
OFFICE (866) 617-2469 • FAX(951) 658-6935
White-Office Copy Canary-Deputy Copy Pink-Jobsite Copy
K8z IZ Consult rig PAGE 1 OF 1
K&R JOB NO.
INSPECTORS DAILY REPORT
Type of Work Inspected:❑Reinforced Concrete DStructural Masonry°Structural Steel Post Tensioning DEpoxy ❑Other
Day: °Monday ❑Tuesday ❑Wednesday ❑Thursday ❑Friday ❑Saturday ❑Sunday
TESTS PERFORMED: ❑Yes ❑ No
Project Name: UNCLE TETSU JAPANESE CHEESCAKE Set# QTY Sample Type Slump Mix Temp AMB Temp.
Address: Santa Anita Mall 400 S Baldwin Ave. ❑Concrete ❑Grout
(Street Address) o Mortar ❑Prism
Space#M15. Arcadia, CA Sample Location:
(City/State)
Architect: Set# QTY Sample Type Slump Mix Temp AMB Temp.
Engineer: Ken OKAMOTO AND ASSOCIATES,INC ❑Concrete ❑Grout
❑Mortar ❑Prism
Sub Contractor: STRUCTURAL STEEL FABRICATION,INC. Sample Location:
General Contractor: Cutting Edge Buiders Inc.
Inspection Date: Wed ,May 18, 2016 Set# QTY Sample Type Slump Mix Temp AMB Temp.
Bldg.Permit(s): B00-52-848 ❑Concrete ❑Grout
❑Mortar ❑Prism
Plan File: Sample Location:
❑Check Here if Additional Tests Performed&Describe Below
Per request of Cutting Edge Building Inc , a K&R representative has conducted welding inspection.
UNCLE TETSU:
Provided periodic inspection of welding connection of(3) HSS 4x4x1/4 to a W10x60 beam flange with 1/4"fillet weld
all around typ per detail 5-6/S-4.Additionally, erection and welding connection of a C 6x13 channel to (4) HSS 4x4x1/4
beams with 1/4"fillet weld all around per detail 6-S/4.Also (2) L4x4x3/8 angles to HSS 4x4x5/16"column and W10x60
bottom &top flange with 1/4"fillet weld 3 sides per detailed 3/S-5. Lastly, final pretension of(4)A 325 3/4" M.B
Observed certified welders for proper techniques and procedures.
Structural Welding has been completed and welds are acceptable and in comformance with requirements of AWS D1.1/D1.1 M-2010 Structural Welding Code.
Welding Process:FCAW Welding material: NR-232
Certified Welder:Juan Corso Structural:(Manual-Semi/Automatic process). License#P032846 Exp:01/02/2017
To the best of my knowledge, the above ®WAS/❑WAS NOT performed in compliance with the approved plans
and specifications.
Time In Time Out Regular Time Over Time Travel Time Mileage
11 :00 a ;m/pm •m am/pm 4: hours 1:20 min. 37 miles.
Pro ' '.o n o Iiconst .ction ,onitoring by K&R Consulting field personnel is not insurance,nor does it guarantee construction of any type. The Owner or
a s c -ssor interest sha waive and indemnify K&R Consulting against all claims,liability,damages,and expenses arising out of or relating to all acts.
e �� u ICC#. 8234467
CONTRACTOR/REP•t rATIVE(SIGNATURE) REGISTERED DEPUTY ' IGNATURE) CERTIFICATION NUMBER
Eduardo Turcios Edwin Jimenez
CONTRACTOR/REPRESENTATIVE(PRINT NAME) REGISTERED DEPUTY(PRINT NAME)
OFFICE (866) 617-2469 • FAX(951) 658-6935
White-Office Copy Canary-Deputy Copy Pink-Jobsite Copy
KOSEIt. Consulting PAGE t OF /
K&R JOB NO.
INSPECTORS DAILY REPORT
Type of Work Inspected:DReinforced Concrete ❑Structural Masonry OStructural Steel❑Post Tensioning 1poxy DOther
Day: ❑Monday ❑Tuesday ❑Wednesday ❑Thursday ❑Friday ❑Saturday ❑Sunday
TESTS PERFORMED: ❑Yes i'No
Project Name: Col/ A2 cc Set# QTY Sample Type Slump Mix Temp AMB Temp.
Address: . t 11,Lox,, o Concrete ❑Grout
(Street Address)
r o Mortar ❑Prism
/ Sample Location:
dr r /Yl ig Af,adA
(City/State)
Architect: ,Q,d P¢� Set# QTY Sample Type Slump Mix Temp AMB Temp.
o Concrete ❑Grout
Engineer: f„ �� o�n e �/,� o Mortar o Prism
Sub Contractor: e-u ,CX 12y ' Sample Location:
General Contractor: ��,/e..
Inspection Date: „g"- 3-/4 Set# QTY Sample Type Slump Mix Temp AMB Temp.
Bldg. Permit(s): Roo-052-SW o Concrete o Grout
o Mortar o Prism
Plan File: Sample Location:
• a •r i A' 'i.i . T- P- . _ . - r', -
/� Pe�o,rr�� �,�x y 1 ,rte�� 1 AWL-,�..a�i�+t- � ,,•+.e..P�, - ,,G07%
-/e f c•/ 5Vs'11 .erN,/ 10.1 ice.. r -J `, - '.,.. �/.�.<4C <•r/r /47 rR '/.g
14, / am/�vsr9/,,4, h i. �9,an It� � //
7
1/4 /
Ga � �iC .
To the best of my knowledge, the above f WAS/❑WAS NOT performed in compliance with the approved plans
and specifications.
Time In Time Out Regular Time Over Time Travel Time Mileage
am/pm am/pm in,-
Provision of construction monitoring by K&R Consulting field personnel is not insurance,nor does it guarantee construction of any type. The Owner or
a successor in' terest all waive and indemnify K&R Consulting against all claims,liability,damages,and expenses arising out of or relating to all acts.
ig., I 9/7 1
CONTRAC P• E '0' DATIVE(SIGNATURE) REGISTERED DEPUTY(SIGNATURE) CERTIFICATION NUMBER
CONTRACTOR/REPRESENTATIVE(PRINT NAME) REGISTERED DEPUTY(PRINT NAME)
OFFICE (866) 617-2469 • FAX(951) 658-6935
White-Office Copy Canary-Deputy Copy Pink-Jobsite Copy
•..�►- D
Hi
CO LA)tlt .-
r VONN9 — FE At4 P -
1 x��: eLP4—/
/ IL
\,\
\:::,:\
1 &- r' € Sk t?•C"
w/(4)4t0 .5ms
' IC f A. 1 r ST
illi.e moor
ts-K) / o
..“....,f 1rr Iu --'' S,�'v
FS /ti, 2 N!o , \ ,r'ry j orsr
\ \
a
Thanks,
Chester Huang I P.E.,LEED®AP
KEN OKAMOTO & ASSOCIATES, INC.
STRUCTURAL ENGINEERS
3186-F Airway Avenue
Costa Mesa,CA 92626
P: 714.444.2422
F: 714.444.2122
Website: http://kenokamoto.com/
Email: chesterh @kenokamoto.com
2