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HomeMy WebLinkAboutUntitled ,e, , Development Services Department 240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO. $QQ_050 882 City of (626) 574-5416,Fax(626)447-9173 Arcadia Permit Type: Tenant Improve w/energ; PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 8/11/2015 JB 10:50 10/22/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 15-500 Los Angeles,CA 90025- EMAIL ADDRESS: Plan#: 31757 APPLICANT M N.RE ",7 Alain Hirsch Construction Compan'i M �'" 4 PHONE NO EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Alain Hirsch Construction Corp 4431 Corporate Center Dr 123 PHONE NO. (714)527-8500 FAX NO. Los Alamitos, CA 90720 EMAIL ADDRESS: License No. 756267 Type: B Expires: 11/30/2016 12:0( TENANT MAILING ADDRESS Zara PHONE NO. FAX NO. DESCRIPTION TENANT IMPROVEMENT Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 752,110.00 $752,110.00 OCCUPANCY: Tenant Improve TOTAL VALUATION: $752,110.00 QTY I1OM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 3,724.31 3,724.31 01-3103 each Energy p/c fee 1,260.53 1,260.53 01-3103 PC ADA 558.65 558.65 01-3103 PC Cal Green 372.43 372.43 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 5,729.70 5,729.70 01-3104 Bldg Issue ADA 572.97 572.97 01-3104 1.00 each T.1.Fire Pkc 245.00 245.00 01-3109 SMIP Corn 210.59 210.59 14-2207 gm bldg std 31.00 31.00 714-2203 I.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $12,755.78 Balance Due: $0.00 Paid Today: $6,594.86 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt A: 110819 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 6,347.02 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 210.59 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 31.00 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) tit~ARC Gi,{.{FOR.YI1'91 PERMIT/PLAN REVIEW APPLICATION n c, r„„ Development Services Department,240 West Huntington Drive, Post Office Box 60021 ot' 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' ? Ljcgnse No `z %5" Ex Date"+'. i compensation, as provided for by Section 3700 of the Labor Code, for the License Class p' 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 wo�kers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier 1 a 7. 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 '.' tt °t I : _`m I 1 1 A A A t, a't' 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 CONSTRUCTION LENDING AGENCY Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a 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 t f1 .3;?sum..# i NZ,ii,s b Title s)V >°-SL. `=-. 11'y.. }n . { R PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature Date ��}rte-/.` I - w -� NOTES Building Inspections Date Insp. Plumbing Inspections Date . �,"n+fs" /Insp 100. Setbacks 210. Under fir/bldg.drain / �-CerC''2_ 101. Rough grade 211. Copper underslab el,' I%#/ *V Or waL, 1l_9-C--/54/ 102. Figs.&forms 212. Rough plumbing \ y 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan !2-$4- ?Are-4./Ar aZ/'e.04- ' A-I- 105. Steel 215. Water heater l 106. Grout lift 216. Roof drains �"O-S/ 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service ST- �1., 109. Roof nailing ,219. Final gas C �^ `{:R� N 4,1-74- l�tr.^�►l S>�� 110. Framing 220. Fixtures _ _ _ 111. 0cc./Area Sept.Wall r 221. Final plumbing j 2/-/6 �� 112. Sound walls 222. Sewer cap/demo. 113. T-bar.rid 17---2 --05" j?gyVil,Le- I';=/ 114. Insulation-Flr. _ Pool Inspections Date Insp. .FG<.�/C l�A(CS �,r T 115. Insulation-Wall 240. Excavation/steel / S 116. Insulation-Ceil. 241. Rough plumbing i..t t"l6 r -E f4-a'tv't i O.-'4G� EL.cr C 117. Drywall nailing 242. Light shell/bonding 041.6/4¢7/CAL, .C�<Gl�G 774(b-- 119. Interior lath ,243. Underground conduit _ 119. Exterior lath 244. P-trap 120. Finish.rade ', 45. Gas line&test _ (-12/` c . 6 " ELG c!G i5.�.1t0 121. Final building -s< 141.11r 246. Fence,gates&signs p 122. Final demo/lot clear 247. Pool heater F�Q�i. 'c 2 - Fw(F re.. (,.TISL� 248. Final electric - - G A4 coAcC - , AP r Electrical Inspections Date Insp. 249. Final.lumbin. 150. Power pole 250. Pool cover / FC�� «< 6•‘< 151. Sales lot lighting 251. Pool final 152. Underground conduit S� 153. Underslab conduit Reroof Inspections Date Insp. -2S`G .----1- :L 154. UFER ground ' ' �� 9 270. Pre-reroof insp. �� n�ookr 4.7- -Grai n C 4 155. Water ground 271. Roof framing , / Ilea 156. Rough electrical 272. Sheathing nailing N� 7 %- E�� '� /� J 157. Fixtures 273. Final reroof 158. G.F.C.I. • mr4c� 159. E..t.bondin. Sign Inspections Date Insp. r +�"`��'f/ -!"2� 160. Service panel 280. Setback/overhang 1. Ple,C } ,`�4 6 161. Final electric 33:5--I4 Footing 282. Conduit/wirin. Mechanical Inspections Date Ins.. 283. Disconnect `�`` .2" - ' Witt_- .A,,= . CV/-T-yr` 180. Venting/flue 284. Final sign I'C--- 5wy{-rT' 144,c At"S D E 1, 4 S( 181. Furnace/A.C. ! �+'' 182. Rouch HVAC Miscellaneous Insp. Date Insp. G1K�G,OYCf i_ts' R.$+s �1yvt) I ST" 183. Fire dampers 290. Fire alarm F Lc 151& s,,sQQ,F r 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 2, - C 4-`csd 4 ec c cf 187. Metal F.P.rough 294. Hood dry chem. I,�,,,,1 � ������ '� 188. Compressor setback 295. Final Ar--16f'" t- /)1 ``,"1674 OS",7 77 - 189. Commercial hood :/ 190. Duct shaft Sewers&Offsite Insp. Date Insp. ^ /� 191. Final mechanical 3-3f I - �� 300. Lateral(main to P/L) t2 2 I C A t' ' p2N!f-�,' t 301. Cesspool a .K , /'1 Li.,& Block Wall Inspections Date Insp. 302. Cesspool filled �i 200. Footings 303. Sidewalk Xiiii 201. Steel/rebar 304. Driveway z22'C 202. Grout lift 305. Curb replacement Q �� 203. Final wall 306. Trash bin 3'3"« E 'E 6�_;y,/� I!? fj of V-70-4/ RACKS or<F-60K , A -°°./ %.°°*-*\ *71°--°°#"Arl°11)—)L \ _ ,- tl .1, l ! 11 i l II, l til ) II E L 0 r 7 4 0 A C et, , I r : ); rpoki o e, ,„., ... ,,.. ,,, yg A o 07 °. Gr ' r---- T a ° I 3 2 * e. 5 to 4 a A 6. 0. 0 „,,r111). 0 0 0 0a coo et IS ►Sj < vo A i o ro r" ..a it. co o ro I. et. h N► rt. J e) n 0 5' 0 © ff.,' 1 fi, # z = . S t; "tv .r Mme'" > iI* �IA o et '', ` � � llt1Ei rJ s 5' 4 ° - tn ) p Bi - 1, n n F O ni 0 n 4 r�?Oy , Cn b P .„.... ,,,...., ,... _ . _ yr ____ t[ t1 4 t t�� r T. L.-- .-- l qFt� Development Services Department 240 West Huntington Drive, Post Office Box 60021 '''.--. ,..'7 PERMIT NO. Arcadia,CA 91066-6021 BOO-053-201 Arcadia (626) 574-5416,Fax(626)447-9173 Permit Type: Sign PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 3/31/2016 CM 11:30 3/31/2016 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. Inspector#: HNRY Los Angeles,CA 90025- EMAIL ADDRESS: Plan#: IN FILE APPLICANT MAILING ADDRESS Wesco PHONE NO. CSCO F t �,�• EMAIL ADDRESS: p�i p CONTRACTOR/PROFESSIONAL MAILING ADDRESS � e g Ai Ail ti Wesco 2413 Amsler St PHONE NO. (310)946-3313 FAX NO. Torrance,CA 90505 EMAIL ADDRESS: License No. 866714 Type: C45 Expires: 3/31/2017 12:00: TENANT MAILING ADDRESS Zara PHONE NO. FAX NO. DESCRIPTION 3 NEW ILLUMINATED SIGNS Construction Type UOM #of Units Value Construction Type UOM #of Units Value it'";,I• 4.,C 5q--c 214.56 G OCCUPANCY: TAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 1.00 flat Elec issue 44.35 44.35 01-3105 1.00 branch cin Signs elec 59.17 59,17 01-3105 1.00 each Sign Connection 15.55 15.55 01-3105 1.00 Flat SWMF 2 1.00 1.00 88-3027 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $165.42 Balance Due: $0.00 Paid Today: $165.42 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112393 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 44.35 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 119.07 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 88-3027 2.00 Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. f._...:............ (Closed on alternate Fridays) U~�oFFORC9 a - PERMIT/PLAN REVIEW APPLICATION Erg r`igo * 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. 77 ❑ I have and will maintain a certificate of consent to self-insure for workers' L License Class 't License No. � 9VJ�'1 I /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 Contracto OWNER-BUILD .',ECLA TI• ❑ 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 orkers'compens tion insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier C }' C demolish,or repair any structure,prior to its issuance,also required the applicant /� , C for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number / v V provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need no e completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for WARNING: Failure to secure Workers' Compensation coverage is unlawful, sale. If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AM) RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures.. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for further information. Name f"S C%4IN) VI O 1■ -1 1 C. Title \JP 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 I ove-mentioned property for inspection purposes. �,, Signature hAL Date 1 l tL i''"' Development Services Department I 240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO. B00_052-078 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 0003 11/12/2015 CM 10:59 12/1/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave 5775-031-034 OWNER MAILING ADDRESS Santa Anita Fashion Park Llc P O Box 130940 Dept Wfld PHONE NO. Inspector#: FIRE Carlsbad, CA 92013 EMAIL ADDRESS: Plan Chk#: 15-722 APPLICANT MAILING ADDRESS Bec 224. Lindsay Way PHONE NO. (909)305-1600 Gle �• I cr Y EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAI c•AD..'ES 9 .t.iii�� °j aye z€t.1 PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS Zara PHONE NO. FAX NO. DESCRIPTION FIRE ALARMS-77 DEVICES Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 27,980.00 $27,980.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $27,980.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 77.00 each fire alarm pc 2 857.00 857.00 01-3109 I.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 526.00 526.00 01-3112 I.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $1,428.35 Balance Due: $0.00 Paid Today: $571.35 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 111249 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 570.35 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 O1 ARC. °� ��1 ■ 1'■ PERMIT/PLAN REVIEW APPLICATION a��h j, Development Services Cp Huntington x Office Box 60021 Arcadia, CA (626) 54-5416Fa (626) 447-913 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION Oa/ 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 a t. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class Crl D/ License No. ' x Date 11/�. 111' / compensation, as provided for by Section 3700 of the Labor Code, for the SO `� �I*/ performance of the work for which this permit is issued. Signature of Contractor 1 S OWNER-BUILDER DE ARATION pi 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 26( rte" t �t �� .� demolish,or repair any structure,prior to its issuance,also required the applicant Pr t n \ 1 for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number V`rV uC \`V 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 3700a.: Code,I shall 0 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 / Ii Ail- sale(Section 7044,Business and Professions Code:The Contractors License Date ' Signature ; ��,r� Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 'I'O THE CONDITIONS AM) RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures.. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for further information. .Name .,._._41*m# .0 . .4. Title i1 '� iVJ' 'R 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-me .'oned property for inspection purposes. Signature W 1 I Date k V l /IS 4 G0I AR '0 F i!C) .;11 It C,0 : j`q �munityott"� MEMORANDUM Fire Department DATE: September 19, 2016 TO: BUILDING DEPARTMENT INSPECTOR Chris Ingram FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue, A7 (Zara) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 3-28-2016 Mark Krikorian FIRE ALARMS 4-4-2016 Mark Krikorian TANKS HOOD & DUCT KNOX BOX OCCUPANCY 4-4-2016 Mark Krikorian COMMENTS: Emailed Bldg. Dept. 4-5-2016 Rita „.0.;4g,' Development Services Department i 240 West Huntington Drive,Post Office Box 60021 •,,..,. Arcad ia, CA 91066-6021 PERMIT NO $00_052-165 City of (626) 574-5416,Fax(626)447-9173 Arcadia Permit Type: Mechanical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 11/23/2015 CM 12:36 11/23/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: cris Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Vision Heating&Air Conditioning PHONE NO. k EMAIL ADDRESS: i,� A CONTRACTOR/PROFESSIONAL MAILI` •• S8 a ✓f,41414 t f g,, Vision Heating And Air Conditioning 19069 Van Buren Blvd Ste 114-481 PHONE NO. (951)973-8837 FAX NO. (951)677-9599 Riverside,CA 92508 EMAIL ADDRESS: glenda @visionhvacinc.com License No. 877675 Type: c20 Expires: 5/31/2016 12:00: TENANT MAILING ADDRESS Zara PHONE NO. FAX NO. DESCRIPTION EIGHT ROOFTOP PACKAGE UNITS AND FIVE SPLIT(A/C)SYSTEMS FOR TENANT IMPROVEMENT Construction Type UOM #of Units Value Construction Type UOM #of Units Value OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 Flat Mech Issue Auto 44.35 44.35 01-3105 13.00 each Fum<100,000btu 243.62 243.62 01-3105 13.00 each Comp 3 hp 243.62 243.62 01-3105 1,00 each SWMF 2 Auto 1.00 1.0088-3027 Total Fees: $532.59 Balance Due: $0.00 Paid Today: $532.59 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 111191 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 531.59 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.„0„9, i~ OP PI, V PERMIT/PLAN REVIEW APPLICATION i4# , Development Services Department,240 West Huntington Drive,Post Office Box 60021 y `" Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia CENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION CA 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 (-2-0 License No.X511 io1' Exp. Date 5-131/I • compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDS CLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ 1 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.M``yrrworkers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier I 5.)v-'rcy- demolish,or repair any structure,prior to its issuance,also required the applicant l v' 1 7 /_ g for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number �—�v 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 ❑ 1 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. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AM) RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures.. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for further information. Name T PP , Title J P PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature — Date t\ 1 223/15 "` Development Services Department 51 ++ • 240 West Huntington Drive, Post Office Box 60021 -rfz Arcadia, CA 91066-6021 PERMIT NO B00-052-286 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 12/8/2015 CM 10:08 12/8/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: CRIS Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT LIN( ►fll ! ' rt a D. Johnson Plumbing, Inc. PHONE NO EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS. D Johnson Plumbing, Inc. 7510-E Orangewood Ave PHONE NO. (714)799-1907 FAX NO. Stanton,CA 90680 EMAIL ADDRESS: License No. 842290 Type: C36 Expires: 7/31/2016 12:00: TENANT MAILING ADDRESS Zara PHONE NO. FAX NO. DESCRIPTION PLUMBING FIXTURES FOR TENANT IMPROVEMENT Construction Type UOM #of Units Value Construction Type UOM #of Units Value X--" .. ,-- OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 Flat Plmbg Issue A 44,35 44.35 01-3105 2.00 each Water Closet 24.92 24.92 01-3105 2.00 each Lavatories 24.92 24.92 01-3105 1.00 each Kitchen sinks 12.46 12.46 01-3105 1.00 each Floor sink 12.46 12.46 01-3105 4.00 each Floor drain 49.84 49.84 01-3105 1.00 each Wtr htr/vent 15.55 15.55 01-3105 1.00 Fixtures Plmbg fixture 12.46 12.46 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#: 111313 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) OF ARC, x. "R-14 PERMIT/PLAN REVIEW APPLICATION 141*, 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 C. -, •.my license is in ft/ ce .feet. / ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class Neil License N. •lP xp. Da-43)I in 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 Contra. MAP' OWNER-BUILDER DECLARATION I have and will maintain workers'compensation insurance,as required by Section 0 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 workersc ��sation insu ance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier I\`I CaJ1( demolish,or repair any structure,prior to its issuance,also required the applicant �/�GJ^� 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 0 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 Signatu 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. aft Name UM1183. 1 II Title ViTiiir f/(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 ente on the above-mentioned property for inspection purposes. '} Signatur �� Date I2 15 ""` Development Services Department 240 West Huntington Drive, Post Office Box 60021 PERMIT N4. Arcadia, CA 91066-6021 BOO-052-291 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 12/8/2015 JB 12:26 12/8/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: CRIS Los Angeles, CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Calima Electric al r r4..it PHONE NO r e t - EMAIL ADDRESS: 41•s 4 o s a fc,Nv iv '4,. 44. CONTRACTOR/PROFESSIONAL MAILING ADDRESS Calima Electric 137 N Larchmont #567 PHONE NO. FAX NO. Los Angeles, CA 90004 EMAIL ADDRESS: License No. 357034 Type: C10 Expires: 4/30/2016 12:00: TENANT MAILING ADDRESS Zara PHONE NO. FAX NO. DESCRIPTION ELECTRICAL FOR TENANT IMPROVEMENT Construction Type UOM N of Units Value Construction Type UOM #of Units Value rii(.4L 3-3a -t6 OCCUPANCY: IP OTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 flat Elec Issue Auto 44.35 44.35 01-3105 195.00 each Outlets 203.00 203.00 01-3105 879.00 each Ltg fixtures 887.00 887.00 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $1,135.35 Balance Due: $0.00 Paid Today: $1,135.35 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 111315 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 1,134 35 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) z pF ARC ,1 �%.lroRn, , `` 00141m r PERMIT/PLAN REVIEW APPLICATION 404, Development Services Department,240 West Huntington Drive,Post Office Box 60021 '''''',..,o000". Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION pzi 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 CVO icense No. 351 O3�Exp. Date 4J2D110 compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER D CLARATION a 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.'Ml y w 'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter, improve, Carrier t'_ ,,orkers jr-F0 2Z INS- Ca a-cmJP• demolish,or repair any structure,prior to its issuance,also required the applicant )�-�, 2 9 gS 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 1'L ', .Ui S 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: I. 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 VtCA4I1)O •jA' Title .?2 (a r 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.lc- Signature Date a- 8 .10t6 Rt iDevelopment Services Department 240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO. B00_050_257 City of (626) 574-5416,Fax (626)447-9173 Arcadia Permit Type: Comm Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 5/13/2015 CM 14:14 5/18/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: CRIS Los Angeles, CA 90025- EMAIL ADDRESS: ',yam ,, , ,.-7,-r: Plan#: 31582 APPLICANT ILIrv5,aW4'�C ASS 4 Paul Howard -Westfield Yi�W L PHONE NO (310)795-7552 x.+ .d ' _rE g.t.33 EMAIL ADDRESS: CONTRACTORIPROFESSIONAL MAILING ADDRESS Owner PHONE NO. FAX NO. EMAIL ADDRESS: License No. Type: Expires: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION DEMOLIS,I EXISTING OLD NAVY,IIALLMARK,ALLY FASHION AND FOOTLOCKER STORES,TO PREPARE FOR FUITURE TENANT Construction Type UOM #of Units Value Construction Type (IOM 8 of Units Value Value Value 90,000.00 $90,000 00 i F;(01-(-- / 2--g.s.-Lc OCCUPANCY: Tenant Improve TOTAL ALUATION: $90,000.00 QTV UOM DESC AMT AMT PAID ACCT QTY 110M DESC AMT AMT PAID ACCT 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 1,140.50 1,140.50 01-3104 SMIP Com 25.20 2520 14-2207 gm bldg std 400 4.00 714-2203 1.00 each SWMF 2 Auto I.00 I,00 88-3027 1 00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $1,221.30 Balance Due: $0.00 Paid Today: $1,221.30 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Kecetpr(i: IU8989 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 1,184.85 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 25.21) 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 7.25 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. \ by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m. to 4:30 p.m. (Closed on alternate Fridays) t/ FARc9�y PERMIT/PLAN REVIEW APPLICATION f j Development Services Department,240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for n ate / 2� 'S/1 " ' Signature sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon, �Ir` 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 //5/2 / Signatu : / / Lender's Address IMPORTANT: APPLICATION IS HEREBY ADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AM) RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures.. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for further information. Title P' N 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 tate Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned pr erty for inspection purposes. ignature —_= Date ,//22�/5 e Development Services Department ', 240 West Huntington Drive, Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO. B00-050-769 City.of (626) 574-5416,Fax(626)447-9173 Arcadia Permit Type: Comm Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 7/13/2015 CM 9:44 8/31/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave A5-A6 T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 15-434 Los Angeles, CA 90025- EMAIL ADDRESS: Plan#: 31707 APPLICANT MAILING ADDRESS D.L.S. Bulders PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS D L S Builders 1975 N Bailey St PHONE NO. (714)998-3790 FAX NO. Orange, CA 92867 EMAIL ADDRESS: n.f.viI +', 1 License No 467925 Type: B C9 0 ptr i, . TENANT NG A3DhESa . y r ''v Cara ` ',Li 13 PHONE NO. FAX NO. DESCRIPTION COMBINE SPACES: A5 THRU A8 TO CREATE ELEVATOR OPENING/PIT, ONE ESCALATOR AND CREATE SPACE FOR FUTURE TENANT IMPROVEMENT(ZARA) Construction Type UOM N of Units Value Construction Type UOM #of Units Value Value Value 250,000.00 $250,000.00 F,6,4 L j-2_--sc3 —G- OCCUPANCY: Tenant Improve TOTA ALUATION: $250,000.00 QTY IIOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 1,468.35 1,468.35 01-3103 /1.�� tf' w" each Energy p/c fee 496.98 496.98 01-3103 Q� N fl D2 Q6UNpN � t4 t- (14.4 PC Cal Green 146.84 146.84 01-3103 et r_ 04` T tNO pi, a. 10-415" PC ADA 220.25 220.25 01-3103 1 00 Flat Bldg Issue Auto 44.35 44.35 01-3104 C,t/ ,twit_ O?:Di/` i a,�I5 jam/ each Bldg permit 2,259.00 2,259.00 01-3104 1�•7"^T �JC) �/ Bldg Issue ADA 225.90 225.90 01-3104 1.00 each Corn.Fire Pkc 245.00 245.00 01-3109 SMIP Corn 70.00 70.00 14-2207 gm bldg std 10.00 10.00 714-2203 I.00 each SWMF 2 Auto 1.00 1.00 88-3027 100 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $5,193.92 Balance Due: $0.00 Paid Today: $2,616.50 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the R...:pI N. 110235 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 2,529.25 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 70.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 8 17.25 88-3027 027 7.25 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) PlOillP V PERMIT/PLAN REVIEW APPLICATION _ ir: ii t,... o�Es°, Development Services Department, 240 West Huntington Drive, Post Office Box 60021 ,, °n„Y of N° Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia IICENCONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION SED 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 Classy ' c-9 License No. - i 7— Exp. i - / / compensation, as provided for by Section 3700 of the Labor Code, for the / performance of the work for which this permit is issued. Signature of Contractor a- ✓! 'f� .i . _/—�� OWNER-BUILDER DECLARATION gin have and will maintain workers'compensation insurance,as required by Section El hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier S'N/LtWYL.E lil.n/ O/ TVa`a - C ' , demolish,or repair any structure,prior to its issuance,also required the applicant ,�y/.� for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 641.0 D IV Z O/ provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for �/3�/� g / �, sale(Section 7044,Business and Professions Code:The Contractors License Date 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 CONDI'T'IONS 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 _sue / SC 42-i D L Title , #S”De.+V7 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-mentione a operty a 'nspection purposes. I I //4011P/A10 ° 3 Signature J / b . J/Date '/Ci t Development Services Department 240 West Huntington Drive,Post Office Box 60021 - � Arcadia,CA 91066-6021 PERMIT NO. B00-050-865 City of (626) 574-5416,Fax(626)447-9173 Arcadia Permit Type: Comm Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 7/20/2015 CM 10:03 7/20/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: CRIS Los Angeles, CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Sturdy Built Inc. "- ' '' `� PHONE NO EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL ADDRES Sturdy Built Inc. 668 Flinn Ave#25 PHONE NO. (805)552-9927 FAX NO. Moorpark, CA 93021 EMAIL ADDRESS: License No. 971510 Type: B Expires: 3/31/2016 12:00: TENANT MAILING ADDRESS Zara PHONE NO. FAX NO. DESCRIPTION INTERIOR DEMOLITION IN PREPARATION FOR FUTURE T.I.FOR ZARA(LANDLORD WORK) Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 50,000.00 $50,000.00 t1/A—L I Z-- —<.5-- OCCUPANCY: Tenant Improve TOTAL VALUATION: $50,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 100 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 806.50 806.50 01-3104 SM1P Corn 14.00 14.00 14-2207 gm bldg std 2.00 2.00 714-2203 I.00 each SWMF 2 Auto 1.00 I.00 88-3027 I 00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $874.10 Balance Due: $0.00 Paid Today: $874.10 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the 11 c,ipt M. 109701 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 850.85 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 14.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 88-30273 7.25 Arcadia building inspector for a period of 180 consecutive days. 88-3027 7.25 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) C`4„FeoA pC PERMIT/PLAN REVIEW APPLICATION 14”. 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 1.� License No. ct l(J lQxp. Date?--`4 compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contrac'ir- OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall 0 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 Dat:7 Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however, the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). 0 I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICA'T'ION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDI'T'IONS 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 ` ..IP. ` Title }"I A 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. Date -7 Signature "'V Aminim 444c m o o 1 , 11 D 1> "'U❑* j tZ . li col f CO Cop MO o i ca a tE a Q " y 9 (D m d f 13'-9" ► CCP SR I 3? ---►;33"I -- n n I! _ m co r 0 a� m m El o m N -n m r as n u 0 en II ZZ � Z y 0 o -1 m .5 m s la r 1 B 6.. �. m c, ,.� i Z N Z 7 0 m 2 r 2 _., , • o m m �, ail o 7 Z D r r 1 et N 9 1d r H C Z m m II N vizi/is! , O _ CO CO Z D 3 w n ao T NM v r _ n [ ° o z n n , Q o oz D D i y Z 1 Z ■ c 2 1 y M — CD r q cn _ m Z _ II r i a N a i____ 0 4 m o s D m m T y r- P en r 1 S y 11111.I y E IG 0 o w 3 O z d �. .. y c O d o C. fCt - a o 47.77 I 1 y Q= �'G o 0 3 d• n CO = co• c W 0 a CO W CO a c M. T 0 a s T z T C c, • 9 8 8 m $ �c N I I n 1 1 1 1111 �. m ca '� 6A � z _ m a 8 fV p a s € s 0 g Uri': s a CO a Ili! <U� iiIit 'iluitti° g Su a I`) 15E1F1 se C ? 8" +-, c N v, .. m ea o . 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V, . �z r a re;N r .� j i-i 'r3 -)- kr1 Tr 73 I / I 1 '.1i 1 irl l }.� 1 P—II P ! I I I It•- i 1_--. I ! 1 �, 1 1 1 I I ■ sr , j ■ I , t t 1 + �i �I i — -__ I I P 1 !I ! ! I I I\ I } t I I ! �c� '.' I I I 1 ; I 1 I I I P; n— \ 1 I I •I I ! � IT■ t v)•1 1 J-_...._. _ 1 , s „ s,''"` Development Services Department 5 ' 240 West Huntington Drive,Post Office Box 60021 �n�' Arcadia, CA 91066-6021 PERMIT NO BOO-052-924 City of (626) 574-5416, Fax(626)447-9173 Arcadia Permit Type: Comm Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 3/1/2016 CM 14:22 3/16/2016 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#: 16-89 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Tk Systems, Inc. fr« PHONE NO. ` 3 74, 1 1,4} EMAIL ADDRESS: J d {K CONTRACTOR/PROFESSIONAL AD E$$I i si 3 .: 4 -,- Tk Systems, Inc. 6949 Buckeye St PHONE NO. (909)287-3030 FAX NO. Chino, CA 91710 EMAIL ADDRESS: License No. 800845 Type: C-61 Expires: 11/30/2017 12:01 TENANT MAILING ADDRESS Zara PHONE NO. FAX NO. DESCRIPTION • RACKS FOR ZARA — - Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 20,000.00 $20,000.00 ivAC. .-3-(-/C OCCUPANCY: Tenant Improve TOTAL VALUATION: $20,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 262.76 262.76 01-3103 PC ADA 39.41 39.41 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 404.25 404.25 01-3104 Bldg Issue ADA 40.43 40.43 01-3104 SMIP Corn 5.60 5.60 14-2207 grn bldg std 1.00 1.00 714-2203 I.00 each SWMF 2 Auto 1.00 1.00 88-3027 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $805.05 Balance Due: $0.00 Paid Today: $502.88 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112230 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 489.03 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 5.60 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 1.00 Arcadia building inspector for a period of 180 consecutive days. 88-3027 7.25 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m. to 8:30 a.m. 7:30 a.m. to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m. to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) G~-,oFFAR,c9O7 PERMIT/PLAN REVIEW APPLICATION cap je Development Services Department,240 West Huntington Drive,Post Office Box 60021 Y Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: -9) Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers" License Class c-fotfiY2I. License No. .'00151-1.-6 Exp. Date f['"33 compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor pnihtir$. i 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 El hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My 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 :111 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,1 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 1(9— I b �/� n , , ��K, sale(Section 7044,Business and Professions Code:The Contractors License Date Signature X/ V�/ ' V4 S f 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 F\IPOR•I"ANL: AI'PLICA'FION IS HEREBY MADE: TO THE BUILDING OFFICIAL FOR .A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: I. 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 •41'1 0011 N t 51r1 K; Title PRINT NAME 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. •gree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of cadia to enter upon the above-mentioned property for inspection purposes. 9 � i`�� k 1 3 - ( (9-16 S nature !��� '` 3tY1 ��� �(% Date jDevelopment Services Department 240 West Huntington Drive,Post Office Box 60021'•,..` Arcadia,CA 91066-6021 PERMIT NO BOO-052-299 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 12/9/2015 CM 8:41 12/9/2015 Issued ADDRESS NO. DM.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. Os,A leS 90025- EMAIL ADDRESS: APPLICANT AILI G i Hydro Matic iiti I A 4 PHONE NO. , EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Hydro-Matic Fire Protection 1161 Rosedale Avenue PHONE NO. (818)247-9812 FAX NO. Glendale,CA 91208 EMAIL ADDRESS: License No. 718393 Type: C-16 Expires: 6/30/2015 12:00: TENANT MAILING ADDRESS Zara PHONE NO. FAX NO. DESCRIPTION FIRE SPRINKS FOR TENANT IMPROVEMENT Construction Type UOM #of Units Value Construction Type UOM #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 309.00 each sprinkler pck 735.00 735.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 82.65 82.65 01-3112 1.00 each SWIWIF 2 Auto 1.00 1.00 88-3027 Total Fees: $863.00 Balance Due: $0.00 Paid Today: $863.00 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt P: 111323 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3109 735.00 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 127.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 88-3027 1.00 Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) U,4 of ,,,i, A PERMIT/PLAN REVIEW APPLICATION ail t-,,, o - 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 DELL ION WORKERS'COMPENSATION DECLARATION ii(I hereby affirm under penalty of perjury that I ar lie nsed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 00,of lb iv' ion 3 of the Business nd Professions e, my license s n f 11 fie.- 1i : ect. i ❑ I have and will maintain a certificate of consent to self-insure for workers' License Clas J L' se No. Viii Exp. Da 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 DECLA' •TIO'N ❑ 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 d Ilars 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 perm' 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 subj,'t to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that i: ould c e subject to the workers'compensation provisions of Section 't/1 oft L or Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith om ly those provisions. /+� compensation,will do the work,and the structure is not intended or offered for J� sale(Section 7044,Business and Professions Code:The Contractors License Date �� J Signature - 7 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 an permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work erized 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 o4gt Air Qua'ty 'anagement District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbes∎s 96ntaining ater'.ls requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for further` f. ation. Name „S� Title iThL 1i r PRINT NAM. / I certify that I hay' read this ap: ication an' stay that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to corn•• I w th all y ordinan s a'd Sta Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to ent: pen the at r ve-mentio •d p ope for spection purposes. Signature r Al Date I 219115-