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,,�� Development Services Department . 240 West Huntington Drive,Post Office Box 60021 h-:. •' PERMIT NO. BOO-055-674 `�. Arcadia, CA 91066-6021 City of (626) 574-5416,Fax(626)447-9173 Permit Type: Tenant Improve w/ener Arcadia yP P g: PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 12/21/2016 CM 10:24 2/21/2017 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#: HENRY Los Angeles,CA 90025- EMAIL ADDRESS: Plan Chk#: 16-570 APPLICANT MAILING ADDRESS Plan#: 32186 Y.H Construction PHONE NO. 4 E IL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADOREAer 6 iii G b b Y 1. "'"'� �NE NO. 248-0234FAX NO. Y.H Construction 1616 N Gilbert St#A (213) Fullerton, CA 92833 EMAIL ADDRESS: License No. 795087 Type: B Expires: 5/31/2017 12:00: TENANT MAILING ADDRESS [leo NO. FAX NO. Midas Medical Spa [. gg^ rillrill �' PH i k t DESCRIPTION T I MIDAS MEDCIAL SPA T.1 EMP INCLUDED Construction Type UOM b of Units Value Construction Type UOM 8 of Units Value Value Value 120,000.00 $120,000.00 lcfi*: 5:5-/? OCCUPANCY: Tenant Improve TOTAL VALUATION: $120,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 885.30 885.30 01-3103 1.00 each unit Sewer connec 31.16 31.16 01-3105 each Energy p/c fee 272.40 272.40 01-3103 1.00 each T.I.Fire Pkc 255.00 255.00 01-3109 PC ADA 132.80 132.80 01-3103 SMIP Corn 33.60 33.60 14-2207 PC Cal Green 88.53 88.53 01-3103 grn bldg std 5.00 5.00 714-2203 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 1.00 Flat SWMF Auto 6.25 6.25 88-3027 each Bldg permit 1,362.00 1,362.00 01-3104 1.00 Flat SWMF 2 1.00 1.00 88-3027 Bldg Issue ADA 136.20 136.20 01-3104 1.00 Flat SWMF 2 1.00 1.00 88-3027 1.00 flat Elec issue 44.35 44.35 01-3105 1.00 Flat SWMF 2 1.00 1.00 88-3027 1.00 Flat Mech issue 44.35 44.35 01-3105 1.00 Flat Plmbgissuance 44.35 44.35 01-3105 1.00 each Water Closet 12.46 12.46 01-3105 1.00 each Fan-vent single 9.38 9.38 01-3105 1.00 each Lavatories 12.46 12.46 01-3105 5.00 each Kitchen sinks 62.30 62.30 01-3105 44.00 each Outlets 54.80 54.80 01-3105 45.00 each Ltg fixtures 55.80 55.80 01-3105 29.00 Flat Add/Alter Ducts 272.02 272.02 01-3105 Total Fees: $3,867.86 Balance Due: $0.00 Paid Today: $2,233.83 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 115862 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 1,542.55 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 643.43 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 33.60 Arcadia building inspector for a period of 180 consecutive days. 714-2203 5.00 88-3027 9.25 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 OuF ,1,, _,,. - Ii PERMIT/PLAN REVlIit APPLICATION 111\\\\4' rTrigal 47 \ j• Development Services Department,240 West Huntington Drive, Post Office Box 60021 -,n,„otty Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C 10 11 License No.70-b 70-be/ Exp. Datevt/�//��J compensation, as provided for by Section 3700 of the Labor Code, for the I ignature 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 Fes'\S Co v el,- demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number C� for such permit to file a signed statement that he or she is licensed pursuant to the l provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if thdpermit 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 CII 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. tame (�o-x��,„_ ,c tvi." ( Title (_Gi JY` 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. 1 Signature / Date t c4 . .2/r 1 /7 . L(c 6 Al-P o-J" f" I r)a-- ! EDI c4-C SPA. NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under fir./bldg.drain Ze2 �� 101. Rough grade 211. Copper underslab 102. Figs.&forms 212. Rough plumbing $-Z-G? 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing219. Final gas 110. Framing3-29-0 220. Fixtures _ 111. 0cc./Area Sept.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar'rid 114. Insulation-Flr. Pool Inspections I Date . Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation Ceil. 241. Rough plumbing 117. Drywall nailing 4f_.$_(7 ,¢G 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120.1Finish grade �6. Gasn line sst 121. Final building .���� 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final.lumbin. 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date I Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical 3-del-l7 /1/Y---V272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E.it.bondin• Sign Inspections Date I Insp. 160. Service panel 280. Setback/overhang 161. Final electric X41-/7 /4r"281. Footing 282. Conduit/wirin. Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC 4- ��,�,�M •II. • 1 I I D. • Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. I Date I Insp. 191. Final mechanical -17 ""'rte 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess.00l filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin 5:�'!hi ;1;;;*;`, ._ 'f+rexRt ,i 'Ir.. J t. `,:1 t f..t 7rr f •yr.; t n fir t�,G R .�\ �!1//! 4,..\\S‘ ff/r, �1\1� t1/! r� �: ll1l� Il f � 11(. )�/!= 1111. ✓/ 7. + � 'P\ �//i' \t, lr � � �1r� ��\1F.t1 i/f'r �\\\lel i1fq" 1\t Irr ` �',. ► `t 4 ► '1t .tj +I►. `t t, ��► 1t__tl.: ��i► 1t tj ��► 1t tl �� �[..�� �`��► 1c q 1 may s _. Aft -. —® alli / _•,rh•_ ,rte — � • •— A ._ _. •_ i 1= iia/r} _ '- - - - .. - IiIe� _� _ J 1. yl. - . yew. _- - 3 4 _ ,..,',- te\\It NI-- ; .41 Certificate ofOccupancy _ 'OA p Y r,,,, (741, City of Arcadia r Development Services Department - Building Division .- � �f'U:I h\i� This certificate-issued-pursuant to the requirements" of Section 109 of the_ +R' Uniform Building Code certifying thatat the time of issuance this structure was in ._, r! compliance withthevarious ordinances of the City regulating building construction-or use. 01 -:-:":16:1:;41:',:i ��1 - Permit�No:- - B00=055-t74�-= _"__ 0, '4ji� BuildingAddress:. 400 S-Baldwin Ave,-Arcadia,CA 91007 h\1�`1'., ir.,.-i... Use Classification. p (akilg' . Tenant Improve Effective UBC: CBC:2013" _. _ - _ ), , Permit Type: Tenant Im rove w/energyZone Code: : .0 2 DH8 _Occupancy Code: B' T e of ConstructionI yp TYPE II 1 HIz � .:1 Final Date: 5/5/2017 - - . O:` Owner: Westfield Corporation,Inc. r tat Tenant: Midas:;Me ical _ - 1 V '\\`fit if/ =� • Y Don Stocicham,Building Official 110g `I POST IN A CONSPICUOUS PLACE 10`, ..ht 4 - -044 AN gill) 44, - 4,4 r epi= ®moi iii iIV� ��'d AVO 1�WW �i "" , b�tl e~ r Lt tl r r Lt --t1 r. t 1 r It t1 ► Lt- it r r �t 1 r r tt-. I. ;., T,I t1;"*- - - ae'wl''Iivs..*' o�1iftl10,-; r%Mi oi!. . ,'ii01 ll),. . '/im d1 r'afr' �I\\1�R. . '�iil�i/. li1@V`._, ''/d1A l�V "'' .,rw� y�, ra r .RrtRo ' r�i l R .....\::: ::. •%Mil �,.;. hl'. ♦�� �Il�'� I, . 'N'W../....111'1"\\N '• *`` ' � � 1 tR !},..� .,i Rx:,c YYi r, ,R .r q,y R. ii` f waT y,d` r1 f fnat. �"'r,li,�.R#t`n 4,fi/f r li{.aY' fisfzite Development Services Department a 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-055-866 Arcadia,CA 91066-6021 City of (626) 574-5416,Fax(626)447-9173 ArcadiaPermit Type: Fire PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 1/19/2017 CM 11:13 2/2/2017 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#: 17-09 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT - MAILING ADDRESS - - Building Electronic Controls Inc. PHONE NO. EMAIL ADDRESS: , CONTRACTOR/PROFESSIONAL MAILING ADDRESS - .. - . Building Electronic Controls Inc. 2246 Lindsay Way PHONE NO. FAX NO. Glendora, CA 91740 EMAIL ADDRESS: License No. 729905 Type: C Expires: 11/30/2018 12:0( TENANT - .MAILING ADDRESS - - Midas Clinique 0 COMPLEIII NO. FAX NO. DESCRIPTION FIRE ALARMS FOR T.I.MIDAS CLINIQUE Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 13,370.00 $13,370.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $13,370.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 22.00 each fire alarm pc 2 765.00 765.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 304.05 304.05 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $1,114.40 Balance Due: $0.00 Paid Today: $349.40 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 115724 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 348.40 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) OV ARC PERMIT/PLAN REVIEW APPLICATION 11 1441,1(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 0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and P ofessions Code,and my license is in full orce and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' fCcompensation, asprovided for bySection 3700 of the Labor Code, for the License Class ) Lf ns •iia - pat-���?;>rl�� P TM, performance of the work for which this permit is issued. gni' ami of�Gon •: 1 �' ►� 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 workers'compensation insurance carrier andpolicy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, �� •e- \1�.1��� demolish,or repair any structure,prior to its issuance,also required the applicant 2� Po] c��G C7 for such permit to file a signed statement that he or she is licensed pursuant to the - Numbex provisions of the Contractors License Law(Chapter 9(commencing with Section (This section nee 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. 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. Sicature %.4_!1A `,4' • _ _,_ Dat a/ �� ' Development Services Department 11" 'c4 240 West Huntington Drive,Post Office Box 60021 •�1 PERMIT NO. BOO-055-886 Arcadia, CA 91066-6021 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 1/23/2017 CM 8:55 2/1/2017 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#: HENRY Los Angeles,CA 90025- EMAIL ADDRESS: Plan Chk#: 17-14 APPLICANT MAILING ADDRESS Allready Fire Sprinkler Co. PHONE NO. EMAIL ADDRESS: , CONTRACTORIPROFESSIONAL MAILING ADDRESS Allready Fire Sprinkler Co. 818 N Grand Av PHONE NO. (626)332-7066 FAX NO. Covina, CA 91723 EMAIL ADDRESS: License No. 358795 Type: C16 Expires: 7/31/2017 12:00: TENANT MAILING ADDRESS Midas Medical Spa PHONE NO. FAX NO. DESCRIPTION MIDAS MIDAS MEDICAL SPA FIRE SPRINKS 25 HEADS 5 MP[FEEO Construction Type UOM 8 of Units Value Construction Type UOM 8 of Units Value Value Value 6,500.00 $6,500.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $6,500.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 25.00 each sprinkler pck 637.00 637.50 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 187.15 187.15 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $869.50 Balance Due: -$0.50 Paid Today: $232.50 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 115699 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 231.50 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) 4OF Rv�C9dr 119 PERMIT/PLAN REVIEW APPLICATION • "41,' • 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 -ffect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License-Glass-315$30c License:No.-cam Exp--Date6?/3//// 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-BUILD •/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 worke s'comp sation in urance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier g1�'Pr NO-td�oil demolish,or repair any structure,prior to its issuance,also required the applicant 4` r Lf for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number--�J3 �� ZS�i 2 1 provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is 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 1:1I, 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. nn q Name- 2ccb p G PRINT NAME T H 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. %• Signatu Date Development Services Department ` tea " a, 240 West Huntington Drive,Post Office Box 60021 •'` PERMIT NO. BOO-056-642 `.,.�� Arcadia,CA 91066-6021 City of (626) 574-5416,Fax(626)447-9173 Permit Type: Sign Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/21/2017 CM 13:14 4/21/2017 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Los Angeles, CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Turbo Sign Company PHONE NO. EMAIL ADDRESS: , CONTRACTOR/PROFESSIONAL MAILING ADDRESS Turbo Sign Company 2726 W Pico Boulevard PHONE NO. (323)730-8500 FAX NO. Los Angeles,CA 90006 EMAIL ADDRESS: License No. 904961 Type: C-45 Expires: 10/31/2017 12:01 TENANT MAILING ADDRESS Dr Midas PHONE NO. FAX NO. DESCRIPTION TWO CHANNEL LETTER BACKLIT,LED SIGNS FOR DR MIDAS i Construction Type UOM Hof Units Value Co ;tr ction yp f555d111 O � 'a J H of Units Value Value Value 1,500.00 $1,500.00 OCCUPANCY: Sign TOTAL VALUATION: $1,500.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT Sign plan rev 46.28 46.28 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 82.65 82.65 01-3104 1.00 flat Elec issue 44.35 44.35 01-3105 2.00 branch cin Signs elec 59.17 59.17 01-3105 2.00 each Sign Connection 31.10 31.10 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: $309.90 Balance Due: $0.00 Paid Today: $309.90 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the 'eceipt 1 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3103 46.28 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 127.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 01-3105 134.62 Arcadia building inspector for a period of 180 consecutive days. 88-3027 2.00 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 Mk, °~ lillk. PERMIT/PLAN 'REVIEW APPLICATION ,,, F�, el Development Services Department,240 West Huntington Drive,Post Office Box 60021 m4nity°f"° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia CENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the 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 4.-C License No. 90 49i/� Exp. Date(-pi// compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor �,��j--- 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 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 mate 4/94 / 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 a"s 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 -. �c W`.. Title PR T NAME I c 'fy 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 Acadia to enter upon the above-mentioned property for inspection purposes. Sign re Date 4 / -'-( / / - PAGE Site Map 8L Sian Location Plan Scale:1"=32' ROUTING ACTION x } Date and 4, \e,,.� ,\o�5 .. t1,..,.._ ,CKs, Initials of Qc° �ao`�QP° �°1 a, �` 1 Checke_ , -i P c rte:,. pie-- ■ Plannin. �i«�t� I�_ 'Il (� _ 0 Eni. Walk .������A. -2,as Still16W iell �. I 1 gnEir null' Signage tt 10' Structure Frontage 13'10T1 l A• Oji ��� II��_ — - —. 4 1WELO Bac 1 Lit Q,R i_ . . Signage B 14'2" Structure Frontage 1 �'fI II tgpted C .nne e ers ■ I , Y-i,.,,yr, r� g DrawingF•Strtekf / ji. ,_` -��`` ,, �_•., Orkin Review I , I t J Approved . t .. , . . ❑ Approved as Noted _ 1L. y ,. ill j ;i ,� ❑ Resubmit , (n t .rte These drawings have been reviewed for general design intent only. All actual field con ct ans a^' ontract r. be �� °o r verified by the Tenant's Architect a 11 or Contractor. Tenant Q i '� t r in, with all go✓ernment regulations. ,. / �,..:., is responsible for comply U ed set of drawings is '' o . '_._,...1 `I' One(l)copy of this landlord stamp � y• D -• required to a kept on the job site at all times. CD N _ jr , Date / Signed ... �r Huntington Dr. — Landlord Landlord:Westfield Santa Anita Address: 400 S.Baldwin Ave,Arcadia,CA 91007 Contact#:626.445.3116 Approved by: Tenant:Dr Midas • Tenant InfoAddress:400 5.Baldwin Ave,Arcadia,CA 91007 Contact#:909.215.3653 Print: Date: Site Location: 400 S. Baldwin Ave, Arcadia, CA 91007 • TURBO SIGN SIGN COMPANY ••••�••••I•!••••••••••• • • • • • • . . . . . . PAGE 2 Sign A Elevation View 13'10' 1 ,=-__:1,.___,___,;,___i______,_____,_-- ----=— l--1---I _Y L i_--- � -717—I= —i-.---!-----1— —s — ldb 214 ii H j1 ;— - i— — i l 1 8- - Lsri �� T-Z�,_�_— 11 i i-�� ca=t=S= 1 !—r I-- ' _ 1 i-- — ,- i I _ i ---�_- i- -�_ , ' --� --1-- j r--I—'— �'•__. =i--� • — ` — an ,, 33estfieçiii -a— ;j Working;Drawing Review r i -- --i"--I l' Approved -�� 1 ❑ Approved as Noted __ 1l -�1= �f= El Resubmit ,—�— i---1 F l• !. These dtawings have been reviewed for general-design- k1 l I, intent only. All actual field conditions are re4uir_ed_t_ibex [ f^1 j verified!6y the Tenant's Architect and/or Cont a-dtot_Tenant is responsiblent_r for complying with all goverrineegulatibns. '_ One(1)copy of this landlord stamped set odrawings-ist —-- fi required to b kept on the job site at all times.—; ; _{— ! • I I f0=----',_=, I �--_ Signed Date �—; r 1 I I i 10 -1 I411 TURBO SIGN 2726 W.Pico Blvd.Los Angeles,CA 90006project: Dr./i/J/(�(�$ Approved by: ... SION COMPANY Tel.323.730.8500 Fax.323.730.8519 - Tins original w,,sleud t.,�::ny is suis-.nlsn:wmy r�t,z masa be•g clamed. Site Address: 400 S.Baldwin Ave,Arcadia,CA 91007 it is ma m to:i.ca skim m poisons outside cl your aga=aaso,,,SfimA opens maw u2:.anaicn in=Teo,Sign lm. Print: Date: PAGE 3 Sign B Elevation View 34',, - _ 1- - - 14 2• - II , : . D R M_ 1=DAS 21 1 s __ M� ed .cal Sp �'8� --- --- - - 20.,0.- 1 l ..0,,-`N -., , ..:or Tenant " 4 �r+'+• - ., all government regulations. a V 1• •. ,, • - is landlord stamped set of dtawings_is''°` ,' ' $','Y`k#'*; "". required to be kept on the job site at all times. Signed Date TURBO SIGN 2726 W.Pico Blvd.Los Angeles,CA 90006 Project: Dr.Midas Approved by: ( Tel.323.730.8500 Fax.323.730.8519 This ara MunNtirrdraroom s sub,r.3o clay for Me ao;.1ct,-a m. Site Address: 4005.Baldwin Ave,Arcadia,CA 91007 unsamco Mao sma:;m,m ooiyourvga,rto,rwa ioce_1Ysc sac• nc,3 � e xo .Ts ix. Print: Date: Hut 4 iign A Detail Sign A Scale:1/2"=7' Store Frontage 73'70"ft Total Sign Area 16sq.ft' 1 10' 1 '2 NE " KiediçaIHI2WoDew Sp si eff 5 . 2 g roved iPECIFICATIONS: 0 Approved as Noted _ETTERS: Back Lit Illuminated Halo Channel Letters 0 Resubmit These drawings have been reviewed for General design _OGO: Front&Back Lit Illuminated Logo+ Routed Aluminum Face w/Acrylic Panel intent only. All actua Heid cora,tions are equired to be =ACES: 0.063 Mil Finish Aluminum Painted to Red &Blue verified by the Tenant's Arch!tect andror Contractor. Tenant n is responsible for complyl.,y with all government regulations. 1ETURNS: 2"Mil Finish Aluminum Returns One(1)copy of this landlord stamped set of drawings is LLUMINATION: White LED Illumination w/Power supply Mounted Remotely required t e kept on the job site at all times. 7ea,_ iian B Detail Sign A Scale:1/2"=7' Store Frontage 34'ft Signed Tota ign 3 q.rr 142" 1 - -T I DA s .11. T..„1 '8" D R _L_ 21 ill I fi-71 MedicaI Spa Logo Sample 71_4" -- - --- - _ ;PECIFICATIONS: \J pfit s _ETTERS: Back Lit Illuminated Halo Channel Letters __, _ - ._,. .OGO: Front&Back Lit Illuminated Logo+ Routed Aluminum Face w/Acrylic Panel :ACES: 0.063 Mil Finish Aluminum Painted to Red &Blue 1ETURNS: 2"Mil Finish Aluminum Returns • LLUMINATION: White LED Illumination w/Power supply Mounted Remotely TURBO SIGN 2726 W.Pico Blvd.Los Angeles,CA 90006 Project: Dr.Midas Approved by: '',':-,A[ CH Ord APi "r=>Ve 1 ,. Tel.323.730.8500 FcuL323.730.8519 This originalunpublshed rendering is submoed soby for Cho project being pb,nned. Site Address: 400 5.Baldwin Ave,Arcadia,CA 91007 im„y. Ilwi... Alit 5 .e'tters Section Detail Fig.1 Fig.3 3ack Lit LED Halo Channel Letters/Flush Mount/Remote Power Supply Installation Instruction: Install in Accordance with NEC and Local electrical codes. 7„ 1' Outside 1.Contact the Local authority having jurisdiction prior to installation. Custiom Fabricated Wall Surface(Stucco) Mil Finish Aluminum Inside 2.If the sign is not provided with a disconnect switch,then a Returns Matches Face Color '�_- Wall Surface(Wood) disconnect must be provided at the site. 1 3.The Channel Letters should be assembled and mounted as shown Clear Acrylic Back _ in the figure. 4.Use only the mounting hardware provided with each letter and • = transformer enclosure for the.installation.. • -.'. :-.7: 5.Locate and mount the remote transformer enclosure inside the Sheet Metal Screws D R.M 1 DAS ;j 5/16"Sheet Spacer Min.Eight(8)Per Letter building in a location accessible to inspection by the local authorities. 6.Connect Black to Black and Red to Red Low Voltage wires from 0.063 Mil Finish Aluminum Face 8 letters to transformer leads as described in install diagram. Painted to Red _= lz; 4 CLASS 2 LOW VOLTAGE WIRING 7.Connect the transformer primary to a 120 volt AC branch circuit :1 °=r IJ NOTE:NO CONDUIT OR supply. ;� _'• 1.7-:-._:=1-) FLEX REQUIRED PER CLASS 2 I� �� _--.1' l LOW VOLTAGE WIRING GUIDES 1--©Galvanized Transformer Box L .; _ • ITEM NUMBER COMPONENT/DESCRIPTION .i r- 2 Disconnect Toggle Switch 1 -f 1 Light Emitting Diodes(LEDs) Low Voltage Wiring , from LED to LED :1 h ,_-' 101/2"Conduit or Flex pass thru. 2 Disconnect Switch Title 24 compliant 12V jli, < Electrical junction box 3 Threaded Nipple and Coupling(Flex Connector) Light Emitting Diodes(LEDs) pp p g -' O Located behind sign area. Letter Interiors 'I =1; 6 Class 2 Power Supply 4 Class 2 Low Voltage Wiring(No Flex/Conduit Required) ■ s (12VDc, 1OOW-240W) Pre-finished-Bright White ;t> -..' 120 volt 20amp dedicated cercuit power 5 Galvanized Transformer Box provided within 5'.of sign area by landlord. , - 0� -Timer 6 LED Power Supply 1 •. ' eseetd 7 Flex(Flexible conduit)/Liquid Tight Connections Drain Hole — t - UL Photo Cell Working Drawing Review 8 0.063 Mil Finish Aluminum Threaded Nipple and Coupling p 7 Approved ,. —, 0 Approved as Noted Medical Spa 1 = LI 0 Resubmit Alternate Attachment Methods: .063 Mil Finish Aluminum Face 8 . •r:era des' n Building Construction: .� .r Painted to Blue These drawings have been r. .l .. to t 14 1- 7 intent only. Alla u,a ' co. Boils sample: verified by the Tenants Archt:ect and/or Contra:'oi. Tenant Drain Hole is responsible for complyin with all yuernment regulatloi inimum Fastners. ..•�•- «w� ...ww.. w�.....w- ..m One(1)copy of this landlord stamped set of drawings is required to be kept on the job site at all times. Ci)Illuminated Channel Letters C 13 US 9g.2 Wiring Diagram • USTE0 Secondary Power Grounding lire Neutral Wire Primary Power4/ �� This sign is Intended to be Installed in POWER SUPPLY MAIN POWEI1 > VALL/Stucco .•�1 Date accordance withthe l requirements cements of Article - _� � �^ 600 of the National Electrical Code and/or other POWER SUPPLY !25! Nlg�••!!� ENT. �•" Th."4" ".,e2I,� applicable localocodesg.This includes proper grounding. �••�� And bonding ofthe'si n. Disconnect Switch TURBO SIGN 2726 W.Pico Blvd.Los Angeles,CA 90006 Project: Dr.Mi as Tel 323.730.8500 Fax Approved by: a This original unputilshedrendering issubrntted sdely for thepsjed beingganned. _ , _• , Site Address: 400 S.Baldwin'Ave,Arcadia,CA 91007 n.r..a. n..a... i T I • / AIR-SOUND-HYDRONIC PROFESSIONALS HVAC Test and Balance Report PROJECT: Midas Clinique Tenant Improvement Arcadia, Ca. CONTRACTOR: Owner ARCHITECT: N/A ENGINEER: N/A REPORT CERTIFICATION NO: o�, i Crtitir`; 37182 -_= � . Michael Conboy neaorre w LiVancv fABB Sopir.fiu, REPORT CERTIFICATION DATE: nor 3 5 °` May 1, 2017 REVIEWED AND APPROVED BY: Michael Conboy ICB /TABB Certified Contractor 457 E. Arrow Hwy, Ste. D, Azusa, CA 91702 TEL: 626-915-8117 FAX: 626-915-8112 E-MAIL.: ass ociatedaitbalance@gn kail.com • si . r STATE OF CALIFORNIA 1: , e ontractor t o �� Dada. 1 Pursuant to Chapter 9 of Division 3 of the Business and Professions Code 1 and the Rules and Regulations of the Contractors State License Board, the Registrar of Contractors doe's hereby issue this license to: • l MICHAEL CONBOY INC ?' dba ASSOCIATED AIR BALANCE ; is $ License Number 851730 ;1: i to engage in the business or act in the capacity of a co; Tactorill n the following classification(s): on(s): I. 062-AIR AND WATER BALANCING B-GENERAL BUILDING CONTRACTOR i.t li C-8-CONCRETE 1 Witness my hand and seal this dray, 'I January 22,21009 � jt. I: i -- Issued December 21, 2004 It :, c_i.-.)) 1^,.,..____,LL__ 11 I. (7./James es f 4illerStephen P. SandsIF Board Crlair This license is the property of the Registrar of Contractors, is not transferrable.and shall be returned to the Zeaisirar Registrar of Contractors 11 upon demand when suspended,revoked,or invalidated is for any reason.R becomes void if not renewed. ia.to F!E`< 1:•bT t..:§CSPsi t... .. .. 4Uuii NO 46{,976 SHEET METAL i AIR I RAIL I TRANSPORTATION P. O Veiftia411/0.1111k111 PLik :_:,,r: D INTERNATIONAL CERTIFICATION BOARD This certifies that )lssociated)4 ir cBa&ance has completedlthe requirements of certification as a Testing, Adjusting anicBalancing Contractor on lDecem6er 21, 2016 11 �► Labor. o= hairman ,p , eme ��,..1 „.%rry✓ mil gement Co-Chairman ¢ 1 E Y Il ✓ 4 0 414 1 i 4644— ---- . ., 4 . � 1 t ice Co-Chairman ;A:,,,,: N( Mir 1CB Co-Chairman 7 094S1Q8G ti)eAir 01'�� (December31, 2018 Certification No. Expiration Date ....,,.,,,—,..... .., ieok40,* •".r, • . ,'.:'::,.::.4.:.4..-,!.,.:.-I.-,ii''-',',',,',.A-frtt",-.:,,tt.,r,1.:..,7.,..,.•,-'.,_I,.,,N,. t.,,:i. ANSI Ahadited Program PERSONNEL-CERTIFICATION ID P072.8 INTERNATIONAL . icsoicIvriAcA.BassilecThencinenra'icnirtaln,daZ7Zsr:sor r CERTIFICATION BOARD . ICS HVAC FLS2 Technician and Supervisor . ., C e rtr I Ca . •-• '''''' -Is .•1/1 ,. • — • • " , ;,1 - , ,' ,• . ' 'I? ti' 0 • 't I • ' 4. ' al .... . 01-1 ir:4: na '' ' ,. fiy, . :, . . • .....:. 's-'4w-C) . 7 _ _ Sheet Metartind _Air conditioning Industry -... This,certlfies that 1 ir Of y. - 4.• 71 M tch(lel A C(.- .,;.! / 1 sioy lfas successfudv 'comple- ted the.requirements for TABB Supervisor _, i) December 2.1, 2016 s 't .. .C.,. ., 7) ,- , ', , , TB6 1 0/70S : \. ..(i,.. ( , i• ••.:. ,. .. .... •.,. . . , . ,.._ . .. . . . . . .. . , . . .,. . . . • ______ c,s.,,,,,i,.,...„,„„,, _ ek,.. '-. ..- ,• , ,,,,,,„4„,,..„„..3,.„,:,.„. Reliewe(J: Deeenzber 21.: 2016 --4 , -t . 1•N - i• 'Vt. ,I4 •,oLc.„.„›.%(L.Zi, . ). ,r • ' rvrrrlir ' ',''','.,•: .• .. . •. , • ..-.. .,. . . ' . • ' ........ . , . .'• fi,„: {1,. .:--';'Y.,..,'41i'&11t I i a litg 0*7','.,,:" i),.1;!;,:.111.,.:111.C:.•,,,.:1•;3:.!,-;m-: .•.‘4',,T, ,,,,a,',4, ...': 437' %,, 1r;72:14 ,;,41' • :7_Dit. "1.—."- -4/-.4 ,4-e,•. 0(. 1 1)eeember 31 2018 , . . l'..7:;p1r.lo,;) 1,.1ft A0,011,qt,0%.*•=n)i I Al.W. e'%,,, ::,•-"' ,.., c , , , „.. ,,,, rt 1 , t. - , c a -. 1,- t 4 ti it 1..,W , , 07 2 Sp, 111 ti e Y v '-z,41.-.....'*.:,-::1•'::—},,,: -°--.: .!4-,:., •::::1";.''eV, 7'.'4.-',-..i-:., 6.1 ITER,enoNAL CERTIFICATION BOARD • Sheet gvletaC and 1.51.ii Conditioning Industry 'This certifies that m . h 1 A. c b, , , , 'Kris successfulTy compteteci the requirements for TAB(B Commissioning Supervisor I X0466 I IOS December 21., 2016 C • tt.-K, '-1,' kliOlf-ec . ' , Renewed: Decenzber 21, 2016 _,..........._. valid DA(' i December 31, 2018 ----....11?---)L—----- -4-4-A—A--4—C-1 Vali,±durtng quatd 0:T10\1110u 1-Apiratmr, C'iatz, Admi nisi raror of TA Bl• . , lif,•4#`411:11: -*:.;,;iii,i)j.i„. . ._,... --pl.. .„ ....,1,,,.,;;„1,, ,.,.74 ", *:!:',«1"''.4 ZA:1“;•:.,''' ANSA Accredited Program PERSONNEL CERTIFICATION ID el)728 INTERNATIONAL ICEOTABB Techrticiart and Supervisor CERTIFICATION BOARD ICS HVAC FLSI Techoician and Supervieor ICD HVAC FLS2 Technician ems Sucannsor at / to/nal C rtffilr -ti-t- ta . , /11 oel. 1-- _ Sheet Net-at-and Air Conditioning industry This certifies that' _ 4 .,.. :. - l ichae A Gon.boy 1-fas successfully completed the requirements for.11-VAC Eire Life Safety Level] Supervisor FLS10694611S December 211 2016 -i". v. • -'-' .1.,...' .. , „. Renewed: December 21, 2016 ,c -.t. 1 0 ) _ d1,17,Uff, • ..4., - ------ .e....b t.:43677.- -.,..,4 December 31, 2018 '"'...4r',q ' •1 '.. —m A . ....."_._A.._._. • ......... .,,"_____ -- --- -',--" ' , ,,,%.-., -!..tk t , -izzes4,,,,*--'2,;_,-.= k, - A- kv...7i.-0,,,,--.4.. ,,,,,, -4, :LvI.:,,,,.:„z-t,* / tk",ifj,t•k:,; q•W110.541 "'0 ..00•„,„., lit, / 0"!•'4tV''''' :1"tV,4„.1 , eX,,,Pr: AtZli.S ANSI Acnntqf,tad Program cErn ,f 7-sTMO.ADJUSTING AND GALANCSNO BURNAU PERSONNEL CERWICATiON iD 40728 "ITEritE, orrectAn0 4., - ME PROFSSIDONAUS=MeV" - !OEITABB Technician and Sopervisot ,.------- iCS HVAC gl SI Tpchnictan ant,Supt•rumor Ice HVAC FLS2 t e.hilLiAn and Supervisor 401,411/ t CP 1 Ct/ — ' 1 \111 alCer 'i 7 -f - (L- ti icci - - 1 1 e 07' _ .. .. .. (..) lee I _Metal tlnd_ `Air Conditioning Ilia Li_S t 1 11 Thi_ ' \ ,-,,-1 ,0,,, iiii Kurt J Liis ,.,I ert ]-fas successfu11:Y completed-the requirements for TABB Technician BB968986T April 1.., 2016 i 1 r, i, -- -:i ,., .. IN, ...;,,; 14411:111561 Renewec1.:April I, 2016 ., N ... t-------j March 31, 2018 . — — — -- . THE NATIONAL ENERGY MANAGEMENT INSTITUTE Certificate of Completion Michael Conboy An officer of the Associated Air Balance 457 E Arrow Hwy, Ste D Azusa, CA 91702, has successfully completed the required training fulfilling the requirements of the California Code of Regulations 2016 Title 24, Part 1, sections 10-102 and 10-103, as well as Part 6, Section 120.5 to complete the nonresidential mechanical acceptance tests in accordance with Chapter 13 of the Nonresidential Compliance Manual of the 2016 California Building Energy Efficiency Standards issued Jan. 2017. ,/‘:/ Ste4 1/5/2017 NEMI Director of Training Date ......, NtMIC NATIONAL ENERGY TAANAGEETENT INSTITUTE COM1SITTEE Acceptance Test Technician Certification Provider This certifies that Associated Air Balance *,presented by 914ichae1A Conboy with business located at 457 E Arrow Hwy Ste 1n,Azusa, CA 91702 has successfully fullfilledthe requirements of the California Code of Regulations 2016 Title 24, Wart 1, Section 10-103-8 and Tart 6 Section 120.5 as in force on the date of the issue of this certificate to perform nonresidential mechanical acceptance tests as a NE!MIC-Certified Acceptance Test Employer. ---C3,1.,_...1 ., June 8, 2015 ME00003 9VE9IIICA`1'1CtrAdministrator Issue hate Certification Number Associated Air .Balance 457 E. Arrow Hwy,Ste.ll,Azusa, CA 91702 AIR SOUND IIYDRONIC PROFESSINALS Tel: 626.915.81.17 Fax: 626.915.8112 ABBREVIATIONS ACT ACTUAL AK - FREE AREA FACTOR ATC - AUTOMATIC TEMPERATURE CONTROL BP - BYPASS(DAMPER,VALUE, ETC.) CAV CONSTANT AIR VOLUME BOX CD -. CEILING DIFFUSER CE CEILING EXHAUST DIFFUSER CFM - CUBIC FEET/MINUTE CF - COEFFICIENT FACTOR CL - CENTER LINE CR - CEILING RETURN INLET DB - DRY BULB DI) - DIRECT DRIVE DNL DATA NOT LISTED EMS - ENERGY MANAGEMENT SYSTEM ENT - ENTERING .ESP - EXTERNAL STATIC PRESSURE FH - FLOWHOOD(MEASURES CFM DIRECTLY,FPM AND AK FACTORS ARE NOT REQUIRED) FPM - FEET PER MINUTE FPVA V - FAN POWERED VARIABLE AIR VOLUME BOX GPM - GALLONS PER MINUTE HP - HORSEPOWER KW - KILOWATTS L/S - LITER PER SEC )ND LD LINEAR DIFFUSER LVG - LEAVLNG(TEMP,PRESSURE IN INCHES,FPM,CFM) • M/S - METER PER SECOND MB MIXING BOX NA - NOT A.PPLICA.BLE/ACCESS NM - NOT MEASURED NVL - NO VALID LOCATION OSA - OUTSIDE AIR PD - PRESSURE DROP RA - RETURN AIR REQ - REQUIRED RPM - REVOLUTIONS PER MINUTE SA SUPPLY AIR SF!) SMOKE FIRE DAMPER SP - STATIC PRESSURE SWR - SIDE-WALL RETURN SWS - SIDE-WALL SUPPLY TDhL - TOTAL DEAD HEAD TP THERMALLY PROTECTED VAV - VARIABLE AIR VOLUME BOX W WATTS WB - WET BULB WG - WATER GAUGE AP - DIFFERENTIAL PRESSURE AT - DIFFERENTIAL TEMPERATURE Midas Clinique T.I. - Arcadia Table of Contents System Page Number HP-1(EXISTING) 1 HP-1 (SUPPLY) 2 HP-1 (RETURN) 3 EXHAUST 4 Page 1 " = = AIRSOUND-HYDRONIC PROFESSIONALS Air Handling Unit Test Data Job Number: Midas Clinique T.I. -Arcadia Date: 5/1/2017 System: HP-1 (EXISTING) UNIT INFORMATION Unit Number HP-1 Location ROOF Area Served SALES/OFFICES/LOBBY/HALLWAY Manufacturer YORK Model Number XP120 Serial Number N1 F1123989 AIR MEASUREMENTS I DESIGN ACTUAL Total Fan CFM 4,000 3,869 Total Outlet CFM 4,000 3,869 Total Traverse CFM NVL - Total Return Air CFM 3,475 3,328 Total Outside Air CFM 525 541 External Unit Static Pressure DNL 0.66 Total Fan Static Pressure DNL - Total Suction Static Pressure DNL 0.43 Total Discharge Static Pressure DNL 0.23 Fan RPM DNL 1,037 Diff. Press. Set Point DNL N/A MOTOR MEASUREMENTS [ DESIGN f ACTUAL Motor HP 3 3 Motor Voltage-Leg1/Leg2/Leg3 460 460 Motor Phase 3 3 Motor Amperage-Leg1/Leg2/Leg3 4.60 3.7/3.6/3.7 Motor Service Factor 1.15 1.15 Motor RPM 1,725 1,725 VFD Hz. Setting DNL N/A Overload Protection DNL N/A PULLEY & BELT DATA I Motor Pulley O.D.4 1/2"X 7/8" Fan Pulley. O.D. 71/2"X 1" Belt-Quantity/Size A54-1 Center Distance 19" %Sheave Adjusted Closed FIXED Remarks: . -_... k ,. .., --,.........,- -- -I.-, ,.......,.... .,.......... (1--, K---1 ........ • F 11 ..411Pli'?llira€1,...::LII:),1,:17:C111.111:1:_'.r'473:.471.friiIM::.1:1:-. I' I'— 0 ., ••i , ._11,,......,.„..L1\,------4 r '..... „, a o e4 , . .I' '.! . ..i: i i 1 1,-... :..-.J..— M 1 q ill . :ti \ •_ i i.,. . ,..K.K., „......„,„11 ., .. i i it ,,,,,,,, if.g Pli 4.4":SW "r .gl • . .1,f.i f - e"5.-'-fi.1"---L... • : I • <,•-',,.. • . r'I,- --.-- .r ,..,. 1 .L-....2_1 ...,.7„ I ( • '..-k-, r. 1 P ---IpET-- (-_-,: 741r, -----ii 1 .i.f;— .. .,I 1 . .•, A• , g.. 1 i I II 1 ''' A,- , ,:, --q i r , .. '01 . ....., - _1 4 cli ..E.,,,zi , • ._la: P .,_.. _..... ._ it . F'.I 1: i i .4 - • • I sit.; i i • tk.....t. . 1 :g ,. .i ...- 9' 1 ,,, ii' t _•.. va---,.. . . I..;-...: ; i 'dfl-• , ! ,1,:::-Ei i' a i .:I gr. I. . 9 . ... .- " "........, , ... ... . ..,-;:-... ,==.,-...... :i...=.,.--- - --,,....... 1 L.,„.- ---:-------- . 62. 4 —if--4 — , , : .. . 1.42. • _i_A4'•I -- IL 7 ,t, • -:. ,i1._. .! ::-'• „, „ i'-- '.'4•4' k• ' 7-------- _,......, ! .--••=---77- oLt, ,-.........,, 6....a. ',•.,... tv , ,. T.,,,,a,,, 1' i 0 ! i " ' , _ * j ,... .. ,",,,,, , : Li* —0, ----,.., ' co \., 1 i r fi; 1 1/ • tqo , i:.: ''. ' . r,,• r,-:t: kl: III § g . k\ . .,' ..'„-,. , HI-1 I....,(11 -0 , t 114Y # Ir I „ I. ,Iir ?4, ....A : , 0 '., . .4 if.-t. . "--•704.1.11-4,::" :- -1'."1(j -1 ' '1—-:.: —i . i [T v, FT.:-....:Z: 1 . ft ' I I L.., i, ,,, - iN' 1 ' '\- . .0'.. . :.,. r.q......•1 ..(., 14°' ---,NV _ , ..4-,.9 1 1 .4.111 1 !..Et k 0,79 1 , 4 •In' 6 z •0 - o' Ilk, . 4.. .V.1 „.... Zil --- 1 . ,-,r•---." .• •K-"qt). ."0 4,,,c; • ----,.--...,-- 4P-----....-..-___- -.`-‘4'"-1-• A' 1 i ......___ .. _,,_ 4,401.4%,g., ••,. TENANT IMPROVEMENT-MIDAS CLINIQUESi - -- g _ . ----- -_ --._. t1140:04V.W.,94 A 01KVIVAt 10n,0.4•4301,EIZUSW-4. pi T is,.., %,i.." 1.....: t.......,in.ths.9....Vo....11 2 . - '•' 400 S.BALDWIN AVE.,#F18,ARCADIA,CA 91007 ma.sot<1.111111XTel;t5/6)-.177.0,M1 / . SM.GAP°.CA 1:77$ 1,11..1)-)23..,7B0 .• Page 4 AIR-SOUND-HYDRONIC PROFESSIONALS Diffuser And Grille Test Data Job Name: Midas Clinique T.I. -Arcadia Date: 5/1/2017 System: EXHAUST Design Actual Room Number Size Type Ak FPM CFM FPM CFM (A) EF-1 RR#1 1 10"X10" 60 64 (A) EF-1A RR#2 1 10"X10" 60 66 Totals IA) REFER TO CODED PRINT M2 FOR LOCATIONS. • Page 3 ''`:,,..,,--.: ,4''',17-11M AIR-SOUND-HYDRONIC PROFESSIONALS Diffuser And Grille Test Data Job Name: Midas Clinique T.I. -Arcadia Date: 5/1/2017 System: HP-1 (RETURN) Room Number Size Type Ak Design Actual FPM CFM FPM I CFM (A)#1 1 8"X8" RG 1.00 200 203 (A)#11 2 10"X10" RG 1.00 125 117 (A)#2 3 8"X8" RG 1.00 200 190 (A)#4 4 8"X8" RG 1.00 200 187 (A)#3 5 8"X8 RG 1.00 200 201. (A) HALLWAY 6 24"X24" RG 1.00 1,600 1,731 (A)#6 7 8''X8" RG 1.00 200 183 (A)#5 8 10"X10" RG 1.00 225 221 (A)#7 9 8"X8 RG 1.00 125 119 (A)#8 10 10"X10" RG 1.00 200 183 (A)#10 11 10"X10" RG 1.00 200 187 (3,475) (3,328). OSA 525 541 Totals (A) REFER TO CODED PRINT M2 FORLOCATIONS. t Page 2 , •ow, r /3A ' `� AIR-SOUND-HYDRONIC PROFESSIONALS Diffuser And Grille Test Data Job Name: Midas Clinique T.I. -Arcadia Date: 5/1/2017 System: HP-1 (SUPPLY) Room Number Size Type Ak Design Actual FPM CFM FPM I CFM (A)#1 1 12"X12" CD 250 235 (A)#11 2 8"X8" CD 175 160 (A) HALLWAY 3 12"X12" CD 275 259 (A)#2 4 12"X12" CD 250 227 (A)#3 5 12"X12" CD 275 288 (A) HALLWAY 6 12"X12" CD 275 . 261 (A)#4 7 12"X12" CD 250 249 (A)#5 8 12"X12" CD 300 311 (A)#6 9 12"X12" CD 250 271 (A)#7 10 8"X8 CD 175 161 (A) LOBBY 11 12"X12" CD 300 317 (A) LOBBY 12 12"X12" CD 300 274 (A) LOBBY 13 12"X12" CD 275 255 (A)#8 14 8"X8" CD 250 226 (A) HALLWAY 15 12"X12" CD 150 146 (A)#10 16 12''X12" CD 250 229 (4,000) (3,869) Totals (A) REFER TO CODED PRINT M2 FOR LOCATIONS.