HomeMy WebLinkAboutUntitled ;f' ,, Development Services Department
•
I! 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. B0O-057-721
, ., Arcadia,CA 91066-6021
City of (626)574-5416,Fax(626)447-9173
Arcadia Permit Type: Tenant Improve w/ener
g:
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
8/29/2017 EP 10:19 9/27/2017 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#: 17-294
APPLICANT MAILING ADDRESS Plan#: 32347
His Builders PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
NO.
His Builders 20306 Elkwood Rd PHONE (909) 815-0150 FAX NO.
Walnut, CA 91789 EMAIL ADDRESS:
License No. 1008687 Type: B Expires: 11/30/2017 12:01
TENANT MAILING ADDRESS
Somisomi Taiyaki &Soft Serve PHONE NO. FAX NO.
DESCRIPTION
NEW SOFT SERVE ICE CREAM KIOSK. WITH ELECTRICAL AND PLUMBING
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Value Value 80,000.00 $80,000.00
tvAt COMPLETED
. r
OCCUPANCY: Tenant Improve TOTAL VALUATION: $80,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 687.05 687.05 01-3103 gm bldg std 4.00 4.00 714-2203
each Energy p/c fee 211.40 211.40 01-3103 1.00 Flat SWMF Auto 6.25 6.25 88-3027
PC ADA 103.06 103.06 01-3103 1.00 Flat SWMF 2 1.00 . 1.00 88-3027
PC Cal Green 68.71 68.71 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg pennit 1,057.00 1,057.00 01-3104
Bldg Issue ADA 105.70 105.70 01-3104
,1.00 flat Elec issue 44.35 44.35 01-3105
1.00 Flat Plmbgissuance 44.35 44.35 01-3105
3.00 each Kitchen sinks 37.38 37.38 01-3105
2.00 each Floor sink 24.92 24.92 01-3105
1.00 each Floor drain 12.46 12.46 01-3105 ,
25.00 each Outlets 35.80 35.80 01-3105
1.00 each Wtrhtr/vent 15.55 15.55 01-3105
3.00 branch cin Signs elec 59.17 59.17 01-3105
1.00 each T.I.Fire Pkc 280.00 280.00 01-3109
SMIP Corn 22.40 22.40 14-2207
Total Fees: $2,865.90 Balance Due: $0.00 Paid Today: $1,515.68
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 118020
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 1,207.05
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 273.98
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 22.40
Arcadia building inspector for a period of 180 consecutive days. 714-2203 4.00
88-3027 8.25
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
°P
(Closed on alternate Fridays)
R00 PERMIT/PLAN REVIEW APPLICATION
0.4 n •>
o 4 j4 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 forcer and IDI have and will maintain a certificate of consent to self-insure for workers'
License Class License No. ����t7V Exp. Date��f l IL°y� compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
LII 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'coens on insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier o 'Ike
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number
for such permit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000) of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, 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
l Z�I (� Signature
sale(Section 7044,Business and Professions Code:The Contractors License ate g #'''''
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 ofcompensation,
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
furthertinformation./ /
Name V G(..47 r� , 7 Gj p.. :. itle 0 /L)•' .'
cPRINT 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-m tioned property for inspection purposes.
ignamre Date
NOTES
Building Inspections Date Insp. Plumbing Inspections I Date I Insp.
100. Setbacks 210. Under fir./bldg.drain I -18am
101. Rough grade 211. Copper underslab 5'1141.
102. Figs.&forms 12. Rough plumbing I
103. Pre-slab 1641- 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater 1(-I s-i!? •
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing 219. Final gas
110. Framing 220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar'rid
114. Insulation-Flr. Pool Inspections Date I. Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 245. Gas line&test
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.ole --250. Pool cover
151. Sales lot lighting --251. Pool final
152. Under.round conduit •
153. Underslab conduit --Reroof Inspections Date Insp.
154. UFER ground 70. Pre-reroof insp.
155. Water ground 1044-0 00 271. Roof framing
156. Rough electrical 044-1r 272. Sheathing nailing
157. Fixtures 73. Final reroof
158. G.F.C.I. ((_5-0 v A
159. E.it.bondin. -IIMMI Sign Inspections I Date I Insp.
160. Service panel 80. Setback/overhang
161. Final electric 1,-1��7 •• 281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. ' 283. Disconnect -MEM.
180. Venting/flue --284. Final sign
181. Furnace/A.C.
182. Rauch HVAC -- Miscellaneous Insp. I Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft --Sewers&Offsite Insp. I Date I Insp.
191. Final mechanical --300. Lateral(main to P/L) --
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cesspool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
t '„`lit
— mG fl *''.-u __ i y0 1. M'i. �/. ' 1`. �� -- .L y .11, ={. ��qt's .'.,
: rte . i� '"" .A.P.: . ..:sop �� i � d,l, el +1 i4 iri �. k. i,,
/4"Calw„,-(0.410.
�� $ ® mvol a ® ,® OA�WA S � � = ® _ , ,''
�ar :i I” ',-
1/4
41
1-4
tS jam® Rp�AAS89•�o ,rte, �.
Gur/fr rf3l `��...
� . Certificate of OccupancyI'' r
� I City of Arcadia I� ,�
P.-ADevelopment Services Department - Building Division p��
� l • � �
This certificate issued pursuant to the requirements of Section 109 of the
itt
Uniform Building Code certifying that at the time of issuance this structure was in , V,
1 compliance with the various ordinances of the City regulating building construction or use.
Permit No.. BOO-057-721
r
,41;
to,o' : .
^ �, 1 Building Address: 400 S Baldwin Ave,Arcadia,CA 91007
i Use Classification:
ty
)4-1
I:S\*
Tenant Improve Effective UBC:
P 2016 C.B.C. ® '
Permit Type: Tenant Improve w/energy. Zone Code: C-2,DH8 �
�� �' Occupancy Code: ?
14ali
� � P Y M Type of Construction: TYPE II 1 HR SPRINKLERED r ,
40,® Final Date: 11/18/2017 S
Owner: Westfield Corporation,Inc. 1
`32. Tenant: ` 03`'L
Tenant
Taiyaki&Soft Serve ®f=
i.,,,,,.:11r
_ITDVt't •-•":14cre-VI---
fir
1/4tea Don Stockham,Building Official
, iiii\034-4
- POST IN A CONSPICUOUS PLACE
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fr `� �� ,. �e` ` J` t '% 0. - 1 I `<z���tttatS - 4 ��ii ,��s', _-_ 4,i itk is
•
..-'''. 4''".:, Development Services Department
1 4 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. B00-058-244
`•�.o' Arcadia, CA 91066-6021
City of (626) 574-5416,Fax(626)447-9173
ArcadiaPermit Type: Sign
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
10/30/2017 CM 8:24 10/30/2017 , 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#: OTC
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
His Builders PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
(909 NO. 815-01 50 FAX NO.
His Builders 20306 Elkwood Rd PHONE
Walnut, CA 91789 EMAIL ADDRESS:
License No. 1008687 Type: B Expires: 11/30/2017 12:0(
TENANT MAILING ADDRESS
SOrnl$OIImI PHONE NO. FAX NO.
DESCRIPTION
ILLUMINATED SIGN FOR SOMISOMI
Construction Type UOM ti of Units Value Construction Type UOM #of Units Value
Value Value 1,500.00 $1,500.00
.. ._3,( i
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 44.3501-3105 coy,piETED
1.00 Flat Elecissue 44.35 44.35 01-3105IS
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: $294.35 Balance Due: $0.00 Paid Today: $294.35
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the t •• •
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 119.07
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. V _
(Closed on alternate Fridays)
oF Alio
PERMIT/PLAN REVIEW APPLICATION
o I j4 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 413 License No. /a70 tri? Exp. Date, 70/// 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 DECLARATIO ❑ I have and will maintain workers'compensation insurance,as required by Section
[I I hereby affirm under penalty of perjury that I am exempt from the Contractors 13700 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 9 is issued.My workers'lrsc mpensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier V Y fil
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 �/ %�
.e
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.LJ
Name 0 4 '-'^' ��I11 itle CC e NA)
PRINT NAM
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.
ignature Date
/47917/
/'8v/ ,
';a r
1. Ensure to obtain building
4'-1 " Sign must match permit from the city (if is
"Doing Business As" required by the city) and
N
s O M s O Cil: name completely per must schedule inspection to
SOFT SERVE b TAIY.A.KI - lease sign off the work.
1 �r - 2. Coordinate with GC for
Y.ig Tv NLLY RECEa1Ee
�"" 'W THE WALL N1EH Y1L I
NATE W7TN TENANT .j. - V' 1 r access panel
®.; >Re': SPEC ,, ��JYY, S t up time clock per mall
> I
I� re.uirement
"'11111 I a a ent/wires/cables
LL:-.; J II!!IIIIII��►111111111111111111111111111!!lllllllllllllllllllllllllllllllllluoliill"!!LIIII„1„1„„1„„1„IIIA!II„1„II„II„II„1„II„1„„II„1„Illll
intIn
Thesnt cr,:y ; 1's,_,,' . ” 'equ fey P�„7 IIIIIIIIIIII�IIIIIIII„I„��„„I„I„��„IlIl��llllllllll„II„IIIIIIII„VIIIIIiI111111IIIIIIIIII10011111101011101111111111111� III 5 All lighting be visible
to be UL
venf;Ec' r.t! ,-: ,c r Cant a •
t 1
is resprn IIIc I >• ..� :;;d�:r nr-�—, ,�, If t2
One(1)copy o , 5
:set 6. Sign must match "Doing
requ o f
7dh1ti4
at ail tirFront Elevation of Iiness As” name
completely per lease
Signed Date
7. To ensure sign follows WF
”oggli TOO 8 sign design criteria
§ 'e _TL-1 A y drawings being
M
Sign Drawing Review 4'-7” a itted for permit at Santa
Rt Approved L :,1
Iy 'nit: must have a wet
Approved as Noted❑ Resubmit , „ 0 Nt,/,f e .tfield Approval Stamp
These drawings have been reviewed for general designMENU TV FULLY REr•cnnnn -1 , ,,,,: .,GUII b page prior to
Intent only.All actual field ens are required to be FRA THE WALL ICH MIL
1Illlll: 1e I"r��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 'Dag,: Y p g p
verified by the Tenant's Architect and/or Contractor.Tenant
FRAME
�C�1r VIII 1:7,11n 71F 9111!'1111 ln.
is responsible for complying with all government regulations. COORDINATE WTN IENANr
All its In sign approval letter must be complied with. ON SIZE MID SEC pP„IIII1111111 IIIIIIIIIIII1IIIIIIIIIIIIIII �ppIIII su• ittal to the Building
10/27/17 1 IIIIIIIIIIIIIIIII�III I II„1„II„„„1111111111111ii11!„II„IIIIII„1„„1„I„„I„II„„I„I„II„IIhIIlllli0111111 YJe•artment. To coordinate
Signed Date 7_- - �-
IIIIIIIIIIIIIOIIIIIIIUHHIIIIIIIIn1I„1111„11111111111111!!!IIIIIIIIIIIiiilllll„IIiiIII„IIIIIi„„III�„�lll!!!II!!Illl� sta ping of drawing contact
I it Ten:nt Coordinator, Rosa
Tsn st 310.345.4223,
rtso@westfield.com or Mall
Management, Shannon
Back Elevation of Ki r-kadshaw at 626.445.3116,
sbradshaw@us.westfield co
1/4 in = 1ft • m
10. Always survey before any
_, ork Tel :323-529-4272
A roved by: Laser Cutting Servlci R
SOMISOMI pp
Interior,LED Sign ..• - ..- ...t.
comesignusa• m .com
Plastic Case
400 S Baldwin Ave, Signature: interior 7R L.A.
fAl r1-X0q# 1242 S.Harvard Blvd.
Space No.9020(Kiosk) Print: Date: Los Angeles,CA 90006
Arcadia,CA 91007Come Sign Inc. 1431GARDENA6 S.Van Ness Ave.Phone: e-mail:
Gardena,CA 90249
k ' ; Development Services Department
. . 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. B0O-057-743
Arcadia,CA 91066-6021
City of (626) 574-5416,Fax(626)447-9173
ArcadiaPermit Type: EMP Combo
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
8/31/2017 CM 15:10 8/31/2017 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
Level Construction Group, Inc. PHONE NO.
EMAIL ADDRESS:
,
CONTRACTORIPROFESSIONAL MAILING ADDRESS
Level Construction Group, Inc. 1720 E Washington Boulevard#228 PHONE NO. (626)255-2038 FAX NO.
Pasadena, CA 91 104 EMAIL ADDRESS:
License No. 991265 Type: B Expires: 3/31/2018 12:00:
TENANT MAILING ADDRESS
Somisomi Taiyaki Soft Serve PHONE NO. FAX NO.
DESCRIPTION
LANDLORD INSTALLED UTILITIES TO SOFT SERVE •
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
151 COWIE El)
1-'I,t4.6. 9-Zo -r7
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 flat Elec issue 44.35 44.35 01-3105
1.00 Flat Plmbg issuance 44.35 44.35 01-3105 .
1.00 each Misc elec 15.55 15.55 01-3105
2.00 Fixtures Plmbg fixture 24.92 24.92 01-3105
1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 Flat SWMF 2 1.00 1.00 88-3027
9—dee—ii v,iD R -dieau-AD ke4Y7 fi -r 4 w--4- . U 6OaZ c-4.A3 &Z z7? Ic
cus w--
///,_.-7.4-v.
Total Fees: $131.17 Balance Due: $0.00 Paid Today: $131.17
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 117802
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 129.17
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 2.00
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
4
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 AR
41.
O% ' "?'
e` _ IPERMIT/PLAN REVIEW APPLICATION
.2111\\•ilk 'ERE" aF-
a 4 , 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 /3 License No. / //_bS Exp. Date — .. , compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor r -- _
performance of the work for which this permit is issued.
OWNER-BUILDER DELL '1, IO IA 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 p� / f1
(�
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 roe forthwith comply with those provisions.
property,rty, or my employees with wages as their sole
compensation,will do the work,and the structure is not intended or offered for
1 7 `t
sale(Section 7044,Business and Professions Code:The Contractors License Date 1 Sign.-Ire
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.
Ime
93D-712D 5 1/ '+// 'J Title
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 4111E1Mb Date g/3/ /0
11',!— l
, lb Sal
II
•nsi•act ri.INC
011311=6/01. 411.1121.11
229 W.BONITA AVE.,SUITE 2E OFFICE (909) 592-4153 .
SAN DIMAS,CA 91773 FAX(909) 592-6248 1,
Registered Deputy inspector's I. eport (Date
�, .. 9 - 1,r.1. - 17.11033.
❑ Reinforced Concrete ❑ H.S. Bolts C.II Sprayed Applied Fireproofing
' ❑ Post Tensioned Concrete ❑ Welding ❑ Quality Control
❑ Reinforced Masonry ❑ Shop 511 Drilled In Anchors
Job Address 400 S. Baldwin ave City Arcadia
Job Name Permit No. Issued By
Sorni Somi Arcadia
Mix Design or Material Used Architect
Simpson SET XP anchor adhesive Engineer
Contractor Level Construction _ 1
Inspectors)Name Malcolm MaxsOn Subcontractor
,Observed cleanout of 1/2" diameter holes drilled horizontally into existing concrete s ab
Installation of #3 size slab dowels with min. 4" embedment @ 24" o.c. spacings
Anchors installed using Simpson SE °T XP (ESR#. 2508) anchor.:adhesive
Ammon.
• PAGE OF
i
:TIME IN TIME OUT REG.HOURS O.T.HOURS CYLINDERS CERTIFICATION OF COMPLIANCE
4 ILL OF BYE THAT I HAVE INSPECTED S THE BEST O ED.I H VEGE
ALL OF THE ABOVE REPORTED WORK UNLESS OTHER WISE NOTED.KN.:
HAVE
FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS,SPECIFICATIONS, !
AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS.
i:
All inspectIons based on a minimum of 4 hours and over 4 hours•8 hours minimum. I
In addition,any inspection extending past noon hour-will be an 8 hour minimum. //
SIGNATURE OF REGISTERED INSPECTOR
RC
I
Approved by flC 5271998 fl-A., 1
Project Superintendent SPECIALTY NO. AGENCY
WHITE•OFFICE COPY CANARY•CITY INSPECTOR PINK •JOB SITE ..�,�
��'oF'LosgH COUNTY OF LOS ANGELES • DEPARTMENT OF PUBLIC HEALTH
oi? of
•
ENVIRONMENTAL HEALTH
i };
1+4 Ij i+j SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH
N- . PLAN CHECK PROGRAM-BALDWIN PARK COUNTY OF LOS ANGELES
9q fFOILW.- 5050 COMMERCE DR,BALDWIN PARK,CA 91706
Public Health
PHONE:(626)430-5560
V VVW.PUBLICHEALTH.LA000NTY.GOV/EH
OFFICIAL PLAN REVIEW REPORT
DATE 10/03/2017 EHS VIVIAN TAN
PLAN CHECK NUMBER SR0116947
PROGRAM ELEMENT 1720-FOOD WAREHOUSE(0-500 SF)
OWNER/REQUESTER SHOKO TAKAHASHI-DIAZ, PRESIDENT
DBA SOMISOMI TAIYAKI&SOFT SERVE
ADDRESS 400 S BALDWIN AVE SPC SK9,ARCADIA, CA 91007
INITIAL MODIFICATION OF APPROVED PLAN
STATUS: APPROVED
ADDITIONAL REQUIREMENTS •
THE REVISED PLANS ARE APPROVED, SUBJECT TO ON-SITE INSPECTION PRIOR TO OPERATION OR STOCKING
FOOD ON THE PREMISES. APPROVAL IS CONTINGENT UPON THE FOLLOWING:
1)OBTAIN LOCAL BUILDING DEPARTMENT PERMITS AND APPROVALS.
2)SUBJECT TO ON-SITE INSPECTION AND APPROVAL. ALL EQUIPMENTS MUST BE CERTIFIED OR CLASSIFIED
FOR SANITATION BY AN AMERICAN NATIONAL STANDARDS INSTITUTE(ANSI)ACCREDITED CERTIFICATION
PROGRAM OR AN ACCREDITED TESTING AGENCY.
3)ALL USED AND/OR EXISTING EQUIPMENT AND FINISHES SHALL BE IN GOOD REPAIR AND ARE SUBJECT TO
ON-SITE INSPECTION AND APPROVAL.
4)ENSURE THAT THE COMMERCIAL HOOD AND MECHANICAL EXHAUST AND MAKE UP AIR SYSTEMS MEET THE
UNIFORM MECHANICAL CODE.
5) READ AND COMPLY WITH THE FOLLOWING ATTACHMENTS REGARDING:
A) FINAL INSPECTION NOTICE
B) PLAN APPROVAL CHECK LIST
C) CERTIFIED FOOD HANDLERS CERTIFICATE
6) THE APPROVED SET OF PLANS SHALL BE MADE AVAILABLE ON-SITE UPON FINAL INSPECTION.
7)THE REMOTE STORAGE IS FOR THE STORAGE OF PRE-PACKAGED FOODS ONLY.
COMMENTS
•
CONTACT VIVIAN TAN AT 818 672-2236/626 430-5517/VTAN@PH.LACOUNTY.GOV, MONDAY-THURSDAY, 8-10 A.M TO
SCHEDULE A FINAL INSPECTION
CALL AT LEAST 3 WORKING DAYS PRIOR NOTICE TO ARRANGE FOR A FINAL INSPECTION. A FINAL INSPECTION
SHALL BE CONDUCTED AND A PUBLIC HEALTH PERMIT OBTAINED PRIOR TO OPENING AND OPERATING THIS
FOOD ESTABLISHMENT.
Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacounty.gov/eh.
EHS Signature Page 1 of 2
JCA Of EOg,�p� COUNTY OF LOS ANGELES• DEPARTMENT OF PUBLIC HEALTH
�� ,`�� ENVIRONMENTAL HEALTHc.:(
+ , Fii;; + SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH
k NI ` { PLAN CHECK PROGRAM-BALDWIN PARK COUNT'OF LOS ANGELES
"C14u at*." 5050 COMMERCE DR,BALDWIN PARK,CA 91706 Public Health
PHONE:(626)430-5560
VW WV.PUBLICHEALTH.LACCUNTV.GOV/EH
PLAN CHECK OFFICIAL INSPECTION REPORT
DATE 11/16/2017 EHS VERNY GRAJEDA
PLAN CHECK NUMBER SR0116947
PROGRAM ELEMENT 1720-FOOD WAREHOUSE(0-500 SF)
OWNER!REQUESTER SHOKO TAKAHASHI-DIAZ, PRESIDENT
DBA SOMISOMI TAIYAKI&SOFT SERVE
ADDRESS 400 S BALDWIN AVE SPC SK9,ARCADIA,CA 91007
FINAL REINSPECTION STATUS: APPROVED PF28
SCOPE OF OPERATION
APPROVED TO STOCK PERISHABLE/POTENTIALLY HAZARDOUS FOODS
ADDITIONAL REQUIREMENTS
1. FOOD FACILITY IS HEALTH DEPARTMENT APPROVED. PENDING A BUILDING&SAFETY BUILDING FINAL TO
ISSUE A PUBLIC HEALTH PERMIT FOR OPERATIONAL.
COMMENTS
NONE
•
Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.aov/eh.
f—
VL--74-7
EHS Signature Page 1 of 2
_
, ,
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_
•
_ _ .
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.
. _ _
_ . ,
. .
,
PLAN CHECK OFFICIAL INSPECTION REPORT
DATE 11/16/2017 EHS VERNY GRAJEDA
PLAN CHECK NUMBER SR0116947
PROGRAM ELEMENT 1720-FOOD WAREHOUSE(0-500 SF)
OWNER/REQUESTER SHOKO TAKAHASHI-DIAZ,PRESIDENT
DBA SOMISOMI TAIYAKI&SOFT SERVE
ADDRESS 400 S BALDWIN AVE SPC SK9,ARCADIA,CA 91007
DISCLOSURES
It is a misdemeanor violation to begin operation without a valid Public Health Permit/License.The Public Health
Permit/License will be issued by the Los Angeles County Department of Public Health Environmental Health Division(DPH-EH)
Plan Check Program at the job site following final inspection and approval by all applicable agencies. Remodeled areas of an
existing food facility/establishment must obtain a final inspection and approval from all applicable enforcement agencies prior
to use.
Any future alteration,construction,building,renovation,repair,change of equipment,change of the operation of a food
facility/establishment or change of menu may require plans to be submitted to the DPH-EH Plan Check Program. Additional
approvals may be required from other enforcement agencies.
It is improper and illegal for any County officer,employee or inspector to solicit bribes,gifts or gratuities in connection with
performing their official duties. Improper solicitations include requests for anything of value such as cash,discounts,free
services,paid travel or entertainment,or tangible items such as food or beverages. Any attempt by a County employee to
solicit bribes,gifts or gratuities for any reason should be reported immediately to either the County manager responsible for
supervising the employee or the Fraud Hotline at(800)544-6861 or www.lacountyfraud.org. YOU MAY REMAIN ANONYMOUS
Public Health Permit/License:
A separate fee is required for the Public Health Permit/License.A billing statement will be sent to the permit/license holder
annually by the DPH-EH. The fee is required to be paid to perform or carry on,conduct or engage in any mobile food facility
listed in Los Angeles County Code,Title 8,Section 8.04.720.
State and Local licenses and Permits:
Contact the State of California and your local city hall regarding additional license and permit requirements.
Restrooms:
Customer may use restroom facilities if they are located in a customer area.Customers may not enter the food preparation
area,food storage area,or the utensils washing/storage areas in order to access the restrooms.All food,utensils and
equipment must be protected from contamination.
Routine Inspection:The DPH-EH conducts routine inspections of all food facilities in Los Angeles County. Following the
issuance of your Public Health Permit by the Plan Check Program,an Environmental Health Specialist from your local district
will conduct an inspection of your facility. If your Business is located in a city that has adopted the grading ordinance,the
inspector will post a grade or score card at your facility. Grade/Score cards are not issued by the Plan Check Program.
Help us serve you better by completing a shortt survey.Visit our website at www.publichealth.lacountv.gov/eh.
EHS Signature Page 2 of 2
:G
OFFICIAL PLAN REVIEW REPORT
DATE 10/03/2017 EHS VIVIAN TAN
PLAN CHECK NUMBER SR0116947
PROGRAM ELEMENT 1720-FOOD WAREHOUSE(0-500 SF)
OWNER/REQUESTER SHOKO TAKAHASHI-DIAZ, PRESIDENT
DBA SOMISOMI TAIYAKI&SOFT SERVE
ADDRESS 400 S BALDWIN AVE SPC SK9,ARCADIA, CA 91007
DISCLOSURES
Prior to construction and approval from the Los Angeles County Department of Public Health Environmental Health Division
(DPH-EH) Plan Check Program, final inspections must be obtained from Building and Safety (mechanical, plumbing, electrical)
and all other enforcement agencies.
Failure to obtain a Public Health Permit/License prior to operation of the facility/establishment is a misdemeanor violation.
Construction of the food facility/ establishment must be completed and approved within twelve (12) months from the date of
approval to avoid submitting new plans.
A copy of the approved plans must be available at the time of the field construction review.
All utilities must be on and operational at the time of the field construction review.
Please contact your plan check inspector at least 3 days prior to the field construction review.
Two field inspections will be covered under the Plan Check fees assessed upon plan submission.
A charge will be assessed for each subsequent field construction review.
Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacounty.gov/eh.
EHS Signature Page 2 of 2
--..-----
Self TEMPEKAIutcta yr LuuT ,D��, `• .•� --- WESTFIELD SAN I A ANI iH
Self Contained ,I.e�n r.•'iew•'d 1°'general design THAN 30 MINUTES — PER CBC SECT. 803.2
_��_ �,, �w� °' ,..�ndfaons are requited to De
Self Contained °'p a `�a' J ulatlons.
inf °`". �.i d:4e-.ba' CunlractoL Tenon
%."Pie'.L.D fF
��„ fY ds tamp g°vefnment reg SPACE NO. 9020 KIOSK
•
Is•..^'�•=��I`-o1` IS;D�:i;cld stamped set of drawings Is FLAME SPREAD OR SMOKE—DEVELOPED Q INDEX OF
1,: ).`' Q the;oh Site at�ii LI s. , SURFACES IN EXISTING BUILDINGS.SHALL BE
I��; ALLOWED TO BE ACHIEVED BY APPLICATION OF 400 S BALDWIND AVE
4P.te 4.APPROVED FIRE—RETARDANT COATINGS, PAINTS
l9ned OR SOLUTIONS TO SURFACES HAVING A FLAME ARCADIA, CA 91007
SPREAD INDEX EXCEEDING THAT ALLOWED. SUCH
APPLICATIONS SHALL COMPLY WITH NFPA 703 AND
THHALL 1•11111111.11111•11.11.111611.1111.111.1.1.111.11.41.1111111.11111.1
BEEREQUIRED MAINTAINED FOR RENEWED FIRE—RETARDANT
ACCORDANCE SWITH
THE MANUFACTURER'S INSTRUCTIONS — PER CBC REVISIONS :N0. DESCRIPTION DATE
SECT. 803.4
34K 40d mounting
.24K 40d mounting 5.FIRE—RETARDANT TREATED WOOD n IS ANY WOOD HEALTH AND OWNER 09.22.1
7
-24K 40d mounting � PRODUCT WHICH. WHEN IMPREGNATED WITH 1 COMMENTS
suc 40d mounting CHEMICALS BY A PRESSURE PROCESS OR OTHER /� OWNER COMMENTS 10.02.17
MEANS DURING MANUFACTURE, SHALL HAVE, WHEN 2
TESTED IN ACCORDANCE WITH ASTM E 84, A ^
LISTED FRAME SPREAD INDEX OF 25 OR LESS AND /
SHOW NO SIGNIFICANT PROGRESSIVE COMBUSTION
WHEN THE TEST IS CONTINUED FOR AN ADDITIONAL
20—MINUTE PERIOD. IN ADDITION, THE FLAME Q
FRONT SHALL NOT PROGRESS MORE THAN 10.5 •
•
• ET (3200 MM) BEYOND THE CENTERLINE OF THE
: RNERS AT ANYTIME DURING THE TEST. Q
6. NANTS ARCHITECT, DESIGNER OR GENERAL
c•eNTRACTOR SHALL PROVIDE A MATERIALS'AND 001 Checked by:ST—D
Fl SHES SAMPLE BOARDS FOR SUBMITTAL TO AND Job Number
AP'ROVAL BY WESTFIELD'S TENANT COORDINATION
PATTERN COLOR SIZE NDiE 0'T. PRIOR TO PURCHASE & INSTALL
Approved'byST—D
• ARID GRAY OOAZ 4q8 GREY GN01fT Drawn by:ST—D "t'p
TIIu 7. 'URNISHING & INSTALLATION WILL BE HANDLED
STRAIGHT HL BRUSHED BY OWNER'S OWN VENDOR OR SUBCONTRACTOR — This document contains dente oot proprietary to a evalucreatation,31646 SMOOTHANFISNSCME WHITECUTOM END MmmM3E/4•x33/4-ONLYATOMAE(QUW E TIS KA TE •L SPECS SUBJECT TO CHANGE. es
and Is furnished in confidence for the limited purpose of evaluation,
SMOOTH CLEAR ONLY AT WHERE EQUIPMENT IS PIAIFD AGAINST,U.O.N bidding or review.This_document or its contents.may not be used
SEE ELEVATIONS AFAR ># for any other purpose and may not be reproduced or disclosed
PROVIDE SAMPLE FOR APPROVAL to others without the prior written consent of a/k/a creatives
SEE ELEVATIONS YELLOW STAIN UQ
STAINLESS STEEL CLEARSTAINLCOAT
6' OUTSIDE
3/B-IDEFACES INSIDE OFFJOSKONLY I ,e0//0y 11� 47 All rights reserved. Copyrightby a/k/a motives
NOIR RUGGED ON AFAR 6' OUTSIDEONCRETE FILY U 'G 4!;n
4033 RUGGED CONCRETE 3/4'TH ROUGH CONCRETE FINISH•NONABSORBENTSURFAD; Cn11•,•�v n!-p.r1^ . --1.=a-CE•'"+A-T'.:-iDI'r')Sni:nT.l }!iyy;-}T{
SEE ELEVATIONS USE UV BONDING kr.r:;;;)7:::!":t.. .' :'.:L�•Si+L^.i".:i:1<C't'. '�''a COff1; SHEET TITLE'�...... n.:!E:E. :."1c5P14F.:
OFA0.COAT 1/B'ON ONLY AT WALLTIIE tfei e.,,,i:::i1,Ae.!LI;i2'i'{L3 iLt'�fll"Jf::TK
3/4'TH ROUGHCGNOIETE FINISH ']�
9213-E SLATE
mN(AETE /(�'{/A.' • 1/ r/ -BVI. /
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GRAY TIDE OF F•''DFICIIIT. 'EQUIPMENT PLAN
uGHT GREY TI Al-PM-NAL 0055 NOT AUTR^Fi`F^F�'.",pit. 710C{
•:P1,07 LAW ORDIRALLCF.Vii DEDi:ATa:f
KITCHEN ZONE 677,WHITE 24X48.SQUARE SMDDT".6EANABLE."D"-SBSDERBENT � FINISH PLAN
1. THE FLOOR SURFACE OF ALL AREAS EXCEPT IN SALES F:=:...,,.: .,,;i,,J cNtrrAt;Acrr.-
AND DINING AREA MUST BE SMOOTH AND OF DURABLE
AND NONABSORBENT MATERIALS THAT IS EASILY
CEILING CLEANABLE. FLOOR SURFACES SHALL BE COVED AT THE - :;SCALE : 1�2"=1�—O"
C MISTING MALL CEILING.SMOOTH JUNCTURE OF THE FLOOR AND WALL/CASEWORK WITH A ISSUE DATE :08,25.2017 �'-I
v..(� oosm .PEN Mil 3/8" MINIMUM RADIUS COVING AND SHALL EXTEND UP //� Fill--.A411,
�C.(�W1
IGHT COLOR 70% THE WALL AT LEAST 4". LOS ANGELES COUNTY (1� '
.TILE .,SITNG DR WALL CEILING
,,S-��Pa'� DEPARTMENT OF PUBLIC HEALTH , `
fRANBcv1E TSEMI.LOSS IT G li 2.THE WALLS AND CEILINGS OF ALL ROOMS SHALL BE PLAN CHECK PROGRAM A1 . 2 Som Soon
WITH SEWGIDSS PALM OF A DURABLE, SMOOTH, NON— ABSORBENT, EASILY 14500 ROSECOE BLVD,5TH FLR
PANORAMA CITY,CA 91402
r� (818)672-2293 of-f--g p rve
3.OWNER TO STORE ONLY FACTORY•SEALED CONTAINERS (ft li'
f` S° ,14,0•• COUNTY OF LOS
ANGELES• HEALTH DEPARTMENT OF PUBIC HEALTH
OA
} SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH
,, ir f PLAN CHECK,PROGRAM-BALDWIN PARK COUNTY orLOS aNCFLIs. ..
x%go-10V 5050 COMMERCE DR,BALDWIN PARK,CA 91706 . • Public Health
PHONE:(626)43075560.
WWW.PUBLICHEALTH.LACOUNTY.GOV/EH •
OFFICIAL PLAN REVIEW REPORT
DATE '. 09/28/2017 EHS VIVIAN TAN •
PLAN CHECK NUMBER SR0116946
PROGRAM.ELEMENT 1701-RESTAURANT(0-500 SF) -
OWNER/REQUESTER SHOKO TAKAHASHI-DIAZ, PRESIDENT
DBA SOMISOMI TAIYAKI &SOFT SERVE
ADDRESS 400 S BALDWIN AVE SPC 9020,ARCADIA,CA 91007
INITIAL PLAN REVIEW STATUS: APPROVED
--4,-1,-,-7— ' . `Vo `.�7.t t #. 'w5 a fid' - T. Y Ry �.b *.'ti .f ' ,. Z r3
CORRECTIONS.COMPL�ETEDj ,'°[ Or i � =4et
CORRECTION CATEGORY • DATE IDENTIFIED DATE CORRECTED. •
WATER SUPPLY 09/19/2017 • 09/28/2017
WASTE WATER/PLUMBING 09/19/2017 09/28/2017
EQUIPMENT/STORAGE - 09/19/2017. 09/28/2017
PLAN SUBMITTAL/REMODEL . 09/19/2017 - 09/28/2017
ADDITIONAL REQUIREMENTS
THE REVISED PLANS ARE APPROVED, SUBJECT TO ON-SITE INSPECTION PRIOR TO OPERATION OR STOCKING
FOOD ON THE PREMISES. APPROVAL IS CONTINGENT UPON THE FOLLOWING:
1)OBTAIN LOCAL BUILDING DEPARTMENT PERMITS AND APPROVALS..
2)SUBJECT TO ON-SITE INSPECTION AND APPROVAL. ALL EQUIPMENTS MUST BE CERTIFIED.OR CLASSIFIED
,'FOR SANITATION BY AN AMERICAN NATIONAL STANDARDS INSTITUTE(ANSI)ACCREDITED CERTIFICATION
PROGRAM OR AN ACCREDITED TESTING AGENCY.
.3)ALL USED AND/OR EXISTING EQUIPMENT AND FINISHES SHALL BE IN GOOD REPAIR AND ARE SUBJECT TO
ON-SITE-INSPECTION AND APPROVAL.
4)ENSURE THAT THE COMMERCIAL HOOD AND MECHANICAL EXHAUST AND MAKE UP AIR SYSTEMS MEET THE
UNIFORM MECHANICAL CODE.
5) READ AND COMPLY WITH THE FOLLOWING ATTACHMENTS REGARDING:
A) FINAL INSPECTION NOTICE
B) PLAN APPROVAL CHECK LIST
C) CERTIFIED FOOD HANDLERS CERTIFICATE
6) THE APPROVED SET OF PLANS SHALL BE MADE AVAILABLE ON-SITE.
Help us serve youbetter by completing a short survey.Visit our website at www.publichealth.lacounty:qov/eh. •
EHS Signature Page 1 of 2
OFFICIAL PLAN REVIEW REPORT
DATE 09/28/2017 EHS VIVIAN TAN
PLAN CHECK NUMBER SR0116946
PROGRAM ELEMENT 1701 =RESTAURANT(0-500 SF)
OWNER/REQUESTER SHOKO TAKAHASHI-DIAZ, PRESIDENTDBA SOMISOMI TAIYAKI&SOFT SERVE
400 S.BALDWIN AVE SPC 9020,ARCADIA,CA 91007
ADDRESS. - . .
COMMENTS
CONTACT THE BALDWIN PARK PLAN CHECK OFFICE AT 626 430-5560 MONDAY-FRIDAY. 8-10 AM TO SCHEDULE A
FINAL INSPECTION
CALL AT LEAST 3 WORKING DAYS PRIOR NOTICE TO ARRANGE FOR A FINAL INSPECTION.A FINAL INSPECTION
SHALL BE CONDUCTED AND A PUBLIC HEALTH PERMIT OBTAINED PRIOR TO OPENING AND OPERATING THIS
FOOD ESTABLISHMENT.
DISCLOSURES
Prior to construction and approval from the Los Angeles • County Department of Public Health Environmental Health Division
(DPH-EH) Plan Check . Program, :final . inspections :must be obtained from Building and Safety (mechanical, .plumbing, electrical)
and all other enforcement agencies.
Failure to obtain a Public Health.Permit/License prior to operation of the facility/establishment is a misdemeanor violation..
Construction of the. food facility/ establishment. must be completed and approved within twelve (12) months from the date of
approval to avoid submitting new plans.
A copy of the approved plansmust be available at the time of the field construction review.
All utilities must be on and operational at the time of the field construction review.
Please contact your plan check inspector at least 3 days prior to the field construction review.
Two field inspections will be covered under the Plan Check fees assessed upon plan submission.
A charge will be assessed for each subsequent field construction review.
Help us serve you betterby completing a short survey.Visit our website at www.publichealth.lacountv:gov/eh.
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"A°49§,44.0 COUNTY OF LOS ANGELES• DEPARTMENT OF PUBLIC HEALTH
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04-VIElp ENVIRONMENTAL HEALTH
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+.41 /h Hr.)} SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH
PLAN CHECK PROGRAM-BALDWIN PARK
COUNTY OF LOS ANGELES
°IStrvo00. 5050 COMMERCE DR,BALDWIN PARK,CA 91706 Public Health
PHONE:(626)430-5560
W W W.PU BLICHEALTH.LACOUNTY.GOV/EH.
OFFICIAL PLAN REVIEW REPORT
DATE 09/28/2017 EHS VIVIAN TAN
PLAN CHECK NUMBER SR0116947
PROGRAM ELEMENT 1720-FOOD WAREHOUSE(0=500 SF)
OWNER!REQUESTER SHOKO TAKAHASHI-DIAZ, PRESIDENT
DBA SOMISOMI TAIYAKI&SOFT SERVE.
ADDRESS 400 S BALDWIN AVE SPC SK9,ARCADIA, CA 91007.
REVISED PLAN REVIEW STATUS: APPROVED
THE APPROVAL IS' CONTINGENT UPONLCORRECTING THE FOLLOWIN`G.-
•CORRECTION CATEGORY: PLAN SUBMITTAL/REMODEL IDENTIFIED: 09/28/2017.
CORRECTIVE ACTION:THE REVISED PLANS ARE APPROVED, SUBJECT TO ON-SITE INSPECTION PRIOR TO
OPERATION OR STOCKING FOOD ON THE PREMISES. APPROVAL IS CONTINGENT UPON THE FOLLOWING:
1)OBTAIN LOCAL BUILDING DEPARTMENT PERMITS AND APPROVALS.
2)SUBJECT TO ON-SITE INSPECTION AND APPROVAL. ALL EQUIPMENTS MUST BE CERTIFIED OR CLASSIFIED
FOR SANITATION BY AN AMERICAN NATIONAL STANDARDS INSTITUTE(ANSI)ACCREDITED CERTIFICATION .
PROGRAM OR AN ACCREDITED TESTING AGENCY.
3)ALL USED AND/OR EXISTING EQUIPMENT AND FINISHES SHALL BE IN GOOD REPAIR AND ARE SUBJECT TO
ON-SITE INSPECTION AND APPROVAL.
4)ENSURE THAT THE COMMERCIAL HOOD AND MECHANICAL EXHAUST AND MAKE UP AIR SYSTEMS MEET THE
UNIFORM MECHANICAL CODE.
5) READ AND COMPLY WITH THE FOLLOWING ATTACHMENTS REGARDING:
A) FINAL INSPECTION NOTICE
B) PLAN APPROVAL CHECK LIST'
C) CERTIFIED FOOD HANDLERS CERTIFICATE
6)THE APPROVED SET OF PLANS SHALL BE MADE AVAILABLE ON-SITE. •
LOS ANGELES COUNTY CODE OF ORDINANCES:The director shall require from the owner or operator submission of plans,specifications and such
other information as maybe necessary prior to the construction,"or prior to making any additions or modifications of,wholesale food establishment for which
a building permit is required.The plans shall indicate the location of all floor drains,floor sinks and plumbing fixtures;lighting;equipment specifications;
mechanical exhaust/ventilation plans including make-up air system;finish schedule for floors,walls,and ceilings that indicate the type of material,the surface
finish;the color,and the type of coved base at the floor-wall juncture;the location of all fixed food-storage,preparation and processing equipment,furnishings
and machinery. Section#:11.12.015,11.12020, 11.12.150
Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.qov/eh.
V
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. OFFICIAL PLAN REVIEW REPORT
DATE- . - " - 09/28/2017 EHS VIVIAN TAN
PLAN CHECK NUMBER SR0116947
PROGRAM ELEMENT 1720=FOOD WAREHOUSE(0-500 SF). ..
OWNER/REQUESTER SHOKO TAKAHASII-DIAZ, PRESIDENT
DBA SOMISOMI TAIYAKI&SOFT SERVE
ADDRESS 400 SBALDWIN AVE SPC.SK9,ARCADIA, CA 91007.
CORRECTIONS COMPLETED
K: s �..:s+s`x'Y# ` e: ... ''.',�p• g,?� 4.
4i' �
CORRECTION CATEGORY DATE IDENTIFIED. " DATE CORRECTED
PLAN SUBMITTAL/REMODEL 09/18/2017 09/28/2017
ADDITIONAL REQUIREMENTS
NONE:
COMMENTS
CONTACT THE BALDWIN PARK PLAN CHECK OFFICE AT 626 430-5560:MONDAY=FRIDAY.8-10 A.M TO SCHEDULE A
FINAL INSPECTION
CALL AT LEAST 3 WORKING DAYS PRIOR NOTICE TO.ARRANGE FOR A FINAL INSPECTION.A FINAL INSPECTION
SHALL BE CONDUCTED.AND A PUBLIC HEALTH PERMIT OBTAINED PRIOR TO OPENING AND OPERATING THIS
FOOD ESTABLISHMENT.
DISCLOSURES
Prior to construction and approval from the Los Angeles County Department of Public Health Environmental Health Division
(DPH-EH); Plan Check Program, final inspections must be . obtained from . Building "and Safety (mechanical, plumbing, electrical)
and all other enforcement agencies.
Failure to obtain.a Public Health Permit/License prior to operation of the facility/establishment is a misdemeanor violation.
Construction of the food facility/ establishment must be completed and approved within twelve .'(12) months from the: date of . .
approval to avoid submitting new plans..
A.copy of the approved plans must be available at the time of the field construction review.
All utilities must be on and operational at the time of the field construction review.
Please contact your plancheck inspector at least 3 days prior to the field construction review.
Two field inspections will be covered under the Plan Check fees assessed upon plan submission: .
A charge will be assessed for.each subsequent fieldconstruction review.
Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.govleh.
t
EHS SignaSignature Page 2
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