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HomeMy WebLinkAboutUntitled ..-±AC,. Development Services Department r —
° 1 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. B0O-057-864
Arcadia,CA 91066-6021
City of (626) 574-5416,Fax(626)447-9173 Permit Type: Tenant Improve w/energ:
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
9/19/2Q17 CM 9:23 10/20/2017 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#: 17-322
APPLICANT MAILING ADDRESS
Plan#: 32372
Horizon Retail Construction
PHONE NO.
EMAIL ADDRESS:
,
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Horizon Retail Construction 1500 Horizon Boulevard PHONE NO. (262)638-6000 FAX NO.
Sturtevant, WI 53177 EMAIL ADDRESS:
License No. 676686 Type: B Expires: 9/30/2018 12:00:
TENANT MAILING ADDRESS
Elf PHONE NO. FAX NO.
,
DESCRIPTION
INTERIOR T.I FOR ELF .
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Value Value 210,200.00 $210,200.00
•
la CO6Na 1
24 ?
tO
•
OCCUPANCY: Tenant Improve TOTAL VALUATION: $210,200.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 1,293.44 1,293.44 01-3103
each Energy p/c fee 397.98 397.98 01-3103
PC ADA 194.02 , 194.02 01-3103
PC Cal Green 129.34 129.34 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 1,989.90 1,989.90 01-3104
Bldg Issue ADA 198.99 198.99 01-3104
1.00 each T.I.Fire Pkc 280.00 280.00 01-3109
SMIP Corn 58.86 58.86 14-2207
gm bldg std 9.00 9.00 714-2203 •
1.00 Flat SWMF Auto 6.25 6.25 88-3027
Total Fees: $4,602.13 Balance Due: $0.00 Paid Today: $2,307.35
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the - '' ••
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 2,233.24
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 58.86
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 9.00
88-3027 6.25
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
...._.)
(Closed on alternate Fridays)
_-llFO ICi n` ~
IllGr PERMIT/PLAN REVIEW APPLICATION
• $'•
o l , 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:
Ihpter
9(commencing with Section 7000,of Division 3 of the Business and
rofessions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
cense Class ce s No_a� Exp. Date�'��, compensation, as provided for by Section 3700 of the Labor Code, for the
gnature of Contractor �v�--�
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 p i'700 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 I{ s issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, �'arrier
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 'olicy 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 of1,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 trot 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
orkers'compensation provisions of Section-3700 of the Labor Code,I shall
❑I, as owner of the roe I 'forthwith comply with those provisions.
property,rty, or my employees with wages as their sole I r /
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 � ��1 / Signature 7
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does'not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
0 I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date /C1-'2-0.-11 gn /
Si ature� �/ Lender's Address
IMPORTANT: APPLICATION IS HEREB 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. 5 O
N Iify
!(t`(/ ` / r,,, Title c)ktr—
/ PRINT NAME
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.
ee to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
dia to enter upo t above-mentioned property for inspection purposes. ,/�ture ' JZ Date /6 '/1 " /.7
•
NOTES
Building Inspections Date Insp. Plumbing Inspections I Date I Insp. ((-15-/7 11(-7-411-
100. Setbacks 210. Under flr./bldg.drain
101. Rough grade 211. Copper underslab .tArA $ 6-741-. AW
102. Figs.&forms 212. Rough plumbing i(-r>747
103. Pre-slab 213. Rough gas j7
104. Floor joists 214. Shower pan If-/-5-t7 .52.6-44-51W
ZvGTS
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 18. Water service
109. Roof nailing ((-h' 7 ,.4*A 219. Final gas
110. Framing If-I? 47 ,. 220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing 12-7-&?
112. Sound walls 222. Sewer cap/demo.
113. T-bar'rid
114. Insulation-Flr. Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing • 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 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. FinalIlumbin•
150. Power sole - 250. Pool cover --
151. Sales lot co --251. Pool final
152. Underground and conduit
153. Underslab conduit --Reroof Inspections I Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical ((-65-6? • 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E.it.bonding --Sign Inspections I Date I Insp.
160. Service panel , 80. Setback/overhang
161. Final electric (Z-7-17 281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. ' 283. Disconnect --
180. Venting/flue --284. Final sign --
181. Furnace/A.C.
182. Rouch HVAC -- u- • •i•1 I I•
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. Cess.00l filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
twat
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igo
wp
ii Pi;
YJr �I ,
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r gym
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' D>=5zr'cw-
,'1,1 Certificate ofOccupancy
in-cor lrg\\
ILit
v1.—jil lit
E�
"I,;vil ,,‘
City of Arcadia J
-,--:-44 1
Development Services Department - Building Division p ir-,
r4:14
� This certificate issued pursuant to the requirements of Section 109 of the " i w
Ia3s"Uniform Building Code certifying that at the time of issuance this structure was inC �i3� ,compliance with the various ordinances of the City regulating building construction or use. �lt�
Permit No. BOO-057-864
l ",0.
a14
''.-ti\I v wv>er::g
t.;� �,: .
:
411 ' Building Address: 4005 Baldwin Ave,Arcadia,CA 91007 I
41 Use Classification: Tenant Im rove Effective UBC:
[/ P 2016 C.B.C. ,
.K wA Permit Type: Tenant Improve w/ener Zone Code: _
1�,�� P gY C-D,DH8 ���"
vetiii,1 i;
11,410.
Occupancy Code: M TypeTYPE II 1 HR SPRINICLERED I�q
of Construction:
® Final Date: 12/7/2017 613
p
s-t, ...
a�"� owner: Westfield Corporation,Inc.
® i:.
Tenant: Elf O:
r 94 ii r=
kel ,,,,
Don Stockham,Building Official i0.va�
vii/?,
at C----1—a . _
POSTINACONSPICUOUSPLACE rift
. 74
10 Ni 1
t ' �, I ' ��
.�� ",n- «,,r,..,.�..a.' -L--:`. �.__: fir' -•,:"_ -. .:. ,^. - - —� �n
y 181. 11647117&
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A � 1.
�` , Development Services Department
:I�, . 11 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. B0O-058-511
-,....���� Arcadia,CA 91066-6021
City of (626)574-5416,Fax(626)447-9173 Permit Type: Plumbing
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
' 12/5/2017 EP 10:37 12/5/2017 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
All In One Plumbing Inc PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
All In One Plumbing Inc 9949 Lull St PHONE NO. ($]$)638-6087 FAX NO.
Burbank, CA 91504 EMAIL ADDRESS:
License No. 979913 Type: C36 Expires: 1/31/2019 12:00:
TENANT MAILING ADDRESS
Elf PHONE NO. FAX NO.
DESCRIPTION
PLUMBING FOR ELF
Construction Type UOM Hof Units Value Construction Type UOM of pts„ Frt:z^s Value
's �` .S�qN,
Jildi
/vdc- `2-7 -0
OCCUPANCY: TOTAL VALUATION: $0.00 .
QTY DOM DESC AMT AMT PAID ACCT QTY 1.1OM DESC AMT AMT PAID ACCT
1.00 Flat Plmbg Issue A 44.35 44.35 01-3105
1.00 each Kitchen sinks 12.46 12.46 01-3105
1.00 each Wtrhtr/vent 15.55 15.55 01-3105
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $73.36 Balance Due: $0.00 Paid Today: $73.36
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt/. 118733
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 72.36
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday /
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. /
(Closed on alternate Fridays)
of AR
�S. G�xeogyG I
* w . PERMIT/PLAN REVIEW APPLICATION
:`':.ice: .^-MI
4lje Development Services Department,240 West Huntington Drive,Post Office Box 60021
mY4ltY.r" 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 r License No. C/ °LG/J Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
�'`� performance of the work for which this permit is issued.
Signature of Contract —`
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'com ensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 0(1 ("
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
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 LlI 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 La r Code,I shall
0 I, as owner of the property, or my employees with wages as their sole forthwith com ly with those provisions.
compensation,will do the work,and the structure is not intended or offered for
sale(Section 7044,Business and Professions Code:The Contractors License Date 5 /-4-- 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 anemployer to criminal penalties and civil finesup to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706.of the Labor.Code, interest,and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for
further information.
Name dO i'lJ
,L.._ Title �Si d.--✓i�
PRINT NAME
I certify that I have read this application and state that the above information is c rrect and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City o 1ifl n es and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon theAbolie=mentioned property for inspection purposes.
(Signature Date i Z /�' 4,
,' Development Services Department
;i ti 1,1 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-058-194
`•=z:-..,..2 Arcadia,CA 91066-6021 .
City of (626)574-5416,Fax(626)447-9173 Permit Type: Electrical
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
10/23/2017 CM 11:23 10/23/2017 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
C M Lighting& Power PHONE NO.
EMAIL ADDRESS:
e
,CONTRACTORIPROFESSIONAL MAILING ADDRESS
C M Lighting&Power 5277 Vincent Ave#6
PHONE NO. (3 10)963-6809 FAX NO.
Baldwin Park,CA 91706 EMAIL ADDRESS: )S z3100 mail.com
skyZ3
License No. 926764 Type: C l 0 Expires: 12/31/2018 12:01
TENANT MAILING ADDRESS
Elf PHONE NO. FAX NO.
,
DESCRIPTION
ELECTRICAL FOR TI-ELF
Construction Type UOM N of Units Value Construction Type UOM #of Units Value
1 "-7i1. 4*G /2-'7-0
,/. '(Mil FTEil 1 'giPtArgeC tam
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 flat Elec Issue Auto 44.35 44.35 01-3105
1.00 each Distrib panel 15.55 15.55 01-3105
43.00 each Outlets 53.80 53.80 01-3105
52.00 each Ltg fixtures 62.80 62.80 01-3105
2.00 each Power I-10 hp 31.10 31.10 01-3105
1.00 branch cin Signs elec 59.17 59.17 01-3105
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $267.77 Balance Due: $0.00 Paid Today: $267.77
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the .eceip :: .
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 266.77
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
4 r N PERMIT/PLAN REVIEW APPLICATION
' ifi;
' Development Services Department,240 West Huntington Drive,Post Office Box 60021
� 44.11ty of 0°4. - 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 licenseis_infull.force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
cen
ise Class C /0 rise&'6 69 7cr97ffEkp: ,Dates compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature-of Contractor
OWNER-BUILDER D ARATION ❑ 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 w�o-r-ykers'compensation` carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier-'—�/ /✓Ca /11.0',/- 74carrier 0'/'-744'
demolish,or re air anstructure,prior to its issuance,also required theapplicant `�-`"r /--
for such permit o file a signed statement that he or she is licensed pursuanto the Policy Number �C.C 7 4.-575' ..3
provisions of the Contractors License Law(Chapter 9(commencing with Section (This sectiori'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 0 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,
0 I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS 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""` 1 a 7 21/2 (_J r/a ZC t c M4- ,'f 1/55i S/ 9.'' 7
f PRINT NAME 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
Arc enter upon the above-mentioned property for inspection purposes.
�r
Signature Date
h/1 37/7
Development Services Department
''' C 240 West Huntington brive,Post Office Box 60021
• • - PERMIT NO. B00-058-374
•
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
11/16/2017 EP 15:06 11/16/2017 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
Mall Sign Service PHONE NO.
EMAIL ADDRESS:
,
CONTRACTORIPROFESSIONAL MAILING ADDRESS
Mall Sign Service 12439 Magnolia Boulevard Ste 113 PHONE NO. (818)764-1909 FAX NO.
N. Hollywood,CA 91607 EMAIL ADDRESS:
•
License No. 811074 Type: C45 Expires: 7/31/2019 12:00:
TENANT MAILING ADDRESS
Elf PHONE NO. FAX NO.
DESCRIPTION
LED CHANNEL LETTER SIGN.ELF
Construction Type UOM Hof Units Value Construction Type UOM Hof Units Value
Value Value 1,500.00 51,500.00
ikiir_,L 5 L.,.:_
/-------1/V,4-c- /2-7-17 .
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 I.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 • ' • ••
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
88-3027 2.00
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. / ..
(Closed on alternate Fridays)
of AR
400,1Fottyy9 g , .,
PERMIT/PLAN REVIEW APPLICATION
'E "Iif, Development Services Department,240 West Huntington Drive,Post Office Box 60021
°meg..hy �� Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
y 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,anddmm license is in full ce and effect. IDI have and will maintain a certificate of consent to self-insure for workers'
License Class��' - Lice se No. 6/1 0 74Exp. Datil 31"1 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 .00'"' ave 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 w rs�'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 1 A:1—t---1R)6.1 9
demolish,or repair any structure,prior to its issuance,also required the applicant 1 ©�?Sj CP. )
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 j I -11 b-'? / ,/)
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Com(_
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 penaltigs 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.
9 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).
9 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.
kl
ame P (2._.0 j C�� Title GMT-V'C..1 r
P 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. ( r •
(Signature Date I 1 (—?--
` "
- Development Services Department
14 1 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-058-363
•` .,,, Arcadia,CA 91066-6021
City of (626)574-5416,Fax(626)447-9173 Permit Type: Fire
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
11/16/2017 cm 12:55 11/30/2017 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#: 17-426
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 12:01
TENANT MAILING ADDRESS
E.L.F. PHONE NO. FAX NO.
DESCRIPTION
FIRE ALARMS FOR E.L.F.
Construction Type UOM #of Units Value Construction Type UOM 8 of Units Value
Value Value 3,500.00 $3,500.00
VA
Pill'.: VI LIS
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $3,500.00
•
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
6.00 each fire alarm pc 2 700.00 700.00 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 137.05 137.05 01-3112 •
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $882.40 Balance Due: $0.00 Paid Today: $182.40
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the
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 181.40
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)
4 of
Firo R
Rvy •
! - PERMIT/PLAN REVIEW APPLICATION
111k4 Irgine, '7.10)
441:20. Development Services Department,240 West Huntington Drive,Post Office Box 60021
°'m ago Arcadia, CA 910.66-6021, (626) 574-5416,Fax(626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
IJAI`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 CA 0 License No.-7'2, C' xp. Date I I IZO/1 U compensation, as provided for by Section 3700 of the Labor Code, for the
J� �'� performance of the work for which this permit is issued.
` Vt�
Signature of Contractor . it it f
OWNER-BUILDER DECLARATION 6 I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers
are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier `
demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number ',� t+ ,nr l• [G Z3 Jl
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 Ilk
sale(Section 7044,Business and Professions Code:The Contractors License Date r, I��1\� Signatur:���. ���/,�'�'��L�� j
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 ofand shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for
further information. —�/
Name ‘ 1' 1^1J4�'\ L\ P CNI \W Title INC\
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-menti) led property for inspection purposes.
Signature i�•
)I /a__ Date "I 12 D J 1 l
OF
" dr
w
sit- -,-Iacorpor.tcd
Aou.t .1903
oi°a``y°s�� MEMORANDUM
Fire Department
DATE: December 6, 2017
TO: BUILDING DEPARTMENT
INSPECTOR Henry Kemich
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 400 S. Baldwin Avenue, F7 (E.L.F.)
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 11-30-2017 Jill Perumean
FIRE ALARMS 12-1-2017 Jill Perumean
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 12-6-2017 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 12-6-2017 Rita
% Development Services Department
1„-* I.! 240 West Huntington Drive,Post Office Box 60021 PERMIT NO.
BOO-058-346
Arcadia,CA 91066-6021
City of (626)574-5416,Fax(626)447-9173 Permit Type: Fire
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
11/14/2017 EP 8:20 11/14/2017 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
Hydro-Matic Fire Protection PHONE NO.
EMAIL ADDRESS:
,
CONTRACTORIPROFESSIONAL MAILING ADDRESS
Hydro-Matic Fire Protection 1161 Rosedale Avenue PHONE NO. (818)247-9812 FAX NO. •
Glendale,CA 91208 EMAIL ADDRESS:
License No. 718393 Type: C-16 Expires: 6/30/2019 12:00:
TENANT MAILING ADDRESS
Elf PHONE NO. FAX NO.
DESCRIPTION
FIRE SPRINKS FOR ELF.3 HEADS
Construction Type UOM N of Units Value Construction Type UOM 8 of Units Value
Value Value 800.00 $800.00
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $800.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
3.00 each sprinklerpck 280.00 280.00 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 53.25 53.25 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Rim ryrn
Total Fees: $378.60 Balance Due: $0.00 Paid Today: $378.60
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the -
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3109 280.00
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 97.60
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 88-3027 1.00
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday /
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays) %
of ARC
4,,,,,,,.„„0,
�~ ! PERMIT/PLAN REVIEW APPLICATION
oil iiissi .110
•4t#1,1f' Development Services Department,240 West Huntington Drive,Post Office Box 60021
•0\y% Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DE' ARATION WORKERS'COMPENSATION DECLARATION
[] I hereby affirm under penalty of perjury th.• I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 701.x,of Division 3 of the Business and
Professions Code,and my lice e s in r force and effect. / ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class _ •i•-nse s+'• i Exp. Data—30-I
compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
- // A.
_
— performance of the work for which this permit is issued.
OWNER-BUILDER DE A' TION �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 " TIF- FUAI9
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 is . • 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 sub'. t to,(e workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I shouls •: o subject to the
workers'compensation provisions of Secti• 700 o - .b.r 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 `
sale(Section 7044,Business and Professions Code:The Contractors License Date 1 ��— Signatu - , '
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own ,
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties,and civil fines up to one•,:
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost,of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
•
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for
further information.
Name . dr l t or �.10 Title Cyj` '"_C-- `Q1?
PRINT N• E
I certify that I have read t is application and s . :that the ab-ve information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with 411 City ordinanc an .to La ,s relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter u'',n • e abov mentio d pr J s•r for i• ;ection purposes.
•
Signature tai Alle Date ( 1 — Id— 1'1
o4 ��r
•
'•Aary.5.19 1
�e�
„4aity„ai MEMORANDUM
Fire Department
DATE: December 6, 2017
TO: BUILDING DEPARTMENT
INSPECTOR Chris Ingram
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 100 W. Le Roy Avenue
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 12-4-2017 Jill Perumean
FIRE ALARMS
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 12-4-2017 Jill Perumean
•
COMMENTS:
Emailed Bldg. Dept. 12-5-2017 Rita
rr , Development Services Department
:1 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. $QQ-05$-440
Arcadia,CA 91066-6021
City of (626)574-5416,Fax(626)447-9173 Permit Type: Mechanical
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
11/27/2017 CM 11:46 11/27/2017 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:
APPLICANT MAILING ADDRESS
Prospec Inc PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Prospec Inc 1325 Red Gum Avenue 12
PHONE NO. (7 14)630-9336 FAX NO.
Anaheim, CA 92806 EMAIL ADDRESS:
License No. 693664 Type: C-20 Expires: 8/31/2018 12:00:
TENANT MAILING ADDRESS
Elf PHONE NO. FAX NO.
,
DESCRIPTION
MECHANICAL FOR E.L.F.4 TON SPLIT SYSTEM ROOF TOP MOUNT
Construction Type UOM N of Units Value Construction Type UOM 8 of Units Value
11.2 COiiitniU
c.;;Wc_ i z-7-6 7
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 Flat Meth Issue Auto 44.35 44.35 01-3105
1.00 each Fum<100,000btu 18.74 18.74 01-3105 .
1.00 each Comp 3-15hp 34.29 34.29 01-3105
1.00 each SWMF 2 Auto 1.00 1.00 88-3027 i
Total Fees: $98.38 Balance Due: $0.00 Paid Today: $98.38
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the
perrit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3105 97.38
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
of ARE.,
4cyteotgy 9
PERMIT/PLAN REVIEW APPLICATION
"E,,,,, Development Services Department,240 West Huntington Drive,Post Office Box 60021
u0\Y% Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
ICENSED 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 (�2 '.r'.eNO ii%Y�• ' -- p. Date Ts•.7/-/7 compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor % __
�_ performance of the work for which this permit is issued.
OWNER-BUILDER DECLA' •TI I ' I have and will maintain workers'compensation insurance,as required by Section
1:1 I herebyaffirm under penaltyof perjury .' I am exempt from the Contractors 3700 of the Labor Co or the performance of the work or whic�y sh s permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My work s'co ti insurance er.•X, ..6' �� tubers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 1
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number t/
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 complete 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
w kers'compensation provisions of Section 37 oft Code,I hall
❑I, as owner of the property, or my employees with wages as their sole f rthwith 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 ate (�7�� igna - a
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
,er information.
#. ,e,O r of u./RHTNAME
Title ' e. •e- S Air—
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.
ee to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
radia to enter up - • abov: %entio••d prope,y for inspection purposes.
S nature D /�, `
A. tilt
AIR-SOUND-HYDRONIC PROFESSIONALS
HVAC Test and Balance Report
PROJECT:
E.L.F. Eyes Lips Face
Arcadia, CA.
CONTRACTOR:
Prosper,.Inc. .
ARCHITECT:
N/A
ENGINEER:
N/A
REPORT CERTIFICATION NO:
37561 semi careen
to; 7gK
REPORT CERTIFICATION DATE:
December 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: associatedam+balance@gma 1com
STATE. OF CALIFORNIA
oatT
rz tate 34., i",
Pursuant to Chapter 9 of Division 3 of the Business and Professions Code
and the Rules and Regulations of the Contractors State License Board,
the Registrar of Contractors does hereby issue this license to:
MICHAEL CONBOY INC
dba ASSOCIATED AIR BALANCE
License Number 851730
to engage in the business or act in the capacityy of a contractor
in the following classification(s): I•
D62 -AIR.AND WATER BALANCING
B-GENERAL BUILDING CONTRACTOR
C-8 CONCRETE
Witness my hand and seal this day,•
f,
January 22, 2009
Issued December 21, 2004
James Miller Stephen P. Sands
Board Chair This license is the property.Qr the Registrar of Contractors; Registrar of Contractors
IS not transferrable,and shall be returned to the Registrar
upon demand when suspended,revoked,or invalidated
tor any reason.It becomes void if not renewed: -
11L_24.rNE412.071 ea 05)37 rO$ AUDIT NO'464976"
HEY METAL 1 AIR l RAIL I TRAq SPOPTATIoH ® - , ®',
—
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D -,A1„,, ......
INTERNATIONAL
CERTIFICATION BOARD
This certifies that
)1ssociated) ir Bakince
has complete6the requirements of certification as a
Testing, Adjusting and caCancing Contractor
on
December 21, 2016
: •
I '7-' \-; .3.t
Lab - a h
Labor o halrm n _�_`: � M agement Co-Chairman
4-b>:Ectablfsh�
A (
,.98.:D' ICB Co-Cham 144474.1004ICB Co-Chairman � i
N C� ..
� C�1MI an
2r130945108C. 0I)1 aaal`` December 31, 2018 .
Certification No;
• <- Expiration Date . -
Li
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INTERNATIONAL. . EL C iCAT C41&D,3Q72
TION AFB® '
&G'FS,'Te�®T and IC's HVAC Fh61 Tecivnic4Aut mF9 Supervisor
MS KriMlD FL i2 Technician and Supervisor
" " ; ,cii. erty('16-767 f- , .
eet 3wetalan _, .ir Condit onIn g Indtistry.
This certifiesthh tit
MichaelA
.
1-Ia.s successfuLCy completed if e requijenients for VI c23(Supervisor
7 December 21, 2016 . .,a, 4 .
1tOi,oI, 111Y,S ,,ti
i,i rti1 L(Ifl = •,�,��� o�
fj ,,ah,,�° 1 ahu�(..� (:Fiiicntan
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ANN Ac6rvattetl Poxesunzwe.
IIV't EF�NATIOIVAC
PERSONNEL CEFi r cAYTON d>ar'"2S1`
6�
4ClT� C T9ctsrtli s Sap3cc+E5zir
CERTIFICATION BOARDaroac Ftsi Todwvci,n arm .-,.s
F{t14 NRIAC FL,S2.TescpTc.tan artaDov
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SIle et _'Aietar and Azs r `Condi i - .(7 _pry.du c try
This Certito.c that
Michael
onboy
7-fas.szxc:cessfuffy.coinpletecf the.requirementsforlt'J4.C 'Fire Life Safety Levell Superrzsor
December 21, 2016 _) \
k ertith awn 5,• hafrtnan
2 ti+, : aluer(.0a;
Rene vyea: December'1 2016
.. 2014.'?
L�cc•(.rrrtic r 31. :
Patz• 11I d 1�,,,,k yurlih f r up.. irnr" u ( fa
. ' . . . . . ug IIFtL{Y CR("F7 of 1:A -
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' t' 3:;.;:!, e•-:, ...,:ki -,...%..,,f- -
i fi-r't- iss
i.`i ,„ '.viT•ird't
ANSI Ai-...reditritl Program
tlITERMATVOMAt. TESTRIO.ADJUSTTNO MO manic=sumEAu
CEMSTEFICATIKM WARD TIM PAUFkattIONAUS C.110ICE- PERSONNEL CERTIFICATION ID 010728
ICS/TABS Tochnician and Supeirvtsor
ICS HVAC FLS1 TectinicLan and Supervisor
PCB HVAC FLS2 7ei.sniciau and SlieierV ISO,
/ --- C-1,
1 e r t 11 iC 6/ t ...•
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Ii eel :Me taf and _Air Conditioning Indus I l'-y
.
Th i s •certriie_c, Ilitit
Kurt fLippert
ifas successful-Cy compfetea r the requirements for TABS Technician
April 1, 201.6 ,
BB968986T .. \—-), 4 (. ,,, ,A4
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Renewed: April 1. 2016 .•? ! $,,'i),,4 0 i*
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-
March 31, 2018
1:4)7.---)t__,—2L-•__c_.•,__A-A-A— •
THE NATIONAL ENERGY MANAGEMENT INSTITUTE
Certificate of Completion
Michael Conboy
An officer of the Associated Air Balance 457 E Arrow Hwy, Ste D Azusa, CA 9.1702, has successfully completed the
required training fulfilling the requirements of the California Code of Regulations 2016 Title 24, Part 1, sections
10-102 and 10-103, as well as Part 6, Section 120.5 to complete the nonresidential mechanical acceptance tests in
accordance with Chapter 13 of the Nonresidential Compliance Manual of.the 2016 California Building Energy
Efficiency Standards issued Jan, 2017.
NEMI Director of Training 1/5/2017
Date
.AIR-SOUND-HYDRONIC PROFESSIONALS
467 L.Arrow'I ,Ste.D,Azusa,CA 91102
Alit SOUND HYDRONIC PgOFESSTNALS
Tel: 626.915.8117
FAY: 6/6.915,8112
ABBREVIATIONS.
. ACT - ACTUAL.
AK • FREE AREA FACTOR
ATC • AUTOMATICTEMPER4TURE CONTROL
BP • BYPASS(DAMPER.VALUE,ETC.)
CAV • CONSTANT ADZ YOLUM$,BOX
CD - CEILING DIFFUSER
CE - CEILING EXHAUST DIFFUSER
CFM . CUBIC FEET/MINUTE .
CF • COEFFICIENT FACTOR
CL • CENTER LAVE :.
CR • CEILING RETURN INLET
DB • DRY BULB
DD - . DIRECT DRIVE
DNL DATA NOT LISTED
EMS • . ENERGY MANAGEMENT SYSTEM
ENT • ENTERING
ESP • EXTERNAL STATIC PRESSURE
FH FLU WHOOD 046ASURES CXM otReCf LY,PPM AND AK melons AAE NOT REQUIRED)
PPM • FEET PER MINUTE
FPVAV - PAN POWERED VARIABLE AIR VOLUME BOX
GPM - GALLONS PER MINUTE
HP - HORSEPOWER
KW • KILOWATTS .
US • LITER PER SECOND.
LD - LINEAR DIFFUSER
LVG .- LEAVING(TEMP,PRESSURE TN INCHES,FFM,.CFM) .
M/S . • .METER PER SECOND
MB . MIxING BQX .
NA • NOT APPLICABLE/ACCESS
NM • NOT MEASURED .
NM •• NO VALID LOCATION
OSA OUTSIDE AIR
PD • PRESSURE DROP .
RA • RETURN AIR
REQ • REQUIRED
RPM • REVOLUTIONS PER MINUTE
SA • SUPPLY AIR
SFD • SMOKE FIRE DAMPER
SP • STATIC PRESSURE
SWR - SIDE-WALL RETURN .
SWS •. . SIDE-WALL SUPPLY
TDF TOTAL DEAD HEAD
TP - THERMALLY PROTECTED
VAV • . VARIABLE AIR VOLUME:BOX
WATTS
WB WET BULB .
WG • WATER GAUGE .
AP • DIFFERENTIALPRESSURE .
AT DIFFERENTIAL TEMPERATURE
_ Page 1
AIR OUND-HYDRONIC PROFESSIONALS
Air Handling Unit Test Data
Job Name: E.L.F. Date: 12/1/2017
System: AHU-1
UNIT INFORMATION I
Unit Number AHU-1
Location CEILING
Area Served SALES,STOCKROOM,OFFICE
Manufacturer TRANE
Model Number TEMP6A0D48 ..
Serial Number 17425SS33
AIR MEASUREMENTS I DESIGN I ACTUAL
Total Fan CFM 1,600 . . 1,588
Total Outlet CFM 1,600 1,588
Total Traverse CFM NVL NVL
Total Return Air CFM 1,350 1,328
Total Outside Air CFM 249. 260
External Unit Static Pressure . .DNL . 0.43
Total Fan Static Pressure DNL. -
Total Suction Static Pressure DNL- 0.26
Total Discharge Static Pressure DNL 0:17
Fan RPM 3-SPD HIGH
Diff. Press..Set Point DNL N/A
MOTOR MEASUREMENTS I DESIGN ACTUAL
Motor HP 3/4 3/4
Motor Voltage Leg1/Leg2/Leg3 208 208
Motor Phase 1;. 1
Motor Amperage-Legl/Legg/Leg3 6.80 6.1.0
Motor Service Factor. T.P. T.P.
Motor RPM 3-SPD HIGH
VFD Hz. Setting DNL N/A
Overload Protection DNL N/A.
PULLEY & BELT DATA
Motor Pulley DIRECT DRIVE.
Fan Pulley DIRECT DRIVE
Belt=Quantity/Size DIRECT DRIVE
Center Distance DIRECT_DRIVE
% Sheave Adjusted Closed DIRECT DRIVE
Remarks:
Page 2
AIR-SOUND-HYDRONIC PROFESSIONALS
Diffuser And Grille Test Data
Job Name: E.L.F. • Date: 12/4/2017
System: AHU-1
Type Ak Design Actual.
Room Number Size T
yP FPM . CFM FPM I _ -CFM
AHU-1.
SALES FLOOR 1 24'X 24" CD 1.00 250 261.
SALES FLOOR 2 24':X 24" CD 1.00.. 250 247
SALES FLOOR 3 •24'X 24 CD. . 1.00 250 255
SALES FLOOR 4 24'X 24" CD. 1.00 . .250 260
BACK OF HOUSE 5 24'.X 24" CD 1.00; 100 106.
BACK OF HOUSE 6 24'X 24" . . CD .1.00 . 200 183
STOCK RM 7 24'X24" CD. . 1.00 : . 200 . 180
OFFICE 8. 12"X.12 . CD. . 1.00 100 . 96
(1,600) (1,588)
RETURN
SALES FLOOR R-1 24"X 24" RG 1.00 (A) 871..
STOCK ROOM R-2 ; 24"X 24 RG 1.00 400
OFFICE R=3 12".X 12" RG 1.00 80
(1,351) (1,328)
OSA. 249 260
Totals .
Remarks: (A):ADJUSTED RETURN TO MAINTAIN DESIGN MIN. OSA
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