The URL can be used to link to this page

Home My WebLink AboutUntitled r,,4 ?. Development Services Department i - n240 West Huntington Drive,Post Office Box 60021 !�� Arcadia, CA 91066-6021 PERMIT NO. BOO-055-240 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Tenant Improve wienerg PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 11/1/2016 CM 14:56 2/1/2017 Issued • ADDRESS NO. Dir.Prefix Street Name_ Street Suffix UNIT BLG - ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER • - - 'MAIL`INGADDRESS. Westfield Corporation,Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: HENRY Los Angeles,CA 90025- EMAIL ADDRESS: Plan Chia: 16-503 APPLICANT - MAILING ADDRESS ; - - - Plan#: 32176 Green Builders Associates,Inc. E NO. tr?Inm ADDRESS: f .. CONTRACTORIPROFESSIONAL. - MAILING ADDRES Green Builders Associates, Inc. 1751 La Senda PI PHONE NO. (213)700-8243 FAX NO. South Pasadena,CA 91030 EMAIL ADDRESS: License No. 938622 Type: B • Expires: 12/31/2017 12:0( TENANT MAILING ADDRESS Holy Crab PHONE NO. FAX NO. f DESCRIPTION T I` T.I FOR HOLY CRAB Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 250,000.00 $250,000.00 JG.I4 10 -2g-2(5/7 �l�r►' OCCUPANCY: Tenant Improve TO vi VALUATION: $250,000.00 QTY [IOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 1,468.35 1,468.35 01-3103 each Energy p/c fee 451.80 451.80 01-3103 PC ADA 220.25 220.25 01-3103 PC Cal Green 146.84 146.84 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 2,259.00 2,259.00 01-3104 Bldg Issue ADA 225.90 225.90 01-3104 1.00 each T.I.Fire Pkc 255.00 255.00 01-3109 SMIP Com 70.00 70.00 14-2207 gm bldg std 10.00 10.00 714-2203 1.00 Flat SWIvIF Auto 6.25 6.25 88-3027 Total Fees: $5,157.74 Balance Due: $0.00 Paid Today: $2,615.50 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 115710 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 2,529.25 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 70.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 10.00 Arcadia building inspector for a period of 180 consecutive days. 88-3027 6.25 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday FridayI' 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) V~4 o tFo R•c4 r , PERMIT/PLAN REVIEW APPLICATION Development Services Department,240 West Huntington Drive,Post Office Box 60021 o Y a t" �� 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 B License No. /336ZzExp. Date 2 compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit is issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions r. Code.Any city or county which requires a permit to construct,alter,improve, Carrier 37 e e , 7 wi /.,..,540.4.14e demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number // (07 qO 6�1 a 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 is section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date _ Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for further information. [ Namej,gbimLAh K®�.l� - .5 ,0//17PRINT NAME ///��certify that I have read this application and state that the above information is c( Title rect 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 (tate ,..2-/ / //f ° i,e,„ Development Services Department a, 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. $QQ-055-907 ' t,,,,6,-- Arcadia, CA 91066-6021 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Comm Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 1/25/2017 CM 11:20 1/25/2017 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#: IN FILE APPLICANT MAILING ADDRESS ei colirk LETED Green Builders Associates, Inc. HONE NO. MAIL ADDRESS: , CONTRACTOR/PROFESSIONAL MAILING ADDRESS Green Builders Associates, Inc. 1751 La Senda PI PHONE NO. (213)700-8243 FAX NO. South Pasadena, CA 91030 EMAIL ADDRESS: License No. 938622 Type: B Expires: 12/31/2017 12:0( TENANT MAILING ADDRESS Holy Crab PHONE NO. FAX NO. DESCRIPTION INTERIOR DEMO FOR HOLY CRAB Construction Type UOM Il of Units Value Construction Type UOM II of Units Value Value Value 4,000.00 $4,000.00 F.,—/ Ib-- I7 OCCUPANCY: Tenant Improve TOTAL VALUATION: $4,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 89.08 89.08 01-3103 each Energy p/c fee 27.41 27.41 01-3103 • PC Cal Green 8.91 8.91 01-3103 PC ADA 13.36 13.36 01-3103 1.00 Fiat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 137.05 137.05 01-3104 Bldg Issue ADA 13.71 13.71 01-3104 SMTP Com 1.12 1.12 14-2207 gm bldg std 1.00 1.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $342.24 Balance Due: $0.00 Paid Today: $342.24 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 115626 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 138.76 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-310' 195.11 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14- 07 1.12 Arcadia building inspector for a period of 180 consecutive days. 7 4-2203 1.00 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS :1-3027 6.25 Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. . by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) OV ARC 4_WFORN,1� ` I �, PERMIT/PLAN REVIEW APPLICATION Q: oj, Development Services Department,240 West Huntington Drive,Post Office Box 60021 '4,o,„ofw 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 /S License No. ..3 24-1,2, Exp. Date/..2-/3///' ignature of Contractor compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier it -, �,- i i i_ i , _, , . 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 90 (5 �. provisions of the Contractors License Law(Chapter 9(commencing with Section is section need not 6e completed if a 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 IDI, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for further information. Name �(,�jyJ l�ty! 'IM (Title /PI"�Siida rf �} PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. Signature (ate // //9— NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. Pou G LJZ.0` ws 100. Setbacks 210. Under fir/bldg.drain ,101. Rough grade 211. Copper underslab I , ' D '.„J iuntGS peo! Y 102. Figs.&forms 212. Rough plumbing 411L' I � ‘ -f -11-1-) '-1-) 4/ 103. Pre-slab 213. Rough gas rI "� 104. Floor joists 214. Shower pan 105. Steel 215. Water heater tb_r c`_i 7 l Sr 106. Grout lift 216. Roof drains 405.1/&12. �` 107. Shear nailing 217. Building sewer Fi (/)Sof . F04 ao D-t-re..4-1/‹. 108. Diaph nailing 218. Water service 109. Roof nailing 219. Final gas 644-� 4� 'Cay' F6RwJ Ss 110. Framing 643'17 44 '22o. Fixtures 'I 6 kj[L 111. Occ./Area Sept.Wall 221. Final plumbing /i 112. Sound walls 2. Sewer cap/demo. 113. T-bar grid 6-29-'7 114. Insulation-Flr. Pool Inspections Date . Insp. 115. Insulation-Wall 240. Excavation/steel 116. InsulatiDrywall nCgil. � / 241. Rought plumondi ng 117. Drywall nailing �p-/3'�7 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 45. Gas line&test 121. Final building (o--2. -r' 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final•lumbing 150. Power pole 250. Pool cover - 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 71. Roof framing 156. Rough electrical G-2 i7 01..... 1272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Eqpt.bonding Sign Inspections I Date I Insp. ,4 ! 160. Service panel T 80. Setback/overhang . 161. Final electric $re$'-0 Y 281. Footing 282. Conduit/wiring Mechanical Inspections Date Insp. ' 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rauch HVAC 4047 A� Miscellaneous Insp. Date I 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 95. Final 189. Commercial hood 2-8._'/ ,1�� 190. Duct shaft Sewers&Offsite Insp. I Date Insp. 191. Final mechanical g''-2,-i) I., dilir300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess•ool filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin ` y fi ..fii .. rt1/ .. �(.94,0,10,/ : _ . ,-,,,,‘,40, Ro. (104,1 11,,, II 10,,,,,,0-011,-.1bmvuov-Nogitrz ?4,; 11:17-AVN—it,...,..-4., „" E,„,,t,-._ ,d,-.: ,„,.,415tiVN-)., -n 1kr ,. Y.,,.�.�;k'.'`A"F'. �L'7 .:Y�!� �.:18'i0d?,ri5' �f__«"'e' L¢7 �y.�:� 1 L`- ,,,,,,,,,,441 i k,>=.,...z-., , %RPORAT80' �� QS , � Certificate Occupancy of , r np7F .-",,,,V41. City of Arcadia Development Services Department - Building Division la :1)9/;..4-", i` This certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance this structure was in p'. �� ® compliance with the various ordinances of the City regulating building construction or use. 411 11'VihAil a, _ Permit No. B00-055-240 . L)6,: Building Address: 400 S Baldwin Ave Arcadia,CA 91007 ' Use Classification: Tenant Improve Effective UBC: C.B.C.2013 DI"m rw Permit Type: Tenant Improve w/energy Zone Code: C-2,DH8 S 1 ik,\AI: - bsTeill Occupancy Code: B Type of Construction: TYPE II B 1HR SPRINKLERED Final Date: 10/26/2017 L Owner: Westfield Corporation, Inc. 1:) ,-,e;,r 0;vis Tenant: ` p , ® Holy Crab Ale ,(,,,A\..,. 1 -1, :S Cq Don Stoc am,Building!'"icial POST IN A CONSPICUOUS PLACE1>-.,:.:-.... k 0 ii)-.,, - rid � ' IY4.. '\` _ �. s r'�q�. 7®� � �_e.-.. ®.. � ®- �� v ��— T `�� ®... � �' ®: �� ® �� ® �� i ^^� cvi __"-- �•✓v''`� i�. �, ® b� V f a lVTO NWOIT OWORTe . W V t •Q,-, :i/ • 1 „ ._. , ., tri 11 �01 , 1..-9`t_ ., ik ` , .1r:% B®' � ,E x ....:---4',. Development Services Department t L 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. B0O-056-783 �'# Arcadia,CA 91066-6021 City of (626) 574-5416,Fax(626)447-9173 Permit Type: Mechanical Arcadia YP ' PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 5/8/2017 EP 10:22 5/8/2017 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 J C Company0e . it yI1 IRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS (626 NO. 6254084 FAX NO. J C Company 16941 Glenhope Dr PHONE La Puente, CA 91744 EMAIL ADDRESS: License No. 891694 Type: Expires: 2/28/2019 12:00: TENANT MAILING ADDRESS Holy Crab PHONE NO. FAX NO. , DESCRIPTION KITCHEN HOOD FOR HOLY CRAB Construction Type UOM #of Units Value Construction Type UOM #of Units Value AC41- a-2. ---17 , OCCUPANCY: Tv,AL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 Flat Mech Issue Auto 44.35 44.35 01-3105 1.00 each Hood 14.11 14.11 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $59.46 Balance Due: $0.00 Paid Today: $59.46 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the 'ecetp :: I. 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 58.46 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 i biro,fm O% o� Rvy J, • Ai PERMIT/PLAN REVIEW APPLICATION oO I. 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 . D r 4 icense No.h- ;,A E .. Date1 compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor I 1 OWNER-BUILD _ performance of the work for which this permit is issued. DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier ION�J/ /f`�l�F demolish,or repair any structure,prior to its issuance,also required the applicant (J�/ 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 sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909) 396-2000 for further information. // Name e.)nt 9 4L L A 6 K S /Title C 10 h CY PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. / / • VSignature .4; Date , ! 1 / kf : Development Services Department ' —=f Arcadia,CA 91066-6021 1 240 West Huntington Drive,Post Office Box 60021 CPERMIT NO. BOO-056-487 City of (626)574-5416,Fax(626)447-9173 ArcadiaPermit Type: Electrical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/7/2017 CM 11:05 4/7/2017 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 PP rP crligit A hil Pacific Co ONE NO. S EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS 213 NO. Apphil Pacific Corp. 22412 Falconburn Way PHONE (213)952-4491 FAX NO. Diamond Bar, CA 91765 EMAIL ADDRESS: License No. 1002832 Type: C-10 Expires: 4/30/2017 12:00: TENANT MAILING ADDRESS Holy Crab PHONE NO. FAX NO. DESCRIPTION ELECTRICAL FOR T.I. HOLY CRAB Construction Type UOM #of Units Value Construction Type UOM #of Units Value OCCUPANCY: � TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 flat Elec Issue Auto 44.35 44.35 01-3105 1.00 each Comm svc<200 a 31.43 31.43 01-3105 1.00 each Distrib panel 15.55 15.55 01-3105 18.00 each Outlets 27.72 27.72 01-3105 67.00 each Ltg fixtures 77.80 77.80 01-3105 3.00 each Power 1-10 hp 46.65 46.65 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $244.50 Balance Due: $0.00 Paid Today: $244.50 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 116319 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 243.50 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) U 0 U44 GT,Fe0 R�c46 11! ,=71 �9. PERMIT/PLAN REVIEW APPLICATION o j` Development Services Department,240 West Huntington Drive,Post Office Box 60021 'Omni of 0° 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 Signature of Contractor�l 0 License No. r�2%'� 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. OWNER-BUILDER DECLARATION .0, have and will maintaid 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 C A 5•'KA \Y‘ \)s[01^"C(? }It demolish,or repair any structure,prior to its issuance,also required the applican Policy Number at l 6 6'l/� 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 Sectio (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 i exempt there from and the basis for the alleged exemption. Any violation o 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 civic 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 <7,c"r" sale(Section 7044,Business and Professions Code:The Contractors License Date ( 7 C•�( 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 attomey'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.f (Jl Name ,'i, l'�' vPR N�NAME `qC�Y� Title 1a(;if11� I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. • Signature ` Date 's R --4_[ 1`- - laiDevelopment Services Department _. , 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. I BOO-056-473 ',....r., Arcadia, CA 91066-6021 City of (626)574-5416,Fax(626)447-9173 ArcadiaPermit Type: Mechanical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/6/2017 EP 13:48 4/6/2017 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 AIL ADDRESS: Los Ange 9 ii z APPLICANT MAILING ADDR jMi4 Kooler Air Conditioning&Heating ONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Kooler Air Conditioning&Heating 4724 26th Street PHONE NO. (323)582-7000 FAX NO. Vernon, CA 90040 EMAIL ADDRESS: License No. 738986 Type: C 10 C20 B H1Expires: 8/31/2017 12:00: TENANT MAILING ADDRESS Holy Crab PHONE NO. FAX NO. , DESCRIPTION MECHANICAL FOR T.1.HOLY CRAB Construction Type UOM N of Units Value Construction Type UOM N of Units Value F OCCUPANCY: TAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 Flat Mech Issue Auto 44.35 44.35 01-3105 3.00 each Fan-vent single 28,14 28.14 01-3105 16.00 Flat Add/AlterDucts 150.08 150.08 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $223.57 Balance Due: $0.00 Paid Today: $223.57 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 116304 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 222.57 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) U~4_Novo R'99,, 4 I PERMIT/PLAN REVIEW APPLICATION ig o w• Development Services Department,240 West Huntington Drive,Post Office Box 60021 %nit,aws Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia (b °LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and•ffect. OM ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class —�C� - ••. —_.'a 0 Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractoi� performance of the work for which this permit is issued. — 1i— WNER-BUILDER DECLARA ' Thave and will maintain workers'compensation insurance,as required by Section 1:1I hereby affirm under penalty of perjury that I am e •mpt fro • I e 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, :u mess and Professions is issued.My work rs'c m epnsation insurance` carrierand policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier v 4`cIV demolish,or repair any structure,prior to its issuance,also required the applicant �n l a R 3'7 (l 0GO v'p 0 for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number / t 1 T v provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt there from and the basis for the alleged exemption. Any violation of • I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the`applicant to a civil not employ any person in'any manner so as to become subject to the workers' penalty' of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the ` orkers'compensation provisions . --ction Iia t - abor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole fortfiivith co ply ith those provi ons. compensation,will do the work,and the structure is not intended or offered for ( 6 �d 1 7 AllPlik...iiiillik 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, MEW 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. • f p�� r Name ��v V l/lJ Ci Title I_ O PRINT NAME I certify that •.ve read this application . •' state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agr•-:—", c•mply with all City ordinances . •d State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia toe ' i 6 'i s•ection purposes. �` Date b 0 /tea I 7 Signature __unmoor_ 2� Development Services Department at , 240 West Huntington Drive,Post Office Box 60021 • BOO-056-463 Arcadia, CA 91066-6021 PERMIT NO. City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Plumbing PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/5/2017 CM 15:47 4/5/2017 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 Line Tech Plumbing PHONE NO. EMAIL ADDRESS: , CONTRACTOR/PROFESSIONAL MAILING ADDRESS Line Tech Plumbing 2332 W 166th St PHONE NO. (323)936-3838 FAX NO. Torrance, CA 90504 EMAIL ADDRESS: License No. 549584 Type: C-36 Expires: 3/34./2019 pp . .1 ETC TENANT MAILING ADDRE�� CO �Si rL n :E-- HolyCrab �� 1 eBNE NO. FAX NO. DESCRIPTION HOLY CRAB T.I PLUMBING • Construction Type UOM #of Units Value Construction Type UOM #of Units Value ,///i 4 &-l7-/7 OCCUPANCY: OTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 Flat Plmbg Issue A 44.35 44.35 01-3105 2.00 each Water Closet 24.92 24.92 01-3105 2.00 each Lavatories 24.92 24.92 01-3105 2.00 each Kitchen sinks 24.92 24.92 01-3105 4.00 each Floor sink 49.84 49.84 01-3105 3.00 each Floor drain 37.38 37.38 01-3105 8.00 outlets Gas piping 24.82 24.82 01-3105 1.00 each Wtr hV/vent 15.55 15.55 01-3105 2.00 each unit Sewer connec 62.32 62.32 01-3105 1.00 Fixtures Urinal 12.46 12.46 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $322.48 Balance Due: $0.00 Paid Today: $322.48 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 116276 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 321.48 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) U~4 oFr Rv,C9d� �i. ,L ' PERMIT/PLAN REVIEW APPLICATION • E , • Development Services Department,240 West Huntington Drive,Post Office Box 60021 °.,',°a,,,°tN 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 a/nd`effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' icense Class " �✓D License No.� 9S eaU T Exp. Date3/W//' / S compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensationtinsurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier 5/44i e fC4,/ 0/ demolish,or repair any structure,prior to its issuance,also required the applicant q 00 0 e'// Z 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 ❑II 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 A ,// sale(Section 7044,Business and Professions Code:The Contractors License (Date 7 Y'(�// 7 Signature 7— Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers' Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans 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. fame Ij ii/le 5 .Ovi/g (Title O�v/12/' PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. .� 41/_q' () /7 Signature _ (Date Di '` • Development Services Department -: 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-056-719 c."5" ' Arcadia, CA 91066-6021 City of (626)574-5416,Fax(626)447-9173 ArcadiaPermit Type: Fire PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 5/1/2017 CM 14:29 5/1/2017 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS PHONE NO. Hydro-Matic Fire Protection 44( CLIMPLETED EMAIL ADDRESS: CONTRACTORIPROFESSIONAL MAILING•• 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: 6/30/2017 12:00: TENANT MAILING ADDRESS Holy Crab PHONE NO. FAX NO. DESCRIPTION SPRINKS FOR HOLY CRAB Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 2,000.00 $2,000.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $2,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 17.00 each sprinkler pck 700.00 700.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 103.65 103.65 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $849.00 Balance Due: $0.00 Paid Today: $849.00 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 116574 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 700.00 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 148.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 88- 027 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 A.Ro O~4 pmF nk,4, �' PERMIT/PLAN REVIEW APPLICATION gki WEE* '411 o4.p j` Development Services Department,240 West Huntington Drive,Post Office Box 60021 @.A,.Y o0{" Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION *thereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C 1 L License No.116,59.. Exp. Date—t-1'1 compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION have and will maintain workers'compensation insurance,as required by Section DI hereby affirm under penalty of perjury that I am exempt from the Contractors 00 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 OLP rc l�LF 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 pernfit is': ued,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 su)Y ct ,. the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if. shoal+ o e subject to the workers'compensation provisions of Secti,,n . 00 o.t,• .:'or Code,I shall ❑I, as owner of the roeforthwith comply with those provisions. property,rty, or and employeesuwith wages as theirs for _ compensation,will do the work, the structure is not intended or offered for e— sale(Section 7044,Business and Professions Code:The Contractors License Date ,—1 Signa Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING:Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundredthousand 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 sfees. - ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for further information. Name Title PRINT NAME I certify that I have read this application : ',sat t t the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply 'th all 'ty or 1' an)es es a tate Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter fpr the a ove-m: do p •d p p for inspection purposes. Signature / Date S'— 1 —1.---1 teaDevelopment Services Department I-3" .t 240 West Huntington Drive,Post Office Box 60021 .-wPERMIT NO. BOO-056-128 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 2/23/2017 EP 11:51 3/14/2017 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#: 17-53 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Building Electronic Controls Inc. or.E NO. tOtRia � ADDRESS: t CONTFtACTOFUPROFESSIONAL MAILING ADORES- 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 Holy Crab PHONE NO. FAX NO. , DESCRIPTION FIRE DEVICES FOR HOLY CRAB 29 DEVICES Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 14,990.00- $14,990.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $14,990.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM . DESC AMT AMT PAID ACCT 29.00 each fire alarm pc 2 840.00 840.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 • each Fire Permit 320.75 320.75 01-3112 • 1.00 each SWMF 2 Auto 1.00 I.00 88-3027 Total Fees: $1,206.10 Balance Due: $0.00 Paid Today: $366.10 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 116048 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 365.10 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR LNSPECTION 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 �. 11 s tib litl 12: iol �' PERMIT/PLAN REVIEW APPLICATION a41j� Development Services Department,240 West Huntington Drive,Post Office,Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C License No. rim–�— Exp. Date Vs,1�I/o/ #i compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor .r rim, * performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION 4 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.Myon\ �•s'com�ens� a�ttion insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier �� demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt there from and the basis for the alleged exemption. Any violation of _H-1 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 •de,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 Date S!l 4/ `� Signature 6>r��t* in`i • sale(Section 7044,Business and Professions Code:The Contractors License 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 of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code,interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: • Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. \ Name � �\ � Title C� � 0/�\-2 G �o� N -rti PRINT NAME `� I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the abo entioned property for inspection purposes. Signatur fp `�� ! Date . i 1 7n' yam"" Development Services Department r ! 1 240 West Huntington Drive,Post Office Box 60021 • Arcadia,CA 91066-6021 PERMIT NO. BOO-056-404 City of (626) 574-5416,Fax(626)447-9173 Permit Type: Fire Arcadia YP PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/3/2017 CM 9:18 4/13/2017 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"°• Plan Chk#: 17-87 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS NO. United Fire Service,Inc. erf •IZ i2 ss: , fir CONTRACTORIP ROFESS IONAL MAILING ADDRESS ago a = United Fire Service, Inc. 8110 Remmet St 10 PHONE NO. (818)346-2499 FAX NO. Canoga Park, CA 91304 EMAIL ADDRESS: License No. 822177 Type: C Expires: 7/31/2017 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. Holy Crab DESCRIPTION FIRE SUPPRESSION HOOD FOR HOLY CRAB Construction Type UOM N of Units Value Construction Type UOM N of Units Value Value Value 2,000.00 $2,000.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $2,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY IIOM DESC AMT AMT PAID ACCT 21.00 each Fire Ext.Sys. 840.00 840.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 103.65 103.65 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 • Total Fees: $989.00 Balance Due: $0.00 Paid Today: $149.00 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the •ec ip •. .- i 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 148.00 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of / Arcadia building inspector for a period of 180 consecutive days. CALLS FOR LNSPECTION 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. i 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) • PERMIT/PLAN REVIEW APPLICATION "i . i„ Development Services Department,240 West Huntington Drive,Post Office Box 60021 -m4nitY ' 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,andmy license is in full force and effect. f IDI have and will maintain a certificate of consent to self-insure for workers' / License Class -`(v License N. i 2,77Exp. Date 7-1/- compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor •erformance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section El hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier ("Jed C 0 demolish,or repair any structure,prior to its issuance,also required the applicant ��C 3 z i>l.5 3 for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the 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 (3 l 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. JTitle ame ff / i ' d ' /J// 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. [ e/-/2' /7 15ignature Z Date OF ARC il rpo .N.:,, `^ Av(v.t 314 ,1903 ‹, %unityoi16MEMORANDUM Fire Department DATE: October 5, 2017 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue #2325 (Holy Crab) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 8-25-2017 Mark Krikorian FIRE ALARMS 9-26-2017 Jill Perumean TANKS HOOD & DUCT 9-27-2017 Mark Krikorian KNOX BOX OCCUPANCY 9-27-2017 Mark Krikorian COMMENTS: Emailed Bldg. Dept. 10-4-2017 Rita RAPID DUCT TESTING .:- AIR BALANCING CERT.#CC2004664 Napa Bad Tasting PHONE: 818-468-5744 E-MAIL:MIKE@RAPIDDUCTTESTING.COM W W W.RAPIDDUCTTESTING.COM Air B Report Holy Crab. 400 S. Baldwin Ave. Unit 2325 Arcadia, CA 91007 National Balancing Council Technician: S aro Jankozian Kitchen Exhaust and MiUA Report , NATIONAL "; EXHAUST FAN--7.7. 04,1" _ `q . ., BALANCING , MANUFACTURERCaptive Aire SYSTEM -SUMMARY;DESIGN& ACTUAL COUNCIL"" MODEL NCAI6HPFA MAU CFM 3520 3310 DATE TYPE 1 RETURN AIR CFM 2200(2) 2107 10/25/2017 SERIAL NUMBER 2800847 OTHER M/U AIR none none EXHAUST,FAN;MOTORDATA"_: TOTAL MAKE-UP AIR 3520 .3310 PROJECT MANUFACTURER WEG DIFFERENCE 880 937 400 S. Baldwin Ave. VOLTS/PHASE 208 #2325,Arcadia HORSEPOWER 1.5 `..'"EXHAUST<MOTOR AND.FAN FULL LOAD AMPS 4.64 HORSEPOWER _ 1.5 1.5 SYSTEM RPM/SPEED 1760/60hz RPM/SPEED 1760/60hz 1743 EF1/MUAI EXHAUST MOTOR PULLEY DATA "'.; AMP DRAW . . 4.64 3.9 DIAMETER 4" FAN RPM/SPEED N/A 1594 SHAFT 5/8" STATIC PRESSURE READINGS BY ADJ/FIXED Adj. Saro Jankozian BELT NO.&SIZE AX 24 ".,':.---V- 4'..MUA°MOTOR AND FAN t' EXHAUST.FAN PULLEY HORSEPOWER 1 1/2 1.5 JOB NUMBER DIAMETER _ 4.5" RPM/SPEED 1760/60hz 1749 Holy Crab SHAFT 1" . AMP DRAW 4.64 3.8 ADJ/FIXED Fixed FAN RPM/SPEED N/A 846 MAKE UP AIR UNIT STATIC PRESSURE MANUFACTURER Captive Aire MODEL A2-G15 "'- EXHAUST HOOD DESCRIPTION, STYLE Filter HOOD STYLE Grease Grease SERIAL NUMBER 2800847 HOOD TYPE(1 OR 2) 1 1 HEATING BTU (OUT) HOOD DIMENTIONS 8'x4' 8'x4' co MUA MOTOR DATA HOOD AREA-SQ. FT. 32 . 32 .0 MANUFACTURER WEG FILTER TYPE captrate captrate a VOLTS/PHASE 208/3 ea CO HORSEPOWER 1 1/2 ' EXHAUST DUCT '- FULL LOAD AMPS 4.64 DUCT DIMENTIONS 16x12 16x12 Q o RPM/SPEED 1760/60hz DUCT AREA-SQ. FT. 1.33 1.33 06 N 1D o1— 'e MUA MOTOR PULLEY DATA DUCT VELOCITY N/A 1636 cso °' DIAMETER 4" .— X 0 SHAFT 5/8" -- *OTHER.MAKE=UP AIR 10) m ADJ/FIXED Adj. LOCATION'Arcadia,Ca. 15 O BELT NO.&SIZE AX 49 COMMENTS: 3 n. co MUA FAN PULLEY-DATA a - 0 DIAMETER 8" '`: . CORRECTION=FACTORS , -/ ; '.o SHAFT 1" . AIR TEMPERATURE 84 84 0' co ADJ/FIXED Fixed ALTITUDE re KtMAKKS s LRTI.EIED Saro Jankozfan Rapid Duct Testing &Car Balancing,Inc. . s 13.243-09 Expires 8123/201) (g)201/National balancing council I 'AritnoNAL.BAtANUNG CAIN 1. Kitchen Hood Exhaust & MUA Airnow Readin 4 -,, �; NAT I O NA L FILTER MEASURMENTS AND HOOD AIRFLOW BALANCING COUNCIL' Filter "Area& Test Test 1 Final F'nal %of . L TO R' Size Correction FPM CFM ''FPM " .7CFM Destgni 1DATE1012512017 I Filter 1 14x18_ 1.75 162 284 175 306 83% Filter 2 14x18 1.75 188 329 206 361 98% PROJECT Filter 3 14x18 1.75 194 340 211 369 101% 400 S. Baldwin Ave. Filter 4 14x18 1.75 202 354 233 408 111% #2325,Arcadia,CA Filter 5 14x18 1.75 172 301 196 343 93% Filter 6 14x18 1.75 169 296 183 320 87% SYSTEM Filter 7 Filter 8 EF1/MUA 1 2107 total Filter 9 Filter 10 Filter 11 'READINGS BY I Filter 12 Saro Jankozian Filter 13 IJOB NUMBER I Filter 14 Filter 15 Holy Crab Filter 16 Filter 17 I I Filter 18 Filter 19 Filter 20 TOTAL: MAKE UP AIR OUTLETS c Area ;Outlet , , t ` e 5 4 o 'c� ,RequiredFinal /o of Served; Number_ . System Size CFM Test 1-;,-* f as *,,CFM Designre Kitchen 1 MUA 22x22(2) 3520 3310 94% 1- R 0 06 0 FD cd :i-+ XU H m m O .o 11 = am 0 .Q co w 1 TOTAL: CERTIFIED Remarks: 1 Saro Jankozian Rapid Duct Testing 8 Air t3alaneing,Inc. Q 13.243-08 Expiros fl/23/2C if ZU i'National balancing uouncn NATIONAI RAI Ann CCU Na. g Kitchen` Exhaust an#d'MUA�RReport �� * " ;' ,?:.:Y, NATIONAL EXHAUST;FAN'':-: "7.__:'',:".`? ,: 4-u ; � .: BALANCING MANUFACTURER Captive Aire SYSTENLSUMMARY'DESIGN ACTUAL COUNCIL" MODEL NCAI6HPFA MAU CFM 3520 3310 TYPE 1 RETURN AIR CFM 2200 (2) 2140 IDATE 10/25/2017 I SERIAL NUMBER 2800847 OTHER M/U AIR none none EXHAUST FAN_MOTOR DATA _ _', TOTAL MAKE-UP AIR 3520 3310 PROJECT MANUFACTURER WEG DIFFERENCE 880 937 400 S. Baldwin Ave. VOLTS/PHASE 208 #2325,Arcadia HORSEPOWER 1.5 EXHAUSTMOTOR AND,FAN -. FULL LOAD AMPS 4.64 HORSEPOWER 1.5 1.5 SYSTEM RPM/SPEED 1760/60hz RPM/SPEED 1760/60hz 1748 EF2/MUA1 EXHAUST MOTORPULLEY`DATA F AMP DRAW 4.64 4 DIAMETER 4" FAN RPM/SPEED N/A 1599 SHAFT 5/8" STATIC PRESSURE ADJ/FIXED Adj. IREAsaDrIoNGjaSnBkoYzian I BELT NO.&SIZE AX 24 MUA,MOTOR AND FAN - , " EXHAUST FAN PULLEYDATA. :` HORSEPOWER 1 1/2 1.5 JOB NUMBER DIAMETER 4.5" RPM/SPEED 1760/60hz 1749 Holy Crab SHAFT 1" AMP DRAW 4.64 3.8 ADJ/FIXED Fixed FAN RPM/SPEED N/A 846 MAKE'UP°AIR;UNIT ;;f;'; , STATIC PRESSURE MANUFACTURER Captive Aire MODEL A2-G15 , TwvEXHAUSTHOOD:DESCRIPTION: STYLE Filter HOOD STYLE Grease Grease SERIAL NUMBER 2800847 HOOD TYPE(1 OR 2) 1 1 HEATING BTU (OUT) HOOD DIMENTIONS 8'x4' 8'x4' c C MUA MOTOR DATA - HOOD AREA-SQ. FT. 32 32 •_ MANUFACTURER WEG FILTER TYPE captrate captrate cu VOLTS/PHASE 208/3 Ti CO HORSEPOWER 1 1/2 :-;:,,•;E''''- r. EXHAUST DUCT, 4;, '... ,; a- FULL LOAD AMPS 4.64 DUCT DIMENTIONS 16x12 16x12 Q O RPM/SPEED 1760/60hz DUCT AREA-SQ. FT. 1.33 1.33 Go N MUA MOTOR PULLEY.DAT�A`- `: DUCT VELOCITY N/A 1680 c o °' DIAMETER 4" 47, X(.) SHAFT 5/8" *OTHER;MAKE-UP-AIR _ aa)cn m Y ADJ/FIXED Adj. LOCATION Arcadia,Ca. H 2 BELT NO.&SIZE AX 49 ' COMMENTS: v O a a = MUA FAN P ULLEY•DATA : i:',-•; CI m DIAMETER 8" _ CORRECTION FACTORS : .! SHAFT 1" AIR TEMPERATURE 84 84 a ea ADJ/FIXED Fixed ALTITUDE KtNiAKii b CERTIFIED Saro Jankozian Rapid Duct Testing U 2U1 National balancin GOUncil R Am Bninncing Inc 9 A 1144_4 Rxnl.nR gic.irrn4n ' AflONAL BAIANCING COUNCIL) Citchenz'Hood Exhau titiMUA A rflow e i Readings: NATIONAL FILTER MEASURMENTS AND HOOD AIRFLOW BALANCING Area 8< _ COUNCIL" Filter Test 1 Test 1, Final. Final %of -L TO R Size_ Correction • DATE Factor FPM CFM} - FPM - ;CFM Design 10/25/2017 Filter 1 14x18 1.75 221 387 239 418 95% Filter 2 14x18 1.75 229 401 248 434 99% PROJECT Filter 3 14x18 1.75 236 413 263 460 105% 400 S. Baldwin Ave. Filter 4 14x18 1.75 226 396 244 427 97% #2325,Arcadia,CA Filter 5 14x18 1.75 214 375 229 401 91% Filter 6 SYSTEM Filter 7 2140 total EF2/MUA 1 Filter 8 Filter 9 Filter 10 READINGS BY Filter 11 Saro Jankozian Filter 12 Filter 13 JOB NUMBER Filter 14 Holy Crab Filter 15 Filter 16 Filter 17 Filter 18 Filter 19- Filter 20 TOTAL: MAKE UP AIR OUTLETS c Area Outlet `Requiretl tFinal %of.n ._ System.` Size ""„ Test 1 r as Served Number fi CFM 1 k CFM't ' Desi ; � nes 03 Kitchen 1 MUA 22x22 (2) 3520 3310 94% a- _ a -o °5 0 ' 0) o rn ++ X U H m c c . 0- m 0 •0 .Q R CL • TOTAL: ' CERTIFIED Remarks: Saro Jankozian - Rapid Duct Testing &Air Balancing,Inc. 113.243-08 Expires 9/23/2019 i J LU I I National balancing t,ouncll I NAI IUNA!.BALANLINI,CUUNu_ It i a f • i + CERTIFICATE OF CALIBRATION Customer Name: RAPID DUCT TESTING Calibration Date: 07-10-2017 PO Number: Calibration Due: 07-10-2018 Instrument Manufacturer: TSI Calibration Fluid: AIR @ •7 OF Instrument Description: ACCUBALANCE FLOWHOOD Standard(s)Used: A220 DUE 1-2018 Model Number: TSI 8371 NIST Traceability Per: 1390386562,1329407628 Serial Number: 70912297 Ambient Conditions: 765 mmHGA, 49% RH -75°F Rated Uncertainty: +/- 5% RD. +/- 5 CFM Procedure Number: T.0.33K6-4-1769-1 Uncertainty Given: +/- .97% RD. ; K=2 Certificate/File Number: 47 0 2 91.2 017 AS REC./AS. LEFT WITHIN SPECS. REFERENCE CONDITIONS ARE:760mmHGA 70 DEG.F. INDICATED ACTUAL UUT DM.STD. CFM CFM • 51 50 103 100 304 300 506 500 611 600 815 800 1018. 1000 1225 1200 • • 1530 1500 1832 1800 2044 2000 All instruments used in the performance of the shown calibration have traceability to the National Institute of Standards and Technology (NIST). The uncertainty ratio between the calibration standards(DM.STD.) used and the unit under test (UUT) is a minimum of 4:1, unless otherwise noted. Calibration has been performed per the shown procedure number, in accordance with ISO 10012:2003, ISO 17025:2005, ANSI/NCSL-Z-540.3.and/or MIL-STD-45662A. Test methods:API2530-92&ASME MFC-3M-1989. Dick Minns Company• 11133 Winners Circle• Los Alamitos,CA 90720 Phone(714)827-1215 •Fax(714)827-0823 This Cabbation Cenifcatc shall not be reproduced except.infull.nitlout approval by DICK MIUNNS COMPANY.The data slow appliesonly to the mob d beingtalibmtcd and order the stated conditionsofenitbration Date: Approved By: Calibration Technician: n �" 10 / i/ Pagelof 0 �� , r y - r- ( , 115 ;; Y._ f 1i,. it s f:';':!,3 CfM CERTIFICATE OF CALIBRATION - Customer Name: RAPID DUCT TESTING Calibration Date: 02-07-2017 Address: BURBANK, CA Calibration Due: 02-07-2018 PO Number: Calibration Fluid: AIR @ 14.7PSIA 70F Instrument Manufacturer: TSI Standard(s)Used: A220 DUE 1-2018 Instrument Description: AIR VELOCITY METER NIST Traceability Per: 1390386562,1329407628 Model Number; 8386 Ambient Conditions: 757 mmHGA, 55% RH, 67F Serial Number: 04010112 Procedure Number: TO.33K6-4-1769-1 Rated Accuracy: +/— 3% RD.+/—.5°F Certificate/File Number: 4617 67.2 017 Accuracy Given: +/— .37% RD. ; K=2 AS REC./AS LEFT WITHIN SPECS. . INDICATED ACTUAL INDICATED ACTUAL UUT DM.STD. UUT DM.STD. FPM FPM °F °F 101 100 30 TO 140 30 TO 140 503 500 67.0 67.3 1005 1000 91.4 91.7 1508 . 1500 100.1 100.6 3513 3500 • 4920 4900 %RH %RH 5825 5800 9032 9000 32.1 33.1 54.4 55.3 0 TO 9.90"H20 0 TO 9.90"H20 • All instruments used in the performance of the shown calibration have traceability to the National Institute of Standards and Technology (NIST). The uncertainty ratio between the calibration standards(DM.STD.) used and the unit under test (UUT) is a minimum of 4:1, unless otherwise noted. Calibration has been performed per the shown procedure number. in accordance with ISO 10012:2003, ISO 17025:2005. ANSI/NCSL-Z-540.3.and/or MIL-STD-45662A. Test methods:AP12530-92&ASME MFC-3M-l989. Dick Munns Company• 10572 Calle Lee#130 • Los Alamitos,.CA 90720 Phone(714)827-1215 • Fax(714)827-0823 • This Cabbmnon Conificale shall noi be rproduxd c,cep%in rwi„iIhaN approval b)DICK MUNNS COMPANY.The diva sheen epplin co*to II,,itwmnscm being calibrated and under rho stated coalitions in-calibration rDate: Approved By: Calibration Technician: 1 -' -7.01 . / n G Page 1 of `Iy (L! IOJ\ :.7f ,_i l CERTIFICATE OF CALIBRATION Cuatomer Name: RAPID DUCT TESTING Calibration Date: 02-07-2017 Address: BURBANK, CA Calibration Due: 02-07-2018 PO Number: Calibration Fluid: 7 OF Instrument Manufacturer: NEIKO Standard(s)Used: A8 64 DUE 2-2 018 Instrument Description: TACHOMETER NIST Traceability Per: 13 2 9 03 7 3 6 7 Model Number: DIGITAL Ambient Conditions: 757 mmHGA 55% RH, 67F Serial Number: 14070104395 Procedure Number: NAVAIR-17-2OAF-114 Rated Uncertainty: +/- .05% +1 DIG. Certificate/File Number: 461964.2017 Uncertainty Given: AS REC./AS LEFT WITHIN SPECS. REFERENCE CONDITIONS ARE: 760mmHGA 70F. INDICATED ACTUAL UUT DM.STD. RPM RPM 2.5 TO 999.9 2.5 TO 999.9 • • 235.1 235.2 750.0 750.1 1000 TO 99999 1000 TO 99999 2520 2520 32240 32240 90450 90451 All instruments used in the performance of the shown calibration have traceability to the National Institute of Standards and Technology (NIST). The uncertainty ratio between the calibration standards(DM.STD.) used and the unit under test (UUT) is a minimum of 4:1, unless otherwise noted. Calibration has been performed per the shown procedure number. in accordance with ISO 10012:2003. ISO 17025:2005, ANSI/NCSL-Z-540.3.and/or MIL-STD-45662A. Test methods:AP12530-92&ASME MPC-3M-1989. Dick Munns Company• 10572 Calle Lee#130 • Los Alamitos,CA 90720 Phone(714)827-1215 • Fax(714)827-0823 Ms Cabbr tion Cola-m to shall not be teprodnxd esecpt.in fWL x itlout approsal b1 DICK 5.1UNNS COMPANY.Mc data slonn applies onll to thoinstrunxoi Ming calibrled and under the stated conditions ofrrhbrgion. Date: Approved By: Calibration Technician: 1-'1-'1' 2'0( )4 Page 1 of l I` 4 Ft ti r P - 4 L j '?Or.?l' ') •.--\'''''‘':74:: ' arglig CERTIFICATE OF CALIBRATION Customer Name: RAPID DUCT TESTING Calibration Date: 02-07-2017 Address: BURBANK, CA Calibration Due: 02-07-2018 PO Number: Calibration Fluid: 7OF Instrument Manufacturer: FLUKE Standard(s)Used: A3 0 5 DUE 3-2 017 Instrument Description: DIG. CLAMP MULTIMETER NIST Traceability Per: 1390378403 Model Number: FLUKE T5-600 Ambient Conditions: 7 5 7 mmHGA 55% RH, 67F Serial Number: 28390249WS Procedure Number: NAVAIR-17-2OAQ-140 Rated Uncertainty: +/— SEE TABLE Certificate/File Number: 461963.2017 Uncertainty Given: AS REC./AS LEFT WITHIN SPECS* • *ALL RANGES AND FUNCTIONS WITHIN SPECS. REFERENCE CONDITIONS ARE: 76OmmHGA 70F. INDICATED ACTUAL INDICATED ACTUAL UUT DM.STD. UUT DM.STD. DC VOLTAGE DC VOLTAGE AC VOLTAGE AC VOLTAGE +I- 1% +I- 1.5% 0 TO 600V 0 TO 600V 0 TO 600V 0 TO 600V 25.0 25.0 15.0 15.0 AC CURRENT AC CURRENT +I-3%a 0 TO 100.0A • 0 TO 100.0A 0.52 0.521 OHMS • OHMS +I- 1.5% 0 TO 1000 0 TO 1000 251 250.0 All instruments used in the performance of the shown calibration have traceability to the National Institute of Standards and Technology (NIST). The uncertainty ratio between the calibration standards(DM.STD.) used and the unit under test (UUT) is a minimum of 4:1, unless otherwise noted. Calibration has been performed per the shown procedure number. in accordance with ISO 10012:2003. ISO 17025:2005. ANSI/NCSL-Z-540.3,and/or MIL-STD-45662A. Test methods:AP12530-92&ASME MFC-3M-1989. Dick Munns Company• 10572 Calle Lee#130 • Los Alamitos,CA 90720 Phone(714)827-1215 • Fax(714)827-0823 This Calibration Comftcatc shall not be tcptodoxd csccpt.in NIL nitltom apptot al b)DICK MUNNS COMPANY 11c d'naShan n appliesorate to tic instrument Map calibrated and utdcr llc staid conditions ofaldnation Date: Approved By: Calibration Technician: z—3 - zoil J4-- _ Page l of • V/ r .vi. v- ..,;, \LI40, ,-3- 1=T-..-7-,-0` , ,�Nr',` �n.N�i tJtJ'�J _ 1.7_'SiJ't_+3 CERTIFICATE OF CALIBRATION CUSTOMER: RAPID DUCT TESTING CALIBRATION DATE: 02/07/2017 PO NUMBER: CALIBRATION DUE: 02/07/2018 INST.MANUFACTURER: THE ENERGY CONSERVATORY PROCEDURE: NAVAIR-17-20MP-03 INST.DESCRIPTION: PRESSURE&FLOW GAUGE CALIBRATION FLUID: AIR, GN2 _ MODEL NUMBER: DG-700 STANDARD(S)USED: A321 DUE 2-2018 SERIAL NUMBER: 7123-4-700 NIST TRACE#'5: 1236086968 RATED UNCERTAINTY: +1-1%RD. AMBIENT CONDITIONS: 757 mmHGA,55%RH, 67F UNCERTAINTY GIVEN: +/-.027%RD..; K=2 CERTIFICATE FILE#: 475504 NOTES: AS RECEIVED/AS LEFT WITHIN SPECS. INPUT A INPUT B (TEST POINT UUT DM.STD. ' TEST POINT) UUT DM.STD. 1 _ _ ( NUMBER INDICATED ACTUAL % RD_ NUMBER INDICATED ACTUAL I % RD_.__ "H2O "H2O ' i ERROR "H2O H2O i ERROR ! 1 __ ` -4.997 -5.0102! 0.264 _ 1 _ -4.998 -4.98731 -0.214 2 -2.495 -2.4991; 0.165 2 -2.514 -2.5102 -0.152 -1-1-----.6f _3 __ - _-1.255 _ -1.25621 � `' 0.095 - 3 _-0.9234 -0.92251 -0.099 4 __ _0.0000 -1-6-.74631 -_0.0000; 0.000 _ _ _ 4 0.0000__ 0.00001 0.000 1 5 0.7457 0.74631 0.085 5 0.7506 0.7511Y--0.087 • _ 6 __ 1.261 _ 1.26291 0.154 6 1.2459 1.24671 0.063_ ' 7 -2.510 2.51541 0.216 - 7 -�-- i 2.516 2.52111 0,2C4 8 3.748 3.75421 0.165 8 3.765 3.77231 0.195 9 _ - 4_997 _ 5.002T-_0.115 - _ 9 _ 4.999- 5.01221 _ 0.265 - 0.300 0.300 - -0.250 - - 0.200 0.200 X 0.100 c 0.150 0 Cr En W o.�o.. 100 \ -6.000 -4.000 -2000 .000 2000 4.000 6.00 - 00 • 0.000 -0.200 -6.000 -4.000 -2000 0.000 2.000 4.000 6.000 -0.300 "H2O "H2O All instruments used in the performance of the shown calibration have traceability to the National Institute of Standards and Technology (NIST). The uncertainty ratio between the calibration standards(DM.STD.) used and the unit under test (UUT) is a minimum of 4:1, unless otherwise noted. Calibration has been performed per the shown procedure number, in accordance with ISO 10012:2003. ISO 17025:2005, ANSI/NCSL-Z-540.3.and/or MIL-STD-45662A. Test methods:API2530-92&ASME MFC-3M-1989. Dick Munns Company• 10572 Calle Lee#130• Los Alamitos,CA 90720 Phone(714)827-1215 • Fax(714)827-0823 Thu(,bbration Ccnificrac shall not be reproduced oscoptin fullnohow approval bDICK\IUNNS COMPANY.Tbc data slnssn applies onl)to do instrument being ctlibrucd and under the stated conditions of taltbnn{on Date: Approved By: Calibration Technician: --+ - 7,c711 f/, J4- Page 1 of c,i'T A ., .-----,, ' 4,0111. b J{�.S , ►fh ,I, .. 4 ►61o► , 4_4 4 ,f2 111)k :-- 3 *1 \ (..t...(c )iststifitt est \ 'Aaiun --)A11 „0„,.. designation awarded to: c _,,411Al_+ Saro Jankozian for successful completion of all required coursework and examinations ' :64 s . . in the field of commercial HVAC air ant hydronic testing and balancing, and project management - II 3 1+_( r Certified Since August 23, 2013 as administered and recognized bythe z d1 Expires: 8/23/2019 � a� , 1 -11 ‘ 40°" .. itt NBC Certification # 13-243-08 ,. 4 +4-1 \--.1 11-MINA NATIONAL , ,_ BALANCING' _ :A TN '�� COUNCIL �. Rob Falke, President 3 ,, ,,,e,- - +IR S~ ► t "C •jt �;j , �.� y ipis„� + e. jic.----$110, y ....dNin. , w v w �. REGISTERED DEPUTY BUILDING INSPECTOR'S CERTIFICATE OF COMPLIANCE CITY OF ARCADIA. (WEEKLY FINAL REPORT) OR :CITY. Address of Building , 400 S BALDWIN AVE Fabricator YJ DETAILING DATE OF THIS CERTIFICATE Permit 6/10/2017 Number BOO-055-240 TO THE SUPERINTENDENT OF BUILDING:CITY INSPECTOR MR :TO WHOM IT MAY CONCERN. I hereby certify that the folllowing portions of the work at the above address which required continuous inspection which I was employed to inspect, were inspected by me and comply with the provisions of the Building Code applicable thereto: Type of inspection MASONRY _ REBAR PLACEMENT _ CONC OR MIXER WELDING CONC PLACEMENT GUNITE HI-TEN BOLT TENDON PLACEMENT 0 OTHER Description and location of work completed *OBSERVED FIELD WELDING FOR NEW ROOF OPENING SUPPORT FRAMES(TOTAL 3 SECTION)AND DUCT CONN. *LOCATION PER PLAN:EXISTING BLDG ROOF &NEW DUCT. *WORK REF DETAIL PER:S2.0/1,2,3, L-3/8"X4X6 USED,EACH END OF ANGLE MIN 1/4"FILLET WELDED PER APPROVED PLAN,COMPLETED. AND 16GA GALV 12X16 DUCT CONN W/BUTT JOINT FIELD WELDED COMPLETED 2 LOCATION. *FILLER MAT'L USED:NR232.072 F.C..A.W. *BY CITY OF LA CERT WELDER— AWS CERT WELDER:GILBERTO G ZAVALA CERT#/10-WQ0228/MONROE LAB. Size of Structure N/A Time Arrived 8:00 AM No. of Stories N/A Time Left Job 3:00PM Conc. Mix Design No. Swimming Pool N/A I had sufficeient time to inspect all materials used and placed. I was not emplyed by the dontractor,subcontractor or material vendor Registration No. LA/ P-014014 LAC/ 0897 Employed By: OWNER r Lab. Signature- Registered Deputy Bu icHng Inspector Independence IKCHAN SHIN Print Full Name DO NOT AMEND, ALTER, CHANGE DELETE, OR APPEND ANY PRINTED PORTION OF THIS CERTIFICATE AS IT WILL RENDER IT NULL AND VOID. IN. Form.07(Rev. 6/1/2005) www. I adbs org 0.74%1)(51i/4'e-9 LPdtt sax No. Date Issue ENTIROKIVMNTAL HEALTH Til.,AN CHECK.PROGRAM 08/13/16 LANDLORD REVIEW SUBMITTAL PRVIM--gED CONSTRUCTION/EQUIPMENT INSTALLATION IS APPROVED, CPTAS NOTED BELOW FOR: 09/09/16 PREUMINARY REVIEW SUBMITTAL eciAsc./Lc"- t 14 10/07/16 PREUMINARY FINAL REVIEW SUBMIT, —TYPE roon 10/14/16 HEALTH REVIEW SUBMITTAL THE APPIOVAL bers8 NOT AUTRORIZEhkiiV.IOLATTON OF ANY 11/01/16 BLDG. DEPT. SUBMITTAL on.-ovANcr,gran;-• _TfoDi lhat• /4/04//‘ Ok e 41110P LA MALTZ C - SL&M ''',1717.7'.7 I -77'f'1:7711) (zip/4.A gOO s. -"PctOc,viri Ave 410(y CroilD IMALIESEB2101 AND APPROVAtt, we required prior to beginning operating. The Department requires ALLEASEEHBEE 4 ,11( vW2LINIMAMtN: qua-name to onootso • tor float Inspections • WARNINGS IT IS MISDEMEANOR VIOLATION TO BEGIN OPERATION WITHOUT A FINAL INSPECTION AND VAUD HEALTH PERMIT.YOUR HEALTH PERMIT WILL BE ISSUED BY THE LA.COUNTY NORTH - HEALTH OFFICER AT THE JOB SITE REMODELED AREAS OF EXISTING FOOD FACILITY MUST ALSO HAVE A FINAL INSPECTION ‘11/ LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH PLAN CHECK PROGRAM 5050 COMMERCE DRIVE DRAWN 8'f: 1CNECKED BY: APPROVED BY: BALDWIN PARK, CA 91706 (626) 430-5560 Project No. ANV ORANGES TO APPROVED PLAN - • ; MUST BE BROUGHT TO YOUR PLAN Scale CHECKERS ATTENTION Drawing Title SEPSIS!STARTING cotiSTADOTKR4 kitchen plan • ". • A Building Permit Must Be Obtained From VOW Building And Safe/Department OUILDING AND DAFErf COPY Drawing No. . - - ° •