HomeMy WebLinkAboutUntitled t�`' '\ Development Services Department
piWn 11
240 West Huntington Drive,Post Office Box 6002,1 PERMIT NO. BOO-056-991
�6, Arcadia, CA 91066-6021
City of (626)574-5416,Fax(626)447-9173 Permit Type: Tenant Improve w/energ:
Arcadia
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
5/30/2017 CM 8:35 8/7/2017 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. Inspector#: HENRY
Los Angeles,CA 90025- EMAIL ADDRESS:
Plan Chk#: 17-166
APPLICANT MAILING ADDRESS
761-8895 Plan#: 32313
Horizon Retail Construction PHONE NO. (281)
EMAIL ADDRESS:
,
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Horizon Retail Construction 1500 Horizon Boulevard PHONE NO. (262)638-6000 FAX NO.
Sturtevant, WI 53177 EMAIL ADDRESS:
License No. 676686 Type: B Expires: 9/30/2017 12:00:
TENANT MAILING ADDRESS
Express PHONE NO. FAX NO.
DESCRIPTION
T.I FOR EXPRESS
Construction Type UOM N of Units Value Construction Type UOM P of Units Value
Value Value 600,000.00 $600,000.00
COMPLETEDi- u
fi4 `o—' —2647
OCCUPANCY: Tenant Improve TAL VALUATION: $600,000.00
QTV UOM DESC AMT AMT PAID ACCT QTY UONI DESC AMT AMT PAID ACCT
each Plan review 3,038.10 3,038.10 01-3103
each Energy p/c fee 934,80 934.80 01-3103
PC ADA 455.72 455.72 01-3103
PC Cal Green 303.81 303.81 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 4,674.00 4,674.00 01-3104
Bldg Issue ADA 467.40 467.40 01-3104
1.00 each T.I.Fire Pkc 280.00 280.00 01-3109
SMIP Com 168.00 168.00 14-2207
gm bldg std 24.00 24.00 714-2203
1.00 Flat SWMF Auto 6.25 6.25 88-3027
Total Fees: $10,396.43 Balance Due: $0.00 Paid Today: $5,384.00
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the •eceip
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 5,185.75
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 168.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 24.00
Arcadia building inspector for a period of 180 consecutive days. 88-3027 6.25
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
O~4o�r y9`4r.'
__ fi}, pr, PERMIT/PLAN APPLICATION
a g j` Development Services Department,240 West Huntington Drive,Post Office Box 60021
Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
I�IC�NSED 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 an effect. i ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Date 9-3o) ' compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
performance of the work for which this permit is issued.
OWNER-BUILDE DECLARATION 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 7 Lir i G
demolish,or repair any structure,prior to its issuance,also required the applicant '1 +� p� ci
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number J I o\ C)
provisions of the Contractors License Law(Chapter 9(commencing with Section (This s coon 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
certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of
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 ��7 / 7 Signature C__
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 theLaborCode, 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.
r
Name J 0 YU S a/44 mak/, \ritle u P R r
PRINT NAME
I certify that I have read this application and.state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
ignatureate " 1 7
•
• - 41CSC BA Dw(N C2CP2is-S.
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp.
100. Setbacks 210. Under fir/bldg.drain
101. Rough grade 211. Copper underslab
102. Figs.&forms 212. Rough plumbing
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. .Diaph nailing 218. Water service
109. Roof nailing 19. Final gas
110. Framing $-r /1-81‘71220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid
114. Insulation-Flr. Pool Inspections Date . Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Cell. r7 241. Rough plumbing
117. Drywall nailing 8j'i7'/.7 bin 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 104?-r7 , 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 8-29-q / -A Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground271. Roof framing
156. Rough electrical &�-(7 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E.It.bondin. Sign Inspections I Date Insp.
160. Service panel 80. Setback/overhang
161. Final electric 0-16-07 281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign `'
181. Furnace/A.C.
182. Rouch HVAC 'T 042= Miscellaneous Insp. I 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 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. I Date Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess.00l filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
7j.
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C->. - " .: .s ..,>» ,....,k - 77-7 ,• „, ,- . ..,.-t.. v+� s- „ ,,,--77,a'�--- .,- --'-`-- Cry .e ..., ,,,
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'11401Certi: -acate ofOccupancy .�
.5- ,,',011,' City of Arcadia Ii ' .;.
r0,
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Development Services"Department - Building Division
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tomal
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This certificate issued pursuant to the requirements of Section 109 of the
® Uniform Building Code certifying that at the time:
; Development Services Department
1
240 West Huntington Drive,Post Office Box 60021 PERMIT NO. B0O-057-702
',.:-...:�-° Arcadia, CA 91066-6021
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
8/28/2017 CM 10:02 8/28/2017 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
Dynamics Electrical Systems PHONE NO.
EMAIL ADDRESS:
CONTRACTORIPROFESSIONAL MAILING ADDRESS
909 NO.
Dynamics Electrical Systems 18714 Westlawn St PHONE (909)728-6455 FAX NO.
Hesperia, CA 92345 EMAIL ADDRESS:
License No. 702172 Type: C-10 Expires: 2/28/2019 12:00:
TENANT MAILING ADDRESS
Express PHONE NO. FAX NO.
DESCRIPTION
T.l FOR EXPRESS
Construction Type UOM N of Units Value Construction Type UOM N of Units Value
iClit 1 r��i
.t.'n' i Li.i t!„:„
icA/AG /Z,-i7 -r7 ,ife7/
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY IIOM DESC AMT AMT PAID ACCT
1.00 flat Elec Issue Auto 44.35 44.35 01-3105
8.00 each Outlets 12.32 12.32 01-3105
26.00 each Ltg fixtures 36.80 36.80 01-3105
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $94.47 Balance Due: $0.00 Paid Today: $94.47
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 117749
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 93.47
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
°/119
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'lite
`o •
. ��. PERMIT/PLAN REVIEW APPLICATION
oma Pf.•
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. Z8 El have and will maintain a certificate of consent to self-insure for workers'
License Class C —i 0 License No. 70 2I 7 Z Exp. Date a- -'t)' compensation, as provided for by Section 3700 of the Labor Code, for the
/ performance of the work for which this permit is issued.
"/���-G®
Signature of Contractor
TOWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
D I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the olicy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil of 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 /,9i4 la D
sale(Section 7044,Business and Professions Code:The Contractors License
Date �0 �� Signature l�Gl
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
Lfurther information. / G (/
ineG�/i/ fYVoIG /��yi`i 0 Title DGv/✓d 1
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 ,//4
Y''G \Date v —'Z6 _r 7
- Development Services Department
• 240 West Huntington Drive,Post Office Box 60021
' :Li PERMIT NO. 800-057-911
S1-5,9 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
9/26/2017 CM 10:02 9/26/2017 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
Temperature Giant Corporation PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Temperature Giant Corporation 6306 Caroline Ave PHONE NO. (818)564-3772 FAX NO. (818)737-1492
Simi Valley, CA 93063 EMAIL ADDRESS: ivan@temperaturegiant.com
License No, 1008908 Type: C-20 Expires: 11/30/2017 12:01
TENANT MAILING ADDRESS •
PHONE NO. FAX NO.
Express
DESCRIPTION
AIR HANDLER FOR EXPRESS
Construction Type UOM Hof Units Value Construction Type UOM #of Units Value
,t.piri ,g, FIT
/r o
bili 0,,i 6 P
c".07,444c /a-ill-47 /-77.12'"'
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 Flat Medi Issue Auto 44.35 44.35 01-3105
2.00 each Air tint I Otn cOo 28.22 28.22 01-3105
1.00 Flat Add/Alter Ducts 9.38 9.38 01-3105
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $82.95 Balance Due: $0.00 Paid Today: $82.95
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 118002
permit is not commenced within 180 days from the date of issuance or if the pemtit is not obtained within 180 days from 01-3105 81.95
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR LNSPECTION INSPECTORS'OFFICE HOURS
y
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
U%4 bra ,c9"i
PERMIT/PLAN REVIEW APPLICATION
ora ,j` Development Services Department,240 West Huntington Drive,Post Office Box 60021
Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force andeffect. IDI have and will maintain a certificate of consent to self-insure for workers'
I1perLicense Class C-20 Lice 1seNo/OO�/ 0$ Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor AP--
formance of the work for which this permit is issued.
OWNER-BUILDER I ECLARATION ❑ 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 ON
/Jf f/
demolish,or repair any structure,prior to its issuance,also required the applicant Q ( l•
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 .1I 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 '0 i of the Labor Code,I shall
❑I, as owner of the roe forthwith omply with those provisions.
property,rty, or my employees with wages as their sole O
compensation,will do the work,and the structure is not intended or offered for t\Date
�Z /"?2/�7sale(Section 7044,Business and Professions Code:The Contractors License 7 Signature I��
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 SI
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 G,LC-u ✓v1 g i fl U`r �
PRINT NAME ite
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 all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter pon the above-mentioned property for inspection purposes.
";r0fri
z /2Signatur: ,/ Date ��
, Development Services Department
!Qt. 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-057-888
�_✓ Arcadia,CA 91066-6021
City of (626)574-5416,Fax(626)447-9173
ArcadiaPermit Type: Sign
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
9/21/2017 EP 11:22 9/21/2017 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: HENRY
Los Angeles, CA 90025- EMAIL ADDRESS:
Plan Chk#: OTC
APPLICANT MAILING ADDRESS
R N F Signs PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
R N F Signs 330 E Newmark Ave
PHONE NO. (626)991-9049 FAX NO.
Monterey Park, CA 91755 EMAIL ADDRESS:
License No. 1004002 Type: C45 Expires: 5/31/2019 12:00:
• TENANT MAILING ADDRESS
Express PHONE NO. FAX NO.
DESCRIPTION
EXPRESS CHANNEL LETTER SIGN
Construction Type UOM #of Units Value Construction Type UOM N of Units Value
Value Value 2,500.00 $2,500.00
fly 1 9 ��1t:
acIVAG /e74,—/7 l'i77
OCCUPANCY: Sign TOTAL VALUATION: $2,500.00
QTY EOM DESC AMT AMT PAID ACCT QTY 110M DESC AMT AMT PAID ACCT
Sign plan rev 67.40 67.40 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 .
each Bldg permit 120.35 120.35 01-3104
1.00 flat Elec issue 44.35 44.35 01-3105
1.00 branch cin Signs elec 59.17 59.17 01-3105
1.00 each Sign Connection 15.55 15.55 01-3105
1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $353.17 Balance Due: $0.00 Paid Today: $353.17
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 117970
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 67.40
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 164.70
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 01-3105 119.07
Arcadia building inspector for a period of 180 consecutive days. 88-3027 2.00
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
*)
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
of AR c
,,,; � h"? PERMIT/PLAN REVIEW APPLICATION
It 41
00 i.j� Development Services Department,240 West Huntington Drive,Post Office Box 60021
Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
IJ 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, nd my licen 's in full force n`d effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
s 1 nUO 771-1compensation, as provided for by Section 3700 of the Labor Code, for the
('License Class tcen e No. 2-Exp. Date
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DE ANION ❑ 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. workers', pensation 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 Ct t-22 �t� , ._�l—�
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 Secti• T00 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 forZI_`'7
sale(Section 7044,Business and Professions Code:The Contractors License Date kr)--Li 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 fee's._
❑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. � n A {
(ame f V‘7� ?S1XI�� �° Title 're 1v
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 • H City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter up nth above-mentioned property for inspection purposes.
Signature Date
�r
sSeptember 20, 2017l
its
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To Whom it May Concern:
I, Raul Marroquin with California Contractors License #1004002
authorize Alex Salting to acquire city permits for electrical
and non electrical signage on behalf of RnF Signs Inc.
If there is any questions please feel free to contact me at (626) 991 9048.
Thank you for your time and consideration.
Raul Marroqui•
OV Ake�
V411h):I!! .
�GPL1FORiy ,�
144:91
%00.ity°tom MEMORANDUM
Fire Department
DATE: October 12, 2017
TO: BUILDING DEPARTMENT
INSPECTOR Henry Kemich
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 400 S. Baldwin Avenue, B05 (Express)
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS
FIRE ALARMS
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 10-11-2017 Lill Huang
COMMENTS:
Emailed Bldg. Dept. 10-11-2017 Rita
} t3',f oit,e Horizon
RETAIL CONSTRUCTION, INC.
1500 Horizon Drive
Sturtevant, WI. 53177
Phone/fax: 262-865-6111
8-2-17
City of Arcadia CA
240 W. Huntington.Dr.
Arcadia CA 91066
RE: Express at Santa Anita Mall
400 South Baldwin Ave #B5
Arcadia CA 91007
To Whom It May Concern:
We are the general contractor that doing the interior refresh of the Express at Santa Anita
Mall. We authorize Jon Seymour to sign and/or pull the permit for this job.
Please contact me if you have any questions.
Sincerely,
Jong ersen
CEO/Owner. State of: WI
County of: Racine
Signed and sworn to before me this
2"d day of August, 2017_.
Notary Public
�P�tY.PU�<
O r =
2' Kathleen .n
* E. * �
." Werk s„Z
/4'OF vt1S5 \\\\
TEMPERATURE GIANT •
CORP
7/18/2017
TO WHOM IT MAY CONCERN
KUDRIAVTCEV GLEB IS AUTHORIZED TO PULL PERMITS AND OR GET CITY BUSINESS
LICENSES AS NEEDED FOR TEMPERATURE GIANT CORP.
THANK YOU
(AY
VLADIMIROV IVAN
O • R
V)).1
LIC#C-20 1008908 PHONE (818)564-3772
22018 Baltar St FAX (818)737-1492
Canoga Park CA 91304 E-MAIL ivanOa,temperaturegiant.com
www faeehnnk enm/ www.temperaturegiant.com
s pi
Y .
( ,0 s
��\) Westfield
/�ny�D V - Exhibit SHOPPINGTOWN
Construction Contact Sheet - Page 1
Space No.: PD Project Mgr. ��t70.4- 14,ve
Tenant Name: •t elephhon
�,,. r j •. s n►)l n7. 0`63$-Gaye
Contractor i/, , _ a 111111 Office Facsimile:
/1 i ii
Address: 1 Cellular/Pager:
ffitfirfflffari/A Superintendent:
Main Office Tel. Field Telephone: ;40,9.
Main Office Fax: , Field Facsimile:
Cellular/Pager:
Sub-contractor/Supplier Listing
. TRADE; Fire Alarm Contractor-`.
Company: ;;qq L Telephone: cjo'i- 3O3 - f(o QO
Address:. 0.;k9 (o ) ,,.,idsov wa Facsimile:
/ E-mail: / "j/1- !6 t' i beni7cC' a»7
Contact: INA 1 k e i (oma- Contract Amt.: /
TRADE Fire Sprinkler Contractor
Company: }.1� ". �0 - '✓141 6 r k ftrfleu phone: el T- 2f ? --q(?J/2.,Address: 1'►Y (,1 Q� Sa IG 4 A Ji- Facsimile:
c., r e►-.'o'I,P-e 91 2t t E-mail: No r 14<- - h i,.lyQr. 6)iv►
Contact: 01 r- f G k c r k0,614.,,,,Contract Amt.:
TRADE . ... .
/\� � �:, ,�ra �4:11
Company: kl iv svh 1 G "r )Dc'lr...S g elephone: �- , O 5- ) 6 ,(�
Address: "• 1 1 e S1'Jc,, S .Facsimile: 'ff� r
Contact: .*e e, (f-L CIL .C1 ) 1-/'E-mail: G�57`x'...//ckkci-1/y U�m4 -1/, c,44_,
Contract Amt$: 1
TRADE.;. . p r t_ turn (J ����G..IAA ( -�1
Company: .yl.�J.Qr., 0 C-7t I I ,Pr.9wN JI DcwTeaephoje: C-' Ali .36 S (a' J S
Address: Facsimile: 1
E-mail: .5 91 1/4 5 vi 9 ll hic. r C p
Contact: 47 tl-e Contract Amt$:
TRADE, ... r 4 VT e
Company: fe yi., ,p P r/r g v icof lephone: Icc- 51 H 3 -2 `1 Z
Address: 9.- ..(.3 J c( js,�t--. .rS/r c> Facsimile: -r /� j�
Gcl w- O 1 r✓'4,C4i SD* E-mail: :t,lic-A Ly'l iv f e,►'ee 1 rl,"e Ol;�x1•L.,.
Contact: ' -maw• V4 1 ,1,,., A o v' Contract Amt$: �J
20 Revision date:07/11/17
,�J Shared Drive Construction Mtnual
DA'fEC 'Pip
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