HomeMy WebLinkAboutUntitled ,---,.i, Development Services Department
��s _;- �tl 240 West Huntington Drive,Post Office Box 60021 a PERMIT NO.
Arcadia,CA 91066-6021 BOO-058-245
City of (626)574-5416,Fax(626)447-9173 Permit Type: Tenant Improvew/ener
Arcadia YP g:
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
10/30/2017 EP 10:41 10/30/2017 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: HENRY
Los Angeles, CA 90025- EMAIL ADDRESS: Plan Chk#: OTC
APPLICANT MAILING ADDRESS
Plan#: IN FILE
Comcore Construction, Inc.
PHONE NO.
EMAIL ADDRESS:
1
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Comcore Construction, Inc. 1613 Chelsea Rd#245 PHONE NO. (626)616-0865 FAX NO.
San Marino,CA 91108 EMAIL ADDRESS:
License No. 966885 Type: B Expires: 10/31/2019 12:0(
TENANT MAILING ADDRESS
Boarders PHONE NO. FAX NO.
DESCRIPTION
T.I FOR DRESSING ROOMS AT BOARDERS.
Construction Type UOM #of Units Value Construction Type UOM 8 of Units Value
Value Value 5,000.00 $5,000.00
colin.,. .
��.t�3 :..Ih_ ...
fiN4-e_ 11-Z9-' 7 "27'-
OCCUPANCY: Tenant Improve TOTAL VALUATION: $5,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 99.94 99.94 01-3103
each Energy p/c fee 30.75 30.75 01-3103
PC ADA 14.99 14.99 01-3103
PC Cal Green 9.99 9.99 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 153.75 153.75 01-3104
Bldg Issue ADA 15.38 15.38 01-3104
SMIP Corn 1.40 1.40 14-2207
gm bldg std 1.00 1.00 714-2203
1.00 Flat SWMF Auto 6.25 6.25 88-3027
Total Fees: $377.80 Balance Due: $0.00 Paid Today: $377.80
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the '
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3103 155.67
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 213.48
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 1.40
714-2203 1.00
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)
of Al2C
4 Gpy iFoluyy9, [.
C.'~ 9t7 �: PERMIT/PLAN REVIEW APPLICATION
_?.7111\\tz- ,.
o\r�� Development Services Department,240 West Huntington Drive,Post Office Box 60021
a„Y 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 A License No. ' ..���Exp. Date/7/174? 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 aJ!� �r`_��
OWNER-BUILDER DECLARATION \ I have and will maintain workers'compensation insurance,as required by Section
IDI 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 work compensation surance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier Id,
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000) of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
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 -...........---s. /-
sale(Section 7044,Business and Professions Code:The Contractors License
Date/e �O//71—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 penaltiesand 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 /�� d% !.-. Title _ �1sF'
PRI NA,•
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-11 entio 1 ed i roperty for inspection purposes.
/4.' /
Signature �` Date ,/,,V;60/71---
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp.
100. Setbacks 210. Under flr./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 219. Final gas
110. Framing tj-6-#7 , 220. Fixtures
111. 0cc./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-Ceil. X241. Rough plumbing
117. Drywall nailing II-C47 7 `��"'"7 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade �46. Gasline test
121. Final building Pei-Pei-1? 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final•lumbin•
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Under•round conduit
153. Underslab conduit Reroof Inspections Date I Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 271. Roof framing
156. Rough electrical 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E••t.bondin. Sign Inspections I Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric 281. Footing
282. Conduit/wirin•
Mechanical Inspections Date Insp. 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC Miscellaneous Insp. Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. I Date I Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess.00l filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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I City of Arcadia 'els; s
[ Development Services Department - Building DivisionD>=-
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fog:11:'4 This certificate issued pursuant to the requirements of Section 109 of the 116\
Uniform BuildingCode certifying �'i
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�� that at the time of issuance this structure was in p
t:::::(",:-.','- compliance with the various ordinances of the City regulating building construction or use. j
�� Permit No. B00-058-245
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� .�� Building Address: 400 S Baldwin Ave,Arcadia,CA 9100714
& Use Classification: Tel27, ;
enant Improve Effective UBC: C.B.C.2016
• Permit Type: Tenant Improve w/energy Zone Code: C-2,DH8
ilq
���' Occupancy Code: M 11,JJ,
��� �� Type of Construction: TYPE III 1 HR SPRINKLEREDi
41
® Final Date: 11/29/2017
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. ,� Owner: Westfield Corporation, Inc. ,
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Tenant: Boarders
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Don Stockham,Building Official '
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