HomeMy WebLinkAboutUntitled (2) ••� t' Development Services Department
240 West Huntington Drive,Post Office Box 60021
/ Arcadia,CA 91066-6021 II PERMIT NO. BOO-053-482
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
4/28/2016 CM 14:56 4/28/2016 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
365 Construction 0 C O )11:_pl,t0.
EMDRESS:
f
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
365 Construction, Inc. 847 Meridian Street PHONE NO. (626)599-2002 FAX NO.
Duarte,CA 91010 EMAIL ADDRESS:
License No. 946056 Type: B Expires: 4/30/2018 12:00:
TENANT MAILING ADDRESS -
Mrs. Fields Cookies PHONE NO. FAX NO.
DESCRIPTION
ADD FLOOR SINK TO MRS FIELDS COOKIES
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
s
FM14 e--- &''.2.1C)•--46
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
1.00 each Floor sink 12.46 12.46 01-3105
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
(s-85—{` v11,6C 6.6 17W-441'6174-441'6Irl G 4 REteAR RE79Anz h ,.
Total Fees: $57.81 Balance Due: $0.00 Paid Today: $57.81
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112765
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 56.81
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
r____}
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�cdi
,d 9 PERMIT/PLAN APPLICATION
ig o• ,• Development Services Department, 240 West Huntington Drive,Post Office Box 60021
.440.,,orN° 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 C
ode,and my license is in full forcercand effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
slFicei Clas 'cU- License-No��-A xp� ale• �3r ' compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signaturerrifferntractor
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
CII 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
i
is ssued.My workers'compensation insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions
Code.Any city or county which requires a permit to construct,alter,improve, Carrier -t/.62c--
demolish,or repair any structure,prior to its issuance,also required the applicant �`; i247�hr-
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number Qa
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions.
compensation,will do the work,and the structure is not intended or offered for
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.
AOi
wine ' % TitleD2T�di yr
-----
Ar)
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 W- r' ,/1"'--- Date
4.-ii Ilipc.fIRD. , ii bir)-15 51 K2--
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LINE OF (E) WALK-IN PROVIDE ADDITIONAL CUT
REFRIGERATOR TO EXPOSE REBAR
(N) 9 S/CA COUPLER 0- (N) 9 S/CA COUPLER
BY: DAYTON SUPERIOR `J B ; DAYTON SUPERIOR
PRODUCT CODE: 400205/400215 PRODUCT CODE: 400205/400215
ICC ESR 2495 5" 1'-2" 10" ICC ESR 2495
(E) 9 REBAR ACCIDENTAL
CUT (E) #9 REBAR
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NOTE: i --
THE GENERAL CONTRACTOR SHALL VERIFY ALL
DIMENSIONS AND SITE CONDITIONS BEFORE STARTING
WORK. THE ENGINEER SHALL BE NOTIFIED OF ANY
DISCREPANCY.
CONCRETE GRADE BEAM REPAIR DETAILS ro•'
PROJECT CONTRACTOR mD ENGINEERING
YES1FlELD MALL MICKEY ENGINEERING MEI TECHNOLOGY
400 S BALDWIN AVE. 365 CONSTRUCTION, INC. C)'M�/SYticturd fngi,een'ng *P/ankg a Land SLr,vj(g
40 S B D 910 V7 448 N. PINE STREET ,i4.,33336 N.Aqua Duke Cyn.Rd, 4103.Agua Duke,CA 91390
SAN GABRIEL, CA 91775 WWYr.JTENGINEERING.0011
TEL: (626) 292-7224 105-30-2016 PI 13116
41
,
(‘21-,;
LOS ANGELES COUNTY DEPARTiI ENT OF PUBLIC WORKS
BUILDING AND SAFETY DIVISION
.PLJBLiC WORKS
SPECIAL INSPECTOR REPORT
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,ach risp�bfili ustatco � e t is re ort aia maliflef Rigg s rlc �j kce: here#th6 6e�m t#vuasisgu6d :
',"e !,P,..., _.rEtto:°�'��.... •'��,a... .., '!e!" 3$. ., .t :. ,"'�,,a�.�t7•.s�,.�J. s ,„ .'5 z '��e'a r.,.. _. . ����"�i.y-tip.: � �. .
,) DAILY D WEEKLY FINAL.
TOTAL TIME ON JOB (IN DAYS) I BUILDING PERMIT NO. 6w-053 -2/9 DISTRICT NO.
JOB ADDRESS OO 5. 840‘,E/Ar ,ex/51 #7/(9-
GENERAL CONTRACTOR WOOD5 Co,/57 •
SIZE OF BUILDING NO. OF STORIES TYPE OF WALL _.
TYPE OF WORK: ❑ REINFORCED CONCRETE ❑ MASONRY I(: HI-TENSILE BOLTING
PRESTRESSED CONCRETE _ WELDING GYPSUM CONCRETE
OTHER 5CAE(,J AI✓CNO,
DESCRIPTION OF WORK INSPECTED 70C,</5--7Y67-/`J /6-fig77 kel '/ )(, 3" 504-'0 4A/a-/045
Ar 110 Ar-465 PFA 44zie'5 so,ci iCis,/704✓5.I AidclioA/nl(r 51gLF$ 516e2,6- Cc%9L-70 54449,
LOCATION IN STRUCTURE -
-- REMARKS ALL A,vc-RoA)5/AJTALl j7/Z--4 5p�c.9/ NO .. FIC/,E'/l, A/OTE1D
All work on this job to date has been satisfactorily completed to the approved plans and requirements of
the Los Angeles County Building Code.
I V/rf pr' 0/7/6 6 Z I6
Special Inspe or (PRI s I. D. Number Date
iA/AA'
Special In. pector(SIGNATURE) Daytime/Cell Phone Number
P/bspub/Research/EDB\SI REPORT
REVISED 04-04-05
•
•
07.1