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HomeMy WebLinkAboutUntitled a''" Development Services Department .v 240 West Huntington Drive,Post Office Box 60021 r PERMIT NO. �� , Arcadia,CA 91066-6021 BOO-052-536 City of (626) 574-5416,Fax(626)447-9173 Permit Type:Arcadiayp : Tenant Improve w/energ; PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 1/13/2016 CM 10:43 4/8/2016 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. Inspector#: CHR Los Angeles,CA 90025- EMAIL ADDRESS: Plan Chk#: 16-36 APPLICANT MAILING ADDRESS Horizon Retail Construction PHONE NO. Plan#: 31898 • n n�(I �� IIIy AIL ADDRESS: CONTRACTOR/PROFESSIONAL ' MAILING ADDRESS �O�II1.,111`:d IL✓L7,v 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 Brookstone PHONE NO. FAX NO. DESCRIPTION ' T.I.FOR BROOKSTONE Construction Type UOM N of Units Value Construction Type UOM N of Units Value Value Value 250,000.00 $250,000.00 r-e-/At4<- 5"--26—/6 offe----... ...7.Z OCCUPANCY: Tenant Improve TOTAL VALUATION: $250,000.00 QTY UOM 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 496.98 496.98 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 245.00 245.00 01-3109 SMIP Com 70.00 70.00 14-2207 gm bldg std 10.00 10.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $5,192.92 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#: 112483 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 1714-2203 . 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 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 OV Rn,4.,,, , � ,ito PERMIT/PLAN REVIEW APPLICATION \ m, 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 ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: fSi Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code, d my license is in full force and effect. y IDI have and will maintain a certificate of consent to self-insure for workers' License Class License No. / b Exp. Date 3o- / compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. gnature of Contractor OWNER-BUILDER DECLARATION r 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 2 u a.1 G IA A 1-1 L' I2' 'L tq .v -Z , 5 . C_ D. demolish,or repair any structure,prior to its issuance,also required the applicant q for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 59 i 1 2. O 1 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 civi 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 sol forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered fo �, { ��� sale(Section 7044,Business and Professions Code:The Contractors Licens: Date `7 f 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. ❑T, 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 U S ±/v M L A R 5 Title $C9(J 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 e . upon the above-mentioned property for inspection purposes. LI II ignature 11 ' Date ' b S NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under fir/bldg.drain 101. Rough grade 211. Copper underslab -5-2.-(6 Zl6 .tid. 4 "•�12Afrit0, A-7-- 102. -;102. Figs.&forms 212. Rough plumbing s' c ewe-: le--i-r" 103. Pre-slab vow?w? �-Zi.i(0 { 213. Rough gas 104. Floor joists 214. Shower pan s-2..-/CZi ,,Yt..)#`4.-c. 4r,- 7.-X212- .105. '.105. Steel 215. Water heater 106. Grout lift 216. Roof drains �1���-(3-0-7- �� /4`� 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service $7-5--"‘C rezoor yida &b to 109. Roof nailing 219. Final gas 110. Framing W I GVrt220. Fixtures "i4Q4e-L"D 9 1/1 s-Ac s- 4 /10 111. 0cc./Area Sept.Wall 221. Final plumbing 5-5-`c Pat-r411C-26-6774,6, 1 1 112. Sound walls / 222. Sewer cap/demo. �.. 113. T-bar grid 5-2.:5-/b d el C.Ad 6 cg'. 04.4675" Ferri,4 i7 114. Insulation-Flr. Pool Inspections Date . Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. / 241. Rough plumbing 57-1!G � ��c.' aT ,-`GGAlG 117. Drywall nailing 'j-/Z-/(� .. 242. Light shell/bonding -� -74.e-5 Fao 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 5. Gas line&test 121. Final building 5-2.4.-/6 246. 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 1251. Pool final {G 152. Underground conduit 1645- 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 71. Roof framing 156. Rough electrical ...-2,::5-/C ` 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 57-24-/C 281. Footing 282. Conduit/wiring Mechanical Inspections Date Insp. ' 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC 54A-e , 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 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. Date Insp. 191. Final mechanical c•24-1C , 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 "EDevelopment Services Department .; 240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO. BOO-053-218 Arcadia of (626) 574-5416,Fax(626)447-9173 Permit Type: Comte Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/4/2016 CM 11:28 4/4/2016 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 Horizon Retail Construction PHONE NO. D AIL ADDRESS: SII Ill^�nI n CONTRACTOR/PROFESSIONAL MAILING ADDRESS v u \� L - - - - 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 • ' Brookstone PHONE NO. FAX NO. DESCRIPTION INTERIOR DEMOLITION IN PREP FOR FUTURE T.I.FOR BROOKSTONE Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 5,000.00 $5,000.00 F//,i4-e-- 5-26 -GC ��� 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 33.83 33.83 01-3103 PC Cal Green 9.99 9.99 01-3103 PC ADA 14.99 14.99 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 Com 1.40 1.40 14-2207 grn bldg std 1.00 1.00 714-2203 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $381.88 Balance Due: $0.00 Paid Today: $381.88 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112414 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 158.75 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 Arcadia building inspector for a period of 180 consecutive days. 714-2203 1.00 88-3027 7.25 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) CIOFP �`'9dr ;,,,,,,� 17 PERMIT/PLAN REVIEW APPLICATION 0. ......,It- illiE. op ,. 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 thereby affum under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: hapter 9(commencing with Section 7000,of Division 3 of the Business and ofessions Code,and my license is in full force/and effect. � ❑ I have and will maintain a certificate of consent to self insure for workers' cense Class License No. �f�6 r6 Exp. Date3U�� compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. gnature of Contractor WNER-BUILDER ARATION 0 I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant 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` 4",( 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 0 I, as owner of the property, or my employees with wages as Meir sole forthwith comply with those provisions. th compensation,will do the work,and the structure is not intended or offered for L/44.j sale(Section 7044,Business and Professions Code:The Contractors License \ate Signature 411111...alk---- 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 o n 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. /� Nine J 0,4 G4S71(3 /7•Title 457)21` 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 rcadia to enter upon the ab i • en tone 0 propert . ' 1 ection purposes. ..gnature Date L��9'-4( ,{b R e F^ 7 r 8• .9 •,„,,, ,,,,„ xu FR s -dq ,pa ;74'4 r /: -.:---_, y. . _...., ,-, . _ _...., ..„_ .,...;., „ :„.,,y,„..� ,' VJ _ �G. ±� aft _ "- �'�� - �� `T''4°.9�_ - ,a ,-r., r,.�, - a �� --���a � p f.,,q, ���'t re � >`-,' . 'tE .. ,�JJ !44 c if;.lt,w0 '\� d�'�, . '�`1� �r . ii ;`�`�„,�',tV S er $aeG.i,• 11 'f�,„ , .r ;: D 4.- ! . �. , 1 ! �I�,.v,.*A1,1' . !" _ C,. �R "-- , 1!,,,k,--.. .111 Ike- . 4 f, ! P 4 V "Y ,�1. :,,IA.; ep �,t1 -i �a Igs 011 l7 � �u li . a � a � . ( m ®—� ®�®��= ® �i '� m, m ECJ � � 3�T � ,� > ,�. ® mai `�t l," r l t:1:: - • ,,,,,_ • „ay.. . • t., p . Le.:.,114—* - , ..).,,......, Allitl : ' . . ,•F root -1224i .Certi. lc- ate of Occupancy yr Ai City of Arcadia I , Development Services:Department Building:Division ®' a�,'�1II. BJH This certificate'issued pursuant to the requirements of Section 109 of the "s� ' � Uniform Building:Code certifying that at the time of issuance this structure was in IN ,r, compliance with the various ordinances of the City regulating buildingconstruction or use. eD,A Permit No. BOO-052-536' , .-- -: )44$7--e i. ...,...,,,,, ,T, .----ot,,,. , ii ' n 'ii Building Address:_ 400 S Baldwin Ave,Arcadia,CA 91007 V,'; I+ l � Use Classification: Tenant IMprove Effective UBC:p 2013C,B.0 [V- , � \/,i roe Per."mtt=Type: Tenant Improve,w/ever Zone Code: ` � gy C-2,DH-8 ����� � rI Occupancy Code: M" Type of.Construction: TYPE: II-1-HR SPRINKLERED r' � Final Date: 5/26/2016 �® " �I Owner:' Westfield-Corporation,Inc. 1/6\� Ili: 1/G: -6)---._,t F; Tenant: Brookst e 4 icv,,„, : A 1 Don.Stockham.Building.Official ', 6141 L_.,4 a POST IN A,CONSPICUOUS PLACE110\V '1 . 1.64( .: Di`Ni ;; _,;:k,1 : Pey � ! t. % #17-010/ u ® _ - ® -- ® V � V7dI © ;� ® ® ^ W � r � . � t,'*'--,„„O , � 1_ _ e . � i , It ,„.. 1l�.. * „*- 4ti . >rVys4 s. y 41110. , � ,,,,y4,,,, *Mt, ,Astu i ,\ksi s a`•r Development Services Department A 240 West Huntington Drive,Post Office Box 60021 '' PERMIT NO. B00-053-813 Arcadia,CA 91066-6021 City of (626) 574-5416,Fax(626)447-9173 ArcadiaPermit Type: Mechanical I PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 5/26/2016 SC 10:42 5/26/2016 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 Ruane Heating And Air (� nn ��uONE NO. 11 0�1,lllp I� AIL ADDRESS: CONTRACTORIPROFESSIONAL MAILING ADDRESS v ��`I��ll Ruane Heating&Air Conditioning 17007 Sierra Hwy PHONE NO. (661)250-0046 FAX NO. Canyon Country, CA 91351 EMAIL ADDRESS: License No. 584115 Type: C20 Expires: 1/31/2018 12:00: TENANT MAILING ADDRESS Brookstone PHONE NO. FAX NO. DESCRIPTION RELOCATE 12 DUCTS Construction Type UOM #of Units Value Construction Type UOM 8 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 Mech Issue Auto 44.35 44.35 01-3105 12.00 Flat Add/Alter Ducts 112.56 112.56 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $157.91 Balance Due: $0.00 Paid Today: $157.91 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 113104 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 156.91 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 Quip wv,C9d� x, PERMIT/PLAN REVIEW APPLICATION 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 License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of 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'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 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 ElI, 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 Title 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 Date „i'1.??j, Citi' of Arcadia c �', 240 West Huntington Drive ELECTRICAL - MECHANICAL - PLUMBING �rc;tiiia CA 91ci0C goal PERMIT WORKSHEET BUILDING ADDRESS_...400 S. Baldwin Ave., Sp. #D-9, Arcadia, CA ( Brookstone) — DESCRIPTION OF WORK Replace existing grills ans add two BOH SQUARE FEET TYPE OF CONSTRUCTION Tenant Improvement _ VALUATION $7,000.00 OWNER NAME Westfield PHONE ADDRESS CITY STATE ZIP APPLICANT NAME William M. Ruane PHONE 661-250-0046 ADDRESS 3053 Rancho Vista BI. H-144 CITY Palmdale STATE CA ZIP 93551 CONTRACTOR Ruane Heating and Air Conditioning Co. PHONE 661-250-0n46 ADDRESS 3053 Rancho Vista Bl. H-144 CITY Palmdale STATE CA ZIP 93551 STATE LICENSE NO. 5$4115 LICENSE CLASS C-20 EXPIRATION DATE O1-31-18CITY LICENSE NO. 039561 ELECTRICAL SYSTEM PLUMBING SYSTEM #of Units Description (Additions,Commercial,Industrial) #of Units Description I Temporary Power Pole: #of Panels _ _ Bathtubs Services Size Showers � I _w. l Outlets(Receptacles.Switches) ` Water Closets Fixtures: Motors HP Each: Lavatories Subpanel Size Bidet Sign Branch Circ. Kitchen Sinks Pool Wiring Dishwashers Miscellaneous Sq.Ft,Area New Res.Bldg. Sq.Ft.Area New Res. Garba.e Dis.osals Accessory Bldg. Floor Sink MECHANICAL SYSTEM Floor Drain It of Units Description FAU to and including 100,000 BTU Laundry Trays FAU over 100,000 BTU Clothes Washers Floor/Wall/SUSP/Heater _ Grease Trap Pre-Fab Fireplace _ Gas Systems-#outlets Kitchen Exhaust Hood Shower Pan Replacement Ventilation Fan including duct(COM and IND only) Boiler/Compressor to and including 3HP .—..—.- Swimming Pool Ping "p”trap Boiler/Compressor over 3HP to 15HP Pool Water Heater Boiler/Compressor over 15HP to 30HP Water Heaters —_ Boiler/Compressor over 30HP to 50HP Sewer Connections Boiler/Compressor over SQHP to 1.75HP Lawn Sprinkle_r System Air Handler to and including 10,000 CFM Miscellaneous Air Handler over 10,000 CFM - 1 2 Relocate/Add Registers or Ducts --- -- 1 Evaporative Cooler Miscellaneous 2,1214. Development Services Department .-s . 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-053-823 ..,,,--' Arcadia,CA 91066-6021 City of (626) 574-5416,Fax(626)447-9173 Arcadia Permit Type: Electrical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 5/26/2016 CM 16:00 5/26/2016 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 Horizon Retail PHONE NO. EMAIL ADDRESS: r 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 PHONE NO. FAX NO. C ii t F� C-JEJ DESCRIPTION ELECTRICAL FOR TI Construction Type UOM #of Units Value Construction Type UOM 8 of Units Value TAak-• "46 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 10.00 each Outlets 15.40 15.40 01-3105 34.00 each Ltg fixtures 42.00 42.00 01-3105 1.00 branch cin Signs elec 59.17 59.17 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $161.92 Balance Due: $0.00 Paid Today: $161.92 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 113113 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 160.92 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 Friday6.---------------- 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) G~ i 4.o1r it 1 PERMIT/PLAN REVIEW APPLICATION • :40,,, • Development Services Department,240 West Huntington Drive,Post Office Box 60021 'm0...,yofvo Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 0 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, d my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License C al ss (Lic e No.b. -b 6 5i2Exp:Date =' compensation, as provided for by Section 3700 of the Labor Code, for the Sigrtature`of Contractor LIL rj\A,__1,--- -- 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, cCarrier' 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 sec[ion`need hot 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 1:1I, 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. LN / ( ±yL� V rt... S Title Sup ? , d 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-ente u on the above-mentioned property for inspection purposes. Signature L Date .A 4 2 6 r / ..*Vit. Development Services Department t. � 240 West Huntington Drive,Post Office Box 60021 `" ' Arcadia, CA 91066-6021 PERMIT NO. B0O-053-577 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 5/9/2016 CM 10:41 5/9/2016 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. Plan#: IN FILE Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Mega Hz Electric ��� EiMAIL PHONO. UI� ADDRESS: 0 C n O IJr CONTRACTOR/PROFESSIONAL ' MAILING ADDRESS v - Mega H. Z. Electric 1290 Monterey Pass Rd PHONE NO. (323)223-8151 FAX NO. Monterey Park, CA 91754 EMAIL ADDRESS: • License No. 898078 Type: C-45 Expires: 6/30/2016 12:00: TENANT MAILING ADDRESS Brookstone PHONE NO. FAX NO. DESCRIPTION NEW SIGN FOR BROOKSTONE Construction Type UOM 0 of Units Value Construction Type UOM 0 of Units Value Value Value 1,800.00 $1,800.00 FCA/4c_ 5--2 3-1-6. OCCUPANCY: sign OTAL VALUATION: $1,800.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT Sign plan rev 53.34 53.34 01-3103 I.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 95.25 95.25 01-3104 I.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: $314.01 Balance Due: $0.00 Paid Today: $314.01 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112874 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 53.34 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 139.60 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 ARC 4 G,I.IFO/� '9 °~ ` ?.4..., Vijo, y_ 4,7 PERMIT/PLAN REVIEW APPLICATION ' 2;4Ok ramp 49 • Development Services Department,240 West Huntington Drive,Post Office Box 60021 °m-'tlalY°c °e 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' - r ic`ense No '`to -��Ezp,_Date"`3`�`�, compensation, as provided for by Section 3700 of the Labor Code, for the" `- '✓' performance of the work for which this permit is issued. Sig�T�attue-of Contractor /7 0/ 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 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, /CarrierPA-C t t t C COrtP G&)S'A-n 0 41 demolish,or repair any structure,prior to its issuance,also required the applicant ---1-- / WA-0O6 us-0 y 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 0 I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑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. /� Nairle--� ,QrGYib-� Title .31T46 A-6 61t/� 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 tto enter upon the abo •-mentioned property for inspection purposes. --- / Signature r/ •4 1011! Date 617 h6. Development Services Department .-s r, 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. Arcadia,CA 91066-6021 BOO-053-404 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 • 4/22/2016 CM 10:00 4/27/2016 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. Plan Chk#: 16-178 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Building Electronic Controls Inc. PHONE NO. EMAIL ADDRESS: , CONTRACTOR/PROFESSIONAL MAILING ADDRESS /-1nn " cr, Building Electronic Controls Inc. 2246 Linds �A . , ,� I PHONE NO. FAX NO. Glendora, CA 91 40J .„ - EMAIL ADDRESS: License No. 729905 Type: C Expires: 11/30/2016 12:01 TENANT MAILING ADDRESS Brookstone PHONE NO. FAX NO. DESCRIPTION FIRE ALARMS FOR BROOKSTONE Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 6,190.00 $6,190.00 OCCUPANCY: Fire Sprink/AIm TOTAL VALUATION: $6,190.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 8.00 each fire alarm pc 2 637.50 637.50 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 187.15 187.15 01-3112 I.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $870.00 Balance Due: $0.00 Paid Today: $232.50 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112726 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 101-3112 231.50 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 c7---------- 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 7 PERMIT/PLAN REVIEW APPLICATION • ; Development Services Department,240 West Huntington Drive,Post Office Box 60021 .oity of 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 effe-ctt.� _ ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class-t Lice sn e No. " 'OS9 _x�Date 11 lO/►e compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signa urt a OTContractor c\6.1t 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 Code.Any city or county which requires a permit to construct,alter,improve, C 'earft r 1 tC\1\ � \ a NUL (X)S.- demolish,or repair any structure,prior to its issuance,also required the applicant l for such permit to file a signed statement that he or she is licensed pursuant to the CPolicyNumlier k� 0'4-Vprovisions of the Contractors License Law(Chapter 9(commencing with Section (.Ts.sectibn 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. ,` ,�n & I . T 1 Com+�! ( & - D--v 1 r 1 18."'7\Q-41\1 PRINT NAME �f 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 .bove-mentioned property for inspection purposes. Signature S, :_:AA .v ! .``aA�i• .1� Date "t'b---1 I t.0 Development Services Department 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 PERMIT NO. BOO-053-423 City of (626) 574-5416,Fax(626)447-9173 Arcadia Permit Type: Fire PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/25/2016 CM 8:56 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. Plan Chk#: 16-180 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Allready Fire PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Allready Fire Sprinkler Co 818 N Grand Ave PHONE NO. (626)913-6720 FAX NO. Covina, CA 91723 EMAIL ADDRESS: License No. 358795 Type: C16 B Expires: 7/31/2017 12:00: TENANT MAILING ADDRESS Brookstone PHONE NO. FAX NO. DESCRIPTION ' D NEW FIRE SPRINKS-(28 HEADS) C)C0NRU� Construction Type UOM 8 of Units Value Construction Type UOM N of Units Value Value Value 4,000.00 $4,000.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $4,000.00 QTY 11OM ' DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 28.00 each sprinkler pck 637.50 637.50 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 137.05 137.05 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $819.90 Balance Due: $0.00 Paid Today: $182.40 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112749 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3112 181.40 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) v�4 oV ARO Fp �'9dr PERMIT/PLAN REVIEW APPLICATION • •op= `, Development Services Department,240 West Huntington Drive,Post Office Box 60021 -°'4.Ai.Y att.' 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' FLicense-Class 'C— I I2 Li�.No.35 -DateN31 I compensation, as provided for by Section 3700 of the Labor Code, for the //rrfj performance of the work for which this permit is issued. Signn:df Contractor OWNER-BUILDE 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. workers'c mpensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier- JP t'C(17^5/ demolish,or repair any structure,prior to its issuance,also required the applicant — ,� 673Ost a 0 2S•32 — f/4/ for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number U provisions of the Contractors License Law(Chapter 9(commencing with Section (Thies s section need nod 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.th Name C Ira 4r e" L--Tile-Title -St' o 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 j� Date �� /Z,, i( 4 3FF90rr 4 ° <Y9J111�za '. ��"°'`Y°` MEMORANDUM Fire Department DATE: June 3, 2016 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue, D09 (Brookstone) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 5-26-2016 Jill Perumean FIRE ALARMS 5-26-2016 Jill Perumean TANKS HOOD & DUCT KNOX BOX OCCUPANCY 5-26-2016 Jill Perumean COMMENTS: Emailed Bldg. Dept. 5-26-2016 Rita