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HomeMy WebLinkAboutUntitled w^ Development Services Department 240West Huntington Drive,Post Office Box 60021 ' �� Arcadia,CA 91066-6021 PERMIT NO. 'B00-051-771 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Tenant Improve w/energ: PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 10/15/2015 CM 13:13 10/26/2015 Issued ADDRESS NO. '-Dir.Prefx 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#: CHRS Los Angeles,CA 90025- EMAIL ADDRESS: Plan#: 31763 APPLICANT - . - MAILING ADDRESS H2K Construction NE NO. CUT/ -� A'AIL ADDRESS: CONTRACTOR/PROFESSIONAL "MAILING ADDRESS 760 NO. 497-3868 FAX NO. H2K Construction, Inc. 6886 Tradewinds Drive PHONE � Carlsbad,CA 92011 EMAIL ADDRESS: License No. 968881 Type: B Expires: 12/31/2015 12:0( , TENANT MAILING ADDRESS, - - Macy's PHONE NO. FAX NO. DESCRIPTION TI FOR LANCOME AND CLARASIONIC DEPTS IN SPACE INCLUDING CEILING,LIGHTING,POWER AND SIGNAL,NEW WALLS Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 48,400.00 $48,400.00 6i<.4 c- Sr C,-16 OCCUPANCY: Tenant Improve TOTAL VALUATION: $48,400.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 515.94 515.94 01-3103 each Energy p/c fee 174.63 174.63 01-3103 PC ADA 77.39 77.39 01-3103 PC Cal Green 51.59 51.59 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 793.75 793.75 01-3104 Bldg Issue ADA 79.38 79.38 01-3104 1.00 flat Elec issue 44.35 44.35 01-3105 1.00 each Distrib panel 15.55 15.55 01-3105 21.00 each Outlets 29.00 29.00 01-3105 10.00 each Ltg fixtures 15.40 15.40 01-3105 1.00 each T.I.Fire Pkc 245.00 245.00 01-3109 SMIP Corn 13.55 13.55 14-2207 grn bldg std 2.00 2.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 1.00 Flat SWMF 2 1.00 1.00 88-3027 Total Fees: $2,109.13 Balance Due: $0.00 Paid Today: $2,109.13 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: _ 110872 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 819.55 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 917.48 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 01-3105 104.30 Arcadia building inspector for a period of 180 consecutive days. 01-3109 245.00 14-2207 13.55 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 714-2203 2.00 Requests for inspection should be made at least Monday-Thursday Friday 88-3027 7.25 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) ()Fmk, PERMIT/PLAN REVIEW APPLICATION 0\ js Development Services Department,240 West Huntington Drive,Post Office Box 60021 4'uoity 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 effect. 0 I have and will maintain a certificate of consent to self-insure for workers' ense Glass r �, ., o_� �B I Ex . Date 12-3(15 compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Si natu on actor _m OWNER-BUILDE' 1.'CLA TION ❑ I have and will maintain workers'compensation insurance,as required by Section 0 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 'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, earner et/Few7 1 NA-770140k_ C 0. demolish,or repair any structure,prior to its issuance,also required the applicant poli utnb 7C.0601 0y2e off for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (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 IDI, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers' Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she •hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: • 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures.. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. Name' 50°E17-- �� qt J J9 I1iJGrN . ' TD4-N1— 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 co'.ply_with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadi. tt. ente pon e above- • io•ed property for inspection purposes. Signature y5 at I b—2.CO .41arit,, Development Services Department 1 240 West Huntington Drive,Post Office Box 60021 `' ' ' PERMIT NO. BOO-053-365 Arcadia, CA 91066-6021 City of (626)574-5416,Fax(626)447-9173 ArcadiaPermit Type: Tenant Improve PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/19/2016 CM 13:47 4/19/2016 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#: HNRY Los Angeles,CA 90025- EMAIL ADDRESS: Plan#: W/31892 APPLICANT MAILING ADDRESS Alta Construction PHONE NO. EMAIL ADDRESS: e CONTRACTOR/PROFESSIONAL MAILING ADDRESS Alta Construction,Inc. 369 E Blaine Street PHONE NO. (95 1)279-2762 FAX NO. Corona,CA 92879 EMAIL ADDRESS: License No. 890027 Type: B Expires: 7/31/2016 12:00: TENANT MAILING ADDRESS Macys PHONE NO. FAX NO. DESCRIPTION ' SUPPLEMENTAL TO TI FOR COSMETICS COUNTER FOR MACYS FOR NEW SUSPENDED CEILING AND FIXTURE REPLACEMENT • Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 18,000.00 $18,000.00 -r 0 cD, m-p, - r--;,41c _- (-I6 /.. ...7;..54„, OCCUPANCY: Tenant Improve TOTAL VALUATION: $18,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 241.05 241.05 01-3103 PC Cal Green 24.11 24.11 01-3103 _3--`G6 .q; PC ADA 36.16 36.16 01-3103 1.00 Flat Bl1Ig Issue Auto 44.35 44.35 01-3104 each Bldg permit 370.85 • 370.85 01-3104 Bldg Issue ADA 37.09 37.09 01-3104 1.00 flat Elec issue 44.35 44.35 01-3105 SMIP Com 5.04 5.04 14-2207 grn bldg std 1.00 1.00 714-2203 1.00 Flat SWMF 2 1.00 1.00 88-3027 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $811.25 Balance Due: $0.00 Paid Today: $811.25 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112608 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 301.32 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 452.29 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 01-3105 44.35 Arcadia building inspector for a period of 180 consecutive days. 14-2207 5.04 714-2203 1.00 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 88-3027 7.25 Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) OF ARC 4 cpookv,4.�I , ;, 11' PERMIT/PLAN REVIEW APPLICATION oep 0z ,. 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 CENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION lajA 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 my license is in full orce and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License-Class P fLicens' xp- e No. EDa���� compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signatureof Contractor OWNER-BUILDER 1 E� ARATION 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: _ az ...- Code.Any city or county which requires a permit to construct,alter,improve, Carver /� 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-0:9/d / 7/ 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. Name LTitle t/G A' -' �� r PRINT NAME CF�---- , 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 0-enter t r upon the above-mentioned property for inspection purposes. �., Signature i`—- Date li///n //1/46 fro Development Services Department _ r ' 240 West Huntington Drive,Post Office Box 60021 "` � '` • ' PERMIT NO. . B00-050-973 . `�r Arcadia,CA 91066-6021 City of (626) 574-5416,Fax(626)447-9173 ArcadiaPermit Type: Comm Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 10/6/2015 CM 12:45 10/6/2015 Issued ADDRESS NO. "Dir.Prefix. -Street Name _ Street Suffix°UNIT. BLG '=-r - 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##: otc Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Alta Construction,Inc. PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAIUNG ADDRESS - - 951 NO. 279-2762 FAX NO. Alta Construction,Inc. 369 E Blaine Street PHONE ( Corona,CA 92879 EMAIL ADDRESS: License No. 890027 Type: B Expires: 7/31/2016 12:00: TENANT -- MAILING ADDRESS Macy's PHONE NO. FAX NO. C CaI?� ED DESCRIPTION - - Addition of new 6'high pony wall,minor electral Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 6,000.00 $6,000.00 OCCUPANCY: Tenant Improve TOTAL VALUATION: $6,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 110.79 110.79 01-3103 9/31-7. PC Cal Green 11.08 11.08 01-310371- rIST I---s fJ�( IGC'��'o,0 PC ADA 16.62 16.62 01-3103 '- 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 O.}?, 10-20,1 5- each Bldg permit 170.45 170.45 01-3104 4' �� j�/ n� ,� /�� Bldg Issue ADA 17.05 17.05 01-3104 G� 2 ( 6/n-iDie LG•kpv'� wi-Gr 1.00 flat Elec issue 44.35 44.35 01-3105 C 1.00 each Misc elec 15.55 15.$5-01-3105 0 G!-- �I7 (�J/ SMTP Com 1.68 1.68 14-2207 s s �j AAA/// gm bldg std 1.00 1.00 714-2203 D (�/a�.�.. �s` Iti'''5.°"'0 5.-. 1.00 Flat SWMF 2 1.00 1.00 88-3027 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: $441.17 Balance Due: $0.00 'Pa 'oday: $441.17 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Recelln 4. 110642 permit is not commenced within 180 days froni the date of issuance or if the permit is not obtained within 180 days from 01-3103 138.49 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 231.85 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 59.90 Arcadia buildinginspector foraperiod of 180 consecutive days. 42227 1.00 PY 714-2203 1.00 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 88-3027 8.25 Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) 14 oFe av,,99i .rte •'. PERMIT/PLAN REVIEW APPLICATION o4.je Development Services Department,240 West Huntington Drive,Post Office Box 60021 .,..Y of v Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia -;': LENSED 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 Coand my license is in full force and effect. I ❑ I have and will maintain a certificate of consent to self-insure for workers' ( ?� I' compensation, as provided for by Section 3700 of the Labor Code, for the License Class License No. 8 t�b?'� Exp. Date J , performance of the work for which this permit is issued. ;Signature of Contractor F., �OWNER-BUILDER D CL RATION nave 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 { 1 is iissued.My worke s'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier �l�G F N demolish,or repair any structure,prior to its issuance,also required the applicant h for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 9/CI 357 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 exempt there from and the basis for the alleged exemption. Any violation of jiG 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 dd/G)/' Signatur 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). 0 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 &� 3,0(1.0-?1,1 Title PrD r E� dsVe7/L� ! J PRINT NAME V 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 /61/e s dsfizt'kt, Development Services Department 240 West Huntington Drive,Post Office Box 60021 \--4."'9,-' Arcadia,CA 91066-6021 PERMIT NO. BOO-053-614 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Comm Add/Alt PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 5/10/2016 CM 15:16 5/10/2016 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 Alta Construction PHONE NO. EMAIL ADDRESS: , CONTRACTOR/PROFESSIONAL MAILING ADDRESS Alta Construction,Inc. 369 E Blaine Street PHONE NO. (951)279-2762 FAX NO. Corona,CA 92879 EMAIL ADDRESS: License No. 890027 Type: B Expires: 7/31/2016 12:00: TENANT MAILING ADDRESS Macy's PHONE NO. FAX NO. DESCRIPTION NEW STORAGE RACKS-MACY'S Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 15,000.00 $15,000.00CAO M P riE ."-;/./4-c._ - -6G OCCUPANCY: Tenant Improve TOTAL VALUATION: $15,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 208.49 208.49 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 320.75 320.75 01-3104 Bldg Issue ADA 32.08 32.08 01-3104 1.00 each Com.Fire Pkc 255.00 255.00 01-3109 SMIP Corn 4.20 4.20 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: $873.12 Balance Due: $0.00 Paid Today: $873.12 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112915 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 208.49 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 397.18 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 01-3109 255.00 Arcadia building inspector for a period of 180 consecutive days. 4-2207 4.20 714-2203 1.00 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 88-3027 7.25 Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance'of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. ' by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) OF AR 4_„Ay ongL 9�7 PERMIT/PLAN REVIEW APPLICATION IV Lk" o ; 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 Co , d 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.` j [ - 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. Si nature of Contractor--— �� O UILDER DICLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section 1:1I 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 N demolish,or repair any structure,prior to its issuance,also required the applicant Q l d for such permit to file a signed statement that he or she is licensed pursuant to the licy Number ll 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. /,fj� Name —� C�lZ-�(� D _ --f rOJ e //41 A- • p 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 /1f Date JJ5//se)//t !,.'.2 Development Services Department 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. Arcadia, CA 91066-6021 BOO-053-436 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 4/26/2016 SC 9:34 5/2/2016 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#: FIRE Los Angeles, CA 90025- EMAIL ADDRESS: Plan Chk#: 16-187 APPLICANT MAILING ADDRESS Skyline Fire Protection PHONE NO. EMAIL ADDRESS: , CONTRACTOR/PROFESSIONAL MAILING ADDRESS Skyline Fire Protection 2824 Cape Dr PHONE NO. (909)734-8504 FAX NO. Corona,CA 92882 EMAIL ADDRESS: License No. 766313 Type: C16 Expires: 7/31/2017 12:00: TENANT MAILING ADDRESS Macys PHONE NO. FAX NO. DESCRIPTION SPRINKS-18 HEADS Construction Type UOM N of Units Value Con io r D Hof Units Value Value Value 2,200.00 $2,200.00 ���' ��� OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $2,200.00 • QTY 110M DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 18.00 each sprinkler pck 637.50 637.50 01-3109 1.00 Flat Fire Issue Auto . 44.35 44.35 01-3112 each Fire Permit 120.35 120.35 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $803.20 Balance Due: $0.00 Paid Today: $165.70 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112774 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 164.70 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 c....______.______7 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) U44-5 FP tC9di bf. PERMIT/PLAN REVIEW APPLICATION 1120 ' -,-41./pi"�� 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 f 11 force and effect. _ _ ❑ I have and will maintain a certificate of consent to self-insure for workers' Licceen`se:Class--C(6 eF`II-=- ,;o. G - l Exp aeYD 7/3�ZOJ7 compensation, as provided for by Section 3700 of the Labor Code, for the e.•oftontfactor A-------- performance of the work for which this permit is issued. Signa 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 My wort 'com�ensati n insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier P 'r?d demolish,or repair any structure,prior to its issuance,also required the applicant +,_ /6 q6 O q4' 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. Name=- =•l•I - s TiEle - v (�� '/!; V 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 ord' nces and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia tooeenter upon the a -mentioned property for inspection purposes. Signature Date 5/0//6 6 rye':,, Development Services Department • k IP 11240 West Huntington Drive,Post Office Box 60021 PERMIT NO. B00-052-951 ."' Arcadia,CA 91066-6021 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 3/2/2016 CM 10:49 3/15/2016 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#: 16-93 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Skyline Fire Protection PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS - - Skyline Fire Protection 2824 Cape Dr PHONE NO. (909)734-8504 FAX NO. Corona,CA 92882 EMAIL ADDRESS: License No. 766313 Type: C16 Expires: 7/31/2017 12:00: TENANT MAILING ADDRESS - . • Macy's PHONE NO. FAX NO. °C 11 P' 1E EJ . DESCRIPTION SPRINKS FOR MACY'S"EXECUTIVE COMM." Construction Type UOM 8 of Units Value Construction Type UOM 8 of Units Value Value Value 850.00 $850.00 • OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $850.00 • QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 6.00 each sprinklerpck 255.00 255.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 57.45 57.45 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 • Total Fees: $357.80 Balance Due: $0.00 Paid Today: $102.80 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112210 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 101.80 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) _ > PERMIT/PLAN REVIEW APPLICATION ik,q wasp ,to \ j. Development Services Department,240 West Huntington Drive,Post Office Box 60021 m-,.a,,,avo Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia ICENSED 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: 7/FIL 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' P License Class G—1 4 Licen e No. ‹(�xp. Date? j`1 r compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor 1 J `.�'� performance of the work for which this permit is issued. OWNER-BUILDER'1'CLARATION ❑ 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 9 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 fori 6_,L____ sale(Section 7044,Business and Professions Code:The Contractors License Date3 5--- C� Signature_ Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and 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. ,�( 1 Name _' S '� I L , �' • Title 1/51.3 oC�� —' K - PRIN . 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-mEIe property for inspection purposes. A Signature8,..„, Date 3 —(5-- `' 6, V ARC Odr A.ry.t 5.1997 23tiaity0i8t MEMORANDUM Fire Department DATE: June 1, 2016 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue (Mobile Storage System) lilac yi S 5-7-eveA6 F :oma ' Pcx5 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 5-20-2016 Jill Perumean COMMENTS: Emailed Bldg. Dept. 5-20-2016 Rita DEPARTMENT OF BUILDING AND SAFETY /0;Z, Action Circ OF ARCANA SPECIAL INSPECTIONS 44444 Buena Vista.Way COUNTY OF Lancaster,CA 93536. (661)202-4072 Office INSPECTION REPORT BUILDING PERMIT NO:. •-1 JOB NO : DATE: / !' JOB NAME ADDRESS - /qi)C/, 7., 1.72,0 O ,coo—r1,1 BALbA)1A),11,4- , /gC.Ab A C .A. • ?/00 7' 'GENERAL CONTRACTOR/ADDRESS ARCHITECT/ENGINEER ADDRESS' CL/4.5-_ _ (-2,/Air /ve SUBCONTRACTOR/ADDRESS /fp`,�'l03/i , (7-0/24(;,(__. WELDER/RECEIPT NO. ' WELDER/RECEIPT NO. ELDDING 8 STRUCTURAL MASONRY e P.T.CO INJECTION OT�LED-IN ANCHORS ❑H.S.BOLT ASSEMBLY 8 DESCRIPTION'OF WORK. OR,ct'klific•A ALL fre//(1.4v( ii- AAr rvA/x; o_c/d 4i_ .J/ S if-o, c d/ ,... .)%-77.-}(L,17-7.0.4 0 or` ,,/A' ''g/ ,'L7 fCg— 7' • �11 e (7 4/,-rC//o�k '- 7 > , -r ' l t �/VI Rit;�i "A ,v cvn, 7"C_ Ac L. 1nj cy/0lz.s (rel( h I b • „f" ,-/L ^/,,,,,e rc__IW,41C (�aVic.i 0,ALC -- -C•C ,aq :. ' , '4/917 , r �'.�• r 0te I�A' -6 - 1Cor—P°T/✓,D.S a)c' 6//Q( �- P1 +(L.5'm • � b _ „ ) 5-4/ --/, 5i`. r//tJ4 )-; c' 1/ZWA/G X0 A_1 ', .7--- /1.JAJ� S// /h/it/6h A%f0A/ _57-. C la©/1 , 6 v - ' CONCRETE GROUTMORTAR BLOCK-PRISMS ,DENSITY' ' _C-113-X' ,c--/9-/ DAILY HOURS/TERMS: MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY _SATURDAY SUNDAY S All inspections based on a 4 hour minimum for each trade Inspected,and over 4 hours is an 8 hour minimum. In addition,any inspections extending . past noon will be an 8 hour minimum.Weekends,holidays,and hours between 6 pm-6 am are paid at time and a half.There Ls a 4-hour minimum charge Ifjob is cancelled for any reason,including rain,and inspector Is not notified in advance.Testing fees vary and will be indicated on invoice. ATTORNEY FEES: If any action at law or in equity is brought to enforce or interpret the terms of this Contract,the prevailing party shall be entitled to reasonable attorney's fees,costs and necessary disbursements in addition to any other relief to which such party may be entitled. CERTIFICATE OF COMPLIANCE—'`--, `-' INSPECTOR'S NAME/( 'C/// J\r C!e -�'f/A' INSPECTOR'S SIGNATURE 4-/ - - INSPECTOR'S ID/LIC.NO.Y C.•C • ©'�2 7i'' has been filed and it states that the above work to the best of his/her knowledge complies with the provisions of the Unifor ,Building Code and meets approved plans and specifications. =,..„..,-. : } APPROVED/AUTHORIZED BY: f' f-> J.r"�-'� Project Superintendent . V White=Office Yellow=Jobsite Pink=Inspector � :k� Development Services Department • 240 West Huntington Drive,Post Office Box 60021 ` ,-- - K 'PERMIT NO. ' B00 052=656 Arcadia, CA 910.66-6021 City of (626) 574-5416 Fax(626)447-9173 Permit T e Tenant Improve Arcadia yP .p o PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 1/28/2016 CM 8:03 3/2/2016 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#: HNRY Los Angeles,CA 90025- EMAIL ADDRESS: Plan Chk#: 16-50 APPLICANT - MAILING ADDRESS PHONE NO. Alta Construction,Inc. 3/ rr'1 ADDRESS: 1 ��'R'G1) ' CONTRACTOR/PROFESSIONAL MAILING' ADDRESS- '� O _ �7 - � 951 NO. Alta Construction,Inc. 369 E Blaine Street PHONE (951)279-2762 FAX NO. Corona, CA 92879 EMAIL ADDRESS: License No. 890027 Type: B Expires: 7/31/2016 12:00: TENANT MAILING ADDRESS Macy's PHONE NO. FAX NO. DESCRIPTION TI FOR MACYS Construction Type UOM 8 of Units Value Construction Type UOM 8 of Units Value Value Value 58,000.00 $58,000.00 OCCUPANCY: Tenant Improve /-71----/--- VALUATION: $58,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 567.65 567.65 01-3103 PC Cal Green 56.76 56.76 01-3103 PC ADA 85.15 85.15 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 873.30 873.30 01-3104 Bldg Issue ADA 87.33 87.33 01-3104 1.00 each T.I.Fire Pkc 255.00 255.00 01-3109 SMIP Corn 16.24 16.24 14-2207 grn bldg std 3.00 3.00 714-2203 1.00 Flat SWIM Auto 6.25 6.25 88-3027 Total Fees: $1,995.03 Balance Due: $0.00 Paid Today: $1,030.47 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112071 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 1,004.98 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 16.24 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 3.00 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) ARe 0/ .1.oFF zo,06f ,. 11' -PERMIT/PLAN RE VIEW APPLICATION o ,. Development Services Department,240 West Huntington Drive,Post Office Box 60021 „Y ay.° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION Ill 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' or License Class 15 License No. �l 6O 7-7 Exp. Date 1 2,0/,, 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 Bit—�.._ / , OWNER-BUILDER D C ARATION W. ave and will maintain workers'compensation insurance,as required by Section • 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 // S 1L 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 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 0 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 2 sale(Section 7044,Business and Professions Code:The Contractors License Date J Z/� ' Signa re 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. 0 N me /'_ri� I< Title /Jv 0 - �� f" 4&c �7'�� PRINT NAME I ertify 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 gree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Acadia to enter upon the above-mentioned property for inspection purposes. Si ature e Date "g7 / NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 3-I y-16 FgA 4-7- 2 100. Setbacks 210. Under flr./bldg.drain .\•1 / 1� 101. Rough grade 211. Copper underslab -�- (� � I= lAf` /l,U.S. 102. Figs.&forms 212. Rough plumbing ` P)�y o L� Zw- EL GD 103. Pre-slab 213. Rough gas " 7"'�'- w�LAS, 104. Floor joists 214. Shower pan / 105. Steel 215. Water heater 3-45----/C 1A- =K 0-3.., 106. Grout lift 216. Roof drains 107. Shear nailing , 217. Building sewer CAI A ((/`- t R1OVW1 .4 108. Diaph nailing 218. Water service 3-/2!C. P/ -144.14tLA-b / s`! 109. Roof nailing 219. Final gas [F ` 110. Framing 220. Fixtures n 5s6�� CS�/vt S! 111. Occ./Area Sept.Wall 221. Final plumbing A-(. 3 14--11? !-G..5o2 D6SPcAr ./ ( 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 3 1-i0 Pc- , & D-1.v. 114. Insulation-Flr. Pool Inspections Date . Insp. t #240...‘ airtm4 L .5 `., 115. Insulation-Wall 240. Excavation/steel /1�(�p�� 2,,� 116. Insulation-Ceil. 241. Rough plumbing (, ni anis ��� C 117. Drywall nailing 242. Light shell/bonding a . 118. Interior lath 243. Underground conduit 3_2/-Z /"6 r�C4I°'t a' Al 4sF r5 119. Exterior lath 244. P-trap 120. Finish.rade • 245. Gas line&test .t._./• 'i M&4 DAPXYA,G L iti 121. Final building - 246. Fence,gates&signs " rep 122. Final demo/lot clear 247. Pool heater FGc.x.sA l.CSP<C 248. Final electric 3--3::3-e C. /Z ) 4t_ s ./-T acs""S Electrical Inspections Date Insp. 249. Final.lumbing 150. Power pole 250. Pool cover DE61./2TMe-,44FAA � T G,�GS 151. Sales lot lighting 251. Pool final t 4'A/4/-t F_j•LT � 152. Under.round conduit 153. Underslab conduit Reroof Inspections Date Insp. el., -'.1( �•�^-� ' r °` 154. UFER ground 270. Pre-reroof insp. Q.i % 11-4-1‘. /6/ 155. Water ground 271. Roof framing n.t.. &_O/� Vet-X __N 156. Rough electrical 272. Sheathing nailing rd.k,- J �j.+G7� 157. Fixtures 273. Final reroof 3 no Ft-c602 Q Ali . 4i-C-16 158. G.F.C.I. 159. E•It.bondin. Sign Inspections Date Insp. 160. Service panel1r. 280. Setback/overhang Ld 161. Final electric /C X81. Footing 282. Conduit/wiring 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 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 4 OV ARC Py1FOnly, 4• et* •e' INS Aaryrt 5.1901 41110tiaity oil MEMORANDUM Fire Department DATE: April 19, 2016 TO: BUILDING DEPARTMENT INSPECTOR Chris Ingram FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue (Macy's Executive Comm) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 3-23-2016 Jill Perumean FIRE ALARMS TANKS HOOD & DUCT KNOX BOX OCCUPANCY 4-13-2016 Jill Perumean COMMENTS: Emailed Bldg. Dept. 4-13-2016 Rita