HomeMy WebLinkAboutUntitled (2) <�w•-'. Development Services Department _ ,
e 240 West Huntington Drive,Post Office Box 60021 PERMIT NO.
Arcadia, CA 91066-6021 BOO-052=482
City of (626) 574-5416,Fax(626)447-9173
Arcadia .Permit Type: Tenant Improve wienerg;
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
1/14/2016 CM 12:41 3/23/2016 • Issued
ADDRESS NO. Dir.Prefix - Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO.CODE
400 S Baldwin Ave T-387
OWNER MAIUNG ADDRESS - _
Westfield Corporation,Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: HNRY
Los Angeles, CA 90025- EMAIL ADDRESS:
Plan Chk#: 16-07
APPLICANT MAILING ADDRESS Plan#: • 31878
National Commercial Builders PHONE NO.
EMAIL ADDRESS: ,
CONTRACTOR/PROFESSIONAL MAIUNG ADDRESS •
• -
National Commercial Builders 41951 Remington Ave#230 PHONE NO. (951)302-8200 FAX NO.
Temecula,CA 92590 EMAIL ADDRESS:
License No. 963177 Type: B Expires: 7/31/2017 12:00: .•
•
TENANT MAIUNG ADDRESS
Adidas PHONE NO. FAX NO.
5 0 Oh P,E10
DESCRIPTION
T.I.AND STORAGE RACKS
Construction Type UOM 8 of Units Value Construction Type UOM 8 of Units Value
Value Value 225,000.00 $225,000.00
T<,seFl- S ---2-C—i& il -
`
OCCUPANCY: Tenant Improve TOTAL VALUATION: $225,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 1,356.23 1,356.23 01-3103
each Energy p/c fee 459.03 459.03 01-3103
PC ADA 203.43 203.43 01-3103
PC Cal Green 135.62 135.62 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 2,086.50 2,086.50 01-3104
Bldg Issue ADA 208.65 208.65 01-3104
1.00 each T.I.Fire Pkc 245.00 245.00 01-3109
SMIP Com 63.00 63.00 14-2207
grn bldg std 9.00 9.00 714-2203
1.00 Flat SWMF Auto 6.25 6.25 88-3027
Total Fees: $4,817.06 Balance Due: $0.00 Paid Today: $2,417.75
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112301
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 2,339.50
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 63.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-22039.00
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)
or ARC
9
4��Lir•ogry�� �
°~ _ PERMIT/PLAN REVIEW APPLICATION
• IDevelopment Services Department, 240 West Huntington Drive,Post Office Box 60021
'.,4,.ak„o�tv Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LIICENSED 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:
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 6 L' No.9G I1-1- Exp. Dated I I I/ 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 - i.►
OWNER-BUIL 1 ' 1 ;,�• ' ;TION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under pena -= ry 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
❑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 / ,A . j Title V. • (A.
PRINT NAME
I certify that I haver••: •' 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 comp • with all y ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter •n the • :i ve-mentioned property for inspection purposes.
Signature • Date 2 l
13(56 -
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. g Gdc,
100. Setbacks 210. tinder ft./bldg.drain
101. Rough grade 211. Copper underslab tDE/r'll zt/`dG 4rs14uC..S, d5«
102. Figs.&forms 212. Rough plumbing -/9-/6 ? 6D� rFje-4r''+679 47.1144.4_5 ey-F
103. Pre-slab 213. Rough gas GG
104. Floor joists 214. Shower pan 491.14.471,
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer I '546 t/4. 4. 1 Z4p11 A(G f
108. Diaph nailing 218. Water service f{ ECEC, du t4414.1.4" OK
109. Roof nailing19. Final gas
110. Framing ' j' -` 0-',.../2220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing 5-14 ��� j-iU-ec 7 A-At 'nsr4mz e ..0 4o
112. Sound walls 222. Sewer cap/demo.
113. T-bar grid `G iZrD tnTi( 1�G
114. Insulation-Flr. Pool Inspections Date . Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 45. Gas line&test
121. Final building 5-21--GC �G`"
1 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final.lumbing
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground 71. Roof framing
156. Rough electrical (-/9_./ 0:-/272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Eqpt.bonding Sign Inspections Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric 5-03-/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 Miscellaneous Insp. I 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. Cesspool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
•
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AV City;of Arcadia h
Development Services Department - .Building Division • ®• ®®
alri�I This certificate issued pursuant to the requirements.of Section 109 of the .
`Uniform Building Code certifying that at the.time.of issuance this structure was in
1 f compliance,with the various ordinances of the City regulating.building.construction or use.
gr.'
Permit No. X00-052-482 ` .
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ilit' -'.
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Ill Building Address: 400 S Baldwin Ave,Arcadia,CA 91007 'IA
ti 1r(g, Use Classification: Tenant Improve Effective UBC: 2013 C.B.C.
A OR
all , Permit Type: Tenant Improve w/energy zone Code:' . C-2 DH8 �
s , I t
Occupancy Code: M Type of Construction: • TYPE'II 1 HR t
® Q Final Date: 5/26/2016 '',
(50
7. ®��y5.
ikii Owner: Westfield Corporation,Inc. .;Ilit" `isTenant: Adidas (
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:. Development Services Department .
t ,1191, 4 240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 PERMIT NO. BOO-053-780
City of (626) 574-5416,Fax(626)447-9173
Arcadia Permit Type: EMP Combo
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
5/24/2016 CM 8:09 5/24/2016 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:
APPLICANT MAILING ADDRESS
National Commercial Builders PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
National Commercial Builders 41951 Remington Ave#230 PHONE NO. (951)302-8200 FAX NO.
Temecula, CA 92590 EMAIL ADDRESS:
License No. 963177 Type: B Expires: 7/31/2017 12:00:
TENANT MAILING ADDRESS
Adidas I(I�II�II IIn�IL12lr PHONE NO. FAX NO.
DESCRIPTION , (: L:/V'U��`�`� �
EMP FOR TI
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
i
RA/4-e- - -GG l�r d
OCCUPANCY: v TOTAL
TAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
1.00 flat Elec issue 44.35 44.35 01-3105
1.00 Flat Mech issue 44.35 44.35 01-3105
1.00 Flat Plmbg issuance 44.35 44.35 01-3105
1.00 Flat Corn sv 200-1000 62.13 62.13 01-3105
1.00 each Water Closet 12.46 12.46 01-3105
1.00 each Lavatories 12.46 12.46 01-3105
32.00 Flat Add/AlterDucts 300.16 300.16 01-3105
82.00 each Outlets 90.00 90.00 01-3105
87.00 each Ltg fixtures 95.00 95.00 01-3105
2.00 branch cin Signs eke 59.17 59.17 01-3105
1.00 Fixtures Plmbg fixture 12.46 12.46 01-3105
1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 Flat SWMF 2 1.00 1.00 88-3027
Total Fees: $779.89 Balance Due: $0.00 Paid Today: $779.89
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 113066
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 776.89
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 3.00
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
r.N........1
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
LPL1FOl�,/C 'Y
no. PERMIT/PLAN REVIEW APPLICATION
411 )10
Development Services Department,240 West Huntington Drive,Post Office Box 60021
o\Y � Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force andeffect.. I ) ❑ I have and will maintain a certificate of consent to self-insure for workers'
LicenseClass d nse•No:- 6;117
(-Exp--Date`? 3 1 117 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 Contracto
OWNER-BUIL I r,E7 ON ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under enalty•• • :t 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 fo i. '-• reason(Section 7031.5,Business and Professions is issued.My workers'/�o pensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier�l G1� t—►�
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 PolicyNumber--
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.
L
Name-_ L • L'l V L V V Wi�i� Tif de c U t2 .�'
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
iircadia`to_enter :a to• .:a ve-mentioned property for inspection purposes.
Signatur Iwo Date
� Development Services Department
r 240 West Huntington]brive,Post Office Box 60021
` •
' ' rPERMIT NO., B00-052-917
Arcadia, CA 91066-6021
City of (626) 574-5416 Fax(626)447-9173
Arcadia ;Permit Type: Sign
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
3/1/2016 CM 9:54 3/1/2016 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. • -" ; `t'""' - ..
Westfield Corporation,Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO.
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS " " -
Mega H Z PHONE NO.
CONTRACTOR/PROFESSIONAL MAILINGADDRESS II `' 1rEMDRE
b u��
Mega H.Z.Electric 1290 Monterey Pass d IJ ll 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 - "• - '
Adidas PHONE NO. FAX NO.
DESCRIPTION - - -
NEW ILLUMINATED SIGN-ADIDAS
Construction Type UOM #of Units Value Construction Type UOM 8 of Units Value
Value Value 4,500.00 $4,500.00
OCCUPANCY: Sign TOTAL VALUATION: $4,500.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
Sign plan rev 86.10 86.10 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 153.75 153.75 01-3104
1.00 flat Elec issue 44.35 44.35 01-3105
1.00 branch cin Signs elec 59.17 59.17 01-3105
1.00 each Sign Connection 15.55 15.55 01-3105
1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $405.27 Balance Due: $0.00 Paid Today: $405.27
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112053
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 86.10
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 198.10
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
ce.............)
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~A oFF `9 s
ti ; 'Jr117 PERMIT/PLAN REVIEW APPLICATION
'nom ky
o\ . Development Services Department,240 West Huntington Drive,Post Office Box 60021
ocv 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,a d my license is in full force and effect. El have and will maintain a certificate of consent to self-insure for workers'
hicense C1assC��/e-4 tee a No MS0-1P) Epp_Date-6_.30.v compensation, as provided for by Section 3700 of the Labor Code, for the
_ performance of the work for which this permit is issued.
Si e of Contract-
OWNER-BUILDER DECLARATION 13 1 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 ,p�is--i�ss-s-ued._My wormers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, t-Garrer-13C4 Ct^^" (A/VDU
demolish,or repair any structure,prior to its issuance,also required the applicant r---------At,
COOl
for such permit to file a signed statement that he or she is licensed pursuant to the Policy-Number a
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.
Naive [_/+�- �� Tithe^--•C���'1"P—/� [ �
,. PRINT NAME
6Y
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 abov - entioned property for inspection purposes.
Signature Date
40, Development Services Department
r
240 West Huntington Drive,Post Office Box 60021 PERMIT NO. $QQ_053_079
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
3/16/2016 CM 10:16 3/22/2016 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#: 16-112
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
BEC PHONE NO.
(� W:g
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL ' MAILING ADDRES ,1 \ \\
n(��nl� ,L1� •
Building Electronic Controls Inc. 2246 ItEu�lfll PHONE NO. FAX NO.
Glendora,C 91740 EMAIL ADDRESS:
License No. 729905 Type: C Expires: 11/30/2016 12:01 •
TENANT MAILING ADDRESS
ADIDAS PHONE NO. FAX NO.
DESCRIPTION •
FIRE ALARMS FOR ADIDAS
Construction Type UOM Hof Units Value Construction Type UOM H of Units Value
Value Value 8,200.00 $8,200.00
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $8,200.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
15.00 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 220.55 220.55 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027 I
Total Fees: $903.40 Balance Due: $0.00 Paid Today: $265.90
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 112281
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 264.90
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)
14 of ARC Rn'C9�
v
riliPIAT 19 PERMIT/PLAN REVIEW APPLICATION
14.1 iiiimi•:4g/I1 t
; j. Development Services Department,240 West Huntington Drive, Post Office Box 60021
°ot„°tN° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
(i]'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'
Lic°1e n e Class'�!�� License No.7 '�gLQ =—Exp:Date i I/307i compensation, as provided for by Section 3700 of the Labor Code, for the
SignatureiofrContractor q1111 �,' �!► performance of the work for which this permit is issued.
1
OWNER-BUILDER DECLARATION ave 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:arn
Code.Any city or county which requires a permit to construct,alter,improve, Cey 1x011 "PCC
demolish,or repair any structure,prior to its issuance,also required the applicant c--- .�_; ' C \ Ai\O2_
for such permit to file a signed statement that he or she is licensed pursuant to the Policy�Tumber'�
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.io ` c� /�
Name-VAI (j() 1 TO\NT \c-.- Y Tie L AME
\ r — /1 A
1,
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- • tioned property for inspection purposes.
AA.Aldt 2-2-/ ILO
Signature 11 ' Date
Development Services Department
240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-052-903
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
2/29/2016 CM 10:16 4/11/2016 . 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#: 16-86
Los Angeles,CA 90025- EMAIL ADDRESS: _ - -
APPLICANT MAILING ADDRESS
Allready Fire Sprinkler Co PHONE NO.
•
COI
1 n���� (MAIL ADDRESS:CONTRACTOR/PROFESSIONAL MAILING ADDRESS f I IJ uU J PHONE NO. (626)913-6720 FAX NO.
Allready Fire Sprinkler Co 818 N Grand Ave
Covina, CA 91723 EMAIL ADDRESS:
License No. 358795 Type: C16 B Expires: 7/31/2017 12:00:
TENANT MAILING ADDRESS .
Adidas PHONE NO. FAX NO.
DESCRIPTION
FIRE SPRINKS FOR ADIDAS
Construction Type UOM H of Units Value Construction Type UOM 8 of Units : Value
Value Value 7,600.00 $7,600.00
OCCUPANCY: Fire Sprink/AIm TOTAL VALUATION: $7,600.00
QTY DOM DESC AMT AMT PAID ACCT QTY 110M DESC AMT AMT PAID ACCT
60.00 each sprinklerpck 637.50 637.50 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 203.85 203.85 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
•
Total Fees: $886.70 Balance Due: $0.00 Paid Today: $249.20
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt 8: 112495
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 248.20
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)
4 oF
° FO 'C9d
~ ,7,, V PERMIT/PLAN REVIEW APPLICATION
01.4 legal •41,
o\0j• Development Services Department, 240 West Huntington Drive,Post Office Box 60021
tyo 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:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,an my license is in ful o ct. �f )c/ ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class / License No. Exp. Date j 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 12 I have and will maintain workers'compensation insurance,as required by Section
❑ ereby 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 wo r 'co pensatiog i sur ��ca;rie anpolicy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier yG(v/ J�/ �iJ Fy'
demolish,or repair any structure,prior to its issuance,also required the applicant goo
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 5 56v �"J a /'�
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hu dred 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 o ` 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 Cod ,I shall
7
❑I, as owner of the property, or my employees with wages as their sole forthwith comply wr those provisions.
compensation,will do the work,and the structure is not intended or offered fort/ — j f/1/
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:
ILender's Name
Lfe--
Date //--/ 1,SignatureLender's Address
/
2(vv1/4"...eroK
IMPORTANT: APPLICATION IS '-'B 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.
, - _Of.,c...4...., ,_..),If c
Name A V ' I Title
PRINT NAME
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.
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 above-mentioned property for inspection purposes.
7( 1/1,2,..87(-- f�--�S nature Date 1--F-Ii--)
/
I
ti4V(3 F �dr
V 7
Ar..Tri'03a -10
°�Atruaity of MEMORANDUM
Fire Department
DATE: May 25, 2016
TO: BUILDING DEPARTMENT
INSPECTOR Henry Kemich
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 400 S. Baldwin Avenue, E14 (Adidas)
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 5-18-2016 Jill Perumean
FIRE ALARMS 5-20-2016 Jill Perumean
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 5-24-2016 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 5-25-2016 Rita