HomeMy WebLinkAboutUntitled Development Services Department
7240 West Huntington Drive,Post Office BO(6002-t
,tt• PERMIT No. B00=051-430_
'` =.61 Arcadia, CA 91066-6021
City of (626) 574-5416,Fax(626)447-9173 r
Arcadia Permit Type: Tenant Improve
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
9/15/2015 JB 11:56 2/24/2016 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE.
400 S Baldwin Ave #2285 T-387
OWNER - MAILING ADDRESS' -
Westfield Corporation,Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 15-577
^ Los Angeles, CA 90025- EMAIL ADDRESS: I
�(
APPLICANT • 10/.v
I'����D 3 50
Vt Construction V PHONE NO. D ///
EMAIL ADDRESS: _
CONTRACTOR/PROFESSIONAL ' MAILING ADDRESS I�`�, eS .. �7
V T Construction 1420 N Bristol St 220 PHONE NO. (714)330-0096 FAX NO. •� 2ac.�t�a1Z
Newport Beach,CA 92660 EMAIL ADDRESS: ,. -GZ% .C/i`C/ 6
License No. 590997 Type: A B C10 Expires: 3/31/2016 12:00:
TENANT MAILING ADDRESS f/� r
Buddy Chicken PHONE NO. FAX NO. Vt� ,te
6 -22 14%
f
DESCRIPTION - - -TENANT IMPROVEMENT-INCLUDES EMP-BUDDY CHICKEN
Construction Type UOM #of Units Value Construction Type UOM #of Units • Value
Value Value 50,000.00 $50,000.00
OCCUPANCY: Tenant Improve TOTAL VALUATION: $50,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 524.23 524.23 01-3103
PC Cal Green 52.42 52.42 01-3103
PC ADA 78.63 78.63 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 806.50 806.50 01-3104
Bldg Issue ADA 80.65 80.65 01-3104 1
1.00 flat Elec issue 44.35 44.35 01-3105
1.00 Flat Plmbg issuance 44.35 44.35 01-3105
1.00 each Floor sink 12.46 12.46 01-3105
1.00 each Floor drain 12.46 12.46 01-3105
6.00 each Ltg fixtures 9.24 9.24 01-3105
1.00 each T.I.Fire Pkc 255.00 255.00 01-3109
SMIP Com 14.00 14.00 14-2207
on bldg std 2.00 2.00 714-2203
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 Auto 6.25 6.25 88-3027
Total Fees: $1,988.89 Balance Due: $0.00 Paid Today: $1,088.61
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#:. 111990
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 931.50
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 122.86
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 01-3109 10.00
Arcadia building inspector for a period of 180 consecutive days. 14-2207 14.00
714-2203 2.00
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)
Uti4 of
1tv,„�
...-1-,.m.,: 07 PERMIT/PLAN REVIEW APPLICATION
il �EDevelopment Services Department,240 West Huntington Drive, Post Office Box 60021
' ...,,Y atv,� Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License-Classj4:-AC"/0 L' - 0,5-74-14 7 Exp--Date-.5_/ f6 compensation, as provided for by Section 3700 of the Labor Code, for the
Signature-of-@on3ra`_ /" c.-e------z....--- performance of the work for which this permit is issued.
OWNER-BUILDER DECLA-' •TION ❑ 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 tinsurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier.-S kONP 1OOKt(e-g.S 6-471"--
demolish,or repair any structure,prior to its issuance,also required the applicant _,�1,6 S3 7//L/
for such permit to file a signed statement that he or she is licensed pursuant to the Poli,y 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. /
Names (F/IvA)(- 7�6iVL Title _. t/P-
\
ro 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-upo, • • , ve-mentioned property for inspection purposes.
`Signatu /ii -110..'--- `, Date - v2'�1 X Y6
565- -4136
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp.
100. Setbacks 210. Under ft./bldg.drain 3-/5.-/C
101. Rough grade 211. Copper underslab 3-15-IC FAAT/A L D. 3. I-
4'
102. Figs.&forms 212. Rough plumbing 3-6`�A/ 5 ' -/‘ ��izzrat-C._ D. ��(i ,f
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan ST Sg.A.GX Baal % •
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing19. Final gas
110. Framing g";14220. Fixtures //�� ����
111. OccJArea Sept.Wall 221. Final plumbing 6j-a`f'7UC 4.)112. Sound walls 222. Sewer cap/demo. �� ��`"'
113. T-bar.rid
114. Insulation-Flr. Pool Inspections Date . Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 41. Rough plumbing
117. Drywall nailing -/�-/�, 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade /� / 245. Gas line&test
121. Final building 2-13-4, /�y/ 246. Fence,gates&signs
122. Final demo/lot clear _ 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final.lumbin.
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit Reroot Inspections Date I Insp.
-
154. UFER ground 270. Pre-reroof insp.
155. Water ground A/271. Roof framing .
156. Rough electrical 3.45-f 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E..t.bondin. Sign Inspections I Date I Insp.
160. Service panel 280. Setback/overhang
161. Final electric 1 281. Footing
282. Conduit/wiring
Mechanical Inspections Date Insp. ' 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC rtIMMIRM91711111MWM11,71111
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date I 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
,.. Development Services Department
. 240 West Huntington Drive,Post Office Box 60021
' iir'
` �'. Arcadia, CA 91066-6021
City of (626) 574-5416,Fax(626)447-9173
ArcadiaPermit Type: Fire
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
4/8/2016 CM 10:40 6/6/2016 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#: 16-149
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Allready Fire Sprinkler Co. () NEEDCOY PHONE NO.
../ JI. EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Allready Fire Sprinkler Co. 818 N Grand Av PHONE NO. (626)913-6720 FAX NO.
Covina,CA 91723 EMAIL ADDRESS:
License No. 358795 Type: C16 Expires: 7/31/2016 12:00:
TENANT MAILING ADDRESS
Buddy Chicken PHONE NO. FAX NO.
,
DESCRIPTION
SPRINKS FOR BUDDY CHICKEN T.I.
Construction Type UOM N of Units Value Construction Type UOM N of Units Value
Value Value 1,400.00 $1,400.00
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $1,400.00
QTY UOM DESC AMT AMT PAID ACCT QTY 1.10M DESC AMT AMT PAID ACCT
3.00 each sprinkler pck 255.00 255.00 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 78.45 78.45 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $378.80 Balance Due: $0.00 Paid Today: $123.80
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the 'eceipt !: .1
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 122.80
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)
of ARO
ti,,,N,,iFo„,v,„„
I' PERMIT/PLAN REVIEW APPLICATION
•
o /• Development Services Department,240 West Huntington Drive, Post Office Box 60021
a..4„Y of N0 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. U I have and will maintain. a certificate of consent to self-insure for workers'
L ense Class l -1.Y!V, t✓icense No.-•�Sg' 4S(ExP
;••Date /)1117- 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 //��
L.----
OWNER-BUILDE`IECLARATION ❑ 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.M workers'c pens�tio ins mace c r d policy numbers are:Code.Any city or county which requires a permit to construct,alter,improve, Carrier ---15,V Pre ,”
- o,t I a
demolish,or repair any structure,prior to its issuance,also required the applicant L.. --— 0 -7 7
for such permit to file a signed statement that he or she is licensed pursuant to the r Policy Number._''�j 3 L S 3 G — 1 & 1
provisions of the Contractors License Law(Chapter 9(commencing with Section (This-section-need-not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a 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.
I C`��,__ ^` 1^ rl
Name-- --ZO C /) Q(LAVt Q` Title - `,T U\('
PRINT NAME
I certify that Lhave 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 o enter upon the above-mentioned property for inspection purposes. 0•6-________
Signature 01\.p4724,12_ Date C/ K/ /6
•l
of Ake
,1,3,1F0144,4,„
yea,
rl apt :.; t-��1►
Aury.e 5.103
�Uaityot MEMORANDUM
Fire Department
DATE: July 18, 2016
TO: BUILDING DEPARTMENT
INSPECTOR Henry Kemich
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 400 S. Baldwin Avenue, #2285 (Buddy Chicken)
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 6-29-2016 Jill Perumean
FIRE ALARMS 6-29-2016 Jill Perumean
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 6-29-2016 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. -7-1-2016 jp
------------
• DEPAR T OF HEALTH SERVICES
COUNTY OF LOS ANGELES PUBLIC HEALTH PROGRAMS &SERVICES y��
ENVIRONMENTAL HEALTH .
b' DISTRICT ENVIRONMENTAL SERVICES `V
PLAN CORRECTION SHEET
•
Date: �f)o�'- 15
DBA: ; 40....• 1 , II
) ' 111&( Plan Check No.'l J 5- I
Plans Submitted By: , - 2 �- �s Phone:(p?gyp-a 7o qq 7
o
Job Address: ' � S •� ]�� �0 ����p
Use of Building: e,
The following corrections must be made to meet legal requirements: -_' �- '', ' , eA a ,
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