HomeMy WebLinkAboutUntitled (2) r.� , Development Services Department •
r
240 West Huntington Drive Post Office Box 60(::1= PERMIT NO.
Arcadia, CA 91066-6021 BOO-053-205
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
3/31/2016 CM 15:59 9/12/2016 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#: 16-136
APPLICANT MAILING ADDRESS
Plan#: 32058
Master Enterprises,Inc. PHONE NO.
'f EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL 1MAILen
A�D Mk %$$, 0
Master Enterprises,Inc. 02YR A PHONE NO. (626)442-1821 FAX NO.
South El Monte,CA 91733 EMAIL ADDRESS:
License No. 622619 Type: B C20 HIC Expires: 7/31/2017 12:00:
TENANT MAILING ADDRESS
Emc Seafood PHONE NO. FAX NO.
,
DESCRIPTION
TI FOR LANEWAY PROJECT-EMC SEAFOOD
Construction Type UOM N of Units Value Construction Type UOM #of Units Value
Value Value 450,000.00 $450,000.00
/114 ".12-Z1 -t6
OCCUPANCY: Tenant Improve TOTAL VALUATION: $450,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 2,365.35 2,365.35 01-3103 8.00 each Power I hp 60.96 60.96 01-3105
each Energy p/c fee 800.58 800.58 01-3103 3.00 each Fan-vent single 28.14 28.14 01-3105
PC ADA 354.80 354.80 01-3103 2.00 each Dishwashers 24.92 24.92 01-3105
PC Cal Green 236.54 236.54 01-3103 7.00 each Floor sink 87.22 87.22 01-3105
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 6.00 each Floor drain 74.76 74.76 01-3105
each Bldg permit 3,639.00 3,639.00 01-3104 70.00 each Outlets 80.80 80.80 01-3105
Bldg Issue ADA 363.90 363.90 01-3104 115.00 each Ltg fixtures 125.80 125.80 01-3105
1.00 flat Elec issue 44.35 44.35 01-3105 9.00 outlets Gas piping 27.91 27.91 01-3105
1.00 Flat Mech issue 44.35 44.35 01-3105 1.00 each Wtr htr/vent 15.55 15.55 01-3105
1.00 Flat Plmbg issuance 44.35 44.35 01-3105 1.00 branch cin Signs elec 59.17 59.17 01-3105
1.00 each Comm svc<200 a 31.43 31.43 01-3105 2.00 each Evap cooler 28.22 28.22 01-3105
3.00 each Fum<100,000btu 56.22 56.22 01-3105 2.00 Fixtures Urinal 24.92 24.92 01-3105
4.00 each Water Closet 49.84 49.84 01-3105 1.00 each T.I.Fire Pkc 255.00 255.00 01-3109
2.00 each Lavatories 24.92 24.92 01-3105 SMIP Corn 126.00 126.00 14-2207
5.00 each Distrib panel 77.75 77.75 01-3105 gm bldg std 18.00 18.00 714-2203
3.00 each Hood •
42.33 42.33 01-3105 1.00 Flat SWMFAuto 6.25 6.25 88-3027
9.00 each Kitchen sinks 112.14 112.14 01-3105
Total Fees: $9,378.82 Balance Due: $0.00 Paid Today: $5,366.55
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 114211
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 4,047.25
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 1,166.05
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 126.00
Arcadia building inspector for a period of 180 consecutive days. 714-2203 18.00
88-3027 9.25
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)
OFFo Rc, 7 •
0 PERMIT/PLAN REVIEW APPLICATION
; i(i�j Development Services Department,240 West Huntington Drive,Post Office Box 60021
oSN° 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 forceffect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class b.C1, License No.6.�/7i r Exp. Date 70( compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Si ture of Contractor
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance c er and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier � W
� ,t4Aft/ tiv�tt,vw'tt_
demolish,or repair any structure,prior to its issuance,also required the applicant I d _ V,
for such permit to file a signed statement that he or she is licensed pursuant to the Po icy Number �'!n'�
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is fne 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 Qgi."--41,--2`-
sale(Section 7044,Business and Professions Code:The Contractors License Date (/(1 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 riam �Prt�__ itle }^Q
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 Dae 1(�
(0/,‘
NOTES
100. Setbacks 210. Under fin/bldg.drain P. /42546 AP>PgaVaV sa574.GL,
101. Rough grade 211. Copper underslab \r".72.•' r Sr �•YGe. F6/�/s2/�-Si
102. Figs.&forms 212. Rou h lumbin I ��-2//t /S L/444672. F/ 1141AS
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan 1/
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 nailing 219. Final gas
110. Framing fO47-&' 220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing
112. Sound walls 22. Sewer cap/demo.
113. T-bar.rid Z-i-600
114. Insulation-Fir. - Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing Jo 27.1 *-770/242. 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 12-22-/4.��%" , 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final dumbing
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 271. Roof framing
156. Rough electrical I _3._ 6 272. 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 12-fpom 280. Setback/overhang
161. Final electric fZ ZZ die - .1281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp." 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC /� �p �r� Miscellaneous Insp. Date I Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. Date I Insp.
191. Final mechanical !Z Z .C- i�A' 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
1
10;',411,104) 1,
rte. n�:.-• � rti f"�r ',� f � '^�• � • •�t � �aA* iiii,t;
1 ..,, � . `i 1 ps I %', 0 1r 1�� 1t >J e�► u .tt ,1� 11 IP '"` / 1.1 * 1 'l `1lk rP l rr.
\ ��� tlmatottem• �v�.'..�ts�
o ,*.'OA
0u I V� ,✓
t ----,,14,:.11'°01
Y
0.,...,,
rilikil
ilikIPM
litz4 -A
r� i v6 ›ift—
; J � o Ir,. +Ry
{ �'9AAT89',nn
„,'
ry ` Ceti icate ofOccupancy.� p cy
s, Ai City of Arcadia p
,"�ln^! 4r ,r'
4 Development Services Department - Building Division k .
f .167C
v � This certificate issued pursuant to the requirements of Section 109 of the Is y
® Uniform Building Code certifying that at the time of issuance this structure was in pi...!,
�g� compliance with the various ordinances of the City regulating building construction or use.
A'':11, * I� i:r ti, r l
® Permit No. B00-053-205
`"" A� Building Address: 400 S Baldwin Ave,Arcadia,CA 91007IiiikA
',
i 011*
Use Classification: Tenant Improve Effective UBC: C.B.0 2013 / Fe� t Permit Type: Tenant Improve w/energy Zone Code: C2-DH8 l
&\\
IOccupancy Code: BT e of Construction: 'yp TYPE II 1HR SPItINKLERED ���
® '�-Final Date: 12/28/2016 ' ® �—�
Owner: Westfield Corporation,Inc. I �.
n0S
_ / Tenant: Emc Seafoo
,-, ,...
„A
v 41 i
((
. . aik ___.j
Don Stockham,Buil.ing Official $' 0
r� POST IN A CONSPICUOUS PLACE I , "
, DK
1
44
1', � �L tNTOelt 1 _4 It � .�0hAt dt i1 .� Lt tie.74, r►. t1 1� drIS' 1t 1v .41IAA 6t ,Ilv - 1111104-z—
'•
J4
, Development Services Department
t-I 240 West Huntington Drive,Post Office Box 60021
Arcadia, CA 91066-6021 PERMIT NO. B00-054-769
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
9/15/2016 CM 10:36 10/31/2016 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#: 16-434
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
Building Electronic Controls Inc. PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Building Electronic Controls Inc. 2246 Lindsay Way PHONE NO. FAX NO.
Glendora, CA 91740 EMAIL ADDRESS:
License No. 729905 Type: C Ex i s;[211170/,(iii x,0(
..fix ,.F a !L .s
TENANT AILIIl3 ADDRESSt `L - $ •.11
Emc Seafood And Raw Bar
4 Kfa, ik&I b, PHONE NO. FAX NO.
DESCRIPTION
EMC SEAFOOD AND RAW BAR 36 FIRE DEVICES
Construction Type UOM 8 of Units Value Construction Type UOM #of Units Value
Value Value 16,360.00 $16,360.00
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $16,360.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
36.00 each fire alarm pc 2 765,00 765.00 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 354.15 354.15 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $1,164.50 Balance Due: $0.00 Paid Today: •
$399.50
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 114813
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 398.50
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit ' 88-3027 1.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
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 ARC
�PUFORy�"
°~ Wm.
I' PERMIT/PLAN REVIEW APPLICATION
j Development Services Department,240 West Huntington Drive,Post Office Box 60021
Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class G110 License No/ _ Exp. Date(I I jJCJ/` •, 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 0..r\dia I4 c0^
OWNER-BUILDER DECLARATION ] I have and will maintain workers'compensation insurance,as required by Section
IDI hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation
pinvs�ura—�t.Clvnce carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier -22Q'(\•CA(\ 1N
demolish,or repair any structure,prior to its issuance,also required the applicant G�{ i �,/ ,, \
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number W 1 Vl lX �`l
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 fo .la` L --VCAVTC- Title ' 11 iN A _/�Vti•ma
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 t • .Bove-mentioned property for inspection purposes.
1111A.�
Signature �m 1� �,� \ Date 54/ U!
r. Development Services Department
f rig 240 West Huntington Drive,Post Office Box 60021
Wit% Arcadia, CA 91066-6021 PERMIT NO. BOO-054-954
City of (626) 574-5416,Fax(626)447-9173
Arcadia Permit Type: Fire T;
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
10/3/2016 CM 13:05 10/10/2016 Issued
ADDRESS NO. Dir.Prefix : Street Name-- _ Street.Suffix-UNIT ;. _ BLG ASSESSORSPARCEL NO. GEO CODE -
400 S Baldwin Ave T-387
OWNER MAILING.ADDRESS
Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 16-461
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT - MAILING ADDRESS
Aliready Fire Sprinkler Co. PHONE NO.
-17:r ,t7t Lti t EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL511.MAI inG 'y
ti. ,0
Aliready Fire Sprinkler Co. - :18 PHONE NO. C267 Grand Av ( )913-6720 FAX NO.
Covina,CA 91723 EMAIL ADDRESS:
License No. 358795 Type: C16 Expires: 7/31/2017 12:00:
TENANT MAILING ADDRESS
Emc Seafood PHONE NO. FAX NO.
DESCRIPTION - -
FIRE SPRINKLERS FOR EMC SEAFOOD
Construction Type UOM #of Units Value Construction Type UOM if of Units Value
Value Value 8,000.00 $8,000.00
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $8,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
34.00 each sprinkler pck 637.50 637.50 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 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
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from Receipt#: 114589
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 248.20
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 88-3027 1.00
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)
o~4°FF kvi9df
,=s v, PERMIT/PLAN REVIEW APPLICATION
�� Development Services Department,240 West Huntington Drive,Post Office Box 60021
\Yc�� 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 Co e,and/ y license is in ful.fo - ..d effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class / Lic- s-,4.- d Ex . Date 1 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 have and will maintain workers'compensation insurance,as required by Section
OWNER-BUILDE'4 LARATION
IDI hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued. `wfir rs n nAi uur n—cecarrie d poli y fibers are:
Ai
Code.Any city or county which requires a permit to construct,alter,improve, Carrier Y 1 /`� //Q L �/'�
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number Vv_5.3 / , �� 16 ,
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 ❑II 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 /0-ID-l&
1" t.J
sale(Section 7044,Business and Professions Code:The Contractors License Date Signature
Law does not apply to an owner of property who builds or improves thereon,
or who does such work himself or herself or through his or her own
employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful,
sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
attorney's fees.
❑I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY
who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency
contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097,
Civil Code).
❑ I am exempt under Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date Signature Lender's Address
IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND
RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING:
1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel.
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings
and structures.
3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909) 396-2000 for
further information.
n
Name _ O
_...0 � �� Title 9--
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.
/0 —10--/C.--/C.Signature4:)/11 /ovDate
r4 Development Services Department
240 West Huntington Drive,Post Office Box 60021 PERMIT CA 91066-6021 ERMIT NO. $QQ-054-805
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
9/20/2016 CM 10:18 9/22/2016 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#: 16-441
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
United Fire Service,Inc. PHONE NO.
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
United Fire Service, Inc. 8110 Remmet St 10 PHONE NO. (818)346-2499 FAX NO.
Canoga Park, CA 91304 EMAIL ADDRESS:
License No. 822177 Type: C Expires: 7/31/2017 12:00:
TENANT MAILING ADDRESS
Emc Seafood PHONE NO. FAX NO.
DESCRIPTION - n il.
WA 9FIRE SUPPRESSION SYSTEM FOR I S et00 , _, tt .
Construction Type UOM #of Units Value Construction Type UOM N of Units Value
Value Value 1,700.00 $1,700.00
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $1,700.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
16.00 each Fire Ext.Sys. 765.00 765.00 01-3109
1.00 Flat Fire Issue Auto 44.35 44.35 01-3112
each Fire Permit 91.05 91.05 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $901.40 Balance Due: $0.00 Paid Today: $136.40
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 114336
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 135.40
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Fridayof
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)
AR
4..0F /0„49.0
PERMIT/PLAN REVIEW APPLICATION
0,4 IREERBE „10
j° . Development Services Department,240 West Huntington Drive,Post Office Box 60021
°cNArcadia, 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 pry license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class !,`fe License No. I ZZ 177 Exp. Date 7-3(.-/ compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit
License Law for the following reason(Section 7031.5,Business and Professions is issued.My worke s'compensation insurance carrier and policy numbers are:
�Jco
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 Policy Number t,../1--3C , Zb)55
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 ❑ 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 d'l f t -' SL(ik-ri'L,
Title
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
I
Signature Date