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Home My WebLink AboutUntitled jarz.b, Development Services Department 'dr 1 240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021 PERMIT NO. BOO 053-288 Arcadia of (626) 574-5416,Fax(626)447-9173 Permit Type: Tenant Improve w/energ; PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/12/2016 CM 14:21 7/26/2016 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 16-158 Los Angeles,CA 90025- EMAIL ADDRESS: Plan#: 32009 APPLICANT MAILING ADDRESS Comcore Construction, Inc. PHONE NO. EMAIL AD ESS: - CONTRACTOR/PROFESSIONAL ' MAILING ADDRESS `� Comcore Construction, Inc. 1613 Chelsea Rd#2, . Frr ilei (626)616-0865 FAX NO. San Marino, CA 1 , DDRESS: � .t; License Nd. 966885 Type: B Expires: ]0/31/20`9'!1_,.�( TENANT MAILING ADDRESS Monkey Bar PHONE NO. FAX NO. DESCRIPTION T.I. MONKEY BAR (LANEWAY PROJECT) Construction Type UOM 8 of Units Value Construction Type UOM 8 of Units Value Value Value 225,000.00 $225,000.00 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 255.00 255.00 01-3109 SMIP Com 63.00 63.00 14-2207 gin bldg std 9.00 9.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $4,827.06 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#: 113748 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 714-2203 9.00 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. - i (Closed on alternate Fridays) G~4otFA. R,,1, ,;Y� PERMIT/PLAN REVIEW APPLICATION • Ei ' Development Services Department,240 West Huntington Drive,Post Office Box 60021 °'h.4,,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 for e nd effect:--_ - ❑ I have and will maintain a certificate of consent to self-insure for workers' L'-icense Class icense"No. �. (� Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the _.----- /// ✓ performance of the work for which this permit is issued. Signature of Contractor ,i a "\ 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.Mrkers'compens io surance carrier and poli numbers are: Code.Anycityor countywhich requires apermit to construct,alter,improve, Carrier_ - .4u�-. q P demolish,or repair any structure,prior to its issuance,also required the applicant ��'6‘6�e P61icy.Number 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 IDI 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 informati . \ 1 -. gr-Ne 1,./V/j./ itle _AWel/A:e.-- P NT 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- :.°ntio •d property for inspection purposes. k.,..---__-_;'------ .... .,/..7.,,orr,:a1Kr .'-'7-- --VIgd/de---- Signature /� I Date esao - ds-3 -zs-$ NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. -3-/C O K TO t ALSr4-'-< <A4-c- 100. Setbacks 210. Under flr./bldg.drain 101. Rough grade 211. Copper underslab ck"Wi �POr( b,,G 5 t Des Q,�- 102. Figs.&forms 212. Rough plumbing eW oC.G.s103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan q_Zs-z'C INA C �G�/�G 13 105. Steel 215. Water heater ((2Z1 #") ' c!k 70 JAi Su'Gi4-i- e Y 106. Grout lift 216. Roof drains // 107. Shear nailing 217. Building sewer {Q-6_/C /�C - •cre..7- 01< z, 108. Diaph nailing 218. Water service // -cc_ ///a S�-p, <4-Ye22 f if E-0c/1-Srb9Z 109. Roof nailing 219. Final gasS1- 110. Framing Q-Z9`4 ittf 220. Fixtures (c-t Z-x l- e/ '6i or= ,/, /.2.e.-- 111. `111. Occ./Area Sept.Wall 221. Final plumbing I( 2Z-/Cj,4/tof45 Taw-og /i5'4) ,)c -Cr "-"7 112. Sound walls 222. Sewer cap/demo. � C. p / 113. T-bar'rid 16-i9 �K 'Q = L 'Y %�j(� �� 114. Insulation-Flr. Pool Inspections Date . Insp. RRierA014.5 � �6, ....." 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing (C,-6-it ik242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade45. Gas line&test 121. Final building /2-7/6-41,(- Z-7/(/6 J 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date . Insp. 249. Final.lumbins 150. Power pole 250. Pool cover - 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections Date I Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 71. Roof framing 156. Rough electrical I-Z - t ,(71---7.1272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Eqpt.bonding Sign Inspections Date Insp. 160. Service panel tb-24// ,40,-.-" 280. Setback/overhang 161. Final electric (Z-16-, 81. Footing 282. Conduit/wirin. Mechanical Inspections Date Insp. ' 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC 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 I Z-/G-ied 190. Duct shaft Sewers&Offsite Insp. Date I Insp. 191. Final mechanical 6 2-`G C: ��' � 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess Iool filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin c l' •fi 1" l� J ®ill OVA/ft i 1IIP l'A' ArCildin 11: le,i. _-_-_-_-11."1." .1, d.-=// , 'aA� `.e"9 ill lti� �i '� 1 tk�iW re-ittal4totl y e._ _,, ti - - , ,_:.. . f - . " 10,,,,,v-,' ` '� . gym . =y y �. .... L 111 . ._. 411r _ : k-44 loam 4.0, .,,,:.e.,.„. tt, /f/ ..4„0_,.... ,, RAaR�Sbfl �'�\ FSS+ I r , gio4„...,3,., :,,o. )4i, mak, -.,-,..4.?. .- _ Certificate of Occupancy-' ® ji � �� . City of Arcadia .I�?� ;� ti ® � Development Services Department - Building Division )41.:- ._ 1,„10.4: This certificate issued pursuant to the requirements of Section:109 of the : ";77 u Uniform Building Code.certifying that at the time of issuance this structure was in' t P ,(.7,,,,,m::: -' compliance with the various ordinances,of the City:regulating building construction or use:g—. t �� 404\1 i ' ,; " P .ermit-No. B00=053-288 °�� F ;' ' I Building:,Address: 400.S Baldwin Ave,Arcadia,'CA ;91007 . sl i c Use-Classification: Tenant Improve Effective UBC: C:B.0 2013 ,t k -Permit Type: Tenant.Improve w/energy zone Code: C-2-DH8 ®�e�1 Occupancy Code: B -:,- Type of Construction: TYPE II'1 HOUR SPRINKLERED - j i1 � Final•Date: 12/16/2016 : . _ �`� Owner: Westfield Corporation,Inc. ;\ rP It Tenant Monkey Bar 4.ii>,,....1.1 ii _ .. !-. ,6. S 1311I�p'�� , - Don Stockhatn Building.Official- ,'40,/41,1 POST'IN A CONSPICUOUS PLACE ,, ..,›— <' ''IS: 441. ',t,":_-...1,4iii‘, ,___I____,‘„,-.7 • _ . , - lt,..d� r dt....t1 8 It `� 1 alt:."�� d lt: , .. l t`�� X71 1 r--2, 441 � _ - , -4Ti � � t:.-� � It .�kic*° � �� '``_��°�� -;y *�r�'.��'�� ,,�, "��' �'�,�+�o t',��1e � u,,tl�r`��:� `"�'ill.'�� - ,�,�,.�� `'° _ Alt' t'�� , ..40,4— Development Services Depaitnient 14 '' :1� 240 West Huntington Drive,Post Office Box 60021 •'y0 ' PERMIT NO. BOO-054-507 Arcadia, CA 91066-6021 City of (626) 574-5416,Fax(626)447-9173 Arcadia Permit Type: Electrical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 8/15/2016 CM 14:48 8/15/2016 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation,Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Genesis Electric PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL rowed 11 % 01 Genesis Electric Ave PHONE NO. (626)893-0730 FAX NO. is vCA 91790 EMAIL ADDRESS: License No. 855127 -1 Expires: 2/28/2017 12:00: TENANT MAILING ADDRESS Monkey Bar PHONE NO. FAX NO. , DESCRIPTION MONKEY BAR,SUB PANEL 100AMP Construction Type UOM #of Units Value Construction Type UOM #of Units Value ".‘-- ,,,' 0V icA14G _0Z.—,lG rC OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 flat Elec Issue Auto 44.35 44.35 01-3105 1.00 each Distrib panel 15.55 15.55 01-3105 36.00 each Outlets 44.00 44.00 01-3105 12.00 each Ltg fixtures 18.48 18.48 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $123.38 Balance Due: $0.00 Paid Today: $123.38 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 113950 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 122.38 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. 1/ CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m. to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) U~4 oFF Rvicdi 41 J,�IIER„ 7 PERMIT/PLAN REVIEW APPLICATION " Development Services Department,240 West Huntington Drive, Post Office Box 60021 Q. '44a,,Y of*V 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. J El have and will maintain a'certificate of consent to self-insure for workers' License Class C 0 �e License No. g 2 I Exp. Date L-/ �7 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 / Abb. 0 / OWNER-BUILDER DECL I ION ❑ 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 wo k� ers' mpensati insurancearrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier 5 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number ,n 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 ❑ I certify that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of 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 1-ACXTitle� R E 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. e(( (10# ` `� Da ` n Development Services Department ;I- 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. $QQ-054-$13 `- .7S-** Arcadia,CA 91066-6021 • City of (626) 574-5416,Fax(626)447-9173 ArcadiaPermit Type: Plumbing PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 9/20/2016 CM 13:24 9/20/2016 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. Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT - AILI G� D r'-'I-"- Plumbing Professionals - L T PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Plumbing Professionals 938 Huntington Dr P PHONE NO. (626)429-5378 FAX NO. Duarte,CA 91010 EMAIL ADDRESS: License No. 953498 Type: C-36 Expires: 10/31/2016 12:01 TENANT MAIUNG ADDRESS Monkey Bar PHONE NO. FAX NO. I DESCRIPTION PLUMBING FOR MONKEY BAR Construction Type UOM #of Units Value Construction Type UOM 8 of Units Value • OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 Flat Plmbg Issue A 44.35 44.35 01-3105 10.00 each Kitchen sinks 124.60 124.60 01-3105 5.00 each Floor sink 62.30 62.30 01-3105 1.00 each Floor drain 12.46 12.46 01-3105 5.00 outlets Gas piping 15.55 15.55 01-3105 1.00 each Wtr htr/vent 15.55 15.55 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $275.81 Balance Due: $0.00 Paid Today: $275.81 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 114310 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 274.81 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 IF 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 oFc�f ' PERMIT/PLAN REVIEW APPLICATION • iDevelopment Services Department,240 West Huntington Drive,Post Office Box 60021 .44.,,y0(00 Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION r2ktereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C—3 Ce License No. of 53c-fig Exp. Date I 0—31 compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code) or that he or she is I certify that in the performance of the work for which this permit is issued,I shall exempt there from and the basis for the alleged exemption. Any violation of 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 " O T 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 Ji J O(3 tyr \ 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 on the above-mentioned property for inspection purposes. Signature Date 4:0, .. ,t' Development Services Department 1 i 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 PERMIT NO. BOO-054-465 City of (626) 574-5416,Fax(626)447-9173 Arcadia Permit Type: Mechanical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 8/10/2016 CM 10:51 8/10/2016 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAIUNG ADDRESS Westfield Corporation,Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS D S Heating&Air Corp, I . PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL © tqmDRF�FS tu D S Heating&Air Corp,Inc. 42215 12th St PHONE NO. (661)310-3747 FAX NO. Lancaster,CA 93534 EMAIL ADDRESS: License No. 918467 Type: C-20 Expires: 7/31/2018 12:00: TENANT N MAIUNG ADDRESS Monkey Bar PHONE NO. FAX NO. DESCRIPTION MONKEY BAR KITCHEN HOOD,DUCT WORK,EVAPORATIVE COOLER Construction Type UOM N of Units Value Construction Type UOM 8 of Units Value 'C,��ic- !Z lG " e OCCUPANCY: TOTAL VALUATION: $0.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 1.00 Flat Mech Issue Auto 44.35 44.35 01-3105 1.00 each Hood 14.11 14.11 01-3105 1.00 each Fan-vent single 9.38 9.38 01-3105 1.00 Flat Add/Alter Ducts 9.38 9.38 01-3105 1.00 each Evap cooler 14.11 14.11 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $92.33 Balance Due: $0.00 Paid Today: $92.33 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 113905 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 91.33 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 4 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 V~4 Wg ,v4c9dr 19 PERMIT/PLAN REVIEW APPLICATION off % Development Services Department,240 West Huntington Drive,Post Office Box 60021 n'n'nntry of N° Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ipI 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 ofessions Code,and my license is in full force and effect. Sci ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class e-g_.1=> License No. �, g'61b?Exp. Date .... Signature of Contractorcompensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. s 1 i OWNER-BUILDER DECLARATION I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier �! s ` - demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number C 13 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 - is section need not be completed if t i permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ElI, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own — employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon, and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date - - Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for further information. Name R...0 Title 1160-e_.".+— 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 above-mentioned property for inspection purposes. r Signa re ) ..-- 0-if • Date .'/- Development Services Department _11 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. Arcadia,CA 91066-6021 BOO-055-265 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 11/3/2016 CM 11:40 11/3/2016 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation,Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS O. Hydro-Matic Fire Protecti,�a PHONE toipaidEMAIL ADDRESS:RESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Hydro-Matic Fire Protection 1161 Rosedale Avenue PHONE NO. (818)247-9812 FAX NO. Glendale,CA 91208 EMAIL ADDRESS: License No. 718393 Type: C-16 Expires: 6/30/2017 12:00: • TENANT - MAILING ADDRESS Monkey Bar PHONE NO. FAX NO. DESCRIPTION FIRE SPRINKS FOR MONKEY BAR 8 HEADS Construction Type UOM Hof Units Value Construction Type UOM N of Units Value Value Value 1,500.00 $1,500.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $1,500.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 8.00 each sprinkler pck 255.00 255.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 82.65 82.65 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $383.00 Balance Due: $0.00 Paid Today: $383.00 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 114875 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3109 255.00 the date of plan submittal.This permit expires and becoines null and void if any work authorized by this permit 01-3112 127.00 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 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) 1 U�4 oFARe F `446 PERMIT/PLAN REVIEW APPLICATION 0 1 • ili/• Development Services Department,240 West Huntington Drive,Post Office Box 60021 °°a,tv oEw 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 t .t I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 70'i 0,of Division 3 of the Business and Professions Code,and my license'. in 'ill force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class (2—Ie. n J. • .•3` 3 Exp. Dates--.�-E"t 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 DE �/ 'ATION I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perju 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, arrier L...M1D demolish,or repair any structure,prior to its issuance,also required the applicant p 0 5'� for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number �tIe. 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. (Title (Name W.?�(G� �, . Gt3 o�� —pR NAME I certify that I have read this ap' i :do• a + state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply ' h all ty '.r•' a es and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter the . •ove,•ntio ed •roperty for inspection purposes. (S_ i (ate )1--3 IC. Its> .� Development Services Department 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-054-718 i 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 9/15/2016 CM 10:32 9/15/2016 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAIUNG ADDRESS Westfield Corporation,Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 16-423 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAIUNG ADDRESS PHONE NO. 818 335-0816 Edison Fire ( ) �^ 'a �` EMAIL ADDRESS: CONTRACTOR/PROF:S NA MAILING ADDRESS Edison Fire Ext. Co. 3621 Eagle Rock Blvd PHONE NO. (213)259-9999 FAX NO. Los Angeles,CA 90065 EMAIL ADDRESS: License No. 569185 Type: C16 Expires: 5/31/2017 12:00: TENANT MAIUNG ADDRESS Monkey Bar PHONE NO. FAX NO. DESCRIPTION MONKEY BAR FIRE EXTINGUISHER SYSTEM 11 NOZZLES Construction Type UOM 8 of Units Value Construction Type UOM 8 of Units Value Value Value 1,500.00 $1,500.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $1,500.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 11.00 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 82.65 82.65 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $893.00 Balance Due: $0.00 Paid Today: $893.00 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 114258 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3109 765.00 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 127.00 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. I (Closed on alternate Fridays) G400 wv,C9dr e, h PERMIT/PLAN REVIEW APPLICATION tmo 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 a and elf'ect. / Ei I have and will maintain a certificate of consent to self-insure for workers' Li ense Class C 1�0 License No. ,i�/1 I. Exp. Date Shall compensation, as provided for by Section 3700 of the Labor Code, for the Si ature of Contractor V/\D/ performance of the work for which this permit is issued. OWNER-BUILDER D CLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions issued.My wor er ' ompens tion 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 !�C7, p�'c for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number J l �0 J 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 soas 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. r / f A� CName l U`Z v ° ��/J /l/Title ra .VL9 f"tvz.,- PRINT NAlIY I certify that I have read this a ication 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 a City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon t e above-mention d pro ori s)action purposes. (Signature Date yi.c/ S :�fIik Development Services Department r 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. B00_054_659 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 9/1/2016 CM 13:57 9/1/2016 Issued ADDRESS NO. Dlr.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. Plan Chk#: OTC Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAIUNG ADDRESS Building Electronic Controls Inc. PHONE NO. EMAIL ADDRESS: e 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 Expires: 11/30/2016 12:01 TENANT MAILING ADDRESS Monkey Bar PHONE NO. FAX NO. DESCRIPTION MONKEY BAR FIRE DE 151: Cp VIED t, i r E Construction Type UOM 8 of Units Value Construction Type UOM 8 of Units Value Value Value 5,950.00 $5,950.00 OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $5,950.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 18.00 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 170.45 170.45 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 • Total Fees: $853.30 Balance Due: $0.00 Paid Today: $853.30 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 114129 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3109 637.50 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 214.80 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 6)(if Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m. to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) of ARC 1w 11 PERMIT/PLAN REVIEW APPLICATION 00 LEEN Zii) *. Development Services Department, 240 West Huntington Drive,Post Office Box 60021 ,,°t 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 G 0 License No. driafi 0 Exp. Date\\.boi\ 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 � p\ ` OWNER-BUILDER DE 1 LARATION v ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit is issued.My workers'compensation insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions -2-01 CX �,�-1\ 1n Code.Any city or county which requires a permit to construct,alter,improve, ECarr1er 2-U 'A-Men v 9 \[c 1 demolish,or repair any structure,prior to its issuance,also required the applicant I`P �^r r,qui �` \\ 0`\-- for such permit to file a signed statement that he or she is licensed pursuant to the (—Policy Number V v lJ 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. �r� p,� fmeNaV � �1J✓C Title N-NA6�-�kJ� �� PRI 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 i ov• • entioned property for inspection purposes. Signature � ` C�Date f/ \ / \ ��'SLof.os4,tc� COUNTY OF LOS ANGELES• DEPARTMENT OF PUBLIC HEALTH �oI `1n ENVIRONMENTAL HEALTHc(--- )1.16 + : /% 1, �{ �� Vii..'1g + BUREAU OF SPECIALIZED SURVEILLANCE AND ENFORCEMENT +k-' / yf PLAN CHECK PROGRAM-BALDWIN PARK COUNTY OF LOS ANGELES x' x 5050 COMMERCE DR,BALDWIN PARK,CA 91706 Public Health PHONE: (626)430-5560 WWW.PU BLIC HEALTH.LACOU NTY.GOV/EH PLAN CHECK OFFICIAL INSPECTION REPORT DATE 12/15/2016 EHS JESS BARRIOS PLAN CHECK NUMBER SR0066985 PROGRAM ELEMENT 1773-EXPEDITED- RESTAURANT(2,000-3,999 SF) OWNER/REQUESTER ANJU DUB,ARCHITECT DBA MONKEY BAR ADDRESS 400 S BALDWIN AVE 2200,ARACDIA, CA 91007 FINAL INSPECTION STATUS: APPROVED CORRECTIONS COMPLETED CORRECTION CATEGORY DATE IDENTIFIED DATE CORRECTED • WALLS 11/16/2016 11/30/2016 WAREWASHING FACILITIES 11/16/2016 11/30/2016 HANDWASHING FACILITIES 11/16/2016 11/30/2016 JANITORIAL FACILITIES 11/16/2016 11/30/2016 JANITORIAL FACILITIES 11/30/2016 12/15/2016 WATER SUPPLY 11/16/2016 11/30/2016 EQUIPMENT/STORAGE 11/16/2016 11/30/2016 FOOD PROTECTION/FOOD STORAGE 11/30/2016 12/15/2016 VERMIN EXCLUSION/ENCLOSURE 11/16/2016 11/30/2016 • PLAN SUBMITTAUREMODEL . 11/16/2016 11/30/2016 PLAN SUBMITTAUREMODEL • 11/30/2016 12/15/2016 -SCOPE OF OPERATION APPROVED TO STOCK PREPACKAGED/NON-POTENTIALLY HAZARDOUS FOODS APPROVED TO STOCK PERISHABLE/POTENTIALLY HAZARDOUS FOODS APPROVED FOR FOOD PREPARATION APPROVED TO USE MULTISERVICE UTENSILS APPROVED TO SERVE ALCOHOLIC BEVERAGES • Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.00v/eh. EHS Signature Page 1 of 3 • PLAN CHECK OFFICIAL INSPECTION REPORT DATE 12/15/2016 EHS JESS BARRIOS PLAN CHECK NUMBER SR0066985 PROGRAM ELEMENT 1773-EXPEDITED- RESTAURANT(2,000-3,999 SF) OWNER/REQUESTER ANJU DUB,ARCHITECT DBA MONKEY BAR ADDRESS 400 S BALDWIN AVE 2200,ARACDIA, CA 91007 ADDITIONAL REQUIREMENTS NONE COMMENTS FACILITY IS APPROVED. Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.ctov/eh. EHS Signature Page 2 of 3 PLAN CHECK OFFICIAL INSPECTION REPORT DATE 12/15/2016 EHS JESS BARRIOS PLAN CHECK NUMBER SR0066985 PROGRAM ELEMENT 1773-EXPEDITED- RESTAURANT(2,000-3,999 SF) OWNER!REQUESTER ANJU DUB,ARCHITECT DBA MONKEY BAR ADDRESS 400 S BALDWIN AVE 2200,ARACDIA, CA 91007 DISCLOSURES It is a misdemeanor violation to begin operation without a valid Public Health Permit/License.The Public Health Permit/License will be issued by the Los Angeles County Department of Public Health Environmental Health Division(DPH-EH) Plan Check Program at the job site following final inspection and approval by all applicable agencies. Remodeled areas of an existing food facility/establishment must obtain a final inspection and approval from all applicable enforcement agencies prior to use. Any future alteration,construction,building,renovation,repair,change of equipment,change of the operation of a food facility/establishment or change of menu may require plans to be submitted to the DPH-EH Plan Check Program. Additional approvals may be required from other enforcement agencies. It is improper and illegal for any County officer,employee or inspector to solicit bribes,gifts or gratuities in connection with performing their official duties. Improper solicitations include requests for anything of value such as cash,discounts,free services,paid travel or entertainment,or tangible items such as food or beverages. Any attempt by a County employee to solicit bribes,gifts or gratuities for any reason should be reported immediately to either the County manager responsible for supervising the employee or the Fraud Hotline at(800)544-6861 or www.lacountyfraud.org. YOU MAY REMAIN ANONYMOUS Public Health Permit/License: A separate fee is required for the Public Health Permit/License.A billing statement will be sent to the permit/license holder annually by the DPH-EH. The fee is required to be paid to perform or carry on,conduct or engage in any mobile food facility listed in Los Angeles County Code,Title 8,Section 8.04.720. State and Local Licenses and Permits: Contact the State of California and your local city hall regarding additional license and permit requirements. Restrooms: Customer may use restroom facilities if they are located in a customer area.Customers may not enter the food preparation area,food storage area,or the utensils washing/storage areas in order to access the restrooms.All food,utensils and equipment must be protected from contamination. Routine Inspection:The DPH-EH conducts routine inspections of all food facilities in Los Angeles County. Following the issuance of your Public Health Permit by the Plan Check Program,an Environmental Health Specialist from your local district will conduct an inspection of your facility. If your Business is located in a city that has adopted the grading ordinance,the inspector will post a grade or score card at your facility. Grade/Score cards are not issued by the Plan Check Program. Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.gov/eh. EHS Signature Page 3 of 3 pf Los, COUNTY OF LOS ANGELES• DEPARTMENT OF PUBLIC HEALTHrt e`. �mENVIRONMENTAL HEALTH ¢ l ! J} BUREAU OF SPECIALIZED SURVEILLANCE AND ENFORCEMENT �..�y� PLAN CHECK PROGRAM-BALDWIN PARK }k.s3i t�R� �f COUNTY OP LOS ANGELES CALIF610'X 5050 COMMERCE DR,BALDWIN PARK,CA 91706 Public Health PHONE:(626)430-5560 VNNW.PUBLICHEALTH.LACOUNTY.GOV/EH PLAN CHECK OFFICIAL INSPECTION REPORT DATE 12/15/2016 EHS JESS BARRIOS PLAN CHECK NUMBER SR0083495 PROGRAM ELEMENT 1782-EXPEDITED-FOOD WHSE(501-4,999 SF) OWNER!REQUESTER RYAN O'NAN, PROJECT MANAGER DBA HAPPY IN HAWAII ADDRESS 400 S BALDWIN AVE,ARCADIA, CA 91007 FINAL REINSPECTION STATUS: APPROVED CORRE=CTIONS OOMPLETED CORRECTION CATEGORY DATE IDENTIFIED DATE CORRECTED FLOORS SURFACES 11/16/2016 11/30/2016 FLOOR BASE COVING 11/16/2016 11/30/2016 WALLS 11/16/2016 11/30/2016 CEILINGS 11/16/2016 11/30/2016 BACKFLOW/BACK-SIPHONAGE 11/30/2016 12/15/2016 WASTE WATER/PLUMBING 11/16/2016 11/30/2016 EQUIPMENT/STORAGE 11/16/2016 11/30/2016 VERMIN EXCLUSION/ENCLOSURE 11/16/2016 11/30/2016 PLAN SUBMITTAL/REMODEL 11/16/2016 11/30/2016 PLAN SUBMITTAL/REMODEL 11/30/2016 12/15/2016 ADDITIONAL REQUIREMENTS NONE COMMENTS FACILITY IS APPROVED. Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.aov/eh. n � • EHS Signature Page 1 of 2 PLAN CHECK OFFICIAL INSPECTION REPORT DATE 12/15/2016 EHS JESS BARRIOS PLAN CHECK NUMBER SR0083495 PROGRAM ELEMENT 1782-EXPEDITED-FOOD WHSE(501-4,999 SF) OWNER/REQUESTER RYAN O'NAN, PROJECT MANAGER DBA HAPPY IN HAWAII ADDRESS 400 S BALDWIN AVE,ARCADIA, CA 91007 DISCLOSURES It is a misdemeanor violation to begin operation without a valid Public Health Permit/License.The Public Health Permit/License will be issued by the Los Angeles County Department of Public Health Environmental Health Division(DPH-EH) Plan Check Program at the job site following final inspection and approval by all applicable agencies. Remodeled areas of an existing food facility/establishment must obtain a final inspection and approval from all applicable enforcement agencies prior to use. Any future alteration,construction,building,renovation,repair,change of equipment,change of the operation of a food facility/establishment or change of menu may require plans to be submitted to the DPH-EH Plan Check Program. Additional approvals may be required from other enforcement agencies. It is improper and illegal for any County officer,employee or inspector to solicit bribes,gifts or gratuities in connection with performing their official duties. Improper solicitations include requests for anything of value such as cash,discounts,free services,paid travel or entertainment,or tangible items such as food or beverages. Any attempt by a County employee to solicit bribes,gifts or gratuities for any reason should be reported immediately to either the County manager responsible for supervising the employee or the Fraud Hotline at(800)544-6861 or www.lacountyfraud.org. YOU MAY REMAIN ANONYMOUS Public Health Permit/License: A separate fee is required for the Public Health Permit/License.A billing statement will be sent to the permit/license holder annually by the DPH-EH. The fee is required to be paid to perform or carry on,conduct or engage in any mobile food facility listed in Los Angeles County Code,Title 8,Section 8.04.720. State and Local Licenses and Permits: Contact the State of California and your local city hall regarding additional license and permit requirements. Restroc s: Customer may use restroom facilities if they are located in a customer area.Customers may not enter the food preparation area,food storage area,or the utensils washing/storage areas in order to access the restrooms.All food,utensils and equipment must be protected from contamination. Routine Inspection:The DPH-EH conducts routine inspections of all food facilities in Los Angeles County. Following the issuance of your Public Health Permit by the Plan Check Program,an Environmental Health Specialist from your local district will conduct an inspection of your facility. If your Business is located in a city that has adopted the grading ordinance,the inspector will post a grade or score card at your facility. Grade/Score cards are not issued by the Plan Check Program. Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.gov/eh. EHS Signature Page 27 R. Mckeehan Inspection Service Valencia, California 661.810.6113 Mckeehaninspectionservice@yahoo.com Testing & Inspection Report INSPECTOR CODE JOB NUMBER DATE DAY OF THE WEEK AWS September 3,2016 JOB NAME BUILDING PERMIT NUMBER/DSA/OSHPD APP.FILE# 'JURISDICTION Monkey Bar#2200 B00-053-288 Arcadia ADDRESS CITY GENERAL CONTRACTOR , 400 S Baldwin Arcadia Ca Comcore • ARCHITECT ENGINEER SUBCONTRACTOR(IF ANY) Bills Welding REQUIREMENTS:Limit of one job number,one perm) number per sheet. Identify all work by type and SPECIFIC location.Non-compliant work must be specifically identified. Communication(RFI,Sketch,etc.)voiding previous non-compliant items must be listed,record conversations and communications with project designers,building and permit granting authority officials. HOURS REGULAR 1.5X 2X TIME IN TIME OUT 4 Mileage IlExpenses El Epoxy/DIA Concrete ]Welding ]Bolting ]Sampling El Fireproofing EJNDT(HRS) + w }/ � C��' { , � V . : r x a Alf"4,,,:„..*. m �A � :�:�`:y `* ��i;� m � 1tiq:. Fes, �mm .� vax .� h7 . �;, V� ,e ,t Observed welding on 2 new RTU support frame @ roof level with L4x4 angles spanning between existing bar joist,each connection uses 3/8"shear tab with fillet welds all around as per approved plans. t ' L i ;,..141..:" moi;; d tp ( pFY A,,,,,,,,„,„,,,,.„,7.7„, _._____1„ q 1 ,�gg ^R ,*a� .. WELDER CERTIFICATION/EXPIRATION DATE SAMPLES °�' Allen Seekers AWS/LA City Electrode Used: E-7018 I] Contains Additional Page(Page#)CM REPORT Non-Compliant Items Prl Does Not Contain Certification of Compliance All inspections based on minimum of 4 hours and over 4 hours-8 hours minimum. I declare under penalty of perjury that all of the above statements are true, If inspector is called to a project and no work is performed,a 2-hour minimum and that of my own personal knowledge the work during the period covered charge will be applied. by this report has been performed and installed in compliance with the approved plans,specifications and all applicable codes. Approved/Authorized by Inspector's Name Robert Mckeehan (Project Superintendent) Inspector's Signature —� ---- Submitted by R.Mckeehan Inspections Inspector's ID/Lic. # 5029815-85 • . .. as . • ,i PACKAGE ROOFTOP / HEATPUMP /-.AC - . - UNIT_RPORT PROJECT :Moil (11, # ./t`'4,`,"trA-tik./M W OAL-irGN4 -�a LOCATION . OU 4OU M• ' At.olnl • • If, Alp f•• 6/4- • -/ Y] FAN NAME. . . • SERVICE . • • r,.?AGS {� Co . • LOCATION fLl9 MANUFACTURER ��A.lp�ox :• MODEL NUMBER .I��1r4120F(LiX36 SERIAL NUMBER: 06011:1-10 12-I - CF M - :-DESIGN • . . • . . . . ACTUAL DESIGN ACTUAL DESIGN ACTUAL TOTAL FAN : 3.(v6;/-O ' . RETURN AIR. • :ZB : . .. 2�1�. • OUTSIDE AIR -7ha 7wS . I . STATIC PRESSURES : ' DISCHARGE SUCTION ;6Z ESP : I-Z: 1.01 . . : . - .: • FAN-MOTOR MANUFACTURER.. i.De - . .• . 2.C _ - . HORSEPOWER — , . VOLTAGE e/ 'O q + 'q AMPERAGE Z i SPEED(RPM): I725: 12 25: . SERVICE FACTOR. l ' DRIVE MOTOR SHEAVE.SIZE`• 1ULL1O--- X 7is- : I FAN SHEAVE SIZE �f�p X ( �. FAN.RPMI ISS BELTSIZE/.#OF. CENTER NOTES: Scanned by CamScanner. .. . • .. _�_ .. I. $ ®{rte _ . REPORT • • , . ..PROJECT I. - Nl o l��"fGA.C��P�/IP�"Gf-4�[4 M/�TGt-r614.,) AREA .'NO.• � KIND I. • SIZE � AK ,DESIGN I PRELIM I' FINAL .I - REMARKS i , S --TU-i s'..1- 1 _ • 1 . -i-r ti �.Ae1jiI i r v ' 575 . ., • • 2 I ; �7a .. - • i Tc t✓ad : �� -I . ,� foo .! • . . .y o i . 1 . . 52/ke6 fi 1 I i7. '(u' 1, . ��. i . "2� i • . -• - 1 . .- .• - :.I.:442 Iv,. ;: .&®o. j. . :111S: • y .sir-►o�lC7P4 i i. . 1 P _ i i. 1. �u I • ./ .--1/61- .. y I • .'Z . :I 2O`'• .'•1•v•i't ll c7o ' ID•I I - . . .. ' 4 fPA•'c� 5 i Pe • 12`" ; I•.o .b5o. ' . : 1'640' 1 . ,y3 . :. I i 21J H. • :• - . ' I • • l 7� . •o ,A• • i y� 13 x23 .x.75 ? a i 7�S . • • • • • • . - I. 1I . -• ' 1.- 1 .. - - i I. I i i . . I: 1 : 1 • I . • • • t° I i 1 • i.. 1 ,4t . REMARKS . DATE .• READINGS BY aa1 • Scanned by' CamScanner. • • • • • - b � �H 5 w 4 CERTIFIED TEST, ADJUST, AN BALANCE REPORT DATE November 14, 2016 • • PROJECT Monkey Bar ADDRESS 400 South Baldwin Ave. Arcadia, CA 91007 ARCHITECT N/A ADDRESS PHONE/FAX ENGINEER N/A ADDRESS PHONE/FAX HVAC CONTRACTOR DS Heating and Air ADDRESS 15446 Cabrito Road Van Nuys, CA 91406 PHONE/FAX NEBB TAB FIRM Hartmanaire ADDRESS P.O. Box 2495 Corona, CA 92878 PHONE/FAX 951_479-6855 / 949-215 1001 - able TABLE OF CONTENTS SECTION I - PROJECT INFORMATION CERTIFICATION 3 1 NEBB'S CERTIFICATE 2 WARRANTY INSTRUMENTS 4 ABBREVIATIONS 5 SECTION II - UNIT REPORTS 7 EXHAUST FAN(EF)DATA 6 GREASE FILTER DATA AIR DISTRIBUTION(IN/OUT)REPORT FOR EXHAUST 8 ' r 4 T•., t - " e ,`y CERTIFICATION PROJECT Monkey Bar ADDRESS 400 South Baldwin Ave. Arcadia, CA 91007 THE DATA PRESENTED IN THIS REPORT IS AN EXACT RECORD OF SYSTEM PERFORMANCE AND WAS OBTAINED IN ACCORDANCE WITH NEBB STANDARD PROCEDURES. ANY VARIANCES FROM DESIGN QUANTITIES WHICH EXCEED NEBB TOLERANCES ARE NOTED THROUGHOUT THIS REPORT. THE AIR DISTRIBUTION SYSTEMS HAVE BEEN TESTED&BALANCED AND FINAL ADJUSTMENTS HAVE BEEN MADE IN ACCORDANCE WITH NEBB"PROCEDURAL STANDARDS FOR TESTING, ADJUSTING BALANCING OF ENVIRONMENTAL SYSTEMS"AND THE PROJECT SPECIFICATIONS. NEBB TAB FIRM REG. NO. 3060 CERTIFIED BY Arthur J. Hartman DATE 11/14/2016 (Air Tab Supervisor) THE HYDRONIC DISTRIBUTION SYSTEMS HAVE BEEN TESTED&BALANCED AND FINAL ADJUSTMENT HAVE BEEN MADE IN ACCORDANCE WITH NEBB"PROCEDURAL STANDARDS FOR TESTING,ADJUST! BALANCING OF ENVIRONMENTAL SYSTEMS"AND THE PROJECT SPECIFICATIONS. NEBB TAB FIRM REG. NO. CERTIFIED BY DATE (Hydronic Tab Supervisor) SUBMITTED&CERTIFIED BY: NEBB TAB FIRM oARDMA HIRE`:, TAB SUPERVISOR fur J: Hartman.an. REG. NO. 3060 SttTU N DATE 11/14/2016 vstmanafre, ARTHUR J.HARTMAN CERTIFICATION w 3060 :EV.3131/18 °SCI/ ,IOiti1Gl0 1 t Li A i-,k, oi.,,,..1, It ,arn,r,) , I. , ... el, 0,:trtiftratiott : - :, _ _ _._ THIS IS TO CERTIFY THAT . (artmana ire HAS MET ALL REQUIREMENTS FOR NEBB CERTIFICATION IN THE FOLLOWING DISCIPLINE 9estirigJldjustigand�a1a ci o. & vio . _ e talS ste s n ng n nm n � m FOR THE NEBB BOARD OF DIRECTORS r �� Narch 31, 2018 <ri45:4(r'c--- Expiration Date NEBB President 3060 ' NEBB Certification Number NEBB President-Elect �.e e 14 P 0 Box 2495 Corona, CA 92878 951-479-6855 Warranty PROJECT: Monkey Bar-Arcadia, CA Warranty of Services Hartmanaire warranties the TAB work for one year from the date of this report. Hartmanaire reserves the right to correct errors or omissions in the collection of data. The Warranty covers Balancing Issues. Off Season Testing: Typical balance report covers testing and balancing of all scheduled equipment, regardless of the outside air temperature. An Off Season test will generally cover temperature measurements Balancing Issues: Any balancing issues or concerns that arise, Hartmanaire will return to the site any time during the warranty period. Systems will be rechecked and verified that tested items adhere with the reported test date, AT NO CHARGE. Warranty Procedures For all warranty items Balancing Issues, Hartmanaire requires a written request. The written request should be specific on the areas of concern, such rooms, or equipment, and the type of issue the occupants are having. Once written notification is received Hartmanaire will schedule a Technician. It is recommended that an Owner, or Architect, or Engineer be on site at that time. Voided Warranty and Additional Charges If a complaint issue is due to a mechanical equipment failure, control or maintenance related, the return trip maybe subject to a service charge, not covered under warranty. Hartmanaire reserves the right to resolve any TAB issues. If a third party or competing Test&Balance/Commissioning firm test or adjust any equipment, all project warranty is voided. (This is typical standard for the Mechanical industry, as Manufacture, Mechanical and Control Contractor voids all warranty when a competing firm test or manipulates their systems.) Any return trip to the job site is subject to a service charge and a purchase order will be required before returning to the job site. Document Archiving An electric file of all test documents will be kept on file until the end of the Warranty period. During that time an electronic copy of the test date will be provided a no charge. Any additional hard bound copies requested will be subject to a fee. Building owner should retain all documentation for future reference. All documentation pertaining to this project will be destroyed in accordance with our record retention schedule. 3 H :iii a: e ' INSTRUMENT CALIBRATION FUNCTION MINIMUM RANGE ACCURACY RESOLUTION INSTRUMENT INFORMATION Calibration interval date Rotation measurement 0 to 5000 rpm t 2%of reading ±5 rpm Name/Type Digital Tachometer (12 Months) Manufacture&Model Extec Instuments Serial No. L735549 4/30/2017 � �� M a Temperature Measurement Air -40 to 240°F t 1%of reading 0.2°F Name/Type Digital Tachometer (12 Months) Manufacture&Model Extec/421307 Serial No. 631249 4/30/2017 Immersion -40 to 240°F ±1%of reading 0.2°F Name/Type Digital Tachometer (12 Months) Manufacture&Model Extec I 39240 Serial No. 3034 4/30/2017 Contact -40 to 240°F t 1%of reading 0.2°F Name/Type Digital Tachometer (12 Months) Manufacture&Model Extec/421307 Serial No. 631249 4/30/2017 Electrical Measurement Voits AC 0 to 600 VAC t 2%of reading 1.0 Volt Name/Type Fluke/Volt-Amp Meter (12 Months) Amperes 0 to 100 Amps t 2%of reading 0.1 Ampere Manufacture&Model 333 Serial No. 8.9E+07 4/30/20167 Air Pressure Measurement 0 to 10.00 in w.g. ±2%of reading 0.01 in.w.g.51 in.w.g. Name/Type Air Flow Meter (12 Months) Manufacture&Model Shortridge/850 Serial No. M00187 4/30/2017 Air Velocity Measurement 50 to 2500 fpm t 5%of reading 20 fpm Name/Type Vain Anemometer (12 Months) (Not For Pitot tube traverses) Manufacture&Model Airflow/LCA6000 Serial No. A13562 4/30/2017 Humidity Measurement 10 to 90%RH 2%RH 1% Name/Type Check-it Superheat-Humidity Set (12 Months) Manufacture&Model CHECK-IT 0628 Serial No. 40950 4/30/2017 Direct Reading Hood 100 to 2000 cfm t 5%of reading Digital-1 cfm Name',"..i,,,, Type Air Flow Meter (12 Months) Analog-Not applicable Manufacture&Model Shortridge/850 Serial No. M00187 4/30/2017 akrIA , _ ..:9: ?,..,. „,z..t< STI< t„_, : -.', ...,.,� �? *i7t MY � xxa'., 0,,,P, .. `Zigz,s,. ,,. 1-,,,r, iZ.> - Pitot Tubes(2 required) 18"minimum not applicable Not applicable Name/Type Dwyer Not Required adequate length for intended use Manufacture&Model 18"/36"/50" Serial No. NA Hydronic Pressure Measurement -30"hg to 60 psi t 2%of reading 0.5 psi Name/Type Compound 8 Pressure Gage (12 Months) (Pressure Gauges) Manufacture &Model USG 190/150003 1X587 Serial No. 1771 4/30/2017 0 to 100 psi t 2%of reading 1.0 psi Name/Type Pressure Gage 0 to 100 (12 Months) Manufacture &Model USG 190/ 1X599 Serial No. 3452 4/30/2017 0 to 200 psi t 2%of reading 2.5 psi Name/Type Pressure Gage 0 to 200 (12 Months) Manufacture &Model USG 190/150003 1X630 Serial No. 1774 4/30/2017 Hydronic Differential Pressure 0 to 100 in.w.g. t 2%of reading 1.0 in.w.g. Name/Type Water Meter/Differential Manometer (12 Months) Measurement 0 to 100 ft.w.g. t 2%of reading 1.0 ft.w.g. Manufacture &Model Turb-O-Flow/DP2 Serial No. 2973 4/30/2017 PSS n3,le ny4 � P 0 Box 2495 Corona, CA 92878 951-479-6855 ABBREVIATIONS ACT - Actual AK - Free Area Factor AHU - Air Handling Unit CD - Ceiling Diffuser CER - Ceiling Exhaust Register CFM - Cubic Feet per Minute CR - Ceiling Return Register D.B. - Dry Bulb DD - Direct Drive DDC - Direct Digital Controls: EMS Control System for the HVAC DL - Drum Louver DNL - Data Not Listed EF - Exhaust Fan EMS - Energy Management System ERU - Energy Recovery Unit ENT - Entering FH - Flowhood(Measures CFM Directly SO FPM and AK factors are not required). FPM - Feet per Minute GPM - Gallons per Minute H.P. - Horsepower LVG - Leaving MBH - 1,000 BTUH NA - Not Available/No Access NVL - No Valid Location O.S.A. - Outside Air • P.D. - Pressure Drop R.A. - Return Air REQ - Required RPM - Revolutions per Minute RTU - Roof Top Unit S.A. - Supply Air S.F. - Service Factor S.P. - Static Pressure SWS - Side Wall Supply SWR - Side Wall Return TAB - Test,Adjust, and Balance TSP - Total Static Pressure Traverse - CFM readings take in at a point in the ductwork VAV - Variable Air Volume; box that contains a motorized damper that modulates airflow W.B. - Wet Bulb W.G. - Water Gauge 5 £. e EXHAUST FAN NOP:,..._ REPORT PROJECT MONKEY BAR-400 SOUTH BALDWIN AVE.,ARCADIA, CA FAN DATA FAN NUMBER ® FAN NUMBER ® FAN NUMBER Location ROOF ROOF Service HOOD KITCHEN Manufacturer CAPTIVEAIRE CHAMPION Model Number USB18BD-RM 5000SD Motor Mfr. WEG EVAP CO. Motor H.P./RPM 2.0- 1735 3/4- 1725 Volts/Phase 208-3-60 115- 1 -60 F.L.Amps/S.F. 4.3-TP 10.8- 1.0 Motor Sheave Diam x Bore DIRECT DRIVE 1VL40X1/2 % Closed DIRECT DRIVE 40% Fan Sheave Diam x Bore DIRECT DRIVE 14"ODX1" No. Belts/Size DIRECT DRIVE 4L690-1 TEST DATA DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUAL CFM 3000 3139 3000 2990 Fan RPM 1264 DD N/S 448 Motor RPM 1735 1735 1725 1725 Total S.P. 1.5 1.3 0.5 0.46 Voltage 208 210/209/209 115 119 Amperage 4.3 4.0/3.9/3.8 10.8 8.3 REMARKS 6 ire 4,4 If MECHANICAL DIVISION GREASE FILTER DATA KITCHEN HOOD NO. GREASE FILTER MANUFACTURE FILTER SIZE NET AREA ' 1 CAPTRATE 16X16 1.62 2 GREASE FILTER AIR MEASUREMENTS NO. SIZE FILTER MEASUREMENT READINGS TOTAL AVERAGE CFM 1 1 130 210 2 1 151 244 3 1 147 238 4 1 178 288 5 1 222 359 6 1 263 426 7 1 211 341 8 1 197 319 9 1 163 264 10 1 134 217 11 1 144 233 COMMERCIAL COOKING HOOD AND SYSTEM SPECIFICATIONS HOOD OPEN SIDES: 4.8 FT.+ 15.6 FT.+ FT.+ FT.= 20.4 FEET DISTANCE FROM HOOD TO COOKING SURFACE 3.8 FEET HOOD WIDTH 4.8 FT. x HOOD LENGTH 15.6 FT.= 74.8 SQ.FEET FORMULAS#1 Q=300A/200A#2 Q=150A1100A#3 Q=100A/75A#4 Q=75A/50A FORMULA ALTERNATE FORMULAS: #1 Q=100PD #2 Q=50PD FORMULA [Q] x[Al = REQ.CFM [(2] x[P] x[D] = REQ.CFM NONCANOPY TYPE HOOD:300 CFM x LINEAR FEET= REQ.CFM #1 DUCT SIZE IN.x 18" IN.DIVIDED BY 144= 1.76 SQ.FEET #2 DUCT SIZE IN.x IN.DIVIDED BY 144= SQ.FEET #3 DUCT SIZE IN.x IN.DIVIDED BY 144= SQ.FEET LARGEST DUCT SIZE IN.x IN.DIVIDED BY 144= SQ.FEET TOTAL CFM DIVIDED BY DUCT SIZE = F.P.M. COMMERCIAL COOKING VENTILATION SYSTEM SUMMARY TOTAL HOOD EXHAUST AIR VOLUME M39 C. F.M. GREASE DUCT SIZE 1.76 SQ. FEET VELOCITY WITHIN GREASE DUCT 1783 F.P. M. INSPECTOR APPROVED FAILED DATE 7 • { eH " n Se INOUT REPORT PROJECT MONKEY BAR-400 SOUTH BALDWIN AVE., ARCADIA, CA AREA NO. KIND SIZE AK DESIGN PRELIM FINAL FPM % REMARKS UA-1 KITCHEN \� CD 14" 1.00 750 699 93% KITCHEN � CD 14" 1.00 750 760 101% KITCHEN E CD 14" 1.00 750 749 100% KITCHEN G) CD 14" 1.00 750 782 104% 3000 2990 100% REMARKS 8 Har- ' '. t aire. ce ° gra CERTIFIED TEST, ADJUST, AND BALANCE REPORT DATE September 21, 2016 PROJECT Monkey Bar/Matcha Matcha ADDRESS 400 South Baldwin Ave. Arcadia, CA 91007 ARCHITECT N/A ADDRESS PHONE/FAX ENGINEER N/A ADDRESS PHONE/FAX HVAC CONTRACTOR DS Heating and Air ADDRESS 15446 Cabrito Road Van Nuys, CA 91406 PHONE/FAX NEBB TAB FIRM Hartmanaire ADDRESS 12 Gardenia Lake Forest, CA 92630 PHONE/FAX 951-479-6855 / 949-215-1001 VO e e , TABLE OF CONTENTS SECTION I - PROJECT INFORMATION CERTIFICATION 1 NEBB'S CERTIFICATE 2 WARRANTY 3 INSTRUMENTS 4 ABBREVIATIONS 5 SECTION II - UNIT REPORTS CEILING UNIT DATA 6 AIR DISTRIBUTION(IN/OUT)REPORT FOR UNITS 7 Ha 4u ...ire CERTIFICATION PROJECT Monkey Bar/Matcha Matcha ADDRESS 400 South Baldwin Ave. Arcadia, CA 91007 THE DATA PRESENTED IN THIS REPORT IS AN EXACT RECORD OF SYSTEM PERFORMANCE AND WAS OBTAINED IN ACCORDANCE WITH NEBB STANDARD PROCEDURES. ANY VARIANCES FROM DESIGN QUANTITIES WHICH EXCEED NEBB TOLERANCES ARE NOTED THROUGHOUT THIS REPORT. THE AIR DISTRIBUTION SYSTEMS HAVE BEEN TESTED&BALANCED AND FINAL ADJUSTMENTS HAVE BEEN MADE IN ACCORDANCE WITH NEBB"PROCEDURAL STANDARDS FOR TESTING, ADJUSTING BALANCING OF ENVIRONMENTAL SYSTEMS"AND THE PROJECT SPECIFICATIONS. NEBB TAB FIRM REG. NO. 3060 CERTIFIED BY Arthur J. Hartman DATE 9/21/2016 (Air Tab Supervisor) THE HYDRONIC DISTRIBUTION SYSTEMS HAVE BEEN TESTED&BALANCED AND FINAL ADJUSTMENT HAVE BEEN MADE IN ACCORDANCE WITH NEBB"PROCEDURAL STANDARDS FOR TESTING,ADJUST! BALANCING OF ENVIRONMENTAL SYSTEMS"AND THE PROJECT SPECIFICATIONS. NEBB TAB FIRM REG. NO. CERTIFIED BY DATE (Hydropic Tab Supervisor) SUBMITTED&CERTIFIED BY: NEBB TAB FIRM HARTMA AJRE TAB SUPERVISOR ur J.Hartman REG. NO. 3060 1Gtti�A CORfi- '''l ' r adeattisDATE 9/21/2016 ��'gn�Jr,� `. m-' --� - IC EL �° �. Rf-1Tt�3UR3HARTiuldtN' CERTIROATical 3060 --' :Exp:3131t18 . - OM 3r d `rb 3+4,14 `;WIG �Q 1 �7 ,1-::),---) ■ 1 ars 0 (ttrtirtratitat THIS IS TO CERTIFY THAT .gyp i .. . artmanaIre HAS MET ALL REQUIREMENTS FOR NEBB CERTIFICATION IN THE FOLLOWING DISCIPLINE EstJidjustingeand Balancing o nvcYione tal Systems FOR THE NEBB BOARD OF DIRECTORS .vtarcli 31, 2018 <i4:4 ---- Expiration Date NEBB President 3060 .›Z/2, .,XGe•lel NEBB Certification Number NEBB President-Elect 0, a 12 Gardenia Lake Forest, CA 92630 951-479-6855 Warranty PROJECT: Monkey Bar/Matcha Matcha -Arcadia, CA Warranty of Services Hartmanaire warranties the TAB work for one year from the date of this report. Hartmanaire reserves the right to correct errors or omissions in the collection of data. The Warranty covers Balancing Issues. Off Season Testing: Typical balance report covers testing and balancing of all scheduled equipment, regardless of the outside air temperature. An Off Season test will generally cover temperature measurements Balancing Issues: Any balancing issues or concerns that arise, Hartmanaire will return to the site any time during the warranty period. Systems will be rechecked and verified that tested items adhere with the reported test date, AT NO CHARGE. Warranty Procedures For all warranty items Balancing Issues, Hartmanaire requires a written request. The written request should be specific on the areas of concern, such rooms, or equipment, and the type of issue the occupants are having. Once written notification is received Hartmanaire will schedule a Technician. It is recommended that an Owner, or Architect, or Engineer be on site at that time. Voided Warranty and Additional Charges If a complaint issue is due to a mechanical equipment failure, control or maintenance related, the return trip maybe subject to a service charge, not covered under warranty. Hartmanaire reserves the right to resolve any TAB issues. If a third party or competing Test&Balance/Commissioning firm test or adjust any equipment, all project warranty is voided. (This is typical standard for the Mechanical industry, as Manufacture, Mechanical and Control Contractor voids all warranty when a competing firm test or manipulates their systems.) Any return trip to the job site is subject to a service charge and a purchase order will be required before returning to the job site. Document Archiving An electric file of all test documents will be kept on file until the end of the Warranty period. During that time an electronic copy of the test date will be provided a no charge. Any additional hard bound copies requested will be subject to a fee. Building owner should retain all documentation for future reference. All documentation pertaining to this project will be destroyed in accordance with our record retention schedule. 3 .';,-"."."' ', •- '.. ,:+,‘,.,,, , ::,:,,. i-':"'i,-•,,:.-':''s' ...,'l'.,',.1. :,;iii,•" ', .:,'.'.''.';',i-''',',': H : ',L117-7,4'.-is b.,. • ei •. .. : .„. .:- INSTRUMENT CALIBRATION ,.... • . FUNCTION MINIMUM RANGE ACCURACY RESOLUTION INSTRUMENT INFORMATION Calibration Interval date Rotation measurement 0 to 5000 rpm i 2%of reading ±5 rpm Name/Type Digital Tachometer (12 Months) Manufacture&Model Extec Instuments Serial No. L735549 10/31/2016 .tg:li-Vi-•:',:l :`,45,;A541.71' Temperature Measurement Air -40 to 240°F ±1%of reading 0.2°F Name/Type Digital Tachometer (12 Months) Manufacture&Model Extec/421307 Serial No. 631249 10/31/2016 Immersion -40 to 240°F ±1%of reading 0.2°F Name/Type Digital Tachometer (12 Months) Manufacture&Model Extec/39240 Serial No. 3034 10/31/2016 Contact -40 to 240°F ±1%of reading 0.2°F Name/Type Digital Tachometer (12 Months) Manufacture&Model Extec/421307 Serial No. 631249 10/31/2016 41:24M7:. ',.'t,"''-ii.1-:‘,', -Ait.,4,:i.'',E,:,'o,,,'Al:/f:Y.t'.,:,,,:,,,•:,,j,,,,,,,.;':'.').,F,'1.,-;V:,:iit,P7.:,"....:;.••--:',--.4 .P',':i''-''',..g;:',PP',i'••:-,2-,+:::',:':':,,!?''',VW0,,:-,',13.-41t7---,-:' r!:gftlY44-i', ,i;;,',',;,4,',,,;.:,,,,,•,,z1.-,11:-'.44-Nv,gal,;,,,r-,,,,,,,,mx•,,---i- Electrical Measurement Volts AC 0 to 600 VAC ±2%of reading 1.0 Volt Name/Type Fluke/Volt-Amp Meter (12 Months) Amperes 0 to 100 Amps ±2%of reading 0.1 Ampere Manufacture&Model 333 Serial No. 8.9E+07 10/31/2016 Air Pressure Measurement 0 to 10.00 in w.g. ±2%of reading 0.01 in.w.g.51 in.w.g. Name/Type Air Flow Meter (12 Months) Manufacture&Model Shortridge/850 Serial No. M00187 10/31/2016 I•":':',',:.,,,,,,,,,'.' '.'',, ,.:,:eitifij/F:agT4,4,41.!",::,. '',;-r.4.07•!#Mr`'''41 :''': "'""'''4 -riggqi.N105';'''''.':',5',A,' Air Velocity Measurement 50 to 2500 fpm ±5%of reading 20 fpm Name/Type Vain Anemometer (12 Months) (Not For Pitot tube traverses) Manufacture&Model Airflow/LCA6000 Serial No. A13562 10/31/2016 Humidity Measurement 10 to 90%RH 2%RH 1% Name/Type Check-it Superheat-Humidity Set (12 Months) Manufacture&Model CHECK-IT 0628 Serial No. 40950 10/31/2016 , .„.i:,6i-0;,,•:,,:.,22.,.',-)::,57.;,:;'_":;;;.::'!,V;,,..•,. krt..,.„,,,,..,.:' 2, . :' ::.:,...-;: ia „, ,.,.:.,. ..,',-.,: i .,...-:,:, - z..-{F:z:-', ,:-..,.",,, ,- -, ••:/,,,Y--, ,- -'2':-.-r ,:4j,'•;,": Direct Reading Hood 100 to 2000 cfm t 5%of reading Digital-1 cfm Name/Type Air Flow Meter (12 Months) Analog-Not applicable Manufacture&Model Shortridge/850 Serial No. M00187 10/31/2016 1.1:$.4,'F,Z'..', "-.1.'-''',"•:.,, :c.1-77,77,7;,',j:':"'::-' ‘?-:'';:,..'",.,,,''''':-.' ',:',V'iL5t.* 1,:.:::;,.'•:.':.,','Y'.',.,''';:2,`,-;,',W`:.,:,77,,,;a',.,I,',7;...';',<;,.'-''''.::!.',..:'''''".A5V:''"::;,:'•,:',..:;:,':<- '::,'.1:Tit,,,,,•?:',,7i:::,,:.":,:-,2,,j4-,:':':-,-,'•,--7,"i'zi,'..so.:,:: :::::0!:,,,.'''',,'..,','i::,:'''.,''' 7-M?,'-,.',1' Pitot Tubes(2 required) 18"minimum not applicable Not applicable Name/Type Dwyer Not Required adequate length for intended use Manufacture&Model 18"/36"/50" Serial No. NA Hydronic Pressure Measurement -30"hg to 60 psi ±2%of reading 0.5 psi Name/Type Compound&Pressure Gage (12 Months) (Pressure Gauges) Manufacture &Model USG 190/150003 1X587 Serial No. 1771 10/31/2016 0 to 100 psi ±2%of reading 1.0 psi Name/Type Pressure Gage 0 to 100 (12 Months) Manufacture &Model USG 190/ 1X599 Serial No. 3452 10/31/2016 0 to 200 psi ±2%of reading 2.5 psi Name/Type Pressure Gage 0 to 200 (12 Months) Manufacture &Model USG 190/150003 1X630 Serial No. 1774 10/31/2016 Hydronic Differential Pressure 0 to 100 in.w.g. ±2%of reading 1.0 in.w.g. Name/Type Water Meter/Differential Manometer (12 Months) Measurement 0 to 100 ft.w.g. ±2%of reading 1.0 ft.w.g. Manufacture &Model Turb-O-Flow I DP2 Serial No. 2973 10/31/2016 h ^. He4i R L 12 Gardenia Lake Forest, CA 92630 951-479-6855 ABBREVIATIONS ACT - Actual AK - Free Area Factor AHU - Air Handling Unit CD - Ceiling Diffuser CER - Ceiling Exhaust Register CFM - Cubic Feet per Minute CR - Ceiling Return Register D.B. - Dry Bulb DD - Direct Drive DDC - Direct Digital Controls: EMS Control System for the HVAC DL - Drum Louver DNL - Data Not Listed EF - Exhaust Fan EMS - Energy Management System ERU - Energy Recovery Unit ENT - Entering FH - Flowhood(Measures CFM Directly SO FPM and AK factors are not required). FPM - Feet per Minute GPM - Gallons per Minute H.P. - Horsepower LVG - Leaving MBH - 1,000 BTUH NA - Not Available/No Access NVL - No Valid Location O.S.A. - Outside Air P.D. - Pressure Drop R.A. - Return Air REQ - Required RPM - Revolutions per Minute RTU - Roof Top Unit S.A. - Supply Air S.F. - Service Factor S.P. - Static Pressure SWS - Side Wall Supply SWR - Side Wall Return TAB - Test,Adjust,and Balance TSP - Total Static Pressure Traverse - CFM readings take in at a point in the ductwork VAV - Variable Air Volume;box that contains a motorized damper that modulates airflow W.B. - Wet Bulb W.G. - Water Gauge 5 .yam H 1 9 95 ae S d6' A4. Z PACKAGE ROOFTOP / HEATPUMP / AC UNIT REPORT PROJECT MONKEY BAR/MATCHA MATCHA LOCATION 400 SOUTH BALDWIN AVE.,ARCADIA, CA <RTU.1)FAN NAME SERVICE SPACE 5&6 LOCATION ROOF MANUFACTURER LENNOX MODEL# LGA120H4BS3G SERIAL# 5607A10127 DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUAL CFM TOTAL FAN 3600 3484 RETURN AIR 2850 2719 OUTSIDE AIR 750 765 STAT PRES DISCHARGE .39 SUCTION .62 ESP 1.20 1.01 MOTOR FAN MANUFACTURER BALDOR HORSEPOWER 2.0 2.0 VOLTAGE 460 478/479/477 PHASE 3 3 AMPERAGE 4.2 3.5/3.6/3.4 RPM/SPEED 1725 1725 SERVICE FACTOR 1.15 DRIVE MTR SHEAVE SIZE 1VL40X7/8 %CLOSED 40% FAN SHEAVE SIZE 7"ODX1" FAN RPM N/S CENTER TO CENTER 22 1/2" BELT SIZE/#OF AX46 NOTES: 6 shy Awe. wxi0 INOUT REPORT PROJECT MONKEY BAR/MATCHA MATCHA-400 SOUTH BALDWIN AVE.,ARCADIA, CA AREA NO. KIND SIZE AK DESIGN PRELIM FINAL FPM % REMARKS / < RTU-1\ j SITTING AREA \�/ RD 12" 1.00 575 565 98% SITTING AREA ( RD 12" 1.00 575 590 103% SITTING AREA CT) RD 12" 1.00 575 540 94% SITTING AREA 0 RD 12" 1.00 575 535 93% KITCHEN CD 12" 1.00 500 490 98% SPACE#5 0 CD 10" 1.00 300 289 96% SPACE#5 CD CD 12" 1.00 500 475 95% 3600 3484 97% \ ( RTU-1 /j SITTING AREA R1 RG 20" 1.00 1100 1048 95% SITTING AREA R2 RG 20" 1.00 1100 1031 94% SPACE#5 R3 RG 12" 1.00 650 640 98% 2850 2719 95% OSA 1 LV 36X23 5.75 750 765 102% REMARKS 7