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HomeMy WebLinkAboutUntitled (5) .‘•!>--1-`,• Development Services Department til• t 11 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-056-138 ..f Arcadia,CA 91066-6021 City of (626)574-5416,Fax(626)447-9173 Permit Type: Tenant Improve w/energ; Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 2/24/2017 EP 8:09 4/17/2017 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 PH°NEN°. Inspector#: HENRY Los Angeles,CA 90025- EMAIL ADDRESS: Plan Chk#: 17-55 APPLICANT MAILING ADDRESS Plan#: 32231 Alain Hirsch Construction Corp PHONE NO. EMAIL ADDRESS: , CONTRACTOR/PROFESSIONAL MAILING ADDRESS Alain Hirsch Construction Corp 4431 Corporate Center Dr 123 PHONE NO. (714)527-8500 FAX NO. Los Alamitos,CA 90720 EMAIL ADDRESS: License No. 756267 Type: B Expires: 11/30/2018 12:01 TENANT MAILING ADDRESS Zara Remote Storage PHONE NO. FAX NO. DESCRIPTION ZARA REMOTE STORAGE. - ``"`' ifri illilgtit 1 Construction Type UOM N of Units Value Construction Ty c t f Units Value Value Value 135,000.00 $135,000.00 /4://1/4 .- —/.2 —67 10-- OCCUPANCY: Tenant Improve TOTAL VALUATION: $135,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 952.58 952.58 01-3103 each Energy p/c fee 293.10 293.10 01-3103 PC ADA 142.89 142.89 01-3103 PC Cal Green 95.26 95.26 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 1,465.50 1,465.50 01-3104 Bldg Issue ADA 146.55 146.55 01-3104 1.00 each T.I.Fire Pkc 280.00 280.00 01-3109 SMIP Com 37.80 37.80 14-2207 gm bldg std 6.00 6.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $3,470.28 Balance Due: $0.00 Paid Today: $1,706.45 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the -ecel' •. , : permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 1,656.40 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 37.80 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 6.00 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 FridayAile 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 C I PERMIT/PLAN REVIEW APPLICATION L l\ttM o , Development Services Department,240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions 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 Licens. .. i Exp. Date 11-do 4-1/ compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor �� // ���� performance of the work for which this permit is issued. OWNER-BUILDER DEC • ' •TION ElI 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. workers 'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier T' t3 j't„ _,kivrCiLao �G'/'I/4 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 olicy Number �ot e �J ���61 Z provisions of the Contractors License Law(Chapter 9(commencing with Section ( is 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 abo Code,I shall forthwith comply with those rovisions. ❑I, as owner of the property, or my employees with wages as their sole p y p compensation,will do the work,and the structure is not intended or offered for �a—!'1," /? / / sale(Section 7044,Business and Professions Code:The Contractors License Date / 6 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 MO4c EL )alirke._ Title 31"t0 Pa'ID 7 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 ente upon the .bo me a ones property for inspection purposes. / i Signature f Date 7 -0 I '•-•1\f - C 5 e s6N6;10T/ES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under fir/bldg.drain 101. Rough grade 211. Copper underslab 102. Figs.&forms 212. Rough plumbing 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing �T 19. Final gas 110. Framing Y-ZY'�( 220. Fixtures 111. 0cc./Area Sept.Wall 221. Final plumbing 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-Flr. Pool Inspections Date . Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing T-26-0 1 /// 42. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade // 245. Gas line&test 121. Final building -4a''7 , 246. Fence,gates&signs • 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final•lumbin• 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Reroof Inspections I Date I Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground271. Roof framing 156. Rough electrical 'jZ6-17 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. • 159. Es at.bondin• Sign Inspections I Date I Insp. 160. Service panel280. Setback/overhang 161. Final electric 5-/C--Gf44� 281. Footing 282. Conduit/wiring Mechanical Inspections Date Insp." 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC 5-4-G? ,tea Miscellaneous Insp. Date Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. I Date I Insp. 191. Final mechanical -/ - - 300. Lateral(main to PIL) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Cess•col filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin Y ALAIN HIRSCH Construction Corp. April 14, 2017 City of Arcadia Department of Building and Safety Re: Authorization to Pull Permits for Mark Fauchald Dear sir/madam: • Mark Fauchald is authorized to pull permits in the City of Arcadia, and act on behalf of our company, Alain Hirsch Construction Corp. If you have any questions, please call me at 562/494-4800. Best regards: Alain Hirsch Alain Hirsch Construction Corp. -;�•, NADINE R.PEKAR I r COMM. r32066282 z a r% ' 41otary Public•Calilarnw Los Angeles County — ' -4 .:�., Ca n.EspiTes ItAay 26.20181 R . PaL 1383 Redondo Avenue CA License#: 756267 Long Beach, CA 90804 NV License#: 0073457 Ph: (562)494-4800 www.alainhirschconstructioncorp.com Development Services Department ti l _,_ 1 240 West Huntington Drive Post Office Box 60021 PERMIT NO. \:::-.,__:,2:-/' Arcadia,CA 91066-6021 BOO-056-619 City of (626)574-5416,Fax(626)447-9173 Permit Type: Tenant Improve Arcadia YP P PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 4/19/2017 CM 14:28 5/4/2017 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 . OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: HENRY Los Angeles,CA 90025- EMAIL ADDRESS: Plan Chk#: 17-108 APPLICANT MAILING ADDRESS Alain Hirsch Construction Corp PHONE NO. Plan#: IN FILE EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Alain Hirsch Construction Corp 4431 Corporate Center Dr 123 PHONE NO. (714)527-8500 FAX NO. Los Alamitos, CA 90720 EMAIL ADDRESS: License No. 756267 Type: B Expires: 11/30/2018 12:01 TENANT MAILING ADDRESS Zara PHONE NO. FAX NO. • , DESCRIPTION STORAGE RACKING SYSTEM IN STORE RM AT ZARA p{py�� 4 r Fli�l ® 1 Construction Type UOM Hof Units Value Constru —°'^ h0 llt,UO� : H of Units Value Value Value 30,000.00 $30,000.00 /...-07;ti4'( c-/7 ,--/7 , 7..,,,e,/- OCCUPANCY: Tenant Improve TOTAL VALUATION: $30,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 358.48 358.48 01-3103 PC Cal Green 35.85 35.85 01-3103 PC ADA 53.77 53.77 01-3103 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 551.50 551.50 01-3104 Bldg Issue ADA 55.15 55.15 01-3104 SMIP Com 8.40 8.40 14-2207 gm bldg std 2.00 2.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $1,115.75 Balance Due: $0.00 Paid Today: $667.65 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the •eceip ,, 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 651.00 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 8.40 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 2.00 Arcadia building inspector for a period of 180 consecutive days. 88-3027 6.25 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Ai Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m..' 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) 4 V~ _N ,,,,06i r PERMIT/PLAN REVIEW APPLICATION -0.;,..„,,, j` Development Services Department,240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' I License Class License o. r Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION CII 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.er Myworkers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier J%. demolish,or repair any structure,prior to its issuance,also required the applicant .56- / ©(3 `� ifor for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number [� V provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the pe i 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 .bal" or ode,I shall CuIas owner of the roe forthwith comply with those provisions. , property,rty, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License (rate / 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). Cu 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 '� �- —.0v�i +/ (Title It P'-`�i �, 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 ori, anc•- and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter i in the ab 1 e- ,•'tion,,operty for inspection purposes. 111P Signature , .....•••• ate `' Development Services Department _.- 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. ��. BOO-056-768 �io, Arcadia,CA 91066-6021 City of (626) 574-5416,Fax(626)447-9173 Permit Type; Electrical Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 5/4/2017 CM 10:12 5/4/2017 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 Calima Electric PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS 562 NO. Calima Electric 137 N Larchmont #567 PHONE ( )682-7167 FAX NO. Los Angeles,CA 90004 EMAIL ADDRESS: • License No. 357034 Type: C10 Expires: 4/30/2018 12:00: TENANT MAILING ADDRESS • Zara Stock Room PHONE NO. FAX NO. DESCRIPTION ELECTRICAL FOR ZARA STOCK ROOM. 100 AMP SUBPANEL Construction Type UOM S of Units Value Construction Type UOM S of Units Value propi,711 rir Fil bumrLL'. .f C. ' ,C;A/4-6 S—`2-(2 /71.-..... `� 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 10.00 each Outlets 15.40 15.40 01-3105 15.00 each Ltg fixtures 23.10 23.10 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $99.40 Balance Due: $0.00 Paid Today: $99.40 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the I '• .. 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 98.40 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday 7 --)fi 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 tr4.GPLLFcur4/4 9 r U Wimp PERMIT/PLAN REVIEW APPLICATION o 0 ,, Development Services Department,240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: _ Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. y❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C.1,0 'License No.'351 G 34 Exp. Datil# O W V compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor 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 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 'IXC Fu insurance I s. demolish,or repair any structure,prior to its issuance,also required the applicant Coo ©4 /v_ /lit for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 1 ��//��p �Q provisions of the Contractors License Law(Chapter 9(commencing with Section (Ts 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 roe forthwith comply with those provisions property,rty, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for1 +t sale(Section 7044,Business and Professions Code:The Contractors License Date S • �}•laSignature 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 tCLCC .O as PRINT NAME )Fitle 'M A�.�-- 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 e upon the above-mentioned property for inspection purposes. 'S• i •r1ol'� Signature 1 Date `` % Development Services Department ti 240 West Huntington Drive,Post Office Box 60021valio PERMIT NO. B00-056-753 ;==:-....•-' 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 5/3/2017 EP 12:19 5/9/2017 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#: 17-130 Los Angeles,CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Building Electronic Controls Inc. PHONE NO. EMAIL ADDRESS: ' CONTRACTORIPROFESSIONAL MAILING ADDRESS Building Electronic Controls Inc. 2246 Lindsay Way PHONE NO. FAX NO. Glendora, CA 91740 EMAIL ADDRESS: License No. 729905 Type: C Expires: 11/30/2018 12:0( TENANT MAILING ADDRESS Zara Remote Storage PHONE NO. FAX NO. • DESCRIPTION FIRE DEVICES FOR ZARA REMOTE STORAGE 5 DEVICES Construction Type UOM #of Units Value Construction Type UOM #of Units Value Value Value 5,800.00 $5,800.00 °;(°i nl riErl, 449f ultat a L. OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $5,800.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 5.00 each fire alarm pc 2 280.00 280.00 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: $495.80 Balance Due: $0.00 Paid Today: $215.80 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the •ecet) ,, permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3112 214.80 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS . / Requests for inspection should be made at least Monday Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) Of Ane i PERMIT/PLAN REVIEW APPLICATION o 4,j` Development Services Department,240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class Signature of Contractor License 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. OWNER-BUILDER DECLARATION D 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 carni r and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions AIWA �,n 1��t r Code.Any city or county which requires a permit to construct,alter,improve, Carrier A�`l "GJ1 li( W \ krl �t�tJ11 �! 1 Ts�J,v�w demolish,or repair any structure,prior to its issuance,also required the applicant 2 �\NC_P\a`� ��000for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number � provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the roe forthwith comply with those provisions. property,rty, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for %J/1 J\ \ Si nater �n sale(Section 7044,Business and Professions Code:The Contractors License Date g ����II 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. dame . ._.,V \d j,\ \cx._,\._&,*,f itle .A\y\ ^1 o-cZ A co(t c1 - PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned ' operty for inspection purposes. Signature40 �j „ Date /�� 1 \ Development Services Department 14 1 240 West Huntington Drive,Post Office Box 60021 ,w, PERMIT NO. B00-056-718 Arcadia,CA 91066-6021 City of (626)574-5416,Fax(626)447-9173 Permit Type: Fire Arcadia yp PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 5/1/2017 CM 14:28 5/1/2017 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 cs'».k,: Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: AFD Los Angeles, CA 90025- EMAIL ADDRESS: APPLICANT MAILING ADDRESS Hydro-Matic Fire Protection PHONE NO. EMAIL ADDRESS: r` CONTRACTOR/PROFESSIONAL MAILING ADDRESS 4Hydro-Matic Fire Protection 1161 Rosedale Avenue PHONE NO. (81 8)247-9812 FAX NO. Glendale,CA 91208 EMAIL ADDRESS: License No. 718393 Type: C-16 Expires: 6/30/2017 12:00:.'4 TENANT MAILING ADDRESS p Zara Storage , PHONE NO. FAX NO. DESCRIPTION SPRINKS FOR ZARA STORAGE Construction Type UOM 8 of Units Value Construction Type UOM 8 of Units Value Value Value 1,000.00 $1,000.00 vituravo a i OCCUPANCY: Fire Sprink/AIm TOTAL VALUATION: $1,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT 8.00 each sprinkler pck 280.00 280.00 01-3109 1.00 Flat Fire Issue Auto 44.35 44.35 01-3112 each Fire Permit 61.65 61.65 01-3112 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $387.00 Balance Due: $0.00 Paid Today: $387.00 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the —Receipt#: 116573 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 280.00 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3112 106.00 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 LNSPECTION INSPECTORS'OFFICE HOURSc .:s. ..)\\\s\... Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) o~4° of �y•, PERMIT/PLAN REVIEW APPLICATION :,;rix : F... 40 opqm-91 0, ,til , 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 un or•provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Sectio 7000,of Division 3 o e Business and Professions Code,and my license i:in 11 forced effe ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C-I!. /c. se s I xp. Dates–� compensation, as provided for by Section 3700 of the Labor Code, for the - i�® performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DELLA' TION ❑ 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 My workers'compen insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and ProfessionsCode.Any city or county which requires a permit to construct,alter,improve, (issued. arrierdemolish,or repair any structure,prior to its issuance,also required the applicantfor such permit to file a signed statement that he or she is licensed pursuant to the olicy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I: all 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 subjec to the w.rkers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I.houlp•co e sub' ct to the workers'compensation provisions of Sectio' 3710 of e L.'or C%de,I shall ❑I, as owner of the roe forthwith comply with those provisions. property,rty, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for r sale(Section 7044,Business and Professions Code:The Contractors License , Date �7-- q 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 attomey's fees. ❑I, as owner of the property, am exclusively contracting with licensed • i 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 Title PRINT NAME I certify that I have rea this applicatio .nd tat' t•at the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply • all ° or•' anc a tate Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter ./I• • the a' 1 e-• •ntio •d p Xe inspection purposes. Signature �. �. / /AIL Date — I — ri 7 A OV A A C.Is %ILI 11 :")!:k 7 4! `iu 5,90 Aa�nrt 5,1907 CIO\. i`� �°a``yoiS MEMORANDUM Fire Department DATE: June 6, 2017 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue (Zara Stockroom) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS FIRE ALARMS 5-16-2017 Jill Perumean TANKS HOOD & DUCT KNOX BOX OCCUPANCY 5-16-2017 Jill Perumean COMMENTS: Emailed Bldg. Dept. 5-16-2017 Rita tre Development Services Department 1.4• ! 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-056-846 ,,----.-- Arcadia,CA 91066-6021 City of (626) 574-5416,Fax(626)447-9173 ArcadiaPermit Type: Mechanical PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 5/11/2017 CM 10:50 5/11/2017 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 Vision Heating And Air Conditionir PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Vision Heating And Air Conditioning 19069 Van Buren Blvd Ste 114-481 PHONE NO. (951)973-8837 FAX No. (951)677-9599 Riverside,CA 92508 EMAIL ADDRESS: glenda@visionhvacinc.com License No. 877675 Type: c20 Expires: 5/31/2018 12:00: TENANT MAILING ADDRESS Zara Remote Storage PHONE NO. FAX NO. DESCRIPTION DUCTLESS AC UNIT TO ZARA REMOTE STORAGElil:31M t"? , 9 t 'f Construction Type UOM N of Units Value Co F ":ri,' . - 11 N of Units Value rG,44-e- 5-0-67 �/ 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 Furn<100,000btu 18.74 18.74 01-3105 1.00 each Comp 3 hp 18.74 18.74 01-3105 1.00 each SWMF 2 Auto 1.00 1.00 88-3027 Total Fees: $82.83 Balance Due: $0.00 Paid Today: $82.83 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the 'ecelp 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 81.83 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 88-3027 1.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) Or A mo yc9• . v~ li•. PERMIT/PLAN REVIEW APPLICATION o j4 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 0 I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions h Code,and my license is in full force and pct. i , ❑ I have and will maintain a certificate of consent to self-insure for workers' Class 1. i.d License Noe,) Date j 1' compensation, as provided for by Section 3700 of[he Labor Code, for the ticense ignature of Contractor ��, performance of the work for which this permit is issued. .OWNER-BUILDER DECLARATION 0 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'UA^c/o�mp�en�s�ation ins`u'rance carrier and policy numbers are:Code.Any city or county which requires a permit to construct,alter,improve, Carrier '4®t G 12-t/ 1 1---G.,4C. CO demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number V 1 2-49 2-2-V 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 roe forthwith comply with those provisions. ❑ property,rty, or and the employees with wages as their sole compensation,will do the work, the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date 51 I ➢ 1 II Signature �a ,, {? 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 £eLr1 i-466- CPL-.e12-9-€2k—a-0 }Fitle Li -A- . -R PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. v Signature Date M A>( \ \ —C., -11 1517 A HEATING&AIR CONDITIONING, INC. 19069 Van Buren Blvd.Ste 114-481•Riverside,CA 92508 Ph:951.677.9199•Fx:951.677.9199 To Whom It May Concern: Celina Guerrero has authorization to pull mechanical permits on behalf of Vision Heating and Air Conditioning,Inc. Thank you, Jeremy Reese 951-973-2227