HomeMy WebLinkAboutUntitled Development Services Department _
240 West Huntington Drive,Post Office Box 60021'
Arcadia,CA 91066-6021 PERMIT NO. B00-051-304
City of (626) 574-5416,Fax(626)447-9173
ArcadiaPermit Type: Tenant Improve w/energ:
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
8/27/2015 CM 11:14 8/23/2016 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
400 S Baldwin Ave T-387
OWNER MAILING ADDRESS
Westfield Corporation,Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Plan Chk#: 15-547
Los Angeles,CA 90025- EMAIL ADDRESS:
Plan#: 32039
APPLICANT MAILING ADDRESS
S Visions Construction, Inc. PHONE NO.
EMAIL ADDRESS:
,
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
S Visions Construction, Inc. 16161 Ventura Blvd#C813 PHONE NO. (310)409-6785 FAX NO.
Encino,CA 91436 EMAIL ADDRESS:
License No. 999353 Type: B Expires: 1/29/2017 12:00:
TENANT MAILING ADDRESS •
Royce PHONE NO. FAX NO.
DESCRIPTION
TENANT IMPROVEMENT FOR ROYCE
Construction Type UOM H of Units Value Construction Type UOM II of Units Value
Value Value 50,000.00 $50,000.00
rn
OCCUPANCY: Tenant Improve TOTAL VALUATION: $ MOO 00 I 10 s'1"5 e • s~il i;
a a o u ssi .4 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT P -ACCT
each Plan review 524.23 524.23 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027
each Energy p/c fee 177.43 177.43 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027
PC ADA 78.63 78.63 01-3103
PC Cal Green 52.42 52.42 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 806.50 806.50 01-3104
Bldg Issue ADA 80.65 80.65 01-3104 ,
1.00 flat Elec issue 44.35 44.35 01-3105
1.00 Flat Plmbg issuance 44.35 44.35 01-3105 •
2.00 each Floor sink 24.92 24.92 01-3105
1.00 each Floor drain 12.46 12.46 01-3105
5.00 each Outlets 7.70 7.70 01-3105
3.00 each Ltg fixtures 4.62 4.62 01-3105
1.00 each T.I.Fire Pkc 245.00 245.00 01-3109
SMIP Corn 14.00 14.00 14-2207
grn bldg std 2.00 2.00 714-2203
1.00 Flat SWMF Auto 6.25 6.25 88-3027
Total Fees: $2,171.86 Balance Due: $0.00 Paid Today: $1,094.15
This penbit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 114013
permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 931.50
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 138.40
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 14.00
Arcadia building inspector for a period of 180 consecutive days. 714-2203 2.00
88-3027 8.25
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
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119 PERMIT/PLAN REVIEW APPLICATION
• oj• 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
essions Code,and my license is in full force and effect. Z 77 ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License No.9-1g3 53 Exp. Date 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
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
is issued. workers'compensation insurance carrier and policy numbers are:
License Law for the following reason(Section 7031.5,Business and Professions bit
Code.Any city or county which requires a permit to construct,alter,improve, Carrier pU})l
demolish,or repair any structure,prior to its issuance,also required the applicant r w 0 C q/ Z d
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 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 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 1,11 k is K f j°i^&ti Title C, �` J r0 ^�'� �'a\�
PRINT NAME („/ '
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature Date
1-0 qc-&/U.)if.4
NOTES
: i• 'i I. • 1 i 111'1. I I' •'I I. • 5p.
100. Setbacks 210. Under fir/bldg.drain '{-15.17
101. Rough grade 211. Copper undersiab
102. Figs.&forms _212. Rough plumbing 5-/C- ?
103. Pre-slab it-06-0 213. 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 219. Final gas
110. Framing 220. Fixtures
111. Occ./Area Sept.Wall 221. Finalal plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar'rid
114. Insulation-Flr. Pool Inspections Date . Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing 242. Light shell bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade45. Gas line&test
121. Final building 6-2/-17,h/c°171246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final dumbing
150. Power pole 250. Pool cover
151. Sales lot lighting 251. Pool final
152. Underground conduit
153. Underslab conduit -(1-17 fri y�Reroof Inspections Date Insp.
154. UFER ground 270. Pre-reroof insp.
155. Water ground . 71. Roof framing
156. Rough electrical 5-16 0 ��'//�� 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Eqpt.bonding Sign Inspections I Date I Insp.
160. Service panel 80. Setback/overhang
161. Final electric 4 -17 /* 81. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. ' 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC u' - .T-1 I . Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft Sewers&Offsite Insp. I Date I Insp.
191. Final mechanical 300. Lateral(main to P/L)
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cesssool filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
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® Certicate of Occupancy ®,
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,a . City of Arcadia Mrd ,
- Development Services Department - Building,Division
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�� This certificate issued pursuant to the requirements of Section 109.of the 1 ,
1 t ® , - Uniform Building Code certifying that at the time of issuance this structure was in
r�?� compliance with the various ordinances of the City regulating building construction or use. ',
v WIC -
- Ptii
7
Permit No. BOO-051-304 A
� i A - Building Address: 400 S Baldwin Ave,Arcadia,CA 9.1007 °
t! ® Use Classification: Tenant Improve Effective UBC:
2013 C.B.C. , p
1::1/4 Type: Tenant Improve w/energy Zone Code °,
C 2,DH8 h:
`' � Occupancy Code: M11::::,'
Alt-s16 Type of Construction: TYPE II B FULLY SPRINK. �
® Final Date: 6!29/2017
�� �'
owner: Westfield Corporation, Inc.
Iwo.i
Tenant: Royce ' r'Z''
4 i:71,:i
- � ®i— 7-Dm. 4....„-----
Don Stockham,Building Official
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- POST IN A.CONSPICUOUS PLACE, , . IlL':i?^#T"�'GTy�• # !., !"o4lZ'..:- .il.Y%A614Yt i�'"£ Y`.^ ..+..ate... S"L.v_r.•a,St T`"S. 2 ,,...y 4)!'
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jVisions Inc
construction
S Visions Construction,Lic.#973150
21512 Nordhoff St.Chatsworth CA,91311
TEL:(818)409-6785 FAX: 818-741-2208
www.svisionsinc.com Info@svisionsinc.com
August 22, 2016
To whom it may concern,
We authorize Nir Gunman to stand in on our behalf for the following:
Pay fees and pull permit for project located at 400 S Baldwin Ave. Arcadia CA
(Royce kiosk)
Feel free to contact me with any questions at(310) 409-6785
Reg.. i s, 1( 1
C afti. ,tit l ,1 ti. _
•v arie Nieto 6.ice Manager
•
SATORRE VIOECTEDLA'IO:NS - OHS INITIALS:
C -
PLAN CHECK®F�ICIA�.,INSPEGTiS�N REPORT. . :
-. COUNTY OF'Los ANGELES•�?QEPARTMENT:OF PUBLIC HEALTH'
• .
ENVIRONMENTAL.HEALTH"
OPERATOR INITIALS:. ' P
. RETAIL.INS INSPECTION • WHOLESALE INSPECTION.
SECTION I:TYPE OF INSPECTION
• .. — Evaluation
,. o _ Preliminary lnspectio 90 Day.
". Fallow Up Inspection- Equipment Evaluation
a.F $ Flal Ins n pection—NEW Revocation Evaluation .
:. . o . I .-REMODEL Other: .
Inspection Final n
SECTION II:STATUS OF PERMIT I LICENSE
APPROVED:The facility I establishment is approved to operate pursuant to the following contingencies.
DENIED The facility I establishment'is NOT approved.to operate To obtain approval the requirements needed are:
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`, ---1..—?t.�I o : t Ui Submit 3:sets of detailed plans:See Cons ction Requi/7 rement-GUI alines at4Ra w.a ublich-:I, as •un ,••e fi
tom`
c 6 °e z ullding&Safety,Fire:Department and;other agency.permits and approvals.�
'O.� K�Obtain Iocaf B ������,3 D
iiii: .1� • a SECTION iII: LIMITS&RESTRICTIONS t
F.�1 .013 t
0 hZ , O ..The approved facility/establishment may engage in.the processes/activities marked below: -
w
. - m ad ---. Train Employees
•• Use MultiserviceUtensils
- : ..' lit Stock Prepackaged I Non-Potentially Hazardous Foods • • Serve Alcoholic beverages- _ " . .
_
" -- Stock Pefistrable I Potentially Hazardous Foods ><May NOT Serve Alcoholic Beverages For OnSite Consumption
\j: L - Food Preparation Food Demonstration ..-. .
m".-8 Food Preparation LIMITED FOOD PREPARATION _ Wholesale Food Processing - .
e CI (5 I� Food Preparation—NO COOKING PERMITTED Food Market,Wholesale
>1. w !�� ..
O~ _1 ' 0 . Food Market Retail;prepackaged Foods Other... "
�d��w X - P gad Only •
. .
Q p U.Qa z . ;
- • a d. -n.. z.LOa a. SECTION IV: FEES IADMINISTRATIVEACTIONS•• i
` A fee in the amount of$• must.be paid prior to the next field inspection.
— 5 • . "'r , : z CLOSURE:Operating without final approval andlor without Public Health Permit OR License • .
�
. Q. gO • a.m./p.m.(Provide Valid Photo Identification) .
in
Administrative.Review I Office:Hearing.fias been scheduled on:. . at
W 6 d Z TION V:DISCLOSURES .:
_. o "•• _ SEC
I . . .
J'a. -'° ¢ It is a misdemeanor violation to begin operation without a valid Public Health permit/license The Public Health permit!license will be •
_ :� a o - issued by the Plan Check Inspector at the job site following final Inspection and approval by all applicable agencies.Remodeled areas of
z.U -. an existing food facility:/establishment mus t obtain:a final inspection and approval from all applicable.enforoement agencies prior to use,.
W. >-t. Any future alteration,construction,building;renovation,repair,change of equipment,change of.the operation of a food facility/
- 'W • rn ' establishment or change of menu may require,plans to be submitted to-the Health Department.Plan Check Program:A'dditional approvals '
Z _ .. 9 may berequired from other enforcement agencies.• _ • • • -
' 0 (Ty_
is Improper and illegal for eny County officer,employee or inspectorto solicit bribes,gifts or gratuities in connection with performing
- W.zp . their official duties.Improper solicitations include:requests for anything of value such as cash,discounts,free services,:paid travel or "
s g,. "_ v 0 entertainment,or tangible Items such es food or beverages:Any attempt by a County employee to solicit bribes,gifts or gratuities:for any , ,
it. )• reason should be reported Immediately to either the County manager.responsible for supervising the employee or the.Fraud..Hotline•at
W
800)"Crtd 6861 or yAvw.tacauntvfraud,org.YOU MAY REMAIN•ANONY{Y90US'
o • .1 "SEE REVERSE SIDE FOR.ADDrONAL CRITERIA .. Page 1 of •.1.
of ARc
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MEMORANDUM
Fire Department
DATE: June 16, 2017
TO: BUILDING DEPARTMENT
INSPECTOR Henry Kemich
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 400 S. Baldwin Avenue #9016 (Royce)
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS
FIRE ALARMS
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 6-15-2017 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 6-16-2017 Rita