HomeMy WebLinkAboutUntitled (2) -.= ., Development Services Department
;1 ,! 240 West Huntington Drive,Post Office Box 60021 ''iii----i-=- PERMIT NO. B0O-057-240
'`I.`, 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
6/27/2017 CM 13:39 12/14/2017 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#: 17-214
APPLICANT MAILING ADDRESS
Horizon Retail Construction
PHONE NO. Plan#: 32409
EMAIL ADDRESS:
,
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Horizon Retail Construction 1500 Horizon Boulevard PHONE NO. (262)638-6000 FAX NO.
Sturtevant, WI 53177 EMAIL ADDRESS:
License No. 676686 Type: B Expires: 9/30/2018 12:00:
TENANT MAILING ADDRESS
Lens Crafters(Macy's) PHONE NO. FAX NO.
DESCRIPTION
T.I.LENS CRAFTERS IN MACY'S
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Value Value 90,000.00 $90,000.00
OCCUPANCY: Tenant Improve TOTAL VALUATION: $90,000.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
each Plan review 741.33 741.33 01-3103 SMIP Com 25.20 25.20 14-2207
each Energy p/c fee 228.10 228.10 01-3103 grn bldg std 4.00 4.00 714-2203
PC ADA 111.20 111.20 01-3103 1.00 Flat SWMF Auto 6.25 6.25 88-3027
PC Cal Green 74.13 74.13 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 1.00 Flat SWMF 2 1.00 1.00 88-3027
each Bldg permit 1,140.50 1,140.50 01-3104 1.00 Flat SWMF2 1.00 1.00 88-3027
Bldg Issue ADA 114.05 114.05 01-3104
1.00 flat Elec issue 44.35 44.35 01-3105
1.00 Flat Mech issue 44.35 44.35 01-3105
1.00 Flat Plmbg issuance 44.35 44.35 01-3105
2.00 each Lavatories 24.92 24.92 01-3105
1.00 each Distrib panel 15.55 15.55 01-3105
34.00 each Outlets 44.80 44.80 01-3105 •
34.00 each Ltg fixtures 44.80 44.80 01-3105
I 1.00 Flat Add/Alter Ducts 9.38 9.38 01-3105
2.00 each Wtr htr/vent 31.10 31.10 01-3105
1.00 branch cin Signs elec 59.17 59.17 01-3105 •
Total Fees: $2,854.88 Balance Due: $0.00 Paid Today: $1,700.12
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 118834
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 1,298.90
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 362.77
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 25.20
Arcadia building inspector for a period of 180 consecutive days. 714-2203 4.00
88-3027 9.25
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS
Requests for inspection should be made at least Monday-Thursday Friday
one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m.
by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m.
(Closed on alternate Fridays)
.F $
4 iro9
y PERMIT/PLAN KEVIEW APPLICATION
0o 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
D I hereby affirm under penalty of perjury that I am licensed under provisions of r4-hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and I/
Professions Code,and my license is in full force and effect. have and will maintain a certificate of consent to self-insure for workers'
icense Class J5' License No.6764E Exp. Datey����+ compensation, as provided for by Section 3700 of the Labor Code, for the
c Signature of Contractor
performance of the work for which this permit is issued.
OWNER-BUILD DECLARATION Ly'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 7g,ryt.-L 4A--.....„....._, Ihr
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number -1-7 °I
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 Lll/1 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 civ' 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 foo Li_ —�
sale(Section 7044,Business and Professions Code:The Contractors License
Date Z 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,
wnemployees,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.
ae Ja/ /P /moi.. Title
PRINT NAME
I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I/agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature Date / 2—/ ei "2
.. 16/4/6'044F; 445 S itIS`n& XCY`s
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp. cie..)-6, . PLuItiB6Kl.
100. Setbacks 210. Under flr./bldg.drain '/
101. Rough grade 211. Copper underslab CZ-C.7YL,iG ("f4C-e- cr^1 ..ji
102. Figs.&forms 212. Rough plumbing 2046 //
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 219. Final gas
110. Framing Z-I - L D it-/c.-1//f220. Fixtures
111. Occ./Area Sept.Wall 221. Final plumbing
112. Sound walls ,1,/ 2. Sewer cap/demo.
113. T-bar grid 2-20-
(�
114. Insulation-Flr. Pool Inspections Date . Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Ceil. 241. Rough plumbing
117. Drywall nailing a-s-4 4 242. Light shell/bonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. P-trap
120. Finish grade 5. Gasline test
121. Final building 2-z7--/$ 246. Fence,gates&signs
122. Final demo/lot clear 247. Pool heater
248. Final electric
Electrical Inspections Date Insp. 249. Final slumbing
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 8/ _ .271. Roof framing
156. Rough electrical 2.-2a-t& 7 272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. Eqpt.bonding Sign Inspections I Date I Insp.
160. Service panel / d 0. Footing
Setback/overhang
161. Final electric 7-L3-e8.' 7 281. Footin
282. Conduit/wiring
Mechanical Inspections Date Insp. ' 283. Disconnect
180. Venting/flue 284. Final sign
181. Furnace/A.C.
182. Rouch HVAC Z I- tilk-
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. Date I Insp.
191. Final mechanical Z L&' w.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
''may,, Development Services Department
k I tiii il240 West Huntington Drive,Post Office Box 60021
`,.. Arcadia,CA 91066-6021 PERMIT NO. BOO-058-902
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
1/31/2018 CM 13:37 2/7/2018 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#: 18-32
Los Angeles,CA 90025- EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
PHONE N
Tri-Signal Integration O.
EMAIL ADDRESS:
,
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
81$NO.
Tri-Signal Integration 2313 Valley St PHONE ( )566=8558 FAX No.
Burbank,CA 91505 EMAIL ADDRESS:
License No. 758792 Type: C 10,C 16 Expires: 2/28/2019 12:00:
TENANT MAILING ADDRESS
Lenscrafters PHONE NO. FAX NO.
DESCRIPTION
2 FIRE DEVICES MACY'S LENSCRAFTERS
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
Value Value 600.00 $600.00
1- C01111 fi
OCCUPANCY: Fire Sprink/Alm TOTAL VALUATION: $600.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT
. 2.00 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 44.85 44.85 01-3112
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
Total Fees: $370.20 Balance Due: $0.00 Paid Today: $90.20
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 119235
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 89.20 •
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 '1.\ \...)
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)
OFp ,C4,
PERMIT/PLAN REVIEW APPLICATION
7
o43 je Development Services Department,240 West Huntington Drive,Post Office Box 60021
Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173
City of
cadia
ICENSED 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:
hapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. /I ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class C. ID License(io?S '?7z Exp. Date�•.��'f ///2 ompensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
11 performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION have and will maintain workers'compensation insurance,as required by Section
I hereby affirm under penalty of perjury that I am exempt rom the Contractors 700 of the Labor Code,for the performance of the work for which this permit
'cense 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 IOLZUP = tr L 6 D
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number 4-lc (��J CS -1 70,i‘
for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less)
provisions of the Contractors License Law(Chapter 9(commencing with Section
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 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 Date 7! `� 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 coverageis.0 awful,
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 upto 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.
Time Title r 11
,ECJ
ERIN'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.
agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
rcadia to enter upon the above entioned a operty for inspection purposes.
14/1 OP p
ignature ' Y�— Date 0 / /(
City of Arcadia,CA °, ' l'" PermitNo FIREI'0 0056;';
Development Services Department `, r -: '` permit T e Fire
240 West Huntington Drive,Post Office Box 60021 r � ��� ` ��' '9 � a lo, � ����-
Arcadia,CA 91066-6021 'Li° Work Classification Fire Sprinkler
r''''..-...",‘'.1;----1 (626)574-6416 "" f ,,n .,I,' '1
Permit Status Issued.
ARCA D IA Issue Date ,02/09/21018( Expiration• 08/08/2018
Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number
400 S Baldwin AVE Arcadia,CA 91006 5775031043 s
Contacts
SANTA ANITA BORROWER LLC C/0 Owner ALL PRO FIRE PROTECTION INC Fire Contractor(C-16)
WESTFIELD SANTA ANITA 22310 SAN JOAQUIN DR,CANYON LAKE,CA 92587
400 (951)244-9836
Description:COMMERCIAL T.I 5 HEADS FOR LENSCRAFTERS 1 Valuation: $ 1,000.00 t Tenant LENSCRAFTERS
Total Sq Feet: 0.00 Plan Check# Plan#
._ •ate �;�m ., a � ,��.�.�- .:d �_:..w��• �. , � �.�
Fees Amount payments Amount Paid
Fire Issuance $44.35 Total Fees $387.00
Fire Permit Fees $61.65 Cash/Receipt# $107.00
Solid Waste Management Fee 2 $1.00 Cash/Receipt# $280.00
Sprinkler Heads $280.00
Amount Due: $0.00
Total: $387.00 -
•
Insert a permit notice prefix in the report text bank,entry:
Permit_Notice_Prefix
i COMPLETED
This permit/plan review expires by time limitation and becomes null and
void if the work authorized by the permit is not commenced within 180 days
from the date of issuance or if the permit is not obtained within 180 days
from the date of plan submittal.This permit expires and becomes null and
void if any work authorized by this permit 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/
/ February 09,2018
Issued By: Date
February 09,2018 Insert a permit page footer in the report text bank,entry:Permit_Page_Footer Page 1 of 2
v4.°II ,c.d�
.;g. PERMIT/PLAN REVIEW APPLICATION
Development Services Department,240 West Huntington Drive,Post Office Box 60021
00›...... ,,,...•;,.
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 d my license is in full orce .nd eI c ■ I have and will maintain a certificate of consent to self-insure for workers'
License Class l/ ` ! c nse No. / , Date y`t compensation, as provided for by Section 3700 of the Labor Code, for the
givr r/ performance of the work for which this permit is issued.
Signature of Contractor
ri
OWNER-BUILDER DECLARATION I have and will maintain workers'compensation insurance,as required by Section
0 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./VAI �ywookers'comp nsa nsurance carriez-and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier /v V��jj�� lar �/� �7
demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number J v 0000 2. l q i l
for such permit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthw,iitthh omply with those provisions. 0
compensation,will do the work,and the structure is not intended or offered for !/�j It S( 147144,147n
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.
0 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. /� �,���y
Name 4 v �,0 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 ent r on the above-mentioned property for inspection purposes.
Signature KJ e4/471° Date 01 (`
ti,O1,1F ` dr
,111
�� •'A ryrt5�19�03 -�
�isaity°tMEMORANDUM
Fire Department
DATE: February 21, 2018
TO: BUILDING DEPARTMENT
INSPECTOR Henry Kemich
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 400 S. Baldwin Avenue (Macy's Lenscrafters)
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 2-21-2018 Jill Perumean
FIRE ALARMS 2-21-2018 Jill Perumean
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 2-21-2018 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 2-21-2018 Rita