HomeMy WebLinkAboutUntitled (2) .`•' ( Development Services Department
4 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. BOO-057-611
Arcadia, CA 91066-6021
CiArcadia of (626)574-5416,Fax(626)447-9173 Permit Type: Sign
PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS
8/16/2017 EP 13:30 8/16/2017 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#: OTC
APPLICANT MAILING ADDRESS
Superior Electric Advertising PHONE NO.
EMAIL ADDRESS:
,
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
Superior Electric Advertising 1700 Anaheim St PHONE NO. (95 1)522-7154 FAX NO.
Long Beach, CA 90813 EMAIL ADDRESS:
License No. 271598 Type: C45 Expires: 2/28/2019 12:00:
TENANT MAILING ADDRESS
Auntie Annes PHONE NO. FAX NO.
DESCRIPTION
1 ILLUMINATED SIGN FOR AUNTIE ANNES '
Construction Type UOM Hof Units Value Construction Ty. " of Units Value
Value Value 3,500.00 $3,500.00
CI.—a7—4 7 P---/-/t/4 C 7-7(:/"V-
OCCUPANCY: Sign TOTAL VALUATION: $3,500.00
QTY 110M DESC AMT AMT PAID ACCT QTY 11OM DESC AMT AMT PAID ACCT
Sign plan rev 76.75 76.75 01-3103
1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104
each Bldg permit 137.05 137.05 01-3104
1.00 flat Elec issue 44.35 44.35 01-3105
1.00 branch cin Signs elec 59.17 59.17 01-3105
1.00 each Sign Connection 15.55 15.55 01-3105
1.00 Flat SWMF 2 1.00 1.00 88-3027
1.00 each SWMF 2 Auto 1.00 1.00 88-3027
• Total Fees: $379.22 Balance Due: $0.00 Paid Today: $379.22
This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 117648
permit is not commenced within 180 days from the date of issuance or if the pennit is not obtained within 180 days from 01-3103 76.75
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3104 . 181.40
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 01-3105 119.07
Arcadia building inspector for a period of 180 consecutive days. 88-3027 2.00
CALLS FOR LNSPECTION INSPECTORS'OFFICE HOURS
111"
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. / f
(Closed on alternate Fridays)
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mom �' PERMIT/PLAN REVIEW APPLICATION
44 , 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
'n 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 y license is in full force`and a ct. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class Cit� icense o.17y / Exp. Datoill r
Signature of Contractor compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
OWNER-BUILDE ECLARATION ❑ 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 Tri V d'�t r S
demolish,or repair any structure,prior to its issuance,also required the applicant2 7 rl fy-��i I� O
GA
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number !
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
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.❑ p p rty, oa d emploure i with wages or their sole wy ad......------
salecompensation,will do the work,and the structure is not intended or offered for
(Section 7044,Business and Professions Code:The Contractors License Date �f �' 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 inSection3706 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).
Cl 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. �f ,fit j�g�,
`v �'1 /I Title pr,/,l codr -"ex
INIame
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- a tinned property for inspection purposes.
Signature 17.11A, (tate1/4/