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Home My WebLink AboutUntitled ..4%%:., Development Services Department xlI 240 West Huntington Drive,Post Office Box 60021 PERMIT NO. Arcadia,CA 91066-6021 BOO-057-231 City of (626) 574-5416,Fax(626)447-9173 Permit Type: Tenant Improve w/ener Arcadia yp P g: PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 6/26/2017 EP 8:38 10/10/2017 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#: 17-212 APPLICANT MAILING ADDRESS Plan#: 32361 Ice Builders, Inc PHONE NO. EMAIL ADDRESS: , CONTRACTOR/PROFESSIONAL MAILING ADDRESS Ice Builders, Inc 421 E Cerritos Ave PHONE NO. (714)491-1317 FAX NO. Anaheim,CA 92805 EMAIL ADDRESS: License No. 775947 Type: B Expires: 3/31/2018 12:00: TENANT -MAILING ADDRESS Jc Penny PHONE NO. FAX NO. DESCRIPTION T.l FOR JC PENNY. CREATING NEW OFFICE SPACE.WITH ELECTRICAL AND MECHANICAL i er Construction Type UOM #xl Units Value Construction Type A- - nitg Value Value Value 25,000.00 $25,000.00d.6/..1 PED F ✓ 4- /-lam G7 OCCUPANCY: Tenant Improve TOTAL VALUATION: $25,000.00 • QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 317.04 317.04 01-3103 each Energy p/c fee 97.55 97.55 01-3103 PC ADA 47.56 47.56 01-3103 n PC Cal Green 31.70 31.70 01-3103 � '_``�-G7 > 1+tib�(a t �C.62�iCL 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 G/�. pit yt is.,(,L `N5 �teeir i-5 r�_r each Bldgpennit 487.75 487.75 01-3104 w6t``� Bldg Issue ADA 48.78 48.78 01-3104 E:A F(41"‘10 671 71.44 .cG ., 1.00 flat Elec issue 44.35 44.35 01-3105 1.00 Flat Mech issue 44.35 44.35 01-3105 I 070/ 6.00 each Outlets 9.24 9.24 01-3105 1.00 Flat Add/Alter Ducts 9.38 9.38 01-3105 1.00 each T.I.Fire Pkc 280.00 280.00 01-3109 SMIP Corn 7.00 7.00 14-2207 gm bldg std 1.00 1.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 1.00 Flat SWMF 2 1.00 1.00 88-3027 1.00 Flat SWMF 2 1.00 1.00 88-3027 Total Fees: $1,478.30 Balance Due: $0.00 Paid Today: $704.45 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the ecelp , ;t 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 580.88 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 107.32 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 7.00 Arcadia building inspector for a period of 180 consecutive days. 714-2203 1.00 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) Cil Imp" „' PERMIT/PLAN REVIEW APPLICATION •k , „to, 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. El I have and will maintain a certificate of consent to self-insure for workers' License Class ALL-�- se No. Exp. Dat — compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contracto �.1_ �� performance of the work for which this permit is issued. ElI have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARATIO�� El hereby affirm under penalty of perjury that 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. y workers'competion insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier foEj . / innsaLl/itAL demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number (J�/ (J to I � — /l0�� Q�/ -DA 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 D. 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 .,........"...;e 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(e—AO—�7 Signator 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 D —�Y" Title ��C- iT ��/m' 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 upo the . ,o e- tioned property for inspection purposes. l \Signaturm—/� Date /6/o —/7 10/9/17 L RE: City of Arcadia. . . Dear Sir or Madam: This letter hereby authorizes the undersigned David Morganto sign for licenses and building permits on behalf of I.C.E. Builders, Inc. Respectfully, Brian Silver,CF • David Morgan,Superintendent • A notary.pu Ilc or of er officer completing this certificate verifies only the identity of the individual n ividual who signed the document to which this certificate is attached and not the truthfulness, accuracy;or validity of that document: On /0/Q/i before me, Ift, (Notary Public),personally appeared S I l u�•. 2nGn y ,. Who proved to me on the basisbf satisfactory evidence to be the person'&whose name{)is/art-subscribed to the within instrument and acknowledged to me that he/shefthey executed the same in his/her-/-their authorized capacitp(ies),and that by his/her¢t eir signature's"on the instrument the personk or the entity upon behalf of which the.person(s)acted, executed the instrument. I certify under the PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and - correct. WITNESS my had and official seal THERESA MARY KINGSBURY MAGERS Notary Public-California Z Signature (Seal) ? Orange County > Signature of Not Public Ke , Commission#2205193 1^' My Comm,Expires Aug 10,2021 :. 421 E. Cerritos Avenue I Anaheim; CA 92805 1 T 714.491:1.317 IF 71.4..3.33.9700 - CA Lk.do•.775947. -. .. - .. .. .