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'J City of Arcadia CA �i 'r �� ��� '" x e mltNO.TI 18'0218
Development Services Department :,1,11,,,,,,
"a PermitType Tenant Impr9vement
240 West Huntington Drive,Post Office Box 60021 , (7N '11 ' ��'-
a i, i , I , , $ Work ClassiJ�cat on Tenant Improvement,
1 pg Arcadia,CA 91066 6021 , , " 4 a 'A
(626)574-5416 � ,,. ' s,��� a ;.,` �,r ��: °' '� ���
p, � .Permit Status:Issued='
IA
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ARCADIA " Issue
te 03/21/2018£ Expiration: 09/21/2018
Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number
400 5 Baldwin AVE Arcadia,CA 5775031043 €
h
Contacts
SANTA ANITA BORROWER LLC C/0 Owner MIKE BEEMAN General Contractor(B)
WESTFIELD SANTA ANITA 8520 WELLSFORD PL,SANTA FE SPRINGS,CA 90670
400 (562)696-1400
N
Description:PRE FABRICATED ENJOYER KIOSK. Valuation: S 26,000.00Tenant ENJOYER
5
Total Sq Feet: 0.00 4 Plan Check#18-0218 Plan#•32476 3
Fees Amount Payments Amount Paid
Accessibility Plan Check $48.80 Total Fees $1,397.20
Accessiblity Building Permit $50.05 Cash/Receipt# $556.82
Building Issuing Fee $44.35 Cash/Receipt# $840.38
Building Permit Fees $500.50
Amount Due: $0.00
Building Plan Review Fee $325.33
Cal Green Plan Check $32.54 '
Commercial T.I.Fire Plan Chk. $280.00
Energy Plan Review Fee $100.10
Green Building Standard $2.00
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Corn $7.28 CALLS FOR INSPECTION Request for inspection by telephone at 626-574-5450.
Leave a message requesting the address,time frame and what inspection
Total: $1,397.20 item is needed.
) MA.L '/_`e5 — t� This permit/plan review expires by time limitation and becomes null and
C� 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.
C(/..9
March 21,2018
Issued By: Date
colipi, TillIL.Iji
March 21,2018 Page 1 of 2
A OF ARC
41 iiii,_-
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ci! V PERMIT/PLAN REVIEW APPLICATION
\l if, Development Services Department,240 West Huntington Drive,Post Office Box 60021
gym....,,oety Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173
City of
Arcadia
,LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
Q 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 ��Licensde�No. Exp. Date����I�� compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor lQ performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION have and will maintain workers'compensation insurance,as required by Section
El 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 1 C-AfQ G
demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number No.J v ii sno •
WI:,
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 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 bate �''1-'I �� Signaturep&tetoLet ..9k".."-N'
Law does not apply to an owner of property who builds or improves thereon, 1
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. y�k�5
ame—OG,v�. CIO CL Title NAVVv�/\ �J� �-
� ' 1 81-,.-+��
PRINT NAME I
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-men ' ed property for inspection purposes.
ignature ��i . ate a
A •
NAKAMURA-BEEMAN INC.
February 26,2018
City of Arcadia
240 West Huntington Drive
Arcadia,CA 91066
(626)574-5416
Dear Permit Technician:
This letter is Authorization from Nakamura-Beeman,Inc.(N.B.I.),allowing Danielle Gomez,to initiate,apply for,make changes
to plans,sign,pickup and or pay for any permits or pertinent construction documents and licenses that relate to the fabrication
and installation of the mall kiosks to be installed in the Westfield Santa Anita Mall.
Our Contractor information is as follows:
Nakamura—Beeman,Inc.
8520 Wellsford PI.
Santa Fe Springs,CA 90670
License#685301,Entity=Corp.,Classification=B
If you,your agents,or any of the City/Building officials have any questions or need any more information,please contact me
right away.
Thank you.
Sincerely:
Mike Beeman
Nakamura—Beeman,Inc.
Email:mike@nbikiosks.com
Cell:562-787-8950
8520 Wellsford Place, Santa Fe Springs, CA 90670 • (562)696-1400 • FAX (562)696-1411 nbikiosks.com
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�r Certs icate ofOccupancy �
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_ City of Arcadia v �,
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Development Services Department—Building Division•
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.+.1 s' '3\ This certificate issued pursuant to the requirements of the yr-
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California BuildingCode certifying
� Eying that at the time of issuance this structure was in i.,,,:-..-:0:14:7,Y. compliance with the various ordinances of the City regulating building construction or use.
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�f , 1 Permit No. TI-18-0218 :/ ��
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_ Building Address: 400 S BALDWIN AVE ARCADIA,CA 91007 �� 1
A#ti ,, Permit Type: Tenant Improvement
a P Effective CBC: 2016 C.B.C. 1
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Occupancy Code: M Zone Code: C-2 DH-8
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08 v/iE r - r '.,
y ? ,_r Final Date: 4-18-18 Type of Construction: TYPE II IHR SPRINK
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-�f owner: WESTFIELD S•NTA ANITA Tenant:ENJOYER P k
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-,,, Don Stockham,Building Official ,
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1/41faity°113 MEMORANDUM
Fire Department
DATE: April 18, 2018
TO: BUILDING DEPARTMENT
INSPECTOR Henry Kemich
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 400 S. Baldwin Avenue #9003 (Enjoyer)
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 4-18-2018 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 4-18-2018 Rita