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Home My WebLink AboutUntitled "' Development Services Department t - hi 240 West Huntington Drive,Post Office Box .- ' 60021 ` PERMIT NO. l3UU-058-78U `�.:`.'-- Arcadia,CA 91066-6021 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type: Tenant Improve w/energ; PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 1/16/2018 CM 13:49 3/19/2018 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 Inspector#: HENRY Los Angeles,CA 90025- EMAIL ADDRESS. Plan Chk#: 18-10 APPLICANT MAILING ADDRESS Plan#: 32473 Dream And Space Construction Inc PHONE NO. EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Dream And Space Construction Inc PHONE NO. FAX NO. EMAIL ADDRESS: , License No. 976967 Type: B Expires: 9/30/2018 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. Bodyfriend DESCRIPTION INTERIOR T.I FOR BODYFRIEND Construction Type IIOM II of Units Value Construction Type UONI k of Units Value Value Value 105,000.00 $105,000.00 1-,--ri COMILETED r/v,c__ 6.,_61-i g /".."--'-'7 - OCCUPANCY: Tenant Improve / TOTAL VALUATION: $105,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 818.03 818.03 01-3103 1.00 Flat SWMF Auto 6.25 6.25 88-3027 each Energy p/c fee 251.70 251.70 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027 PC ADA 122.70 122.70 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027 PC Cal Green 81.80 81.80 01-3103 1.00 Flat SWMF 2 I.00 1.00 88-3027 100 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 1,258.50 1,258.50 01-3104 Bldg Issue ADA 125.85 125.85 01-3104 100 Flat Eleeissue 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 1.00 each Fan-vent single 9.38 9.38 01-3105 2.00 each lavatories 24.92 24.92 01-3105 28.00 each Outlets 38.80 38.80 01-3105 9.00 each 1.1g fixtures 13.86 13.86 01-3105 I.00 each T.I.Fire Pkc 280.00 280.00 01-3109 SMIP Com 29.40 29.40 14-2207 bmf bldg std 5.00 5.00 714-7203 Total Fees: $3,246.59 Balance Due: $0.00 Paid Today: $1,692.36 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: pennit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 1,428.70 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 220.01 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 14-2207 29.40 > Arcadia building inspector for a period of 180 consecutive days. 714-2203 5.00 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. bytelephone at(626)574-5416 for onsite work. 4:00p.m.to 5:30p.m. 4:00p.m.to 4:30 p.m. P (Closed on alternate Fridays) f \ I' , 01 1 PERMIT/PLAN REVIEW APPLICATION * /tip. Development Services Department,240 West Huntington Drive,Post Office Box 60021 < y Arcadia, CA 91066-6021,(626) 574-5416,Fax(626)447-9173 City of Arcadia ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 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 License No.9 6 qb7 Exp. Date' /3 44 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-BUILDER DECLARATION 0 4 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 demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 6'l provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed i 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 II 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 Date >/(Gy/ti c sale(Section 7044,Business and Professions Code:The Contractors License // Signature AO"— 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 Title 1 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 7< / r NOTES Building Inspections Date Insp. Plumbing Inspections I Date I Insp. _`$ .evr- w L 6e'C77vC !� 100. Setbacks 210. Under flr./bldg.drain / 101. Rough grade 211. Copper underslab P € g 102. Figs.&forms 212. Rough plumbing 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 220. Fixtures 111. 0cc./Area Sept.Wall 221. Final plumbing (y-1-/ 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 .-1Cg 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 45. Gas line&test 121. Final building g 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final ilumbin. 150. Power.ole 250. Pool cover 152. Salesnlot and co --251. Pool final 152. Under.round conduit 153. Underslab conduit --Reroof Inspections Date Insp. 154. UFER ground 270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E..t.bondin. --Sign Inspections I Date I Insp. 160. Service panel -80. Setback/overhang 161. Final electric S / 281. Footing 282. Conduit/wirin. Mechanical Inspections Date Insp. 283. Disconnect -- 180. Venting/flue --284. Final sign -- 181. Furnace/A.C. • 182. Rouch HVAC -- 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 -MIN Sewers&Offsite Insp. I Date I Insp. 191. Final mechanical 6-/- KM 300. Lateral 301. Saddle/Y(main to P/L) -- Block Wall Inspections Date Insp. 302. Cess.•ol filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin ..-'>:..'^ i0 d4^�h \ i/ �^"%l \� // ' \ �/::----- ,.---r----\--7-----,--','� R \,---777----- i'\ 21� i fes' \\ /� ^i, c 1 .r jr- ? -T 1 f- !' •°... f 1Y 1 \si?'' ' 1 ,,,:,,,":"//'..-3 ,,/- ) (( '- '�.* Certificate of Occupancy _T--)\---\;-- ,-, City of Arcadia 7�, Development Services Department - Building Division ,ji.:i----i . ) 1 This certificate issued pursuant to the requirements of Section 109 of the J Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. Permit No. BOO-058-780 Building Address: 400 S Baldwin Ave,Arcadia,CA 91007t,„.„..)\\\ /; fiTenant Improve Effective UBC: 2016 C.B.C. Permit UseClassiType:cation: Tenant Improve w/energy Zone Code: C-2 DH8 �/ Occupancy Code: M Type of Construction: TYPE II 1 HR SPRINKLERED o /Jr- _ , ( - Final Date: 6/4/2018 ) ' N , /.: 1 Owner: Westfield Corporation,Inc. 1/7\..,---•)' .CDPI \i-. j::://) �- Tenant: Bodyfrie ( J c- Don Stockham,Building Official av\e \\,,,,..rf., ya / POST IN A CONSPICUOUS PLACE f (,... I \ v _ �\s'--,____. V V � / .40104i.4 . City of Arcadia, CA 11010 SIGN-18-0758 Development Services Department Permit Type:Sign 240 West Huntington Drive,Post Office Box 60021 Work Classification:Illuminated I Arcadia,CA 91066-6021 (626)574-5416 Permit Status:Issued ARCAD IA Issue Date:05/08/2018 I Expiration: 11/04/2018 , Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 400 S Baldwin AVE Arcadia,CA 5775031043 Contacts SANTA ANITA BORROWER LLC C/0 Owner DAE BAK SIGNS Electrical Contractor WESTFIELD SANTA ANITA (C-10) 400 12325 FELSON PL,CERRITOS,CA 90703 (323)641-7907 , Description:TWO FRONT LIT CHANNEL LETTER SIGN FOR BODY Valuation: S 5,400.00 Tenant BODY FRIEND FRIEND 1 Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $382.72 Building Permit Fees $170.45 Cash/Receipt#REC-001112-2018 $382.72 Electrical Permit Issuance Fee $44.35 Amount Due: $0.00 Sign Connection $31.10 Sign Plan Review $85.22 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Total: $382.72 , CALLS FOR INSPECTIONS 3 —i Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. (MSG wftlEGT 5-4_51-7-6 14 f 6-t pu6T 4,J-O .tilA c- f,J e c7 a?" Tpw me md tf, - Tv oh if theermit/plan work authorizedrevieexpires by theby permittiliis notitation commencedandbecomes withinnull 180 andays ei from the date of issuance or if the permit is not obtained within 180 days COMP� 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—\ : 4\%..d) May 08, 2018 ued By: Date May 08,2018 Page 1 of 1 4 !1 4IYt PERMIT/PLAN REVIEW APPLICATION .4 lie • E,, b' 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 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,andmylicense is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C'`/TS License No./al X3.2 Exp. Date b3o�1 compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor t^ performance of the work for which this permit is issued. OWNER-BUILDER DECLA TION 2 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.My �wor ers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier l f—c // '4i1Seni demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 9Z/(I'H"6 ' 201 7 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 me 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 11 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($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date 6 OQ/ '$ Signature �— Law does not apply to an owner of property who builds or improves thereon, II l 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. ame Title I�2Q/WYl1^f Art +—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 propert r inspection purposes. Signature Date 010-7/ tiv I 1 STATE OF CALIFORNIA SIGN LIGHTING � ,� CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting ''' fff (Page 1 of 5) /� Project Name: p y Fiq two Date Prepared: h O A.General Information Project Address: 4/ 0 y wgm Ave. ,—r , LO . Cilob 7 Location of Sign tdoor Signs ❑Indoor Signs Phase of Sign Construction tirew Signs 0 Sign Alterations Type of Lighting Control 0 New Lighting Controls 0 Replaced Lighting Controls 0 Not Installing Lighting Controls Thi ertificate of Compliance includes the following components(check all that apply): Mandatory Measures(Lighting Controls) 0 Maximum Allowed Lighting Power [ ecific Lighting Sources 1. Mandatory Sign Lighting Controls vvvv NOTES: 1. The same responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible person may install the sign lighting controls than the responsible person installing the sign lighting power. 2. The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. If the person responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the sign, general contractor, or architect shall be responsible to have the sign lighting controls installed. 3. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of Compliance and an Installation Certificate applicable to the portion of construction for which they are responsible;alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement for the entire construction (e.g. a C-10 contractor may complete parts la and lb on one compliance document and a C-45 contractor may complete parts 2a and 2b on a separate compliance document—the Responsible Designer shall submit the two co pliance documents together for the same complete installation). ha a responsibility for installing the sign lighting controls: es,I have responsibility for the sign lighting controls,and will 0 No,I do not have responsibility for installing the sign lighting controls. complete parts la and lb of this compliance document Someone else will complete parts la and lb of this compliance document. la. Check Yes or No for all of the following statements: 1 There are existing sign lighting controls that comply with the a applicable provisions of§110.9 and §130.3 ❑Yes o There are no existing sign lighting controls and I will be installing sign lighting controls that comply with the applicable 2 r dons of§110.9 and §130.3 Yes 0 No There are existing sign lighting controls that do not comply with the applicable provisions of§110.9 and§130.3 and I will be 3 installing sign lighting controls that comply with the ap icable rovisions of §110.9 and §130.3 ❑yes o CA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016 STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LTS-01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 2 of 5) Project Name: Date Prepared: lb. Mandatory Sign Lighting Controls If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with the sign lighting control requirements,that person shall answer all of the following questions: If there are construction documents, indicate where on the building plans the mandatory measures (sign lighting control) note block can be located: 1 §130.3(a)1.All indoor sign lighting is controlled with an automatic time-switch control or astronomical time- Y N switch control. 0 0 §130.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time- y /N NA 2 switch control, or an astronomical time-switch control. EXCEPTION to Section 130.3(a)2A:Outdoor signs in tunnels,and signs in large permanently covered outdoor Y Nq areas that are intended to be continuously lit,24 hours per day and 365 days per year. 0 hVv §130.3(a)2B. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides the ability to automatically reduce sign lighting power by a minimum of 65%during nighttime hours.Signs that Y \ NA 3 are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both day and 0 0 night. EXCEPTION to Section 130.3(a)2B:Outdoor signs in tunnels and large covered areas that are intended to be Y `lA illuminated both day and night. §130.3(a)3. Demand Responsive Electronic Message Center Control.An Electronic Message Center(EMC) Y N N/A having a new connected lighting power load greater than 15 kW has a control installed that is capable of 4 reducing the lighting power by a minimum of 30%when receiving a demand response signal. EXCEPTION to Section 130.3(a)3: Lighting for EMCs that is not permitted by a health or life safety statute, y ordinance,or regulation to be reduced by 30%. 0 Field Inspector Notes: CA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016 STATE OF CALIFORNIA SIGN LIGHTING CEC-NRCC-LTS-0,1-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 3 of 5) Project Name: Date Prepared: 2. Mandatory Sign Lighting Measures I have responsibility for installing the sign lighting 0 Yes,I have responsibility for the sign lighting,and will complete ❑No,I do not have responsibility for installing the sign lighting.Someone parts 2a and 2b of this compliance document else will complete parts 2a and 2b of this compliance document. 2a. Maximum Allowed Lighting Power Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist. Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Complete part 2b of this Certificate of Compliance if there are signs using the Specific Lighting Sources method of compliance). A B C D E F G H I 1 OPTIONAL— Energy Verified Field Symbol or Description of the Sign Label(see Allotted Watts Design Complies Inspector Code Watts Y/N Check that instructions below) Sign Complies v -O i-+i+ +'+ Ul WI VI n� -- >. — VI — ro . 3 3 � Y 41 c9 C '^ O .— Q c = 3Ncn vp cy Dl N own v x ° 3 u II f 0a. in c w — < Q . p v ✓ ✓ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 ❑ A Symbol or code used on the plans(when plans are required)and other documents. B A description of the sign,or location of sign on the building;and the location of sign on construction documents. OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed, ENERGY VERIFIED label,confirming that the sign complies with the Section 140.8 of the California 2016 Title 24,Part 6 Standards,using the Maximum Allowed Lighting Power method of compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks C authorized by Underwriters Laboratories(UL)or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020.For signs with such an ENERGY VERIFIED label,columns'D'through'I'are not required to be filled out.Note:Using an ENERGY VERIFIED label is an optional method to validate compliance.An ENERGY VERIFIED label is not needed for compliance. D The sign area in square feet. E List"1"if the sign is internally illuminated. List"E"if the sign is externally illuminated. F Allowed watts per square foot. Enter 12 if the sign is listed as"I"in column E.Enter 2.3 if sign is listed as"E"in column E. G Multiply the square footage in column D times the allowed Lighting Power Density(LPD=watts)in column F. H Show the total installed watts in the sign,as determined according to the applicable provisions of§130(c). I Enter Y if the number in column H is less than or equal to the number in column G. Otherwise,the sign does not comply. This page doubles as a field inspection checklist. Field Inspector Notes: CA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016 STATE OF CALIFORNIA SIGN LIGHTING 4s, CEC-NRCC-LTS 01-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 4 of 5) Project Name: Date Prepared: 2b. Specific Lighting Source Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the Specific Lighting Source method of compliance. (Complete part 2 of this Certificate of Compliance if there are signs using the maximum allowed lighting power method of compliance) A B C D E OPTIONAL ENERGY Specific light source used for Symbol VERIFIED compliance Field Inspector or Description Check that Sign P label Shall include only lighting Complies Code (see technologies listed below instructions (List all that apply) below Lip (See bekA) 4 7 I i❑❑❑ A Symbol or code used on the plans(when plans are required)and other documents. B A narrative description of the sign,or location of sign on the building;and the location of sign on construction documents OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed ENERGY VERIFIED label,confirming that this sign complies with the Section 140.8 of the California 2016 Title 24, Part 6 Standards,using the Specific Lighting Source Method of Compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (UL)or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards Institute in accordance with ISO/IEC 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020.For signs with such an ENERGY VERIFIED label,column'D'is not required to be filled out. Note:Using an ENERGY VERIFIED label is an optional method to validate compliance.An ENERGY VERIFIED label is not needed for compliance. Specific Light Source Compliance Method. The sign(s)identified above use only the following lighting technologies: List all applicable numbers(1 through 9)that apply in column D above for each row. 1 High pressure sodium lamps Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88%or greater. 2 Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI C82.6-2005. Metal halide lamps that are pulse start that are 320 watts or smaller,are not 250 watt or 175 watt lamps, and are 3 served by a ballast that has a minimum efficiency of 80%. Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI C82.6-2005. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75%when D 4 the transformer or power supply rated output current is less than 50 mA.The ratio of the output wattage to the input wattage is at 100%tubing load. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68%when 5 the transformer or power supply rated output current is 50 mA or greater.The ratio of the output wattage to the input wattage is at 100%tubing load. 6 Fluorescent lighting systems meeting one of the following requirements:A.)Use only lamps with a minimum color rendering index (CRI)of 80;or B.)Use only electronic ballasts with a fundamental output frequency not less than 20 kHz. 7 Light emitting diodes(LEDs)with a power supply having an efficiency of 80%or greater. Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output,and have a 8 nameplate output power less than or equal to 250 watts,shall comply with the applicable requirements of the Appliance Efficiency Regulations(Title 20). 9 Compact fluorescent lamps that do not contain a medium screw base sockets(E24/E26). E This page doubles as a field inspection checklist. Field Inspector Notes: CA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016 STATE OF CALIFORNIA SIGN LIGHTINGItt_ , CEC-NRCC-LTS-Q1-E(Revised 08/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 5 of 5) Project Name Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: ll Documentation Author Signature: r91(11 -esu - Company: Signature Date: D '/'v D °( Address: n ,, CEA Certification Identification Of a plicablel: (too 5. VV�ec-pv /T�"�(�J-- City/State/Zip: Phone: LA (4 90006- 2l3 2428. -7.2.44 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury,under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance(responsible designer). 3. The energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections.I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building ow er at cupancy. Responsible Designer Name: Responsible Designer Signature: Uncal, Company: i)16k42 6et• SIP Date Signed: Address: License: `/ I°o 5. '1N,eske.,41 Ave (-1A— -# /0177 3 a City/State/Zip: ( 000 / Phone: 2(3. _241` CA Building Energy Efficiency Standards-2016 Nonresidential Compliance August 2016 "-- City of Arcadia, CA FIRE-18-0653 litDevelopment Services Department Permit Type:Fire iii/ �° 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Fire Alarm ---A ----- (626)574-5416 Permit Status:Issued ARCADIA Issue Date:05/01/2018 f Expiration: 10/21/2018 , Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 400 _S Baldwin AVE Arcadia,CA 5775031043 Contacts SANTA ANITA BORROWER LLC C/0 Owner Building Electronic Controls Inc. Fire Contractor(C-16) WESTFIELD SANTA ANITA 2246 Lindsay WAY,Glendora,CA 91740 400 (909)305-1600 ext 100 , --- _i Description:FIRE ALARM FOR BODYFRIEND 10 DEVICES Valuation: $ 6,140.00 Tenant Total Sq Feet: 0.00 Plan Check#18-653 Plan# Fees Amount Payments Amount Paid Fire Alarm Plan Check $700.00 Total Fees $932.50 Fire Issuance $44.35 Cash/Receipt#REC-000979-2018 $700.00 Fire Permit Fees $187.15 Cash/Receipt#REC-001030-2018 $232.50 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $932.50 6 ��D CALLS FOR INSPECTIONS Re uest for ins ection b tele hone at 626 574 5450. Leave a messa e tttat Request P Y P g requesting the address,timeframe and what inspection item is needed. 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. / May 01, 2018 I .ued By: Date May 01,2018 Page 1 of 1 • 4 PERMIT/PLAN REVIEW APPLICATION 14 1117".:72. + if,i;if• Development Services Department,240 West Huntington Drive,Post Office Box 60021 0,s,.....„ �� Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173 O.., ocN 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.ec ❑ I have and will maintain a certificate of consent to self insure for workers' (.. License Class e...-10to License No. I 2060 J Exp. Date 10//0 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 DECLARAN ie 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 (KSttrctnCle— ef>'elS� demolish,or repair any structure,prior to its issuance,also required the applicant W SD 5C' e r,1,4.00for 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 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 r / Signature Law does not apply to an owner of property who builds or improves thereon, l 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 fres 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 Lfurther information. f t9-- --- Name_ WWI .� fitle •:I N 4 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 - k 1 \1 arm„FIRE-18-0612 ••••• City of Arcadia, CA Development Services Department Permit Type:Fire 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Fire Sprinkler (626)574-5416 Permit Status:Issued ARC;AD to Issue Date:04/19/2018 Expiration: 10/16/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 400 S Baldwin AVE Arcadia,CA 5775031043 Contacts SANTA ANITA BORROWER LLC C/0 Owner HYDRO-MATIC FIRE PROTECTION INC* Fire Contractor(C-16) WESTFIELD SANTA ANITA 1161 Rosedale,Glendale,CA 91208 400 (818)247-9812 f. Description: 19 HEADS FOR BODYFRIEND 7 Valuation: $ 2,000.00 Tenant BODYFRIEND Total Sq Feet: 0.00 Plan Check#OTC Plan# Fees Amount Payments Amount Paid Fire Issuance $44.35 Total Fees $849.00 Fire Permit Fees 5103.65 Cash/Receipt#REC-000917-2018 $849.00 Solid Waste Management Fee 2 $1.00 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $849.00 IS(1 COMPLETED CALLS FOR INSPECTIONS ((; C� Request for inspection by telephone at RINSPECTI 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. 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. April 19, 2018 Issued By: Date April 19,2018 Page 1 of 1 s A, 4 !o ► PERMIT/PLAN REVIEW APPLICATION • `lt; ' 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 0 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 i full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class c-1 i n o.1 t S36t 3 Exp. Dated—30-4:.- 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-BUILDER DECLARAI ❑ 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 r 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-;TATM r demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 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 IDI certify that in the performance of the work for which thi permit is issued,I sh. 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 beco subject to the .rke. penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that• I ould.= me s Il • e workers'compensation provisions of Sectio 00 of Tab° �,. , shal ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date — «—�$ _ 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 . • 0 \.L j I! 0. h- a fle Q.(�- PRINT NAME I certify that I have ••d this application and stat• 'at the abs e information is correct and that I am the owner or duly authorized agent of the owner. I agree to comp th all ' ty ordinances •1 d 'tate L: •s relating to building construction. I hereby authorize representatives of the City of Arcadia to ente 'i n the , 1 ove-mentio 1 i pros • fo• nspection purposes. Signature , . _ ' ate A- \-\-\CD s4�FoRc9�r V � 0, 3CCf31M1[Ld Aoryrt 3,3903 tYo►� MEMORANDUM Fire Department DATE: June 4, 2018 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue, D4 (BodyFriend) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 5-29-2018 Lili Huang FIRE ALARMS 5-30-2018 Jill Perumean TANKS HOOD & DUCT KNOX BOX OCCUPANCY 5-31 -2018 Jill Perumean COMMENTS: Emailed Bldg. Dept. 6-4-2018 Rita