Loading...
HomeMy WebLinkAboutUntitled r City of Arcadia, CA " Permit No.TI=18-0331. Development Services Department 1"" , ° "7 L Permit Type Tenant Improvement 1'f 240 West Huntington Drive,Post Office Box 60021 r\ L.�:L rkl,j 3 I y Vork Classli ication Tenant Improvement Arcadia,CA 91066-6021 I _ _ (626)574-5416 J r Permit Status:Issued • ARCADIA •- Issue Date:05/04/20181 Expiration: 10/31/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number ``p 400 S Baldwin AVE Arcadia,CA 5775031043 F Contacts A SANTA ANITA BORROWER LLC C/0 Owner KEVIN KIM Applicant WESTFIELD SANTA ANITA 2921 FOOTHILL BLVD,LA CRESENTA,CA 91214 400 (213)503-8018 - Peter Han General Contractor(B) 2356 Marsant AVE,Corona,CA 92882 (951)280-3010 ti Description:INTERIOR TI FOR MEET FRESH.DESERT AND TEA Valuation: $200.000.00 Tenant MEET FRESH STORE. WITH EMP Total Sq Feet: 0.00 Plan Check 418-331 Plan N 32506 FeesAmount Payments Amount Paid Accessibility Plan Cheek $186.62 Total Fees $5,097.76 Accessiblity Building Permit $191.40 Cash/Receipt 4 REC-001084-2018 $2,879.83 Air Handling Units<=10,000 cu ft per min. $14.11 Cash/Receipt 4 REC-000571-2018 $2,217.93 - Building Issuing Fee $44.35 Building Permit Fees $1,914.00 Amount Due: $0.00 Building Plan Review Fee $1,244.10 Cal Green Plan Check $124.41 ���/'''�L 9_`3--6 Commercial T.I.Fire Plan Chk. $280.00 !� VC5 *Kr Distribution Panel $15.55 Electrical Permit Issuance Fee $44.35 Energy Plan Review Fee $382.80 CALLS FOR INSPECTIONS Evaporative Cooler(Not portable) $18.74 Request for inspection by telephone at 626-574-5450. Leave a message Floor Drain Fee $87.22 requesting the address,timeframe and what inspection item is needed. Floor Sink $87.22 Green Building Standard $8.00 Hood Serviced by Mechanical Exhaust $14.11 This permit/plan review expires by time limitation and becomes null and Kitchen Sink $99.68 void if the work authorized by the permit is not commenced within 180 days Light Fixtures $90.80 from the date of issuance or if the permit is not obtained within 180 days Mechanical Permit Issuance Fee $44.35 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 Outlets-Receptacles&Switches $80.80 consecutive days or if no progressive work has been verified by a City of Plumbing Permit Issuance Fee $44.35 Arcadia building inspector for a period of 180 consecutive days. Total: $5,097.76 Si4 I ��o May 04, 2018 Issued By: Date May 04,2018 Page 1 of 1 • •Jvoy,4'I • 0 !! PERMIT/PLAN REVIEW APPLICATION E *' Development Services Department,240 West Huntington Drive,Post Office Box 60021 ilr.,% Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION Er 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 Codigd my license is in full force and effect. ■ I have and will maintain a certificate of consent to self-insure for workers' License Class • rLicense K� No. WI Exp. Da a £ ' compensation, as provided for by Section 3700 of the Labor Code, for the "�, pe ance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION 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 'Q. 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 (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 exempt there from and the basis for the alleged exemption.Any violation of 0 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 ,/. iG- D sale(Section 7044,Business and Professions Code:The Contractors License Date qt pL(y .14 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). 0 I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION LS 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 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 04-76 G7ZBie NOTES Building Inspections Date Insp. !Plumbing Inspections Date I Insp. B_033/ Ir,•fjt7'//.) 100. Setbacks _ __ 210. Under flUbldg.drain ?•Z•/$ µ �/�""��� '"1-v-- 101. Rough grade 211. Copper underslab /?' 67 fe"1T 102. Figs.&forms 212. Rough plumbing 741T 103. Pre-slab _ 213. Rough gas 104. Floor joists 214. Shower pan 1•Z�� &h. 105. Steel 215. Water heater /o Mee" (s?(GS (Pfi�- W",, i 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 7.3.01 108. Diaph nailing 218. Water service Wit &-maA /N Agree QNgf!-X 109. Roof nailing /^y 219. Final gas 110. Framing 7-/7-IX N^^ 220. Fixtures 111. Occ./Area Sept.Wall 221. Final plumbing a Z(-'8 --� 112. Sound walls . Sewer cap/demo. 113. T-bar edd -I' v 114. Insulation-Flr. Pool Inspections Date I. Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Cell. 241. Rough plumbing 117. Drywall nailing 7 2-43 242. Light shellbonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 45. Gas line&test 121. Final building 9-13-t$ 246. Fence,gates&signs 122. Final demalot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final•lumbin• 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit 153. Underslab conduit Retool Inspections Date Insp. - 154. UFER ground 270. Pre-reroof insp. 155. Water ground ^/� 271. Root framing 156. Rough electrical 7i•/1 -O 272. Sheathing nailing 157. Fixtures 273. Final retool 158. G.F.C.I. 159. &•t.bondin. Sign Inspections Date I Insp. 160. Service panel ' - p80. Setback/overhang 161. Final electric 2i 3C-4a. '�J(',�� ,/281. Footing 282. Conduithvirin• Mechanical Inspections Date Insp. ' 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC 7-Z•(g Date I 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. Flood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft - Sewers&Offsite Insp. Date Insp. 191. Final mechanical s-I-?- -300. Lateral(main to P/L) 301. Saddle/y Block Wall Inspections Date Insp. 302. Cess•••I filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin • Thr,�,} 9a,. 2-44.0,a.:%,. R�.._�r `'�^�J R� IS-- . 'F!;{�aNTi .�j�* ., "Sr"»J *+s e. xroM Y o ^ ,4a „ ili Ats, .:,r :: s, sm rw,+�:r, ikS },' �e,,, rc+o n- a4 }{ •�',' ` &M r°' :,K.a:. TW11•0%. .w ,�r t =< I J �` 'I I rr' v ,....;-,1^ w* i«a" S� w 3 r,; 0,; 't 1 , t '.' r�7„t j '+ r a ar\ ? f t l✓ " `k1 \\ B i.4 ,,, ^ I Y� I � c p�:it hr.�'v#:.,• • ***TTT Certaficate of Occupancy 71;1P City of Arcadia Development Services Department—Building Division k , ys , ¢ .»"; This certificate issued pursuant to the requirements of the it �� � .; California Building Code certifying that at the time of issuance this structure was in `+�t.. "t, bp;4 compliance with the various ordinances of the City regulating building construction or use. ;Wen ia- v C Permit No. TI 18-0331 • >t �4 , Building Address: 400 S BALDWIN AVE ARCADIA,CA 91006 J ' � � PermitType: TENANT IMPROVEMENT Effective CBC: 2016 C.B.C. "4 i,'i� Occupancy Code: A-2 � Zone Code: TypeC-2 DH8 + g "" Final Date: 9-13-18sS • of Construction: TYPE II 1 HR SPRINK • P Owner: WESTFIELD SANTA ANITA MALL TTenant: MEET FRESH k .i... ,--, a I' . rr y� bi i t} Don 2jngofficiaL �+ 4-r?: d V- v}�+r Post in Conspicuous Place . ya�e-y`„y' g 'i' V4 3',haS !I 3 'nap:. 'LE fit, .� 1 gteac % '' y .4: a � IMI:* iV „ ✓ -e v :4,,.4.':141 Y;1� �' /yZ I \�'-:jr ';.-.;-',4r +� MI; � �./\�'n'�5 �)1 a" i�l'k��'e" t+ J, ;4:46£\\ ... �;t.. e. c9 kWtilb�""Y'�"�`.r�'I: 'S �' t z � � u'f M�r @'M `wweea�s" ,� O. r w, a..yr. y ki •, ii' 7 Mja itt. ;- ,.. +v^ .7:;;`,/y,.r 4:,.`4"r ,�a ..; ' r"3,�iSu <, ,%t ,t. t� Yk' Ys i;2 0.� ,1 ek' i.O.,, 1 �5�` LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS elr.11l BUILDING & SAFETY/LAND DEVELOPMENT DIVISION PUBLIC SPECIAL INSPECTION REPORT Each inspector must complete this report and mail it to the District office where the permit was issued. DAILY n WEEKLY PIFINAL *aa77-5 . Total time on job (in days) 6,vBuilding Permit No. Ti-is) D 33 t District No. Job Address 400 S /3,cttiWiry A-l/E. 4ec4t/ei GC1 General Contractor et/CR enec=,c/ COWS"- Size O,4J5 -Size of Building - No. of Stories Type of Wall Type of Work : ❑REINFORCED CONCRETE n MASONRY n HI-TENSILE BOLTING h PRE-STRESSED CONCRETE V WELDING ❑ GYPSUM CONRETE ❑OTHER (D.I.A) Discription of work inspected /) T / ,rpm Afrtc.r pg,cy, /c e,r JieY�Vt Pepe C C1cFST RV" /4UJZ.Dxlq- nflflrjscL tv.<o/.v6, af= A.vfS 14, Tp « .eoof ya/ST w/ a/c %a "fiItC7 k/6z-1) Tp RY/NAaCoc a1c7 cyr+v/Ag aw 'tear r i G /A/GS 7 AsV61S /iCQNS C$ 79'a1F,e nr7A-L. Ams" AC/ fn/ 3/33, as:V A Iq/ • 3> wC.ard&, ws{C , aercts '-S/j fay eav71//e.p we-P- a' wa,e ie . esSEAR Hr/ZM. s/ LL p . SYS. /WA/ 4 , d1/41/725 34'. $3-e /27 All works on this job to date has been satisfactorily completed to the approved plans and requirements of the Los Angeles County Building Code. JAYEE J. KIM L.A.0#01475. 64S_ o/$ Special Inspector(Print) I.D. Number Date C. 562.331.5700 Speci nspector(Signature) Daytime I Cell Phone Number • ��roF Eos�.4ao,�, COUNTY OF LOS ANGELES • DEPARTMENT OF PUBLIC HEALTHreC +� u} ENVIRONMENTAL HEALTH r a +, + "" SPECIALIZED SURVEILLANCE AND ENFORCEMENT BRANCH � PLAN CHECK PROGRAM -BALDWIN PARK COUNTY OF LOS ANGELES ?\ 5050 COMMERCE DR, BALDWIN PARK, CA 91706 Public Health PHONE: (626)430-5560 VJV VV.PUBLICHEALTH.LACOU NTY.GOV/EH OFFICIAL PLAN REVIEW REPORT • DATE - . 04/20/2018 EHS VIVIAN TAN PLAN CHECK NUMBER SR0137349 • PROGRAM ELEMENTS 1772- EXPEDITED- RESTAURANT (501-1999 SF) OWNER/REQUESTER KEVIN KIM, AGENT DBA MEET FRESH ADDRESS 400 S BALDWIN AVE 2275, ARCADIA, CA 91007 REVISED PLAN REVIEW STATUS: APPROVED CORRECTIONS COMPLETED . CORRECTION CATEGORY DATE IDENTIFIED DATE CORRECTED PLAN SUBMITTAL/REMODEL 03/23/2018 04/20/2018 • ADDITIONAL REQUIREMENTS THE REVISED PLANS ARE APPROVED, SUBJECT TO ON-SITE INSPECTION PRIOR TO OPERATION OR STOCKING FOOD ON THE PREMISES. APPROVAL IS CONTINGENT UPON THE FOLLOWING: 1) OBTAIN LOCAL BUILDING DEPARTMENT PERMITS AND APPROVALS. 2) SUBJECT TO ON-SITE INSPECTION AND APPROVAL. ALL EQUIPMENTS MUST BE CERTIFIED OR CLASSIFIED FOR SANITATION BY AN AMERICAN NATIONAL STANDARDS INSTITUTE (ANSI)ACCREDITED CERTIFICATION PROGRAM OR AN ACCREDITED TESTING AGENCY. 3)ALL USED AND/OR EXISTING EQUIPMENT AND FINISHES SHALL BE IN GOOD REPAIR AND ARE SUBJECT TO ON-SITE INSPECTION AND APPROVAL. • 4) ENSURE THAT THE COMMERCIAL HOOD AND MECHANICAL EXHAUST AND MAKE UP AIR SYSTEMS MEET THE UNIFORM MECHANICAL CODE. 5) READ AND COMPLY WITH THE FOLLOWING ATTACHMENTS REGARDING: A) FINAL INSPECTION NOTICE B) PLAN APPROVAL CHECK LIST C) CERTIFIED FOOD HANDLERS CERTIFICATE 6) HEALTH DEPT. APPROVED SET OF PLANS SHALL BE MADE AVAILABLE-SITE AT THE TIME OF FINAL INSPECTION. 7)THE PROPOSED WALL TILE NEXT TO THE BEVERAGE STATION IS SUBJECT TO ON-SITE INSPECTION. 8) CONTACT THE CDFA-TO OBTAIN NECESSARY PERMITS FOR THE BATCH FREEZER. 9)ALL EQUIPMENT/UTENSILS SHALL FIT IN THE WAREWASHING SINK. • Help us serve you better by completing a short survey.Visit our website at www.publichealth.lacountv.uov/eh. • EHS Signature , Page 1 of 2 OFFICIAL 'PLAN REVIEW REPORT DATE 04/20/2018 EHS VIVIAN TAN PLAN CHECK NUMBER SR0137349 PROGRAM ELEMENT 1772- EXPEDITED- RESTAURANT(501-1999 SF) OWNER/REQUESTER KEVIN KIM, AGENT DBA • MEET FRESH ADDRESS 400 S BALDWIN AVE 2275, ARCADIA, CA 91007 COMMENTS CONTACT VIVIAN TAN AT 626 430-5546/VTAN@PH.LACOUNTY.GOV TO SCHEDULE A FINAL INSPECTION. PROVIDE AT LEAST 3 WORKING DAYS PRIOR NOTICE FOR A FINAL INSPECTION. A FINAL INSPECTION SHALL BE CONDUCTED ANDA PUBLIC HEALTH PERMIT SHALL BE OBTAINED PRIOR TO OPENING AND OPERATING THIS FOOD ESTABLISHMENT. DISCLOSURES Prior to construction and approval from the Los Angeles County Department of Public Health Environmental Health Division (DPH-EH) Plan Check Program,final inspections must be obtained from Building and Safety (mechanical, plumbing, electrical) and all other enforcement agencies. • Failure to obtain a Public Health Permit/License prior to operation of the facility/establishment is a misdemeanor violation. Construction of the food facility/establishment must be completed and approved within twelve (12) months from the date of approval to avoid submitting new plans. A copy of the approved plans must be available at the time of the field construction review. All utilities must be on and operational at the time of the field construction review. Please contact your plan check inspector at least 3 days prior to the field construction review. Two field inspections will be covered under the Plan Check fees assessed upon plan submission. A charge will be assessed for each subsequent field construction review. • • • • • • • • Help us serve you better by completing a short survey.Visit our website at www.aublichealth.lacountv.eov/eh. EHS Signature Page 2 of 2 X ,9 - ,I • . 4I SFE K12 FOfll DINING IN . L, © © 03 0 0 0 0 0 �© 02 ,I� 01 3 V2 } 4-9' 11Ir, ii A l-_ ' w- a 111 ' I=- I� H _ II a- 7 04 i! 1,_ .. Prm.1 M1 dani,xo nn"14nUCT,ON a 11 A rM1 n.rnn�- plq in SERVICE =II III H NJ>,..._. •n.N 1 I T I I, > Flomt.m wr h C, In 0 kf C0 /3 73¢ 9 IS" �.� - 'I mmnw mlh;u - ___.� Ir LEGEND 4 .pramir J noes un+. CP fce,opB ✓TcLn e © 0 0 0 0 p, 60P�I m 00 © 0 R SING!! -.._ ffe IIP TO THE ABSENCE • 1 C... ,, .9._NCE-0F ADEQUATE (W FP CCS1CI: F.RESTROOMS,THIS FACILITY IS NOT Ar$ROVED FOR THE SERVING AND CONSUNRTION OF ALCOHOLIC BEVERAGES ,0 F ' UdF 17' VITA FN AL OP gA!fl HM1WITHOUTpPNjryq�NNgpEl 14 KITCHEN EQUIPMENT PLAN tI K,� I ANO VpUO HEaLTM PENMR.YOUfl HEALTH PF•ALTnC[L nB 19EYE0 BYTHE LJA COONTY SCALEg0° II.: Ifst�. SVf1LL 1/4°= IV +AGLIry n;L.;ALSO�DCELSgT`NG P000 NAL INEPEC}ION — ----. --. , . . 0 , cc 0 P .._ I = .1.1 LII PROJECT AND ADDRESS ?I 0 SEE K12 FOR EarMENT SOME III MEET FRESH I. 400 SOUTH,BALDWN AVE, - 02 ii 01 Iv SUITE 2275 - in ARCADIA,CA 91007 -. ---, - LII tcs 1101..-4ZIO Revisions ii Dascaption r,I4( ildruu.QN AND BEEROY-AL Na g. 11 II 4E1,0 nrrnnn stsnasio nnuSTRUCTION n u required prior to beginniro i so I/tip lamest requires A HEALTH CORRECTION •r sir.inTAY_S_P_EUQR notice to wrong S26 0 'i ior la,inspectiOn. , A MALL COREIECTION . iii fl T 41 . r , LEGEND al Reload Na 1S-004 ' .—<T) EQUPMENIF NUMBER SEE EQUP.SCFEDUE . Date FEB 2018 . S27 0 tc7.RNINGI! gfrAVis ' t/Tmc7tStRWWd -—------ e Gas 1 COLD MD HOT WARM Draw BY Ki< Kir re THE ABSENCE OF ADEQUATE ) CUS11: Eir RESTROOMS,THIS FACILITY . e 0.4 FLOOR MAN (NO FID KITCHEN EQUIPMENT IS NOT AL:.ROVED FOR THE SERVING AND PLAN CONSUMPTION OF ALCOHOLIC BEVERAGES gra' N FWOR SN( Oa F/S Sheet Title KITCHEN EQUIPMENT PLAN , i ,, 6i., .,.,....i 1-./...ii t.'•:-. .a OA /i, ../ ‘,5;60%4‘') K1.1 SCALE 1/4"=141 ...t Drag Na Sheet ot '' - - "� City of Arcadia,CA F , ;_nJ { I ' r ;PermitNo.SIGN-18-1114 I , Development Services Department + ' t ?` '' Permit Type•Sign I. 240 West Huntington Drive,Post Office Box 60021 ' r ` - - je i `` ii 4 1 r ti r Work'Classifications Sign-Illuminated Arcadia,CA 91066-6021 . +,J i.A (626)574-5416 `-= `- Permit Stators: ARCADIA ` Issues Date 06/27/201811 Expiration: 12/24/2018 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 Signs Express Mfg Co! Electrical Contractor WESTFIELD SANTA ANITA (C-10) 400 1438 Santa Anita,S El Monte,CA 91733 (626)443-3333 Description:TWO ILLUMINATED CHANNEL LETTER SIGNS FOR Valuation: $ 8.000.00 Tenant MEET FRESH MEET FRESH Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Building Issuing Fee $44.35 Total Fees $432.82 Building Permit Fees $203.85 Cash/Receipt#REC-001578-2018 CflMPI $432.82 Issuance Fee 544.35I Amount Due: $0.00 Sign Connection $31.10 ' / Sign Plan Review $101.92 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Total: $432.82 CALLS FOR INSPECTIONS 9civil, /*/ Request for inspection by telephone at 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. June 27,2018 Issued By: Date June 27,2018 Page 1 of 1 •FAR rs"`°qyy.. • 1001, PERMIT/PLAN REVIEW APPLICATION iga lia Development Services Department,240 West Huntington Drive,Post Office Box 60021 °m• Arcadia, CA 91066-6021, (626)574-5416,Fax (626) 447-9173 City of Arcadia ! ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION U`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 Busines• and • •fessions Code,and my cense is in full force and eff Ett 6 L / ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C�1 License No .30 p. Date 6 /. 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 DECLARATION ave and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3 00 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 Si:17,57g- /C—U4sP demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 7 for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be colapleted 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 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'con ensatio 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 co ly ose 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(I)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 asprovided 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. q Title Mn 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 or ' ances and State Laws relating to building construction. I hereby thorize rep entatives of the City of rcadia to enter upon the above-m tined property for inspection purposes. Si Date wPermitNO. FIRE 18-1155 8J City of Arcadia, CA - \�� �, Development Services Department `� ~ -.'.y,._�l.-1 . Permit Type:240 West Huntington Drive,Post Office Box 60021 i+j'j��f 1, Work Classification FlreAlarm Arcadia,CA 91066-6021alftL.J rli (626)574-5416 = -Permit Status Issued ARCADIA I55ueDate:07/26/208 Expiration: 01/22/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 400 5 Baldwin AVE Arcadia,CA 5775031043 Contacts SANTA ANITA BORROWER LLC C/0 Owner Building Electronic Controls Inc* Applicant WESTFIELD SANTA ANITA 2246 Lindsay WAY,Glendora,CA 91740 400 (909)305-1600 ext 100 Description:FIRE ALARM FOR MEET FRESH 11 DEVICES Valuation: S 6.018.00 Tenant MEET FRESH Total Sq Feet: 0.00 . Plan Check 018-1155 Plan q Fees Amount payments Amount Paid Fire Alarm Plan Check $700.00 Total Fees $932.50 Fire Issuance $44.35 Cash/Receipt if REC-001622-2018 $700.00 Fire Permit Fees $187.15 Cash/Receipt p REC-001837-2018 $232.50 Solid Waste Management Fee 2 $1.00 it Amount Due: $0.00 Total: $932.50 CALLS FOR INSPECTIONS Request for inspection by telephone at 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 O 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. July 26, 2018 Issu - Date July 26,2018 Page 1 of 1 R .J"°o°^.4` *4S 1.. PERMIT/PLAN REVIEW APPLICATION di j 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 c'1 LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION `O 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 ✓License Class Professions Code,and my license is in full force and effect. t�, ❑ I have and will maintain a certificate of consent to self-insure for workers' CAO License No. /dx Date 11 IOt/I I ' compensation, as provided for by Section 3700 of the Labor Code, for the ,p Signature of Contractor -z-tra�l ,�,I�1 performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION 6 ❑ 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 mason(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 �`aaG,a•.,.-.tib for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number d- provisions of the Contractors License Law(Chapter 9(commenting with Section illus section need not completed if the perms is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is ;g,i�g exempt them from and the basis for the alleged exemption.Any violation of tLt�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)): h 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, 'forthwith comply with those provisions. or my employees with wages as their sole p 1 A� compensation,will do the work,and the structure is not intended or offered for Date 1/t/\(2 le •' ,,P lo. V.. - sale(Section 7044,Business and Professions Code:The Contractors License Sign. 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 hundredthousand.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.ioR t,,�p��-, _Name k reAa �Pck1� Title (f5���\``�IIJ\U" t,/y, 1 '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 ragree 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. iihj & 1 S atme4)(6 \ aft��( Date 7/2 U City of Arcadia, CA Z ''PermitNoiFIRE 1870966', I I Development Services Department I wDh ) ( "`�` �L ,�,,I .� PermitType Fire. 240 West Huntington Drive,Post Office Box 60021 f p )i r'- • Al_� ) k•i Arcadia,CA 91066-6021 r`- ,�{ L t WorkClasslgeatlon FtreSpr)nkler i (626)574-5416 'x*l', x s ', ° «:Permit Status:issued_' ARCAID IA Issue Pate 06/27%2oi.8 I Expiration: 12/24/2018 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 •Allready Fire Sprinkler Co. Fire Contractor(C-16) WESTFIELD SANTA ANITA 818 N Grand,Covina,CA 91723 400 (626)332-7066 Description:FIRE SPRINKS FOR MEET FRESH Valuation: $ 2,500.00 Tenant MEET FRESH Total Sq Feet: 0.00 Plan Check#18-966 Plan it v Fees Amount payments Amount Paid Fire Issuance $44.35 Total Fees $865.70 Fire Permit Fees $120.35 Cash/Receipt#REC-001559-2018 $165.70 Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-001396-2018 $700.00 Sprinkler Heads $700.00 Amount Due: $0.00 Total: $865.70 CALLS FOR INSPECTIONS Request for inspection by telephone at 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. June 27,2018 Issued By: Date June 27,2018 Page 1 of 1 1 ! PERMIT/PLAN REVIEW APPLICATION iio� �t j� 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 m license is in full force and effect ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C- i l7 License , 54.795rixp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. k.Signature of Contractor t� /ji LARATION 0 I have and will maintain workers'compensation insurance,as required by Section OWNER-B I 1 R 1 V 3700 of the Labor Code,for the performance of the work for which this permit 0 I hereby affirm under pe 4-y of perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5,Business and Professions is issued.M1y-+woE."(/workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier Ge^raS 4- betel 'o ria-12 j S demolish,or repair any structure,prior to its issuance,also required the applicant policy Number l 3C70o d Qat/ 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 team d 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 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). 0 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. ,� {/ (Namei6` /,� 41v Q. 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. (Signatu (Date °� Z 7____ .9Z7 OF AR C74G�tF0Sk 4 i I MEMORANDUM Fire Department DATE: September 12, 2018 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue #2275 (Meet Fresh) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 8-2-2018 Jill Perumean FIRE ALARMS 8-28-2018 Jill Perumean TANKS HOOD & DUCT KNOX BOX OCCUPANCY 9-5-2018 Jill Perumean COMMENTS: Emailed Bldg. Dept. 9-5-2018 Rita rpt Of}os,ko� COUNTY OF LOS ANGELES• DEPART ENT OF PUBLIC HEALTH t147.0 48`w ENVIRONMENTAL HEAL H #611:4 `._ p t t SPECIALIZED SURVEILLANCE AND ENFO I CEMENT BRANCH \--Hc" � f ®LTer PLAN'CHECK PROGRAM BALDWIN PARK COUNT/Or LOS ANGELES C:4uroaM 5050 COMMERCE DR,BALDWIN PARK, CA 91706 Puhllc Health PHONE:(626)430-5560 WVNN.PU BLICHEALTH.LACOUNTY.GOV/EH PLAN'CHECK OFFICIAL INSPECTION REPORT DATE 09/05/2018 EHS VIVIAN TAN PLAN CHECK NUMBER SR0137349 PROGRAM ELEMENT 1772-EXPEDITED- RESTAURANT(501-1999 SF) OWNER/REQUESTER KEVIN.KIM,AGENT •. DBA MEET FRESH _ • _ • ADDRESS 400 S BALDWIN AVE 2275;ARCADIA, CA 91007 - - -- FINAL REINSPECTION STATUS: NOT APPROVED CORRECTIONS REQUIR D z � u` C:a•' _ dr"�nrna' s+h,r ti_�� �.rs#t4F�r *.'._ —a:^'1� `�.`t CORRECTION CATEGORY:PLAN SUBMITTAUREMODEL IDENTIFIED: 09/05/2018 CORRECTIVE ACTION: RE-INSPECTION CONDUCTED. ALL VIOLATIONS WERE CORRECTED. THIS FACILITY IS HEALTH DEPARTMENT APPROVED; OK TO STOCK AND TRAIN. APPROVAL TO OPERATE IS CONTINGENT UPON PROVIDING THE BLDG. FINAL. CALIFORNIA RETAIL FOOD CODE:A person proposing to build or remodel a food facilityshall submit complete,easily readable plans drawn to scale,and specifications to the enforcement agency for review,and shall receive plan approval before starting any new construction or remodeling of any facility for use as a retail food facility. Section#:114380,114381 CORRECfTIONS 'COMPXLETED ` Z s k * ot;er 4.,;t 4, CORRECTION CATEGORY DATE IDENTIFIED DATE CORRECTED PLAN SUBMITTAUREMODEL 08/30/2018 09/05/2018 COMMENTS NONE Help us serve you better by completing a short survey.Visit our website at www.oublichealth.lacountv.nov/eh. Operator Signature Page 1 of 2 PLAN CHECK OFFICIAL (INSPECTION REPORT DA1 09/05/2018 EHS VIVIAN TAIL] PLAN CHECK NUMBER SR0137349 PROGRAM ELEMENT 1772-EXPEDITED- RESTAURANT(501-1999 SF) OWNER/REQUESTER KEVIN KIM,AGENT DBA MEET FRESH ADDRESS 400 S BALDWIN AVE 2275,ARCADIA, CA 91007 DISCLOSURES It is a misdemeanor violation to begin operation without a valid Public Health Permit/License.The Public Health Permit/License will be issued by the Los Angeles County Department of Public Health Environmental Health Division(DPH-EH) Plan Check Program at the job site following final inspection andapproval by all applicable agencies. Remodeled areas of an existing food facility/establishment must obtain a final inspection and approval from all applicable enforcement agencies prior to use. Any future alteration,construction,building,renovation,repair,change of equipment,change of the operation of a food facility/establishment or change of menu may require plans to be submitted to the DPH-EH Plan Check Program. Additional approvals may be required from other enforcement agencies. It is improper and illegal for any County officer,employee or inspector to solicit bribes,gifts or gratuities in connection with performing their official duties. Improper solicitations include requests for anything of value such as cash,discounts,free services,paid travel or entertainment,or tangible items such as food or beverages. Any attempt by a County employee to solicit bribes,gifts or gratuities for any reason should be reported immediately to either the County manager responsible for supervising the employee or the Fraud Hotline at(800)544-6861 or www.lacountyfraud.org. YOU MAY REMAIN ANONYMOUS Public Health Permit/License: A separate fee is required for the Public Health Permit/License.A billing statement will be sent to the permit/license holder annually by the DPH-EH. The fee is required to be paid to perform or carry on,conduct or engage in any mobile food facility listed in Los Angeles County Code,Title 8,Section 8.04.720. State and Local Licenses and Permits: Contact the State of California and your local city hall regarding additional license and permit requirements. Restrooms: Customer may use restroom facilities if they are located in a customer area.Customers may not enter the food preparation area,food storage area,or the utensils washing/storage areas in order to access the restrooms.All food,utensils and equipment must be protected from contamination. Routine Inspection:The DPH-EH conducts routine inspections of all food facilities in Los Angeles County. Following the issuance of your Public Health Permit by the Plan Check Program,an Environmental Health Specialist from your local district will conduct an inspection of your facility. If your Business is located in a city that has adopted the grading ordinance,the inspector will post a grade or score card at your facility. Grade/Score cards are not issued by the Plan Check Program. Help us serve you better by completinggaa short survey.Visit our website at www.publichealth.lacounty.Qov/eh. �v 1 Operator Signature Page 2 of 2