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_ Development Services Department -+ r /6-1". t 240 West Huntington Drive,Post Office/box 60021 PERMIT NO. CArcadia,CA 91066-6021 B00-058-360 City of (626) 574-5416,Fax(626)447-9173 Permit Type: Tenant Improve Arcadia PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 11/15/2017 EP 16:28 3/14/2018 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLS ASSESSORS PARCEL NO. GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Inspector#: henry Los Angeles,CA 90025- EMAIL ADDRESS: Plan Chk#: 17-425 APPLICANT MAILING ADDRESS Zen Construction Inc. PHONE NO. Plan#: 32470 EMAIL ADDRESS: ' CONTRACTOR/PROFESSIONAL MAILING ADDRESS Zen Construction Inc. 285 E Arrow Hwy PHONE NO. (818)963-0391 FAX NO. Upland, CA 91786 EMAIL ADDRESS: License No. 1020397 Type: B Expires: 11/30/2018 12:01 TENANT MAILING ADDRESS Qin West Noodle House PHONE NO. FAX NO. DESCRIPTION INTERIIOR T.l FOR RESTAURANT.QIN WEST NOODLE HOUSE Construction Type UOM ft of Units Value Construction Type 11051 N of Units Value Value Value 150,000.00 $150,000.00 r /-Gw4c B-2.--l8 OCCUPANCY: Tenant Improve TOTAL VALUATION: $150,000.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 1,019.85 1,019.85 01-3103 PC Cal Green 101.99 101.99 01-3103 PCA DA 144.35 144.3501-3104 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 isi COMPLETED each Bldg permit 1,569.00 1,569.00 01-3104 Bldg Issue ADA 156.90 156.90 01-3104 1.00 each T.I.Fire Pkc 280.00 280.00 01-3109 SMIP Com 42.00 42.00 14-2207 bml bldg std 6.00 6.00 714-2203 1.00 Flat SWMF Auto 6.25 6.25 88-3027 Total Fees: $3,379.32 - Balance Dur: $0.00 Paid Today: $1,824.50 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the • 1 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 1,770.25 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 14-2207 42.00 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of 714-2203 6.00 Arcadia building inspector for a period of 180 consecutive days. 88-3027 6.25 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. \, by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) • AR `� NVro°n'4' I. 1 PERMIT/PLAN REVIEW APPLICATION ` ./,.-,--+PS !M1� iij 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 6CWOR,� /Y.ICENSED CONTRACTOR'S DECLARATION KERS'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: apter 9(commencing with Section 7000,of Division 3 of the Busines. and Professions Cod , my license is in f 1��,�c�e,7 beffect ) ❑ I have and will maintain a certificate of consent to self-insure for workers' W License Class License No @ 6 Exp. Date/ 201,E compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor----------�-- _ performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION 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 his permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My w kers cora nsation ce carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier �'v t�'L state hunC( demolish,or repair any structure,prior to its issuance,also required the applicant I/ 6 d �/ 6 - for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (ibis 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 orkers'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 11 2-, _f sale(Section 7044,Business and Professions Code:The Contractors License I Date / _ _—Signa .,—__ 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 ashprovided for in Section 3706 of the Labor Code,interest, and attomey'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. C r ' Title GTS.) -- -- ' "P• .NAM ._ _ I ertify 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 gree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of A dia to enter upon the above-mentioned property for inspection purposes. Si nature.—_ -._-__ .. .. - Date —1 LE --.1 O NOTES Building Inspections Date Insp. Plumbing Inspections Date Insp. 100. Setbacks 210. Under firbldg.drain 101. Rough grade 211. Copperunderslab l/ g"�SOL ��EP1C C,J 102. Figs.&forms 212. Rough plumbing 496,3>- 104. ��y L `e.�l4GG,5 „ ��ry� • 103. Pre-slab 213. Rough gas 6 ` 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 5.-034.S fiArcA4ic eMsG- de. 106. Grout lift 216. Roof drains / ', /� �..�.� 107. Shear nailing 217. Building sewer P E/n i 2/ r 4.a.!'l(1�CLS 7v G 108. Diaph nailing 218. Water service 109. Roof nailing �y 219. Final gas 110. Framing 38.-!8 At-7,220. Fixtures 6-es-is 7 z-AyedCS .5 dit'1 111. Oca./Area Sept.Wall 221. Final plumbing t t 8 r ' R.CrflAS r 112. Sound walls . , , 222. Sewer cap/demo. 113. T-bargdd 74 18 'Pt& ' 114. Insulation-Fir. Pool Inspections . Date . Insp. cry-4s, KEC1✓6D ?7FP✓'r7 115. Insulation-Wall 240. Excavation/steel / 116. Insulation-Ceil. - ;41. Rough plumbing 645-Pet .z *fag rf etr/L 117. D all nailin. - 8.`- r '2. Light shell/bonding }ljzv,,4/j(�rI.IP szGEhF4r c5/= 118. Interior lath 243. Underground conduit ,I ' . O7E?. Z 4 j 4 tso Mfic lam, 119. Exterior lath 244. P-trap 120. Finish grade 45. Gas line&test Arta Af/RbvEQ LC u(rµtst/r e 121. Anal building 8.-2.-146. Fence,gates&signs e LA��tef OM, �tr 122. Anal demollot 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. Under.round conduit 153. Underslab conduit Reroof Inspections Date I Insp. 154. UFER ground 270. Pre-reroof Insp. 155. Water ground 271. Roof framing 156. Rough electrical 272. Sheathing nailing 157. Futures 273. Final reroof 158. G.F.C.I. 159. E..t.bondin. Sign Inspections Date I Insp. 160. Service panel , O. Fooverhang 161. Ananal electric ' -frFa / 2811. Fooling 282. Conduithvirin. Mechanical Inspections Date Insp. 283. Disconnect - ,/� e) 180. Venting/flue 284. Final sign ;Or . 181. Furnace/A.C. 182. Rouch HVAC Miscellaneous Insp. Date I Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Are 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 Sewers&Offsite Insp. Date I Insp. 191. Final mechanical 300. Lateral(main to PIL) 301. Saddle/y Block Wall Inspections Date Insp. 302. Cass...l filled 200. Footings 303. Sidewalk 201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin a,ti,. VCr xn1V a Ski z �,�,,�,�--' P 4 n f''+t�Y�iy'^,'`,. et `{ye .x'�r $ :` � w• .w --(" ' ' Y„ ea,,,, Ya ,T,.,. ra t es e S.40›"C4. •urp. ,+3 RRR fl ., �` .\i14 Certificate of Occupancy • k ' • City of Arcadia c' Development Services Department—Building Division• ,'4.4 51 41,1 :c- d .il' t. ti This certificate issued pursuant to the requirements of the California Building Code certifying that at the time of issuance this structure was in y E,` I compliance with the various ordinances of the City regulating building construction or use. A ' sV.'-i.,. t rt tel Permit No. BOO-058-360 d4 a Building Address: 400 S Baldwin Ave t 4( • f 4 C.11 Permit Type: Tenant Improvement Effective CBC: 2016 C.B.C. 4 .,-\ ' ^ Occupancy Code: B Zone Code: C-2,DH8 i'Sic . Final Date: 08/02/2018 • Type of Construction: Type II 1 hr. Sprinklered IP "7,45 Owner: Wes5:etfield Co alat i Tenant: Qin West Noodle House t '4 I.4,:t1;4.,. ' ydds Don Stockham,Building Official '}� f,. ,. '�' Post in Conspicuous Place w u +e +yz.ec,wo. w sa �sti..a�c .�. - :_mo,. �_v'rmawsw: �accaw ^rmsan»-:'Wevavm $s § 'i �j`4\-np'�,'s Y,rtela `I / // \�`',i f /'l'AlerF nap Ai / "t, ' ,-,,vii \\•y• w i z /....\, . erli �/, Atm:).` . ' . YVJ.h SVl+• h::'a awEyt�..cry + 'f «..i• yje . Sa.,av ree:+e` kI�. '-S-+`tea}. • 1�11;1t„,.�..� itl .. ? .rte` " {' ,"t' � ` ,.!a"" "' -"431/f6 ° , 7Y. ; DATE VIOLATIONS ENS INITIALS: PLAN CHECK OFFICIAL INSPECTION REPORT - CORRECTED: COUNTY OF LOS ANGELES•>DEPARTMENT OF PUBLIC HEALTH - - - '. " " ' ENVIRONMENTAL.HEALTH OPERATOR INITIALS: 1 RETAIL INSPECTION- WHOLESALE INSPECTION - - r . SECTION I: TYPE OF INSPECTION _ Preliminary Inspection - 90-Day Evaluation 7 as Li, a Follow Up Inspection - Equipment Evaluation m n v p a .+� Final Inspection-NEW _ Revocation Evaluation 0 -., z e Final Ins.ection-REMODEL Other: iu ' SECTION II: STATUS OF PERMIT I LICENSE 1 • X APPROVED:The facility/establishment is approved to operate pursuant to the following contingencies: co - DENIED:The facility!establishment is NOT approved to operate.To obtain approval,the requirements needed are: __ �`�ncl t i.-2,„ rh:it ltArrYa NE -724 it(,> r,mL zs-N, 6n li, e4A/t if rE . Mnr / �&Cria.. ;act. rect rye./ . .- t H S - l�l,(-i; / tchl, al ,, . 4f 2tf1t drDrt sr-M -A# w ¢ n J- o C N ¢ — iAi4!(r1/f �t I7 rl (:tt. it �: id? 72J a,&c ._ - W tr li,A.rf4 .(.f 0 f/J4 J ,/ o . Z �• 0 iu �I l /.X /1/ if -7w-if !�?i ffr��.GG� . co CO F in w ri n Ev - 0 J4 if,.l 5�"(I,T m42L' l117- -2rtI,aa fin/7,4112r(` /,/,i!. _ . 0 w LW .. to /44,0kr7 ? .lAil, ` .,ft tt(Yl. /- �r7 l�o.r,ty 00 � -c r0 Lia i. a q£ W Submit 3 sets of detailed plans:See Construction Requirement Guidelines atwww:publichealth9 lacounty. ov/eh c „Y I: Z Obtain local Buildin. &Safet Fire De•artment and other a.enc permits and a..rovals . - c., STT C j. O C. Cu c>ct L a SECTION III: LIMITS & RESTRICTIONS , co w ,...t CI' Nw The approved facility t-establishment may engage in the processes/activities marked below: Fr = w v J _r lam a Train Employees - _ .-.•-"--- „..-- e Multiservice Utensils ',rte �p L\� _�Stock Prepackaged/Non-Potentially Hazardous Foods Seine Alcoholic Beverages '�` !} � .M. ��--,�.. = `t`” �; Stock Perishable/Potentially'Hazardous Foods / May NOT Serve Alcoholic Beverages For_ On-Site Consumption -"0I � /Food Preparation Food Demonstration L � L m w ii _ Food Preparation-LIMITED FOOD PREPARATION Wholesale.Food Processing at Li c.--co m w car Food Preparation-NO COOKING PERMITTED Food Market,Wholesale z co l f�l_ - a Food Market Retail,Prepackaged Foods Only Other: on o w_,.$1:16,-- -'w a S C •1 Ili[II if _1hlullcif.'Ii:kIWitTsItl[0LI. A fee in the amount of$ must be paid prior to the next field inspection. _ w '.•} 2 ..-s z CLOSURE:Operating without final approval and/or without Public'Health Permit OR License t Q g� N Administrative Review/Office Hearing has.been scheduled on: ' ,at a.m./pm..(Provide Valid Photo Identification W LW-7w a cr _ O i -y f g 6 SECTION V: DISCLOSURES Qd�~'.P oS n It a misdemeanor violation to begin operation without a valid Public Health permit/license.The Public Health permit/license will be. Z ` `"; a��y I O issued by the Plan Check Inspector at the job site following final inspection and approval by all.applicable agencies:Remodeled areas of w epi C.� an existing food facility!establishment must obtain a final inspection and approval from all applicable enforcement agencies prior to use • (kk c�F'�c� W i-ry— :<y is----C: Any,future alteration,construction;building,renovation,repair;change of equipment,change of the operation of a food facility! �> ��,y �"o establishment or change of menu.may require.plans to be submitted to the Health Department Plan Check Program.Additional approvals .74 ay uired m other cies. ` 0 -a-�'M o r .' It is improper per and illegal al for enforcement 0 un nofficer, or ins inspector to solicit bribes,gifts or gratuities in connection with performing IX Q ��' P P 9 any CountyP 9 F �.. :., their official duties.Improper solicitations include requests foranything of value suas cash,discounts,free services;paid travel or �+-�, t , M entertainment,or tangible items such as food or beverages Any attempt by a County employee to solicit bribes,gifts or gratuities for any Z a 01 reason should tie reported immediately to either the County manager responsible for supervising the employee or the Fraud Hotlineat IJ.I icSZ) r, (800) 544-6861 or WWW lacountvfraud ore.YOU MAY REMAIN ANONYMOUS C SEE REVERSE SIDE FOR ADDITIONAL CRITERIA Page 1 of H-3086 (1-09) r:I I.CT(AAAPO - FLOOR FINISH INSTALLATION , f CORRECT METHOD OF QUARRY/CERAMIC TILE FLOOR AND COVE.BASE CORRECT METHOD OF INSTALLING THE 53619T INSTALLATION SLIMFOOT CERAMIC EASE ALUMINUM TOP CAP CHM VINYL MA VB NAOAunfW WO NRG ' \J '1 IDA - a TCR<OYEYG91,4 -1/4,2 COWIERCIAI SHEET WM.INSTALLADON LICENSES AND PERMITS: Public Health Permit: A separate fee is required for the Public Health Permit. A bill will be sent to the permit holder annually by the local County of Los Angeles Treasurer Tax collector's office. The fee is required to be paid to perform or carry on, conduct or engage in any food facility/establishment activity 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. OPERATION OF YOUR FACILITY: Restrooms: - Customers may use restroom facilities if they are located in a customer area. Customers may not enter the food preparation area, food storage area, cr the utensil washing !storage areas in order to access the restrooms. All food, utensils and equipment must be protected from contamination. Routine Inspection: The County cf Los Angeles, Environmental Health Division, conducts routine inspection 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 off ce will conduct an inspection of your facility. If your Business is located r- a city that has adopted the grading ordinance, the inspector will post a grade or score card at your facility. Crade I Score cards are not issued by the Plan Check Prcgram. MEP 184270'• aa' City of Arcadia, CA Ci Permit? et MEP , Development Services Department r-'t"a1 l� L. S F yp ' 240 West Huntington Drive,Post Office Box 60021 . ..-7,A- G a) 4`l I !� :I ;,work Classification.MEP Commercial Arcadia,CA 91066-6021 , { , .1\ .,_} i,.,i .-J . 1/4....), '' z ' I (626)574-5416 s -'. Permit Status:Estimate ARCADIA .Issue oate 07/19/2018' Expiration: 01/15/2019 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 ZEN CONSTRUCTION INC General Contractor(B) WESTFIELD SANTA ANITA 286 W ARROW HWY,UPLAND,CA 91786 400 (818)963-0391 Description:MEP FOR QIN WEST Valuation: $0.00 Tenant QIN WEST Total Sq Feet: 0.00 '� Plan Check U Plan U .,..tea Fees Amount Payments Amount Paid Electrical Permit Issuance Fee $44.35 Total Fees $328.93 Floor Drain Fee $12.46 Cash/Receipt U REC-001769-2018 $328.93 Floor Sink $37.38 Amount Due: $0.00 Gas System(Outlets) $15.55 Hood Serviced by Mechanical Exhaust $28.22 Kitchen Sink $24.92 �- �t/�'^ i Light Fixtures $12.32 �`/�4�- � ++/�+� Mechanical Permit Issuance Fee $44.35 Outlets-Receptacles&Switches $27.72 Plumbing Permit Issuance Fee $44.35 Solid Waste Management Feet $1.00 CALLS FOR INSPECTIONS Solid Waste Management Fee 2 $1.00 Request for inspection by telephone at 626-574-5450. Leave a message Solid Waste Management Fee 2 $1.00 requesting the address,timeframe and what inspection item is needed. Ventilation Fan(Single Duct) $18.76 Water Heater and/or Vent $15.55 This permit/plan review expires by time limitation and becomes null and Total: $328.83 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 is toinED con if uti a work authorized noed g essi permit is suspended or abandonedCity 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. rj July 19,2018 Issued By: Date July 19,2018 Page 1 of 1 fir! t:.°a'?c• PERMIT/PLAN REVIEW APPLICATION f3*' • 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 H. LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION a 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: i Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. �7 Q ❑ I have and will maintain a certificate of consent to self-insure for workers' di License Class ) ;./ 0.1°3-7,0,111 Exp. Date A'1 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-BUILD:�` DECLARATION ID 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 700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued -y workers'compeaon insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier kkeun ha demolish,or repair any structure,prior to its issuance,also required the applicant Policy Numbe a Ib Pq 9� l 6-17 for such permit to file a signed statement that he or she is licensed pursuant to the 1 provisions of the Contractors License Law(Chapter 9(commencing with Section r (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 lc,® I certify that in the performance of the work for which this permit is issued,I shall Section 70315 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 ralifomia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall as owner of the property, forthwith comply with those provisions. / ----9'... /.V ❑I, or my employees with wages as thew sole Aik, compensation,will do the work,and the structure is not intended or offered for --,/l0./IB 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 3oiw �1 Title 7UIn8CtrA � 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 wi all City ordinann'and State Laws relating to building construction. I hereby authorize representatives of the City of 1 Arcadia to enter up r: the above-mend :d property for inspection purposes. Y nt tAy.i / Date ti: City of Arcadia, CA - RE-18-0558 Development Services Department _ - Permit Type:Fire I � `y L,` 240 West Huntington Drive,Post Office Box 60021 - • S ) p ) t Arcadia,CA 91066-6021 {' x f a ' ti i ' `. t t Work Classification Fve,Sprinkler (626)574-5416 _-permit StOtusLIssued " ARCADIA7ssoe.Date,04/1B/2018 I Expiration: 10/01/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 400 S Baldwin AVE Arcadia,CA 5775031043 k Contacts SANTA ANITA BORROWER LLC C/0 Owner Allready Fire Sprinkler Co. Applicant WESTFIELD SANTA ANITA 818 N Grand,Covina,CA 91723 400 (626)332-7066 Description:FIRE SPRINKS FOR QIN WEST NOODLE HOUSE Valuation: S 1,200.00 Tenant QIN WEST NOODLE HOUSE Total Sq Feet: 0.00 Plan Check k18-0558 Plan N Fees Amount Payments Amount Paid Fire Issuance $44.35 Total Fees $395.40 Fire Permit Fees - $70.05 Cash/Receipt If REC-000911-2018 $115.40 Solid Waste Management Fee 2 51.00 Cash/Receipt ft REC-000858-2018 $280.00 Sprinkler Heads $280.00 Amount Due: $0.00 Total: $395.40 1911 CNI 1ED CALLS FOR INSPECTIONS @§F3 �a 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. April 18,2018 Issued By: Date April 18,2018 Page 1 of 1 sF • I qt I: ` t' PERMIT/PLAN REVIEW APPLICATION izi fik, lea 10 ,fir►j, Development Services Department,240 West Huntington Drive,Post'Office Box 60021 _„,ow Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class C— /g License o. 3573-29'r Exp. Date a compensation, as provided for by Section 3700 of the Labor Code, for the �r_�i' performance of the work for which this permit is issued. Signature of Contractor j OWNER-BUILDE' 1 CLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I herebyaffirm underpen.' of 3700 of the Labor Code,for the performance of the work for which this permit ty perjury that I am exempt from the Contractors is issued.My workers'compensation ins rance came and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions / , Code.Any city or county which requires a permit to construct,alter,improve, Carrier &VP yv r0 demolish,or repair any structure,prior to its issuance,also required the applicant �Z �� for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number d5-300/10_q_2 — l provisions of the Contractors License Law(Chapter 9(commencing with Section (This section neenot 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 mom 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 7—/`d'-/`Ij Si 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 attdmey'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 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. rame ��/ jrYA. PRINT NAME Title I certify that I have read this application and state that the above information is co ct 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 itrcadia to enter upon the above-mentioned property for inspection purposes. Signa j-- Date G//9 /fr \ OF ARC • C7~�G�oy1a1 • 444.ityonv MEMORANDUM .'.;1 Fire Department DATE: July 19, 2018 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue #2310 (Qin West Noodle) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 7-16-2018 Jill Perumean FIRE ALARMS 7-17-2018 Jill Perumean TANKS HOOD 8, DUCT 7-16-2018 Jill Perumean KNOX BOX OCCUPANCY 7-18-2018 Jill Perumean COMMENTS: Emailed Bldg. Dept. 7-18-2018 Rita City of Arcadia, CA '' ,FIRE 18=0957 !HI Development Services Department "' Permit Type FireII 240 Wert Huntington Drive,Post Office Box 60021 ,t! .s't� }( l l I' Arcadia,CA 91066-6021 i .f �4�Lei.0 I j u_ Work Classification Fire Mann (626)574-5416 - Permit Status: ed;t ARCADIA Issue Date106/14/2018'.1 Expiration: 12/11/2018 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 Description:FIRE ALARM 4 DEVICES QIN WEST NOODLE Valuation: S 5.000.00 Tenant QIN WEST NOODLE Total Sq Feet: 0.00 Plan Check#18-957 Plan# Fees Amount payments Amount Paid Fire Alarm Plan Check $280.00 Total Fees $479.10 Fire Issuance $44.35 Cash/Receipt#REC-001434-2018 $199.10 Fire Permit Fees . $153.75 Cash/Receipt#REC-001378-2018 $280.00 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $479.10 4 COMPLETED 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. ic f June 14,2018 Issued By: Date • June 14,2018 Page 1 of 1 • A. • !!+� ,' PERMIT/PLAN REVIEW APPLICATION �_, .. ® Development Services Department,240 West Huntington Drive,Post Office Box 60021 /° moa„„rN Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class Cl0 Signature of Contractor .1/4......_License No. 774905 Exp. Date Oncompensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. OWNER-BUILDER DECLA ION ❑ 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 policynumbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier I i1 S �t.cif_ Cc' 06 too demolish,or repair any structure,prior to its issuance,also required the applicantD for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number IS!) 503 ''�b 17 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, forthwith comply with those provisions. or my employees with wages as their sole r compensation,will do the work,and the structure is not intended or offered for II Date '/i'T'j fS Signature sale(Section 7044,Business and Professions Code:The Contractors License Pu 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 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 buildsor 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. 1 I arae Fret n Ge-2 IUNq wE l2 —IC Prkk¢¢aixr NAME 9. i I certify that I have read this application and state that the above information is c/nde ect and that I am the owner or du at`rthorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby author' re ?sentatives of the City of Arcadia to enter upon the above-mentioned property for inspection purposes. II ;+ Signature _ Date co(itiliK City of Arcadia,CAFIRE 18=0712 Development Services Department i r ii'"' i. : Permit Type Fire.: 240 West Huntington Drive,Post Office Box 60021 1 h f; I" • + i Work Classification:Fire Suppression Arcadia,CA 91066-6021 i. , 11,-,1:,.,��+ t � .J.'•. (626)574-5416 L.- ,„ - r` - ,Permit Status:�Issued ARCADIA Issue Date)05/10/2018 Expiration: 11/06/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number ` 400 S Baldwin AVE Arcadia,CA 5775031043 p Contacts v ' SANTA ANITA BORROWER LLC C/0 Owner BIG STAR FIRE PROTECTION INC' Fire Contractor(C-16) WESTFIELD SANTA ANITA 14431 Ventura BLVD#160,Sherman Oaks,CA 91423 400 (800)421-5308 Description:9 NOZZLES FOR QIN WEST NOODLE HOUSE. ( Valuation: $500.00 Tenant QIN WEST NOODLE Total Sq Feet: 0.00 Plan Check#18-712 Plan# Fees Amount payments Amount Paid Fire Extinguishing System Plan Check $280.00 Total Fees $366.00 Fire Issuance $44.35 Cash/Receipt#REC-001055-2018 $280.00 Fire Permit Fees $40.65 Cash/Receipt#REC-001127-2018 $86.00 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $366.00 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message „a V f`r 1 requesting the address,timeframe and what inspection item is needed. 0 ttt?Lia t 1:L° 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 10, 2018 Issued By: Date May 10,2018 Page 1 of 1 of AR II PERMIT/PLAN REVIEW APPLICATION t " o��t" Development Services Department,240 West Huntington Drive,Post Office Box 60021 =err=ed 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, license is in full force and effect.1 License Class License No. E ]s/t4'Exp. Date c//OA Signature ,❑ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor ' performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section IDI 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, amer demolish,or repair any structure,prior to its issuance,also required the applicant oIi Number for such permit to file a signed statement that he or she is licensed pursuant to the .s 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 V 1 cemCy 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 orthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for ate 7 C/ /OAP Signe sale(Section 7044,Business and Professions Code:The Contractors License 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 andshall 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). ❑ 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 andoccupancy 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. tame r--7-1704" title 1,0 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. // ISignature �,',�1� iDate SAO//tg STRUCTURAL INSPECTION AND TESTING INC. 1215 North Dominion Avenue • Pasadena, California 91104 • (6y2�6) 487-1488 •Area4llnc@aol.com JOB NO: DATE: f0-2 OO PERMIT NO:1300`OS J 2,61/111 PROJECT: QIN weVr N 001LD eAOKeCONCRETE ❑POSTTENSION EMASONRY MOTHER ADDRESS>4GOS. Eii t/ iN Aye GEN. CONTRACTOR: x.P/y S(l/l�07,-l/O�/ON OWNER: 2 0 NJ n- -h 01V SUB CONTRACTOR: ARCHITECT: CONCRETE SUPPLIER: ENGINEER: - , - ♦ . - A REINFORCEMENT SUPPLIER: REINFORC MENT INSPECTED BY: DATE INSPECTED:1j -Z G- I P Lo tions of Work Inspected, Work Rejected, Problems, rogress, Remarks Etc: • ecn ,r ��rrc - /9-I-vs g7/oa7/ r 7/ � 0 1_. _._ :: " isMa' .A< -/ -. ---dl - pte•7 4-r` 06� fie / e l)rf�� B i( p $y�h/9r"e>r,q L.: V,- X //. x 9 dfL IV LR Iran/ We I, S I x-c 7 PI L-L e�P�. Qo4' p'o wog. 7-""r rtl IWWYl a no 77N 7ptm. K'r-+"S bl, � flrone.c 5m/9ktir ` tc.o , cdmgLer� y'1115 15 a. 17-71.1.4.-•u- S A IV Ai- etc flit W&.4k op 1 MAI-alit met> Ape efrksr0 44 /y Cc j ii Me, Gfilflao 5'rf im;f2 platennve pr;rely/n4.. hl•31 age LOCATION SAMPLED DESIGN STRENGTH MIX DESIGN CEMENT TYPE TICKET NO. SLUMP AGE TO BE TESTED: @ 7 DAYS, @28 DAYS, @ DAYS, OTHER: INSPECTOR'S NAME: 8 A kf m leSIGNATUR�� �A 78S XG*YS,ALLREPORTS Wax.BEHEW UN&ALCpWf6 Mm AN SEINCES=ED ATS MO !CUR SI HfNA 4,am CHARGE FOR GINC3FUSRONS AND 71MEANDA HAP KORSRTAOAYS SOfLDAREA 4 RJGBERFOLARED 7D CATE LEGA AC7JOH FOR THE OXLECTAN OFA DSTWWSA5 A RESULTOF TOUR AMER GRCEOFP CSREPORCAREA I AICWALRE EN77AFD]DAT7V EY FEES AND COSTS INCURRED NV SAID SurrTHIS FlEID REPORT PRESENTSA SUTYMRYCF QBSERKQXkJS AND TES7EYA BY AREA IAC PERS: E LOUR PARK COES NOTPORtE SUPERVISION OR DIRECTION OF THE Arai WORK OFTHE COKTR4C7OR MSEMPLOYEES OR AGENTS THE CCARACTORSOLLO BEBE MET NEITHER THE PRSS&At OFOURHELD RS'RSFHWNEEARTHS O8513EWIONAEC 7WTWG STOW?FEW SHALL EXCUSE MY PI ANY WAY FOR Mgr' =COWERED LN HS MIRK ITS LW 700D7)HTQBifRAI WLLL NOT RE F7FSPGASIEFOA JOB OR SITE ON•,:PROJECT NO. OF HOURS REGULAR: 0 OVERTIME: AUTHORIZED BY J I' ��r fes,. LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS l�l�Glll1 .wo BUILDING & SAFETY/LAND DEVELOPMENT DIVISION PUBLIC WORKS \T Grin Special Inspector Report • Each Inspector must`complete this report and mail it to the _' ' TtstuctOffice ghtrcthe petIllit was issued ( ri DAILY n WEEKLY FINAL TOTAL TIME ON JOB (IN DAYS) I BUILDING PERMIT No r C'S-9— I b 64th /' �o� DISTRICT No. JOB ADDRESS / /4 D O ,y r /' 19)-./,W J N/We yY. the GENERAL CONTRACTOR/ eO y577 7 c/V/ �CJr SIZE OF BUILDING No. OF STORIES 1 TYPE OF WALL TYPE OF WORK: n REINFORCED CONCRETE n MASONRY n HI-TENSILE BOLTING n PRESTRESSED CONCRETE Cg( WELDING n GYPSUM CONCRETE n OTHER �l DESCRIPTION OF WORK INSPECTED ROOF ,c'1-ein 1 it I e- hi / c/j O,v 6 ro u' ha, Die i. y1lygk e &r/53-in 19 tior- ph '9 �� Th -2- 12 er%-1`- .;9 jeU� SI e- a6 Peyer/ L- c 'm & W&61) y TO h e WeIii id kr cci-r & IGUS 9 7/0o5-3/ LOCATION IN STRUCTURE SOK l N If/ r>A eN REMARKS • '! ,5 l S Qi Pe/44- SA mit 1- X-5 T e tuft/it's of 1 Mgr/Pa met fri /et/-s To le IN Gomt0109-Ate.e $ ,e` '774,11) ftffnye pili -sj ,09.0 Ph ?! (M Air work on this job to date has been satisfactorily completed to the approved plans and requirements of the Lo At , des County Building Code. SPECIAL INSPECTOR 1. D. No. DATE rororo +++ ! City of Arcadia, CA • SIGN 18;1257 • Development Services Department ! permit Type;Sign,t 240 West Huntington Drive,Post Office Box 60021 %1 )S I t` ' a t l ` Work CJassthcabon'SignIlluminated gq�.x� Arcadia,CA 91066-6021 M i .'s � t !' l do �t�.. Seei (626)574-5416 it Permit5mtus:,lssueda ARCA DLA , tlssueDate 07/18/2018,1 Expiration: 01/14/2019 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/O Owner DISTINCTIVELY VISUAL GROUP INC' Contractor WESTFIELD SANTA ANITA 3505 MOTOR AVE,LOS ANGELES,CA 90034 400 (310)948-2892 Description:1 ILLUMINATED SIGN/NON ILLUMINATED SIGN Valuation: $ 4.000.00 Tenant QIN WEST FOR QIN WEST Total Sq Feet: 0.00 Plan Check U Plan N Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $394.75 Building Permit Fees $137.05 Cash/Receipt p REC-001754-2018 $394.75 Electrical Permit Issuance Fee $44.35 Amount Due: $0.00 Sign and Branch Circuit $62.13 Sign Connection $31.10 Sign Plan Review $68.52 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 Total: $394.75 CALLS FOR INSPECTIONS for by teh626-574-5450. reRequestquesting the addressinspection,timeframelepone ea what inspection Leave item isa needed. message ci,4 4— 7—i —t� 1 This permit/plan review expires by time limitation and becomes null and void ifthe work issuance d by the permit is not commenced within 180a days from the date of issuance or if the permit is not obtained within 180 days `•J,�" 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 18,2018 Issued By: Date July 18,2018 Page 1 of 1 . ' AR 00110av4i, I !001' 1 `z PERMIT/PLAN REVIEW APPLICATION 47 ,y , bee clot' Development Services Department,240 West Huntington Drive,Post Office Box 60021 ,.„,,art Arcadia, CA 91066-6021, (626)574-5416,Fax (626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 1I hereby affirm under penalty of perjury that I am licensed r er provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Divisio. of the Business and Professions Code,and my license is in full force am effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class C—45 License No. 1o1, . °C7-.Exp. Date 09/5o/ • compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. iof Contractor LeoWNE WNER-BUILDER DECLARA 'IO ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury .- 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 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 (Iles section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt there from and the basis for the alleged exemption. Any violation of d I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the 4bor Code,I shall 0 I, as owner of the forthwith comply wi those provisions. property, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date m'�'�/lg /fI 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'Co sation 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. it Name �(4.5” -(eb 6,Pve..1-110.' Title «u'�`"4L PRINT NAME I certify that I have read this application and state that above information is a rrect and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinanceand State Laws relating to buildirg construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mention property for inspection purposes. / CTS (� Signature C Date `. a ELEVATION A-EXTERIOR TYPE: EXTERIOR LR PIN-MOUNTED LETTERS 400 S. BALDWIN AVE, #2310, ARCADIA, CA 91007 • ILLUMINATION: GOOSENECK LAMPS LOCATION: STOREFRONT QUANTITY: 1SET SIZE(SF): 10.89 SF _ lixxxr 111 i ,,. _=:•.1iriii . ti a ELEVATION B-EXTERIOR -i's:( I •IlnenI!ill `i - TYPE: HALO LIT CHANNEL LETTERS. 'WI! J ILLUMINATION: LED II--'.; ' ❑ ❑`❑ LOCATION: STOREFRONT , I'- UANTITN 1 SET ®I JC= 'o- • U O U /'��/ SIGN B. 1 , `I t��r.pIL.-,...--.- ` S Q � SIZE(SF): 24.305E III�I ptHHlr '®' G • :m ROUTING C 0 Ill_ 111'1 TIP • Initials of sCit Cr °�Date and P�Q�°�\O�,S • Notes //' A 1 •OO , Checker P P P G°Q on Sheet# / ••.••lion n ul. ��: Planning 7//7/£f 6PG © H' a `r v� 'Eng. I �� r r ,,��,0�[ o1r�Inmui .I Buildinr f%39LRIin?(f,._ ac« �linr�, Fire � Bunn tn,. •= = 7n/7 CBr,/,.6c, 1 i . PWS-Water00 estTfe/d WELD Spn a nw q Reviewm Trees ( !I •� , • •� .1 .,r'.°n I `I - -. ....:74,7.---.=4 SIGN m 7/10/2018p .. QCs CI ONS This document is the • Store#: #2310 PG: 10F 12 SER Ei LILT I ES, I exclusive property of es ,A..0. Image Consulting INC. Center: 400 S. BALDWIN AVE REV: SERVICEBr INC. Address: ARCADIA, CA 91007 Wffice: 40.951 It must be retumed,destroyedalonor `. Project MGR:Ashley Harrison Office:440.951.9919 deleted ntcon on-request,along with any Cell: 440.912.2742 1775 Doswell Dr.,South Euclid,OH 44121 documents containing information QIN WEST NOODLE • obtained from this document. Email:ashleyh�wwirs.com C.ELEVATION A-EXTERIOR TYPE: _ ILLUMINATION: 'LOCATION: STOREFRONT QUANTITY: 1 SET SIZE(SF): 10.89 SF .if . Westfield 1= i��9 • fit-�ra— „i p -....t.....::-.=:.•=t, as,Mtl ill " Iii': :7 Iaaaa it —I �El] EQ� ._� 7/10201P8 ILII foo 00 �- W 1e h - v vv: r. - vai . 1181 ��Br- __ or &Si: /'" / ,11 / /- / • 11.1. °LIRA■■ I�NI� / / ✓_ / /" ✓ �/// // // // o M7.; i+ti 'r � {,;i*, .\ I if�t`y:..4. r t 'ui 4 - t� f'V•iRc:.+'ea1 `.0 I1 ..- . .1i!.'' �— I�II � i=1_- P r �'..1 sr .1 '�I�l.t akilfal_d1.I-I�IIliI III,A ml :S10: i nil Ir' 1 / I I I RI It IMAGE This document is the Store#: #2310 PG: 3 OF 12 excl'05 CONSULTING Consuiur peri of � ` mage Consulting Services.INC. Center: 400 S. BALDWIN AVE REV: I SERVICES, INC. Address: ARCADIA, CA 91007 www.icsww.com It must be returned,destrayed or h„, Project MGR:Ashley Harrison Office:440.951.9919 deleted on request,along with any Cell:440.812.2742 1775 Donwell Dr.,South Euclid,OH 44121 documents containing Information QIN WEST NOODLE obtained from this document. Email:ashleyh�wwies.tam • aELEVATION A-EXTERIOR TYPE: EXTERIOR LIT PIN-MOUNTED LETTERS - LOCATION: STOREFRONT •QUANTfTY: . 1 SET SIZE(SF): 10.89 SF 7'4W Wesdie/d 3'41/8- 1 - Pq Amo.Soig:Drawing Mavens Mace R eview 0 Resent / 7/102018 W tit p. 4sr.9 i kir W Q -N 'WEST NOODLE . +A • • • A '��.IMThis document is the Store#: #2310 PG: 4 OF 12 N9GE COVLTING exclusive propertyof �e it ? y` • Image Consulting Services,INC. JT3j/L Center: 400 S.BALDWIN AVE REV: I SERVICES, INC., \. Address: ARCADIA,CA 91007 www.icsww.com It must be retufned,destroyetl or • Project MGR Ashley Harrison 1775 440.951.9919 deletdocuments on containing inforng mation OIN WEST NOODLECent 1775 Donwell Dr.,South Euclid,OH 44121 documents containing information ashleyh@wwics.com obtained from this document. Email:ashleyh®mvics.crom ELEVATION A-SECTION TYPE: .EXTERIOR UT PIN-MOUNTED LETTERS 'LOCATION: STOREFRONT QUANTITY: 1 SET SIZE.(SF): 10.89 SF SPECIFICATION' H .1: D CHINESE CHARACTER,1/2'DEEP HOLLOW LETTERS •II 9 ENGLISH LETTERS 1/2'DEEP HOLLOW LETTERS 3 C (I y f © ICON,1/2'DEEP HOLLOW LETTERS • . • p !'�(a1 •�S Irl PAINTED TO MATCH WALL WITH TOGGLESS THREADED ROD WITH 1/2"D/A P SPACERS .la a—'T 7,t�e1._ • WALL CONSTRUCTION aIIa 71''1= 0 0 II 'Ma is p� sap Drawing Review 2 B �' O m al" btre ® NUTS WELDED TO INTERIOR OF EACH LETTER FOR THE "�� THREADED ROD TO ACCEPT THE THREADED ROD 'Cr 7/10/2018 .. ' FINISH SCHEDULE ' . . SIDE VIEW CHINESE CHARACTER PAINTED BLACK,TEXTURED FINISH MA FACES AND RETURNS ENGLISH LETTER FACES PAINTED BLACK,TEXTURED FINISH 0 AND RETURNS _ _ U ICON FACE AND RETURNS PAINTED RED(PMS#TBD),TEXTURED FINISH IMAGECONSThis document is the Store#: #2310 PG: 5OF12 exclusive property of v y �0iIMAGLILTING 3-\ Center: 400 S.BALDWINAVE Image Consulting Services,INC. Ty REV: I SERVICES, INC. hop \ , . Address: ARCADIA,CA 91007 wwW.icsW W.00m it must be returned,destroyed orProject MGR:Ashley Harrison I deleted on request along with any Office: Il 440.951.9919 Cell: 440.812.2742 1775 Donwell Dr.,South Euclid,OH 44121 documents containing information QIN WEST NOODLE obtained from this document _ Email:ashleyh®wwits.com ' a ELEVATION B-EXTERIOR . TYPE: HALO LIT CHANNEL LETTERS ' ILLUMINATION: LED I LOCATION: STOREFRONT QUANTITY: 1 SET Westfield SIZE(SF): 24.30 SF SOomx1ng Review iia— ne...-ear..�...-+..g r I," •. 7/10/2018 F.I) 1 I EQ - I - EQ--alit 11 ,i r; I❑-� T / . / . . / ILII ;p . It • • • W �» 141 ihlllll= _. , (� oI I 4 j/ S1�r arm i� �I �' • •O ii I intim-WEST-N a ODLE / I� r 0� %/ , / / E Ir9�I ■ a r.. 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It muson retualong with d or `r Project MGR:Ashley Harrison deleted on request along with any Office:440.951.9919 Cell:440212.2742 1775 Or.,South Euclid,OH 44121 documents from ing information OI N W EST NOODLE - obtained from this document Email:ashleyh6wwiscam ELEVATION B-EXTERIOR TYPE: -HALO LIT CHANNEL LETTERS CO ALL COMPONENTS UL LISTED ILLUMINATION: LED UL LABELS ON TOP OF ALL LETTERS WStfiLo!(! -LOCATION: STOREFRONT - ALL WIRING RUN THROUGH SEALTITE p Sign Drawing Review QUANTITY: 1SET ACCESS AND LOCATION PENDING FIELD VERIFICATION iqw nrum 0 Rowboat SIGN SIZE(S9: 24.30 SF ^ „"T,; ^"'°- —At Lz.�..-- LC �. 7/10/2018 10'•4' 8'5 518' - M. 1'-8'- - ---- - 64' - s /r in N' ? IN WEST NOODLE • t, L / •. , , ' ' ail • Jet 105 IMAGE This document is the Store#: #2310 PG: 8OF 12 CGNSLI LTING exclusive property of SERVICES, INC., Image Consulting Services,INC. Center: 4005. BALDWINAVE REV: ` � it ' Address: ARCADIA,CA 91007 www.lcsww.com It must be returned,destroyed or Office:440.951.9919 deleted on request,along with any Project MGR:Ashley Harrison 1775 Donwell Dr.,South Euclid,OH 44121 documents containing Information CAIN WEST NOODLE Cell:440.812.2742 obtained from this document Email:ashleyh®wwics.com 0 ELEVATION B-SECTION , IC TYPE: HALO LIT CHANNEL LETTERS D C2=21.111----. C1.111--- ALL COMPONENTS UL LISTED AREA MUST BE VERIFIED PRIOR TO FABRICATION ILLUMINATION: LED UL LABELS ON TOP OF ALL LETTERS LOCATION: STORE FRONT UL LABEL(S) ON .ALL WIRING RUN THROUGH SEALTITE QUANTITY: 1 SET TOP OF LETTERS ACCESS AND LOCATION PENDING FIELD VERIFICATION • -SIZE(SF): 24.30 SF SPECIFICATIONS 7., x y_ ' B®.I BI,O B WITH CHINESE ACE OVERHANGSCES,.080 ALUMINUM ® MOD 60 POWER SUPPLY,ABOVE CEILING �•B2'DEEP.063 ALUMINUM LETTER RETURNS m 20 AMP DEDICATED CIRCUIT FROM POWER PANEL, a `.",...._..,..,.. ; m0 © © TRANS TRANSFORMER BOX SWITCH ABOVE CEILING IN B till1 El LI ' 6.13 6500K WHITE LEDS,MA% REMOTE DISCONNECT �•0 INTERIOR OF ALL LETTERS PAINTED'BRIGHT WHITE Ea 'ENGLISH LETTER FACES ,.1 �• I.• 70°11 © S/S THROUGH BOLTS,FINISHED TO MATCH RETURNS © S/S FLAT HEAD SCREWS PAINTED TO MATCH RETURNS EI - S I� rB JUNCTION BOX,BY GC,ABOVE CEILING mNOT USED I �• ® �B TO M TERSUNKCH FL OE AD SCNEWS FOVSHED ® ICON FACE,.063 ALUMINUM WITH FACE OVERHANGS Eli I ,' © El 3/4'FIRE TREATED WOOD BLOCKING LETTER BACKS,3/16'CLEAR LEAN OOB 12awg FEED IN 1/2'0 SEAL-TRE w/CONNECTORS m HINESE ARACTERS 'm WALL CONSTRUCTION h- ©- , © ICON i s Westfield Sign Omens Review Haar i' m U FINISH SCHEDULE •�� B �� Da .�, �II,�I m • CHINESE CHARACTERS PAINTED BLACK,SATIN FlNISH. .. '^..`""'y .,,,,_. ' AND RETURNS ..... t LI ENGLISH LETTER FACES i- 7/10/2018 111 I] AND RETURNS PAINTED BLACK,SATIN FINISH v� r l A( O ICON FACE AND RETURNS PAINTED RED(PMS#TBD),SATIN FINISH Ila c') c m 1/f O ALL LETTER BACKS 3/16'CLEAR LEXAN y.tp&.gP ENGLISH LETTERS '�� IMAGE This document is the Store#: #2310 PG:9OF12 CENSCETING exclusive property of � , Image Consulting services.INC. Center: 400 S. BALDWIN AVE REV: I SERVICES, .INC. Address: ARCADIA,CA 91007 www.)csww.com IL must be returned,destroyetl or `. Project MGR:Ashley Harrison lffice:440.951.9919 deleted on request,along with any Cell: 440.812.2742 1775 Donwell Dr.,South Euclid,OH 44121 documents containing Information OIN WEST NOODLE obtained fromthisdocument Email:ashleyhrOwwics.com