HomeMy WebLinkAboutUntitled a-o-� City of Arcadia, CA " Permit NO TI-18-0428'
1 Development Services Department Permit Type Tenantlmprovement,:
240 West Huntington Drive,Post Office Box 6D021 i - 1 = ' r
( -l1 'Work Classification Tenant Improvement
Arcadia,CA 91066-6021
(626)574-5416 - i c - Permit Status issued:,;
ARCADI 0at`e 04/26/2018P1 Expiration: 10/23/2018
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 IDEAL DUE DILIGENCE Applicant
WESTFIELD SANTA ANITA 7811 CHEVIOT RD A,CINCINNATI,OH 45247
400 (513)389-1059
i
HORIZON RETAIL CONSTRUCTION INC* General Contractor(B)
1500 Horizon,Sturtevant,WI 53177
(262)638-6000
Description:INTERIOR T.I.NEW NON LOAD BEARING t$ Valuation: S 117.000.00 Tenant JANIE&JACK
INTERIIOR PARTITION,FINISHES,CEILING AND LIGHTING FOR 8
JANIE AND JACK. . Total Sq Feet: 0.00 Plan Check#18-428 Plan#32502
Fees Amount Payments Amount Paid
Accessibility Plan Check $130.78 Total Fees $3,201.87
Accessiblity Building Permit $134.13 Cash/Receipt#REC-000676-2018 $1,638.08
Building Issuing Fee $44.35
Building Permit Fees $1,341.30 Amount Due: $1,563.79
Building Plan Review Fee $871.85
Cal Green Plan Check $87.19
Commercial T.I.Fire Plan Chk. $280.00
Energy Plan Review Fee $268.26
Green Building Standard $5.00 .
Solid Waste Management Fee $6.25
Strong Motion Inst.Program Com $32.76 CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
Total: $3,201.87 requesting the address,timeframe and what inspection item is needed.
f0t'46 ` — 2 -4 a, e7/ 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
4 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 26,2018
Issued By: Date
April 26,2018 Page 1 of 1
�,auoav4, .
�
PERMIT/PLAN REVIEW APPLICATION
w+ °xa c.,
fi`�' 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 Busine an
fuse Cl s Code,�l my license is in fu f•. t. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class 'Vh License No fp
!For p. Date /r 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 D LA'I 4?''y t / ❑ I have and will maintain workers'conipensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors3700 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 (PcY
is issued.M workers'compe sation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, arrier
Number_ 5demolish,or repair any structure,prior to its issuance,also required the applicant G 1 ffor such permit to file a signed statement that he or she is licensed pursuant to the o _ l
provisions of the Contractors License Law(Chapter 9(commencing with Section s section need not be completed if the permit is 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 r- .0 Code . shall
❑I, as owner of the roe forthwith co ply wi those provisions. /
property,rty, or my employees with wages as their sole / /
compensation,will do the work,and the structure is not intended or offered for h ��1
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 shallsubject 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). damagesas 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:
I. 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
\ s� 10 (Title ��P•1 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 wit. al 'ity or 'nand d State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter u.:7 • + .ove- tone .:.erty inspection purposes. r�/
Signature I -get I C Date LI/j r6
tstS 54CA:0 dau<
NOTES
Building Inspections Date Insp. Plumbing Inspections Date Insp.
100. Setbacks 210. Under flr.Nldg.drain �
101. Rough grade 211. Copper underslab 5-/S. B epoedd EC.cc7,CIc fK rilar
102. Figs.&forms 212. Rough plumbing
103. Pre-slab 213. Rough gas
�L.C.$ 4.s�c-y
104. Floor joists 214. Shower pan c/s-!$ tcfbC-C- CR.d,p4c,.G6, !{,f1{.�.-/✓J
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing 217. Building sewer
108. Diaph nailing 218. Water service
109. Roof nailing19. Final gas
3.
110. Framing 31 -it - 220. Fixtures
111. OccfArea Sept.Wall 221. Final plumbing
112. Sound walls 222. Sewer cap/demo.
113. T-bar.rid
114. Insulation-Fir. Pool Inspections Date I. Insp.
115. Insulation-Wall 240. Excavation/steel
116. Insulation-Cell. 241. Rough plumbing
117. Drywall nailing C-&" i"'7242. Light sheNbonding
118. Interior lath 243. Underground conduit
119. Exterior lath 244. Pimp
120. Finish grade 245. Gas line&test
121. Final building 7-24-IS 246. Fence,gates&signs
122. Final demofot dear / 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 Retool Inspections I Date I Insp.
154. UFER ground 270. Pre-rercof insp.
155. Wateroground ) 72. Roofframingng
156. Rough electrical ''f��6-L8 272. Sheathing nailing
157. Fixtures 273. Final reroof _
158. G.F.C.I.
159. E..t.bondine Sign Inspections I Date I Insp.
160.1Service panel 280.1Footing overhang ■
161. Final electric 7-(7-l8 ��281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. ' 283. Disconnect
180. Venting/flue 284. Final sign
181. Fumace/A.C.
182. Rouch HVAC Miscellaneous Insp. I Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough - 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commerdal hood
190. Duct shaft Sewers&Offsite Insp. I Date I Insp.
191. Final mechanical 300. Lateral(main to PI) ■
301. Saddle/Y
Block Wall Inspections Date Insp. 302. Cess...I filled
200. Footings 303. Sidewalk
201. SteeVrebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
r
w ' e. .r : r
iigh
ax ... .a. ,,+...iav+exc.msa.M+&v.,.. .o .w ...., t 1 . �... u� •... .. 9'TYs_aA.+_.'dt'.�'✓5.M.rc x...c v n. SiJ
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el
H =rX
e�l �i ���.e• I�
. Crj .it
COa..trr.ro'd'
0.
Certificate of Occupancy
City of Arcadia •
�- Development Services Department-Building Division
lM1tT •��
• This certificate issued pursuant to the requirements of the _ s
California Building Code certifying that at the time of issuance this structure was in
. ` compliance with the various ordinances of the City regulating building construction or use.
y1 a Permit No. TI 18-428 ,)
A" T + Building Address: 400 S BALDWIN AVE ARCADIA, CA 9100frail.^
`,I Permit Type: TI Effective CBC: 2016 C.B.C.
'+ a Occupancy Code: M Zone Code: C2-DH8 ' `` i.
•
" r` Final Date: 7-26-18Type of Construction: d
��� TYPE II 1 HR SPRINKLERED 4 ?�",� a�
zva
t'
Owner: WESTFIELD SA A ANITA Tenant: JANIE AND JACK L� y
v
jj
t W411,
11:
Yom-/' t 4
sf
Don Stockham,Building Official
y
d.M • Post in Conspicuous Place .��
9 y a
a a.w.r ar mar vutaasxsa ., ., n' .• ,x
t /.y t'° � .cP , A`^x� Sig.. �¢1r q vz+. y r yr ' a t;jM a
�p - j, r d K4 t� y}5;.�/+y C'"Z)4 �`hC V Z/ Vr�,,,. 4+a�+ '�'�" �`f. }P 9y�' A'. a'�y^�. 3 '' t .lav
)�"- tr M, �� p5x s ''„, �� tv'G 4� . - ,s�\.. G VY d�/� � * �IyI Y/• t re d"f .,,,-.. ..,1? A
� �Vt�i,* Csesw�n+':,,,p, �ar. r r �� .t'Yul� �Mwrriwasee � 41,tt� , ++ssY= -lit, Irnhe aAzx .vi V r � �II�� .�. �u �
b � V� V
.. s `' ,.: vsy' ! - " a4x} `Ya "'' :, 5 Ta^ '� �'f:. sidrrr
e iuoi yk.N 4:M.w i7 ,e. etn. . +., .rL `>.. 'i* a:. r ',; • 4k,
Recording requested by:
Horizon Retail Construction, Inc.
1500 Horizon Drive
Sturtevant,WI 53177
NOTICE OF COMPLETION
Notice is hereby given that:
1. The Undersigned is: an Agent Owner of the interest or estate stated below in the
property hereinafter described.
2. The full name of the Owner is: Gymboree Group
3. The full address of the Owner is: 71 Stevenson St.,San Francisco CA 94105
4. The nature of interest of estate of the Owner is: Tenant
5. The Full Names and full address of all persons, if any who hold title or interest with
the Owner named in the property are:
6. A work of improvement on the property hereinafter described was completed on
07-27-18 . The work done was for Interior finish of retail space..
7. The name(s)of the Contractor, if any, for such work improvement was
Horizon Retail Construction.
8. The nature of the improvements to the real property: Tenant Improvements.
9. The Property on which said work of improvement was completed in the City of
Arcadia , County of Los Angeles , State of California, and is
described as follows:
Janie& Jack
10. The street address of said property is:
400 South Baldwin Ave#F4, Arcadia CA 91007
•
Dated: 7z /'. Signed: ig t`� —• ���
/ • Horizon Retail Construction agent \_
VERIFICATION
I, undersigned, say: I am the Project Manager declarant of the foregoiong Notice of
Completion. I have read said Notice of Completion and know the contents thereof,
the same is true of my own.knowiedge. I declare under penalty of perjury that the
foregoing is true and con--ct. Executed on this •-y of / a 20 , at
Racine, tscon•in. // /
Name: Signature. -!�- L
End of document
l .0 City of Arcadia, CA Permit No IMech 18'0786;;
1 1 Development Services Department ,`, -'''''',L2?-;'''. ' v ",„ Permit Type Mechanical;
i t 240 West Huntington Drive,Post Office Box 60021 �' g d
r7 a }pJ ) f WorkClassriicanon Mechanical,Commercial.
)t JJIt Arcadia,CA 91066-6021 •�, _ -
'� " "r (626)574-5416 _ ,l s„...- ;Permit Status:aIssued:
ARCADIA • issueDafe O5f14/2o18a Expiration: 11/10/2018
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 Alliance Heating&Air Conditioning Contractor
WESTFIELD SANTA ANITA 316 E Dyer#A,Santa Ana,CA 92707
400 (714)436-1652
Description:DUCT WORK FOR T.I.JANIE AND JACK , Valuation: $0.00 Tenant JANIE AND JACK
;
Total Sq Feet: 0.00 ' Plan Check# Plan#
Fees Amount Payments Amount Paid
Add/Alter Ducts $121.94 Total Fees $167.29
Mechanical Permit Issuance Fee $44.35 Cash/Receipt#REC-001154-2018 $167.29
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $167.29
risdAt L 7 —Z` '? CALLS FOR INSPECTIONS
J , l#5,, Request for inspection by telephone at 626-574-5450. Leave a message
�`"w// requesting the address,timeframe and what inspection item is needed.
This permit/plan review expires by time limitation and becomes null and
void ifthe
workicauthorized by the permit is not commenced within 180a days
a
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 14,2018
Issued Date
May 14,2018 Page 1 of 1
,F A;
, I PERMIT/PLAN REVIEW APPLICATION
i0' ® rte
, 4)j. Development Services Department,240 West Huntington Drive,Post Office Box 60021
00,?..... .......-00
ow Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173
City of
Arcadia
ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license is in full force and effect. /y / 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class0L' se .9L(r� �Exp. Date f0 301 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 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, Carter 8Ve✓15+ &al I /in S
•
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number -lCP 00 O1-5 ( 7
for such permit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for 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 370 f the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole
forthwith comply with those provision
compensation,will do the work,and the structure is not intended or offered for /yf(6l/I g
sale(Section 7044,Business and Professions Code:The Contractors License ate
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
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).
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. ,p /�� ,,/"��
Name M� 5 C r►-l.P�cr�5 Title / tggG'� (Yd".,`n4Tar
PRINT NAME
I cert y that I have read this �'plication and state that the above information is correct and that I am the owner or duly authorized agent of the owner.
I agr a to comply with all pity ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arca 'a to enter Ion th: . •ove-mentioned property for inspection purposes.
Signature `/ Date
r x
City of Arcadia, CA _u � ,�
PermitNOFIRE 18-0776 .
• Development Services Department Dl '` a ,---- , , 1 Permit Type Fire'
`• 240 West Huntington Drive,Post Office Box 60021 # ',-1 c. }+ r, Vit ..,,-Work CIas9Ji[atipn Fire Sprinklef
P Arcadia,CA 91066-6021 �Y.1 ! ,..�{kL t,� ' . • s
(626)574-5416 - -'.; c
,- Permit' Status Issued
ARCAAIAIssueDate 05/11/20181 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
..
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:SPRINKS FOR JANIE AND JACK.24 HEADS Valuation: S 2.000.00 Tenant JANIE AND JACK
Total Sq Feet: 0.00 Plan Check#18-776 Plan#
Fees Amount Payments Amount Paid
Fire Issuance $44.35 Total Fees $849.00
Fire Permit Fees $103.65 Cash/Receipt#REC-0D1174-2018 $149.00
Solid Waste Management Fee 2 $1.00 Cash/Receipt#REC-001130-2018 $700.00 •
Sprinkler Heads $700.00
Amount Due: $0.00
Total: $849.00 .,
CALLS FOR INSPECTIONS
Request for einspectiondesby telephone nd 626-what inspecti0.on
Leaveemsn messagede .
�p p qq� @tl4+rb Ig�1� 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.
C.\....A.N.......__________
•
May 17, 2018
Issued By: Date
May 17,2018 1 Page 1 of 1
A,
• PERMIT/PLAN REVIEW APPLICATION
.I ..t,1IIJ.* F,
I" 1111111 'IttltizE * 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
gProfessions Code,and my license is in full force and effect ❑ I have and will maintain a certificate of consent to self-insure for workers'
_Lricense Class 3 5 7%�License No. -/�fixp. Date• compensation, as provided for by Section 3700 of the Labor Code, for the
itC
,,gnature of Conperformance of the work for which this permit is issued.
[racte
OWNER-BUILDER ECLARATIONI 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 workersation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier Ott
•
demolish,or repair any structure,prior to its issuance,also required the applicant
balky 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 4rhis 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 a }certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of
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
i.
workers'compensation provisions of Section 3700 of the Labor Code,I shall
I, as owner of the roe forthwith comply with those provisions.
property,rty, or my employees with wages as their sole 11p
compensation,will do the work,and the structure is not intended or offered for 1]a) 5 -/7-/ r "Sgnature
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 coverageis 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.
[DI, 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
��6 further information. /
Nhthe #64h�.df ,,� 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.
It 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 ab tinned property for inspection purposes.
`'t re Date 5- � 7� (r
l
City of Arcadia, CA _ 7 uPermit No. FI RE 18 0652
Development Services Department r I. Permit Type Fire
240 West Huntington Drive,Post Office Box 60021 ° ,, .x'} s fes- i 1 : i , . Work Classification Fire Alarm
777jjj��� Arcadia,CA 91066-6021 3 t „�`,x I +
(626)574-5416PermitStatdrAssued;
.., Amt _
ARCADIA t ' Issue Date 05101/201k Expiration: 10/24/2018
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 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 DEVICES FOR JANI AND JACK 8 DEVICES 9 Valuation: S 6A50.00 Tenant JANIE&JACK
Total Sq Feet: 0.00 Plan Check#18-652 Plan p
Fees Amount Payments Amount Paid
Fire Alarm Plan Check $700.00 Total Fees $932.50
Fire Issuance $44.35 Cash/Receipt U REC-001031-2018 $232.50
Fire Permit Fees $187.15 Cash/Receipt p REC-000977-2018 $700.00
Solid Waste Management Fee 2 $1.00
Amount Due: $0.00
Total: $932.50
il11 � CALLS FOR INSPECTIONS
k
®®® 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.
/111
May 01,2018
Issu:, By: Date
May 01,2018 Page 1 of 1
FA•
S
�_. am li1 : PERMIT/PLAN REVIEW APPLICATION
Fat
Ok IS '110
4.4 -2, Development Services Department,240 West Huntington Drive,Post Office Box 60021
Arcadia, CA 91066-6021, (626) 574-5416,Fax (626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Section 7000,of Division 3 of the Business and
Professions Code,and my license i�ss iinMull force and effect. I have and will maintain a certificate of consent to self-insure for workers'
License Class 1QOri Lirktfs!•IQo. 11/
OWNER-BUILDER DECLARATION E f hExp. Date /PI 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 ��
have and will maintain workers'compensation insurance,as required by Section
o 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'compensationins/u�rance"carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier 1 ftyk, $ 1 yw rv+�C _ -
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number iii./Sb r703SSSS/'(m CSC)
for such permit to foe a signed statement that he or she is licensed pursuant to the
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall
Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): compensation Laws of f alifomia,and agree that ill should become subject to the
workers'compensation provisions of Section 3700 of the Labor Code,I shall
0 I, as owner of the roeforthwith com ly with those provisions.
property,try, or and employees with wages as theirs for
compensation,will do the work, the structure is not intended or offered for
Date C I Signature
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 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 tothe 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).
El 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 priorlto disturbing the asbestos. Please contact AQMD at(909) 396-2000 for
further information. 1
Name - - -rra�.cPS Title ".5
I certify that I have read this application and state that the above information is c ect 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
Ar dia to enter upon the above-mentioned property for inspection purposes. '�J]
Si nature (•
+_ 5 Date / i
DDD///
•
0 ARC
` ". ��\ �0 MEMORANDUM
r . /f
Fire Department
DATE: July 19, 2018
TO: BUILDING DEPARTMENT -
INSPECTOR Henry Kemich
FROM: FIRE DEPARTMENT
SUBJECT: FIELD INSPECTION
ADDRESS: 400 S. Baldwin Avenue, F4 (Janie &Jack)
THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE
DEPARTMENT REQUIREMENTS:
TYPE OF INSPECTION DATE / INITIAL
FINAL INSPECTION
FIRE SPRINKLERS 7-19-2018 Jill Perumean
FIRE ALARMS 7-19-2018 Jill Perumean
TANKS
HOOD & DUCT
KNOX BOX
OCCUPANCY 7-19-2018 Jill Perumean
COMMENTS:
Emailed Bldg. Dept. 7-19-2018 Rita
i 1' At r y _- 31
a. City of Arcadia,CA • .Permit NO:,SI GN 180743
-
l. `. Development Services Department ¢ ' .'� .. Permit Type Sign
240 West Huntington Drive,Post Office Box 60021 .I Jt i I N $ ) s
° Arcadia,CA 91066-6021 9 =( I Ttw t. U1 Work Classification:Non Illuminated.)
(626)574-5416 _ 1° '.�. "*;' ' ' .'PermitStatussaIssued'
ARCADIA Issue Datg OS/07/2018 I Expiration: 11/03/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
400 $ Baldwin AVE Arcadia,CA 5775031043
Contacts
SANTA ANITA BORROWER LLC C/0 Owner AD ART INC` Electrical Contractor
WESTFIELD SANTA ANITA (C-10)
400 150 EXECUTIVE PARK 2100,SAN FRANCISCO,CA 90245
(415)869-6464
Description:WALL SIGN FOR JANIE AND JACK Valuation: S 400.00 Tenant
Total Sq Feet: 0.00 Plan Check it Plan N
Fees Amount payments Amount Paid
Building Issuing Fee $44.35 Total Fees
Building Permit Fees $40.65
Electrical Permit Issuance Fee $44.35
Amount Due:
Sign Plan Review $20.32
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00
Total: $156.92
•
fitaa-c. •J—ZCCALLS FOR INSPECTIONS
onlyRequest 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 any datoupltnh rued by this This permitmit expires and babandoned
nulld and
voidnif utia workaauthorized noed g esi permit is endvd or abana City for 180
consecutive days or if progressive work has been verified by a City of
Arcadia building inspector for a period of 180 consecutive days.
/ May 07,2018
Issued By: Date
May 07,2018 Page 1 of 1
• + .i PERMIT/PLAN REVIEW ATION
: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 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 45 License No.82.40 5 1 Exp. Date !OO 9 compensation, as provided for by Section 3700 of the Labor Code, for the
e � performance 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 he 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 MA$5 R C H N S E 1 t5 13A Y I"1S UR ,
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number WO F 0 2. 3 3 /7 5 0 0
for such permit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less)
7000) of Division 3 of the Business and Professions Code)or that he or she is
exempt there from and the basis for the alleged exemption. Any violation of 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 F
hwith 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 s'6 — g Signature le, �^-'""
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 tocriminal penalties and civil fres up to one
completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation,
did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and
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 TI-DS APPLICATION AND THE FOLLOWING:
I. 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.
tIame ;c o BEA/50A, _ I Title 4-M PL0XEF
PRINT NAME ,F
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 �C,V)...4,-...— ^ Date 5 - 6 —20/8
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Lphange duo to construction factors
G� r exact nota conditions.colors shown ore as close to cas printing will allow.
Locauon:4008.ld Santa Anila 91-05/02/18-BB-Added adtlresR to titlablOCNCustomer. Always followwritten specification..
400 S.Baldwin Street,Sults F4 ALL RIG�¢HTS RESERVED:
700 Parker Sq STE 205 Arcadia,CA 81007 This RIGHTd ter hes
RESEAD RVED:
n"at eo:new"„la�y roe,rlemlaa your
Flower Mound,TX 75028 FileNa428/18 Bales:DL Designer:BB Landlord, organization.and may not be reproduced tn abeam
toanorwlrhutsider
T. 800.675.6353 Name:JanlundJacNPnadaCA-Btetla-01 consent.
TOP OF STOREFRONT
200-3D A.EE -
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FINISH FLOOR - __— ____ M. _ _ _ _ ;I I ! 1 I I
00-00 A.F.F. i I a I I
___ __ _ _ __ __ _. ___ _ _
II:
PROPOSED FRONT ELEVATION
G�1 ADART ProjectJanie and ddck Revision Approvals CONCEPTUALrepproWINGSmay ONyc SHEET
Dimensions ero,p DRAWINGS
ONLY:
due to construction factors
Locelion:Westfield Santa Ansa o1- FIR-AS-Added address(MIMI_
or exact bold colt cmere.nawn are as close as printing will allow.
customer. Always follow written specifications.
400 S.Baldwin Street,Suite F4 ! ALL RIGHTS RESERVED:
700 Parker Sq STE 205 Arcadia,CA91007 1 ALL Mien he.been wa.and mryoum conn.nlen wlm aproject name
Flower Mound,TX 75028 Dote:0426/15 Sales:DL Deslener:BB --- I elenniaforyou byADARL nmroduced in awntoonyonoounlaoyour
T. 800.675.6353 File Name:Jana andJukNwBaCA•Ebnlor-01 Landlord: ap.an�Ron,and may net be repmaeoaamany manner without prior
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a FLAT CUT OUT LETTERS SCALE:1'=1'-D'
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SECTION DETAIL NOT TOSCALE
Ga 1 ADART Approvals CONCEPTUAL
Dimensions ALD approximate NLcM1eng•du•to construction/sMm
Location:WsagleM Santa Anita 01A6/02L1&D8 dtlad address to dtle Nock xactnma=andtons.Color,shown on c=lose os printing will allow.
Cuetomvr. Always follow written specifications.
400 S.Baldwin Street,Sults F4 ALL RIGHTS RESERVED:
700 Parker Sq STE 205 Arcadia.CA 81007 ml,e.•lgnhasM•ncn•ted fa.you In=enn.cmn with.wsJ•ct b.ing
Flower Mound,TX 75028 pleanse+oryeubyAoART.ltmsynotbeshowntoenyon• thld•your
Dob:04/26/18 ealoa:DL Deelgnen BB Landlord: organisation,and may not be rspmeuwd in any manner without prior
T. 800.675.6353 Filo Name:Janie and JadtWcabCADtedm-Dl consent. t
WeesNTekt 4
sgn Drawma Review
1. Ensure to obtain a separate .ro
building permit from the city and .wes"",,,`°,"'�4
must schedule inspection to sign w.^...1"
off the wob6tP1A9 @O .Einal _
Inspection. D.SDA.FI: � "..�""°°=w�+
2.Coordinate with GC for proper 4/27/2018
access panel
3.Setup time clock per malllt
r
le
requirement •
4.No sign JANIE Amy JACK.
attachmentAvires/cables should
bevisible_T'o T-o�F&1!E_--
5.All lighting neeas to ge UL _
6.Sgnm tmatahaOsin9 _ _ _ �_c'------�1 -- NEe® L
Business°'N3PflA completely I ?- `!. t •
per lease I `i Si �®
7.To ensure sign follows WF I I Tg nI ®® O®
sign design criteria. �LJJ ,I 1 r.
8.When the city submission Is Y LJ ®® Ell {}I (S_
ready,please send to me for - m it 1 ®® ®® I �`I
stamp on each page. --6 irk' 'ji' ,�
9.Your store is et"none" I. rit: }tie= E® EH IL..- -xthi i -K1
blade sign zone. ,® E®
PROPOSED FRONT ELEVATION-OPTION h
700 Parlor Sq STE 205 II _ I
Flower Mound.T%75000 yy s
T.800.575.8358 7..eaiwy.w.6YLMW1 r.^^^..�r"v��w
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$Apppios n Pleas
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JAN I E AND JAC I1=7.-4�n�
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eT5 ll MOMS)•MAIMAL31PF NOW= 4150.R
No sign IIIIP
abachmentlwireskables
should be visible IE•
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ern --�-
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Flowor Mound.TX 75028 _ ^..�.. .u.a.�. 2 J111
T.800 873 6353 I Fu A.uuurnpum�I 1
wiHorizon
RETAIL CONSTRUCTION, INC.
April 20, 2018
City of Arcadia
240 West.Huntington Dr.
Arcadia, CA 91007
Re: Janie & Jack
Westfield Santa Anita Mall
400 South Baldwin Ave. F4
Arcadia CA 91007
Horizon Retail Construction, Inc. has been awarded the contract for the TI work at the
above referenced location. We are authorizing Mark Gallione tosign for and pick up the
permit using Horizon Retail Construction's license.
If you have any questions, please do not hesitate to contact me.
Sincerely,
-tie------
Mall
Busch
Senior Project Manager
State of: WI
County of: Racine
Signed and sworn to before me this
20th day of March, 2018.
I LYNN It MICMELAU
SmGol aw
NohrvPuafcmtn AwAtitelLQRAA.
Notary Public
Expires: 03/17/2022
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