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HomeMy WebLinkAboutTI-18-2063 2 ra ,v•w. City of Arcadia,CA , ' i' �.. '? j # tt ermitNO,Ti y1 2063. Development Services Department a- n -f rm hype:Tenant Improvement 240 West Huntington Drive,Post Office Box 60021 ■■■ ' - � '' n '� -* Arcadia,CA 91066-6021 + . H°' ' t"ctassifi on Tenant Improvement . (626)574-5416 ,y'.e.wr x y5 V "' 'va.� " ii 'Permit Stats issued ARCADI:A. - Issue' Date 01/07/2019 Expiration: 07/08/2019 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 JACOB WEBSTER Applicant WESTFIELD SANTA ANITA 1236 POTOLA AVE,TORRANCE,CA 90501 400 (310)702-7852 W EBSTERJACOB@AOL.COM LAKEVIEW CONSTRUCTION INC General Contractor(B) 10505 CORPORATE DR 200,PLEASANT PRAIRIE,WI 53158 262857336 671201 Description:INTERIOR T.I FOR JOURNEYS C Valuation: $241,800.00 Tenant JOURNEYS s E. Total Sq Feet: 0.00 Plan Check#18-2063 Plan#32657 r , Fees Amount Payments Amount Paid Accessibility Plan Check $214.88 Total Fees $5,063.85 Accessiblity Building Permit $220.38 Cash/Receipt#REC-002802-2018 $2,511.36 Building Issuing Fee $44.35 Cash/Receipt P REC-00022-19 $2,552.49 Building Permit Fees $2,203.80 Building Plan Review Fee $1,432.47 Amount Due: $0.00 Cal Green Plan Check $143.25 m ---r—P t WU EE0 Commercial T.I.Fire Plan Chk. $280.00 rL�' t� Energy Plan Review Fee $440.76 Green Building Standard $10.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Corn $67.71 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message Total: ,/,.�$J5,0/63.85 requesting the address,timeframe and what inspection item is needed. r„,,, i' 'Z_i� ���!% 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. January 07,2019 Issu By: • Date January 07,2019 Page 1 of 1 of AR �yIFORry�( * :.:.. .„ PERMIT/PLAN REVIEW APPLICATION 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, hand my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class 6 nse i . (0'7 1 Z o( Exp. Dates/./47 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 Calhave and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following mason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: • Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number O fl. Re_ provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for q sale(Section 7044,Business and Professions Code:The Contractors License Date I-7— 1 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):. ;r 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 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 C", , , er40 —�0.V�C:h-e-Z_ Title • PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upo• the abovey entioned pro.• ty for inspecfon purposes. Signature _.dereAPS_ Date MI MP 7-/� ciao &M )IzN iw,zr c ' NOTES Building Inspections Date Insp. Plumbing Inspections Date I Insp. 100. Setbacks 210. Under DUbld..drain -11-19 P 'C" 101. Rough grade 211. Copper underslab 11 -0( I IBCA las A60 102. F.s.&forms ,212. Roush.lumbin. -11-r, n '- Fiam1,J,(- 1,c LAc .5 a 103. Pre-slab l 21-I1 4r" 213. Rough gas 1:7/1 104. Floor joists / 214. Shower pan 105. Steel 215. Water heater 2-j-i7 ,. "' 106. Grout lift 216. Roof drains 107. Shear nailin. 217. Buildin.sewer 1.-1-1/ fK+40 ceSCrieiG d 108. Diaph nailing 218. Water service ;-ffAA Co G6tic- inrer 109. Roof nailing19. Final gas 110. Framing 1-11-19 220. Fixtures 111. Occikea Sept.Wall 221. Anal plumbing 2-64QJ 112. Sound walls . Sewer cep/demo. 113. T-bar!rid 2-5-11 114. Insulation-Flr. Pool Inspections Date Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. LL � yu1. Rough plumbing 117. Drywall nailing 1-7/-19 /'1f`V�7 242. Light shell/bonding118. Interior lath G 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade ]�7}''y�245. Gas line&test 121. Anal building Z-#24, / 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Anal electric Electrical Inspections Date Insp. 249. Anal.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 ground271. Roof framing 156. Rough electrical 7.B 4q 272. Sheathing nailing 157. Fixtures 273. Anal reroof 158. G.F.C.I. 159. E..t.bondint Sign Inspections Date I Insp. 160. Service panel ��1°J�280. Setback/overhang 161. Final electric j-/2-1, O" / 281. Footing 282. ConduitAvirinr Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Anal sign 181. Furnace/A.C. 182. Rauch HVAC f-2> Miscellaneous Insp. Date Insp. 183. Are 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 A Sewers&Offsite Insp. Date I Insp. 191. Anal mechanical Z." err 300. Lateral(main to P/L) 301. Saddle/V Block Wall Inspections Date Insp. 302. Cess.+.I filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Anal wall 306. Trash bin - iR aGa'ky "3: 1 .a daAt .. .a= ?,. es..„;,,.- P ?' til;r:fi o- "-t , . .. dr ate:.. ras a+x ass, T^s ,.s? `a , °' �j1 —k: s. '�az 'l ��axa+ rs +.'uu� � ..c„ _. 'a�Th ,/.�aa. 'Il - .i" tt - f"- l� ,.m v.x.r.-., .w,w_..y.,s. ,u�su.,--7-... -..,=aWAtt . A , ,we . :.a vn...;ara ..x car... .a 1/267 „Tnicz an.-..tw. ,.gylizilm. ' e ,rte v,: .� t � • M1mar 1 j ANC' n�.n•.rA a7d.-_ % Certificate of Occupancy , Ai,- City of Arcadia Development Services Department—Building Division i . icttf: a *Like g This certificate issued pursuant to the requirements of the $ € California Building Code certifying that at the time of issuance this structure was in s -i compliance with the various ordinances of the City regulating building construction or use. g 1;1114\I Permit No. TI-18-2066 ••n% i Building Address: 400 S.BALDWIN AVE ARCADIA,CA 91006 .� as - `= Permit Type: TENANT IMPROVEMENT Effective CBC: 2016 C.B.C. r. Occupancy Code: M Zone Code: C-2 DH8 :qI� C li PA *ate � e Final Date: 2-12-19 Type of Construction: TYPE II 1 HOUR al z' litict,o'A: a " Owner: WESTFIELD MALL SANTA ANITA Tenant: JOURNEYS € k Pel atet A . t •ems Kenneth Fields, uild : r ficial f y ` . p A Post in Conspicuous Place ' 4. :.v. �° Ir a m..v,.....e�.a ...,a.:a' w. L Rt . 1 "'= G '°+"//1�" \. `�• ,#/-11s °'"" 6 ' '....../,, \\::4 .i %u ! is`'a �) a°�t.,i t",r '� a` .x g ,1'y ``' r r .� , l .Q. 1 W �Y v c'� \� .a", a �� ��.a` �� ,,,; ce,t,u"'^ '.,' `„,,.wxx2e —&.kms:-m. w a ki, .es a a,,a' a , rwiten.a riire r' l ,,,,,. ^"' t / ' ! e..» -�Ii Js '> `•exy � Y.. . 'b\ ,.,5"'.. _�G, - e... `/ '.+ws"w.i. +.s iy_"v+'�" .W++dan:.*, .,�ffi' Nnaass a 4.*IV - �yaG..�, ,b, t LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS • ff.., I 11 :z4 BUILDING SAFETY/LAND DEVELOPMENT DMSION PUBUCANORKS 1"17,747111 SPECIAL INSPECTION REPORT Each inspector must complete this report and mail it to the District office where the Pam*was Iseult [-j DAILY 0 VMEICLY Lj FINAL Total time on lob(in days)Cir/CDAY Building Permit No. 7/ -- 15-a3S Job Address 4,co s SAGIY14/4V A-1/C AttrA-. EVA+ - CA General Contractor tip b. CoA/S-71 Size of Building No of Stories Type of Wall . Type of Work: 0 REINFORCED comcnore mfitsomny 0 Hi 4ENS LEBOLTIPIG PatmermussBp CONCRETE El VirELDING 0 GYPSUM CONRTNE OTHER t DlsOriptlog of work inspected , j.) F&g.L odynAisleco , „ , 4, _ x , siu f 114‹ . /W X I&x )IA' ) wr/ / //.4t—r Waie-rejrn 0 •Av a >d I x _ ?Po y . • ,va" wat ( Da5W,40-C fir 7b -P2,47C 1^1/ Pio fil-t-Cr 14/C-i-a -;"). Av.-C=12=1315e " /A/ &OfP4Uti h it s Amu/ All • works on this job to date has been satisfactorily completed to the approved plans and requirements of thelOt Angeles County Building Coda (Z-21931 /..41-P/0 COLA misuse ao sc r rpm JAYEE J.KIM uLcbuarrvonielie(lili WI I C) Special Inspector(Print) i 0 Number (562)331-5700 special peotor(signature) , Daytime/,Cell Phone Number LOS ANGELES AIR BALANCE COMPANY INC. 1848'W. 11TH ST., SUITE#N, UPLAND, CA 91786, TEL#: 1-800-429-6880 HVAC TEST AND BALANCE ANALYSIS REPORT PROJECT: Journey's Space#C9 at Westfield Santa Anita LOCATION: Arcadia,California at 'shine•C ARCHITECT: Kevin L.Cooper Architects Is 00 o' MECHANICAL ENGINEER: Core States Group . arl yGi:J- HVAC CONTRACTOR: Pro Mechanical • "j. -..lzmierryovv • REPORT CERTIFICATION#: 39114 '°00416-13116j) REPORT DATE: February 6,2019 AABC TBE: Eddie Alejandre,P.E. • How to use this Report (PDF Version) • Project Summary: This section summarizes the entire project. It explains all remarks/notes contained in this report (if any). Air Balance This section contains all pertinent fan test information & air distribution , , test 'results. Supply.'registers are identified by 0 , return bye and exhaust by'®. •Each favor zone is identified by this symbol Water Balance: This section contains all pertinent pump test information and all water distribution test results, if applicable. Miscellaneous : This section contains any miscellaneous information that may be of interest. Information in this section may have been put here by LAAB or by the HVAC contractor. Abbreviations : This section lists all abbreviations, definitions and symbols. Autocad Drawings (Where Applicable): This section contains an easy to read Color- Coded floor plan of this project. • Setting the Industry Standard • Project: JOURNEY'S SPACE#C9 AT WESTFIELD SANTA ANITA, ARCADIA HVAC TEST AND BALANCE SUMMARY' All components of the HVAC system(s) on this project were tested, adjusted and balanced to within the ' tolerances set forth by AABC and the design documents,with the following exceptions: No Exceptions • Setting the Industry Standard "Summary',Page;1 of 1 Project: JOURNEY'S SPACE #C9 AT WESTFIELD SANTA ANITA, ARCADIA Fan Test Fan I.D.# Ala Mr Service SALES&STORAGE Location CEILING Manufacturer CARRIER Model Number FB4CNP042 • Serial Number 4918F00682 Design Actual % Design Actual % Design Actual % Air @ Fan 1200 NVL Supply Air @ Outlets 1200 1144 95% M Return Air @ Inlets 790 767 97% Outside Air 410 377 92% 0.10 T Discharge(+) • A 0.15 T Suction (-) c Ext. SP (inches w.q.) 0.70 0.25 F Manufacturer ENDURA A Horsepower 1/2 N RPM 5 SPD 3 SPD M Voltage 208 218 0 T Phase 1 1 0 Amperage 4.1 3.0 Service Factor T.P. Motor Sheave DIRECT DRIVE % Closed DIRECT DRIVE D R Fan Sheave DIRECT DRIVE Fan RPM DIRECT DRIVE V E Belt Size/Qty DIRECT DRIVE Center to Center DIRECT DRIVE Adjustment, In/Out DIRECT DRIVE Remarks/Notes: IL.A. Air Balance (909) 931-1114 Section: "AIR BALANCE", Page: 1 Project: JOURNEY'S SPACE#C9 AT WESTFIELD SANTA ANITA, ARCADIA' System(s): AHU-1 Air Distribution Test Zone/ Terminal Effect Design Prelim. Final Remarks/ Room# I. D.# Type Size Area CFM CFM CFM % Design Notes CIL w STORAGE O CD 24X24 1.0 200 201 101% STORAGE ® CD 24X24 1.0 200 191 96% SALES © CD 24X24 1.0 200 185 _ 93% SALES O CD 24X24 1.0 400 361 90% SALES CO CD 24X24 1.0 200 206 103% 1200 1144 95% STORAGE RG 24X24 1.0 250 231 92% SALES © RG 24X24 1.0 550 536 97% 800 767 96% Remarks/Notes: S L.A. Air Balance (909) 931-1114 Section: "AIR BALANCE", Page: 2 Project: JOURNEY'S SPACE#C9 AT WESTFIELD SANTA ANITA, ARCADIA System(s): EF-1 Air Distribution Test Zone I• Terminal Effect Design Prelim. Final Remarks l Room# I. D.# Type Size Area CFM CFM ' - CFM %Design Notes s RESTROOM / 1 / CE 7X7 1.0 100 91 91% • - • • Remarks/Notes: - * Ceiling-mountted,direct-drive,exhaust fan. 4 L.A. Air Balance (909),931-1114 , , Section: "AIR BALANCE", Page: 3 r r. LOS ANGELES AIR BALANCE ABBREVIATIONS Pound or unit number AABC: Associated Air Balance Council ABS: Absolute AC: Air-Conditioner or Air Handling Unit ACCU: Air-Cooled Condensing Unit ACGIH American Conference of Governmental Hygienists ACT: Actual ADP: Apparatus Dew Point ARE: Association of Energy Engineers APE: Association for Facility Engineering AHU: Air Handling Unit AK: Free Area Factor ALT: Altitude AMB: Ambient AMP: Ampere ANSI: American National Standards Institute A-Scale or Db(A):A filtering system which roughly matches die response characteristics of the human ear ASHRAE: American Society of Heating,Air Conditioning and Refrigeration Engineers ASTM: American Society for Testing and Materials ATM: tmosphere AVG: verage AZ: Azimuth B: oiler BHP: rake Horsepower BP: oiling Point BSC: uilding Systems Commissioning BTU: ritish Thermal Unit BTUH: ritish Thermal Unit per Hour C to C: Center to Center C: Celsius CAV: Constant Air Volume CC: Cooling Coil CCW: Counter-Clockwise CD: Ceiling Diffisuer CEG: Ceiling Exhaust Grill CER: Ceiling Exhaust Register CFM: Cubic Feet per Minute CH: Chiller CHW or CHWS: Chilled Water Supply CHWR Chiller Water Return CMD: Count Mean Diameter CP: Specific Heat:water=1.0 BTU/lb per°F,air=0.24 BTU/lb per°F CPT: Capacity Performance Testing(Building Commissioning) CR: Ceiling Register CRR: Ceiling Return Register CT: Cooling Tower CU: Condensing Unit CUE: Cabinet Unit Heater CV: Specific Heat at Constant Volume CV: Valve Constant CW or CWS: Condenser Water Supply CW: Chilled Water CWR: Condenser Water Return DAT: Discharge Air Temperature DB: Dry Bulb Db: Decibel DC: Direct Current DD: Direct Drive Delta(A): Difference or Net Change DIA: Diameter DNL: Data Not Listed DOP: Dioctyl Phthalate,an aerosol generated by blowing air through liquid Dioctyl Phthalate(mean particle diameter is between 0.2 and 0.4 micron) AP: Differential Pressure or Pressure Drop,net change in Pressure DPT: Dew Point Temperature DSTD Standard Air Density,equals 0.075 lb/Cu.Ft.@ 29.92 in,Hg AT: Differential Temperature,net change in temperature E.S.D.: Electrostatic Discharge EAT: Entering Air EC: Evaporative Cooler Economizer. Allows air handler to utilize cool outside air for cooling as opposed to running the compressor for die cooling effect. EDC: Electric Duct Coil EDH: Electric Duct Heater LOS ANGELES AIR BALANCE ABBREVIATIONS, HER: Energy Efficiency Ratio EF or E: Exhaust Fan EFF: Efficiency EU: Exhaust Grill FMCS: Energy Management Control System EMF: Electromotive Force ENT: Entering Air Temperature EP: Electro-Pneumatic Switches ER: Exhaust Register ESP: External Static Pressure EWT: Entering Water Temperature F to F: Face to Face FAF Forced Air Unit FCU: Fan Coil Unit FDA: Food and Drug Administration FG: Floor Grille FH: Flow Hood(measures CFM directly so FPM and AK Factors are not required) FIV: Field Installation Verification(Building Commissioning) FLA: Full Load Amperage FP: Freezing Point FPB: Fan Powered Box FPM: Feet per Minute FPS: Feet per Second FPT: Functional Performance Testing(Building Commissioning) FR Floor Register FTU: Fan Terminal Unit G or g: Gravitational Constant GA Gauge GC General Contractor GPH Gallons Per Hour GPM Gallons per Minute GR: Grain,measurement of actual moisture in an air sample,7000 grains=one pound of water GSP: Geometric Standard Deviation H: Enthalpy H2O: Water HC: Heating Coil HD: Head Pressure measured in feet of water Heater O.L.: Thermal Overload protection for motors located at the motor starter HEPA Filter: High Efficiency Particulate Air Filter Hg: Mercury HOA Hand/Off/Auto Switch HP: Horse Power or Heat Pump HPS: High Pressure Steam HRC: Heat Recovery Coil or Heat Reclaim Coil HV: Heating Ventilator HVAC: Heating,Ventilation&Air Conditioning HW or HTHW Hot Water or High Temperature Hot Water HWR: Hot Water Return or Heating Water Return HWS Hot Water Supply or Heating Water Supply HX Heat Exchanger Hydronic: Pertaining to water&glycol/inhibitor thermal transfer systems Hz: Hertz I.D. Inside Diameter I/O: Input/Output ID: Impeller Diameter(pump) IES: !militate of Environmental Sciences IV: Inlet Valve K: Kelvin(absolute temperature),Kelvin 5/9 Rankine KWH: Kilowatt Hour LA.A.B: Los Angeles Air Balance Co.,Inc. LAT: Leaving Air LD: Linear Diffuser LF: Linear Foot LPS: Low Pressure Steam LPS: Liters per Second LTD: Least Temp.Difference LTHW: Low Temp Hot Water LVG: Leaving Air Temperature LWG: Low Wall Grille LWR: Low Wall Register LWT: Leaving Water Temperature MAU or MUA Make-Up Air Unit or Make-Up Air MAX: Maximum. t LOS ANGELES AIR BALANCE ABBREVIATIONS MB: Mixing Box MBH: 1000 BTU per Hour MET: Mean Effective Temp. Micron: 1.0 x 10-6 meter • Mil.: 2.54 x 10-5 meter MIN: Minimum MMD: Mass Mean Diameter MID: Mean Temp Difference MVD: Manual Volume Damper MZ: Multizone NA: Not applicable/No Access NASA: National Aeronautics and Space Administration NC: Noise Criteria or Normally Closed NEBB: National Environmental Balancing Bureau MC: Not in Contract NM: Not measured NO: Normally Open NPFC: Naval Publications and Forms Center NPSHA: Net Positive Suction Head Available NS: Not specified NSF: National Sanitation Foundation NTIS: National Technical Information Service NTS: Not to Scale NVL: No Valid Location O.B.: Octave Band,a range of frequency where the highest frequency of the band is double the lowest frequency of the band. The band is usually specified by the center frequency. The preferred octave bands are designated by the following center frequencies:31.5,63,125,250,500, 1000,2000,4000,8000,16000. O.D.: Outside Diameter OAT: Outside Air Temperature Degrees Fahrenheit OPT: Operational Performance Testing(Building Commissioning) OSA or OA: Outside Air P.E. Professional Engineer P: Power Pa: Pascal,l Pascal=6.894 x 10-3 psi PCT: Percent PD: Pressure Drop PE: Pneumatic Electric Switch PF: Power Factor PH: Phase PBC: PreHeat Coil PNC: Preferred Noise Criterion Curves PPM: Parts per Million PSI: Pounds per Square Inch PSIA: Pounds per Square Inch Absolute PSIG: Pounds per Square Inch Gauge PSL: Polystyrene Latex Spheres,used to generate an aerosol challenge medium where electronic&semi-conductor products are manufactured. R: Rankine(absolute temperature),Rankine=1.8 Kelvin R: Thermal Resistance RA: Return Air RAT: Return Air Temperature R.C: Room Criterion Curves REQ: Required RF: Return Air Fan RH: Relative Humidity RHC: Reheat Coil , RPM: Revolutions per Minute RTU: Roof Top Unit S: Entropy SA: Supply Air Supply Air Register S.A.T.: Supply Air Temperature S.A.T.: Saturation SD: Smoke Detector or Smoke Damper SEER: Season Energy Efficient Ratio SEF: Smoke Exhaust Fan SF(Motor): Factor by which actual amps can exceed rated amperage,at the expense of expected lifespan SF: Supply Fan SNC Steam Heating Coil SMACNA: Sheet Metal and Air Conditioning Contractors National Association SP VOL.: Specific Volume SP: Set Point or Static Pressure SPF: Stairwell Pressurization Fan LOS ANGELES AIR BALANCE ABBREVIATIONS SQ: Square STD: Standard SWG: Sidewall Grille SWR: Sidewall Register SWR: Side Wall Return SWS: Side Wall Supply T STAT: Thermostat T.AB.:. Testing,Adjusting and Balancing TD: Temperature Difference TDB: Total Dynamic Head or Total Dead Head(pressure differential when flow equals zero) Throw: Distance an airstream travels after leaving an air outlet before the air stream velocity is reduced to approximately 50 fpm. Ton(Air Cond.): Equals 12,000 BTU per hour TP(Motor): Thermally Protected(opens motor circuitry if rated amps are exceeded) TP: Traverse Point,Test Point or Total Pressure TSP: Total Static Pressure UN: Unit Heater ULPA Filter: Ultra Low Penetration Air Filter UV: Unit Ventilator V: Volt or Voltage VA: Volt Ampere • VAC: Vacuum VAV: Variable Air Volume VD: Volume Damper VFD: Variable Frequency Drive(automatic motor speed controller) VP: Velocity Pressure W: Watts WB: Wet Bulb WG: Water Gauge WT: Weight WTR: Water 1: Zone Zoning: The practice of dividing a building into small sections for heating and cooling control,selected so that one thermostat can be used to determine each section's heating&cooling requirements. CERTIFICATE OF ACCEPTANCE NRCA-MCH-12-A NA7.5.11 Fault Detection and Diagnostics(FDD)for Packaged Direct-Expansion Units (Page 1 of 3) Project Name/Address: Journey's Westfield Santa Anita Mall Suite C9 System Name or Identification/Tag: System Location or Area Served: A/C 1 Back Room Ceiling &Roof top Condensor Enforcement Agency: Permit Number: City of Arcadia Building and Planning Department T1-18-2063 Note: Submit one Certificate of Acceptance for each system Enforcement Agency Use: Checked by/Date that must demonstrate compliance. Documentation Author's Declaration Statement • I certify that this Certificate of Acceptance documentation is accurate and complete. Name: Signature: Charles T Willison 2 , oras- as„it- Company: mCompany: Date: Pro Mechanical Service 2/06/2019 Address: If Applicable: 0 CEA or O CEPE(Certification tl): P.O.Box 310 City/State/Zip: Phone: Norco,CA 92860 1-(951) 549-9222 FIELD TECHNICIAN'S DECLARATION STATEMENT • I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and correct. • I am the person who performed theacceptance requirements verification reported on this Certificate of Acceptance(Field Technician). • I certify that the construction/installation identified on this form complies with the acceptance requirements Indicated in the plans and specifications approved by the enforcement agency,and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s)for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s)issued for the building. Company Name: Pro Mechanical Service Field Technician's Name: Field Technician's Signature: Austin Allerton Date Signed: Position With Company(Title): 2/06/2019 Installer RESPONSIBLE PERSON'S DECLARATION STATEMENT • I certify under penalty of perjury,under the laws of the State of California,that I am the Field Technician,or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the information provided on this form. • I am a licensed contractor,architect,or engineer,who is eligible under Division 3 of the Business and Professions Code,in the applicable classification,to take responsibility for the scope of work specified on this document and attest to the declarations in this statement (responsible person). • I certify that the Information provided on this form substantiates that the construction/installation identified on this form complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency,and conforms to the applicable acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7. • I have confirmed that the Installation Certificate(s)for the construction/installation identified on this form has been completed and is posted or made available with the building permit(s)issued for the building. • I will ensure that a completed,signed copy of this Certificate of Acceptance shall be posted,or made available with the building permit(s) issued for the building,and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is required to be Included with the documentation the builder provides to the building owner at occupancy. Company Name: Phone: Pro Mechanical Service 1 (951) 549-9222 Responsible Person's Name: Responsible Person's Signature ) K Charles T Willison //_`fib Gf/ License: Date Signed: Position With Company(Title): 959488 2/06/2019 President 2013 Nonresidential Acceptance Forms February 2013 CERTIFICATE OF ACCEPTANCE NRCA-MCH-12-A NA7.5.11 Fault Detection and Diagnostics(FDD)for Packaged Direct-Expansion Units (Page 2 of 3) Project Name/Address: Journey's Westfield Santa Anita C9 System Name or Identification/Tag: System Location or Area Served: A/C 1 Back Room Ceiling and Rooftop Condensor Intent The purpose of this test is to verify proper fault detection and reporting for automated fault detection and diagnostics systems for packaged units. Construction Inspection 1 Instrumentation to perform test includes,but not limited to: a List of instrumentation may be needed or included. 2 Installation Verify that FDD hardware is installed on equipment by the manufacturer and that equipment make and model include 0 factory-installed FDD hardware that matches the information indicated on copies of the manufacturer's cut sheets and on the plans and specifications. A Eligibility Criteria Results A fault detection and diagnostics(FDD)system for direct-expansion packaged units contain the following features to be a' eligible for credit in the performance calculation method: b. The unit includes a factory-installed economizer WITH A deadband to no more than 2°F V/Ijf c. The unit includes direct-drive actuators on the outside air and return air dampers N d. The unit includes an integrated economizer with either differential dry-bulb or differential enthalpy control e. The unit includes a low temperature lockout on the compressor to prevent coil freeze-up or comfort problems ')1r/N f. Outside air and return air dampers have maximum leakage rates conforming to ASHRAE 90.1-2004 J'/N g. The unit includes an adjustable expansion control device such as a thermostatic expansion valve(TXV) J✓/N h To improve the ability to troubleshoot charge and compressor operation,a high-pressure refrigerant port will Ve/N be located on the liquid line.A low-pressure refrigerant port will be located on the suction line The following sensors are permanently installed to monitor system operation and the controller ✓/N and haves the capability of displaying the value of each parameter FARefrigerant suction pressure ❑ Supply air relative humidity ❑ Return air temp. ❑ Supply air relative humidity. Refrigerant suction temp. ❑ Outside air relative IA Supply air temp. humidity 0 Liquid line pressure 0 Return air relative humidity 0 Outside air temp. j. The controller provides system status by indicating the following conditions: J//N 0 Compressor enabled 0 Economizer enabled 0 Free cooling available 0 Heating enabled ❑ Mixed air low limit cycle active k. The unit controller has the capability to manually initiate each operating mode so that the operation of compressors,economizers,fans,and heating system can be independently tested and verified. \r/N 2013 Nonresidential Acceptance Forms February 2013 CERTIFICATE OF ACCEPTANCE NRCA-MCH-12-A NA7.5.11 Fault Detection and Diagnostics(FDD)for Packaged Direct-Expansion Units (Page 3 of 3) Project Name/Address: Journey's Westfield Santa Anita C9 System Name or Identification/Tag: System Location or Area Served: A/C 1 Back Room Ceiling and Rooftop Condensor B Functional Testing Results Step 1:Low Airflow Test a. Test low airflow condition by replacing the existing filter with a dirty filter or appropriate obstruction b. Verify that the fault detection and diagnostics system reports the fault N c• Verify that the system is able to verify the correct refrigerant charge V/N d. Verify that you are able to calibrate the following: V/N ❑ Outside Air Temp.Sensor ❑ Return Air Temp.Sensors 1/J Supply Air.Temp Sensors C Testing Results PASS / FAIL Test passes if all answers are yes under Eligibility Criteria and Functional Testing. [ ❑ ❑ PASS:All Construction Inspection responses are complete and all Testing Results responses are"Pass" 2013 Nonresidential Acceptance Forms February 2013 lir�44j�y, City of Arcadia, CA }} ((pp Permit NO SIGN 14 0154 y / Development SHuntington Department .! 4 �Work \SAW D F 19. Permff�Type Slgn': 240 West Huntin ton Drive,Post Office Box 60021 - • ' Arcadia,CA 91066-6021 C1 t rkCOSSifiication Sign=Illuminated' •—v—i (626)574-5416 " .' Permitstptus Issued- ARCADIA lssue`nate 01/24/2019 Expiration: 07/23/2019 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 DYNAM�II,TE SIGN GROUP.DBA TNT Contractor WESTFIELD SANTA ANITA ' `ELECTRIC ' - i ^ ` e D y , 400 3080 E 29TH ST,LONGS BEACH,90806 «. (562)595-7725 994192 Description:LED'SIGN FOR JOURNEY - -. j Valuation: $ 800.00 Tenant 1 Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount payments Amount Paid Building Issuing Fee $47.01 Total Fees $263.48 Building Permit Fees $53.25 Cash/Receipt#REC-00204-19 $263.48 Electrical Permit Issuance Fee $47.01 Amount Due: $0.00 Sign and Branch.circuit • $65.86 , Sign Connection . $16.48' Sign Plan Review $26.62 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 4 cOfWP4fTf,. Total: $263.48 FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message I_C.-`t 1`.iG 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. 4 d•1, , e .. . . r January 24, 2019 • Issued13y;: , Date January 24,2019 Page 1 of 1 OF A• • 1 ' 1 PERMIT/PLAN REVIEW APPLICATION v r • x111, Development Services Department,240 West Huntington Drive,Post Office Box 60021 y/. Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 0 I hereby affirth 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 Cod- t y license is i f if}'. C, . ' ;ffect. a�-3 0 I have and will maintain a certificate of consent to self-insure for workers' License Class A MI ensA rr p. D 0� compensation, as provided for by Section 3700 of the Labor Code, for the y {�/� performance of the work for which this permit is issued. Signature of Con sctor ,J� rid' D OWNER-BUILDER DECLARATI a "!.� �r l have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am: mpt from the Contractors 3700 of the Labor Code,for a performance of the work for which this permit License Law for the following mason(Section 7031.5,Business and Professions is issued.i�y14workers'co tion nsuran ' rand policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier SS 7l7�Ihn11 demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be mpleted if Ih permit is or one undyed dollars or less) 7000)of Division 3 of the Business and Professions Code) or that he or she is I 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 0 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 Sectio, 10 of the Labor Code,I shall IDI, as owner of the property, or my employees with wages as their sole forthwith compl with those pray' 'ons. / compensation,will do the work,and the structure is not intended or offered for 1 a r -�� A. e:sale(Section 7044,Business and Professions Code:The Contractors License \Date S .. 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 Nerage 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 Contactors 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 mason: 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. /� (��/ �ame 1 h'r'f HTitle 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 ali ity ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon th�l o •-mentioned property for inspection purposes. I //� '$igna •l, Date 1 r4 4 • F City of Arcadia, CA :, t Permit NO SIGN-1872331 Development Services Department )) iii f $, Permit Type Sign 240 West Huntington Drive,Post Office Box 60021 y+i s'f ' S P , i ( f Work clascotion:'S1 n Illuminated Arcadia,CA 91066-6021 7 } k `,2j,t„L E 41�. - si g (626)574-5416 " = Permit Status:Issued ARCADIA issueo to 12/14/2018, Expiration: 06/12/2019 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 DYNAMITE SIGN GROUP DBA TNT Electrical Contractor WESTFIELD SANTA ANITA ELECTRIC ,. (C-10) 400 3080 E 29TH ST,LONG BEACH,90806 (562)595-7725 994192 Description:INSTALL ONE ILLUMINATED WALL SIGN r, Valuation: $ 1,000.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $203.97 Building Permit Fees $61.65 Cash/Receipt#REC-003153-2018 $203.97 Electrical Permit Issuance Fee $44.35 Amount Due: $0.00 Sign Connection $15.55 Sign Plan Review $30.82 Solid Waste Management Fee $6.25 Solid Waste Management Fee 2 $1.00 COMPLETED Total: $203.97 17:>141 /19e/1 X� CALLS FOR INSPECTIONS Z� 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. December 14, 2018 Issued By: Date December 14,2018 Page 1 of 1 c,YvaR, A 1 , -n PERMIT/PLAN REVIEW APPLICATION ,_ l's, 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 r. 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 Cod- a d y license is in f r e effect. ��..qq ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class A��.- icensy o. Exp. D�r.L 20 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 Contra- . ay N. � OWNER-BUIL i'. - ' 1 " LARATION 3700 of the Labor Code,for the performance of the work for which this permit ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors is issued.My workers'compensation insurance carrier 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 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑II 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 tha "f I should become subject to the workers'compensation provisions of Sect :1 LI I, of the Labor Code,I shall I, as owner of the property, or my employees with wages as their sole forthwith comply with tho - proviso• . compensation,will do the work,and the structure is not intended or offered for nr_ '. e� or -a, h/2 A ----- --_. sale(Section 7044,Business and Professions Code:The Contractors License Da � _: .i $rgnat ...ILS. 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 .. e and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she. , hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909) 396-2000 for further information. Name - Title clsPRINT NAME Itcertify 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. Itagree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Ar is to enter upon//b. above-mentioned property for inspection purposes. Signature 4. � 4 ��- Date ``12' 14 - 13 -'!4•51' 44' City of Arcadia,CA .h,>,Pennrt;No Tl 18-2066 Development Services Department l,�J ,Fermi Type Tenant Improver ent 240 West Huntington Drive,Post Office Box 60021 ' t [ Arcadia,CA 91066-6021 ! M+ Work Classification:TI-.Racks (626)574-5416 . .-Permit Status Issued,. ARCADIAissueDate 01/o7J2o19 Expiration: 07/06/2019 .F 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 JACOB WEBSTER Applicant WESTFIELD SANTA ANITA 1236 POTOLA AVE,TORRANCE,CA 90501 400 (310)702-7852 WEBSTERJACOB@AOL.COM LAKEVIEW CONSTRUCTION INC General Contractor(8) 10505 CORPORATE DR 200,PLEASANT PRAIRIE,WI 53158 262857336 671201 Description:SHELVES FOR JOURNEYS Valuation: $ 18,600.00 Tenant JOURNEYS • Total Sq Feet: 0.00 Plan Check#18-2066 Plan#32657 Fees Amount payments Amount Paid Accessibility Plan Check $37.79 Total Fees $1,155.53 Accessiblity Building Permit $38.76 Cash/Receipt#REC-00023-19 $763.12 Building Issuing Fee $44.35 Cash/Receipt#REC-002803-2018 $392.41 Building Permit Fees $387.55 -- - Building Plan Review Fee $251.91 Amount Due: $0.00 Cal Green Plan Check $25.20 ' Commercial T.I.Fire Plan Chk. $280.00 {`" sir"'` ti Energy Plan Review Fee $77.51 Green Building Standard $1.00 )� Solid Waste Management Fee $6.25 Strong Motion Inst.Program Com $5.21 CALLS FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message Total: r $11,,115555.533 requesting the address,timeframe and what inspection item is needed. F-items Z�4 1 t'/ r' J 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. ()NJ\ January 07,2019 Issued By: Date January 07,2019 Page 1 of 1 of AR 1 PERMIT/PLAN REVIEW APPLICATION W. ._..;lily t, till*. Development Services Department,240 West Huntington Drive,Post Office Box 60021 ait,av Arcadia,'CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia /(ICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION (—�U/K 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,e,qand my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class i, L'cense No(CV V p. DateS,s///9 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 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 N r tF demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number Q, T I 1 1.., for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑ I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the • workers'compensation provisions of Section 3700 of the i.bor%de,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 �— 9 Signature lI 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 am 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 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: 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.L I are ."- t r I A rz J"- S ct_,.t t Title • PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances a . State Laws relating to building construction. I hereby authorize representatives of the City of • rcadia to enter upon the above-. entioned prp' ty fo inspection purposes. ignature., /y'�• / Date /..-- ^f r�j Permit Na EIeC 19-0094. sp-•e; City of Arcadia, CA ri !`t f�n �'A Y9. N4/2", Development Services Department �^ ,x ,permit Type=:EleetrleaP 240 West Huntington Drive,Post Office Box 60021 2 F Work tibl cotton Electrical Commercial _ a Arcadia,CA 91066-6021 �'Cjt do � ., (626)574-5416 r-. -:_ *"a` - -Permit Status-Issued ARCADIA Issue Date 01/15/2019: Expiration: 07/14/2019 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/0 Owner Cesar Marquez Electrical Contractor WESTFIELD SANTA ANITA (C-10) 400 5277 Vincent AVE#6,Baldwin Park,CA 91706 (626)210-1301 926764 Description:ELECTRICAL FOR JOURNEY TI Valuation: $ 0.00 Tenant JOURNEY Total Sq Feet: 0.00 Plan Check it Plan Fees Amount payments Amount Paid Electrical Permit Issuance Fee $47.01 Total Fees $308.15 Light Fixtures $116.34 Cash/Receipt ft REC-00108-19 $308.15 Misc Elec.Conduit,Conductors or Repair $16.48 Amount Due: $0.00 Motors,Generators<1 hp $16.14 Outlets-Receptacles&Switches $45.32 ' Sign and Branch Circuit $65.86 Solid Waste Management Fee 2 $1.00 Total: $308.15 COMPE1L FOR INSPECTIONS Request for inspection by telephone at 626-574-5450. Leave a message 1;;10- 2-_5 —/7 requesting the address,timeframe and what inspection item is needed. 10 G 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. January 15, 2019 Issued By: Date January 15,2019 Page 1 of 1 t osoloear, , it f Aft I .• PERMIT/PLAN REVIEW APPLICATION E@i:'�' 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 rLICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION �K�g�.t 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 C Lice 9LU 7 C tr1 YExp. Date ZD 2� 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 3 I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARATION ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following mason(Section 7031.5,Business and Professions is issued.My workers'comp insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier `//10-71-4V-e..../compensation demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 72-k/ 206 e t.5 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 certifythat 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 becoinemsuipject 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. wer ,and employees withtwages as their sole compensation,will do the work, the structure is not intended or offered for Dale Il I 57/q Signature sale(Section 7044,Business and Professions Code:The Contractors License --"r----- 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). i'. . 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: 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. /,, �+ / /J� II(tN-arae `/!&r/ // c�AGS r 11 Title •1GC %,� S/:5-7‘7%, 7 IIl 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 upo' 'ea,ove-mentioned property for inspection purposes. Signature Date /l`r/l v M<IP,r sa ne; x • sin 4;;'4 s' City of Arcadia,.CA �` s n0.ar JD ' slA ermit No,Plum 19 0033 ' Development Services Department ry 4?-i; � • ^ '4� Permit Type Plumbing 240 West Huntington Drive,Post Office Box 60021 If Arcadia,CA 91066-6021 C vd ',7,Work Classs:titation Plumbing Commercial= r i. (626)574-5416 L. lk4y ee>.S it r" c.J•j'"rH.yi'°•s'4,� -Permit Status:Issued S ,,'" LFL? fi c " "P e4.+ a v . ;µ44:.k4, ARCADIA ,-"'s issue Date 01/08/2019. Expiration. 07/07/2019 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 GEORGE STANGER PLUMBING' Plumbing Contractor WESTFIELD SANTA ANITA (C-36) 400 20023 INGOMAR ST,WINNETKA,CA 91306 (818)860-6269 1030865 s Description:PLUMBING FOR JOURNEYS TI € Valuation: $0.00 Tenant r Total Sq Feet:II 0.00 Plan Check# Plan# Fees Amount Payments Amount Paid Fixture with Trap/Misc. $12.46 Total Fees $85.82 Lavatories $12.46 Cash/Receipt#REC-00037-19 $85.82 Plumbing Permit Issuance Fee $44.35 - Solid Waste Management Fee 2 $1 Amount Due: $0.00 .00 Water Heater and/or Vent $15.55 Total: $85.82 ///> . i COMPI(T[OCALLS FOR INSPECTIONS 6AG/k- 2,-15-41 4(71:y 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. 4 January 08,2019 Issued By: Date January 08,2019 Page 1 of 1 OF A. d4F0/az, e 1 PERMIT/PLAN REVIEW APPLICATION lit - . 0 43 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 3 Co Signature of Contractor_jtLicense No.,03G$6c �- Exp. Date 9`�O') compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION dI 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'O -'compensation/' L insurance carrier and policy numbers are:Code.Any city or county which requires a permit to construct,alter,improve, Carrier 14— ' demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 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 ❑II 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 37)of the Labor Code,I shall • 0 I, as owner of the property, or my employees with wages as their sole forthwith comply with hose provisions. compensation,will do the work,and the structure is not intended or offered for C sale(Section 7044,Business and Professions Code:The Contractors License Date O( O pj^ JY Signature i/� / 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). •+ i . 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 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 e Or^�2_ �T�1 C/�62 ttle G Y/r/./v5A- (/ 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 City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon above-mentioned property for inspection purposes. q Signature Date C�,p / — l� ^ 2 o ) 1 J t „ay vo, City of Arcadia,CA ' '.,g • %z Pe it Na Meth- ,g-0020 y. Development Services Department t. Permit Type Mechanical 240 West Huntington Drive,Post Office Box 60021 ' d� " "�?,tc tic I a k asst t+n,Mlechanical,Commercial Arcadia,CA 91066-6021 i _ , z.“ E- ,I , (626)574-5416 't¢t s ;Vie w • fM,PermltStafYJ suede' ARCA DIA ;_ Issue i e 01/07/2019 Expiration: 07/06/2019 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 WILLISON AIR CONDITIONING INC dba HVAC Contractor(C-20) WESTFIELD SANTA ANITA PRO MECHANICAL SERVICE' 400 P 0 BOX 310,NORCO,CA 92860 (951)549-9222 959488 Description:MECHANICAL FOR JOURNEYS TI Valuation: $0.00 Tenant Total Sq Feet: 0.00 Plan Check N Plan# Fees Amount Payments Amount Paid Add/Alter Ducts $9.38 Total Fees $87.58 Air Handling Units<=10,000 cu ft per min. $14.11 Cash/Receipt#REC-00025-19 $87.58 Compressor<3 Ton(up to 3.hp) $18.74 Amount Due: $0.00 Mechanical Permit Issuance Fee $44.35 Solid Waste Management Fee 2 $1.00 Total: $87.58 o COMPLETED CALLS FOR INSPECTIONS ,/1#4G 'te`q / n / Request for inspection by telephone at 626-574-5450. Leave a message I �J�_`� 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. January 07,2019 Issued By: Date January 07,2019 Page 1 of 1 . 1 PERMIT/PLAN REVIEW APPLICATION .. ;,�- • ea4 o03j, 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 Ci 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. CI I have and will maintain a certificate of consent to self-insure for workers' License Class S ger License (r'�0 Exp. Datey-E>'-1� 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, 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 (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt there from and the basis for the alleged exemption. Any violation of I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole forthwith comply with hose prov Bions. 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-ii Signature i / 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. n \Name Ct 1Y0Y»Ut5 t3s(Li>l7\ 1tle 1�rG5i/d 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 rcadia to enter upon the above-mentioned property for inspection purposes. '7 �j ignamre i -�y� .�� )Date /:- 7-111 `'/ _ - ,;..,0 ; City of Arcadia, CA y ._t Permit NO FIRE-19 0067 Nj\l{ +� Development Services Department �i , -qr. -4-_ f _ Permit Type Fire .1 240 West Huntington Drive,Post Office Box 60021 y � + -. 4 Arcadia,CA 91066-6021 ! t 'r `t Jill ? t j. Work Classification Fire Sprinkler i'•" "�{ (626)574-5416 4. x- _ Permit Status. Issued ARCADIA Issu ite:01/17/2019 Expiration: 07/16/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 400 5 Baldwin AVE Arcadia,CA 5775031043 Contacts SANTA ANITA BORROWER LLC C/0 Owner "Allready Fire Sprinkler Co. Fire Contractor(C-16) WESTFIELD SANTA ANITA 818 N Grand,Covina,CA 91723 400 (626)332-7066 358795 • Description:FIRE SPRINKLERS FOR JOURNEYS Valuation: $ 3,500.00 ' Tenant JOURNEYS Total Sq Feet: 0.00 - Plan Check#19-67 Plan It Fees Amount - Payments Amount Paid Fire Issuance $47.01 Total Fees $885.06 v. :, Fire Permit Fees $137.05 Cash/Receipt ft REC-00153-19 $185.06 • Solid Waste Management Fee 2 $1.00 Cash/Receipt 4 REC-00077-19 $700.00 r Sprinkler Heads $700.00 •.; Amount Due: $0.00 Total:\ $885.06 ` `° � CALLS FOR INSPECTIONS : Z -- i Cpl . ' p1 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. January 17,2019 Issued By: Date January 17,2019 Page 1 of 1 AR •% �"— PERMIT/PLAN REVIEW APPLICATION '' Eli*' 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 C de, my license is in fuMe .1+ -'ect. �����nn 0 I have and will maintain a certificate of consent to self-insure for workers' ) License ClasLice Signature of Contractor SeNos�•�Jgrr1 r Exp. Date�tLld� compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. OWNER-BUILDE 4 C ARATIO1 0 I have and will maintain workers'compensation insurance,as required by Section I herebyaffirm under of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit ❑ '' ty p 4 ry p is issued. wort ers'compe ation r siyan carver policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions WS-111 v 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 57. 67) 0 60 -19 I for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is 0 I 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 workers'compensation provisions of Section 3700 of the Labor Code,I shall ❑I, as owner of the property, forthwith comply with those provisions. I-Y,,N,.IA%�If work,and employees with wages as theirs for G1 V compensation,will do the the structure is not intended or offered for 1 sale(Section 7044,Business and Professions Code:The Contractors License Date / Signature yl Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to.secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. - . 0 I, as owner of the property, am exclusively contracting with licensed ' contractors to construct the project(Section 7044,Business and Professions CONSTRUCTION LENDING.AGENCY Code:The Contractors license Law does not apply to an owner of property 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 contractors)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 `/J^ \Name <l asJ as I A)►_I' j Title if Mil ` ' '( I ate PRINT AME 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 upo the ab ve-mentioned property for inspection purposes. / ignature _ 1 1 1 / Date -17 V), • '"u 41-.1 City of Arcadia, CA Permit'NO FIRE-19-0013 y\ 1 Development Services Department © `. - -. P P PermtType Fire F 240 West Huntington Drive,Post Office Box 60021 -o.+� Arcadia,CA 91066-6021 _ Work-Classrh[odon Fire Alarm — ct—i (626)574-5416 . _ - '"` _ _PermrtStatus::Issued r-T ARCADIA IssuejDate:01/17/2019` . Expiration: 07/16/2019 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 Building Electronic Controls Inc* Fire Contractor(C-16) WESTFIELD SANTA ANITA 2246 Lindsay WAY,Glendora,CA 91740 400 (909)305-1600 ext 100 729905 Description:FIRE ALARM FOR JOURNEYS 6 DEVICES Valuation: $ 7,650.00 . Tenant JOURNEYS Total Sq Feet: 0.00 Plan Check#19-13 Plan 8 Fees Amount payments Amount Paid Fire Alarm Plan Check $700.00 Total Fees $951.86 - Fire Issuance $47.01 Cash/Receipt 8 REC-00159-19 $251.86 Fire Permit Fees $203.85 Cash/Receipt 8 REC-00016-19 $700.00 Solid Waste Management Fee 2 $1.00 Amount Due: $0.00 Total: $951.86 —COMPLETED ., i' 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. January 17, 2019 Issued By: Date January 17,2019 Page 1 of 1 NYfuq,rl'� 1 ;,.• 1 PERMIT/PLAN REVIEW APPLICATION r � 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 �r,LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION la 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,aAl my license is in full��force ryand effect. n, ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class GA License Nol 06 Exp. Date 1I 3U1\ I compensation, as provided for by Section 3700 of the Labor Code, for the G (�� � ' l� performance of the work for which this permit is issued. Signature of ContractorF 1 lilaOWNER-BUILDER DECLARATION I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that 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(SectionI7031.5,Business and Professions is issued.My\1woorrkee�rs'compensantiioon iinnsurance carrieer�and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier ` V�I�,M` I�Q V'1, `Cv� m t r�-K p1-2,16t demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number ,v�� S $`� for such permit to file a signed statement that he or she is licensed pursuant to the (This section need not be completed if the permit is for one hundred dollars or less) provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption.Any violation of IDI 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 forthwith comply with those provisions. property, or my employees with wages as their sole ��-ve ' \ �` compensation,will do the work,and the structure is not intended or offered for Date\I\ $/k% Signature' .C� l/�/1� k-• sale(Section 7044,Business and Professions Code:The Contractors License U 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 dill 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 I3UBLDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AM) RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. Name Title C� 7P1eCCte— ne \1 'O'Ct NAME VV 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-mention•r property for inspection purposes. Signature •'4 • I, `lel%* + Vv — Date \/ / \� OS I IF x��4.1 WIT evzi wo,o••e,.w, itaisaitY 8�n MEMORANDUM Fire Department DATE: February 6, 2019 TO: BUILDING DEPARTMENT INSPECTOR Henry Kemich FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue, C09 (Journeys) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS 2-5-2019 Jill Perumean FIRE ALARMS 2-5-2019 Jill Perumean TANKS HOOD 8, DUCT KNOX BOX OCCUPANCY 2-5-2019 Jill Perumean COMMENTS: Emailed Bldg. Dept. 2-5-2019 Rita