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B00-047-061
sue°•"" Development Services Department 5 ' 240 West Huntington Drive,Post Office Box 60021 �' f1�' PERMIT NO. Arcadia,CA 91066-6021 BOO-047-061 City of (626)574-5416,Fax(626)447-9173 Arcadia Permit Type:YP • Tenant Improve (PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS 6/10/2014 CM 15:20 9/3/2014 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO GEO CODE 400 S Baldwin Ave T-387 OWNER MAILING ADDRESS Westfield Corporation, Inc. 11601 Wilshire Blvd. 12th Floor PHONE NO. Los Angeles, CA 90025- Plan Chk#: 14-340 EMAIL ADDRESS: APPLICANT MAILING ADDRESS Plan#: 31355 S. Visions Construction(Guy) PHONE NO. (818)219-3472 EMAIL ADDRESS: CONTRACTORIPROFESSIONAL MAILING ADDRESS S. Visions Construction 8424 Santa Monica Boulevard#A-7P PHONE NO (818)219-3472 FAX NO. West Hollywood, CA 90069 EMAIL ADDRESS: License No. 931349 Type: C-10-,B Expires: 4/30/2015 12:00: TENANT MAILING ADDRESS Mikawaya PHONE NO. FAX NO. DESCRIPTION NEW KIOSK**ELECTRICAL&PLUMBING INCLUDED** Construction T ype UOM N of Units Value Construction Type UOM #of Units Value Value Value 2,500.00 $2,500.00 t ✓ l COMPLETED 1 .._..1-1____ )2____?___L-1-/9 47 OCCUPANCY: Tenant Improve TOTAL VALUATION: $2,500.00 QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAID ACCT each Plan review 78.23 78.23 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027 PC Cal Green 7.82 7.82 01-3103 1.00 Flat SWMF 2 1.00 1.00 88-3027 PC ADA 11.73 11.73 01-3103 1.00 Flat SWMF Auto 6,25 6.25 88-3027 1.00 Flat Bldg Issue Auto 44.35 44.35 01-3104 each Bldg permit 120.35 120.35 01-3104 Bldg Issue ADA 12.04 12.04 01-3104 1.00 flat Elec issue 44.35 44.35 01-3105 1.00 Flat Plmbg issuance 44.35 44.35 01-3105 3.00 each Kitchen sinks 37.38 37,38 01-3105 2.00 each Floor sink 24.92 24.92 01-3105 25.00 each Outlets 33.00 33.00 01-3105 1.00 each Floor drain 12.46 12.46 01-3105 15.00 each Ltg fixtures 23.10 23.10 01-3105 1.00 each Wtr htr/vent 15.55 15.55 01-3105 100 each T.I.Fire Pkc 235.00 235.00 01-3109 SMIP Com 0.70 0.70 14-2207 gm bldg std 1.00 1.00 714-2203 Total Fees: $754.58 Balance Due: $0.00 Paid Today: $421.80 This permit/plan review expires by time limitation and becomes null and void if the work authorized by the Receipt#: 106216 permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from 01-3104 176.74 the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3105 235.11 is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 14-2207 0.70 cadia building inspector for a period of 180 consecutive days. 714-2203 1.00 CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 88-3027 8.25 Requests for inspection should be made at least Monday-Thursday Friday one(1)business day in advance of the inspection 7:30 a.m.to 8:30 a.m. 7:30 a.m.to 8:30 a.m. by telephone at(626)574-5416 for onsite work. 4:00 p.m.to 5:30 p.m. 4:00 p.m.to 4:30 p.m. (Closed on alternate Fridays) l► i*. G,y\POqNt1 , PERMIT/PLAN REVIEW APPLICATION 41" IIEN 41 E Development Services Department,240 West Huntington Drive,Post Office Box 60021 'N mwn,,,,t��� Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 1%1 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 ,and my license is in full force and effect. El have and will maintain a certificate of consent to self-insure for workers' License Class C t c License No.QI 3/✓3ITJ,9 Exp. Date W_15 compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION A I have and will maintain workers'compensation insurance,as required by Section ❑ I OWNER-BUILDER R-B ILD R DECLARATION C of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit is issued. License Law for the following reason(Section 7031.5,Business and Professions My workers'compensation insurance License carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve,de- Carrier /0.W '' 2 � S1JIS/C-Pea molish,or repair any structure,prior to its issuance,also required the applicant for oo, � such permit to file a signed statement that he or she is licensed pursuant to the pro- (This Policy Number visions of the Contractors License Law(Chapter 9(commencing with Section 7000) section need not be completed if the permit is for one hundred dollars or less) 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 Section 7031.5 ❑ I certify that in the performance of the work for which this permit is issued,I shall by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or improves thereon,or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING:Failure to secure Workers'Compensation coverage is unlawful,and sale.If,however,the building or improvement is sold within one(1)year of 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 did hundred thousand dollars($100,000),in addition to the cost of compensation, 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 who CONSTRUCTION LENDING AGENCY builds or improves thereon,and who contracts for such projects with a contrac- I hereby affirm under penalty of perjury that there is a construction lending agency tor(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 RE- STRICTIONS 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 fur- ther information. G..74--r- /^ .,c Name G ur t NAME Title C O/g4fr a.cZ=Gr 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 / d Date d/ /03/a a/ 4 N-0 'ERA ON NO OPERATION 'Building In pections Date NOTES In p. 'lambing In p ction Dat Iw 100. Setbacks 210. Under flr./bldg.drain 101. Rough grade 211. Co..er underslab 0-1..4 102. Figs.&forms 1cs �l/ 212. Rough plumbing 103. Pre-slab 213. Rough gas • 104. Floor joists 214. Shower.an 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing . 219. Final gas 110. Framing 220. Fixtures 111. Occ./Area Sep,Wall 221. Final plumbing 1f" L 112. Sound walls 222. Sewer cap/demo. 113. T-bar grid 114. Insulation-flr. Pool Inspections Date Ins p. 115. Insulation-Wall p 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing 242. Light shelVbonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building ;um t' 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Ins.ections Date Ins.. , 249. Final Plumbing 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Underground conduit ‘ l{ ,/ 153. Underslab conduit t �s' Reroof Inspections Date Ins p. 154. UFER ground P 270. Pre-reroofinsp. .. 155. Water ground 271. Roof framing 158. Rough electrical 272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. Eqpt.bonding Sign Inspections Date Ins 160. Service.anel I p" ��� 280. Setback/overhan. 161. Final electric 71j'11111P17 281. Footing 282. Conduit/wirin. Mechanical Inspections I Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Routh HVAC Miscellaneous Insp. Date I Ins 183. Fire dampers p- 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitors stem 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft ewer;: • site nsp. . Date Ins p. 191. Final mechanical p 300. Lateral(main to PR_ 301, Saddle/Y Block Wall Inspections Date Ins.. 302. Cesspool filled 200. Footings 303. Sidewalk 201. SteeVrebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin q �F11'40 4■ V o� il! 011 4 ,;,: ,;; •- ury.[5,1993 0��' '• �4aity oS 80 MEMORANDUM Fire Department DATE: November 24, 2014 TO: BUILDING DEPARTMENT ATTN: INSPECTOR Chris Ingram FROM: FIRE DEPARTMENT SUBJECT: FIELD INSPECTION ADDRESS: 400 S. Baldwin Avenue #9022 (Mikawaya) THE FOLLOWING ITEMS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE FIRE DEPARTMENT REQUIREMENTS: TYPE OF INSPECTION DATE / INITIAL FINAL INSPECTION FIRE SPRINKLERS FIRE ALARMS TANKS HOOD & DUCT KNOX BOX OCCUPANCY 11-18-2014 Jill Perumean COMMENTS: Emailed Bldg. Dept. 11-21-2014 RC )3. ■ 1 1' I r' I 1 SECTION ii, 0 hmt al ,,--- I - a-) DENIED: Thci facility i Illrj AP.P_R_O\,.1E_D_, The facilLitY-12-5-t-3.---bliShIT1' 'ener"liST' aa-P7P-OrirO-Lf::'J.L.: O-L-Pel:ale-To- 411% ' establishment iNilkil i IZZ, . ' • ..til ... . - ...-...._______ ,-47.r14' Li -41 a: -0,, ,, ,,a.-A nc (.7)..` I.,%, •';'‘. L,...Y*, '''' ,-:V I ' '- LL1 f-- '"•!*.s„ r=r2‘ ).- < t. ; < ,, _ < 0 2 .\. .. .....-,...---. 0 __ _____ * FL: < J - 111 ‘‘ a ----------------- cn 0 i :t i Z ow li 11.1 -- t., 1 z LLI ' V 0 :;..-t,•_ g ' > _ -- 0 • _.t-r) w a. ,411 :Submit 3 setsofdetailed plans: See Construction,Requirement Guide' , Lti Obtain local Building & Safety, Fire Department and other agency pen SECTION III: LIMITS & RESTRICT °col:: . 1 ... cf- ,:c Lii -Y;NI 1- NI (f) -.. LI r The approved facility I establishment may engage in the proc -,. Loa ci-:,' 4 [Train Employees ki tits , • Use littservtioe - ow t-Stock Prepackaged!Non-Potentially Hazardous Foods ' Save AloohizAvc Bev '1. , ' ,.. . _ . 1 _.,1, Stock Perishable i Poientjally Hazardous Foods ' May NOT Serve Alt --t. -Z i Food. Preparation : Food Demonsitteto I•- I.' cuif) . >. 4 , I z ii! .. ,::\ I i Food Preparation LIMITED FOOD PREPARATION L i Wholesale Food Pn I 2 V.).-- \e- *1 V I, I a I) Food Preparation-NO COOKING PERMITTED , ! i Food Market Wilt* ( .1-' rii di - '., \'; o Food Market Retail.Prepackaged Foods Onty ' I Oew , !0 ;< ^..1a,. , ., r CL SECTION IV: FEES : ADMINISTRATIV A fee in the amount_o_f_$ __, _ritlist_be_f!id priO r to the next field 1 wo ___LC_LOS_UR__E.._02er_raling_wlthou_i final:___app_ro_val ancsor without Pubitc—Health—P-erni.--t CR Lioei- 1.– 2 12 Ci,,, - •-• i< i .al I 0 2 - -''' CI) z " f 0 SECTION V- DISCLOSUR IN " _L. C.) kn's° !i o<Lb I It.IS a rhisdemeanor violation to begin owatton /thou to, sante ,... c... ,,,,j ,$). ,n i to, A' ff;sued by the Pah Check Ins tor at .,.".lob stt:te"-----,,t mola v8Ifttlin;ubsnivttieu,t ---.--...t'l rwnItt I ij ' Z ;-■''''. , ,,...‘t,. ' ,-,1 ,-71 ' ' an existir ttrtid f, ki- tin a final inspection and fro Any future alteration d oonstrucr V ';'Wd rft,"nmnal.,- form ,.4„ _. 444"41434 4 ' ' buth 0 (..) " .->" '2: \i,, 1 tj i may be required t rf*Att May require ottitos to be equipment r H______ ram , enforcenneht agencies, to Pm itiesetti Oat i 1 re Z i.c' (i.„,; ;,,.: „-_,,,• .','"?.,, i I Its improper and a' i for I.,._ 1 trier official outies improper soi-t,,' f6ma'aYee ' tega any COLinty"eel, , --- L.., ...........L16.11...- —.1 < '::.., ..- _ — , 1 o cn enterta:,me, — „ , __ ,..-.-,,,,,e of AREA STRUCTURAL INSPECTION AND TESTING INC. 1215 North Dominion Avenue • Pasadena, California 91104 • (626) 487-1488 •Area4lnc @aol.com JOB NO: DATE: JO f/o/d',' PERMIT NO: /Ra© - 097-06/ PROJECT ❑CONCRETE ❑ POST T NSION ADDRESS: VMS, s GEN. CONTRACTOR: , QMASONRY OTHER OWNER: ARCHITECT: SUB CONTRACTOR: CONCRETE SUPPLIER: ENGINEER: g REINFORCEMENT SUPPLIER: REINFORCEMENT INSPECTED BY: DATE INSPECTED: Locations of Work Inspected, Work Rejected, Problems, Progress, Remarks Etc: ,� �. •Ztio3:1:7,161".k- � ea► (.• .44111 al; , — r� i., LOCATION SAMPLED DESIGN STRENGTH MIX DESIGN CEMENT TYPE TICKET NO. SLUMP AGE TO BE TESTED: @ 7 DAYS, @28 DAYS, @ DAYS, OTHER: ! INSPECTOR'S NAME: zazt,47. SIGNATURE: . ,4�.y.(v 1.- TERMS:30 L3AY5.ALL REPORTS WILL BE HELP UNTIL ACCOUNT IS MUD tN ����� TIME AND A DAYS FOR REPORTS I4 FULL SEFMCES BILLED AT s AND 8 HOUR MWtMLAI4$µ7T}{A 4 HofJR CHARGE FOR CANCELLATIONS AND SHOULD AREA<INC.BE REQUIRED 7O 1 ISTTTUTE LEGAL ACTION FOR THE COLLECTICW OF A DEBT INCURRED AS A RESULT OF YOUR AC CEF- LANCE OF THIS REPORT,AREA 4 INC.WILL BE ENTITLED TO ATTORNEY FEES AND COSTS INCURRED IN SAID SUIT THIS FLEW REPORT PRESENTS A SUMMARY OF OBSERVATIONS AND TESTING BY AREA I MIC.PERSONNEL OUR WORK DOES NOT Wcui0E supERostav OR DIRECTION OF THE ACTUAL WORK OF TNE C TRAC7L7R SHOULD BE INFORMED THAT NEITHER THE PRESENCE OF OUR FIELD REPRESENTATIVE NOR THE OBSERVATION DC�RACTY OUR R FIRM HALL EXCUSE C SE HIM I THE WAY FOR DEFECTS DISCOVERED IN HIS NORIC IT IS UNDERSTOOD THAT OUR FIRM WILL NOT BE RESPONSIBLE FOR J08 OR SITE SAFETY ON THIS PROJECT TESTING BY OCJR FIRM SHALL EXCUSE HIM/ti ANY NO. OF HOURS REGULAR: OVERTIME: AUTHORIZED BY: _ 1