HomeMy WebLinkAboutB00-048-567 ew^�. Development Services Department
S 240 West Huntington Drive,Post Office Box 60021 -
, f`_;..� Arcadia,CA 91066-6021 PERMIT NO. $QQ_048_567
City of (626)574-5416,Fax(626)447-9173
Arcadia Permit Type: Solar Panels rl
PROJECT TRACT NO. LOT NO. APWLICATIONIDATE ISSUED BY PRINT DATE PERMIT STATUS
28296 11/20/2014 CM 12:24 11/26/2014 Issued
ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE
1036 Don Alvarado St 5769-030-008
OWNER MAILING ADDRESS
Zee, Edward And Wei Zee Hsuan 1036 Don Alvarado St PHONE NO. Plan Chk#: 14-661
Arcadia,CA 91006 EMAIL ADDRESS:
APPLICANT MAILING ADDRESS
A.D.R. Electric PHONE NO.
,
EMAIL ADDRESS:
CONTRACTOR/PROFESSIONAL MAILING ADDRESS
A D R Electric 22741 Ventura Blvd PHONE NO. (877)237-6477 FAX NO.
Woodland Hills, CA 91364 EMAIL ADDRESS:
License No. 696338 Type: C10,C46 Expires: 12/31/2014 12:0(
TENANT MAILING ADDRESS
PHONE NO. FAX NO.
DESCRIPTION
ROOF MOUNTED SOLAR(INCLUDES 200-AMP UPGRADE)
Construction Type UOM #of Units Value Construction Type UOM #of Units Value
,4( COMPLETED
OCCUPANCY: TOTAL VALUATION: $0.00
QTY UOM DESC AMT AMT PAID ACCT QTY UOM DESC AMT AMT PAW ACCT
1.00 Flat pc bldg 50.00 50.00 01-3103
14.00 Flat fee solar panel 77.79 77.79 01-3104
1.00 flat Elec issue 44.35 44.35 01-3105
1.00 each 0-400 Res Ser 15.55 15.55 01-3105
1.00 each invertors 77,78 77,78 01-3105
1.00 pc fire 50.00 50.00 01-3109
1.00 Flat SWMF 2 1.00 1.00 88-3027
(//
/eic---F714 tr4S et/(2— &.--.
Total Fees: $316.47 Balance Due: $0.00 Paid Today: $316.47
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 Receipt#: 107157
the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit 01-3103 50.00
is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Ar- 01-3104 77.79
cadia building inspector for a period of 180 consecutive days. 01-3105 137.68
01-3109 i 50.00
CALLS FOR INSPECTION INSPECTORS'OFFICE HOURS 88-3027 \ 1.00
Requests for inspection should be made at least Monday-Thursday Friday ` I
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)
6,1P0/4 I9��
4 pi i 9 Pm, I' PERMIT/PLAN REVIEW APPLICATION
o 410 Development Services Department,240 West Huntington Drive,Post Office Box 60021
^N.ni„ ' Arcadia, CA 91066-6021,•626)574-5416,Fax(626)447-9173
City of
Arcadia
iLICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty'. ter.ury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following:
Chapter 9(commencing with Se. • •000,of Division 3 of the Business and
Professions C e,a my license is ,. r�• . • 0 t. ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class License .r/ ANi. /0`xp. DatJ2 31 11 compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor
performance of the work for which this permit is issued.
OWNER-BUILDER D•LARAT 0 I have and will maintain workers'compensation insurance,as required by Section
[I I hereby affirm under penalty of perjury t it I am exempt from the Contractors / 3700 of the Labor Code for the perfonce of the work for which this permit
License Law for the following reason(S- tion 7031.5,Business and Professions is issued.My worke pmPeI(1drance carrier and policy numbers are:
Code.Any city or county which req ' a permit to construct,alter,improve,de- Carrier
molish,or repair any structure,prior to its issuance,also required the applicant for y r] h�35
such permit to file a signed statement that he or she is licensed pursuant to the pro- Polic Number ! ' �]�J
visions of the Contractors License Law(Chapter 9(commencing with Section 7000) (This section need not be completed if the per it 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 i uld become subject to the
workers'compensation provisions of Section 37 o •- abor Code,1 shall
❑I, as owner of the property, or my employees with wages as their sole forthwi compl with{those provisions.
compensation,will do the work,and the structure is not intended or offered for I r I y.
sale(Section 7044,Business and Professions Code:The Contractors License Date` I 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 c era: s unlawful,and
sale.If,however,the building or improvement is sold within one(1)year of shall subject an employer to criminal penalties 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 additi 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 inform.tion.
11 a
Mal� it7 A i 1 Title We f-� Elk!1Iii
'RI NAM
I certify that I have read thi .pplication 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 " 'k'ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to enter upon the above .• .' ioned property for inspection purposes.
I)12o114
Signature �'\ ' ■ Date