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HomeMy WebLinkAboutUntitled J DevelopmentServices Department 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 City of PERMIT NO. B0O-049-624 Arca (626)574-5416,Fax(626)447-9173 Permit Type: Solar Panels (PROJECT TRACT NO. LOT NO. APPLICATION DATE ISSUED BY PRINT DATE PERMIT STATUS I 00808 3/18/2015 CM 15:22 3/24/2015 Issued ADDRESS NO. Dir.Prefix Street Name Street Suffix UNIT BLG ASSESSORS PARCEL NO. GEO CODE 1232 S Sixth Ave 5780-013-051 OWNER MAILING ADDRESS Wang, Shiuh Liang And King Fon 1232 S 6th Ave PHONE NO. Arcadia, CA 91006 EMAIL ADDRESS: I Plan Chk#: 15-170 APPLICANT MAILING ADDRESS Solar Forward PHONE NO. (310)795-1920 EMAIL ADDRESS: CONTRACTOR/PROFESSIONAL MAILING ADDRESS Solar Forward Electric Inc. 2204 Euclid St PHONE NO. (310)213-0790 FAX NO. Santa Monica, CA 90405 EMAIL ADDRESS: License No. 994683 Type: CIO Expires: 7/31/2016 12:00: TENANT MAILING ADDRESS PHONE NO. FAX NO. DESCRIPTION ROOF MOUNTED SOLAR FOR SFR Construction Type UOM - --- _-_--- - -- #of Units Value Construction Type UOM k of Units Value ✓ 9Q, PLETED 1k1AL 4-10_1s OCCUPANCY: TOTAL VALUATION: $0.00 QTY DOM DESC AMT AMT PAID ACCT QTY UOM DESC 1.00 Flat pc bldg 50.00 50.00 01-3103 AMT AMT PAID ACCT 18.00 Flat fee solar panel 77.79 77.79 01-3104 1.00 flat Elec issue 44.35 44.35 01-3105 1.00 each invertors 77.78 77.78 01-3105 1.00 pc fire 50.00 50.00 01-3109 1.00 Flat SWMF 2 I.00 1.00 88-3027 Total Fees: $300.92 Balance Due: $0.00 Paid Today: $300.92 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 4: 108304 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 ofAr- 01-3103 50. cadia building inspector for a period of 180 consecutive days. 01-3104 0 79 01-3105 122.13 CALLS FOR INSPECTION 01-3109 k 50.00 Requests for inspection should be made at least INSPECTORS'OFFICE HOURS 88-30F 1.00 one(1)business day in advance of the inspection .m. o 8: 0 Monday-Thursday. Friday 8: w P 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) • i PERMIT/PLAN REVIEW APPLICATION` • I 0, ,,,,.,„,.0, r* , if;* 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 13'1 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 Code,and my license is in full force and effect. El I have and will maintain a certificate of consent to self-insure for workers' License Class C-1 0 License No. g isY(,n Exp. Date 7-1-IS compensation, as provided for by Section 3700 of the Labor Code, for the 1 �� performance of the work for which this permit is issued. Signature of Contractor ('w laI have and will maintain workers'compensation insurance,as required by Section OWNER-BUILDER DECLARATION 3700 of the Labor Code,for the performance of the work for which this permit ! ID 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,de- Carrier 1,4+^ C% t +(NG I-^5 V Rt"`¢'e' molish,or repair any structure,prior to its issuance,also required the applicant for Policy Number 76 to E 6-LT S 1 6`7 such permit to file a signed statement that he or she is licensed pursuant to the pro- (This section need not be completed if the permit is for one hundred dollars or less) visions 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 0 I certify that in the performance of the work for which this permit is issued,I shall there from and the basis for the alleged exemption.Any violation of Section 7031.5 not employ any person in any manner so as to become subject to the workers' by any applicant for a permit subjects the applicant to a civil compensation Laws of California,and agree that if I should become subject to the penalty of not more than five hundred dollars($500)): workers'compensation provisions of Section 3700 of the Labor�_Code,I shall g forthwith comply with those provisions. c I, as owner of the property, or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for Date �/a yJ S Signature sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING:Failure to secure Workers'Compensation coverage is unlawful,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. 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 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). El I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT:APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND 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. `` I Name 13ri