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•City of Arcadia, CA Permit No SOLR 1&0469; Development Services Department r t ( ,Permit Type:Solar 240 West Huntington Drive,Post Office Box 60021 + Arcadia,CA 91066-6021 Work Classification:Residential Solar (626)574-5416; �p y � Permit Status''Issued ARCADIA Issue Date 04/02/2018 l Expiration: 09/29/2018 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 2508 S Santa Anita AVE Arcadia,CA 5789027022 Contacts BERTOLINO,JAMES A CO TR BERTOLINO Owner Simply Solar Solar Contractor(C-46) FAMILY TRUST 1715 W 130th D,Gardena,CA 90249 2508 S SANTA ANITA AVE (310)977-8078 Description:ROOF MOUNT SOLAR FOR SFR/15 PAN.,60 AMP Valuation: $ 0.00 Tenant NEW LOAD CENTER Total Sq Feet: 0.00 ; Plan Check# Plan# Fees Amount payments Amount Paid Building Plan Check Fee Residential $50.00 Total Fees $316.46 Distribution Panel $15.55 Cash/Receipt#REC-000732-2018 $316.46 Electrical Permit Issuance Fee $44.35 Fire Plan Check Fee Residential $50.00 Amount Due: $0.00 Inverters $77.78 Panels $77.78 Solid Waste Management Fee 2 $1.00 Total: $316.46 ,1 r CALLS FOR INSPECTIONS LA.13 1 lJ Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. (::-1 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. di: COMPLETED April 02,2018 Issued By: Date April 02,2018 Page 1 of 1 of ARc i°N. .ti _' PERMIT/PLAN REVIEW APPLICATION 41p, 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 ILICENSED 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. ❑ I have and will maintain a certificate of consent to self insure for workers' License Class C-T 6 Li �o A f�©�S Exp. Date Ye-dcompensation, 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 --.---- I.' I have and will maintain workers'compensation insurance,as required by Section OWNER-BUILD' ' CLARATION 700 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 's issued.My workers'compensationt� insurance carrier and policy numbers are: License Law for the following reason(Section 7031.5,Business and Professions amer ST,�rE � �/ Code.Any city or county which requires a permit to construct,alter,improve, --- demolish,or repair any structure,prior to its issuance,also required the applicant ?d f 7 t/3 for such permit to file a signed statement that he or she is licensed pursuant to the olicy Number provisions of the Contractors License Law(Chapter 9(commencing with Section s 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 ❑ 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 of employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): •mpensation Laws of California,and agree that if I should become subject to the orkers'compensation provisions of Section 3700 • the Labor Code,I shall ❑I, as owner of the property, or my employees with wages as their sole rthwith comply with those provisions. ' compensation,will do the work,and the structure is not intended or offered for 2_t sale(Section 7044,Business and Professions Code:The Contractors License �' e g Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own ' employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and 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 S4-7-86-1&t 0 f ct - Title PRINT NAME x• a' certify that I have read this application an' :-that the above information is correct and that I am the owner or duty authorized agent of the owner. agree to comply with all City o :.'.1 . . d State Laws relating-to building construction. I hereby autho_ride:representatives of the City of Arcadia to enter upon the ab' • , : ed propert . ' pection purposes. i nature i Date ��2^! g - cv , 3_o - oi. lc Avv ° J Ivvt AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE •F SMOKE ALARMS AND C;\ :BON MONOXIDE AL S\"SMS Property Address: Zsog g. 5 rk MO- Permit Permit Number: c-F-. " i e—o(YG` G�o0Y- f l o o Pv S'v t'� 3S k�1 Brief Job Description: Number of smoke alarms installed: [l Number of carbon monoxide alarms installed: e When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required by Section R315 of the of the 2016 California Residential Code (CRC). Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms)shall comply with requirements for listing and approval by the Office of the State Fire Marshal. Iittp://osfm.fire.ca.qov/licensindlistinos/licenselistinc bml searchcotest:php As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of perjury that the foregoing is true and corrects and that this declaration was ex cuted on (Date) at Arcadia; California. Owner's erne(printed/typed): gEPro L ll D ‘3tcriEs t PE(7-6-Y Signature *f 0,;nero .gtii�eli 1,��2 This affidavit must be returned to the City of Arcadia inspector prior to final inspection F, SMOKE a\LAR,,1 AND C \RB•N MON•XIDE ALARM Lif CATIONS Guest Room 1 a a�atlee•oo U I j Storage tt t (—Z1 . - 1--- Family Room 4 Garage e , FIRST FL:'OR PLAN �m SMOKE ALARM ® ® CARBON MONOXIDE ALARM - — a 0 Mstr '. -_, Bath - Master BedrooDining RoomKitchen r i3O Al - ,, Bath 0 Hall Closet J _ 1 Closet Closet ,, _ - _ !, Family Room { 0 -- i Bedroom Bedroom 1 SECOND FLO ill PLAN •= SMOKE AL kPlin I o C,,Vti3ON MONOXIDE AL 'M SITE PLAN N SIMPLY SOLAR LLC. •, SCALE: 3/32" = 1 —0° w E 7 1715SUITE DOTH GA S RDENA,CA N. 1 90249 ., ' 1-844-SUN-EASY 30A PV AC DISCONNECT i CSLB#990055 (N) (NON-FUSIBLE)LOCKABLE 1 CL.C46 NEMA 3R SOLAR COMBINER (N) PANELBOARD 60A � - (N) JUNCTION BOX NEMA 3R 120/240V NEMA 3R 1 AND PV ATTIC CONDUIT 400A MAIN SERVICE I PANEL WITH 400A NOT (E) CENTERED MAIN 1\ BREAKER 120/240 V -- --. _ , 1 r 1I / co Uw 1 / a < Dd l\ %% w < • 'CT I1 2 z . O /1 a N d 0 FRONT OF z o I' p N Q HOME i 15 PV MODULES SOLARWORLD j////, . (N) SW290 MONO BLACK w �� 3 ' 15 PV INVERTER ENPHASE ���yty��r�rr • �F (N) IQ6PLUS-72-2-US(240V)ES!1]) m c1 l dat I-,-i DESIGN DETAILS ��, +/31 19 i * ARCADIA �eOF CAU I 4.35 KWDC 3/23/2018 3/30/18 910019 STRUCTURAL ONLY Sheet No= 1 VINCI & ASSOCIATES SITE PLAN a ruclura/6nyineera 16 E.D ILBUR ROAD®URE Im-THOUSAND OAKSECA DI LBOP V- 1 0.Ob.0P211:13 6 MIBLES2I2 0-GIC®GOMIE.031