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HomeMy WebLinkAboutUntitled wilimP'7_-_- City of Arcadia, CA "WOSOLR 18 0142 ° Development Services Department r 3 �' Permit Type Solar a ' 240 West Huntington Drive,Post Office Box 60021 ' ' )1 i's,1 f , i ) , I 1,' ° Arcadia,CA 91066 6021 '`' i ,' p } _ , Work Classification:Residential Solar 1.44..,-r, ti I I aE � t (626)574-5416 • �� Permit Status.Issued ARCADIA. Issue Date:02/15/2018 ( Expiration: 08/14/2018 Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number 1420 Rancho RD Arcadia,CA 5770013004 Contacts SHEN,ANDREW P AND LAM,NANA Owner TESLA ENERGY General Contractor(B) 1420 RANCHO RD 3055 Clearview Way,San Mateo,CA 94402 (650)638-1028 Description:ROOF MOUNTED SOLAR, TWO TESLA BACK-UP , Valuation: $0.00 a Tenant BATTERIES, 43/2 CENTRAL INVERTER ', Total Sq Feet: 0.00 Plan Check# Plan# w Fees Amount Payments Amount Paid Building Plan Check Fee Residential $50.00 Total Fees $378.69 Electrical Permit Issuance Fee $44.35 Cash/Receipt# $378.69 Fire Plan Check Fee Residential $50.00 Amount Due: Inverters $155.56 $0.00 Panels $77.78 Solid Waste Management Fee 2 $1.00 Total: /� $378.69 • C— 7/4 , //l C y'Pceiseif Insert a permit notice prefix in the report text bank,entry: ry: P�i ,otice refix A,e4f cdf 444Z viwirintf, a . Thisermit lan review expires p /p p 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. February 15,2018 Issued By: Date February 15,2018 Insert a permit page footer in the report text bank,entry:Permit_Page_Footer Page 1 of 2 OF A-RQ °S. '4 teat; PERMIT/PLAN REVIEW APPLICATION o v,, 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 • 44 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 Coded my license is in fu force and a ct. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class 111 License No ' Exp. Date 12'31 I1% 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. \,..—OWNERBUILDER DECLARATION I have d will maintain workers'compensation insurance,as required by Section 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors 0 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 /'� L. D y�� ` �! demolish,or repair any structure,prior to its issuance,also required the applicant wCJ `/�'-(/� �-- L `. 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 ❑ 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 IDI, 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-NS '2PC]/g Signature ,J 4i sale(Section 7044,Business and Professions Code:The Contractors License Date / ,' 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. r Name A10144, Title PC 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 upon the above-mentioned property for inspection purposes. / 2 5)Signature //- Date ( � City of Arcadia, CA �;_ , � �. ��bANION ROOF-18-0281 �. f Development Services Department : � s 240 West Huntington Drive,Post Office Box 60021 D) = f�hj Permit Type ROOF r I Pu1- ;Work Classification.Residential Reroof Arcadia,CA 91066-6021 (626)574-5416 " ' w � :Permit Status:,Issued'' ARCADIA Issue Date:03/06/2018 Expiration: 09/02/2018 Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number 1420 Rancho RD Arcadia,CA 91006 5770013004 Contacts SHEN,ANDREW P AND LAM,NANA Owner TESLA ENERGY Solar Contractor(C-46) 1420 RANCHO RD 3055 Clearview Way,San Mateo,CA 94402 (650)638-1028 Description:REROOF PORTION OF HOUSE WITH OWENS Valuation: $2.500.00 Tenant CORNING GREY/BLACK CLASS A,20 SQ UNDER SOLAR SYSTEM Total Sq Feet: 0.00 Plan Check# Plan# n s Fees Amount payments Amount Paid Building Issuing Fee $44.35 Total Fees $170.95 Building Permit Fees $120.35 Cash/Receipt# $170.95 Solid Waste Management Fee $6.25 Amount Due: $0.00 Total: $170.95 - ‘'-17-/e FlA( CALLS FOR INSPECTION Request for inspection by telephone at 626-574-5450. ki COPLE1E Leave a message requesting the address,time frame 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. March 06,2018 Issued By: Date March 06,2018 Page 1 of 2 f Ane ,`4�"F p 6 9 e n'i! 4PERMIT/PLAN REVIEW APPLICATION o j`0, IFEEN Development Services Department,240 West Huntington Drive,Post Office Box 60021 m,,ni,y°i N° 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. ❑ I have and will maintain a certificate of consent to self insure for workers' License Class L-S°1 License No. � �"01-IExp. Date 1 l�i I�� 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 ,LL 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 ZO f:Cl-. $if' lA demolish,or repair any structure,prior to its issuance,also required the applicant E-w S I0/9S2 for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number 5 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 1:1I, 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 Date 3 I,,( /6 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, 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. are ,6 /d m isle P U� 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 upon the above-mentioned property for inspection purposes. / ignature % Date 3/ ( � f1 ��. Vii_' .—.1, 1::`L: fUfa_..' \ _ . qui.. • Duh.:'Sf AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS / U AND CARBON MONOXIDE ALARMS Property Address: l 12� ga-1c / ci 4- Permit Number: 50Lit-- 19 - 014 9 Brief Job Description: ? \ 50 Lit-II-- Number 1 tNumber of smoke alarms installed: 2 Number of carbon monoxide alarms installed: 4_ 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 2013 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 2010 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 Marshall. httu://osfm.fire.ca.qo'v/licensinglistings/iicenselisting brnl seatchcotest,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. f declare under penalty a perjury that t le Wep ingg la true and correct; and that thin declaration wee eixecutc d on (gate) h )1 I J =_ at Arcadia, California. Ownere Name (printed/typed): ,A1011-( 1 S1/I AA Si:gnat :re o1 Owner: This affidavit must be returned to the City of Arcadia inspector prior to final inspection PITCH:16 ARRAY PITCH:16 ALL ELECTRICAL EQUIPMENT TO BE MP1 AZIMUTH:171 ARRAY AZIMUTH:171 MOUNTED ON WALL MATERIAL Flat Cement Tile STORY:2 Stories PITCH:30 ARRAY PITCH:30 MP2 AZIMUTH:81 ARRAY AZIMUTH:81 MATERIAL Flat Cement Tile STORY:1 Story . PITCH:30 ARRAY PITCH:30 MP3 AZIMUTH:171 ARRAY AZIMUTH:171 MATERIAL Flat Cement Tile STORY:1 Story (E)DRIVEWAY Ess -,FSB -�qy� ®00 o N /'I; I° I. '7_ w Im ° LEGEND cr W ° a O®®� o , 0 AC' n (E)UTILITY METER &WARNING LABEL EEI 0 sv INVERTER W/INTEGRATED DC DISCO o Front Of House 01 &WARNING LABELS IY Re AV o I ® AUTOMATIC RELAY CV °C DC DISCONNECT&WARNING LABELS V RAC AC DISCONNECT&WARNING LABELS 41 ' QB DC JUNCTION/COMBINER BOX&LABELS O ENERGY STORAGE SYSTEM FOR STAND ALONE OPERATION n DISTRIBUTION PANEL&LABELS ";MP1 Q LOAD CENTER &WARNING LABELS ' ° ° ®' ° ®i O DEDICATED PV SYSTEM METER (E)DRIVEWAY q n ° ° ° ° > p, n RAPID SHUTDOWN I I 0 STANDOFF LOCATIONS I El DRCI I — CONDUIT RUN ON EXTERIOR © --- CONDUIT RUN ON INTERIOR i A — GATE/FENCE O HEAT PRODUCING VENTS ARE RED rc1 I, `I INTERIOR EQUIPMENT IS DASHED L_J SITE PLAN N Scale:1/16"=1' W NeAk 01' 16' 32' 10' E CONFIDENTIAL-THE INFORMATION HEREIN JCR NUMBER J B-9102467 00 OISTNR DES�ROt DE9(N: CONTAINED SHALL NOT BE USED FOR THE ANDREW SHEN 13.975 KW PV ARRAY Troy Wilkie T E 5 L P1 BENEFIT OF ANYONE EXCEPT TESLA INC.,NOR MOIMINO SYSTEM. SHALL IT BE DISCLOSED IN WHOLE OR IN ZEP Mighty Hoak 1420 RANCHO RD 27 KWH ENERGY STORAGE SYSTEM PART TO OTHERS OUTSIDE 1HE RECIPIENT'S ORGANIZATION,EXCEPT IN CONNECTIONWITH II OUH ARCADIA, CA 91006 THE SALE AND USE OF THE RESPECTIVE (43) SolarCity Standard #SC325 TESA EQUIPMENT,SCHOUT THE MITTEN Num PAGE NNE aIEET: REV. DATE PERMISSION OF TESLA INC. (2) Delta #Solivia 6.6 TL SITE PLAN 3 2/1/2018