HomeMy WebLinkAboutUntitled ,,.. City of Arcadia, CA Permit NO. ROOF-18-0513
Development Services Department Permit Type:Roof
240 west Huntington Drive,Post Office Box 60021 Work Classification:Residential Reroof
Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:04/05/2018 Expiration: 10/02/2018
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
2500 S SECOND AVE Arcadia,CA 5790027022
Contacts
PANSY HU Owner TESLA ENERGY Roofing Contractor(C-39)
2500 S SECOND AVE 3055 Clearview Way,San Mateo,CA 94402
(650)638-1028
Description:T.0 REROOF PORTION OF HOUSE UNDER SOLAR Valuation: S 5,200.00 Tenant
SYSTEM WITH COMP SHINGLE CHARCOAL 15 SQ(JC)
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $44.35 Total Fees
Building Permit Fees $170.45
Solid Waste Management Fee $6.25
Amount Due:
Total: $221.05 -
si---i - 8
4 b CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
requesting the address,timeframe and what inspection item is needed.
�I I COMPI'1ETED 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.
91
April 05, 2018
Issued By: Date
April 05,2018 Page 1 of 1
if Al
`pPF014,4.,
14 ! PERMIT/PLAN REVIEW APPLICATION
'0—.1,
,,I b' Development Services Department,240 West Huntington Drive,Post Office Box 60021
g;:"..... "
,Y Arcadia, CA 91066-6021, (626) 574-5416,Fax(626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
0 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.10 License No.') jQL% Exp. Date jZ compensation, as provided for by Section 3700 of the Labor Code, for the
r( performance of the work for which this permit is issued.
Signature of Contractor1914.
OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section
0 hereby affirm under penalty of perjury that I am exempt from the Contractors 1 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 ZUC.Cin P -ac i CA
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number EW5 1 01
4615
for such permit to file a signed statement that he or she is licensed pursuant to the
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
0 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 Date 4(5/i 0 i
sale(Section 7044,Business and Professions Code:The Contractors License 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).
0 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. "' (�J
(rme
Mci lel 5ANQ Title
certify that I have read this applicationPRIIVT and state that the above information is c rect 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.
/_ ( / (4
Signature /I Date 1
* ,•► City of Arcadia, CA ► Permit NO.SOLR-18-0361
Development Services Department Permit Type:Solar
` 240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:Residential Solar
(626)574-5416 Permit Status:Issued
ARCA A D i A Issue Date:03/19/2018 Expiration: 09/15/2018
Addr NO. Dir Prefix Street Name Street Suffix City,State,Zip Parcel Number
2500 S SECOND AVE Arcadia, CA 5790027022
Contacts
PANSY HU Owner TESLA ENERGY Solar Contractor(C-46)
2500 S SECOND AVE 3055 Clearview Way,San Mateo,CA 94402
(650)638-1028
Description:ROOF MOUNTED SOLAR SYSTEM.23 PANELS Valuation: $0.00 Tenant
CENTRAL INVERTER
Total Sq Feet: 0.00 Plan Check It Plan#
Fees Amount Payments Amount Paid
Building Plan Check Fee Residential $50.00 Total Fees $300.91
Electrical Permit Issuance Fee $44.35 Cash/Receipt# $300.91
Fire Plan Check Fee Residential $50.00
Inverters Amount Due: $0.00
$77.78
Panels $77.78
Solid Waste Management Fee 2 $1.00
Total: $300.91
CALLS FOR INSPECTION Request for inspection by telephone at 626-574-5450.
Leave a message requesting the address,time frame and what inspection
item is needed.
IV i;OMPLETED
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 19, 2018
Issued By: Date
March 19,2018 Page 1 of 2
.
4 PERMIT/PLAT REVIEW APPLICATION
4-1t„• Development Services Department,240 West Huntington Drive,Post Office Box 60021
t,o-. 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 CT1 0License No. ' Exp. Date 3/191/% 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 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 2 NW'CI-, NeVE r i Ca
demolish,or repair any structure,prior to its issuance,also required the applicant
5`C1 Lr,
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
❑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 Date 31 i l i(b 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 T NHITIONS 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. Y,
2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy*tew 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.
Name MC1r crn Title Pe_
PRINT NAME
I certify that I have read this application and state that the above information is c rrect 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 9 .
(Date 5 I , '
1
AFFDAY7 SELF—CERTFlCATKM
FOR COMPLIANCE OF SMOKE ALARMS
AND CARBON GYllO O DOE ALARfc S
Property Address: ( SSD$1`).. • C 5c,x) `4,„
Peri it Number: 0_ "- « _Gb t
Brief Job Description:_______2<czAfL.4-
Number of smoke alarms installed:
••iurnber of carbon monoxide alarms installed:
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 requ.irsc; :b,,r Section R314 of the 2013
Cali-rc:-r:ia Residential Code (CRC) and California Health and Safety Code SF-. 377 13113.7.
For dwellings or sleeping units containing fuel burning appliances or having attached
garages, carbon monoxide afarr vs 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 8315 of the of the 2010 California
Resident Code (CRC).
Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used.
All alarms sha:i comply witl, requirements for listing and approval by the Office of the State Fire
Marshall.
As owner c-i' the above referenced property, l hereby certify that the smoke alarms and carbon
mo:-oxide alarms have been installed in accordance with the manufacturer's instructions and in
roti i p lance with the code sections referenced above.
`jIScpa ie -,7:1r .7..e•G:.:` • •7 E1:. l•os�.`: in Is.. '�E ^_ correct, end that t
diec[a_'a`ic:::r- ;nsze executed on Pe*�.1_, ._....-`1 1 . 1/6 _ a at Arcadia, Cslliffornie.
��efener9z3 ',1m1n a Qfe. :1)i.Cc [snrr �; .. ►
Skilet:a:-c o, Owner:
Ms affidavit ,rust be ret:rned to the City of Arcadia inspector prior to final inspection