HomeMy WebLinkAboutUntitled 00• City of Arcadia, CA „ ts Permit Na Mise-18-1766
Development Services Department 1 r I � "-"�` - Permit Type:`MI50�
,. 240 West Huntington Drive,Post Office Box 60021 (� i'
, 1. I E.} ; f Work,apssfficaton Mtsc-Special Inspection
Arcadia,CA 91066-6021 _ 11
(626)574-5416 4n: „," - ;Permitstatus Issued
ARCADIA Issue Date:09/26/2018 Expiration:
(4dr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
240 Walnut AVE Arcadia,CA 5787005016
Contacts
KAWAI,AKIHIRO AND REIKO Owner TESLA ENERGY Solar Contractor(C-46)
240 WALNUT AVE 3055 Clearview Way,San Mateo,CA 94402
(323)240-3174
Description:RE INSPECTION FEE Valuation: S 0.00 Tenant
Total Sq Feet: 0.00 Plan Check H Plan B
Fees Amount Payments Amount Paid
Extra Inspection-Not ready/Firs not $57.50 Total Fees $57.50
covered Cash/Receipt p REC-002405-2018 $57.50
Total: $57.50 Amount Due: $0.00
•
r `,jQe- 1-v7--es 4�
kpp+rl 'r 111. `/ 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.
a COli1PL.ETEO 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.
' • September 26, 2018
I Issued By: Date
September 26,2018 Page 1 of 1
F A;,UFO
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tor
� PERMIT/PLAN REVIEW APPLICATION
l� 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 •
t
LIICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
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 ful d e'ect.
�t . ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class C^�(/ License ,. , E ., Date -�� compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor .-arw��. 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
CIII 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'Com ensa�iipp nsurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier Ma CO- T I j":
demolish,or repair any structure,prior to its issuance,also required the applicant
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number
(This section need not be completed if the permit is for one hundred dollars or less)
provisions 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
.0I certify that in the performance of the work for which this permit is issued,I shall
exempt there from and the basis for the alleged exemption. Any violation of
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 fo hwith com9 ply w'h those prov Bions.
compensation,will do the work,and the structure is not intended or offered for 6JA----I�—
sale(Section 7044,Business and Professions Code:The Contractors License Dare SignatureGC�.f �
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.
Name •_ is? A L Il ��II■■
i Title
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 t • above-mentioned property for inspection purposes.
/ n /d
Si nature ,r*i - 1 Date q- 1 I/l
6- i City of Arcadia,CA Permit NO.Elec-18-0447
e Development Services Department- Cr) 's'rl h - _ 'Permit Type:Electrical
240 West Huntlngton Drive,Post Office Box 60021 r-'='I r.,„1 i ; Work classic icaNdn:Electrical°Residential;
Arcadia,CA 91066-6021 „a{„J ' „I ! .IBJ L
(626)574-5416 Permit Status:Issued
ARCADIA issueDate::03/29/20181 Expiration: 09/25/2018
•Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
240 walnut AVE Arcadia,CA 5787005016
111
Contacts
KAWAI,AKIHIRO AND REIKO Owner TESLA ENERGY Solar Contractor(C-46)
240 WALNUT AVE 3055 Clearview Way,San Mateo,CA 94402
(650)638-1028
Description:TWO BATTERY STORAGE UNITS,EXISTING SOLAR Valuation: 5 0.00 Tenant
SYSTEM,NEW 125 LOAD CENTER
Total Sq Feet: 0.00 , Plan Check N Plan a
Fees Amount payments Amount Paid
Battery Storage Device $100.00 Total Fees
Distribution Panel $15.55
Electrical Permit Issuance Fee $44.35
Amount Due:
Solid Waste Management Fee 2 $1.00
Total: $160.90
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.
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.
C. March 29,2018
• y: Date
March 29,2018 Page 1 of 1
•f A• ;
A > i PERMIT/PLAN REVIEW APPLICATION
, t►j, Development Services Department,240 West Huntington Drive,Post Office Box 60021
m•=,,„an 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 C---71 P License No.�i 704 Exp. Date 1Z 13)(15' compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor fit,
performance of the work for which this permit is issued.
OWNER-BUILDER DECLARATION 12t,ihave 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 7wi'I C" hfngf')Ca
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number Lw510145,.5
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
❑I, as owner of the property, forthwith comply with those provisions.
or my employees with wages as their sole 1
compensation,will do the work,and the structure is not intended or offered for Date 3 bag II 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,
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
attomey's fees.
0 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.
Name MPlan cQA 5�('1'Q Title it��JJ 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.
Signature 7// Date 3(2611/S
'1►m .m P
' _
LEGEND
FT (E)UTILITY MEIER&WARNING LABEL
O INVERTER W/INTEGRATED DC DISCO
&WARNING LABELS
rn AUTOMATIC RELAY
M DC DISCONNECT&WARNING LABELS
A ® AC DISCONNECT&WARNING LABELS
Qa DC JUNCRON/COMBINER BOX&LABELS
• n ENERGY STORAGE SYSTEM FOR STAND
ALONE OPERATION
yE n DISTRIBUTION PANEL&LABELS
n LOAD CENTER &WARNING LABELS
O DEDICATED PV SYSTEM MEIER
ri RAPID SHUTDOWN
O STANDOFF LOCATIONS
CONDUIT RUN ON EXTERIOR
-▪-- CONDUIT RUN ON INTERIOR
GATE/FENCE
O HEAT PRODUCING VENTS ARE RED
It II INTERIOR EQUIPMENT IS DASHED
L.LSITE PLAN
Scale:1"=30'-0'
0 30' 60
C90LLNNN.-11E V6On1AIKH EMI EU JB-9102495 00 °�'°°` ��` `soE
=TAwm SHALL NOT BE USED FOR WL AKIHIRO KAWAI 27 KWH ENERGY STORAGE SYSTEM Jalro Rivera-Mendez 'r = s L 19
MFMETAff NAVE EAO TTEvn MC.Mm MOM name 240 WALNUT AVENUE
SHWA IT BE DISCLOSED w*U1 EA w
PART manna 0 COMAE w PE :TM ARCADIA, CA 91007
ME SOLE NO USE 4F THE RE ECfif
!EU EIAMN[ TIC. LE wenn wwzoz PA'E MBE SEEL Fek wre
PERVASION OF MLA OC. SITE PLAN 2 3/28/2018
1
, 6 V® Z>
Fogp)1 p
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4
r4w�mo➢r, orp°F AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
AND CARBON MONOXIDE ALARMS
Property Address: 1 25-(1) IOa-&� ( /11-1) f�R.c�t-D1.4 c.4. ? oo7
Permit Number: , , 1 LC - I'1 —�QVw �b�t21-1- A<4-4911 Brief Job Description: 9c0v0 j 12<4� j1
Number of smoke alarms installed: 6
Number of carbon monoxide alarms installed: 2..
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 http://osfm.fire.ca.QovRlcensinglistines/Iicenselistino brill searchcotest.ohn
As owner of the above referenced property, I hereby certify thatithesmoke 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 correct, and that this
declaration was executed on (Date) /s2pC at Arcadia, California.
Owner's Name (printed/typed): 7k -7K ! ^'Z
Signature of Owner: ."---)
c
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
SMOKE ALARM AND CARBON MONOXIDE ALARM LOCATIONS
Gums[ Roomslc II.athroe
Star-age y
1 _
Ii Family Room
MISr
MOIR
1
.__ ._ .
TI.
L_____....„1.-
�; FIRST'FLOOR PLAN
;°:c SMOKE ALARM t'!{. CARRION MONOXIDE ALARM
LMstr _ _ -
t;' Master Bedroom
Dining Room Kitehen r
-Banc
C.
Clgse
Hull f h
- IEIoset
I- , f -- ^...' t"469et ; '
,- - -
Family Room Ci' 6
Rodroom Bedroom
— '-- `bMMO-FLOORS PLAN
C m SMOKE FLA E s s CARBON MONO=FPL