HomeMy WebLinkAboutsolr-19-0227 Abad;!' City of Arcadia, CA P - - - - Permit NO SOLR-19 0227
'\\+ f P' Development Services Department v-- . Permrt.Type•SOIa[
t t 240 West Huntington Drive,Post Office Box 60021 i, -
. C. ii !6 Work' .. -Classification:., " Solar-Residential
Arcadia,CA 91066-6021 _' �: . 4 a
(626)574-5416 - - PermitStatusrIssued
ARCADIA : Issue Date:02/05/2019,I Expiration: 08/04/2019
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number -
670 Gloria RD Arcadia,CA 5769022018
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Contacts
80CTOR,WAGUIH 1 AND SHAHIRA TRS Owner SUNLUX• Contractor
BOCTOR FAMILY TRUST 800 S ROCHESTER AVE B,ONTARIO,91761
670 GLORIA RD (909)210-0924 1008374
Description:ROOF MOUNT PV SYSTEM 8.775 KW,27 MODULES, Valuation: $ 0.00 Tenant
1 INVERTER,ESS IN GARAGE
Total Sq Feet: 0.00 Plan Check# Plan#
t
Fees Amount
Payments Amount Paid
Battery Storage Device 553.00 Total Fees $361.24
Building Plan Check Fee Residential $50.00 Cash/Receipt It REC-00302-19 $361.24
Electrical Permit Issuance Fee $47.01
Amount Due: $0.00
Fire Plan Check Fee Residential $50.00
Inverters $77.78
Panels $82.45
Toltalid Waste Management Fee 2 $1.00
$361.24 `/ COMPLETED
I��7 4. ( ke(454I" CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
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requesting the address,tjme�and what inspection item is needed.
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/_" This p//nn
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.
February 05,2019.
Issued By: Date
February 05,2019 Page 1 of 1
Jyf44A'!f
m PERMIT/PLAN REVIEW APPLICATION
i.,
li* Development Services Department,240 West Huntington Drive,Post Office Box 60021
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mm••,„•rN Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173
City of
Arcadia
61ENSED 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 for reeyand effect. �t p ❑ I have and will maintain a certificate of consent to self-insure for workers'
License Class t O i nse No:_l l___7 t_Exp. Date 10 5l l 11 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 �
OWNER-BUILDER ARATION lt1"t nave 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. y}vorke(� corn d
'cation in urance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier ”1 "' uv�
demolish,or repair any structure,prior to its issuance,also required the applicant
Policy Number q S 4:71 -3 1
for such permit to file a signed statement that he or she is licensed pursuant to the
(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 ❑ I 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 Secti n 700 of the Labor Code,I shall
❑I, as owner of the property, forthwith comply wi those provisions
or my employees with wages as their sole ^ /�
compensation,will do the work,and the structure is not intended or offered for Date Oma(.,)DS �-I 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.I s 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 iimproveinent 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 thecost 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 CONDI1ONS 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
Name)further(information. l/AI�,,,,,, (' t� — `
Gt \ '}'(�{fr7Qr) Title i/-, r� I l /��1� Q(�IOr
UUUPRINT 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 •'th all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of
Arcadia to • 'ter po y the above-mentioned property for inspection purposes. Os
Signature /� �, Date a��
I
DocuSign Envelope ID:79E3553D-2273-4C19-8958-CEF61 F4EF9B4
1 R nd. r .1)
_ AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
AND CARBON MONOXIDE ALARMS
Property Address: 670 Gloria Road, Arcadia, CA 91006
Permit Number: SOLR-19-0227
Brief Job Description: Installation of(27) roof mounted PV Solar Panels
Number of smoke alarms installed: /Oil
Number 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 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:Nosfniiire:ca.qov/lieensinglistings/licenselistinq-.bm1,,searchcotest>phD.
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 manufacturers 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) 3/11/19 at Arcadia, California.
Owner's Name (printed/typed): Waguih Boctor
Dow igned by:
Signature of Owner: La-tit- 6c
EA8E49A2828247D_.
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
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r ONTARIO.CA 61761
O Pion 19091390-1796
670 GLORIA ROAD SUNUP CSLB#1008`.,a74(C-10)
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i ARCADIA,CA 91006 //"�'�
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(626)355-1617