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HomeMy WebLinkAboutSOLR-19-0953 i City of Arcadia, CA Permir No SOLR:19 0953, i Development Services Department 1 criTin ci -- -,' \�---1-' - Permit?ype•Solar•. { 240 West Huntington Drive,Post Office Box 60021 q t' ,� - • Arcadia,CA 91066-6021 tr c i . a # 1 L i ;L r Work Class cation Solar Residential (626)574-5416 , a,$ — Permit 5tatus:yIssued ARCADIA ,a " Issuebate:05/21/2019= Expiration: 11/17/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 1049 Cyrus LN Arcadia, CA 5770028025 Contacts CHEN,MICAH H CO TR CHEN AND LI Owner dba UNDERLINE ENERGY CONCEPTS Contractor TRUST 31739 RIVERSIDE DR1,LAKE ELSINORE,CA 92543 1049 CYRUS LN 1015714 _.. .... _., ,.....'„....,. . . .,..w..... ..--..,,.._,., --__.—.. Description:ROOF MOUNT PV SYSTEM, 19 MODULES/1 Valuation: $0.00 Tenant INVERTER ° Total Sq Feet: 0.00 Plan Check N Plan N Fees Amount Payments Amount Paid Building Plan Check Fee Residential $50.00 Total Fees $308.24 Electrical Permit Issuance Fee $47.01 Cash/Receipt 4 REC-01281-19 $308.24 Fire Plan Check Fee Residential $50.00 Inverters $77.78 Amount Due: $0.00 Panels $82.45 Solid Waste Management Fee 2 $1.00 Total: $308.24 4 GOIYlPgjjpCALLSFCTIONS Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. b 611 grAc y'eL S 0Z- 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 L ('Arcadia building inspect r for a per' d of 180 consecutive days. jn ke o&.�e� c c4 /'/II`c �., et"- ' May 21, 2019 Issued By: Date May 21,2019 Page 1 of 1 r.uro8^4 , a Nam h- PERMIT/PLAN REVIEW APPLICATION e II 7. 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 ICENSED 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: hapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. 17 1 ave and will maintain a certificate of consent to self-insure for workers' License Classgnature of Contractor License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Si _ OWNER-BUILDER DECLARATION 'Il! I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that 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'compe�!n�ns�a/ti�on insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier 96107-g. iri4 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number ��d/J 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 ('flus section need not be completed if a 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. My violation of .0I 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 soleGam// compensation,will do the work,and the structure is not intended or offered for el_ii Signature�� 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' unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject anemployer 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 i �. . . Al I Title PRINT N 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 l Arcadia to enter upon t above-mentioned property for inspection purposes. / Signature 2,-- � Date /7 - - -- --- - vity:1q 1\9F AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS /A Property Address: %n 9-7 GJr u c LMYca c/,q / (mfr 7(ETD Permit Number: Brief Job Description: Number of smoke alarms installed: / 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://osfm.fire.ca.qov/licensinglistings/licenselistinn bml searchcotest.pho 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 foregoingis true and correct, and that this declaration was executed on (Date)4/02.--nn ,t 67/k /r at Arcadia, California. Owner's Name (printed/typed): �V 0n - L Signature of Owner: /( �� This affidavit must be returned to the City of Arcadia inspector prior to final inspection SMOKE ALARM AND CARBON MONOXIDE ALARM LOCATIONS iri---Family Room l`llathroo I • Storage 1:(111 oom �_ 1. Garage i FIRST FLOOR PLAN e= SMOKE ALARM I = CARBON MONOXIDE ALARM 1. I Vii.TMstr -L Balli . AMaster Bedroom Dining Room Kitchen 30 — Bath c152.. :_ct.eC; ___ _i_z___b' Hall 0 u Closet Closet Closet Family Room -- -- -— Bedroom Bedroom SECOND FLOOR PLAN •=SMOKE ALARM I = CARBON MONOXIDE ALARM s 40 of Arcadia 2PERMIT 240 W. HUNTINGTON DR.,ARCADIA,CA 91006 • TEL.(818)574.5416 eBuildi '/ /J U.B.C. Type Oa. Address /00`"57 [i/t//.,$ Edition IConst. Group Lot I Block / race Occ. F.D.Appr.Date H. D.Appr. Date No. Load Required Required Owner Use Zone Special Case No. Ceneetc." Ail Mailing Homeowners Association Approval Date Address lag? eV/-215- City V/"[/SCay /J.t'/y //J Zjp Wer-6 Tele 74/St Size Contrac % 7 Special p/,'/,q �i�/.�4 / ,g- Conditions 1d�.. Address .50 L�Lx%z5 /17J� VALUATION S-abor Material Plumbin,,Etc. S TE: Include: ' 'r a Misc. FE city�s Ave* Zip 9,bsm]. T13 s78/ L ,i . ' A ' ►— /CS-. �p Stale Lic. _ ,Jv City /���T� '- 0 Private &Classif. C 3a /6se7Z LIG.No.IOW { s : Swimming Pool!Spa B Public Arch., Engr., 3 I „,i1:-:,...-,-_-., Sign-Pole 0 Wall 0 Designer Address Tel. ;' .F;±p Temporary❑ Projecting❑ :r2'€E 'v City Zip State `-` - s. Fee Based on Total Sq.Ft. Lie.No. 1.8?: - Constred er ,yy i/ r- r ^S PLAN CHECKING FEE Construction y l f'/// �' `se{J • ,, r S.M.I.P. iln 4' '4 is IPA”.. I r /'d JT ' Permit Fee `% -: l5/S 9p Floor Main Accessory Total /1 Processed by /l TOTAL a( / d 29 New Add.0 Alter.0 Repair 0 •DDeemolit on 0 Permit No.•Tel. No. Date 4/. ...® 111. �/ LICENSED CONTRACTOR'S DECLARATION Whereby WORKERS'COMPENSATION DECLARATION DUl hereby affirm that I am licensed under provision of Chapter 9(commencing with Section ¢it hcrcby affirm lhaltpaveacenifieert of commie self-intens,oracetyl/iww of 1 of Division 3 of the Ruiners and Professions Code,and my license is in full force and -W-kem'•Cone n , icif In 3 ss certified copy thereof.(Sec.".1800,Lay Cadr sliest. Policy Na. 1 G.�C i Pd'3_S/3C-3 Company /�Ce7/7g ...gift 0OWNER-BUI gl Certified copy is e I hereby affirm that I am exempt from the Contractor's AION License Law for the following wh yIM1CL CERTIFICATE OF EXEMPTION MPTION hereby furnished. ROM I r/���et13 / j ream:"Sec.7031.3.Business and Profe:Nona Codes.Any city or county which requires a WORKERS'COMPENSATION INSURANCE / Permit o ran-WWI.alter,improve,demolish.or repair any structure.prior to l4 Issuance (This section nerd nor be completed if the permit is for one hundred dollars 0100)or also require:the applicant fors h permit to file a signed amnmrm that he is licensed 1 certify that in the performance of the work for which that ppermit is issued,I shall not Spursuant m the provisions of the Contractors License Law,Chapter 9(commencing with Oto myenon inhepmformano at mbe mbjen roan Workers'Compenwion Oar ection 70001.of Division 3 of the Business and Professions Code, or mat he is exempt Y any then from/,,and rhe basis for rhe alleged exemption.Any violation of Section 7031.5 by any of California. dlpn(,fora.nitwit.subjects the applicant to a civil penalty of not mare than five hundred NOTICE OO APPLICANT,Ai p after making alio Certificate of Exemption you should become u J Compensation provisions of the Labor Code.you mutt forthwith ('� I,as owner of the property,or my employees with wagesas their sole compensation,will subject with each provisions or this permit shall be deemed revoked. _ £n'the work,and the structure it not Intended or offered for cele."Sec 7044,flurinns and r CONSTRUCTION LENDING AGENCY Professions Code:The Conractors License Law does no3 apply to an owner of property who Ihechthislper that thereisa mmlrucl ion lending agency for performance of the wort Z builds or Improves thereon and who does such work himself or through his awn employees. for which mit permit is issued.(Sec.3097,Civil Code.) (p provided that such Improvements are nal Intended or offered for rale.If. however, the U building or/mpeovement Is within oneyear of completion.the owner-builder will have Lender's Name _ m Me burden of proving that he did not build or improve for the purpose of sale," Lender's Address — — 0 I.as owner of the property,am exclusively contracting with licensed contractor to O1 construct he project."Sec. 044,Businessand Professions Code:The Contractor's License I certifthat I have read this applicationandstate that the above information is correat.I Law doesnot apply to an owner of property who builds or improves thereon,and who con. agreegto comply with all city and ounty ordinances and ane laws relating to building XI traces for such project:with a contrano.0l licensed pursuant to the Contractor's License raw:' c natrudion,,and hereby aathoris epre ntativca oft'a city lis enter the ab e.memione property for inspection. o o . . // 7 O 0 I am met mat under Sec. ___,B.&P.C.for the reason -- Signature of Applicant l / �. __ I £4,..././Date— 4/._ t7 -0 .-- Mailing Addressde - Vale---__ _Owner_ _ City.State,Zip �.• -. L _ +AO/ . This is a building permit when properly tilled out; signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 07-02-87 1CL5023 TOTAL 311.80 F AR PERMIT/PLAN REVIEW APPLICATION m+A 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 • 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 License No. Exp. Date 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 1:1I 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 demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number 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, 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 sale(Section 7044,Business and Professions Code:The Contractors License Date 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(I)year of and shall subject an employer to criminal penalties and civil fines up to one completion,theowner-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). LI 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: I. 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 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 the above-mentioned property for inspection purposes. Signature Date