HomeMy WebLinkAboutUntitled ist w'- — City of Arcadia, CA n, - Permit NO.SOLR-19-1849
Development Services Department 0 p— „tet y.�_„1� � „ Permit Type:Solar
1:i
240 West Huntington Drive,Post Office Box 60021 1 m 11 c
tl Arcadia,CA 91066-6021 r ^' r i Work Classi cation Solar,Residential
(626)574-5416 1' PerrlmitStotus:-Issued
ARCADIA Issue Date:09/11/20191 Expiration: 03/09/2020
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
460 W Camino Real Arcadia, CA 5785002070
Contacts ... .. .. . .� ..
I BARBARA KWAN Owner TESLA ENERGY* Contractor
460 CAMINO REAL AVE,ARCADIA,CA 91007 3055 Clearview Way,San Mateo,CA 94402
(323)240-3174 888104
Description:ROOF MOUNT PV SYSTEM, 24 MODULES/1 Valuation: $ 0.00 Tenant ~�
INVERTER Total Sq Feet: 0.00 Plan Check a Plan p
Fees Amount Payments Amount Paid
Building Plan Check Fee Residential $50.00 Total Fees $308.24
Electrical Permit Issuance Fee 547.01 Cash/Receipt#REC-02472-19 $308.24
Fire Plan Check Fee Residential $50.00
Inverters $77.78 Amount Due: $0.00
• I
Panels 582.45
Solid Waste Management Fee 2 $1.00
Total: $308.24 I 41 COMLETD E
�Q(�fv&V �esAdec
q l_ Tir t` Apica-kCALLS FOR INSPECTIONS
f °” `�� Request for inspection by telephone at 626-574-5450. Leave a message
r 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.
September 11, 2019
Issued By: Date
September 11,2019 Page 1 of 1
•F A•
PERMIT/PLAN REVIEW APPLICATION_
'
•Eor Development Services Department,240 West Huntington Drive,Post Office Box 60021
/ Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173
City of
ArcadiahIENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
[[�ff hereby affirm under penalty of perjury that I am licensed under provisions of al•hereby affirm under penalty of perjury one of the following:
IChapter 9(commencing with Section 7000,of Division 3 of the Business and
''ro essions Code,and my license is in full force andt/ effect. 1 J ❑�I have and will maintain a certificate of consent to self-insure for workers'
�'ce' a Class C-1O License No.3 bT Exp. Date 12r'/\-�° compensation, as provided for by Section 3700 of the Labor Code, for the
td ,� performance of the work for which this permit is issued.
i store of Contractor (' p9
OWNER-BUILDER DECLARATION ave and will maintain workers'compensation insurance,as required by Section
❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors X00 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 jj iissued.My workers'compensation insurance carrier and policy numbers are:
Code.Any city or county which requires a permit to construct,alter,improve, Carrier �rre.r Ci. Atq r.QA Cr--4-",demolish,or repair any structure,prior to its issuance;also required the applicant iitin k r3 CO\2-2-°\'i�L�
Policy Number
for such permit to file a signed statement that he or she is licensed pursuant to the Sys 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 f+
7000)of Division 3 of the Business and Professions Code)or that he or she is PI 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 ❑Ir.
Section 7031.5 by any applicant for a permit subjects the applicant to a civil I, pt employ any person in any manner so as to become subject to the workers'
penalty of not more than five hundred dollars($500)): 'crimpensation 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 aac( -Ick Signature!'a!
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.
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).
❑ 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. {�
pin --7\7-6,30,\\ `eS.)O� �t—,`�����'�"'S Title r--Fr'�
PRINT NAME
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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.
,'gree 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 e7------e—t----- � - Date
C -Li—+a
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AFFIDAVIT SELF-CERTIFICATION
FOR COMPLIANCE OF SMOKE ALARMS
/ AND CARBON MONOXIDE ALARMS
Property Address: Li GOW CIx lin 1 n 1`v A I
Permit Number: Co (Zr- ` - )'i l (�
Brief Job Description: Sa l cS g-ad 1
Number of smoke alarms installed: S .
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/Iicensinglistings/licenselistinq bml searchcotest.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.
I declare under penalty of perjury that the foregoing is true and correct, and that this
declaration was executed on (Date) °1 fci f la at Arcadia, California.
Owner's Name (printed/typed):7� LK /ox Lrn„ ,'„✓ovl 1/ /R//`�
Signature of Owner: fj K
This affidavit must be returned to the City of Arcadia inspector prior to final inspection
SMO11R&L W_ PCA&bDNJt9ONOXIRE ALARM LOCATIONS
Guest Rooth _ Dathroun
IU Storage
lri
Family Boom _
as Garage
iiiiimmeimmiiiii .... inli .
gg FIRST FLOOR PLAN
0= SMOKE ALARM L'r = CARBON MONOXIDE ALARM .
Mstr
Bath -
Master Bedroom
Dining Room Kitchen 30
-
Bah
_ •' . _ e
----, Closet
• Hall 0 ri
,_r Closet
Closet
Family Room - ,
- — Bedroom Bedroom
- - - - --- --- --- ----- -
E SECOND FLOOR PLAN
=SMOKE ALARM 1,:. o CARSON MONOXIDE ALARM
ALL ELECTRICAL EQUIPMENT TO BEPITCH:22 ARRAY PITCH:22
MP1 AZIMUTH:179 ARRAY AZIMUTH:179
MOUNTED ON WALL MATERIAL:Comp Shingle STORY:1 Story
465 r.Combo Rod A. PITCH:18 ARRAY PITCH:18
MP3 AZIMUTH:89 ARRAY AZIMUTH:89
• Pmma Hose m DO/arm MATERIAL Comp Shingle STORY:1 Story
•
a
ai []
=SO/ LEGEND
---1
1 =MIM1 n (E)UTILITY METER & WARNING LABEL
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0 &VEWARNING LABELSINTEGRATED DC DISCO
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n AC DISCONNECT&WARNING LABELS
jiiin DC JUNCTION/COMBINER BOX&LABELS
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n DISTRIBUTION PANEL& LABELS
1 n LOAD CENTER&WARNING LABELS
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O DEDICATED PV SYSTEM METER
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dill RAPIDIII SHRUNOON
0 STANDOFF LOCATIONS
- CONDUIT
UIT RUN ON EXTERIOR
CONDUIT RUN ON INTERIOR
L J- GATE/FENCE J
0 HEAT PRODUCING VENTS ARE RED
r1=7
INTERIOR EQUIPMENT IS DASHED
SITE PLAN N
Scale:1/16"-.1' re t E
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