HomeMy WebLinkAboutSOLR-20-1066 le
' I w, t d y
. ' "%tl, . City of Arcadia, CA 'ttPe mitNo SOLR 20 1066
Development Services Department �� fi '�t , t
r s P. „__t,,,, , Solar
240 West HuntinIri, gton Drive,Post Office Box 60021 s -•
a�" Arcadia,CA 91066-6021 ; ) Work Classification Solar Residential::
•
4 . .. (626)574-5416 t
1 ,' ,.Permit Status Issued'
A.""CAD issue'Date.07 15 2020;1
/ / Expiration: 07/15/2021
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
502 E WISTARIA AVE Arcadia,CA 91006-4831 5790018013" ,• .. I
Contacts
SUSIE YU&BRIAN MILLER Owner SOLARMAX RENEWABLE ENERGY Contractor
PROVIDER INC*
3080 E 12th, Riverside,CA 92507
(951)300-0788 972048
sil
Description:ROOF MOUNTED SOLAR SYSTEM 20 MODULES, 20 Valuation: $ 0.00Tenant
MICRO INVERTERS AND COMBINER BOX
Total Sq Feet: 0.00 4 Plan Check# Plan#
.-ate , � �� „
Fees Amount Payments • Amount Paid
Building Plan Check Fee Residential $50.00 Total Fees $324.72
Distribution Panel $16.48 Cash/Receipt#REC-04969-20 $324.72
Electrical Permit Issuance Fee $47.01
Fire Plan Check Fee Residential $50.00 Amount Due: $0.00
Inverters $77.78
Panels $82.45
Solid Waste Management Fee 2 $1.00 ®®® COMPLETEDCO1PLE
Total: $324.72
-kokEsErka,
7-z¢ -2o CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
fJ/J.L..
I 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.
July 15, 2020
Issued By: Date
July 15,2020 Page 1 of 1
A OFFo RC i •
pP �'Id,
Niam. 7 PERMIT/PLAN REVIEW APPLICATION
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
performance of the work for which this permit is issued.
Signature of Contractor
OWNER-BUILDER DECLARATION ElI 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
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
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 orthrough.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 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
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: : • .. ' • t, ': • - • • • : : .PERMIT/PLAN REVIEW APPLICATION- •• -- -.. .. :::-. :
. -.I ': .. Development Services Department, 240 West Huntington Drive, Post Office Box 60021
• . 1 X' . - • Arcadia; CA 91066-6021, (626).574-5416,•FaZ (626) 447-.9173 -- -. • . . . .
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• ONLINE PERMIT/PLAN REVIEW APPLICATION • •
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ARCADIA
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• Job Site Address: . .
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"502 E Wistaria Ave Arcadia CA 91006 - • . -
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LICENSED CONTRACTOR'S DECLARATION: 'WORKERS,COMPENSATION DECLARATION . - • ..
ElI 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' ,• . . ..
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Professions Code;and my license is in full force and effect: : ' - 0 I have and will maintain a:certificate of consent to self-insure for workers'.
: License Class 646/6-10 - Lieense No. 972048 Exp. bate'.04/3[9922 compensation as provided for by Section 3700 of the Labor Code, for the .. . •
- .• __(c. 0-p-fi:::;i: •- - - - - ..• .:• - . performance of the work for which this permit is isStied.
(Signature Of Contractor -,- •
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I have and will maintain workers'compensation insurance,as required by Section
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. . • OWNER,BUILDER DECLARATION : • - - • • • • 3700 of the.Labor Code::for the performance Of the work for which this permit • .
0 1 hereby affirm under penalty of perjury!hat I am exempt from the Contractcirs
• . is issued. My.workers'-eompensatiort insurance carrier and policy numbers are:
-. . License Law for the following reason(Section 7031.5,Business and Professions
- . - - - - • -
Code.Any city or county which requires.a permit to&Instruct,.alter,imPrdve, , .• Carrier ACORD/Cigna Ins.Co./Ecp,Date 10/01/2020
dernolish,or repair any structure,prior to its isSuance,also required the applicant - , - . .Number
provisions of the Contractors License Law(Chapter 9(comniencing with Section C66830615 -.. ' • • ' .. •
- - - - - - - • •
for such Permit to file a signed statementnt that he or she is licensed pursuant to the - •Policy . • .
(This Section.need not be completed it'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 i . - - . . - . • . . • . . . . . . .•
0 Icqi-tify that in theiperformance of the work for which this permit is issued,I shall
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exempt there from and the basis for the alleged exemption.:Any violation.of
not employ any person in any manner so as to become subject to the workers
.
Section 7031.5. by any applicant for a permit-subjects the applicant to a civil
penalty of.not more than five hundred dollars MOOD • 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 employeesforthwith comply with those provisions..:With wages*as their sole
compensation;will dothe Work,and the structure is not intended or Offered for -07/15/2020 . -
• •(S . .. ___
sale(Section 7044; Business and Professions Code:The Contractors License Date ignature _______ ____.__ L__L__i
Law does not'apply to an owner of property who builds Or improves thereon, ' .. , . . .
• • • • •
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or who does such work himself or herself orthrough
his or her own
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eniploYees, 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 shallsubjectan 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 thotisanddollars($10000),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
. • attoniey's fees..
• •
0 I, as owner of the property am exclusively contracting with licensed
' . ' . - • . • . . • -' - - • - - -. -. • - " - ' .
•
. . contractots to construct the project (Section 7044,BUsiness and-Professions . . • - •
Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCYGC ..
. . who builds or improves thereon,and who contracts for such projects with a I hereby affirm under,penalty of perjury thatthere is au:instruction 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 COcle): • .
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0 I am exempt under Section 7044;Business and Professions Code,for this reason: . . . . . . .
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. . Lender's Name • . - • .
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Date . .- . . Signature - - . . - . • - - Lender's Address - • • •
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IMPORTA NT: 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)regulatidns,renovation and remodeling work that results in the temoVal,stripping,or altering
of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbeStoi. Please contact AQMD at(909)396,-2000 for
further information. '
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Edgar Huante - PV Designer/Permit Tech . . .
Name. • Title •
- PRINT NAME . . •
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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.
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naturF ) Date" 07/15/2020.
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ROUTING I NCTION ALL EXPOSED CONDUIT AND
IDnttelas d �o°�`,,,,,-de,A,,,,'���acf Noee tes
MECHANICAL EQUIPMENT
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$.aa 1�x , �g� s Ep . 626-482-5056 a p% � g�X "$w a tk)
$ 6 t 8 502E.WISTARIAAVENUE 999 .11 1 i>- ya
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