HomeMy WebLinkAboutSOLR-20-0455 1 1
City of Arcadia, CA Permit NO. SOLR-20-0455
Development Services Department Permit Type:Solar
240 West Huntington Drive,Post Office Box 60021 Work Classification:Solar-Residential
Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date:04/15/2020 I Expiration: 10/12/2020
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
2605 DERBY CT ARCADIA, CA 91006 5788020031
Contacts
LENNAR HOMES OF CALIFORNIA* Owner
15131 ALTON PKWY 365,Irvine,CA 92618
(949)349-8215
Description:ROOF MOUNTED SOLAR SYSTEM 8 Valuation: $ 0.00 Tenant
MODULES/MICROINVERTERS.SYSTEM SIZE 2.56 KW
Total Sq Feet: 0.00 Plan Check#20-453 Plan q
.limmmimp
Fees Amount Payments Amount Paid
Building Plan Check Fee Residential $50.00 Total Fees $308.24
Electrical Permit Issuance Fee $47.01 Cash/Receipt14 REC-04267-20 $308.24
Fire Plan Check Fee Residential $50.00
Amount Due: $0.00
Inverters $77.78
Panels $82.45
Solid Waste Management Fee 2 $1.00
Total: $308.24
c(_2Z-2 c a,ir„y -'4€C Tr-/c CALLS FOR INSPECTIONS
Request for inspection by telephone at 626-574-5450. Leave a message
g—/Z-14t) T:416L 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.
April 15, 2020
Issued By: Date
April 15,2020 Page 1 of 1
4 11111611111111111. ERMIT/PLAN REVIEW APPLICATION
o,
_ t 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
0 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. 0 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
❑ 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
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 0 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(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
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
ONLINE PERNIIT/PLAN RE\'IEWV APPLICATION
(lt,UI
ARCADIA Job Site Address: 140 05 per Cf
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
Ml 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. 0 1 have and will maintain a ceniftcate of consent to self-insure for workers'
License Class _ Li Asp 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 r,: I have and will maintain workers'compensation insurance,as required by Section
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
❑1 hereby affirm
is issued.My workers'compensation 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 construct, alter,improve. Carrier
demolish,or repair any structure,prior to its issuance.also required the applicant /) t'' ( I ‘
for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number lam
(This section need not be completed if the permit is tor one hundred doll
provisions of the Contractors License Law(Chapter 9(commencing with Section
7C00)
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(5500)) 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
El1, 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,the owner-builder will have the burden of proving that he or she hundred thousand dollars(5100,000),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
contractors)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
1\1W►HTtNT: \I'I'l.I('11ItiN IS I11111It\' \1AI)L TO Illi: 11( I1.1)I\G utll('1,11 wit A I'I•.I<\lll St II.II I I ltt 1111• (Y)\I)IlIONS \\It
HESTHI('TI1)NS SEI FORTH ON 11115.11'1'1 I( AI ION \NI►'HIV I 01 IA MINI,:
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 altenng
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 - 5Z//17 Date �4
4 SCOPE OF WORK
LEGEND AND ABBREVIATIONS TABLE OF CONTENTS
BUYER ACKNOWLEDGES THAT THE SOLAR PAGE DESCRIPTION
MODULES TO BE INSTALLED PITCH TRUE AZIM MOD COUNT SOLAR MODULES #
SERVICE ENTRANCE
ON THE ROOF OF THE HOME WILL BE r RAIL
L.
SUBSTANTIALLY IN THE ARRAY 1 210 1800 8 PV-G SITE PLAN
Mp MAIN PANEL
LOCATIONS INDICATED BY THE ILLUSTRATION.
SP SUB—PANEL / I PV-A LAYOUT
BUYER L STANDOFFS 8
PLAN 1 ELEVATION A REVERSE Lc PV LOAD CENTER FOOTINGS PV-E I ELECTRICAL
DATE CHIMNEY
ORIENTATION 4 LOT#11 DEDICATED PV METER /'� ATTIC VENT PV-E II SIGNAGE
a�, L,
INVERTER(S)WITH • SYSTEM SIZE:2.560 kW
INV INTEGRATED DC = FLUSH ATTIC VENT
DISCONNECT AND AFC! • MODULES:(8)LG320NIK-V5
SITE PLAN-SCALE= 1/64" -1'-0"
0 PVC PIPE VENT AC DISCONNECT(S) ® (320W)
METAL PIPE VENT • INVERTER(S):(8)ENPHASE
DC DC DISCONNECT(S) 0 T—VENT IQ 7+
,�I 0 • ROOF TYPE:TILE WICOMP
-, CB Q SATELLITE •
DISH SHINGLE AT ARRAY
r—, COMBINER BOX ,T
Ir Vl A FIRE SETBACKS
11— BATTERY
rHARDSCAPE
�r I err AT AUTOTRANSFORMER
Ir —PL— PROPERTY LINE
_ 1...., 37A ,' Q■G`— — — BP PANEL BACKED UP LOADSf— —I INTERIOR
] SHOWN AS DAS ED
\ NT
. - - �r ...*Rif
» �,
\
V:.R• SUNSTREET
„` . N.1. NI^Iy SCALE NTS
8EIGHTY
� A AMPERE
_./ - 13 14 15 16 AC ALTERNATING CURRENT
41 AZFC'IM ARC FAULT CIRCUIT INTERRUPTER
_
/� {` o n 0 N AZIM AZIMUTH LENNAR.DIVISION ADDRESS
COMPCOMPOSITION PHONE
DCCCURRENT CURRRB ENT FAX
(E) EXISTING
EXT EXTERIOR CUSTOMER RESIDENCE:
FRM FRAMING
J INT INTERIOR
444 41
2605 DERBY COURT
�/ — LBW LOAD BEARING WALL ARCADIA.CA 91007
TV 1ORWELL
- pq `,makiii MAG MAGNETIC
MSP MAIN SERVICE PANEL
NEW TEL MKS
. (N) PROJECT NUMBER
NTSNOT TO SCALEPROJ0109200
�- 356•U OC ON CENTERr• •+ -
'IV
PAD�355.3
v _ —17- DESIGNER:PRE-FAB PRE-FABRICATED DESIGNER:NOE FLORES
Si Ii PSF
PV POUNDSPERPER SQUARE FOOT
PHOTOVOLTAIC -
41 1470 39 837 PH#:303-723-7261
TL TRANSFORMERLESS
II / VP DRAFTER NOE FLORES
TYPICAL
J L; W WATTS SHEET
itH
w•*4It ilii 41-1/ B \4''-9 / / 'D 12 COVER SHEET
REV NAME DATE COMMENTS
�! w REV A 3/31/2020
--i i` _Rnni ` \ -1I 14 Fir i w \ A PAGE PV-G
SYSTEM LAYOUT-SCALE=3/32"-1'-0" • SYSTEM SIZE:2.560 kW
• MODULES:(8)LG320NIK-V5
�� I320W)
NVER
=/ • INVERTER(S):(8)ENPHASE
(N) RAIL IQ 7+
2'-10" - 5'-5"-'-f 3' • ROOF TYPE:TILE W!COMP
SHINGLE AT ARRAY
(N) FOOT
a 0. R M. -- . 0. R. -
•••• •••• FIRE SETBACKS
IRO•
4' 9" f. . ISI
""• (18"TYP)
R •; •• SINS
/Ili FIRE SETBACKS
f •••• (3'TYP)
•f•f
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f•f
•
f
... ..R fff
fff ••::O: .: f.••ff
fff if/f Rf "• ff
27�-7" f•• .fff •"ff fff"
26'-10" fff ":::
FLASHING 5 I/SIII
••• NSION
OON SUNSTREET
Y SIMS
•• •• d
II 00 /SON
.. .. .f.. 8EIGHTY
MI ff .. •fff
OS IN NISI
•f If SSON
ON f/ SION
X WI e LENNAR DIVISION ADDRESS
PHONE
W_ FAX
\ \
CUSTOMER RESIDENCE.
4'-9" _ e 2605 DERBY COURT
ffffff •.•c r ARCADIA,CA91007
1
TEL. TMK#
PROJECT NUMBER
y r PROJ0109200
I DESIGNER:NOE FLORES
PH#:303-723-7261
0. R R 0.
DRAFTER:NOE FLORES
SE AC PM
(N)ARRAY AR-01 SHEET
CB MP (N) PROPERTY LINE LAYOUT
L J (N) DRIVEWAY - _
REV:A 3/31/2020
.1 (N) RESIDENCE PAGE PV-A
J 120/240 VAC
SINGLE PHASE
SERVICE
OMETER#
UTILITY M
GRID
NEW 200 A
MAIN
(N)60A ENPHASE
•MAX 13 MICRO-INVERTERS PER BRANCH
UIT
Il BREAKER AC COMBINER BOX
20A PV BREAKER WITH IN PAR
•▪ENPHASE MULTI-NC CONNECTORS IRCUITS A1STLACCCONNECTOR AT
' NEW 10A ENVOY BREAKER EACH BRANCH CIRCUIT ISA SUITABLE DISCONNECTING MEANS.
200A •DO NOT DISCONNECT/CONNECT UNDER LOAD
MAIN (N)LOCKABLE
ii ,
iiii,
iiii
PANEL BLADE TYPE
FACILITY . r 3 AC DISCONNECT 3 2 �UNCn°N Bmmoox i �- . ' -�-- -iin-
LOADS 4 OR EOVNALENT n ii, iii, J--
(1)BRANCH OF
wr_---_i_m_i
v = , =='I. v (8)MICRO-INVERTERS
20A PV 30A.2P I �.. __S
BREAKER AT 120/240VAC
OPPOSITE END
OF BUSBAR
SYSTEM SIZE OPTION CONDUIT SCHEDULE
MODULE POWER SYSTEM SIZE(kW 4 CONDUCTOR WIRE TYPE TYPE LOCATION TRADE
OPTION MODULE QTY. 1#12 ENPHASE 0 CABLE. UL3003,DG
(WATTS DC) DC @STC) 1 1416G,FREE AIR CU CABLE ARRAY SOLAR
A 8• 320 2.56 2 3410,1410 EGC CU NM-B(ROMEX) INTERIOR SOLAR
3 34110,1410 EGC CU NM-B(ROMEX) INTERIOR SOLAR
CONDUCTOR SIZING CALCULATIONS
1)CONDITION OF USE(COU). (AMPACITY'TEMP.DERATE'FILL DERATE)vs.REO'D(I")) INTERCONNECTION CALCULATIONS
2)TERMINALS(TERM): AMPACITY AT TERMINALS,vs.REQ'D,(IMAX•1.25)
KEY SIZE CU/AL INSULATION CALC. AMPACITY W/O TEMP. FILL RESULT REO'D OCD ITEM UNIT PANEL
TYPE DERATES DERATE DERATE (A) (A) USED(A) MO
PANEL MANUFACTURER CUTLER HAMMER
1 #12 CU THWN-2 COU 30 0.76 1.00 22.80 9.68 j;= SUNSTREET
TERM • 25 25.00 12.10 20.00 BUS RATING AMPS 200
8EIGHTY
2 #10 CU NM-B COU 40 0.91 1.00 36.40 9.68 MAIN DISCONNECT AMPS 200
TERM 35 35.00 12.00 20.00
3 #10 CU NM-B COU 40 1.00 1.00 36.00 10.00 ALLOWED PV PER NEC AMPS 40
TERM 35 35.00 12.00 20.00 PV OCPD USED AMPS 20 LENNAR.DIVISION ADDRESS
PHONE
FAX
MODULE SPECIFICATION AND CALCULATIONS INVERTER SPECIFICATIONS AND CALCULATIONS
ITEM NOTE/CALCULATION UNIT DETAIL ITEM NOTE/CALCULATION UNIT DETAIL CUSTOMER RESIDENCE:
LOCATION ARCADIA,CA INVERTER MAKE INVERTER SPEC ENPHASE 2605 DERBY COURT
TEMP,AMBIENT HIGHT(Telex) ASHRAE 2% °C 31 INVERTER MODEL INVERTER SPEC °C IQ7PLUS-72-2-US ARCADIA,CA 91007
TEMP.AMBIENT LOW(Turn) ASHRAE EXTREME MIN °C -2
INVERTER MAX POWER(Wac MAX) INVERTER SPEC WATTS(AC) 295
TEMP,MODULE TEST(Ttsst) MODULE SPEC °C 25 TEL. TMK A
TEMP,DELTA LOW(Tdelte1 Tmn-Ttest °C _27 INVERTER INPUT VOLTAGE(Voc MAX) INVERTER SPEC VOLTS(DC) 60
PROJECT NUMBER
MODULE MANUFACTURER MODULE SPEC LG INVERTER OUTPUT VOLTAGE(Vac NOM) INVERTER SPEC VOLTS(AC) 240 PROJ0109200
MODULE PART NUMBER MODULE SPEC LG320NIK-V5(320W) INVERTER OUTPUT FREQUENCY INVERTER SPEC HERTZ 60
MODULE POWER STC(P) MODULE SPEC WATTS(DC) 320 DESIGNER:NOE FLORES
INVERTER OUTPUT CURRENT(lac) INVERTER SPEC AMPS(AC) 1.21 PH#:303-723-7261
MODULE OPERATING VOLTAGE(VMP) MODULE SPEC VOLTS(DC) 33.3
INVERTER PHASE QUANTITY INVERTER SPEC PHASE 1
MODULE OPEN CIRCUIT VOLTAGE MODULE SPEC VOLTS(DC) 40.8 DRAFTER:NOE FLORES
(VOC) COMPLIACE INVERTER SPEC ULI741/IEEE1547
MODULE COEF.VOLT/TEMP(Coat) MODULE SPEC V/C° -0.27
INVERTER GROUNDING INVERTER SPEC ISOLATED
MODULE MAX VOLTAGE(Vmecmod) (VOC+(TD•COEF)) VOLTS(DC) 48.09 SHEET
- MODULE OPERATING CURRENT(IMP) MODULE SPEC AMPS(DC) 962 INVERTER QTY,MAX PER BRANCH MODULE QTYbc OTY 8 ELECTRICAL
MODULE SHORT CIRCUIT CURRENT MODULE SPEC AMPS(DC) 10.19 CIRCUIT
(ISC) BRANCH CIRCUIT OUTPUT(Imaxbc) (IAC•MODULE QTYbc) AMPS(AC) 9.69 REV:A 3/31/2020
MODULE MAXIMUM CURRENT(IMAX) (ISC'1.25) AMPS(DC) 12.74
INVERTER QTY.TOTAL MODULE QTYI OTY 9
MINIMUM AMPACITY REQ'D.PER NEX (1MAX•1.25) AMPS(DC) 15.92 PAGE E-1
SERIES FUSE RATING,MAX MODULE SPEC AMPS(DC) 20 TOTAL SYSTEM OUTPUT(Imaxts) (IAC•MODULE QTYI) AMPS(AC) 9.68
/WARNING WARNING INVf .
CAUTIONS ERTER OUTPUT CONNECTION DUAL POWER SUPPLY
POWER TO THIS BUILDING IS DO NOT RELOCATE THIS SOURCES: UTILITY GRID
ALSO SUPPLIED FROM THE \ OVERCURRENT DEVICE J AND PV SOLAR ELECTRIC
FOLLOWING SOURCES WITH LABEL LOCATION-
ADJACENT
SYSTEM l
ADJACENT TO PV BREAKER(IF LABEL LOCATION:
DISCONNECTS AS SHOWN APPLICABLE). UTILITY SERVICE METER AND MAIN
PER CODE(S):CEC 2016:705.12(D)(2)(3)(b) SERVICE PANEL.
PER CODE(S):CEC 2016:705.12(0)(3)
IL 1 SOLADECK WIRE TRANSITION
BOX(UNDER ARRAY) /WARNING
SOLAR PANELS ON ROOF ELECTRICAL SHOCK HAZARD AWARNING
DO NOT TOUCH TERMINALS. ELECTRICAL SHOCK HAZARD
TERMINALS ON LINE AND LOAD IF GROUND FAULT IS INDICATED
SIDES MAY BE ENERGIZED IN ALL NORMALLY GROUNDED
RIR
7 roan, THE OPEN POSITION CONDUCTORS MAY BE
�'9��N PV AC DISCONNECT LABEL LOCATION /
UNGROUNDED AND ENERGIZED
EXTERIOR INVERTER(S).AC DISCONNECT(S).AC COMBINER PANEL
l
F APPLICABLE). LABEL LOCATION.
AC COMBINER BOX PER CODE(S) CEC 2016 690 17(E) INVERTER(S).ENPHASE ENVOY ENCLOSURE(IF
UTILITY METER& MAIN APPLICABLE).
• PER CODE(S):CEC 2016:690.5(C)
SERVICE PANEL PHOTOVOLTAIC AC DISCONNECT
SERVICE BY QUALIFIED MAXIMUM AC OPERATING CURRENT: 9.69 AMPS ON
PERSONNEL ONLY CONTACT NOMINAL OPERATING AC VOLTAGE: 240 VAC In SUNSTREET
SUNSTREET ENERGY GROUP
1-877-SLR-POWR LABEL LOCATION. 8EIGHTY
AC DISCONNECT(S),PHOTOVOLTAIC SYSTEM POINT OF
INTERCONNECTION.
PHOTOVOLTAIC SYSTEM PER CODES) CEC 2016 690.54
LENNAR.•DIVISION ADDRESS
WARNING: PHOTOVOLTAIC FAX PHO
EQUIPPED WITH AC DISCONNECT
CUSTOMER RESIDENCE:
RAPID SHUTDOWN LABEL LOCATION 2605 DERBY COURT
INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 FT.AT EACH TURN,ABOVE AND ARCADIA,CA 91007
BELOW PENETRATIONS,ON EVERY JB/PULL BOX CONTAINING DC CIRCUITS.
LABEL LOCATION PER CODE(S).CEC 2016 690.31(G)(3).690.31(G((4)
TEL 'MK r
UTILITY SERVICE ENTRANCE/METER,OR AS REQUIRED BY LOCAL AHJ.
PER CODE(S) CEC 2016.690.12 PROJECT NUMBER-
WARNING: PHOTOVOLTAIC PROJ0109200
NOTES AND SPECIFICATIONS.
•SIGNS AND LABELS SHALL MEET THE REQUIREMENTS OF THE CEC 2016 DESIGNER:NOE FLORES
ANDQ IRE BY014 E ARTICLE 1610.OR I,UNLESS SPECIFIC C INSTRUCTIONS ARE POWERSOURCE
PH#:303-723-7261
REQUIRED BY SECTION 690.OR IF REQUESTED BY THE LOCAL AHJ-
•SIGNS AND LABELS SHALL ADEQUATELY WARN OF HAZARDS USING
EFFECTIVE WORDS.COLORS AND SYMBOLS. DRAFTER:NOE FLORES
•LABELS SHALL BE PERMANENTLY AFFIXED TO THE EQUIPMENT OR WIRING LABEL LOCATION.
METHOD AND SHALL NOT BE HAND WRITTEN,UNLESS PORTIONS OF
LABELS OR MARKINGS ARE VARIABLE,OR THAT COULD BE SUBJECT TO INTERIOR AND EXTERIOR DC CONDUIT EVERY 10 FT,AT EACH TURN,ABOVE AND
CHANGES,SHALL BE PERMITTED TO BE HAND WRITTEN AND SHALL BE BELOW PENETRATIONS,ON EVERY JB/PULL BOX CONTAINING DC CIRCUITS. SHEET
LEGIBLE. PER CODE(S):CEC 2016:690.31(G)(3),690.31(G)(4) SIGNAGE
•LABEL SHALL BE OF SUFFICIENT DURABILITY TO WITHSTAND THE
ENVIRONMENT INVOLVED.
•SIGNS AND LABELS SHALL COMPLY WITH ANSI Z535.4-2011,PRODUCT REV:A 3/31/2020
ilk
SAFETY SIGNS AND LABELS,UNLESS OTHERWISE SPECIFIED.
l •DO NOT COVER EXISTING MANUFACTURER LABELS. PAGE
E-2
5
• City of Arcadia, CA Permit NO. MEP-19-2561
Development Services Department Permit Type:MEP
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:MEP-Residential
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date: 12/27/2019 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip
2605 DERBY CT ARCADIA, aminimenimismw
Contacts
LENNAR HOMES OF CALIFORNIA* Owner
15131 ALTON PKWY 365,Irvine,CA 92618
(949)349-8215
Description:MEP FOR SF NEW. 125 AMP SERVICE.HVAC Valuation: $ 0.00 Tenant
SYSTEM PER APPROVED PLANS.HERS REQUIRED FOR FINAL.
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Bathtubs/or Combo $13.21 Total Fees $795.33
Bidet $26.42 1 Cash/Receipt#REC-03462-19 $795.33
Clothes Washer $13.21
Compressor 3-5 Ton(3 to 15 hp) $36.35 Amount Due: $0.00
Dishwasher $13.21
Electrical Permit Issuance Fee $47.01
Furnace or Burner<=100,000 BTU $19.86
Garbage Disposal Fee $13.21
Gas System(Outlets) $62.20
Hood Serviced by Mechanical Exhaust $14.96
Kitchen Sink $13.21 CALLS FOR INSPECTIONS
Laundry Trays 513.21 Request for inspection by telephone at 626-574-5450. Leave a message
Lavatories $79.26 requesting the address,timeframe and what inspection item is needed.
Mechanical Permit Issuance Fee $47.01
Motors,Generators<1 hp $8.07
New Residential Accessory Bldg (sq ft $30.38 This permit/plan review expires by time limitation and becomes null and
area) void if the work authorized by the permit is not commenced within 180 days
New Residential Elect.(sq ft area) $126.96 from the date of issuance or if the permit is not obtained within 180 days
Plumbing Permit Issuance Fee $47.01 from the date of plan submittal.This permit expires and becomes null and
Residential Services up to 400 amps $16.48 void if any work authorized by this permit is suspended or abandoned for 180
Sewer Connection on Property $33.01 consecutive days or if no progressive work has been verified by a City of
Shower $13.21 Arcadia building inspector for a period of 180 consecutive days.
Total: $795.33
/it/4c ""t7
o
December 27, 2019
Issued By: Date
December 27,2019 Page 1 of 1
%F A•
r
0 ! '±p I PERMIT/PLAN REVIEW APPLICATION •
o 4 a Development Services Department,240 West Huntington Drive,Post Office Box 60021
...it,o 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. 0 I have and will maintain a certificate of consent to self-insure for workers'
License Class License No. Ex,_Date compensation, as provided for by Section 3700 of the Labor Code, for the
Signature of Contractor APs� performance of the work for which this permit is issued.
�
OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section
O. 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
'cense Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are:
C I. 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 �� Niv 7C --
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 ❑II 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'compen ation ovisions of Section 3700 of the Labor Code,I shall
❑I, as owner of the property, or my employees with wages as their sole forthwith compwith se provisions.
compensation,will do the work,and the structure is not intended or offered for7
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(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`` Al
Section 7044,Business and Professions Code,for this reason:
Lender's Name
Date l� 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 9 o — _i
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.
f: )11 5
Signature C ' ,... Date
City of Arcadia, CA Permit NO. Mnew-18-1955
Development Services Department Permit Type:Multi-Family New
240 West Huntington Drive,Post Office Box 60021
Arcadia,CA 91066-6021 Work Classification:MF/New-Detached Condominium
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date: 11/26/2019 Expiration:
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
2605 DERBY CT ARCADIA,CA 91006 5788020031
Contacts
LENNAR HOMES OF CALIFORNIA* Owner LENNAR Applicant
15131 ALTON PKWY 365,Irvine,CA 92618
(949)349-8215
Description:3 BED 2.5 BATH ATTACHED GARAGE PLAN TYPE 1A. Valuation: $ 230,609.26 Tenant
PHASE 1
Total Sq Feet: 1.587.00 Plan Check#18-1940 Plan#
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $11,304.65
Building Permit Fees $2,127.90 Cash/Receipt#REC-03198-19 $10,123.65
Fire Plan Check $207.48 Cash/Receipt#REC-002762-2018 $1,181.00
Green Building Standard $10.00
Park&Recreation(MFR) $5,919.51 Amount Due: $0.00
Plan Check,Per Hour $973.52
Single Family/Condo/Townhome Impact $1,983.00
See
Solid Waste Management Fee $6.25 14— A606 7-(.5--2c5
Strong Motion Inst.Program Res $29.98
Total: $11,304.65 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.
November 26, 2019
Issued By: Date
November 26,2019 Page 1 of 1
A;
4 .0 . PERMIT/PLAN REVIEW APPLICATION
0" ,
' Development Services Department,240 West Huntington Drive,Post Office Box 60021
I° Arcadia, CA 91066-6021, (626) 574-5416,Fax(626) 447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
VI hereby affirm under penalty of perjury that I am licensed tinder 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 •. . my license is in full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers'
IMP-
License Class 111111m Li:i o. 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 al 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 cd' the pe tis for one hundred dollars or less)
7000)of Division 3 of the Business and Professions Code)or that he or she is I 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 ❑ certify
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
0 I, as owner of the property, or my employees with wages as their sole forthwith comp] wi ose 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 // /f 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(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�`�14 �/ Title p ��f /Y4
RIN 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
Arcadia to enter upon the above-mentioned property for inspection purposes.
Signature Date /41//5/g
NOTES '
Building Inspections Date Insp. Plumbing Inspections Date I Insp. 26°5- DeR$
100. Setbacks - pp;10. Under flr./bldg.drain 1-(--2o
101. Rough grade 211. Copper underslab
102. Figs.&forms / 212. Rough plumbing Zi
103. Pre-slab 213. Rough gas
104. Floor joists 214. Shower pan
105. Steel 215. Water heater
106. Grout lift 216. Roof drains
107. Shear nailing Y-.2"l ,. 17. Building sewer
108. Diaph nailing ".-3- ,218. Water service
109. Roof nailing 3.19•Zb i 219. Final gas ‘40
110. Framing (2Z-2-0 220. Fixtures
111. 0cc./Area Sept.Wall 221. Final plumbing 8-rt-20
112. Sound walls 222. Sewer cap/demo.
113. T-bar'rid
114. Insulation-Flr. -- Pool Inspections Date Insp.
115. Insulation-Wall 240. Excavation/steel
•
116. Insulation-Ceil. 'Zg 241. Rough plumbing
117. Drywall nailing 5 )p-),b Oki i 242. Light shell/bonding
118. Interior lath S-2 247 cinNi 243. Under.round conduit
119. Exterior lath /S-Za • 244. P-trap -
120. Finish.rade 45. Gas line&test
121. Final building -17-24)riI=EMIEMINERM
122. Final demo/lot clear 111 247. Pool heater --
248. Final electric
Electrical Inspections Date Insp. 249. Final.lumbin.
150. Power.•le 250. Pool cover --
151. Sales lot lighting --251. Pool final --
152. Under.rouund conduit
153. Underslab conduit Reroof Inspections Date Insp.
154. UFER ground c 27_ZO 270. Pre-reroof insp.
155. Water ground 71. Roof framing
156. Rough electrical G" 7- - /272. Sheathing nailing
157. Fixtures 273. Final reroof
158. G.F.C.I.
159. E.it.bondin• -111.1111 Sign Inspections Date Insp. •
160. Service panel -..2 - 80. Setback/overhang
161. Final electric /'t- ,0 281. Footing
282. Conduit/wirin.
Mechanical Inspections Date Insp. 283. Disconnect --
180. Venting/flue -�284. Final sign --
181. Furnace/A.C.
182. Rouch HVAC -27-2 Li • asp. Date Insp.
183. Fire dampers 290. Fire alarm
184. Furnace compartment 291. Underground supply
185. Combustion air 292. Fire sprinklers
186. Smoke detectors 293. Monitor system
187. Metal F.P.rough 294. Hood dry chem.
188. Compressor setback 295. Final
189. Commercial hood
190. Duct shaft -N Sewers&Offsite Insp. I Date I Insp.
191. Final mechanical MEM 300. Lateral(main to P/L) --
301. SaddleN
Block Wall Inspections Date Insp. 302. Cess.••I filled
200. Footings 303. Sidewalk
201. Steel/rebar 304. Driveway
202. Grout lift 305. Curb replacement
203. Final wall 306. Trash bin
City of Arcadia, CA Permit NO. Patio-20-1045
Development Services Department Permit Type:Patio
240 West Huntington Drive,Post Office Box 60021 Work Classi cation:Patio
Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued
•
ARCADIA Issue Date:08/21/2020 Expiration: 08/23/2021
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
2601 DURHAM CT Arcadia, CA 5788020031 maimmii
v.,,
Contacts
LENNAR HOMES OF CALIFORNIA* Owner
15131 ALTON PKWY 365,Irvine,CA 92618
(949)349-8215
ti
Description:DETACHED PATIO STRUCTURE WITH BBQ AND Valuation: $ 17,475.00 Tenant
FIRE PLACE.TWO ADDITIONAL TRELLIS STRUCTURES,TRELLIS
COVERED MAIL BOXES, 1 GATE MOTOR Total Sq Feet: 750.00 Plan Check#20-1045 Plan#304
Fees Amount Payments Amount Paid
Building Issuing Fee $47.01 Total Fees $792.36
•
Building Permit Fees $370.85 Cash/Receipt#REC-05278-20 $792.36
Building Plan Review Fee $241.06 Amount Due: $0.00
Electrical Permit Issuance Fee $47.01
Gas Piping System $16.48
Green Building Standard $1.00 ziliCv._._. ._......00.
Light Fixtures $6.52 �/,t/aL / -/5"----24 .
Outlets-Receptacles&Switches $4.89
Plumbing Permit Issuance Fee $47.01
Solid Waste Management Fee $6.25
Solid Waste Management Fee 2 $1.00 CALLS FOR INSPECTIONS
Solid Waste Management Fee 2 $1.00 Request for inspection by telephone at 626-574-5450. Leave a message
Strong Motion Inst.Program Res $2.28 requesting the address,timeframe and what inspection item is needed.
Total: $792.36
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
r% from the date of issuance or if the permit is not obtained within 180 days
`01(O.� 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
0 consecutive days or if no progressive work has been verified by a City of
45 Arcadia building inspector for a period of 180 consecutive days.
FD
August 21, 2020
Issued By: Date
August 21,2020 Page 1 of 1
iI .imik� 1 PERMIT/PLAN REVIEW APPLICATION
Elll*' Development Services Department,240 West Huntington Drive,Post Office Box 60021
c: ,..- ,0/0 Arcadia,CA 91066-6021,(626)574-5416,Fax(626)447-9173
City of
Arcadia
LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION
0 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. 0 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 1 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 00 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 appli •
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 0 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'com nsation 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 co ly wi ose 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 1 / Signature I
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,
'd not build or improve for the purpose of sale).Aiidamages as provided for in Section 3706 of the Labor Code, interest, and
10
attorney's fees.
I, as owner of the property, am exclusively contracting with licensed
ntractors 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 glif/d2 Signature / /fI if 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.
are / � /ix7� : ) Title % ( 77 -,S
L PRINT NAME
I rtify 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 hereb authorize representatives of the City of
rcadia to enter upon 9 orad property for inspection purposes.
Signature 'PI ate /lr ej
a -7) 2 /oma