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HomeMy WebLinkAboutSOLR-20-2169 City of Arcadia, CA Permit NO. SOLR-20-2169 Development Services Department Permit Type:Solar 240 West Huntington Drive,Post Office Box 60021 ° Arcadia,CA 91066-6021 Work Classification:Solar- Residential (626)574-5416 Permit Status:Issued .ARCADIA Issue Date:01/04/2021 Expiration: 01/04/2022 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 29 E ORANGE GROVE AVE Arcadia,CA 91006-2453 5771014004 Contacts EDWARD SHYU Owner SUNPOWER CORPORATION SYSTEMS* Contractor 29 ORANGE GROVE,ARCADIA,91006 1414 Harbour WAY#1901,Richmond,CA (408)218-6811 890895 Description:ROOF MOUNTED SOLAR SYSTEM 12 Valuation: $ 0.00 Tenant MODULES/MICROINVERTERS AND LOADCENTER Total Sq Feet: 0.00 Plan Check# Plan If Fees Amount Payments Amount Paid Building Plan Check Fee Residential $100.00 Total Fees $324.72 Distribution Panel $16.48 Cash/Receipt#REC-06440-21 $324.72 Electrical Permit Issuance Fee $47.01 Inverters $77.78 Amount Due: $0.00 Panels $82.45 Solid Waste Management Fee 2 $1.00 Total: $324.72 �7. COMPLETED nim 2 -1(.2' - 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. January 04,2021 Issued By: Date January 04,2021 Page 1 of 1 SFA `I,LIFogy�l PERMIT/PLAN REVIEW APPLICATION e t4 s. 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 0 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 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 13I, 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 — 1nol AN2RlV 8 AV saeoae. 3sN3J11 ♦J GMEER*---.., 3DV)l Vd11wa3d1V00IAIGNIavloS E r a OSSO•O.S(0,$) ,'�/ �.II /, i d ^ tOBra YJ'ONOMMJIY ,,7 en zO 7 4 .1. - 1 H1005 AVM YOOY YYN •n, �� < 90016 VIN110d11VJ'VIOVONV A SN3Y AS 'NoI1YY0AYOJ ` '�' Iu 3nN3AV 3AOa930NV11015V36Z t C •21 3/ �O d N fl S %,3. I�IIi' it W31SAS JIV11OAO1OHd 0311-ORIsM�I Z61, S 1 1 1 32! 411_ ' 1S f1AHS O VM03 6 a I- vo E z S Ei d o W w s T 0 5 LLW Y Y LU ° o F�" o < ‘6oj o g 0 w z z 40 a 3 3 .1 ; I ,i - v°1 R w< n n, i V.g 3 r I f 1 <o4) E 1t€ et 1 H 4. li F K >r E i j oLL<zO 41111*._ =13 lir 8cy gv IL O W Q 0 LL H OZ 0 CC a A ,rWwT .6LT — 1 — — "v -v I IN r \/gym' mi0 _ j � ° l 0 Vd tui I 0 Us o r n - / .-. .-1 ..6-.8£ .,S-,90T „OT-,££— I .6LT W 0 I— Y ^• °o a 0 U a I-w Q W LL N O Ir rr LL i+l 20 RECEIPT (REC-06440-21) FOR CITY OF ARCADIA, CA 3ILLING CONTACT Veil Delucenay ili 3UNPOWER CORPORATION SYSTEMS` Mg Fog 1414 Harbour Way,#1901 Richmond, Ca 94804 Will ARCADIA AD ARC IA Reference Number Fee Name Transaction Type Payment Method Amount Paid SOLR-20-2169 Building Plan Check Fee Residential Fee Payment Cash $100.00 Distribution Panel Fee Payment Cash $16.48 Electrical Permit Issuance Fee Fee Payment Cash $47.01 Inverters Fee Payment Cash $77.78 Panels Fee Payment Cash $82.45 Solid Waste Management Fee 2 Fee Payment Cash $1.00 29 E Orange Grove Ave Arcadia,CA 91006 SUB TOTAL $324.72 TOTAL $324.72 GL ACCOUNT TOTAL 01-3103 $100.00 01-3105 $223.72 88-3027 $1.00 TOTAL $324.72 CITY OF ARCADIA REND BY: VH 420C43190133 PAYOR: TODAY'S DATE: 01/04/21 REGISTER DATE: 01/04/21 TINE: 12:31 1 DESCRIPTION AMOUNT CUST ID:REC0644021 - SCLR202169 FLAN DECKS FEE $100.00 CUST ID:REC0644021 - SO.R202169 PLIJIIEING,EIECTRIC,611EC :{?23.72 CUST ID:REC0644021 - SOLR2f169' Y SOLID WASTE MGT $1.00 TOTAL DUE: .- $324.72 , IENDEP/D: $324.72 . • - , CHANGE: 1.00 • CREDIT CARD: $324.72 : r. REF P1)1: cc 3924 January 04,2021 City of Arcadia, 240 West Huntington Drive, P.O. Box 60021,Arcadia,CA 91066-6021 Page 1 of 1 44404, 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 PERMIT/PLAN REVIEW APPLICATION ('ITY OI ARCADIA Job Site Address: 29 EAST ORANGE GROVE AVENUE LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that 1 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 A,B,Cto,C46 en e No. asoase Exp. Date 1/4f21 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 ® 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 Hartford Fire demolish,or repair any structure,prior to its issuance.also required the applicant 57WVWQ0015 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 ❑ 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 Section 3700 of the Labor Code.I shall ❑1, 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 1/4/21 • 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). ❑ 1 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 SunPower Corporation-Brooke Vestermark Title Permit Coordinator _ 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. Date Signature 1/4/21