HomeMy WebLinkAboutSOLR-20-1922 City of Arcadia, CA Permit NO. SOLR-20-1922
Development Services Department Permit Type:Solar
240 West Huntington Drive,Post Office Box 60021 Work Classification:Solar-Residential Over 10 KV
Arcadia,CA 91066-6021
(626)574-5416 Permit Status:Issued
ARCADIA Issue Date: 12/14/2020 Expiration: 12/14/2021
Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
1400 SAN CARLOS RD Arcadia,CA 91006-2139 5770023001
Contacts --
Hussain Tejani Owner SUNPOWER CORPORATION SYSTEMS* Contractor
1400 San Carlos 1414 Harbour WAY#1901,Richmond,CA
(408)218-6811 890895
Description: ROOF MOUNT PV SYSTEM, 49 MODULES,NEW 200 Valuation: $0.00 Tenant
AMP HUB,1 ENERGY STORAGE SYSTEM
Total Sq Feet: 0.00 Plan Check# Plan#
Fees Amount Payments Amount Paid
Battery Storage Device $53.00 Total Fees $377.72
Building Plan Check Fee Residential $100.00 Cash/Receipt#REC-06300-20 $377.72
Distribution Panel $16.48
Amount Due: $0.00
Electrical Permit Issuance Fee $47.01
Inverters $77.78
Panels $82.45
Solid Waste Management Fee 2 $1.00
Total: $377.72
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CALLS FOR INSPECTIONS
CC C 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.
lid COPLETEb
December 14,2020
Issued By: Date
December 14,2020 Page 1 of 1
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_ 1 PERMIT/PLAN REVIEW APPLICATION
�Es, 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
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
0 I herebyaffirm under 3700 of the Labor Code,for the performance of the work for which this permit
penalty of perjury that I am exempt from the Contractors 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
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 LII 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
a
SMOKE/CARBON MONOXIDE ALARM - SELF CERTIFICATION FORM
PROJECT ADDRESS: / ycv 1a�_5
PERMIT NO: 60 40------: - 11 al-C7
I, the undersigned, hereby certify that I am the owner or authorized HOA representative of the above referenced
property. I further certify that smoke detectors and carbon monoxide alarms are present and functional in all the
following locations. Check all applicable boxes below. Retrofitted smoke detectors and carbon monoxide alarms may
be battery operated.)
SMOKEARMS on ceiling or wall:
Outside of each separate sleeping area in the immediate vicinity of bedrooms.ti..
(01 1� In each room used for sleeping purposes.
In each story including any habitable basement.
NOTE: In dwellings or dwelling units with split levels and without an intervening door between the adjacent
levels, a smoke alarm installed on the upper level shall suffice for the adjacent lower level provided that the
lower level is less than one full story below the upper level.
CARBONONOXIDE ALARMS on ceiling, wall or other location as specified by the manufacturer:
911
Outside of each separate sleeping area in the immediate vicinity of bedrooms.
O/1J In each story including any habitable basement.
For R-1 Occupancies only-sleeping units with permanently installed fuel burning appliances.
NOTE: In dwellings or dwelling units with split levels and without an intervening door between the adjacent
levels, a smoke alarm installed on the upper level shall suffice for the adjacent lower level provided that the
lower level is less than one full story below the upper level.
I, the undersigned, as property owner and responsible for the above referenced work, certify the presence of smoke
detectors and carbon monoxide alarms as indicated above.
SIGNATURE: DATE:
I, the undersigned, acting as the licensed contractor responsible for the above referenced work, certify the presence of
smoke detectors and carbon monoxide alarms as indicated above.
CONTRACTOR: AL,/��`-''' DATE: alF 9111 CP"
SIGNATURE: '� LICENSE NI: Ull
In lieu of physical inspection of smoke detectors and carbon monoxide alarms by the City inspector, this
certification may be completed and presented to the inspector during the course of a project as follows:
O Re-roof-at time of sheathing inspection.
O Replace exterior wall cover-at lath/paper inspection.
O Window change out-at weather stripping/rough inspection.
O Interior remodel, addition, attached patio/lattice covers, and detached accessory structures - at or before
final inspection, any similar project as deemed by the Building Official and prior to final inspection.
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