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� � City of Arcadia,CA � � � .� �� - perm"�r�No SOLR�22�102r1'�
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_- �"° Development Services Department � ` �`� �`� ` �" � �''' � � ��`
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240 West Huntington Drive,Post Of(ice Box 60021 �� ti " � �a ¢ � � � �� �' � �
Arcadia,CA 91066-6021 � �� x �� or CI o s��a aiion 'Solar�Resident�al O�u�r 10 K1N
� (626)574-5416 ��� � u � a� �
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�� » �Issue Date 05/27/2022� Expirat�on: 05/29/2023
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Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number
512 N OLD RANCH RD Arcadia,CA.91007-6032 5776030006
Contads
YAN,PAUL Y AND HE,JULIA C Owner FIXED ENERGY LLC DBA FORME SOLAR Contractor
1426 PASEO LA CRESTA,Palos Verdes,CA 90274-2073 ELECTRIC*
(310)627-6668
(714)362-1395 1066257
Descripdon:ROOF MOUNT PV SYSTEM,36 MODULES,NEW 200 Valuation: $0.00 Tenant
AMP SOLAR READY METER,COMBINER BOX 125 AMP
Total Sq Feet: 0.00• Plan Check# Plan#
Fees Amount Payments Amount Paid
Distribution Panel $22.00 Total Fees $346.79
Electrical Permit Issuance Fee $55.00 Cash/Receipt#REC-11257-22 $346.79
Residential Services up to 400 amps $22.00
Residential5olar>10 kW $62.00 Amount Due: $0.00
Residential Solar Plan Check>10 kW $170.00
Solid Waste Management Fee 2 $1.00
Technology Fee(Permit) $5.44
Technology Fee(Plan Check) $9.35
Total: $346.79
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.
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May 27,2022
Issued By:John Zurick Date
May 27,2022 Page 1 of i