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HomeMy WebLinkAboutPR20190000462PERMIT If: PR20190000462 w] CITY OF DIAMOND BA COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Dive, Diamond Bar, CA 91765 (909) 939-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 939-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdtamondbar.com building@diamondbarca.gov JOB SITE ADDRESS 21225 DAVAN ST, DIAMOND BAR, CA 91765 APN 8763002009 LOT# TRACT# OWNER NAME DILLEY MARYJ ADDRESS PO BOX 4821 CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME BEST SOLAR POWER, INC ADDRESS 17609VENTURA BLVD ,#LL08 CITY VENTURA STATE CA ZIP 91316 TEL <NO PRIMARY PHONE> ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 1S Apr 2019 PR# PR20190000462 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK• INSTALLATION OF (17) ROOF MOUNTED PV SOLAR PANELS S.18 KW #DWELLUNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SCIL FT FACTOR PSF AD) AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL' $8,0000000 Electrical TYPE QUANTITY AMOUNT TOTAL Photovoltaic Systems 1 $Ji 99 $7199 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $92 11 PLAN REVIEW $50 00 ELECTRICAL $7199 PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $78 69 SMIP $104 ENERGY RETENTION FEE $12 00 PRE/ALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $10 00 TOTAL FEES: $316 83 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # 44141 PAY METHOD Chock # 91013VALIDATION EM IF PERMIT #: INSPECTION SETBACK / LETTER DATE: INSPECTOR: INSPECTION TRACK AND LEDGER DATE: INSPECTO FOOTINGS FORMS TSAR SLAB POOL DEMOLITION US PLUMBING ROOF DRAINS UG ELECTRICAL POOIJSPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNIT£ SEWER CLEANOUT POOL PRE DECK BONDING WATER LINE PRTRAP ROOF SHEATHING FENCE / GATE /ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL SST() 2ND0 LIFT RO MECHANICAL WALLORAIN/SEAL RO ELECTRICAL W () C { I WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOTMOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PIN ENGINESERtNG LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINALHFALTNDEPT TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MECHANICAL METER RELEASE NNALELFCTRR:AL SPECIAL INSPECTION FINAL PLUMMING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CER7 OF OCCUPANCY COMMENTS aJ PERMIT #: PR20190000462 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 70315, Business and Professions Code Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and Professions Cade) or that he or she is exempt from llcensure and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($SOO) (J I as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale If however, the building or improvement is sold within one year of completion, the Owner -Budder will have the burden of proving that it was not built or improved for the purpose of sale ) (_)1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law ) (_) I am exempt from llcensure underthe Contractor's State License law for the following reason(s) By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the following Web site http/www leginfo ca gov/calaw html SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect LICENSE CLASS B, C10 LICENSE NUMBER. 98842S EXPIRATION DATE, CONTRACTOR SIGNATURE WORKERS' COMPENSATION DECLARATION: WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS I have and will maintain a certificate of consent to self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers' compensation insurance carrier and policy number are CARRIER State Fund POLICY #, EXPIRATION DATE NAME OF AGENT 9118307 PHONE # I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' 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 forthwith comply with those provisions SIGNATURE OF APPLICANT _ DATE DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 8172, Civil Code) LENDER'S NAME LENDER'S ADDRESS By my signature below, I certify to each of the following I am the property owner or authorized to act on the property owner's behalf I have read this application and the information I have provided is correct I agree to comply with all applicable city and county ordinances and state laws relating to building construction I authorize representatives of the City of Diamond Bar to enter the above -identified property for i pe poses SIGNATURE OF P OPERTY OWNER OR AUTHORIZED AGENT Yehonatan Dillon DATE, q `J �2 D `I)