HomeMy WebLinkAboutPR20180033753 (384)4
PERMIT #: P1120180033753
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Dnve, Diamond Bar, CA 91765
(909) 839-7020 Fax: (909) 861-3127 Budding Inspection Hotline (909) 839-7027
DiAtAOND BAR BUILDING PERMIT APPLICATION www.citvofdlamondbar.com bu)lding@dlamondbarca.gov
JOB SITE ADDRESS. 630 HOPI ST, DIAMOND BAR, CA 91765
APN 8717021033 LOT# TRACT#
OWNER NAME BARAJAS LORENZO & MARIA
_
ADDRESS 205 E ADAMS BLVD
CITY LOSANGELES ZIP 90011 TEL <NO PRIMARY PHONES
APPLICANT NAME TEL
CONTRACTOR NAME HOSOPO Corporation
ADDRESS 7100 West Flonda Avenue
CITY Hemet STATE CA ZIP 92545 TEL 951) 537-6859
ARCH/ENG/DES NAME
ADDRESS
CITY STATE CA ZIP TEL
P/C DATE P/C#
ISSUE DATE 17Jul 2018 PR# PR20180033753
TYPE CONSTRUCTION OCC GROUP
SCOPE OF WORK INSTALLATION OF ROOF MOUNTED PV SYSTEM 7 98 KW I2g) SOLAR MODULES - (28) OPTIMIZERS & INVERTER WITH 225 AMP
U P G R A D E
#DWELLUNITS 0 #STORIES #BEDROOMS
BUILDING FEES
DESCRIPTION
SQ FT
FACTOR PSF
AD) AREA/VALUATION
SFR/ADDIREM
GARAGE/CARPORT
PATIO/DECK
POOLISPA
RE -ROOF
COMMERCIAL
TOTAL VALUATION,
TOTAL.
$10000
Electrical
TYPE
QUANTITY
AMOUNT
TOTAL
Photovoitalc Systems
1
$?199
$71 99
Panel Upgrade (200.1000 amps)
1
$9131
S9131
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
$117 05
PLAN REVIEW
$50 00
ELECTRICAL
$128 04
PLUMBING
MECHANICAL
INSPECTION FEE
`
ISSUANCE
$123 71
$MIP
$050
ENERGY
RETENTION FEE
$5 61
PRE/ALT FEE
BASF
$100
PLOT PLAN
ZONING CLEARANCE
RECYCLING AND WASTE DEPOSIT
TOTAL FEES:
$425 91
COMMENTS
PjC RECE IPT # PAY METHOD VALIDATION
PERMIT RECEIPT# PAY METHOD tow ii R st VALIDATION
PERMIT III:
INSPECTIOND•
SETBACK / LETTER
TRACK AND LEDGER
D•INSPECTOR:
FOOTINGS FORMS
T-BAR
SLAB
POOL DEMOLITION
UG PLUMBING
ROOF DRAINS
UG ELECTRICAL
POOD/SPA
UFER GROUND
GAS TEST, El, PL, ME
SEWER LATERAL
PRE GUNITE
SEWER CLEANOUT
POOL PRE DECK BONDING
MAIN WATER LINE
P-TRAP
ROOFSHEATHING
FENCE/GATE/ALARM
FLOOR SHEATHING
FINAL POOL
SHEAR WALLS EXTERIOR
WALLS
SHEAR WALLS INTERIOR
WALL FOOTING/STEEL
FRAMING/VENTING
WALL STEEL SST(} 2NDO LIFT
RO MECHANICAL
WALL DRAIN/SEAL
RO ELECTRICALW{}CI}
WALLFINAL
RO PLUMBING
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
ROUGH FIRE APPROVAL
INSULATION CEILING
ANAL FIRE bEPARTMENT
HOT MOP/SHO WERPAN
FINAL PLANNING
DRYWALL
FINAL PIN ENGINEERING
LATH EXTERIOR
FINALPWMAINFENANCE
LATH INTERIOR
FINAL HEALTNOEPT
GAS TEST
FINAL VWWSTI/AL WASTE
SCRATCH COAT
ANAL BUILDING
ELECTRIC METER RELEASE 43
r (� j
FINAL MECNANIM
GAS METER RELEASE
FINAL ELECTRICAL
SPECIAL INSPECTION
FINAL PLUMBING
SMOKE IS CARBON
MONOXIDE DETECTORS
T C OF OCCUPANCY
CERT OF OCCUPANCY
COMMENTS
PERMIT #: PR20180033753
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, prior 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 Code)
or that he or she is exempt from licensure and the basis for the alleged exemption Any violation of Section 7031 S by any
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) ]
(J I as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of t
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 budding or improvement is
sold within one year of completion, the Owner -Builder will have the burden of proving that it was not buiR or improved for
the purpose of sale )
(_) I, 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 )
U I am exempt from licensure under the 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 -budder 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
I 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 C-46 LICENSE NUMBER 1004233
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 STARR INDEMNITY & LIABILITY POLICY # EXPIRATION DATE
COMPANY
NAME OF AGENT 10000003258 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 tate ! cos relating to dill cos coon
I authorize representatives of the City of Diamond Bar to enter the b e- en did rope for p ion purposes
SIGNATURE OF PE TY OWNER OR AUTHORIZED AGENT
DATE V
J