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Home My WebLink AboutPR20190000899rA PERMIT #: PR20190000899 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 DIAiAOND BAR BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@dlamondbarca.gov JOB SITE ADDRESS- 24374 NORTHVIEW PL, DIAMOND BAR, CA 91765 APN 8281032061 LOT# TRACT# OWNER NAME VALDEZ FRANK A & MARIA C ADDRESS 24374 NORTHVIEW PL CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME Tessa Energy Operations, Inc ADDRESS Ann Licensing, 901 Page Ave CITY Fremont STATE CA ZIP 94538 TEL (8441837.5201 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 13 Jun 2019 PR# PR20190000899 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK SOLAR INSTALL 13 PANELS 4 095 KW PV I INVERTER #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF ADJ AREA/VALUATION SFR/A00/REM GARAGE/CARPORT PATtO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL: $13,000 0000 Electrical TYPE QUANTITY AMOUNT TOTAL Photovoltaic Systems 1 $7199 $7199 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $14146 PLAN REVIEW $5000 ELECTRICAL $7199 PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $78 69 SMIP $1 69 ENERGY TENTION FEE $12 00 PRE/ALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $1000 TOTAL FEES: $366 83 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # 45042 PAY METHOD CHECK 206445 VALIDATION CR PERMIT #: PR20190000899 t ■Tnuolfl mm Ito] am SETBACK / LETTER DATE:INSPECTION TRACK AND LEDGER FOOTINGS FORMS I BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOLISPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING FENCE/GATE/ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WAILS INTERIOR WALL FOOTING/STEEL FRAMINGIVENTING WALL STEEL SST() 2ND(j LIFT RO MECHANICAL WALLDRAIN/SEAL RO ELECTRICAL W () C { j WALLFINAL RO PLUMBING NO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIRE APPROVAL INSULATION CEILING FINAL FIREDEPARTMENT HOT MOP/SHOWERPAN FMLALPLANNING DRYWALL FINAL P W ENGINEERING LATH EXTERIOR FINAL PWMAINTENANCE LATH INTERIOR FINAL HEALTH DEFT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FN44L BUILDING 4P ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS TC OF OCCUPANCY CE0.T. OF aCUPANCY COMMENTS e PERMIT #: PR20190000899 OWN -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 7031 S, Business and Professions Code Any city or county that requires a permit to construct, alter, 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($S00) ] (J I as owner of the property, or my employees with wages as their sole compensation, will do (J all of or (J 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 budding or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale ) (J 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 protects with a licensed Contractor pursuant to the Contractors' State License Law ) (_} I am exempt from licensure underthe Contractor's State License lawforthe 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 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 leglnfo,ca govjcalaw 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 C46 LICENSE NUMBER 888104 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 1 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 ZURICH AMERICAN POLICY # EXPIRATION DATE INSURANCE COMPANY NAME OF AGENT EWS1074SEIS01 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 owners 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 la elating to building construction I authorize representatives of the City of Diamond Bar to enter the above nfled or inspects n pur as SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE