HomeMy WebLinkAboutPR20190000930Y
PERMIT M PR20190000930
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
Mw 21810 Copley Drive, Diamond Bar, CA 91765
(909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027
rn. rr
DIAMOND BAR BUILDING PERMIT APPLICATION www.cltvofdiamondbar.com building@diamondbarca.gov
JOB SITE ADDRESS.1181 OVERLOOK RIDGE RD, DIAMOND BAR, CA 91765
APN 9706014003 LOT#
OWNER NAME BAKER GORDON A & JANE M
TRACT#
ADDRESS 1181 OVERLOOK RIDGE RD
CITY DIAMOND BAR ZIP 91765
APPLICANT NAME
TEL <NO PRIMARY PHONE>
TEL
CONTRACTOR NAME TREEIUM ENERGY INC
ADDRESS 5352 LAUREL CANYON BLVD, STE 200
CITY VALLEY VILLAGE STATE CA
ZIP 91607 TEL (855) 828-8733
ARCHJENG/DES NAME
ADDRESS
CITY STATE CA
ZIP TEL
P/C DATE
PfC#
ISSUE DATE 05Jun 2019
PR# PR20190000930
TYPE CONSTRUCTION
OCC GROUP
SCOPE OF WORK 15 ROOF MOUNTED SOLAR PANELS4 450 KW - DERATE MAIN BREAKER
#DWELL UNITS 0 #STORIES
#BEDROOMS
BUILDING FEES
DESCRIPTION
SO FT
FACTOR PSF
ADJ AREA/VALUATION
SFRJADDJREM
GARAGEICARPORT
PATIO/DECK
POOL/SPA
RE -ROOF
COMMERCIAL
TOTAL VALUATION:
TOTAL.
$10000
Electrical
TYPE
QUANTITY
AMOUNT
TOTAL
Photovoltaic Systems
1
$7199
$7199
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
$90 55
PLAN REVIEW
$50 00
ELECTRICAL
$7199
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
$78 69
SMIP
$2 60
ENERGY
RETENTION FEE
$12 00
PREJALT 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 # "903
PAY METHOD CK1001668 VALIDATION RC
PERMIT #: PR201900009
10kffilIall i5T*7►T77j 7
SETBACK j -LETTER
DATE:
INSPECTOR:
INSPECTION
TRACK AND LEDGER
DATE:
INSPECTOR:INSPECTION
FOOTINGS FORMS
T-BAR
SLAB
POOL DEMOUTION
UG PLUMBING
ROOF DRAINS
UG ELECTRICAL
POOIISPA
LIFER GROUND
GAS TEST, EL, PL, ME
SEWER LATERAL
PRE GUNITE
SEWER CLFANOUT
POOL PRE DECK BONDING
WATER UNE
P-TRAP
ROOFSHEATHING
FENCE/GATE/ALARM
FLOOR SHEATHING
FINAL POOL
SHEAR WALLS EXTERIOR
WALLS
SHEAR WALLS INTERIOR
WALL FOOTING/STEEL
FRAM-NGIVENTING
WALL STEEL 1ST( ) 2NDj ( LIFT
RO MECHANICAL
WALL DRAIN/SEAL
RO ELECTRICAL W{ j C 1 i
WALL FINAL
RO PLUMBING
RO FRAMING PLANNING
APPROVAL
ILATION WALL
ROUGH FIRE APPROVAL
INSULATION CEILING
FINAL FIRE DEPARTMENT
HOT MOP/SHOWERPAN
FINAL PLANNING
DRYWALL
FINAL PW ENGINEERING
LATH EXTERIOR
FINAL PW MAINTENANCE
LATH INTERIOR
FINAL HEALTH DEPT
GASTEST
FINAL INDUSTRIAL WASTE
SCRATCH COAT
FINAL BUILDING
�
!_
(0
ELECTRIC METER RELEASE
FINAL MECHANICAL
GAS METER RELEASE
FINAL EER'M(CAL
l�
SPECIAL INSPECTION
FINAL PLUMBING
SMOKE & CARBON
MONOXIDE DETECTORS
T C OF OCCUPANCY
,ERT QFQXLlPANCY
PERMIT #: PR201900009
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, 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 ($500) )
U I as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 -Budder will have the burden of provingthat 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 Cade 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 )
(J 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
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 httpjwww leginfo ca gov/calaw htmi
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 B LICENSE NUMBER 1041599
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 TOONE 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 ATTORNEYS 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 NEW YORK MARINE AND POLICY # EXPIRATION DATE
GENERAL INSURANCE CO
NAME OF AGENT WC201700014902 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 perjurythat 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 budding construction
I authorize representatives of the City of Diamond Bar to enter the above -identified property for inspection purposes
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT
DATE