HomeMy WebLinkAboutPR20180034332" IIT ]J. PR201 4332
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Drive, Diamond Bar, CA 91765
(909) 839-7020 Fax. (909) 861-3127 Building Inspection Hotline (909) 839-7027
DIAMOND BAR BUILDING PERMIT APPLICATION WWW cltvofdlamondbar com buliding@diamondbarca gov
JOB SITE ADDRESS 20578 OAK MEADOW LN E, DIAMOND BAR, CA 91765
APN 8269097039 LOTR TRACT#
OWNER NAME AN CHIULINGC
ADDRESS 20578 E OAK MEADOW LN
CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE,
APPLICANT NAME TEL
CONTRACTOR NAME True Power Solar
ADDRESS 451 W Lambert Road, Suue 212
CITY Brea STATE CA ZIP 92821 TEL (714) 676-8888
ARCH/ENG/DES NAME
ADDRESS
CITY STATE CA ZIP TEL
P/C DATE P/C#
ISSUE DATE 08 OU 2018 PR4 PR20ISM34332
TYPE CONSTRUCTION OCCGROUP
SCOPE OF WORK Roof mounted (24) solar pariels 483 kW
#DWELL UNITS 0 #STORIES #BEDROOMS
BUILDING FEES
DESCRIPTION
SQ FT
FACTOR PSF
ADI AREAIVALUATION
SFR/ADD/REM
GARAGE/CARPORT
PATIO/DECK
POOLISPA
RE -ROOF
COMMERCIAL
TOTAL VALUATION
TOTAL
$14,0000000
Electrical
TYPE
QUANTITY
AMOUNT
TOTAL
Photovoltaic Systems
1
$7199
$7199
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
$102 33
PLAN REVIEW
$5000
ELECTRICAL
$7199
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
$78 69
SMIP
$182
ENERGY
RETENTION FEE
$1100
PRE/ALT FEE
BASF
$1 DO
PLOT PLAN
ZONING CLEARANCE
RECYCLING AND WASTE DEPOSIT
TOTAL FEES
$316 83
COMMENTS
P/C RECEIPT # PAY METHOD VALIDATION
PERMIT RECEIPT# 2_ PAY METHOD 2 VALIDATION
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2
PERMIT #• PRZ0280034332 ev It
CITY OF DIAMOND BAR
INSPECTION RECORD
INSPECTION
SETBA X /TETFER
DINSPECTOR:
TRACK AND LEDGER
FOGTINGS FORMD
THMR
STAR
P004004 ION
UG MINDING
ROOFORAINS
US ELECTRICAL
MIRGI PA
UFER GROUND
GAS TEST, EI, K ME
SEWER LATERAL.
PRE WRITE
SEWER CLFANOUT
POOL PRE DECK SON04NO
MAIN WATER UNE
P-TRAP
PRICE SHEATHING
FENCE/GATE/ALARM
FLOORSHEATHING
FINAL POOL
SHEAR WALLSEXTEAWR
WALLS
SHEAR WAIL3INTEPOR
WALL FOOTINGISTER.
FRAMING,FAENGNG
WALLSTEELL}TLI2NWIUFT
NO MECHANICAL
WALLOAAIN/SEAL
RD ELECTRICAL W I) CL 1
WAA FINAL
RO PLUMBING
IW FRAMING PLANNING
APPROVAL
INSULATION WALL
WISH 7REAPPROVX
INSULATION CEILING
FWAL AMEDFPARTMENT
HOT MOP/SHOWERPAN
EMML PUNNLND
DRYWALL
RNALPWENGINEENING
LATH WERIOR
FINAL PW A#MNTI M UNCE
LATH INTERIOR
FINALNWHOEPP
GAS TEST
FINAL INWpiRW WASTE
XRATCH COAT
FINAL NUROING
ELECTRICMETERRELEASE
FINAL MECHANICAL
GAS METER RELEASE
Row ELKTRLGL
SPECIAL INSPECTION
FIRNLPLLIVOW
SMOKE & CARLSON
MONCLUM OETECTUi15
T C OF OCCUPANCY
CERT OF OCCUPANCY
M ►`Y fB.PR203B0034332
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 ($SQO) )
{ j 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 taw 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 )
U 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
taw )
U I am exempt from bcensure 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/wow teginfn ca govjcalaw hum)
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 B, C46 LICENSE NUMBER 970591
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,OOO), 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 selfdnsure for workers' compensatton, 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 k EXPIRATION DATE
NAME OF AGENT 9147686 PH0NE4
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' compensatmn 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 provislons
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 haw 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 Ourneind Bar to enter the above-rde property for inspection purposes
SIGNATURE OF ROR OWNER OR AUTHORIZED AGENT
DA 1