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HomeMy WebLinkAboutPR2019000076790 PERMIT M PR20190000767 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotime (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www citvoidiamondbar.com building@diamondbarca gov JOB SITE ADDRESS:106 PROSPECTORS RD S, DIAMOND BAR, CA 9176S APN 8718010013 LOT# TRACT# OWNER NAME VIANA CONRAD & JACQUELINE ADDRESS 106 S PROSPECTORS RD CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME Solar 360 Budding Services Inc ........... ADDRESS 1912 N Batavia, Unit G CITY Orange STATE CA ZIP 92865 TEL (714) 526-7663 ARCHIENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 20 May 2019 PR# PR2019ODD0767 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK SOLAR INSTALLATION 23 MODULES, I INVERTER, SYSTEM SIZE 7 S9KW #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF ADJ AREAIVALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK .� POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION: TOTAL^ $23,000 0000 Electrical TYPE QUANTITY AMOUNT TOTAL Photovoltaic Systems 1 $7199 $7199 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $9016 PLAN REVIEW $50 00 ELECTRICAL $7199 PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $78 69 SMIP $2 99 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 PIC RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # 44665 PAY METHOD Check # 8068 VALIDATION PERMIT M PR201900007T INSPECTIONr SETBACK ( LETTER • • TRACK AND LEDGER r•INSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION US PLUMBING ROOF DRAINS UG ELECTRICAL POOtf3PA LIFERGROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING t FENCE/GATE/ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS $HEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL IST1 12ND(1 LIFT RO MECHANICAL WALL DRAIN / SEAL RO ELECTRICAL W ( ) C { j WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH PREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/$HOW ERPAN FINAL PLANNING DRYWALL ALL FINAL PIN ENGINEERING LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINAL HEALTH DEP7; GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MECHANCAL GAS METER RELEASE FINAL ELECTRICAL �L SPECIAL INSPECTION ANAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS ____........_ T C OF OCCUPANCY CERT, OF OCCUPANCY COMMENTS PERMIT #: PR20190000767 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 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) j 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 t 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 -Builder will have the burden of proving that It was not built 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) (_) I am exempt from hcensure 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 legmfo 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 B LICENSE NUMBER 98SO10 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 ATTORNEYS FEES 1 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. Nationwide Agribusiness POLICY # EXPIRATION DATE Insurance NAME OF AGENT WCC332S62A 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, 1 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 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 Michael Monteleone DATE S' '20ry The alarms ale required to be installed in the following locations Smoke alarms rn all sleeping rooms CO alarms In all sleeping rooms where Fuel burning appliances are installed 4 Smoke alarm and CO alarm in hallways preceding sleeping rooms 's Smoke alarm and CO alarms on each dwelling level including basements and habitable attic rooms The smoke and CO alarms are required to comply with the above when requesting a final inspection Please make sure an adult is present to allow the Inspector access to the home to verify compliance with the above requirements If no one will be available, you may opt to complete the installation Certification below and leave it with the job card (Please fill out and tear off this Portion to leave with the job card if no one will be available to allow the inspector inside the house.) INSTALLATION CERTIFICAT N For t� a lope sated at`j(i it i� 1 hereby certify that the 1=s e alarms andxarbon monox1de alarms have been installed as listed above Sigature Print Name Date j Relationship to project (please check one) o Owner o Agent for Owner o Licensed Contractor o Agent for Licensed Contractor If "IJ�ce4e CCtractor" or "Agent for Licensed Contractor" is checked, please complete the following pn Contract& s State License Number