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Home My WebLink AboutPR20180033988If 14 PERMIT #: PR20180033988 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 DIAiNOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS, 1004 TWIN CANYON LN, DIAMOND BAR, CA 91765 APN 9706006033 LOT# TRACT# OWNER NAME PURWADI HARTONO & UNIWATi ADDRESS 1004 TWIN CANYON LN _ CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME Anal Solar ADDRESS 5244 Townsend Ave _ CITY Los Angeles STATE CA ZIP 90041 TEL (805) 410.0494 ARCHfENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE PIC# ISSUE DATE 105ep 2018 PR# PR20180033988 _ TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK Roof mounted 120) solar panels 6 6 kw with 200 amp upgrade #DWELLUNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SC), FT FACTOR PSF ADJ AREA/VALUATION SFR/ADDJREM GARAGE/CARPORT PATIO/DECK POOLISPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL' $131000 owa Electrical TYPE QUANTITY AMOUNT TOTAL Photovoltaic Systems 1 $7199 $7199 Panel Upgrade (less than 200 amps) 1 $46 64 $46 54 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $10146 PLAN REVIEW $50 00 ELECTRICAL PLUMBING $118 63 MECHANICAL INSPECTION FEE ISSUANCE ..... $78 69 SMIP $169 ENERGY RETENTION FEE $12 00 PREJALT FEE BASF _ Sl 00 PLOT PLAN_ ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT TOTAL FEES $36347 COMMENTS P/C RECEIPT# PAY METHOD VALIDATION PERMIT RECEIPT # 4AA 2 Z. PAY METHOD VALIDATION of 1 PERMIT #: PR20180033988 INSPECTION SETBACK / LETTER TRACK AND LEDGER FOOTINGS FORMS T BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL P004aPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING FENCE / GATE / ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL SSTs}$ND}}LIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICALW(}CI} WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGHFIREAPPROVAL INSULATION CEILING FiNALFIREDEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINAL HEALTH D£PT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINALBLRLDMG 6 Q 6G-✓+i ELECTRIC METER RELEASE FINAL MECHAAHCAL GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PUUMBiNGL.- SMOKE & CARBON MONOXIDE DETECTORS -_- TC OFOCCUPANCY DEBT OF OCCUPANCY COMMENTS -1 N PERMIT #: PR2018003 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).). (_) I as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 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) (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 projects with a licensed Contractor pursuant to the Contractors' State License Law ) (_) 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 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 CIO LICENSE NUMBER 873768 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 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 num ber are. CARRIER New York Marine General POLICY # EXPIRATION DATE NAME OF AGENT WC201700013226 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 state laws relatiprer;y uildmg construction 1 authorize representatives of the City of Diamond Bar to enter the above -identified for inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE , il`} Lu