The URL can be used to link to this page

Home My WebLink AboutPR20190001474P `% PERMIT #: PR20190001474 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) $61-3117 Building Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com buildingf@diamondbarca.gov JOB SITE ADDRESS: 541 BELLOWS CT, DIAMOND BAR, CA 91765 APN 8281035043 LOT# TRACT# OWNER NAME KIM SANG R ADDRESS S41BELLOWS CT CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONEY APPLICANT NAME TEL CONTRACTOR NAME CLEAN ENERGY SOLUTIONS INC ADDRESS <NO STREET ADDRESS, 417 W ALLEN AVE STE 105 CITY SAN DIMAS STATE CA ZIP 91773 TEL (800) 994-1134 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 21 Aug 2019 PR# PR20190DO1474 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK 5 SkW PV SYSTEM 19 MODULES, NO PANEL UPGRADE #DWELLUNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF ADJ AREAIVALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOLISPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL: $17,000 0000 Electrical TYPE QUANTITY AMOUNT TOTAL Photovoltaic Systems 1 $73 93 $73 93 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $145 43 PLAN REVIEW $50 00 ELECTRICAL $73 93 PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $80 81 SMIP $2 21 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: $375 38 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION r , PERMIT #. PR20190001474 411 "01271_1I L • l M : ; lnmaamuLuxua INSPECTION lnmaamuLuxua •'INSPECTOR: SETBACK / UEFTER TRACK AND LEDGER FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL ,,.. POOL/SPA UFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWERCLEANOUT 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 1ST( } 2ND( ( LIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICAL W () C () WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL OREOEPARTlNENT HOT MOP/SHOW ERPAN FINAL PLANNOW DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PW MAIMENANCE LATH INTERIOR RNAL HPALTHOEPT GAS TEST ',. FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINALMECHANWAL GAS METER RELEASE FINAt ELECTRICAL t,L cl SPECIAL INSPECTION FINAL PLUMBING O SMOKE $ CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT OF OCCUPANCY COMMENTS COMMENTS 0 PERMIT #: PR20190001474 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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 bans 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) 1 (J I as owner of the property, or my employees with wages as their sale compensation, will do (J all of or U 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 proving that it was not built or improved for the purpose of sale ) U 1, 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 ) (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 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 leginfo ea 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 Dwision 3 of the Business and Professions Code, and my license is in full force and effect LICENSE CLASS C10, B LICENSE NUMBER 998787 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 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 WC201900016318 PHONE # I certify that, inthe 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 relating to bu 0 1 authorize representatives of the City of Diamond Bar to enter the above -identified p nspection poses SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE