HomeMy WebLinkAboutPR20190001054PERMIT #; PR20190001054
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Drive, Diamond Bar, CA 91765
(909) 939-7020 Fax: (909) 861.3117 Building Inspection Hotline (909) 839.7027
DIAMOND BAR BUILDING PERMIT APPUCATION www.citvofdiamondbar.com building@diamondbarca.gov
JOB SITE ADDRESS:1997 WHITE STAR-DR,STAF—DR, DIAMOND BAB, CA 91765
APN 8292017001 LOT# TRACT#
OWNERNAME TULLY DONAL
ADDRESS 1987 WHITE STAR DR
CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE>
APPU CANT NAME TEL
CONTRACTOR NAME Sunrun Installation Service
ADDRESS 9220 Hal Rd
CITY Downey STATE CA ZIP 90241 TEL (S62) 441.8063
ARCH/ENG(DES NAME
ADDRESS
CITY STATE CA ZIP TEL
PIC DATE PIC#
ISSUE DATE 26Jun 2019 PR# PR20190DO1054
TYPE CONSTRUCTION OCCGROUP
SCOPE OF WORK Roof mounted (201 solar panels 6 kW
#DWELL UNITS #STORIES #BEDRDOMS
BUILDING FEES
DESCRIPTION
SQ FT
FACTOR PSF
ADJ AREAIVALUATION
SFRJADDIREM
GARAGE/CARPORT
PATIOIDECK
POOL/SPA
RE -ROOF
COMMERCIAL
TOTAL VALUATION*
TOTAL
$15,000 0000
Electrical
TYPE
QUANTITY
AMOUNT
TOTAL
Photovoftalc Systems
1
$7199
$7199
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
90 55
PLAN RENEW
$5000
ELECTRICAL
$7199
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
$78 69
SMIP
$2 60
ENERGY
RETENTION FEE
$1200
PRE/ALT FEE
BASF
100
PLOT PLAN
ZONING CLEARANCE
RECYCLING AND WASTE DEPOSIT
PERMITSYSTEM REPLACMENT FEE
$1000
TOTAL FEES:
$31683
COMMENTS
P/C RECEIPT# PAY METHOD VALIDATION
PERMIT RECEIPT# 45301 PAY METHOD 1142686 VALIDATION
RC
W
PERMIT #: PRZO190001054
INSPECTION
SETBACK / LETTER
DATE:
INSPECTOR:
INSPECTION
TRACK AND LEDGER
DATE:
INSPECTOR:
FOOTINGS FORMS
T-BAR
SLAB
POOL DEMOLITION
UG PLUMBING
ROOF DRAINS
UG ELECTRICAL
POOL/SM
UFER GROUND
GAS TEST, EL, PL, ME
SEWER LATERAL
PRE GUNITE
SEW ER CLEANOUT
POOL PRE DECK BONDI NG
MAIN WATER LINE
P-TRAP
ROOF SHEATHING
FENCE / GATE / ALARM
FLOOR SHEATHI NG
FINAL POOL
SHEAR WALLS EXTERIOR
WALLS
SHEAR WALLS INTERIOR
WALL FOOTING/STEEL
FRAMING/VENTING
WALLSTEEL IS7( ISND() LIFT
RO MECHANICAL
WALLDRAINISEAL
RO ELECTRICALW() C()
WALLFINAL
RO PLUMBING
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
ROUGH FIREAPPROYAL
INSULATION CEILING
FINAL FIREDEPARTMENT
HOTMOP/5HOWERPAN
FINALPLANNING
DRYWALL
FINALPW ENGINEERW6
LATH EXTERIOR
FINAL PWMANIENANLE
LATH INTERIOR
FINAL HEALTH DEPT
GAS TEST
FINAL INDUSTRIAL WASTE
SCRATCH COAT
FINALINHLDING
ELECTRIC METER RELEASE
RNAL MECHANICAL
GAS METER RELEASE
FtNALELE{TRICAL
�e7
SPECIALINSPECTION
FINALPLUMSING
SMOKE &CARBON
MONOXIDE DETECTORS
TC OF OCCUPANCY
CERT O€M-CUPANCY
COMMENTS
III
PERMIT #: PR20190001054
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law forthe reason(s) indicated
below by thecheckmark(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, after, 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 70DD 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
applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) )
(J I as owner of the property, or my employees with wages as their sole compensation, will do (J 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 building or improvement is
solo within one year of completion, the Owner -Budder will have the burden of provmgthat 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 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 )
(J I am exempt from lcensure underthe Contractor's State License law forthe 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 legallysell 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 ca gov/calaw html
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE
LICENSED CONTRACTOR'S DECLARATION
i herebyaffirm 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 <Enter License Class> LICENSE NUMBER 750184
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 number are
CARRIER <Enter Workers Comp> POLICY# EXPIRATION DATE
NAME OF AGENT 0 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 OFAPPUCANT 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 follows ng
I am the property owner or authorized to acton 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 building construction
I authorize representatives of the City of Diamond Bar to enter the above -identified property for inspecbon purposes
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT
DATE