HomeMy WebLinkAboutPR20200000681PERMIT #• PR202000Q0581
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Drive, Diamond Bar, CA 91765
ffam' (909) 839-7020 Fax: (909) 861.-3117 Building Inspection Hotline (909) 839-7027
DIAMOND IBAR W.cit o
BUILDING PERMIT APPLICATION WWfdialnondbar.com building@diamondbarca.gov
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JOB SITE ADDRESS: 23904 DECORAH RD, DIAMOND BAR, CA 91765
APN: 8703003001 LOT#: TRACT#:
OWNER NAME: PARRA €RNESTO & LETICIA
ADDRESS: 23904 DECORAH RD
CITY: DIAMOND BAR ZIP: 91765 TEL: <NO PRIMARY PHONE>
APPLICANT NAME: TEL:
CONTRACTOR SWELL SERVICES INC DBA SWELL CONTRACTORS
NAME:
ADDRESS: 1515 7TH ST. #49
CITY: SANTA MONICA STATE: CA ZIP: 90401 TEL: (310) 340-0493
ARCH/ENG/DES.
NAME:
ADDRESS:
CITY: STATE: CA ZIP: TEL:
P/C DATE: P/C#:
ISSUE DATE: 17Jun 2020 PR#: PR20200000681
T Y P E OCCGROUP:
CONSTRUCTION:
SCOPE OF WORK: SOLAR SYSTEM: INSTALL ADVANCED ENERGY SYSTEM INCLUDING: 2 TESLA PWERWALL 2 AC BATTERY SYSTEMS, 1 TESLA
BACKUP GATEWAY, INSTALL NEW SUBPANEL TO HOLD EXISTING BACKUP LOADS, INSTALL NEW SUBPANEL TO HOLD EXISTINH
PHOTOVOLTAIC SYSTEM, AND NEW AC BATTERY CIRCUIT BREAKERS
#DWELL UNITS: #STORIES: #BEDROOMS:
BUILDING FEES
DESCRIPTION
SCE. FT.
FACTOR PSF
ADJ AREA/VALUATION
SFR/ADD/REM
GARAGE/CARPORT
PATIO/DECK
POOL/SPA
ION:
TOTAL:
$
Electrical
FRE-RF
TYPE
QUANTITY
AMOUNT
TOTAL
stems
1
$73.93
$73.93
pparatus, Conduits and Conductors
1
$80.27
$80 27
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION:
PLAN REVIEW:
$50.00
ELECTRICAL:
$154.20
PLUMBING
MECHANICAL:
INSPECTION FEE:
ISSUANCE:
$46.23
SMIP:
ENERGY:
RETENTION FEE:
$12.00
PRE/ALTFEE:
BASF:
PLOT PLAN:
ZONING CLEARANCE:
RECYCLING AND WASTE DEPOSIT:
PERMIT SYSTEM REPLACMENT FEE:
$10.00
TOTAL FEES:
$272.43
COMMENTS:
T#: PAY METHOD: VALIDATION:
LPERMITRECEIPTPAY METHOD: VALIDATION:
PERMIT #: PR20200000681
CITY OF DIAMOND BAR
INSPECTION RECORD
COMMENTS:
PERMIT #: PR20200000681
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 7031.5, 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 7031.5 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 (_) 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 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.)
(_) 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.)
(_) 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 -builder 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.htm1.
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, C10, C46
LICENSE NUMBER: 1021183
EXPIRATION DATE: CONTRACTOR SIGNATURE:
WORKERS' COMPENSATION DECLARATION:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECTAN 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.
HEREBYAFFIRM 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: SECURITY NATIONAL POLICY#:
INSURANCE COMPANY
NAME OF AGENT: SWC1257775
PHONE #:
EXPIRATION DATE:
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 relating to building 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:
DATE: