HomeMy WebLinkAboutPR201900003770 PERMIT#: PR20190000377
' CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Drive, Diamond Bar, CA 91765
(909) 839-7020 Fax: (909) 861-3117 Budding Inspection Hotline (909) $39-7027
D'i'A1NC>NO BAR BUILDING PERMIT APPLICATION www.citvofdlamondbar.com building@diamondbarca.gov
JOB SITE ADDRESS S30 CAMERON CREST OR, DIAMOND BAR, CA 91765
APN 8281009044 LOT# TRACT#
OWNER NAME CHRISTIAN MARCUS C & VICKI L
ADDRESS 530 CAMERON CREST DR
CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE>
APPLICANT NAME TEL
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP TEL
ARCH/ENG/DES NAME
ADDRESS
CITY STATE ZIP TEL
P/C DATE P/C#
ISSUE DATE PR#
TYPE CONSTRUCTION OCC GROUP
SCOPE OF WORK SOLAR ROOF MOUNT PV, 7 04KW, 22 MODULES, 1 SOLAR EDGE
INVERTER
#DWELL UNITS 0 #STORIES #BEDROOMS
BUILDING FEES
DESCRIPTION
SO FT
FACTOR PSF
AD! AREA/VALUATION
SFR/ADD/REM
GARAGE/CARPORT
PATIO/DECK
POOL/SPA
RE -ROOF
COMMERCIAL
TOTAL VALUATION:
TOTAL'
$24,000 0000
Electrical
TYPE
QUANTITY
AMOUNT
TOTAL
Photovoltaic Systems
1
$7199
$7199
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
$50 00
$90 55
PLAN REVIEW
$50341
ELECTRICAL
$7199
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
$78 69
SMIP
$2 60
ENERGY
RETENTION FEE
$12 00
PRE/ALT FEE
BASF
$100
PLOT PLAN
ZONING CLEARANCE
CYCLING AND WASTE DEPOSIT
PERMIT SYSTEM REPLACMENT FEE
$1000
TOTAL FEES,
$820 24
COMMENTS
P/C RECEIPT # PAY METHOD VALIDATION
PERMIT RECEIPT # 43907 PAY METHOD CK. #6110 VALIDATION
R C
PERMIT #: PR20190000377
CITY OF DIAMOND BAR
INSPECTION RECORD
INSPECTION•
SETBACK / LETTER
•
TRACK AND LEDGER
•INSPECTOR:
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 GUNIT£
SEWER CLEANOUT
POOL PRE DECK BONDING
MAIN WATER LINE
P-TRAP
ROOF SHEATHING
FENCE / GATE ( ALARM
FLOOR SHEATHING
FINAL POW.
SHEAR WALLS EXTERIOR
WARS
SHEAR WAILS INTERIOR
WALL FOOTING/STEEL
FRAMINWNTING
WALL STEEL 1ST{ } 2ND{) LIFT
RO MECHANICAL
WALL DRAIN/SEAL
RO ELECTRICAL W O C {)
WALL FINAL
RO PLUMBING
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
ROUGH FIREAPPAOVAL
INSULATION CEILING
ANAL FIRE DEPARTMENT
HOT MOP/SHOWERPAN
Al" PLANNING
DRYWALL
RNAL PW ENGINEERING
LATH EXTERIOR
FINAL PAT MAINTEMANCE
LATH INTERIOR
RNALHEALTHOEPT
GAS TEST
FINAL INDUSTRIAL WASTE
SCRATCH COAT
FINAL RWLDING
ELECTRIC METER RELEASE
FINAL MECHANICAL
GAS METER RELEASE
FINAL ELECTRICAL
SPECIAL INSPECTION
FINAL PLUMBING
SMOKE & CARBON
MONOXIDE DETECTORS
TC OF OCCUPANCY
CERT OF OCCUPANCY
COMMENTS
PERMIT M
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of per}ury that I am exempt from the Contractor's State License Law for the rea
below by the checkmark(s) I have placed next to the applicable items) [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 If a signed statement that he or she is icensed 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)
orthat he or she is exempt from licensure and the basis 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
(.,,) 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 budding 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 )
U I am exempt from hoensure underthe 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
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 httplwww leginfo ca govjcalaw 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 ChapterSi (commencing with Section 7000) of
Division B of the Business and Professions Code, and my license is in full force and effect
LICENSE CLASS LICENSE NUMBER
EXPIRATION DATE CONTRACTOR SIGNATURE
WORKERS' COMPENSATION DECLARATION:
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 POLICY # EXPIRATION DATE
NAMEOFAGENT 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 relating to building construction
I authorize representatives of the City of Diamond Bar to enter the abov nti property for inspectign purposes
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT
DATE