The URL can be used to link to this page

Home My WebLink AboutPR20190000605PERMIT #: PR20190000605 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 DIAMOND BAR BUILDING PERMIT APPLICATION www.cltvofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS. 1135 CHISOLM TRAIL DR, DIAMOND BAR, CA 91765 APN 8717027057 LOT# OWNER NAME LAMPING JANET M TRACT# ADDRESS PO BOX 406 CITY GARDEN CITY ZIP 84028 APPLICANT NAME TEL <NO PRIMARY PHONE> TEL CONTRACTOR NAME Larsun, LLC ADDRESS 7474 S 2340 E CITY Salt Lake City STATE UT ZIP 84121 TEL (949) 294-4220 ARCH/ENG/DES NAME ADDRESS CITY STATE UT ZIP TEL P/C DATE ISSUE DATE 08 May 2019 P/C# PR# PR20190000605 TYPE CONSTRUCTION Not Required OCC GROUP SCOPE OF WORK ROOF MOUNT SOLAR 2530 KW S2 MODULES #DWELL UNITS #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 $76,500 0000 Electrical TYPE QUANTITY AMOUNT TOTAL Photovoltaic Systems 1 $71 99 $71 99 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $80 20 PLAN REVIEW $50 00 ELECTRICAL $71 99 PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $78 69 SMIP $9 95 ENERGY RETENTION FEE $12 00 PRE/ALT FEE BASF $4 00 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $1000 TOTAL FEES, $316 83 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT# PAY METHOD Check # 13139 VALIDATION EM f' i �L/II.L mlgmg*__ i i INSPECTIONDATL SETBACK / LETTER INSPECTOR:•+ TRACK AND LEDGER •' FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL P0041SPA UFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOFSHEATHING FENCE/GATE/ALARM FLOOR SH €ATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL TSTj 12ND( I LIFT RO MECHANICAL WALL DRAIN%SEAL RO ELECTRICAL W () C WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGHFIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOW ERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PIN MAINTENANCE LATH INTERIOR FRJALNEALTNDEPT. GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING -r "1 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 ,, • � •rrrr.r 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 ($SOO) ] (_) I as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 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 ) (J 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 Iicensure under the Contractor's State License law for the following reasons) 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 httpjwww leginfo 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 C46 LICENSE NUMBER 1043108 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 bythe 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 State Farm POLICY# EXPIRATION DATE NAME OF AGENT 92GAR2634F PHONE # I certify that, in the performance of the work for which this permit is issued, I shall not employ arty person in any mannerso 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 owners 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 ing construction i authorize representatives of the City of Diamond Bar to enter the above -identified pro rty r n pec i burp e SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT JudyHallock DATE