HomeMy WebLinkAboutPR20180034596r -1
PERMIT #: PR20180034596
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21910 Copley Drive, Diamond Bar, CA 91765
1909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027
UA7m 1MD BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca.gov
JOB SITE ADDRESS: 23S24 DEER SPRING LN, DIAMOND BAR, CA 9176S
APN 8701008018 LOT# TRACT#
OWNER NAME HUA NGUYEN & LINH
ADDRESS 23524 DEER SPRING LN
CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE>
APPLICANT NAME TEL
CONTRACTOR NAME Sunn ide Solar Inc
ADDRESS 192S McKinley Ave #G
CITY La Verne STATE CA ZIP 91750 TEL (213) 587.0693
ARCHJENGJDES NAME
ADDRESS
CITY STATE CA ZIP TEL
P/C DATE P/C#
ISSUE DATE 13 Nov 2018 PR# PR20180034596
TYPE CONSTRUCTION OCC GROUP
SCOPE OF WORK Oudet Electrical vehicle charger
#DWELL UNITS #STORIES #BEDROOMS
BUILDING FEES
DESCRIPTION
SO, FT
FACTOR PSF
AD! AREA/VALUATION
SPRtADDtREM
GARAGE/CARPORT
PATIO/DECK
POOL/SPA
RE -ROOF
COMMERCIAL
TOTAL VALUATION:
TOTAL.
Electrical
TYPE
QUANTITY
AMOUNT
TOTAL
Lighting Fixtures, Sockets, or Other Lamp Holding Demces
1
$2 35
1
$2 35
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
PLAN REVIEW
ELECTRICAL
$55 76
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
$4502
SMIP
ENERGY
RETENTION FEE
$5 02
PRE/ALTFEE
BASF
PLOT PLAN
ZONING CLEARANCE
RECYCLING AND WASTE DEPOSIT
TOTAL FEES:
$10S 80
COMMENTS
PIC RECEIPT # PAY METHOD VALIDATION
PERMIT RECEIPT # '1, PAY METHOD 4iaz. NA VALIDATION
r
PERMIT #: PR201$0034596
INSPECTIONi+
SETBACK/LETTER
i'
i
TRACK AND LEDGER
t•INSPECTOR:
FOOTINGS FORMS
T-SAR
SLAB
POOL DEMOLITION
UG PLUMBING
ROOF DRAINS
UG ELECTRICAL
POOVSPA
LIFER GROUND
GAS TEST, EL, PL, ME
SEWER LATERAL
PRE GUNITE
SEWER CLEANOUT
POOL PRE DECK BONDING
MAIN WATER LINE
P-TRAP
ROOF SHEATHING
FENCE/GATE/ALARM
FLOOR SHEATHING
'',,
FINAL POOL
SHEAR WALLS EXTERIOR
WALLS
SHEAR WALLS INTERIOR
WALL FOOTINGISTEEL
FRAMING/VENTING
WALL STEEL 1ST(2NO() LIFT
RO MECHANICAL
WALLDRAIN/SEAL
RO ELECTRICAL W () C ()
WALL FINAL
RO PLUMBING
', �,
I
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
ROUGH FJREAPPROVAL
INSULATION CEILING
FINAL FIRE DEPARTMENT
HOT MOP/SHOWERPAN
FINAL PLANNING
DRYWALL
FINAL PW ENGINEERING
LATH EXTERIOR
FMALPW MAINTENANCE
LATH INTERIOR
FINAL HEALTH DEPT
GAS TEST
FINAL INDUSTRIAL WASTE
SCRATCH COAT'',,,..
FINAL BUILDING
( J
ELECTRIC METER RELEASE
FINALMECHANtM
GAS METER RELEASE
FINAL ELECTRICAL
SPECIAL INSPECTION
FINAL PLUMBING
SMOKE & CARBON
MONOXIDE DETECTORS
T C OF OCCUPANCY
CERT OF OCCUPANCY
PERMIT #: PR20180034596
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated
below by the checkmark(s) I have placed next to the applicable item(s) [Section 7031 S, Business and Professions Code Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also
requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the
Contractors' State License Law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he or she is exempt from licensure and the basis for the alleged exemption Any violation of Section 7031 S by any
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($S00) I
(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
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 forthe projects with a licensed Contractor pursuant to the Contractors' State License
Law )
U 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
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 legmfo 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 C10 LICENSE NUMBER 1002414
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 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 OF APPLICANT DATE
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a constructron 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 relat to bui g construction
I authorize representatives of the City of Diamond Bar to enter the above-ide prop for inspection purposes
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT
DATE 11 -r