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Home My WebLink AboutPR2020000379PERMIT #: PR20200000379 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 22810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 rr ov DIAMONDFBAR BUILDING PERMIT APPLICATION www eityofdiamondbar.c m building@diamondbarca.gov JOB SITE ADDRESS: 21422 CHIRPING SPARROW RD, DIAMOND BAR, CA 91765 APN: 8714022007 LOT#: TRACT#: OWNER NAME: TAN YUEN H ADDRESS: 21422 CHIRPING SPARROW RD CITY: DIAMOND BAR ZIP: 91765 TEL: <NQ PRIMARY PHONE> APPLICANT NAME: TEL: CONTRACTOR NAME: FREEDOM FOREVER, LLC ADDRESS: 3322 Garfield Ave. onn�n_ TFL: (2131 908-8229 ARCH/ENG/DES. NAME: ADDRESS: CITY: STATE: CA ZIP: TEL: P/C DATE: P/C#: ISSUE DATE: PR#: TYPE CONSTRUCTION: OCC GROUP: SCOPE OF WORK: Solar - Roof Mount 5.22 kw, 28 Panels #DWELL UNITS: 0 #STORIES: #BEDROOMS: BUILDING FEES 50, FT. FACTOR PSF ADJ AREA/VALUATION DESCRIPTION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL: $18,000.00D TOTAL VALUATION: TYPE QUANTITY AMOUNT TOTAL 1 $73.93 $73.9 Photovoltaic Systems PLAN CHECK FEES PERMIT FEES $145.: CONSTRUCTION: $50.00 PLAN REVIEW: $73.' ELECTRICAL: PLUMBING MECHANICAL: INSPECTION FEE: $80.1 ISSUANCE: $2.; SMIP: ENERGY: $12. RETENTION FEE: PRE/ALT FEE: $1. BASF: PLOT PLAN: ZONING CLEARANCE: RECYCLING AND WASTE DEPOSIT: $1p PERMIT SYSTEM REPLACMENT FEE: TOTAL FEES: $375 COMMENTS: P/C RECEIPT #: PAY METHOD: VALIDATION: PERMIT RECEI PT #: PAY METHOD: VALIDATION: PERMIT M PR20200000379 CITY OF DIAMOND BAR INSPECTION RECORD 77 "'' TRACK AND LEDGER FOOTINGS FORMS...T--BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG. ELECTRICAL POOL/SPA; UFER GROUND..GAS TEST, EL, Pt, ME SEWER LATERAL PRE GUNITE SEWER CLEANpUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING FENCE /GATE /ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR UVALLS. SHEAR WAtL51NTERIOR WALL FOOTING/STEEL RAMINGNENTENG WALL STEEL 1ST() 2ND() LIFT W. MECHANICAL:.WALL DRAIN / SEAL tO. ELECTRICAL W. (; C {) WALL FINAL tp. PLUMBING RO. FRAMING PLANNING APPROVAL VSUEATION WALL ROUGH FIRE APPRQVAL vSULATION CEILING F►NALFIRE DEPAR7MENT 10T MpP/SHOW ERPAN FINAL PLANNING RYWALL FINAL PIN ENGINEERING: 4TH EXTERIOR F1NA.L PW MAlN7ENANCE NTH INTERIOR FINALHEALTHDEPT. AS TEST FINAL :IMVUSTR ILlr1/ASTE .BATCH COAT FINALBUILDING. ECTRIC METER RELEASE FINAL: MECHANICAL. aS METER RE LEASE FINAL ELkCFRlCAL 'ECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T.C. OF OCCUPANCY `CERT, OF OCCUPANCY )MMENTS: PERMIT #: PR20200000379 WNER-BUILDER DECLARATION Hereof perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated iere by affirm under penaltyt to the applicable item(s) [Section 7031.5, Business and Professions Code: Any aloby the checkmark(I have placed nex ty or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also ?quires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the ontractors' State License Law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and Professions Code) r that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)1: _) s owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the f a voa 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 )roperty, provided that the improvements are not intended or offered for sale. if however, the building or improvement is ;old within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for :he purpose of sale.) (_) I, 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.) (_)1 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 Ihave he bull s aan owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy pp ble 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. c1r_ninT� iQ� nF PRnPFRTY OWNER OR AUTHORILtU ACztiv i s 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 nIfull force NUMBER;effect.1029644 LICENSE CLASS: Cob EXPIRATION DATE: CONTRACTOR SIGNATURE: WORKERS' COMPENSATION DECLARATION: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION E HUNDRED THOUSAND DOLLARS ($100 000),AN ADDITION CRIMINAL PENALTIES AND CIVIL FINES UP TO ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION NE 06 OF THEING LABORDECLAODE, INTEREST, AND ATTORNEYS FEES. I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF 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 CARRIER 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 sation insurance carrier and the performance of the work for which this permit is issued. My workers' compen policy number are: EXPIRATION DATE: REDWOOD FIRE & CASULTY POLICY #: ---�� wlnA�c nc Al-FNT• FRWC113471 sner so as to become certify that, in the performance of the work for which this permit is issued, I shall not employ any persvl, 111 Ir 1l.a. 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: DECLARATION REGARDING CONSTRUCTION LENDING AGENCY l hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permi+ issued (Section 8172, Civil Code). LENDER'S NAME: C Rhl'1 OcCC. By my signature below, I certify to each of the following: PHONE IF: 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 ail applicable city and county ordinances and state laws relating to building construction.�poses. I authorize representatives of the City of Diamond Bar to enter the above -identified property SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT: DATE: