HomeMy WebLinkAboutPR20200000380PERMIT M PR20200000380
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Drive, Diamond Bar, CA 91765
t (90g) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline g@d amondba
`p-R BUtLD1NG PERMIT APPLICATION wwW•cit o¢diarr�orsdbar.corrl building@diamondbarca.gorr
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DIAMONL.'.." ,
JOB SITE ADDRESS: 766 NEWBURY WAY, DIAMOND BAR, CA 91765 TRACT#:
APN: 8ME: 701054002
LOT#:
OWNER NAGUANLAO VIVIEN B & EARL B TEL: <NO PRIMARY PHONE
ADDRESS: 766 NEWBURY WAY ZIP. 91765
CITY: DIAMOND BAR TEL:
APPLICANT NAME:
CONTRACTOR NAME: FREEDOM FOREVER, LLC TEL: (213) 909-8229
ADDRESS: 3322 Garfield Ave. STATE: CA ZIP: 90040
CITY; Commerce
ARCHIENG/DES. NAME: TEL:
ADDRESS: ZIP:
STATE: CA
CITY:
p/C DATE: PR#: PR20200000380
ISSUE DATE: 06 Apr 2020 OCC GROUP:
TYPE CONSTRUCTION:
SCOPE 07= WORK: Solar -Roof Mount $.45 kw, Z6 Panels
#DWELL UNITS: 0 #STORIES:
DESCRIPTION SQ. FT.
SFR/A�— D— �/REM _ ---
GARAGE/CARPORT �_-----
PATIO/DECK
pooL/SPA
RE -ROOF
COMMERCIAL
TOTAL VALUATION:
TYPE
Photovoltaic Systems
CONSTRUCTION:
PLAN REVIEW:
ELECTRICAL•
PLUMBING
MECHANICAL:
INSPECTION FEE:
ISSUANCE:
SM1P:
ENERGY:
RETENTION FEE:
PRE/ALT FEE:
BASF:
PLOT PLAN:
ZONING CLEARANCE:
RECYCLING AND WASTE DEPOSIT:
PERMIT SYSTEM REPLACMENT FEE:
COMMENTS:
#BEDROOMS:
BUILDING FEES
FACTOR PSF_
Electrical
PLAN CHECK FEES
ADJ
TOTAL:
QUANTITY AMOUNT
1 ��� $73-93
PERMIT FEES
$50.00
TOTAL FEES:
VALI— DATION-
PAY METHOD: VALIDATION:
P/C RECEIPT #: PAY METHOD: CileC�C # 334
PERMIT RECEIPT #:
$26,W0.0000
TOTAL_
�73.93
$143.26
$2.001
$10.00
$375.38
CITY OF DIAMOND BAR PERMIT" #: PR20200000380
INSPECTION RECORD
SETBACK/LETTER
1 `
•'
FOOTIIVGSFORMS ..
TRACK AND LEDGER
SLAB
T-BAR
UG. PLUMBING
POOL DEMOLITION
UG, ELECTRICAL
ROOF DRAINS
LIFER GROUND
PQOL/SPA: .
SEWER LATERAL
GAS TEST, EL PL ME .:
SEWER CLEAN OUT
PREGUNfTE
MAIN WATER LINE
POOL PRE DE CLC BONDING
RpOF SHEATHING
P-TRAP
FLOOR SHEATHING
FENCE / GATE / ALARM
SHEAR WALLS EXTERIOR
FINAL POOL
SHEAR WALLS INTERIOR
WALLS:
FRAMING/VENTkG '
WALL FOOTING/STEEL
Rp MECHANICAL `.
WALL STEEL 1ST() 2NDO y LIFT
RO. ELECTRICAL W �) C �)
WALL DRAIN /SEAL
WALL FINAL
RO_ PLU.MBING
RO. FRAMING PLANNfNG '.
INSULATION WALL
APPROVAL
INSULATION CEILING
ROUGHFIREAAPI�OVAL
HOT MOP/SHOWERPAN
FINAL FIRE DEPARTMENT .
DRYWALL
FINAL PIANAIING.
LATH EXTERIOR
FINALPWENCrIMEFRINCi
LATH INTERIOR
FINALPWAfAINiE1VANCE
GAS TEST
FINAL UEALFhf DEFT
SCRATCH COAT
F1NALlINDUt77gI,gI WASTE
ELECTRIC METER RELEASE
ANAL BUILDING
a •
GAS METER RELEASE
FINAL NIFCHAIVICAI
SPECIAL INSPECTION
FINA4ELECTRICAL
FINAL PLUA�IBlNG
COMMENTS:
PERMIT #: PR20200000380
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from t1rrContractor's � 5,`Business and cense Law rP ofessionsthe (Cade indicated Any
below by the checkmark(s) I have placed next to the applicable it ()
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also
licensed pursuant to the provisions
requires the applicant for the permit to file a signed statement iect�on 70°�O of pivision 3 of the Business and Professions Code)
the
Contractors' State License Law (Chapter 9, Commencing
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),1:
(_) 1 or my employees with wages as their sole compensation, will do (_)
all of or (,-,) portions of the
as owner of the properly,
work, and the structure is not intended or offered for sale. (Section 7044, ���ye�s��d personal effort�bu builds a Contractors'improves the
State License Law does not apply to an owner of property w g
ent is
property, provided that the improvements are not intended will have heenoffered
burden of pro i g that it not built are building or pmp owed for
sold within one year of completion, the Owner -Build
the 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.)
(_) 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
ly
year prior to completion of the improvements covered by this permit, contractors�l lunderlstand a structure that a copythat lof the applicable
have built as an
owner -builder if it has not been constructed in its entirety by licensed
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.htmi,
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT:
DATE:
LICENSED CONTRACTOR'S DECCha
LARATION
I hereby affirm under penalty of perjury that I am licensed under provisions force fand Chapter
eff9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, and my license �s LICENSE NUMBER: 1029644
LICENSE CLASS: C46
EXPIRATION DATE: CONTRACTOR SIGNATURE:
WORKERS' COMPENSATION DECLARATION:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE THOUD DOLLARS SF($100 000), IN ADDITION TO THE OST OFND SHALL SUBJECT AN EMPLOYER CT
CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION �O6 OWING LABOR
CODE,
DONSTEREST, AND ATTORNEY'S FEES.
I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE
l have and will maintain a certificate of consent p °Codeself-insure for workers' �forithe performance of the
Director of Industrial Relations as provide Y Section 3700 of the Labor
work for which this permit is issued.
f have and will maintain workers' compensation rots Sr ssu � N{ygworkered bsycompensatSection �on insurance
carder and
de, for
the performance of the work for which this perm
policy number are: EXPIRATION DATE:
CARRIER: REDWOOD FIRE & CASULTY POLICY #:
PHONE #:
NAME OF AGENT: FRWC113471 person in any manner so as to become
FSIGNATURE
n the performance of the work for which this permit is issued, I shall not employ any
workers' compensation laws of California, and agree that, Itrshould become subject to the workers' compensation
ection 3700 of the Labor Code, I shall forthwith comply provisions.DATE:
F APPLICANT:
DECLARATION REGARDING CONSTRUCTIONLENDING 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 fallowing:
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.
1 authorize representatives of the City of Diamond Bar to enter the above -identified property or iection .
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT: Jose Linares
nn lnr,1')0? l