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Home My WebLink About15-1980 • _��'=�''�... ,,._ , CITY OF DIAMOND BAR , � ' ` ' I � ' ,; DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES C..,i ��/ 'f� �- �=�� 21810 Copley Drive,Diamond Bar,CA 91765 � pRE�� ,;„,,h4,�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY '�""� BUILDING PERMIT APPLICATION � = JOB SITE ADDRESS Z- � R�� Q � f' APPLICATION DATE:_B,I2 S�/S P/C# /�s'-l9�'p I � z APN L�OT��-�� . TRACT ISSUE DATE: PERMIT# � OWNER ��1 tiJ ri R�f , TYPE CONST. OCC GROUP: � ADDR SS��Z� �r�'PLi h 1 h 1 V'� � �� ZONING SETBACKS � CITY ZIP��TEL. FRONT RW ❑ Y APPLICANT TEL.�OS Z�I',S�I E�SD REAR ❑ n � �, � SIDE/SIDE STREEf RW ❑ � CONTRACTOR �c��1- C�� SIDE ❑ � ADDRESS =��f?Qi�II 1�+.�! ) W��I PROPOSED USE � CITY aH �Q�Qa ZIP y�IO' TEL. "' � � ARCH/ENG/DESIGNER �S LtN'IP`�S L�►rQ �� y = ADDRESS � #DWEL.UNITS #STORIES 2 #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEfl-BUILOEN DECLAMTION x SFR/ADD/REM � I hereby affirm under penalry of perjury that I am exempt from the Contractor's State License Law for the reason(s) I � indicated below 6y the checkmark(s�,I have placed ne#to the applicable item(s)[Section 7031.5,Business and Garage/Carport Prolessions Code:Any city or county that requlres a permit to construct,alter,Improve,demolish,or repair,any z structure,priar to its issuance,also requires the applicant for tlie pertnit ta file a signed statement that he or she � Patio/Deck � I i is licensed pursuant tn the provis(ons of the Contractar's State License Law(Chapter 9)Commencing with Section w � 7000 of Division 3 of ttie Business and Professions Code]or that he or she is exempt from licensure and the basis for LL Pool/Spa I � the alleged ezemption.Any violation of Section 7031.5 by any applicant for a permit subjecCs the applicant to a civil penalty Z Re-Roof ,s of not more than five hundred dollars($500�. 0 I � U I,as owner of fhe property,or my employees with wages as their sole compensation,will do(1 all of or U portions � Commercial I y of the work,and the ffiructure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I � 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 I � 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.). � U � U I,as owner of the property,am exclusively contracting witli licensed Contractors to construct the project(Section Valuation: Adj.ArBa: I Z 7044,Business and Professions Code:The Contractors'State License law does not apply to an owner of properry who � builds or improves thereon,and who contracts for the projecLs with a licensed Contrador pursuant to the Cont2ctors'State QUANTIIY DESCRIPTION FEE I License Law.). I � (,I am ezempt from licensure under the Contrac[or's Siate License law tor the following reason(s): � � � I 1 By my signature below I acknowledge that,except far my personal residence in which I must have resided for at least one w I � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an � I owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable w � law,Section 7044 of the Business and Professions Code is available upon request when this application is suhmitted or at I X the following Web site:http/www.leginfo.ca.gov/calaw.html. � I z = DATE: SIGN: � LICENSED CONTflACTOP'S DECLAflATION � I a II � I hereby aRirm 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. J I ;� LICENSE CLASS:G�t��LIC.N .:�!� CJ/�'T z I a i � DATE:��2� CONTRACTOR: C � Q f' �j �/ � I ¢ WOHNEfl'S COMPENSATION UECLAHATION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLAR4110NS: J(-�,/ � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: /cJ%i� . � Sedion 3700 of the Labor Code,tor the performance of the work for which this permit is issued. PLAN REVIEW: > � I have and will maintain Worker'S Compensation Insurance,as required by Section 3700 of the Labor Code,for �� Z the peRormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: � ¢ PolicyNumberare: ` � PLUMBING: � CARRIER ZUr1L N'�e/'I�QN MECHANICAL: � POLICYNUMBER_l��_� '�� INSPECTION FEE: n (IHIS SECTION NEED NOT BE CAMPLETED IFTHE PFRMfT IS FOR ONE HUNDRFD DOLLARS($100)OR LESS). �� .�4y ISSUANCE: �/�� = I certify that in the pertormance of the work for which this permit is issued,I shall not employ any person in any manner so as to ��e � become subjed fo the Worker's Compensation Laws of Califomia.Md agree ihat'rf I should become subject m the Worker§ SMIP: L Compensa6o p�ection 3700 of ihehabor e,I sha with comply with those provisions. ENERGY P/C: J J DATE: Z APPLJCANT: �JLi � 1 S ENERGY PERMIT: � WARNING:Failure o secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: �__ ipenalties and civil fines up to one hundred thousand dollars(5100,000�,in addition to the cost of the compensation, = damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: /Pa y I hereby alfirm under penalty of perjury that there is a Cons[ruction Lending Agenc,y for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: = LENDER'SADDRESS: i I certify that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES �,`�� Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this counly to COMMENTS: � enter upon the above-mentioned prop for inspection purposes. J , � .j m� d.�v�e$ ¢ PERMIITEE N (PRINn J , 1 n a pr� = SIGNAN R EE DATE RECEIPT# PAIDBY: ��1�� VALIDATION:� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIA.MOND BAR " INSPECTICyN Fi�CORD � • � � • • - � • � � . � . 3..,:"�az -... < . „�.,,n..«. , .. . , ,SETBAGK/LETTER, � , � ,y � � � � � � x. � r . TRACT AND LEDGER FOQTINGS F.,QRMS�, �; .. �, �, � � � _, � ��- SWITCH GEAR �S(.AB �� ;,, � �� »..� �� COMMERCIAL HOOD � �U�.PLUMBING�x __ � °-; � _ � �� ' �� T-BAR ;UG:°'ELEGTRi��L� `�� "!' � �" � `� �e �' �� ' � - � �� INTERCEPTER _ � _ ,U��R GROUt�D _:''` ` :� ' '�'� ` � � � �� " � ' "� HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL � MAIN WATER LINE � HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR�WALLS EXTERIRR,�. �.�� ; s,s .s; : ,,' � POOUSPA�` � r „ y; � ,� , , _ �e ;� � � � � � _�< n �SHEAR`WALLS IN7ERIOR '' � � ; � , ' ' � ROUGH PLUMBING �. � , � y _ ; _ . � - _ FRAMING/VENTING�� ` � �Po� ' � � " ROUGH ELECTRICAL ..�. �� ._�. ,, — _ . �, .� �_ < �_ y RdU�H MECHANICAL__ ,_ , ` � .. _ n ; � _ ROUGH MECHANICAL _ . _�_ � . � GAS TEST ROUGH,E�ECTRICAL W(�)C(' ) , , �. � � AROUGH PLUMBING� � �„ . �.�M � � � � � � PRE GUNITE INSULATION WALL POOL PRE DECK BONDING " ` INSULATIQN CEIUNG P=T�P � � ' � � � DRYWALL FENCE/GATE/ALARM � , LATH(PRE) �FINAL POOL � � � � � LATH EXTERIOR W�1��S� LATH INTERIOR WALL FOQTING/STEEL GAS TEST WALL STEEL 1 s'( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMIN6 PLANNINGAPPROUIaL P _ .� .� .�. _. _ _ _ � �IM11��8UILDING ��.,: �� :" /� " - � � � � ROUGH�IREAPPROVAL �, � _. . s� � ��INAI�MECFiANiCAL �� ", � r_ � .�, ,. � � .�„ ,. � FINAL FIRE DEPARTNIENT _ .. � � P. �w. � _ �fINAL ELE,C,T#iICAI�� FINAL PLANNING � �„�� J � ��, � � � , ; . _ �� . �Y : � Fit�l#iL PLUMBING � ,:� � � �, � - FINAL ENGINEERING/PW � � � > �` ` T.G;of OGGUPANCY.��• ^��_ � � � �� - � �� FINAL COMMUNITY SERVICES ° �� CERT�of 0l�i1P�Ai�CY� `�� "�"°`� � �' "� � �� . � �FINAC HFJILTH DEPT. ` �' _ � _ . _ - � � FINAL INDUSTRIAL WASTE COMMENTS: .� - , , ,i U� I I � '� - O ��'aw�c�x�'�� r9S9 City of Diamond Bar 21810 Copley Dr. Diamond Bar,CA 91765 RECEIPT OF PAYMENT Receipt Number: 2015026242 Receipt Date: 08/27/2015 Date Paid: 08/27/2015 Full Amount: $54.67 Payment Details: Payment Method Amount Tendered Check Number Check $54.67 779328 ` Amount Tendered: $54.67 Change / Overage: $0.00 Contact (Paid By): SolarCity Corporation, Address:3055 Clearview Way , Phone:(650) 638-2028 Property Address: 21020 RIEGO DR, DIAMOND BAR, CA 91765 FEE DETAILS: Fee Description Reference Number Amount Owing Amount Paid Building Permit Fees Residential PR20150001980 $54.67 $54.67 This receipt only acknowledges payment of fees to the City: It is not proof that a license, permit or other approval has been issued. This receipt does not authorize the commencement or conduct of any activity for which a fee has been paid.