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Home My WebLink AboutPR20180034445.1% t PERMIT III: PR20180034"5 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 211110 Copley Drive, Diamond Bar, CA 91765 (909)939.7020 Fax: (909) 861-3117 Building inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www,citvofdismondbar.com building@dlamondbarca.gov 1OB SITE ADDRESS:1200 DIAMOND BAR BLVD, Unit.101, DIAMOND BAR, CA 91765 APN 8702001190 LOT# TRACT# OWNER NAME AGA 08 PROPERTIES Uk ADDRESS 8687 MELROSE AVE#B538 CITY WEST HOLLYWOOD ZIP 9DD69 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME WoodWays Construction Inc ADDRESS 19928 Chase St # 1 CITY Winnetka STATE CA ZIP 91306 TEL (818) 383-8460 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 06 Dec 2018 PR# PR20ISM34445 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK Tenant Improvement - Separate space into 2 spaces for shell only #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO, FT FACTOR PSF AD1 AREA/VALUATION SFR/ADD/REM GARAGEICARPORT PATIO/DECK POOLISPA RE -ROOF COMMERCIAL TOTALVALUATION, TOTAL, Mechanical TYPE QUANTITY AMOUNT TOTAL A/C Residential (< 100,001 BTU) 1 $32 42 $32 42 Electrical TYPE QUANTITY AMOUNT TOTAL Lighting Fixtures, Sockets, or Other tamp Holding Devices 22 $162 $50 24 Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture / Trap or Set of Fixtures 2 $19 82 $39 64 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $665 88 $783 39 PLAN REVIEW ELECTRICAL $5576 PLUMBING $55 76 MECHANICAL $77 15 INSPECTION FEE ISSUANCE $146 03 SMIP $9 80 ENERGY $66 59 $78 34 RETENTION FEE $147 42 PREIALT FEE BASF PLOT PLAN ZONING CLEARANCE $77 91 RECYCLING AND WASTE DEPOSIT TOTAL FEES, $2,164 03 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT# PAY METHOD VALIDATION EM 0/ n PERMIT #: PR20180034445 _, INSPECTION RECORD SETBACK / LETTER DATE:INSPECTION TRACK AND LEDGER FOOTINGS FORMS T-BAR SLAB POOL DEMOUTION UG PLUMBING ROOF DRAINS UG ELECTRICAL P004/SPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE S CLEANOUT POOL PRE DECK BONDING MAIN WATERLINE P-TRAP ROOF SHEATHING FENCE I GATE J ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTINGISTEEL FRAMING/VENTING WALL STEEL 19() 2ND(j LIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICAL W () C (} WALL FINAL RO PLUMBING �j top, it RO FRAMING PLANNING APPROVAL INSULATIONWALL ROUGH FIRE APPROVAL INSULATION CEILING FINAL FIREDEPARTMENT HOT MOP/SHO W ERPAN FINAL PLANNING DRYWALL t yy, � y H IJY j FINAL PIN ENGINEERING LATH EXTERIOR FINAL PIN MAINTENANCE LATH INTERIOR FINAL HEALTH DEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL SURDINO ELECTRIC METER RELEASE FINAL MECHAN" % GAS METER RELEASE FINAL ELECTRICAL 1- SPECIAL INSPECTION FINAL PLUM81NG ''.,.. SMOKE & CARBON MONOXIDE DETECTORS TC OF OCCUPANCY CERT OF OCCUPANCY COMMENTS U' 11 T4�l R-�15 Tiff T� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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) orthat 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 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 t 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 -Budder 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 for the projects with a licensed Contractor pursuant to the Contractors' State License Law ) (_) I am exempt from lice nsure 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 o, year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -budder 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 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 B LICENSE NUMBER 906564 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 by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forthe 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 Comp insurance POLICY #. EXPIRATION DATE NAME OF AGENT 9235550 PHONE # 1 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 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 owner's behalf I have read this application and the information 1 have provided is correct i agree to comply with all applicable city and county ordinances and state laws relating to budding construction I authorize representatives of the City of Diamond Bar to enter the above -identified property for inspection ourposes SIGNATURE OF PROPE OWNERPRIOTHORIZED AGENT PavellPapouban DATE )a P. t 6 l