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Home My WebLink AboutPR20180034126f t :tt Fr CITY OF DIAMOND BAR ( COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Budding Inspection Hotline (909) 839-7027 RIAMt7ND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS:1S33 DAB CT, DIAMOND BAR, CA 91765 APN 8763025019 LOT# TRACT# OWNER NAME CHEN AMY ADDRESS 1533 DAB CT CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONEa APPLICANT NAME TEL CONTRACTOR NAME ADDRESS CITY STATE • ZIP TEL ARCH/ENG/DES NAME ADDRESS CITY STATE ZIP TEL P/C DATE P/C# ISSUE DATE 10 Sep 2018 PR# PR20180034126 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK Pool & Spa Remodel with new uOrides #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO, FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA ROOF COMMERCIAL TOTAL VALUATION- TOTAL• S43 Eleenical TYPE QUANTITY AMOUNT TOTAL Receptacle, Switch, Lighting or other Outlets 3 $235 $705 Piurn ng TYPE QUANTITY AMOUNT TOTAL Gas Piping System 1 $9912 $9912 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $698 84 PLAN REVIEW $594 01 ELECTRICAL $55 76 PLUMBING $9912 MECHANICAL INSPECTION FEE ISSUANCE $112 SMIP $3 90 ENERGY RETENTION FEE $64 64 PRE/ALT FEE BASF $2 00 PLOT PLAN ZONING CLEARANCE $77 91 RECYCLING AND WASTE DEPOSIT TOTAL FEES- $1,708 54 COMMENTS___ P/C RECEIPT# PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION PERMIT #: PR201800r�#126 CITY OF DIAMOND BAR t 1 V INSPECTION. SETBACK / LETTER • • TRACK AND LEDGER ••INSPECTOR: FOOTINGS FORMS T•BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL P004-IPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PREGUNITE e SEWERCLEANOUT POOL PRE DECK BON NG MAIN WATER LINE P4RAP ROOF SHEATHING FENCE/GATE/ALARM II •` 11 i FLOOR SHEATHING FINAL POOL SHEAR WADS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL 1STI) LNDI) LIFT RD MECHANICAL WALL DRAIN/SEAL RD ELECTRICAL W () C () WALL FINAL RD PLUMBING RD FRAMING PLANNING APPROVAL 7LATION WALL ROUGH FIREAPPROVAL INSULATION CEILING tYNALFNNEDEPARTMENT HOT MOP{SHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PIN MAINTENANCE LATH INTERIOR FINALNEALTHDEPi GAS TEST'S FINAL INDUSTRIAL WASTE SCRATCH COAT FI NTLBUILDING I t- ELECTRIC METER RELEASE FINNAL MECRANICAL METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING n/ •_•'�Ijlj 'If r �F SMOKE CARBON MONOXIDETORS T C Of OCCUPANCY CERT OF OCCUPANCY COMMENTS PERMIT #: PR201OW34126 WNER-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 70315, 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 orshe is exempt from licensure and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) ) (J I as owner of the property, or my employees with wages as their sale 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale ) L) 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 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 c year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an 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 Cade is available upon request when this application is submitted or at the following Web site http/www leginfo ca gov/calaw btml SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with io 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect LICENSE CLASS G'3`a /a LICENSE NUMBER EXPIRATION DATE CONTRACTOR SIGNATU 7 7 [fe0t;" 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 ATTORNEY'S 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 Cade, 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 POLICY # EXPIRATION DATE NAME OF AGENT 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 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 1 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 I authorize representatives of the City of Diamond Bar to enter the above -identified property for inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT. DATE