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Home My WebLink AboutPR20190000784f— PERMIT #: PR20190000784 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 {909j 839-7020 Fax: (909) 862-3127 Building Inspection Hotline (909) 839-7027 DI4lVIC)NO BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com budding@diamondbarca.gov JOB SITE ADDRESS:1511 GERARD DR, DIAMOND BAR, CA 91M APN 8293029018 LOT# TRACT# OWNER NAME LINDHOLM HARIAN M ADDRESS 4305 HIDDEN OAKS DR CITY YORBA LINDA ZIP 92886 TEL <NO PRIMARY PHONES APPLICANT NAME TEL CONTRACTOR NAME PACIFIC COAST COPPER REPIPE ADDRESS 15565 ANAHEIM BLVD CITY ANAHEIM STATE CA ZIP 92805- TEL 714 758-7725 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 09 May 2019 PR# PR201900DO794 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK PEX REPIPE 9 FIXTURES #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL ? 4 + \ TOTAL VALUATION, TOTAL. Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture/Trap or Set of Fixtures 9 $19 82 $17B 38 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING $178 38 MECHANICAL INSPECTION FEE ISSUANCE $45 02 SMIP ENERGY RETENTION FEE $8 91 PRE/ALTFEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $7 13 TOTAL FEES: $239 44 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT# 44S11 PAYMETHOD CHECK 350S2 VALIDATION CR PERMIT #, P%20190000784 CITY OF DIAMOND + . INSPECTION' & SETBACK J LETTER DATE: INSPECTOR: INSPECTIONINSPECTION TRACKANDLEDGER INSPECTOR: FOOTINGS FORMS TBAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOL/SPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOFSHEATHING FENCE GATE/ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING%VENTING WALL STEEL LST(2ND{ LIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICAL W O C (j WALL FI NAL AO PLUMBING �1/ / J / 7/f RO FRAMING PLANNING APPROVAL INSULATIONWALL ROUGH FIRE APPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHO WERPAN FINAL PLANNING DRYWALL FINALPWENGINEERING LATH EXTERIOR FINALPWAWNTENANCE LATH INTERIOR FINAL HEALTH DEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FRPALMECHANI£AL GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING J� J SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY tEAT OF OCCUPANCY COMMENTS V OWNER-BbILDER 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 4, Commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he or she 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 sole compensation, will do (J all of or U 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 the property, provided that the improvements are not intended or offered for sale if however, the building 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 ) (_) 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 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 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 4 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect LICENSE CLASS C36 LICENSE NUMBER 738350 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 ATTORNEY'S FEES 1 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, 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 LIBERTY MUTUAL INSURANCE POLICY# EXPIRATION DATE COMPANY NAME OF AGENT XWW58511154 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 sit 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 Cade, 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 workforwhich 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 I have provided is correct .---- I agree to comply with all applicable city and county ordinances and state laws relating tmlding construct I authorize representatives of the Gty of Diamond Bar to enter the above -identified pro rty for in pu 516NATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE 2