The URL can be used to link to this page

Home My WebLink AboutPR20190000887PERMIT M AV CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 Egedgm (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdlamondbar.com budding@diamondbarca.gov JOB SIDE ADDRESS, 1306 GLENTHORPE DR, DIAMOND BAR, CA 91765 APN 8763010002 LOT# TRACT# OWNER NAME MANRIQUEZ ANTHONY & LINDA ADDRESS 1306 GLENTHORPE DR CITY WALNUT ZIP 91789 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME KEN STARR dba HOME COMFORT USA ADDRESS 1120 N TUSTIN AVE CITY ANAHEIM STATE CA ZIP 92807 TEL (888) 769-3009 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 29 May 2019 PR# PR20190000887 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK 4 TON A/C CHANGE OUT - FAU CHANGE OUT IN ATTIC - (9) DUCTS- FAU ELECTRICAL CIRCUIT & GAS LINE - #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 TOTAL VALUATION: TOTAL Mechanical TYPE QUANTITY AMOUNT TOTAL A/C Residential (< 100,001 BTU) 1 $32 42 33242 Heater Unit (<300,001 BTU) 1 $32 42 $64 84 Duct Work (New) 9 $52 23 S52 23 Electrical TYPE QUANTITY AMOUNT TOTAL Receptacle, Switch, Lighting or other Outlets 4 $2 35 $9 40 Plumbing TYPE QUANTITY AMOUNT TOTAL Gas Piping System 1 $99 12 $99 12 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL $57 80 PLUMBING $99 12 MECHANICAL $149 49 INSPECTION FEE ISSUANCE $112 36 SMIP ENERGY RETENTION FEE $12 90 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $1032 TOTAL FEES. $44199 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT# 44791 PAY METHOD CK.#15061 VALIDATION RC PERMIT M PR20190000887 CITY OF DIAMOND BAR t. suRwAiMEMMA INSPECTION D• SETBACK ILETTER .• TRACK AND LEDGER D. .. FOOTINGS FORMS T-8AR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOIISPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATERLINE P,TRAP ROOFSHEATHING FENCE / GATE I ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS ...... SMEAR WALLS INTERIOR . WALL FOOTING/STEEL ........... FRAMING/VENTING WALL STEEL 1ST} 12ND(} LIFT RO MECHANICAL WALL DRAIN J SEAL RO ELECTRICAL W (I C { j WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT NOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR RNAL PW MAINTENANCE LATH INTERIOR FINAL HEALTH DEPT GASTEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MECHANICAL +h �('� y W V \ GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE B. CARBON MONOXIDE DETECTORS _..... '',, TC OF OCCUPANCY CERT OF OCCUPANCY COMMENTS PERMIT M PR20190000887 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law far 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 forthe 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 or she is exempt from hcensure 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 ($500) ] (_) I as owner of the property, or my employees with wages as their sole compensation, will do U 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 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 -budder if it has not been constructed in its entirety by licensed contractors I understand that a copy of the applicable v, 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 farce and effect LICENSE CLASS C-20 LICENSE NUMBER 974908 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 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, 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 TRAVELERS PROPERTY POLICY # EXPIRATION DATE CASUALTY COMPANY OF A NAME OF AGENT UB21.7645771826G 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 CalifOmiB, 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 I have provided is correct I agree to comply with all applicable city and county ordinances and state laws relating to b g construction I authorize representatives of the City of Diamond Bar to enter the above -identified prope f r inspection purpose SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE.