The URL can be used to link to this page

Home My WebLink AboutPR20180034213 (378)IL PERMIT M PR20180034213 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 20 21910 Copley Drive, Diamond Bar, CA 91765 1111 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS 22940 HILTON HEAD DR, Unit 122, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit-123, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit.124, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit 125, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit.127, DIAMOND BAR, CA 9176S22840 HILTON HEAD DR, Unit128, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit:129, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit:130, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit:#131, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit.132, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit 133, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit,134, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit135, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit 136, DIAMOND BAR, CA 9176522840 HILTON HEAD DR, Unit:121, DIAMOND BAR, CA 91765 APN 87170231258717023126 LOT# TRACT# 87170231278717023128 87170231298717023131 87170231328717023133 87170231348717023135 87170231368717023137 87170231388717023139 OWNER NAME OSBORN AARON 1CASTELLANOS ESTER V & MICHAEL PJARAMILLO JORGELUNDY CHARLES F & VALERIE ALOPEZ BERNARDCHAU CATHYWYNN ANGELAVILLAMIL MIGUEL AREINA DERRICK & TRISNAWATI SHEE BONG CHOSHEE CHENG LIEN CSIU KITTY KXU NAIXINACOSTA JACQUELINE T ADDRESS 22840 HILTON HEAD DR #12122840 HILTON HEAD DR #12222840 HILTON HEAD DR #12312 EL DURADO CT22840 HILTON HEAD DR #12S2801 GLENHURST PL22840 HILTON HEAD DR #12822840 HILTON HEAD DR #13122840 HILTON HEAD DR #12922940 HILTON HEAD DR #13019745 COLIMA RD#1-267136 S FIRCROFT ST22840 HILTON HEAD DR #13422840 HILTON HEAD DR #13S CITY DIAMOND BAR ZIP 9176591765917659176691765917 TEL <NO PRIMARY PHONE><NO PRIMARY PHONE><NO PRIMARY DIAMOND BAR 92917659176S9176591765917489 PHONE><NO PRIMARY PHONE><NO PRIMARY PHONE><NO DIAMOND BAR POMONA 17919176591765 PRIMARY PHONE><NO PRIMARY PHONE><NO PRIMARY DIAMOND BAR WEST PHONE><NO PRIMARY PHONE><NO PRIMARY PHONE><NO COVINA DIAMOND BAR PRIMARY PHONE><NO PRIMARY PHONE><NO PRIMARY DIAMOND BAR PHONE><NO PRIMARY PHONE> DIAMOND BAR DIAMOND BAR ROWLAND HEIGHTS WEST COVINA DIAMOND BAR DIAMOND BAR 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 25 Sep 2018 PR# PR20180034213 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK PEX RE -PIPE ENTIRE HOME - UPONOR PEX SYSTEM 1160) FIXTURES #DWELLUNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTALVALUATION TOTAL Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture / Trap or Set of Fixtures 160 $19 82 $3,171 20 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING $3,171 20 MECHANICAL INSPECTION FEE ISSUANCE $45 02 SMIP ENERGY RETENTION FEE $158 56 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE i RECYCLING AND WASTE DEPOSIT TOTAL FEES, $3,37478 COMMENTS PjC RECEIPT I PAY METHOD VALIDATION PERMEC IT REIPT# PAY METHOD VALIDATION t a PERMIT #: PR20180034213 'INSPECTAN SETBACK I LETTER '', DATE: ! !INSPECTOR: TRACK AND LEDGER FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOL/SPA LIFER GROUND GAS TEST, £L PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P TRAP ROOF SHEATHING FENCE / GATE / ALARM FLOOR SHEATHING .FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMINGIVENTING WALL STEEL LST( ) 2ND(j LIFT RO MECHANICAL WALLDRAIN/SEAL RO ELECTRICAL W O C(} WALLFINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIRE APPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHO W ERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING',. LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR ',. FINAL HEALTH DEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCU PANCY CERT OF OCCUPANCY COMMENTS PERMIT If: PR20180034213 OWNER -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, after, 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 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 ($500) ] U 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 safe (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 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 ) (J 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 reasons) By my signature below I acknowledge that, except for my personal residence in which f 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 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 legmfo ca gov/calaw html 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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect LICENSE CLASS C-36 LICENSE NUMBER C-36 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 3706OF 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 TECHNOLOGY INSURANCE POLICY# EXPIRATION DATE COMPANY INC NAME OF AGENT TWC3675469 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 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 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