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Home My WebLink AboutPR20180034214PE r #: PR201 034214 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 9176S (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: 22886 HILTON HEAD DR, Unit 138, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, Unit:139, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, Unit:140, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, Unit:142, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, Unit:143, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, Unit:144, DIAMOND BAR, CA 9176522886 HILTON HEAD , Unit:145, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, Unit:146, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, Unit:147, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, Unit:148, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, Unit•149, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, Unit:150, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, Unit:151, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, UnH•152, DIAMOND BAR, CA 9176522886 HILTON HEAD DR, Unit.137, DIAMOND BAR, CA 9276S APN 87170231418717023142 LOT# TRACT# 87170231438717023144 87170231468717023147 87170231488717023149 87170231508717023151 87170231528717023153 87170231548717023155 8717023156 OWNER NAME LUEHRS DIANE LPAI HUNG FLING & WEN CHI LISMITH ERICAWOHLFAHRT LILLIAN THAU MARKTAN PRISCILLA THO JAMES & PEI CRUSKI SUNARTO & RATNAGIH DAVIDCHEN KUANIUNGLAWSON MORT R & RANDY DGUH DAVIDLADD DONALD FZEPEDA RONNIE 8 & ESTHER CPAREDES FREDDY M & PRISCILA P ADDRESS 22886 HILTON HEAD DR #13722886 HILTON HEAD DR #13822886 HILTON HEAD DR #13922886 HILTON HEAD DR 140219 N TOLAND AVE22886 HILTON HEAD DR #14311622 SPY GLASS DR2055 PASEO SUSANA2671 BLAZE TRL3239 BENT TWIG LN22886 HILTON HEAD DR #14820917 GOLD RUN DR22886 HILTON HEAD DR #15022886 HILTON HEAD DR #15122886 HILTON HEAD DR #152 CITY DIAMOND BAR ZIP 9176591765917659176591790917 TEL <NO PRIMARY PHONE><NO PRIMARY PHONE><NO PRIMARY DIAMOND BAR 6591326917739176S9176S917659 PHONE><NO PRIMARY PHONE><NO PRIMARY PHONE><NO DIAMOND BAR 176S917659176591765 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 NORTHRIDGE SAN DIMAS PHONE><NO PRIMARY PHONE><NO PRIMARY PHONE> DIAMOND BAR DIAMOND BAR DIAMOND BAR DIAMOND BAR DIAMOND BAR 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# PR20180034214 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK PEX RE -PIPE ENTIRE HOUSE - UPONOR PEX SYSTEM (160) FIXTURES #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA ROOF COMMERCIAL TOTALVALUATION• TOTAL' Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture /Trap or Set of Fixtures 160 $19 82 1 $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 RECYCLING AND WASTE DEPOSIT TOTAL FEES• $3,37478 COMMENTS [PJC�RMCIEIPT # PAY METHOD VALIDATION I PERMIT RECEIPT # PAY METHOD VALIDATION PERMIT #: PR20180034214 C�r�'t•73B7T_T��i•Pi 77�1� INSPECTIONt+ SETBACK / LETTER TRACK AND LEDGER DATEt INSPECTOR: FOOTINGS FORMS T�BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOWPA LIFERGROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUMTE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P4RAP ROOF SHEATHING FENCE / GATE / ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL IST( ) 2ND(} LIFT RO MECHANICAL WALLDRAIN/SEAL RO ELECTRICAL W () C () WALL FINAL RO PLUMBING t+ lip 1 �a VOL RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIRE APPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNRMG DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PW MAMUNANCE LATH INTERIOR FINAL HEALTH DEPT GAS TEST FINALINOUSTRIAI WASTE SCRATCH COAT ANAL BUILDING ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINALELEMACA1 SPECIAL INSPECTION FIIMAL PLUMBING q • `» SMOKE B CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT, OF OCCUPANCY PERMIT M PR201so 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, 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 Season 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)1 (_) 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 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 ) (_)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 ) U 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 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, Season 7044 of the Business and Professions Code is available upon request when this application Is submitted or at the following Web site httpjwww leginfo ca gov/calaw html SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE LICENSED CONTRACTORS 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 C-36 LICENSE NUMBER 991194 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, for the performance of the work forwhich 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 ed (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 ng construction I authorize representatives of the City of Diamond Bar to enter the above-identif for inspection purposes SIGNATURE ROPERTY 0 OR AUTHORIZED AGENT DATE