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PERMIT #: PR20190000428
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Drive, Diamond Bar, CA 91765
(909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027
DIAMOND BAR BUILDING PERMIT APPLICATION www cltyofdiamondbar.com building@diamondbarca.gov
JOB SITE ADDRESS: 1S07 KIOWA CREST DR, DIAMOND BAR, CA 9276S
APN 8293038010 LOT#
OWNER NAME YI SUN H
TRACT#
ADDRESS 1507 KIOWA CREST DR
CITY DIAMOND BAR ZIP 91765
APPLICANT NAME
TEL <NO PRIMARY PHONE>
TEL
CONTRACTOR NAME Repipe 1
ADDRESS 19326 Ventura Blvd Ste 201
CITY Tarzana STATE CA
ZIP 91356 TEL (818) 342-2927
ARCH/ENG/DES NAME
ADDRESS
CITY STATE CA
ZIP TEL
P/C DATE P/C#
ISSUE DATE 26 Mar 2019 PR# PR20190000428
TYPE CONSTRUCTION
OCCGROUP
SCOPE OF WORK REPIPE 10 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
TOTAL VALUATION
TOTAL.
Plumbing
TYPE
QUANTITY
AMOUNT
TOTAL
Plumbing Fixture /Trap or Set of Fixtures
10
$19 82
$198 20
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
PLAN REVIEW
ELECTRICAL
PLUMBING
$198 20
MECHANICAL
INSPECTION FEE
ISSUANCE
$45 02
SMIP
ENERGY
rENTION FEE
$9 91
PRE/ALT FEE
BASF
PLOT PLAN
ZONING CLEARANCE
RECYCLING AND WASTE DEPOSIT
TOTAL FEES:
$253 13
COMMENTS
P/C RECEIPT # PAY METHOD VALIDATION
PERMIT RECEIPT # PAY METHOD 149rw tit VALIDATION
), S
PERMIT #: PR20190000428
r
INSPECTION
SETBACK / LETTER
F+
•INSPECTION
TRACK AND LEDGER
FOOTINGS FORMS
T-BAR
SLAB
POOL DEMOLITION
UG PLUMBING
ROOF DRAINS
UG ELECTRICAL
POWSPA
UFER GROUND
GAS TEST, EL, PL, ME
SEWER LATERAL
PRE GUNITE
SEWER CLEANOUT
POOL PRE DECK BONDING
MAIN WATERLINE
P-TRAP
ROOFSHEATHING
FENCE/GATE/ALARM
FLOOR SHEATHING
FINAL POOL
SHEAR WALLS EXTERIOR
WALLS
SHEAR WALLS INTERIOR
WALL FOOTING/STEEL
FRAMING/VENTING
WALLSTEEL 1ST(} 2N0() LIFT
RO MECHANICAL
WALLDRAIN/SEAL
RO ELECTRICAL WOC(}
WALL FINAL
RO PLUMBING
y
lLt
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
ROUGH FIREAPPROYAL
INSULATION CEILING
FINALFL4EDEPARTMENT
HOT MOP/SHOWERPAN
FINAL PLANNING
DRYWALLi
FINAL PW ENGINEERING
LATH EXTERIOR
FINAL PW MAINTENANCE
LATH INTERIOR
FINAL HEALTH OEPT
GAS TEST
FINAL INDUSMAL WASTE
SCRATCH COAT
FINAL BURWNG
ELECTRIC METER RELEASE
FINAL MECHANICAL
GAS METER RELEASE
FINAL ELECTRICAL
SPECIAL INSPECTION
FINALPLUMRING
J Y
SMOKE&CARBON
MONOXIDE DETECTORS
T C OF OCCUPANCY
CERT OF OCCUPANCY
COMMENTS
1
PERMIT #: PR20190000428
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 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 (_) 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 budding or improvement is
sold within one year of completion, the Owner -Budder will have the burden of proving that it was not built or improved for
the purpose of sale )
(_) [,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 hcensure 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, 1 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 Ieginfo 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 force and effect
LICENSE CLASS C36 LICENSE NUMBER 927892
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 BENCHMARK INSURANCE POLICY # EXPIRATION DATE
COMPANY
NAME OF AGENT CST5013781 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
1 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 building construction
I authorize representatives of the City of Diamond Bar to enter the above -identified roperty for inspection purposes
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT
DATE