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Home My WebLink AboutPR20190000340PERMIT #: PR20190000340 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.citvofdiamandbar.com building@diamondbarca.gov JOB SITE ADDRESS. 1370 Valley Vista # 278 APN 8293050039 LOT# OWNER NAME 1370 VALLEY VISTA PROPERTY LLC TRACT# ADDRESS 143S1 MYFORD RD #H CITY TUSTIN ZIP 92780 APPLICANT NAME TEL <NO PRIMARY PHONE> TEL CONTRACTOR NAME LY ENGINEERING INC ADDRESS 2972 JUNE ST CITY SAN BERNARDINO STATE CA ZIP 92407 TEL <NO PRIMARY PHONE> ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE ISSUE DATE 12 Apr 2019 P/C# PR# PR20190000340 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK Tenant Improvement for American Fertility Management Corp #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 Inlet and Outlet Served by A/C System (EACH) 11 $5 23 $57 53 Duct Work (New) 1 $156 69 $156 69 Electrical TYPE QUANTITY AMOUNT TOTAL Fixed Residential Appliances or Receptacle Outlets 128 $12 96 $1,658 88 Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture / Trap or Set of Fixtures 1 $19 82 $55 76 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $1,236 88 $1,455 15 PLAN REVIEW ELECTRICAL $1,658 88 PLUMBING $55 76 MECHANICAL $214 22 INSPECTION FEE ISSUANCE $146 03 SMIP $23 20 ENERGY $12369 $14552 RETENTION FEE $134 60 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $107 68 TOTAL FEES $5,301 61 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # UU112L PAY METHOD i4crilif aterx VALIDATION eiI jr PERMIT #: PR201fi'U000�±Q CITY OF DIAMOND BAR RR220-ff• ••r INSPECTION SETBACK I LETTER r• • ON TRACK AND LEDGER O• FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOL/SPA LEER GROUND GAS TEST, E4 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 FRAMINGNENTING vla WALL STEEL 1ST( 12ND() LIFT RO MECHANICAL WALL GRAIN / SEAL RO ELECTRICAL W ( ) C () WALL FINAL RO PLUMBING _1 _ 1 RO FRAMING PLANNING APPROVAL, INSULATION WALL ROUGH FIREAPPROVAL ILATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PW MAINIIENANCE LATH INTERIOR FINALNEALTH DEPT GAS TEST FINAL INDVMLAL WASTE SCRATCH COAT ''., FINALBUILDING ,o / j, ELECTRIC METER RELEASE FINALMECHANICAL /y l0 / GAS METER RELEASE FINAL ELECTRICAL !.d 1 sii _ W SPECIAL INSPECTION FINAL PLUMBING !� ! SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT OF OCCUPANCY PERMIT #: 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 licensure and the basis for the alleged exemption Any violation of Section 7031 5 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 (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 ) U 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 law, Section 7044 of the Business and Professions Cade 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 1 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 A, B LICENSE NUMBER 1019146 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 CIVILTiNES 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. STATE COMPENSATION POLICY # EXPIRATION DATE INSURANCE FUND NAME OF AGENT 9217720 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 I have provided is correct I agree to comply with all applicable city and county ordinances and state laws relatinAgu,,,1fdjng construction I authorize representatives of the City of Diamond Bar to enter the above -identified por inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE