The URL can be used to link to this page

Home My WebLink AboutPR20180034568•gym r i PERMIT M I 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.citVofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS: 20228 , DIAMOND BAR, CA 91765 O '�, S E • W q \ r��+ C� S . APN 8762030022 LOT# TRACT# OWNER NAME ADDRESS CITY ZIP TEL APPLICANT NAME TEL CONTRACTOR NAME American Residential Services dba Rescue Rooter ADDRESS 965 Ridge Lake Blvd CITY Memphis STATE CA ZIP 38120 TEL (901) 271-9700 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 06 Nov 2018 PR# PR20180034568 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK WATER SERVICE REPAIR FROM METER TO HOUSE #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 Water Pipe Repair/Replacement 1 $1982 $1982 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING $55 76 MECHANICAL INSPECTION FEE ISSUANCE $4S 02 SMIP ENERGY RETENTION FEE $2 79 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT TOTAL FEES. $103 57 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION PERMIT #: PR20180034668 L INSPECTION SETBACK / LETTER !+ i' i TRACK AND LEDGER !+INSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOLAAA LIFER GROUND GAS TEST, EL, PL. ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROCTF SHEATHING FENCE / GATE / ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTINGISTEEL FRAMINGIVENTING WALL STEEL 1ST( J 2ND(J LIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICAL W () C { J WALL FINAL R4 PLUMBING IY RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE OFPARTMENT HOT MOP/SHOW ERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINAL HEALTH DEPT GASTEST FINAL ININISTRJAL WASTE SCRATCH COAT FINAL SUILOLNO ELECTRIC METER RELEASE FINAL MECHANCAL GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING ^• ( O SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT OF OCCUPANCY COMMENTS f f'M PERMIT M PR20180034568 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 iteri [Section 70315, Business and Professions Code Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, priorto 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 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 ($S00) ] 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 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 -Budder 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 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, I cannot legally sell a structure that I have built as owner -builder 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 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 Season 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 76SISS 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 LIBERTY INSURANCE POLICY# EXPIRATION DATE CORPORATION NAME OF AGENT WA763DS08631018 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 tabor 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 relaft, to bqdeft5g construction I authorize representatives of the City of Diamond Bar to enter the above-identi p rty for inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE el V