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HomeMy WebLinkAboutPR20180034697PERMIT #: PR20180034697 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21910 Copley Onve, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) $39.7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS. 245 COTTONWOOD COVE DR, DIAMOND BAR, CA 91765 APN $718023047 LOT# TRACT# OWNER NAME RODRIGUEZ ERNEST M ADDRESS 24S COTTONWOOD COVE DR CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME McDONALD CONSTRUCTION ADDRESS 1312 DIAMOND BAR BLVD 5, UNIT #A CITY DIAMOND BAR STATE CA ZIP 91765 TEL 9909) 524.1312 ARCHJENGIDES NAME ADDRESS CITY STATE ZIP TEL PJC DATE P IC# ISSUE DATE 08Apr 2019 PR# PR20180084697 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK. Addition of IN) Master Bedroom with WIC 566 Remodel (E) Bedroom and creating a new bathroom, hallway and remodel (1) bathroom *REVISION* room adchtion sqft change from 566 stiftto 431 soft, and remodeling bathroom sq ft 123 sit ft #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SOL FT FACTOR PSF ADJ AREAJVALUATION SFRIADDJREM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION. TOTAL, $67,405 7500 Mechanical TYPE QUANTITY AMOUNT TOTAL Inlet and Outlet Served by A/C System (EACH) 2 $0 00 $5 23 A/C Residential (< 100,001 BTU) 1 $32 42 $97 26 Electrical TYPE QUANTITY AMOUNT TOTAL Receptacle, Switch, Lighting or other Outlets 25 $162 $55 10 Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture /Trap or Set of Fixtures 4 $19 82 1 $79 28 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $1,290 44 PLAN REVIEW $1,096 87 ELECTRICAL $55 76 PLUMBING $79 28 MECHANICAL $102 49 INSPECTION FEE ISSUANCE $146 03 SMIP $910 ENERGY $109 69 $129 04 RETENTION FEE $76 40 PRE/ALT FEE BASF $3 00 PLOT PLAN $493 21 ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE '...... $61 12 TOTAL FEES: $3,652 43 COMMENTS PJC RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION PERMIT #: PR20180034697 CITY OF DIAMOND BAR INSPECTION RECORD INSPECTION SETBACK J LETTER DATE: INSPECTOR: TRACK AND LEDGER DATE: FOOTINGS FORMS lD !t -L. T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOL/SPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GONITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P TRAP ROOFSHEATHING "`L FENCE f GATE( ALARM FLOOR SHEATHING AIIN FINAL POOL SHEAR WALLS EXTERIOR ( W WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMINGNENTING j L WALL STEEL 1ST(} 2ND(j LIFT RO MECHANICAL ') +.t WALL DRAIN ISEAL RO ELECTRICAL W () C WALL FINAL RO PLUMBING f Y jr jr (ftTL iI "r RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIRFAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOPJSHOWERPAN !, r_ lY t/ HNALPIANNING DRYWALL FINAL PWENGINEERING LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINAL HEALTH DEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MECHANICAL t GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUNISIND SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT. OF OCCUPANCY COMMENTS PERMIT #: PR20180034697 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 1 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 7031 S, 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($S00) ) (_) I as owner of the property, or my employees with wages as their sale 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 ) (_) 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 reasons) 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 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 Section 7000) of Division 3 of the Business an rofessions Code, and my license is in full farce and effect �+ LICENSE CLASS LICENSE NUMBER ©�� 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 POLICY # EXPIRATION DATE NAME OF AGENT 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 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