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Home My WebLink AboutPR20190001460PERMIT #: 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.4citvofdiamond!Lar.com building@diamondbarca.gov JOB SITE ADDRESS• 1243 GREYCREST PL, DIAMOND BAR, CA 9176S APN 8701014023 LOT# OWNER NAME LEE 10HN G & SUSAN TRACT# ADDRESS 1243 GREYCREST PL CITY DIAMOND BAR ZIP 9176S APPLICANT NAME TEL ENO PRIMARY PHONE> TEL CONTRACTOR NAME CAPERS DEMOLITION ADDRESS 2243 E SOUTH REDWOOD CITY ANAHEIM STATE CA ZIP 92806 TEL (714) 863-5474 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 20 Aug 2019 PR# PR20190001460 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK POOL DEMO & BACKFILL #DWELLUNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF AD) AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL, PLAN CHECK FEES PERMIT FEES CONSTRUCTION $110 27 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $46 23 SMIP $0 23 ENERGY RETENTION FEE $S S1 PRE/ALT FEE BASF $1 00 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACME NT FEE $4 41 TOTAL FEES: $167 65 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECE I PT# 46155 PAY METHOD CHECK 1010 VALIDATION CR r PERMIT M PR2019000146M • w 1 • p . INSPECTIONr SETBACK j LETTER • TRACK AND LEDGER rINSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOLISPA DEER GROUND GAS TEST, EL, PL, ME SEWERLATERAL '', PRE GUNITE SEWER CLEANDUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING FENCE I GATE ( ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL SST(} 2ND(} LIFT RO MECHANICAL WALLORAINISEAL RO ELECTRICAL W O C { } WALL FINAL NO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP(SHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINAL NEALTN DEPT GAS TEST PML INDUSTRIAL WASTE SCRATCH COAT FINAL 1NG ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FBNALPLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT OF OCCUPANCY COMMENTS PERMIT #: PR20190001460 OWNERrBUILDER 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 forthe 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) ] (_) I as owner of the property, or my employees with wages as their sole compensation, will do (J 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 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 ) (J 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 feast 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 govjcalaw 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 C21 LICENSE NUMBER 1015067 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 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 9222370 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 tat aws relatin o building c truction I authorize representatives of the City of Diamond Bar to enter the ab a-iden property f spection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE / Protect Neme \ C6 SeF42, Protect No Date Report No Location I u� Author -r V i1� Day 0T QT F S S Client / Contractor / _ Supt / Foremyen / Weather Field Supervisor ogist Soll Engineer r / io Observation / Testing of 4L Tech Equipment Working { 1 ffM CA 7' I U ?'� ��' �. I� W,04 , �O Hours Today's Yardage Yardage to Date Summary of Operations D i ND Z o ' POOL / Fre L A T T 7 f2 Cr O u 7-0 `T rti! C Lo - 1D&A 15 r Poo L .� c'—QN /a A /ao 2 9r 5112 PicL 9, /SDAK OFA 15 Zr71 u �kCUZZ Ada w C 53417 s��`l I I lf— �I�� x / C�,� Ci J \A' Page ol_ 1 �DAI ELD REPORT ReoeNed SOIL EXPLORATION CO. INC. SOIL ENGINEERING, GEOLOGY. ENVIRONMENTAL ENGINEERING oL r, i ✓j WHITE - File Copy YELLOW - Client Copy