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HomeMy WebLinkAboutPR20190000798!= PERMIT #: PR20190000798 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 361-3117 Building Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION, www.citvofdiamondbar.com building@diamondbarca gov JOB SITE ADDRESS•1015 GREENWICH CT, DIAMOND BAR, CA 91765 APN 8701039029 LOT# TRACT# OWNER NAME TANG GIAO M ADDRESS 21090 WILLOW HEIGHTS DR CITY DIAMOND BAR ZIP 9176S TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME Coastal Estates & Development ADDRESS 10627 El Campo Ave CITY Fountain Springs STATE CA ZIP 92708 TEL (7141936-2792 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE PR# TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK. INTERIOR REMODEL 3,22S SQ FT -DEMOLISH EXISTING UNPERMITTED PATIO COVER & REBUILD NEW PATIO COVER OF 312 SQ- FT, CHANGE OUT (17) WINDOWS, ADD (4) NEW WINDOWS #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 I I TOTAL: $140,706 7S00 Mechanical TYPE QUANTITY AMOUNT TOTAL Ventilation Fans 4 $19 60 $77 15 Electrical TYPE QUANTITY AMOUNT TOTAL Receptacle, Switch, Lighting or other Outlets 15 $2 41 $55 76 Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture / Trap or Set of Fixtures 18 $19 98 $359 64 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $1,926 S7 PLAN REVIEW $1,949 51 ELECTRICAL $111 52 PLUMBING $719 32 MECHANICAL $154 30 INSPECTION FEE ISSUANCE $158 59 SMIP $18 30 ENERGY RETENTION FEE $97 48 PRE/ALT FEE BASF $6 00 PLOT PLAN $493 21 ZONING CLEARANCE RECYCLING AND WASTE DEP051T PERMIT SYSTEM REPLACMENT FEE $77 98 TOTAL FEES $5,712 78 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # 45399 PAY METHOD C;neCK 9 1W VALIDATION EM w I •CELL CITY OF DIAMOND BAR INSPECTION RECORD INSPECTION SETBACK / LETTER DATE: INSPECTOR: INSPECTION TRACK AND LEDGER DATE: INSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POCRISPA LEER GROUND GASTEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEW ER CLEANOUT POOL PRE DECK BONDING MAIN WATERLINE P•TRAP ROOFSHEATHING �j �q ( FENCE/GATE/ALARM FLOOR SHEATHING FINALPOOL SHEAR WALLS EXTERIOR '..., WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL YST( 12NO( } LIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICAL W {} C { } WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINALFtREDEFARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PIN MAINTENANCE LATH INTERIOR FINAL HEALTH DEFT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FWALELECTRICAL SPECIAL INSPECTION FINAL PLUMBING • f SMOKE & CARBON MONOXCDE DETECTORS T C OF OCCUPANCY CERT OF OCCUPANCY COMMENTS PERMIT M PR20190000798 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 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 sole compensation, will do(_) all of or (J 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 ) (_) 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 ) (J 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 -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 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 B LICENSE NUMBER 945191 EXPIRATION DATE CONTRACTOR SIGNATURE WORKERS' COMPENSATION DECLARATION: WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECTAN 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 polity number are CARRIER State Compensation Insurance POLICY# EXPIRATION DATE Fund NAME OF AGENT 9088187 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,1 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 1 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 rela to building construction I authorize representatives of the City of Diamond Bar to enter the above-ldentifledprperty f r in ction purposes SIGNATUR OF P OPERTY OWNER OR AUTHORIZED AGENT James Le DATE 10)