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Home My WebLink AboutPR2019000140062 PERMIT #: G CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 22910 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.cttvofdiamondbar.com building@diamondbarca.gov 108 SITE ADDRESS: 796 LEYLAND OR, DIAMOND BAR, CA 91765 APN 8701054026 LOT# TRACT# OWNER NAME TRAN DUNG Q&ANHT .................... ADDRESS 796 LEYLAND DR CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME Simpex Repipe, Inc ADDRESS 17952 Sky Park Circle # D CITY Irvine STATE CA ZIP 92614 TEL <NO PRIMARY PHONE> ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 09Aug 2019 PR# PR20190001400 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK REPIPE 10 FIXTURES AND 2 HOSE BIBBS #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SQ. FT FACTOR PSF AM AREAIVALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL,' Plumbing TYPE QUANTITY AMOUNT TOTAL Re -Pipe PEK 10 $20 36 $203 60 Plumbing Fixture ( Trap or Set of Fixtures 2 $20 36 $40 72 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING $244 32 MECHANICAL INSPECTION FEE ISSUANCE $46 23 SMIP ENERGY RETENTION FEE $12 21 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $9 77 TOTAL FEES: $312 53 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT# 46018 PAY METHOD CHECK 20007 VALIDATION CA L+ PERMIT #: PR2019NO1400 CITY OF DIAMOND INSPECTION! SETBACK/ LETTER i' i TRACK AND LEDGER !INSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL PDULISPA LITER GROUND GAS TEST, EL PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOFSHEATHING FENCE] GATE/ALARM FLOOR SHEATHING FINALPOOL SHEAR WALLS EXTERIOR WADS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL SST( ) 2ND( ( LIFT RO MECHANICAL WALLDRAIN/SEAL RO ELECTRICAL W () C ( I WALL FINAL RO PLUMBING _) l_[ 4 �� JJ //''}} J RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGHFIREAPPROVAL INSULATION CEIUNG FINAL FIRE DEPARTMENT HOT MOP/SHOW ERPAN FINAL PLANNING DRYWALL FINALPWENGINEERING LATH EXTERIOR FINALPWMAINTFNANCE LATH INTERIOR FINAL HEALTH DEFT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINALMECHANICAL I GAS METER RELEASE FWALELECTRIL'AL SPECIAL INSPECTION FINALPLUMSING Q ., �} SMOKE &CARBON MONOXIDE DETECTORS I OF OCCUPANCY CERT OF OCCUPANCY _f. PWNER-BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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 Iicensure 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) ) U I as owner of the property, or my employees with wages as their sole compensation, will do U 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 ) (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 -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 httpjwww 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 <Enter License Class> LICENSE NUMBER 1031884 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 FALLS LAKE FIRE AND POLICY # EXPIRATION DATE CASUALTY COMPANY NAME OF AGENT. FLA01081900 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 bwldm on tructwn I authorize representatives of the City of Diamond Bar to enter the above -id ninfied properly f i ectron purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT GATE I