HomeMy WebLinkAboutPR20190000939I (F7 PERMIT ft:
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Drive, Diamond Bar, CA 91765
(909) $39-7020 Fax: (909) $61-3117 Building Inspection Hotline (909) 839.7027
DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca.gov
JOB SITE ADDRESS•1142 RANCHWOOD PL, DIAMOND BAR, CA 91765
APN 8701038049 LOT# TRACT#
OWNER NAME YANG STEPHEN S & KIMBERLY J
ADDRESS 1142 RANCHWOOD PL
CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE>
APPLICANT NAME TEL
CONTRACTOR NAME 11FENG YAO
ADDRESS 20616 DREXEL DRIVE
CITY WALNUT STATE CA ZIP 91789 TEL <NO PRIMARY PHONE>
ARCH/ENG/DES NAME
ADDRESS
CITY STATE CA ZIP TEL
P/C DATE P/C#
ISSUE DATE 96 jwA 2019 JUne 13, 2019 PR# PR20190000939
TYPE CONSTRUCTION OCCGROUP
SCOPE OF WORK Interior Remodel of Kitchen, (3) bathrooms, Re -pipe the whole house, (62) recessed lights, drywall repair, Replace (23) windows
and (1) Sliding door
*Work started w/o permit*
#DWELL UNITS 0 #STORIES #BEDROOMS
BUILDING FEES
DESCRIPTION
SO, FT
FACTOR PSF
ADJ AREA/VALUATION
SFR/ADD/REM
3,00000
GARAGE/CARPORT
PATIO/DECK
POOL/SPA
RE -ROOF
COMMERCIAL
TOTALVALUATION-
TOTAL.
$40,000 0000
Mechanical
TYPE
QUANTITY
AMOUNT
TOTAL
Ventilation Fans
3
$19 08
$57 24
Electrical
TYPE
QUANTITY
AMOUNT
TOTAL
Receptacle, Switch, Lighting or other Outlets
20
$2 3S
$47 00
Receptacle, Switch, Lighting or other Outlets
50
SS 62
$95 60
Plumbing
TYPE
QUANTITY
AMOUNT
TOTAL
Plumbing Fixture / Trap or Set of Fixtures
12
1 $19 82
$237 84
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
X a7 $86794
PLAN REVIEW
$1,475 50
ELECTRICAL
$173 58
PLUMBING
$173 58
MECHANICAL
$173 58
INSPECTION FEE
FICHE URum
Fir -EXPIRES
15SUANCE
$146 03
SMIP
$5 20
ENERGY
RETENTION FEE
$103 17
PRE/ALT FEE
r
Genfinuous
BASF
work
$2 00
PLOT PLAN
weem tnis permit vaiiia
ZONING CLEARANCE
th days listed
RECYCLING AND WASTE DEPOSIT
_.e
PERMIT SYSTEM REPLACMENT FEE
$82 53
TOTAL FEES:
$3,203 11
COMMENTS k 9
1. OS
El
P/C RECEIPT # PAY METHOD VALIDATION
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PERMIT #: PR20190000939
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated
below by the checkmark(s) I have placed next to the applicable nem(s) (Section 7031 S, Business and Professions Code Any
city or county that requires a permit to construct, alter, improve, demolish, or repairany structure, prior to its issuance, also
requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the
Contractors' State License Law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he or she is exempt from licensure and the basis for the alleged exemption Any violation of Section 7031 S by any
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($S00)
(_) I as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or ( 1 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 )
(_) 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, 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 and Professions Code, and my license is in full force and effect
LICENSE CLASS 8 LICENSE NUMBER 945757
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
policy number are
CARRIER STATE COMPENSATION POLICY # EXPIRATION DATE
INSURANCE FUND
NAME OF AGENT 9164822 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 owners 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 budding 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
L%
INSPECTIONE+
SETBACK / LETTER
••
•
TRACK AND LEDGER
II+INSPECTOR:
FOOTINGS FORMS
T-BAR
SLAB
POOL DEMOLITION
UG PLUMBING
ROOF DRAINS
UG ELECTRICAL
POOI/SPA
LIFER 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
FLOORSHEATHING
FINAL POOL
SHEAR WALLS EXTERIOR
WALLS
SHEAR WALLS INTERIOR
WALL FOOTING/STEEL
FRAM1NGIVENTING
WALL STEEL 1ST{ ) }NDt) LIFT
RO MECHANICAL
WALL DRAINISEAL
RO ELECTRICAL W () C {)
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WALL FINAL
RD PLUMBING
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
ROUGE} FIRE APPROVAL
INSULATION CEILING
FRMAL FIRE DEPARTMENT
HOT MOP/SHOWERPAN
/L,
FINALPLANNING
DRYWALL
('Q"7
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FINAL PW ENGINEERING
LATH EXTERIOR
FINAL PWMA VTENANCE
LATH INTERIOR
FINAL NEALTHDEPT
GAS TEST
FINAL INDUSTRIAL WASTE
SCRATCH COAT
FINAL BUILD04
o
\
ELECTRIC METER RELEASE
FINAL MECHANICAL
GAS METER RELEASE
FINAL ELECTRICAL
I
SPECIAL INSPECTION
FINAL PLUMBING
SMOKE & CARBON
MONOXIDE DETECTORS
T C OF OCCUPANCY
CERT OF OCCUPANCY
DMIZIMIAM