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Home My WebLink AboutPR20180034806lV PERMIT #: PR20180034806 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Onve, Diamond Bar, CA 9176S (909) 839-7020 Fax: (909) 861-3117 Budding inspection Hotline (909) 939-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondber.com building@diamondbarca.gov JOB SITE ADDRESS: 23837 SAPPHIRE CANYON RD, DIAMOND BAR, CA 917655 APN 8706005023 LOT# TRACT# - OWNER NAME LIU WEIJEN ADDRESS 23837 SAPPHIRE CANYON RD CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME ADDRESS CITY STATE ZIP TEL ARCH/ENG/DES NAME ADDRESS CITY STATE ZIP TEL P/C DATE P/C# ISSUE DATE PR# TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK bedroom addition 160 sq it, demolish existing patio cover #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR P5F ADJ AREAIVALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOLISPA RE -ROOF COMMERCIAL TOTAL VALUATION• TOTAL- $17,537 6000 Electrical •�, TYPE QUANTITY AMOUNT TOTAL Receptacle, Switch, Lighting or other Outlets 12 $2 35 $28 20 Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing fixture /Trap or Set of Fixtures 3 $19 82 1 $59 46 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $482 05 PLAN REVIEW $409 74 ELECTRICAL $55 76 PLUMBING $5946 MECHANICAL INSPECTION FEE ISSUANCE $112 36 SMIP $2 41 ENERGY $40 97 $48 21 RETENTION FEE $29 86 PRE/ALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE $77 91 RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $23 89 TOTAL FEES: $1,343 62 COMMENTS PERMIT RECEIPT # 44235 PAY METHOD CK.#8169 / CASH VALIDATION RC PERMIT M PR20180434806 , CITY OF DIAMOND BAR INSPECTION.•INSPECTOR: SETBACK / LETTER TRACK AND LEDGER FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING G, t (J l , ROOF DRAINS UG ELECTRICAL AOO{/SPA UFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P•TRAP ROOF SHEATHING FENCE / GATE / ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMINGNENTING WALL STEEL 1ST+ } 1NDj LIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICALWj}Cjj WALL FINAL RO PLUMBING RO FRAMINGPLANNING APPROVAL INSULATION WALL ROUGHFtREAPPROVAL INSULATION CEILING j i FINAL FIRE DEPARTA46VT HOT MOP/SHOWERPAN f FINAL PLANNING DRYWALL FINAL PWENSINEERINS LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINAL HEALTH DEPT GASTEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILOING ELECTRIC METER RELEASE FINAL MECHAN!CA. GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY --- 4ERT OFOCCUPANCV COMMENTS PERMIT M PR20180034806 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reasons) 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 bans 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 ($500).) (_) 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 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 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 rz LICENSE CLASS P. LICENSE NUMBER 2Sz.Li ' EXPIRATION DATE. tit CONTRACTOR5IGNATURE WORKERS' COMPENSATION DECLARATION: WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND HALL SUBJECT EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION O THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTO NEWS 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, inthe performance of the work for which this permitis 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