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Home My WebLink AboutPR20190001912PERMIT #: PR20190001912 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.cityofdiamondbar.com building@diamondbarca.gou •41Fepx� JOB SITE ADDRESS: 23750 HIGHLAND VALLEY RD, Unit:103, DIAMOND BAR, CA 91765 APN: 8706002023 LOT#: TRACTM OWNER NAME: W FOUNTAINS DIAMOND BAR LP ADDRESS: 2566 OVERLAND AVE #700 CITY: LOS ANGELES ZIP: 90064 TEL: <NO PRIMARY PHONES APPLICANT NAME: TEL: CONTRACTOR NAME: Harbro ADDRESS: 21800 Barton Rd CITY: Grand Terrace STATE: CA ZIP: 92323 TEL: (951) 680-8900 ARCH/ENG/DES. NAME: ADDRESS: CITY: STATE: CA ZIP: TEL: P/C DATE: P/C#: ISSUE DATE: 03 Dec 2019 PR#: PR20190001912 TYPE CONSTRUCTION: OCC GROUP: SCOPE OF WORK: WATER DAMAGE REPAIR - WALL INSULATION THROUGHOUT UNIT // DRYWALL WORK ON WALLS AND CEILING // NEW PLUMBING FIXTURES IN BATHROOM AND KITCHEN // ELECTRICAL WORK // MECHANICAL FAN #DWELL UNITS: #STORIES: #BEDROOMS: BUILDING FEES DESCRIPTION SQ. FT. FACTOR PSI: ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION: TOTAL: $6,666.0000 Mechanical TYPE QUANTITY AMOUNT TOTAL Exhaust Hood / Fan Duct 1 $78.35 $78.35 Electrical TYPE QUANTITY AMOUNT TOTAL Lighting Fixtures, Sockets, or Other Lamp Holding Devices 1 $2.41 $2.41 Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture / Trap or Set of Fixtures 1 $20.36 $20.36 PLAN CHECK FEES PERMIT FEES CONSTRUCTION: $223.47 PLAN REVIEW: $93.73 ELECTRICAL: $57.27 PLUMBING $57.27 MECHANICAL: $79.23 INSPECTION FEE: ISSUANCE: $149.97 SMIP: $1.87 ENERGY: RETENTION FEE: $4.68 PRE/ALT FEE: BASF: $1.00 PLOT PLAN: ZONING CLEARANCE: RECYCLING AND WASTE DEPOSIT: PERMIT SYSTEM REPLACMENT FEE: $14.91 TOTAL FEES: $683.40 COMMENTS: P/C RECEIPT #: PAY METHOD: VALIDATION: PERMIT RECEIPT #: 47600 PAY METHOD: CK #3964 VALIDATION: SJ SETBACK / LETTER7 CITY OF DIAMOND BAR INSPECTION RECORD TRACK AND LEDGER PERMIT #: PR20190001912 FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG. PLUMBING' ROOF DRAINS UG. ELECTRICAL POOL/SPA: UFERGROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING . -- MAIN WATER LINE P-TRAP . ROOF SH EATHING FENCE / GATE / ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS: SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING !� s WALL STEEL 1STO } 2NDO� LIFT RO. MECHANICAL �l WALL DRAIN / SEAL RO. ELECTRICAL W () C {) WALL FINAL RO. PLUMBING - RO. FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIRE APPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHO W ERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR F1NALHEALTHDEPT. GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T.C. OF OCCUPANCY CERT. OF OCCUPANCY COMMENTS: Ili PERMIT #: PR20190001912 OWNER -BUILDER DECLARATION 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 7031.5, 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).j: (_) I as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 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.) (_) 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.) (_) 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.leginfo.ca.gov/calaw.htm1. 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: 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: <Enter Workers Comp> POLICY #: EXPIRATION DATE: NAME OF AGENT: 0 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 building construction. I authorize representatives of the City of Diamond Bar to enter the abav -id ratified pr for ' spection purposes. SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT: DATE: /Z—