HomeMy WebLinkAboutPR20200000320PERMIT #: PR20200000320
DESCRIPTION
SQ. FT,
FACTOR PSF
AD1 AREA/VALUATION
SFR/ADD/REM
GARAGE/CARPORT
PATIO/DECK
POOL/SPA
RE -ROOF
COMMERCIAL
TOTAL:
$1.0000
TOTAL VALUATION:
TYPE
QUANTITY
AMOUNT
TOTAL
1
$73.93
$73.93
Photovoltaic Systems
$36.93
$73.93
Panel Upgrade (less than 200 amps)
PLAN CHECK FEES
PERMIT FEES
$55.43
CONSTRUCTION:
PLAN REVIEW:
$50.00
$73.93
ELECTRICAL:
PLUMBING
MECHANICAL:
INSPECTION FEE:
$194.09
I55UANCE:
$ 2.86
SMIP:
ENERGY:
$12.00
RETENTION FEE:
PRE/ALT FEE:
$1.00
BASF:
PLOT PLAN:
ZONING CLEARANCE:
RECYCLING AND WASTE DEPOSIT:
$10.00
PERMIT SYSTEM REPLACMENT FEE:
TOTAL FEES:
$399.31
COMMENTS:
[PERMITRgE:CE1PT#:
RECE
PAY METHOD:
VALIDATION:
48625
PAY METHOD: CK #3342
VALIDATION: Sl
PERMIT #: PR20200000320
CITY OF DIAMOND BAR
INSPECTION RECORD
>k I IiA[ K /,LETTER
TRACK AND LEDGER
FOOTINGS FORM5
T BAR
SLAB
POOL DEMOLITION
UG. PLUMBING
ROOF DRAINS
UG..E.LECTRICAL
POOL/SPA
LIFER GROUND
GAS TEST, Ei,.PL, ME
SEWER LATERAL
PRE GUNITE
SEWER CLEANOUT
POOL PRE DECK BONDING:.
MAIN WATER LINE
P-TRAP
ROOFSHEATHING
crn rr-i7err: i ... ..
FLOOR SHEATHING FINAL POOL
SHEAR WALLS EXTERIOR WALLS:
SHEAR WALLS INTERIOR
WALL FOOTING/STEEL
FRAMING/VENTING::WALL
STEEL 1ST( ZND(I LIFT
RO MECHA€JICAL
WALL DRAIN /SEAL
RO; ELECTRICAL W () C { j
WALL FINAL
RO. PLUMBING
RO, FRAMING PLANNING
APPROVAL
INSULATION WALL
ROUGHFIREAAAROVAL -
INSULATION CEILING
FINAL FIRE DEPARTMENT
HOT MOP/SHOWERPAN
PLANNING`
DRYWALL
EFINAL
FINAL PIN ENGINEERING ..
LATH EXTERIOR
FINAL PWAIA1NT7:NANCE.
LATH INTERIOR
FINAL HEALTH DEPT.
GAS TEST
FINAL INDUSTRIAL WASTE
SCRATCH COAT
FINALBUILDING
ELECTRIC METER RELEASE
FINALM£CHANICAL
GAS METER RELEASE
FINALELECTRICAL
SPECIAL INSPECTION
FINAL PLUMBING
SMOKE.& CARBON
MONOXIDE DETECTORS
T.C.,Of O.CCUPAN.CY
CERT OF OCCUPANCY
COMMENTS:
PERMIT #: PR20200000320
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 7031.5, 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 1 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.)
(_) 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.htm].
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT: DATE:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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: 1033340
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-
1 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 COMP INS FUND POLICY#:
NAME OF AGENT: 9221678 PHONE #:
EXPIRATION DATE:
[ 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
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 relatidtodding construction.
I authorize representatives of the City of Diamond Bar to enter the abov ntifi d forTspectiq�n purposes.
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT:
DATE:r��__-