HomeMy WebLinkAboutPR24-1486PERMIT #: PR20240001486
CITY OFDIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Drive, Diamond Bar, CA 91765
(909) 839 7020 Fax: (909) 861 3117 Building Inspection Hotline (909) 839 7027
BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarca.gov
JOB SITE ADDRESS: 334 EL ENCINO DR, DIAMOND BAR, CA 91765
APN:8703011002 LOT#:TRACT#:
OWNER NAME:MOSKOVITZ DAVID F & CHRISTY G
ADDRESS:334 EL ENCINO DR
CITY:DIAMOND BAR ZIP:91765 TEL:
APPLICANT NAME:TEL:
CONTRACTOR
NAME:
ALL AMERICAN TRADITIONS FOUNDATION REPAIR, INC.
ADDRESS:1042 N. MOUNTAIN AVE. STE. B 180
CITY:UPLAND STATE:CA ZIP:91786 TEL:
A R C H / E N G / D E S .
NAME:
ADDRESS:
CITY:STATE:CA ZIP:TEL:
P/CDATE:P/C#:
ISSUE DATE:PR#:
T Y P E
CONSTRUCTION:
OCC GROUP:
SCOPE OF WORK:Voluntary foundation repair with 10 push piers
#DWELL UNITS:0 #STORIES:#BEDROOMS:
BUILDING FEES
DESCRIPTION SQ. FT.FACTOR PSF ADJ AREA/VALUATION
SFR/ADD/REM
GARAGE/CARPORT
PATIO/DECK
POOL/SPA
RE ROOF
COMMERCIAL
TOTAL VALUATION:TOTAL:$39,000.0000
PLAN CHECK FEES PERMIT FEES
CONSTRUCTION:$1,064.76
PLAN REVIEW:$905.05
ELECTRICAL:
PLUMBING
MECHANICAL:
INSPECTION FEE:
ISSUANCE:$56.31
SMIP:$5.07
ENERGY:
RETENTION FEE:$98.50
PRE/ALT FEE:
BASF:$2.00
PLOT PLAN:
ZONING CLEARANCE:
RECYCLING AND WASTE DEPOSIT:
EROSION CONTROL PLAN CHECK FEE:
BUILDING ADMIN SPECIAL REVOLVING
FUND:
PERMIT SYSTEM REPLACMENT FEE:
$78.80
TOTAL FEES:$2,210.49
COMMENTS:
P/CRECEIPT #:PAY METHOD:VALIDATION:
PERMIT RECEIPT
#:
PAY METHOD:VALIDATION:
23 Jan 2025
EMCC2025069085
PERMIT #: PR20240001486
CITY OF DIAMOND BAR
INSPECTION RECORD
INSPECTION DATE:INSPECTOR:INSPECTION DATE:INSPECTOR:
SETBACK / LETTER TRACK ANDLEDGER
FOOTINGSFORMS T BAR
SLAB POOLDEMOLITION
UG.PLUMBING ROOFDRAINS
UG.ELECTRICAL POOL/SPA:
UFER GROUND GASTEST,EL,PL,ME
SEWER LATERAL PREGUNITE
SEWER CLEANOUT POOLPREDECKBONDING
MAINWATER LINE P TRAP
ROOFSHEATHING FENCE/ GATE / ALARM
FLOOR SHEATHING FINALPOOL
SHEAR WALLS EXTERIOR WALLS:
SHEAR WALLS INTERIOR WALLFOOTING/STEEL
FRAMING/VENTING WALLSTEEL 1
ST()2ND() LIFT
RO.MECHANICAL WALLDRAIN/ SEAL
RO.ELECTRICALW( )C ( )WALLFINAL
RO.PLUMBING RO.FRAMINGPLANNING
APPROVAL
INSULATIONWALL ROUGH FIRE APPROVAL
INSULATIONCEILING FINALFIREDEPARTMENT
HOTMOP/SHOWERPAN FINALPLANNING
DRYWALL FINALPWENGINEERING
LATH EXTERIOR FINALPWMAINTENANCE
LATH INTERIOR FINALHEALTHDEPT.
GASTEST FINALINDUSTRIALWASTE
SCRATCHCOAT FINALBUILDING
ELECTRICMETER RELEASE FINALMECHANICAL
GASMETER RELEASE FINALELECTRICAL
SPECIALINSPECTION FINALPLUMBING
SMOKE & CARBON
MONOXIDEDETECTORS
T.C.OF OCCUPANCY
CERT.OF OCCUPANCY
COMMENTS:
PERMIT #: PR20240001486
OWNER BUILDER DECLARATION
I herebyaffirm underpenaltyof perjury thatI am exempt from the Contractor's State License Law forthe reason(s) indicated
below bythe checkmark(s)I have placednexttothe applicable item(s)[Section7031.5, BusinessandProfessions Code: Any
cityor countythat requires a permittoconstruct,alter,improve, demolish,orrepair any structure, prior toits issuance,also
requiresthe applicant forthepermit tofile a signedstatementthat he orshe is licensed pursuant to the provisionsofthe
Contractors'State License Law (Chapter9, Commencing withSection 7000 ofDivision 3of the BusinessandProfessions Code)
or thathe or she isexemptfrom licensure andthe basis forthe alleged exemption. Any violation of Section 7031.5byany
applicant fora permitsubjects the applicantto a civil penalty ofnotmore thanfive hundred dollars ($500).]:
(_) I as ownerofthe property, ormy employees withwages as their sole compensation, will do(_) all of or(_) portions of the
work,andthe structure isnotintended orofferedfor sale. (Section7044, Business and ProfessionsCode: The Contractors'
State License Law does not apply toan owner of property who, through employees' orpersonal effort, buildsor improvesthe
property,providedthat the improvementsare not intendedor offeredforsale. Ifhowever, the building or improvement is
sold withinone year ofcompletion, theOwner Builderwill have the burden ofproving that itwas not builtor improvedfor the
purposeofsale.)
(_) I,as ownerof the property,am exclusivelycontracting with licensedContractors to construct the project. (Section 7044,
Business andProfessionsCode:The Contractors'State License Law does notapply toan owner ofproperty who builds or
improvesthereon,andwhocontractsforthe projectswith a licensedContractorpursuanttothe Contractors' State License
Law.)
(_) I am exempt from licensure underthe Contractor's StateLicense law forthe following reason(s):
By my signature below I acknowledge that,except for my personal residence in which I must have resided forat leastone 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 Website: http/www.leginfo.ca.gov/calaw.html.
SIGNATURE OF PROPERTYOWNER OR AUTHORIZED AGENT:DATE:
LICENSED CONTRACTORS DECLARATION
I herebyaffirm underpenaltyof perjury thatI am licensedunderprovisions of Chapter9 (commencing withSection 7000) of
Division3 ofthe Business andProfessionsCode, and my licenseis infull force andeffect.
LICENSECLASS:B LICENSENUMBER:1011387
EXPIRATION DATE:CONTRACTOR SIGNATURE:
WORKERS' COMPENSATION DECLARATION:
WARNING: FAILURE TOSECURE WORKERSCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO
CRIMINALPENALTIESAND CIVILFINES UP TO ONEHUNDRED THOUSAND DOLLARS($100,000), IN ADDITION TOTHE COST OF
COMPENSATION,DAMAGES AS PROVIDEDFOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYSFEES.
I HEREBY AFFIRMUNDERPENALTYOF PERJURY ONEOF THE FOLLOWINGDECLARATIONS:
_______I have and will maintain a certificate of consent to self Insure for workerscompensation, issued by the Director
of Industrial Relations as providedforby Section 3700of the LaborCode,forthe performance of the work for
which this permitis issued.
_______I have andwill maintain workers' compensationinsurance, as required by Section 3700 ofthe LaborCode, for
the performance of the workfor which this permitis issued. My workers' compensation insurance carrier and
policynumberare:
CARRIER:A I U INSURANCE COMPANY POLICY#:EXPIRATION DATE:
NAME OF AGENT:015834189 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 workerscompensation laws of California, and agree that, if I should become subject to the workerscompensation
provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
SIGNATURE OF APPLICANT:DATE:
DECLARATION REGARDINGCONSTRUCTION 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).
LENDERSNAME:
LENDERSADDRESS:
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 building construction.
I authorize representatives of the City of Diamond Bar to enter the above identified property for inspection purposes.
SIGNATURE OF PROPERTYOWNER OR AUTHORIZED AGENT:
DATE:
ct.
1011387
N:2/28/26
state laws relating to buil
bove identified propeppprtyy f
1/22/25
SIGNATUREOF PROPERTYOWNER OR AUTHORIZEDAGENT:
DATE:
CONTRACTOR SIGNATURE