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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 CONTRACTOR’S 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 WORKERS’COMPENSATION 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 ATTORNEY’SFEES. I HEREBY AFFIRMUNDERPENALTYOF PERJURY ONEOF THE FOLLOWINGDECLARATIONS: _______I have and will maintain a certificate of consent to self Insure for workers’compensation, 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 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 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). LENDER’SNAME: LENDER’SADDRESS: 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 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