HomeMy WebLinkAboutPR23-1865 (2)PERMIT M PR20230001865
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.citvofdiamondbar.com building@diamondbarca.gov
CALIFCRMIA
JOB SITE ADDRESS: 145 COTTONWOOD COVE DR, DIAMOND BAR, CA 91765
APN: 8718023006 LOT#: TRACT#:
OWNER NAME: AVILA WILLIAM R & JAMIE L
ADDRESS: 145 COTTONWOOD COVE DR
CITY: DIAMOND BAR ZIP: 91765 TEL:
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: Replace existing retaining block wall(decorative stucco) color to match resident 105 L.F
#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:
$18,000.0000
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION:
$553.91
PLAN REVIEW:
$470.82
ELECTRICAL:
PLUMBING
MECHANICAL:
INSPECTION FEE:
ISSUANCE:
$54.20
SMIP:
$2.34
ENERGY:
RETENTION FEE:
$57.50
PRE/ALT FEE:
BASF:
$1.00
PLOT PLAN:
$732.02
ZONING CLEARANCE:
RECYCLING AND WASTE DEPOSIT:
EROSION CONTROL PLAN CHECK FEE:
BUILDING ADMIN SPECIAL REVOLVING
FUND:
PERMIT SYSTEM REPLACMENT FEE:
$46.00
TOTAL FEES:
$1,917.79
COMMENTS:
PERMIT #: PR20230001865
CITY OF DIAMOND BAR
INSPECTION RECORD
DATE: O. ., .•
INSPECTION
SETBACK/ LETTER TRACK AND LEDGER
FOOTINGS FORMS
T-BAR
SLAB
POOL DEMOLITION
UG. PLUMBING
ROOF DRAINS
UG. ELECTRICAL
POOL/SPA.
LIFER 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
FRAMING/VENTING
WALL STEEL 1ST( ) ZND() LIFT
RO. MECHANICAL
WALL DRAIN / SEAL
RO. ELECTRICAL W O C O
WALL FINAL
RO. FRAMING PLANNING
RO. PLUMBING
APPROVAL
INSULATION WALL
ROUGH FIRE APPROVAL
INSULATION CEILING
FINAL FIRE DEPARTMENT
HOT MOP/SHOWERPAN
FINAL PLANNING
DRYWALL
FINAL PW ENGINEERING
LATH EXTERIOR
FINAL PW MAINTENANCE
LATH INTERIOR
FINAL HEAL THDEPT.
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:
PERMIT M PR2023WO1865
OWNER -BUILDER DECLARATION
a
K.;
Please read carefully and select one option
I as owner of the property, or my employees with wages as their sole compensation, will do j 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 sate.)
(_) 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.)
(J 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.htmi.
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: LICENSE NUMBER:
EXPIRATION DATE: CONTRACTOR SIGNATURE:
WORKERS' COMPENSATION DECLARATION:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYERTO
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: POLICY#: EXPIRATION DATE:
NAME OF AGENT: 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 t 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 i pection purposes.