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Home My WebLink AboutPR25-2073PERMIT #: PR20250002073 DIA,VIOND BAR CIW OF DIAMOND BAR COMMUNIW DEVETOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91755 (909) 839-7020 Fax: (909) 861-3117 Building lnspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS: 1155 PEBBLEWOOD DR, DIAMOND BAR, CA 91765 APN: 8701042024 LOTfi:TRACTB: OWNER NAME: NORMANDY LESLIE F & TORNA FAMITYTRUST ADDRESS: 1155 PEBBLEWOOD DR CITY: DIAMOND 8AR ZIP: 91765 TEL: TEL:APPLICANT NAME: CONTRACTOR NAME' L, t: ARCH/ENG/08S. NAME; _ ADDRESS: CITY: SIATE,ztP TEL: P/C DATE: ISSUE DATE: P/C*: PRS; TYPE CONSTRUCTION;OCC GROUPT SCOPE OF WORK: Plumbing Note to REPIPE Revised with PEX 1.28.26 (13)fixtures and Owner (2)hose Builder bibs 15 (per fixtures owner) f DWELL UNITS:BSTORIES:#BEDROOMS: BUILDING FEES DESCR I PTION SQ, FI FACTOR PSF ADJ AREA/VALUATION 5FR/ADD/RE M GARAGE/CARPORT PAIIO/DECK POOL/SPA RE.ROOF COMMERCIAL TOTAT VATUATION:TOTAL: Plumbine TYPE QUANTITY AMOUNT TOTAL Re-Pipe PEX 13 s2s.s6 5332.28 Plumbing Fixture / Trap or Set of Fixtures 2 s2s.s6 ss1.12 PLAN CHECK FEES PERMIT FEES CON5TRUCTION: PLAN REVIEW: ELECTRICAL: PLUMBING s383.40 MECHANICAL: INSPECTION FEE; ISSUANCE:Ss8.o6 SMIP: EN ERGY: RETENTION FEE:s19.17 PRE/ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: RECYCLING AND WASTE DEPOSIT: EROSION CONTROL PLAN CHECK FEE BUILDING ADMIN SPECIAL REVOLVING FUND: PERMIT SYSTEM REPLACMENT FEE: s1s.34 TOTAL FEES:547s.97 COMMENTS: P/C RECEIPT#: PAY METHOO:VALIDATIONT PERMIT RECEIPT #:PAY METHOD:VALIDATION: 1.29.2026 CC TB73399 PERMIT #: PR20250002073 CITY OF DIAMOND BAR INSPECTION RECORD SETBACK / LETTER TRACK AND LEOGER FOOTINGS FORN,4S T,BAR SLAB POOL DEMOLITION UG. PLUMBING ROOF DRAINS UG. ELECTRICAL POOL/SPA: UFER GROUND GASTEST, EL, PL, ME SEWER LATERAI PRE GUNITE SEWER CLEANOUT POOL PRE DECK SONDING MAIN WATER LINE P.TRAP ROOF SHEATHING FENCE/GA]E/ALARM FTOOR SHEATHING FINAL POOL SHEAR WALTS EXTERIOR WALLS: SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING wlll srrel rsr( ) zND( ) urrr RO. MECHANICAT WALL DRAIN / SEAI. RO.ELECTRTCALWOCo WALL FINAI. RO. PI.UMBING RO. FRAMING PI.ANNING APPROVAL INSULATION WALT ROUGH FIRE APPROVAL INSUTATION CEILING FINAL FIRE OEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERINC LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR F'NAL HEALTH DEPT. GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL SUILDING ETECIRIC METER RELEASE FINAL MECHANICAL GAS METER RETEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOXE & CARBON MONOXIDE DETECTORS T.C. OF OCCUPANCY CERT. OF OCCUPANCY COMMENTS: 2/2/26 2/4/26 2/2/26 2/2/26 FT FT FS FS PERMIT f: PR20250002073 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 (5500).1: (-) 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. lf 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.) IT!AL owner ofthe property, am exclusively contracting with licensed Contractors to construct the project. (Section 7044, 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.Bfsiness and Professions Code is available upon request when this application is submitted or at the following We#ite: htlri/i^/ww.lerinfffi .govlcalaw.html./. I hereby affirm under penalty df perjury that I am licensed under provisions ofChapter 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: EXPIRATION DATE: LICENSE NUMBER: 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 (S1OO,OOO), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 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-lnsure for workers'compensation, issued by the Director of lndustrial 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: 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: OECTARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of periury 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: 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 atives of the City of Diamond Bar to enter the above-i attpg't ouitatng,c5ffi.tion. 'ily)ZyfinsPection Pu 1/28/2026