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Home My WebLink AboutPR23-2204PERMIT#: PR20230002204 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 0·1~i°MON?..M~ BUILDING PERMIT APPLICATION www.clrtQfdlimondbar.com bullding@dlamondbarca.gov JOB SITE ADDRESS: 1230 GREYCREST PL. DIAMOND BAR, CA 9176S APN: 8701014011 LOT#: TRACT#: OWNER NAME: SUN XU ADDRESS: 1230 GREYCREST Pl CITY: DIAMOND BAR ZIP: 91765 TEL: APPLICANT NAME: TEL: CONTRACTOR NAME: Brliln Oallnl!h1us01lln2haus Construction ADDRESS: 445 Birch St.445 Birch St CITY: llko Elslnorollko Elsinore STATE: CACA ZIP: 9253092530 TEL: (877) 360-9227(714) 399-8393 ARCH/ENG/DES. NAME: ADDRESS: CITY: STATE: CACA ZIP: TEL: P/C DATE: P/C#: ISSUE DATE: PR#: TYPE CONSTRUCTION: OCC GROUP: SCOPE OF WORK: Install Helical Plies for Voluntary HouH Foundation Stabl01atlon with sub irado.70 sqft #DWELL UNITS: 0 #STORIES: #BEDROOMS: BUILDING FEES DESCRIPTION SQ. FT. FACTOR PSF ADJ AREA/VALUATION SFR/AOO/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE-ROOF COMMERCIAL TOTAL VALUATION: TOTAL: $27,193.0000 PLAN CHECK FEES PERMIT FEES CONSTRUCTION: $800.77 PLAN REVIEW: $680.65 ELECTRICAL: PLUMBING MECHANICAL: INSPECTION FEE: ISSUANCE: $54.20 SMIP: $3.54 ENERGY: RETENTION FEE: $74.08 PRE/ALT FEE: BASF: $2.00 PLOT PLAN: ZONING CLEARANCE: RECYCLING ANO WASTE DEPOSIT: EROSION CONTROL PLAN CHECK FEE: $306.41 BUILDING AOMINSPECIAL REVOLVING FUND: $59.24 PERMIT SYSTEM REPLACMENT FEE: TOTAL FEES: $1,980.89 roMMENTS! P/C RECEIPT#: PAY METHOD: VALIDATION: PERMIT RECEIPT#: PAY METHOD: VALIDATION: 4/30/24 6132 CC AV INSPECTION DATE: SETBACK/ LmtR FOOTINGS FORMS SI.AB UG. PWM81NG UG. ELECTRICAL UFERGROUND SEWERIATERAL SEWER CLEANOlJT MAIN WATER LINE ROOF SHEATHING FLOOR SHEATHING SHEAR WAW EXTERIOR SHEAR WAI.IS INTERIOR FRAMING/VENTING RO. MECHANICAL RO. El!CTRICAL W ( ) C ( ) RO.PWMBING r INSULATION WALL INSULATION CEILING HOT MOP/SHOWERPAN DRYWAJ.L LATH EKTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION COMMENTS: CITY OF DIAMOND BAR INSPECTION RECORD INSPECTOR: INSPECTION TRACK AND LEDGER HAR POOL DEMOLITION ROOF DRAINS . POOi/SiA: GAS T!ST, El, Pl, ME ' PREGUNITE POOi. PRE DECK BONDING P•TRAP FENCE /GATE/ ALARM FINAL POOL WAI.LS: WALL FOOTING/STEEL WALL STEEL l ST( ) zND( ) LIFT WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNING APPROVAL ROUGH RRE APPROVAL FINAL Fla£ DEPAIITMBIT FINAL l'IN/NIIIG FIIIAJ. f'W ENGIN£BIJNG FINAL PW MAINTENANCE FINAL HEALTH DEPT, FINAL INDU!iT111A/. WASTE FINALBUIIDING FINAL MECHANICAL FINAL EJECTIIICAL FINAi. PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T.C. OF OCCUPANCY IU! QE Q!;g,!PANQ PERMIT#: PR20230002204 DATE: INSPECTOR: ' J PERMIT#: PR20230002204 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 I as owner of the property, or my employees with wages as their sole compensation, will do (J 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.) U 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.) U 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.html. SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT: DATE: LICENSED CONTRACTOR'S DECIARATION 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: B, C61, CS LICENSE NUMBER: 8851 4------.--+----'------t PIRATION DATE ONTRACTORSIGNATUR WORKERS' COMPENSATION DECIARATIO 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. 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: EVEREST PREMIER INSURANCE POLICY#: EXPIRATION DATE: COMPANY NAME OF AGENT: 7600024069231 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 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 an tate laws relating to building construction. I authorize re resentatives of the City of Diamond Bar to enter t ea ve-identified p operty for iospection purposes. IGNATURE OF PROPERTY OWNER OR AUTHORIZED AGEN_~fUJJL.L.:.XXl........,~'w'-""'"'"""'"""~------------i ATE