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HomeMy WebLinkAboutPR25-0974PERMIT #: PR20250000974 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 BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS: 940 LOOKING GLASS DR, DIAMOND BAR, CA 91765 APN:8704051004 LOT#:TRACT#: OWNER NAME:TRINH LINH & ELIZABETH ADDRESS:940 LOOKING GLASS DR CITY:DIAMOND BAR ZIP:91765 TEL: APPLICANT NAME:TEL: CONTRACTOR NAME:NT Electric & HVAC ADDRESS:7261 Garden Grove Blvd., Suite C CITY:Diamond Bar STATE:CA ZIP:92841 TEL: ARCH/ENG/DES. NAME: ADDRESS: CITY:STATE:CA ZIP:TEL: P/C DATE:P/C#: ISSUE DATE:PR#: TYPE CONSTRUCTION:OCC GROUP: SCOPE OF WORK:Change out Condenser and Air Handler (like for like) #DWELL UNITS:#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: Mechanical TYPE QUANTITY AMOUNT TOTAL A/C Residential (< 100,001 BTU)1 $0.00 $0.00 Air Handler (<2000 CFM)1 $0.00 $0.00 PLAN CHECK FEES PERMIT FEES CONSTRUCTION: PLAN REVIEW: ELECTRICAL: PLUMBING MECHANICAL:$96.51 INSPECTION FEE: ISSUANCE:$56.31 SMIP: ENERGY: RETENTION FEE:$4.82 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: $3.86 TOTAL FEES:$161.50 COMMENTS: P/C RECEIPT #:PAY METHOD:VALIDATION: PERMIT RECEIPT #:PAY METHOD:VALIDATION: 24 Jun 2025 70952 CC SJ PERMIT #: PR20250000974 CITY OF DIAMOND BAR INSPECTION RECORD INSPECTION DATE:INSPECTOR:INSPECTION DATE:INSPECTOR: SETBACK / LETTER TRACK AND LEDGER FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG. PLUMBING ROOF DRAINS UG. ELECTRICAL POOL/SPA: UFER 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( ) 2ND( ) LIFT RO. MECHANICAL WALL DRAIN / SEAL RO. ELECTRICAL W ( ) C ( )WALL FINAL RO. PLUMBING RO. FRAMING PLANNING 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 HEALTH DEPT. 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: 7/22/25 7/22/25 FS FS PERMIT #: pR202S0000974 OWNER.BUII.DER DECLARATION following Web site: http/www.leginfo.ca.gov/calaw.html STGNATUBE OF pROpERTy OWNER OR AUTHOi|TED AEENi I I hereby affirm under penalty of perjury that I am exempt from the contractor's state License Law for the reason(s) indicatedbelow by the checkmark(s) I have placed next to the apflicable item(s) [Section zoji.s, errin"rs and professions code: Anycity or county that requires a permit to construct, altei, improve, demolish, or repair any structure, prior to its issuance, alsorequires the applicant for the permit to file a siBned statement that he or she is licensed pursuant to the provisions of thecontractors'state License Law (Chapter 9, commencing with Section 7000 0f Division 3 0f the Eusiness and professions Code)or that he or she is exempt from licensure and the basi;for the alleged "r"rpiion-. ony violation of section 7031.5 by anyapplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (Ss0o).1: (-) I as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of thework' 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 ijijlll,ll"",ji:"1i,,,-T::1,:":T::,::i. iol,i:,unl:| or offered ro,,,r. rrt,o*"ver, the buirding or improvement issold within on: v:rlof compretion, the owner-Buirder wir have the burden "f pr"ri;;;;;;;,jj, ;i'ffiI::ffirtJ.il":the purpose of sale.) (-) l' as owner ofthe property, am exclusively contracting with licensed contractors to construct the project. (section 7044,Business and Professions Code: The contractors'state License Law does not appry to an owner of property who builds orimproves thereon, and who contracts for the projects with a licensed Contractor prLr.n, to the contractors,state LicenseLaw.) (-) 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 oneyear prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as anowner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable l1}:,lill l^l]"'11^:l jl",.l'$":ss.and Professions code is available upon request when this apptication is submitted or at the DATE: LICENSED CONTRACTOR'S ii::*l:|[[:::::i::iy ::L"jl,I ,l:: r,am ricensed under provision, or cnapte, s (commencing with section 7000) orDivision 3 of the Business and professions code, and my ricense i, i. rrirr"....Jiii.., LICENSE CLASS: C2O . r r.EArcE i,,,^,d.^.LICENSE NUMBER: 9S9ExprRAlioN pArE: 0 c1o*iis*eitjil', NAME OF AGENT: EtG567921000 WORKERS' coMPENSATIor.r L,l^lil,lf ;lilly:,:l?^::iy:: y3:I:ir_!gyp_lNsAloN covERAGE rs uNLAWFUL, AND sHALr suBrECr AN EMployER roCRIMINAT PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOTLARS (S1OO,OOO), IN ADDITION To,.;;.:;:.,:iCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOT, IruTENTST, 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 theDirector 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.v I have and will maintain workers'compensation insurance, as required by section 37oo ofthe Labor Code, forthe performance of the work for which this permit is issued. My workers' compensation insurance carrier andpolicy number are: CARRIER: EMPLOYERS PNiTCNNTO POLICY #: €} €;€7141 A@ EXPIRATION DAIE, AifwfAO)EINSURANCE COMPANY LENDER'S NAME: LENDER'S ADDRESS: I certify that, in the performan.u ol :::l::,::: l)".::',1:,:_:"ry:::l:n ralvs,of :a.lif:Tia, and agree that, if I should become subject to the workers, compensationprovisions of section 3700 of the Labor code, r shalr forthwith compry with those provisions.SIGNATUR€ OF APPLICANT: DATE: DECIARATION REGARDING CONSTRUCTION TENDIN I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit isissued (Section 81.72, Civil Code). By my signature below, I certify to each of the following: I authorize representatives of the City of Diarnond Bar to enter the OWNER OR AUTHORIZED AGENT: 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 arl appricabre city and county ordinances and state laws