HomeMy WebLinkAboutPR25-1591PERMIT #: PR20250001591
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.cityofdiamondbar.com building@diamondbarca.gov
JOB SITE ADDRESS: 21496 COLD SPRING LN, DIAMOND BAR, CA 91765
OWNER NAME:MEJIA REBECCA E TRUST
ADDRESS:21496 COLD SPRING LN
CITY: DIAMOND BAR ZIP: 91765
APPLICANT NAME:
CONTRACTOR NAME:GWP Services
ADDRESS:5632 Van Nuys Blvd # 427
CITY: Van Nuys STATE:CA
ARCH/ENG/DES. NAME:
ADDRESS:
CITY:STATE:CA
TEL:
TEL:
ZIP:91401 TEL: (888) 515-4488
ZIP:TEL:
TYPE CONSTRUCTION:
Electrical for Main Panel Upgrade 200amps (MAIN HOUSE ONLY)NOTE: SCE SPOTTED METER ORANGE TAGGED - SERVICE85231
(SAME CONTRACTOR WORKING WITH PERMIT NO. PR25-1436)
#STORIES:#BEDROOMS:
SQ. FT.
BUILDING FEES
FACTOR PSF ADJ AREA/VALUATION
#DWELL UNITS:
DESCRIPTION
SFR/ADD/REM
GARAGE/CARPORT
PATIO/DECK
POOL/SPA
RE-ROOF
COMMERCIAL
TOTAL VALUATION:
Panel Upgrade (less than 200 amps)
CONSTRUCTION:
PLAN REVIEW:
ELECTRICAL:
PLUMBING
MECHANICAL:
INSPECTION FEE:
ISSUANCE:
SMIP:
ENERGY:
RETENTION FEE:
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:
COMMENTS:
P/C RECEIPT #:
PERMIT RECEIPT #:
TYPE
Electrical
QUANTITY
PLAN CHECK FEES
AMOUNT TOTAL
$0.00
PERMIT FEES
$0.00
$71.92
$58.06
$3.60
TOTAL FEES:
$2.88
$136.46
PAY METHOD:
PAY METHOD:
VALIDATION:
VALIDATION:2025072433 CC TB
10.9.2025
PERMIT #: PR20250001591
INSPECTION
SETBACK / LETTER
FOOTINGS FORMS
SLAB
UG. PLUMBING
UG. ELECTRICAL
UFER GROUND
SEWER LATERAL
SEWER CLEANOUT
MAIN WATER LINE
ROOF SHEATHING
FLOOR SHEATHING
SHEAR WALLS EXTERIOR
SHEAR WALLS INTERIOR
FRAMING/VENTING
RO. MECHANICAL
RO. ELECTRICAL WU CU)
RO. PLUMBING
INSULATION WALL
INSULATION CEILING
HOT MOP/SHOWERPAN
DRYWALL
LATH EXTERIOR
LATH INTERIOR
GAS TEST
SCRATCH COAT
ELECTRIC METER RELEASE
GAS METER RELEASE
SPECIAL INSPECTION
DATE:
CITY OF DIAMOND BAR
INSPECTION RECORD
INSPECTOR:INSPECTION
TRACK AND LEDGER
T-BARI
POOL DEMOLITION
ROOF DRAINS
POOL/SPA:
GAS TEST, EL, PL ME
PRE GUNITE
POOL PRE DECK BONDING
P-TRAP
FENCE / GATE / ALARM
FINAL POOL
WALLS:
WALL FOOTING/STEEL
WALL STEEL 1ST() 2ND() LIFT
WALL DRAIN / SEAL
WALL FINAL
RO. FRAMING PLANNING
APPROVAL
ROUGH FIRE APPROVAL
FINAL FIRE DEPARTMENT
FINAL PLANNING
FINAL PW ENGINEERING
FINAL PW MAINTENANCE
FINAL HEALTH DEPT.
FINAL INDUSTRIAL WASTE
FINAL BUILDING
FINAL MECHANICAL
FINAL ELECTRICAL
FINAL PLUMBING
SMOKE & CARBON
MONOXIDE DETECTORS
T.C. OF OCCUPANCY
CERT OF OCCUPANCY
DATE:INSPECTOR:
COMMENTS:
1/29/26
1/29/26
1/29/26 FS
FS
FS
PERMIT #: PR20250001591
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 items) [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).]:
L I as owner of the property, or my employees with wages as their sole compensation, will do (L) all of or L) 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.)
_ 1, 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.)
(_ 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 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:C10 LICENSE NUMBER: 974163
EXPIRATION DATE: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 ($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:
STATE COMPENSATION 9096617
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:
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 propert
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT:DATE:10/90 1
inspection purposes.
6.30.2026
4.18.2026