HomeMy WebLinkAboutPR21-1458PERMIT #: PR20210001458
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: 24206 GINGERWOOD PL, DIAMOND BAR, CA 91765
APN:8704055020 LOT#:TRACT#:
OWNER NAME:LEAR BRIAN T & MICHELLE T
ADDRESS:24206 GINGERWOOD PL
CITY:DIAMOND BAR ZIP:91765 TEL:
APPLICANT NAME:TEL:
CONTRACTOR
NAME:
ADDRESS:
CITY:STATE:ZIP:TEL:
A R C H / E N G / D E S .
NAME:
ADDRESS:
CITY:STATE:ZIP:TEL:
P/C DATE:P/C#:
ISSUE DATE:12 Aug 2022 PR#:PR20210001458
T Y P E
CONSTRUCTION:
OCC GROUP:
SCOPE OF WORK:Addition 1,224 sf, Remodel Interior Space 750 sf, Demo unpermitted trellis, New Patio Cover 399 sf, Demolish RV Canopy on side
of home, Detached Habitable Recreation Room 351 sf, (2) Retaining Walls
#DWELL UNITS:#STORIES:#BEDROOMS:
BUILDING FEES
DESCRIPTION SQ. FT.FACTOR PSF ADJ AREA/VALUATION
SFR/ADD/REM 750.00
GARAGE/CARPORT
PATIO/DECK 399.00 $6,894.72
POOL/SPA
RE-ROOF
COMMERCIAL
TOTAL VALUATION:TOTAL:$271,150.2300
Mechanical
TYPE QUANTITY AMOUNT TOTAL
A/C Residential (< 100,001 BTU)1 $34.93 $34.93
Furnace F.A.U., Floor (< 100,001 BTU)1 $34.93 $34.93
Alterations of Duct System 10 $56.27 $56.27
Inlet and Outlet Served by A/C System (EACH)15 $5.63 $84.45
Ventilation Fans 4 $20.56 $82.24
Exhaust Hood Type 1 1 $84.41 $84.41
A/C Residential (< 100,001 BTU)1 $34.93 $34.93
Furnace F.A.U., Floor (< 100,001 BTU)1 $34.93 $34.93
Electrical
TYPE QUANTITY AMOUNT TOTAL
Panel Upgrade (less than 200 amps)1 $50.25 $50.25
Service, Subpanels, Switchboards or Section 1 $50.25 $50.25
Lighting Fixtures, Sockets, or Other Lamp Holding Devices 75 $0.00 $146.85
Receptacle, Switch, Lighting or other Outlets 55 $0.00 $111.85
Lighting Fixtures, Sockets, or Other Lamp Holding Devices 14 $2.53 $35.42
Receptacle, Switch, Lighting or other Outlets 12 $2.53 $30.36
Plumbing
TYPE QUANTITY AMOUNT TOTAL
Plumbing Fixture / Trap or Set of Fixtures 19 $21.35 $405.65
Gas Piping System 1 $106.78 $106.78
Dishwasher (Changeout Same Location)1 $21.35 $21.35
Water Heater (Changeout Same Location)2 $21.35 $42.70
Water Softener 1 $21.35 $21.35
PLAN CHECK FEES PERMIT FEES
CONSTRUCTION:
PLAN REVIEW:$7,603.28
ELECTRICAL:$424.98
PLUMBING $597.83
MECHANICAL:$447.09
INSPECTION FEE:
ISSUANCE:$157.31
SMIP:$35.25
ENERGY:$760.33
RETENTION FEE:$484.02
PRE/ALT FEE:
BASF:$11.00
PLOT PLAN:$655.01
ZONING CLEARANCE:
RECYCLING AND WASTE DEPOSIT:$600.00
EROSION CONTROL PLAN CHECK FEE:$274.18
BUILDING ADMIN SPECIAL REVOLVING
FUND:
PERMIT SYSTEM REPLACMENT FEE:
$387.21
TOTAL FEES:$12,437.49
COMMENTS:
P/C RECEIPT #:PAY METHOD:VALIDATION:
PERMIT RECEIPT
#:
PAY METHOD:VALIDATION:
PERMIT #: PR20210001458
CITY OF DIAMOND BAR
INSPECTION RECORD
INSPECTION DATE:INSPECTOR:INSPECTION DATE:INSPECTOR:
SETBACK / LETTER TRACK AND LEDGER
FOOTINGS FORMS 02/13/202308/02/2
023 T-BAR
SLAB POOL DEMOLITION
UG. PLUMBING 07/11/2023 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 08/02/202303/04/2
02403/04/2024 FENCE / GATE / ALARM
FLOOR SHEATHING FINAL POOL
SHEAR WALLS EXTERIOR 03/04/2024 WALLS:
SHEAR WALLS INTERIOR 03/04/2024 WALL FOOTING/STEEL 04/26/2023
FRAMING/VENTING 08/22/202303/04/2
02403/11/2024 WALL STEEL 1ST( ) 2ND( ) LIFT 04/26/2023
RO. MECHANICAL 02/27/2024 WALL DRAIN / SEAL
RO. ELECTRICAL W ( ) C ( )WALL FINAL
RO. PLUMBING 02/27/2024 RO. FRAMING PLANNING
APPROVAL
INSULATION WALL 09/18/2023 ROUGH FIRE APPROVAL
INSULATION CEILING 09/18/2023 FINAL FIRE DEPARTMENT
HOT MOP/SHOWERPAN FINAL PLANNING
DRYWALL 09/25/2023 FINAL PW ENGINEERING 02/27/2024
LATH EXTERIOR 09/18/202303/19/2
024 FINAL PW MAINTENANCE
LATH INTERIOR 05/30/2024 FINAL HEALTH DEPT.
GAS TEST FINAL INDUSTRIAL WASTE
SCRATCH COAT 04/11/2024 FINAL BUILDING
ELECTRIC METER RELEASE FINAL MECHANICAL 07/29/2024
GAS METER RELEASE FINAL ELECTRICAL
SPECIAL INSPECTION FINAL PLUMBING
SMOKE & CARBON
MONOXIDE DETECTORS
T.C. OF OCCUPANCY
CERT. OF OCCUPANCY
COMMENTS:
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PERMIT #: PR20210001458
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).]:
(_) 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. 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.)
(_) 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.)
(_) 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:<Enter License Class>LICENSE NUMBER:
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:
CARRIER:<Enter Workers Comp>POLICY #:EXPIRATION DATE:
NAME OF AGENT:0 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 and state laws relating to building construction.
I authorize representatives of the City of Diamond Bar to enter the above-identified property for inspection purposes.
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT:
DATE: