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Home My WebLink AboutPR20190000601(�� PERMIT M. PR20190000601 CITY OF DIAMOND BA COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 917655 (909( 339.7020 Fax: (909) 961-3117 Building Inspection Hotline (909) 939-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.cltvofdiamondbar.com building@dtamondbarca.gov JOB SITE ADDRESS. 24254 BRECKENRIDGE CT, DIAMOND BAR, CA 9176S APN 8701039007 LOT# TRACT# OWNER NAME WOOD DAVID A & LORENE M ADDRESS 24254 BRECKENRIDGE CT CITY DI NO BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME All American Re ipe & Plumbing ADDRESS 4060 N Palm Street, #602 CITY Fullerton STATE CA ZIP 92835 TEL I866I 499.7473 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 16 Apr 2019 PR# PR20190000601 TYPE CONSTRUCTION OCC GROUP SCOPE Of WORK PEX REPIPE 14 FIXTURES #DWELLUNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO, FT FACTOR PSF ADl AREA/VALUATK)N SFR/ADDIREM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION. TOTAL Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture / Trap or Set of Funures 14 $19 82 $277 48 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING $277 48 MECHANICAL INSPECTION FEE ISSUANCE $45 02 SMIP ENERGY RETENTION FEE $13 87 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE S1109 TOTAL FEES, $347 46 COMMENTS P/C RECEIPT# PAY METHOD VALIDATION PERMIT RECEIPT �i% PAY METHOD < VALIDATION IN SLN3 W W OJ 3 AONVd{AOO 3O O I "0103130301XONOW NOHMVO R 3XOWS SMOWO7d 7VN13 NOLOUSNi W03dS 7VO/ML73131VNN 3SV313N UAW SV9 1Y3INVH73W lVNid 3SV3138 M313W JIM13313 9N1071nB 7VNi3 1VOO HOIVM3S 31SVM MMlSR0N17VNI3 1S31 SV9 1d30N1Twul NM IIOIN31NI H1V1 33NVN3W VW Md 7VW b01831M H1Vl 9NIM33NI9N3 Md IM13 11 MANO 9NINNV71d 1VNId NVdM3MOHS/4OW lOH 1N3W1MVd303Vll WMd 9Ni1133 NOlWnSNI 7Vr10MddV38id H-CY= 1IVM NOIIVIOSNI 1VAOMddV 9NINNV'k19NlWVM3 OM \ \ 1. �j 9N19Wtlld OM 1VNI1 IIVM ((7 { i M IV:)lW313 ON W3S/NIVMOIIVM IVDINVH03W OM Ail' { }ONZ ( }1ST 1331S'1VM 9NIINWONI W VM3 13315/9N11003I1VM MOIM31Ni SIIVMM MS S77VM MOIM31X3 SIIVM MI 3H5 100d IVNI3 9NIH1V3HS MOOIJ WMVIV(31VO/33N31 9NIH1V3HS 30011 dVMl-d 3N11 01VM NIVW ONIONOS )INO 3Md 100d LnONV3IO MR W S 31INnO 3Md IVM3W M3M35 3W "ld i3 '1S31 SV9 ONflOM9 83311 VdSi700d iVO1M13313 9fl SNIVMO d00M 9NMINnId 90 N0I111OW30100d ms MVgl SWMOIS9N11003 • • MW9031 ONV NOV91 • 93LW / XOVMA3S • ' i i T09ODW6TOZVd :g llWa3d No •( UTLR : 4gZ+I+I,I .4c l OWNER-BUILDECLARATION 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 70315, 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 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)1 (_) I as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 -Budder will have the burden of proving that it was not built or improved for the purpose of sale ) L) 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 1 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 Ieginfo 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 C36 LICENSE NUMBER 866538 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, forthe 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 FALLS LAKE FIRE AND POLICY# EXPIRATION DATE CASUALTY COMPANY NAME OF AGENT FLA00667001 PHONE# I certify that, in the performance of the work far 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 1 have provided is corre I agree to comply with all applicable city and county ordinances and ate laws relating o building Cori r n I authorize representatives of the City of Diamond Bar to enter th above-ident ecnon purpc ws SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE