The URL can be used to link to this page

Home My WebLink AboutPR20190000593PERMIT III: CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 939.7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 DiJ\MC1N0 BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbama.gov JOB SITE ADDRESS, 202 BRIAR CREEK RD, DIAMOND BAR, CA 9176SS APN 8703004015 LOT# TRACT# OWNER NAME BYERS MARJORIE ADDRESS 202 BRIAR CREEK RD CITY DIAMOND BAR ZIP 9176S TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME It SHEA Roofing ADDRESS 5655Juniper St CITY Chino STATE CA ZIP 91710- TEL 909) 591-4463 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 12 Apr 2019 PR# PR20190000593 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK. RE -ROOF -TEAR OFF & INSTALL CLASS "A" 30 YR SHINGLES OVER 1/2" RADIANT BARRIER. TORCH DOWN TO FLAT AREA #DWELLUNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF ADJAREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOLISPA RE -ROOF $4 49 COMMERCIAL TOTAL VALUATION. TOTAL $44900 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $37185 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $45 02 SMIP $1 82 ENERGY RETENTION FEE $18 59 PRE/ALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT $250 00 PERMIT SYSTEM REPLACMENT FEE $14 87 TOTAL FEES' $703 15 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION PERMIT #: PR20190000k93'+ UM • • r INSPECTION SETBACK / LETTER s= sINSPECTOR: TRACK AND LEDGER FOOTINGS FORMS T-BAR SLAB POOL DEMOUTION UG PLUMBING ROOF DRAINS UG ELECTRICAL POCHISPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOFSHEATHING 1p l FENCE/GATE/ALARM ,.,. FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL IST{ } 2ND(} LIFT RO MECHANICAL WALLORAIN/SEAL RO ELECTRICAL W O C (} WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL L. ROUGNFIRE APPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PIN ENGINEERING LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINAL NEALTN DEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FWALBUILOING S pe ..i t ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLLM ONG SMOKE &CARBON MONOXIDE DETECTORS TC OFOCCUPANCY �ftT. dF 6CCUPANCY COMMENTS PERMIT #: PR20190MOS93 OWFAR-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 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) ) U 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 budding 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 ) (_)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 ) (J 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 -budder 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 C-39 LICENSE NUMBER 565595 EXPIRATION DATE CONTRACTOR SIGNATUREr1 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 STATE COMPENSATION POLICY #. EXPIRATION DATE INSURANCE FUND NAME OF AGENT 9004708 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 37D4 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