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Home My WebLink AboutPR20190000668PERMIT #: PR20190000668 AMt CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909( 839-7020 Fax: (909( $61-3117 Budding Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvoMiamondbar com budding@diamondbarca gov JOB SITE ADDRESS: 23575 CASA LOMA OR, DIAMOND BAR, CA 91765 APN 8701001017 LOT# TRACT# OWNER NAME GOMEZ LUIS G & MINA E ADDRESS 23S7S CASA LOMA DR CITY POMONA ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME American Residential Services dba Rescue Rooter ADDRESS 965 Ridge Lake Blvd CITY Mem his STATE CA ZIP 38120 TEL (901( 271-9700 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 24 Apr 2019 PR# PR20190000668 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK. Install Clean Out #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SQ FT FACTOR PSF AD1 AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL. PiumbIn TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture / Trap or Set of Fixtures 1 $19 82 1$19 82 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING $55 76 MECHANICAL INSPECTION FEE ISSUANCE $45 02 SMIP ENERGY RETENTION FEE $2 79 PRE/ALT F€€ BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $2 23 TOTAL FEES: $105 80 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT# 44292 PAY METHOD Check 011111 VALIDATION INSPECTIONi+ SETBACK / LETTER i" i TRACK AND LEDGER i+INSPECTOR: FOOTINGS FORMS T•BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOL/SPA. UFERGROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE PTRAP ROOF SHEATHING FENCE/GATE) ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALLSTEEL SST{) 2ND)) LIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICAL W () C {) WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOW ERPAN FINAL PLANNING DRYWALL FINAL PWENGINEERING LATH EXTERIOR FMLALPWMAINTENANGE LATH INTERIOR FNAL HEALTH DEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINALPLUMBING ^, +,T r^f� ,fil�J'"( SMOKE &CARBON MONOXIDE DETECTORS TC OF OCCUPANCY CERL OF OCCUPANCY COMMENTS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 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 6censure 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) ) (_) 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale ) (J 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 bcensure 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 owner -builder if it has not been constructed in its entirety by licensed contractors i understand that a copy of the applicable ,v, Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the following Web site httpJwww 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 C36 LICENSE NUMBER 765155 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 ATTORNEYS 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 earner and policy number are CARRIER Liberty Insurance Corp POLICY # EXPIRATION DATE NAME OF AGENT WA763D508631018 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 budding construction I authorize representatives of the City of Diamond Bar to enter the above -identified prope spection purposes SIGNATUR F PROPERTY OWNER OR AUTHORIZED AGENT' Anthony Arenas DATE