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Home My WebLink AboutPR20190000627;' 1, . PERMIT #: CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Budding Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com budding@diamondbarca.gov JOB SITE ADDRESS: 23S47 CASA LOMA DR, DIAMOND BAR, CA 91765 APN 8701001020 LOT# TRACT# OWNER NAME HALCROMB BARRETT& VENT ADDRESS 23547 CASA LOMA OR CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME ADDRESS CITY STATE ZIP TEL ARCH/ENGJDES NAME ADDRESS CITY STATE ZIP TEL PjC DATE PjC# ISSUE DATE 18 Apr 2019 PR# PA20190000627 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK. KITCHEN REMODEL & DEMO OF A WALL, DRYWALL #DWELLUNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO, FT FACTOR PSF ADI AREA/VALUATION SFRJADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL: $31000 0000 Mechanical TYPE QUANTITY AMOUNT TOTAL Exhaust Hood % Fan Duct 1 $78 35 $78 35 Electrical TYPE QUANTITY AMOUNT TOTAL Lighting Fixtures, Sockets, or Other Lamp Holding Devices 9 $2 35 SSS 76 Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture I Trap or Set of Fixtures 2 $19 82 $55 76 PLAN CHECK FEES PERMIT FEES CONSTRUCTION S12941 PLAN REVIEW ELECTRICAL $55 76 PLUMBING $55 76 MECHANICAL $7835 INSPECTION FEE $155 76 ISSUANCE $146 03 SMIP $0 39 ENERGY RETENTION FEE $647 PREJALT FEE BASF $1 00 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $5 17 TOTAL FEES. $63410 COMMENTS PjC RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD GO VALIDATION 012 PERMIT #: PR201**006L LiffifiKelli • i INSPECTIOND SETBACK/ LETTER ♦•INSPECTOR: TRACK AND LEDGER FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOL/SPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P TRAP ROOF SHEATHING FENCE /GATE /ALARM FLOORSHEATHING I FINAL POOL SHEAR WALLS EXTERIOR WALLS ''.. SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL SST{ } 2ND{ } LIFT RO MECHANICAL WALLDRAIN/SEAL RO ELECTRICAL W () C { } WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIRE APPROVAL INSULATION CEILING FRYAL FIREDEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PINENGINEERING LATH EXTERIOR '.. FINAL PIN MAINTENANCE LATH INTERIOR FINAL HEALTH DEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING / ELECTRIC METER RELEASE FINAL MECHANICAL GASMETER RELEASE FINAL ELECTRICAL P r SPECIAL INSPECTION '.. FINALPLUMBING SMOKE &CARBON MONOXIDE DETECTORS ..... '., T C OF OCCUPANCY SeF.RT. 6F OCCUPANCY L�A= PERMIT M PR20190000627 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 S, Business and Professions Code Any city or county that requires a permit to construct, alter, improve, demolish, or repairany structure, prior to its issuance, also requires the applicant forthe 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 hcensure 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 ($SOO) ) (J 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 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 ) (J I am exempt from hcensure 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 o year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that i have built as 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 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 1 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 B LICENSE NUMBER 846009 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 carrier and policy number are CARRIER STATE COMPENSATION POLICY It. EXPIRATION DATE INSURANCE FUND NAME OF AGENT' 1877374 PHONE # I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manitwo 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 owners behkfiedrope 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 stake llding constr on I authorize representatives of the City of Diamond Bar to enter the above-ifor inspect purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE