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Home My WebLink AboutPR20180034261f �+ i( P FB PR20180034261 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 301 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839.7020 Fax, (909) 861.3117 Building Inspection Hotline (909) 839.7027 DIAMOND BAR BUILDING PERMIT APPLICATION W W W cnvOfdlamondbar Com building@dlamondbarca gov 10B SITE ADDRESS 1622 FIRE HOLLOW DR, DIAMOND BAR CA 91765 APN 870201OD47 LOT# TRACT# OWNERNAME HERNANDEZ CHRISTOPHER ADDRESS 1622 FIRE HOLLOW OR COY DIAMONOBAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANTNAME TEL CONTRACTORNAME PAPAJ3 SANOSON ...................... ADDRESS 3424 POMONA BLVD#0 CITY POMONA STATE CA ZIP 91768 TEl 626 945-6539 ARCWENG/DES NAME ...................... ADDRESS CITY STATE CA ................ZIP TEL P/C DATE P/Ca ISSUE DATE 21 Sep 2018 PAR PR20134261 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK COPPER RE -PIPE WATER LINES FOR ENTIRE HOUSE ELECTRICAL ADDITION IN KITCHEN -REROUTE OAS UNE IN KITCHEN #DWELL UNITS #STORIES #BEIXlOOM5 BUILDING FEES DESCRIPTION SO FT FACTOR ESP MU AREAIVALUATION SFR/ADDJREM GARAGE/CARPORT PATIO/DECK POOLISPA RE -ROOF COMMERCIAL TOTALVALUATION TOTAL Elacirkal TYPE QUANTITY AMOUNT TOTAL Receptade, Switch, Lihti or other Outlets 26 $362 $5672 PWaax TYPE QUANTITY AMOUNT TOTAL PiumlRng Future l Trap ar Set of Futures 2D $1982 $39640 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL $56 72 PLUMBING r $#9640 MECHANKAL INSPECTION FEE 1 ISSUANCE $78 69 SMIP ENERGY RETEKnCRI FEE $22 67 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT TOTAL FEES $55448 COMMENTS ....................... P/C RECEIPT R PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION if I IS 1IT # PR201 4261 CITY OF DIAMOND BAR INSPECTION RECORD SEFBAWLETTER DATE:INSPECTION TRUJUANG LEDGER FOOFURAS FORMS T BAR SLAB POOLOEMOLTION US PLUMBING ROOF GRAINS UG ELECTRIW. P0043FA. UFERGM%LNO GAST57JI.PLME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL ME OUR BONGING MAIN WATTA UNE P'TRAP ROOF SHEATHING FENCE/GATEIALARM FLOOR SHEATHING FINALPOOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMINGA(ENTING WALLSTEEL LSTL 12NOI) UFT RO MECHANICAL WAUCHUA1N/SEAL RO ELELTPoOAL, W (}C I I WALL FINAL RO PLUMBING �f L `'Q ( G NO ROVAi. HAHNNiG NO FRAMING INSULATION WALL ROUGHRINTAPINIJ INSULATION CEIUNG HNAL lTRE OETAATMEfiT HOT MOP/SHOWERPAN FMML PLANNING ORMALL FAW L PW ENGINEERINH LATH EXTERIOR ANAtPW MAINIFNAfQ LATH INTERIOR mat hTALTN OEPT GASTEST FEW IMGN,}TRML WASTE SCRATCH COAT FOWL 04,4101111,13 ELECTRK METER RELEASE T/NALMECHAMCAL �F GASMETERREUASE FUMLELFURICRL I SPECIALINSPECTUCN FFNAmums G SMOKE &LARGOH MONOXRIE L)ETFCTORS TC OF OCCUPANCY LERT. OF OCCUPANCY COMMENTS 46t ra PR2oli 4ZB1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License taw 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 taw (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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code The Contractors' State License taw 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 wahm 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 ) U 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 ) U 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 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 legmftr 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-10C-36 LICENSE NUMBER 709485 EXPIRATION DATE CONTRACTOR SIGNATURE WORKERS' COMPENSATION DECLARATION WARNING FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALPENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES I HEREBY AFFIRM UNDER PENALTY OF PENURY 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 BENCHMARK INSURANCE POLICY If EXPIRATION DATE COMPANY NAME OF AGENT CSTS012043 PHONE # i certdy 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 (Settcon 8172, Civil Code) LENDER'S NAM£ 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 authonm representatives of the City of Diamond gar to enter the abovo-rdendfred property for inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE