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Home My WebLink AboutPR20180034706PERMIT #. PR20280034706 ' CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839.7027 DIAiIN ND BAR BUILDING PERMIT APPLICATION www citvofdiamondbar com building@diamondbama gov JOB SITE ADDRESS 22379 KICKING HORSE DR, DIAMOND BAR, CA 91765 APN $713044011 LOT# OWNER NAME TENG CHIAY TRACT# ADDRESS 22379 KICKING HORSE OR CITY DIAMOND BAR ZIP 91765 APPLICANT NAME TEL <NO PRIMARY PHONE> TEL CONTRACTOR NAME Ara Inc ADDRESS 662 Shoppers Lane#ZA CITY Cowna STATE CA ZIP 91723 TEL (626)523-9147 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE 15SUE DATE P/Ca PRO TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK Condenser and Coll 1 #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL Medwnlol TYPE QUANTITY AMOUNT TOTAL A/C Residential 1- BTU) 1 $3242 $3242 Walk-in Box / Refngeator Coll (<300 001 BTU) 1 $3242 $32 42 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL $77 15 INSPECTION FEE ISSUANCE S45 02 SMIP ENERGY RETENTION FEE $695 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT TOTAL FEES $12912 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION PERMIT# PR20180034706 TF I INUIMNIL11,410:a INSPECTION SETEACR/tENVA s TRACK AND LEDGER DATE: TO'" FORMS T-RAR SUtB POOL DEMCbUNSN UG "UMRING RODE DRAINS UG ELECTRICAL POULJSPA LIFER GROUND GAS TEST, EL, IN, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECKRONDING WIN WAFER UNE P-TRAP ROOF SHEATHING FENCE / GATE / ALARM FLOOR SHEATHING FINAL POOL SHEARWALLSEXTERIOR WALLS SHFAR WAUSINNMIOR WALL FOOTING/STEEL ,. FRAMINGNENTING WALLSTE£L SST(12NOS I UFT RO MECHANICAL. WALL OWN/SEAL NO ELECTIRM W O C O WALL FINAL NO PLUMBING RO FRANUNG PLANNING APPROVAL INSULATION WALL RVIAM kEAPPROHAL INSULATION CEIUNG ERMLFIREOHARTMENT HOT MOP/SHOWFRPAN RARE. PMAI WG DNTWALL FMI LPWENGWEERNLG IATN EXTERIOR FWAL PWMAINF£NAMCE LATH INTERIOR EMU. HEALTH USES GAS TEST FINAL INOUSIRIAL WASTE SCRATCH COAT FINALAWLWNG ELECTRIC METER RELEASE AWALMKMAIMCAL GASMETERRELEASE EMU EUFCnNOR L SPECIAL NLSPECFiON FWALPLUMMNG SMOKE A CARBON MONOXIDEOETECTURS TC OFOCCUPANCM CERf O�gX4lPANCY TIMM= PERMIT It PR201OW34706 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable dem(s) (Section 70315, Business and Professions Code Any city or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($S00) ] 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 ) 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 } (,-) 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 one year prior to completion of the improvements covered by this permit, 1 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 httpjwww leguifo 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 LICEN6ECLASS C20 LICENSE NUMBER 632974 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 ($S,OOD}, 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 Fund POLICY If EXPIRATION DATE NAME OF AGENT 9137774 PHONE ft I certify that, in the performance of the work forwhich 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 shag 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 LENOER'SADDRESS 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-mentified property for inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE