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Home My WebLink AboutPR2O190000589PERMIT #: PRZO190000589 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) 939-7027 biAl1AC)ND BAR BUILDING PERMIT APPLICATION www.cttvoidiamondbar.com building@dlamondbarca.gov JOB SITE ADDRESS. 873 LEYLAND DR, DIAMOND BAR, CA 9176S APN 8701019008 LOT# OWNER NAME ALINAS CHRISTIANC TRACT# ADDRESS 873 LEYLANO OR CITY DIAMOND BAR ZIP 91765 APPLICANT NAME TEL <NO PRIMARY PHONE> TEL CONTRACTOR NAME OH Building ADDRESS 1980 Holt Ave CITY Pomona STATE CA ZIP 92768 TEL (626)478-5449 ARCH/ENG/DES NAME KATRINA DESIGN CORP ADDRESS 260 GLENDORA AVE CITY WFSTCOVINA STATE CA ZIP 91790 TEL (626) 922.5013 P/C DATE P/C# ISSUE DATE 21 May2019 PR# PR20190000589 TYPE CONSTRUCTION .............. OCC GROUP SCOPE OF WORK. REPLACE INTERIOR WOOD FRAME COLUMNS BETWEEN DINING ROOM / LIVING ROOM AND REPLACE WITH NEW ROOF BEAM #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SCL FT FACTOR PSF ADJ AREAIVALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION: TOTAL-, $7,000 0000 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $217 57 PLAN REVIEW $15719 ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $45 02 5MIP $0 91 ENERGY RETENTION FEE $2012 PRE/ALT FEE BASF $1 00 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMITSY5TEM REPLACMENT FEE $1610 TOTAL FEES: $457 91 COMMENTS P/C RECEIPT # PERMIT RECEIPT# 44694 FAY METHOD VALIDATION PAYMETHOD CHECK 1623 VALIDATION CR L •LLLL CITY OF DIAMOND BAR INSPECTION RECORD INSPECTION SETBACK/LETTER !+ TRACK AND LEDGER R+INSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL AOOLISPA UFER 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 FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL 1ST( ( 2ND( ) LI FT RO MECHANICAL WALLDRAIN/SEAL RO ELECTRICAL W () C (} WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINALfIREDEPARTMENT HOT MOP/SHO W ERPAN FINAL PLANNING DRYWALL !ii IV FINALPWENGINEERING LATH EXTERIOR FINAL PWMNNTENANCE LATH INTERIOR FINAL 14EMTN LTEPr GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING fr (a ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINALPLUMBING SMOKE & CARBON MONOXIDE OETECTORS '..,. TC OF OCCUPANCY CERT OF OCCUPANCY COMMENTS PERMIT #: OWNER,BUILDER DECLARATION M I hereby affirm under penalty of perjurythat 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 bcensure 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 (J 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 ) (_)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 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 leginfo ca gov/calaw html SIGNATURE OF PROPERTY OWNER ORAUTHORIZED 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 fu11 force and effect. LICENSE CLASS B LICENSE NUMBER 1003083 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 <Enter Workers Comp> POLICY It EXPIRATION DATE NAME OF AGENT 0 PHONE # 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 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. 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