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Home My WebLink AboutPR20180034855PERMIT If: PR20180034855 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) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.cttvofdiamondbar.com budding@diamondbarca.gov JOB SITE ADDRESS. 624 MOUNT ST, DIAMOND BAR, CA 9276S APN 8717021023 LOT# TRACT# OWNER NAME TAN JULIAN&JUDYP ADDRESS 624 MOUNTST CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME Amen -Cal Reprpe and Plumbing ADDRESS 6900 Knott Ave, Ste 1 CITY Buena Park STATE CA ZIP 90621 TEL (562) 644-7477 ARCH%ENG%DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE PIC# ISSUE DATE PR# TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK. Pew Re -pipe #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION 50, FT FACTOR PSF AD1 AREAIVALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL, Plumbing TYPE QUANTITY AMOUNT TOTAL Re -Pipe PEX 11 1 $19 82 1 21802 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING $218 02 MECHANICAL INSPECTION FEE ISSUANCE $45 02 SMIP ENERGY RETENTION FEE $29 62 PREIALT FEE _ BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT TOTAL FEES' $282 66 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # 42732PAY METHOD Check # 8490 VALIDATION EtM PERMIT M PR201800348SS rift-ToTElTETTANITi INSPECTION SETBACK/ LETTER DATE: INSPECTOR: INSPECTION TRACK AND LEDGER DATE: O. FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL P0011VA 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 FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMINGIVE14TING WALL STEEL IST(} 2NO() UFT RO MECHANICAL WALLDRAIN/SEAL RO ELECTRICAL W O C O WALL FINAL RO PLUMBING �� APPROVAL RO FRAMINGPLANNING INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINALFIREDEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PIN ENGINEERING LATH EXTERIOR FINAL PIN MAINTENANCE LATH INTERIOR FINAL HEALTH DEFT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MEORMIM GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT. OF OCCUPANCY COMMENTS PERMIT #: 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 70315, Business and Professions Code Any city or county that requires a permit to construct, after, 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 forthe 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) ) (J I as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 building 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 ) 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 ficensure 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/wvvvv leginfo ca goy/calaw html SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE LICENSED CONTRACTORS 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 928649 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 Farm POLICY# EXPIRATION DATE NAME OF AGENT 92GBX0212 PHONE # I certify that, in the performance of the work tar 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 fending agency for the performance of the work for which this permit is issued (Section 8172, Ovil 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 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 builds struction I authorize representatives of the City of Diamond Bar to enter the above -identified propenflo ction p poses SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT Anamane Rc DATE / ZCL ?J