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Home My WebLink AboutPR20190000351PERMIT #: PR20190000351 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 961-3117 Building Inspection Hotline (909) 939-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca gov JOB SITE ADDRESS, 20717 NORTHAMPTON ST, DIAMOND BAR, CA 91765 APN 8760018023 LOT# TRACT# OWNER NAME BLAIR ROBERTA& KAREN M ADDRESS 20717 NORTHAMPTON ST CITY WALNUT ZIP 91789 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME ROYAL ROOFING CO DBA TOM BEATTIE INC ADDRESS 1144 N ARMANDO STREET CITY ANAHEIM STATE CA ZIP 92806 TEL (714) 764-1100 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 11 Mar 2019 PR# PR20190000351 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK REMOVE EXISTING ROOF TO THE WOOD DECK, REPLACE WOOD AS NECESSARY (26 SQUARES COMP SHINGLES LIKE FOR LIKE) #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO, FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF 2600 $10,400 00 COMMERCIAL TOTAL VALUATION. TOTAL $10,400 0000 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $305 73 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $45 02 SMIP $1 35 ENERGY RETENTION FEE $15 28 PRE/ALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT $50 00 TOTAL FEES. $418 38 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION ft PERMIT #: • 1 1 A • r :: INSPECTION SETBACK f LETTER D• •INSPECTOR: TRACK AND LEDGER FOOTINGS FORMS T�BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOWA UFER GROUND GAS TEST, EL, At. ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER UNE P TRAP ROOF SHEATHING p // PENC€j GATE J ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTINGISTEEL FRAMINGNENTING WALL STEEL LST() 2ND( ) LIFT RO MECHANICAL WALLDRAIN(SEAL RO ELECTRICAL W () C () WALL FI NAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIRE APPROVAL I NSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PWENGINEERING LATH EXTERIOR FINAL PW MAINMENANCE LATH INTERIOR FINAL HEALTHDEFT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BLRLOM ELECTRIC METER RELEASE FINAL MECHANICAL GA5 METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTIpN FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT OF OCCUPANCY PERMITM PR20190000351 OWNER-BUILDtR 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, 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 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 ($500) ) (_) I as owner of the property, or my employees with wages as their sole compensation, will do U 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 -Budder will have the burden of proving that it was not built or improved for the purpose of sale ) (_) I, 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 licensure under the Contractor's State License law forthe 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/caiaw 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 C39 LICENSE NUMBER. 289222 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 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 AN EMPLOYEE SERVICE GROUP POLICY # EXPIRATION DATE HOLDS THE INSU NAME OF AGENT WC0189772 PHONE #. I 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, 1 shall forthwith comply with those provisions SIGNATURE OF APPLICANT DATE DECLARATION REGARDING CONSTRUCTION LENDING AGENCY 1 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 th e-identih prop for nspe tionurP�s SIGNATURE OF PR PERTY OWNER OR AUTHORIZED AGEN DATE % `%, V