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Home My WebLink AboutPR20190000067- r •ttttt. CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909)839-7020 Fax: (909) 861-3117 Building Inspection Hotline(9091839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com bulldmg@diamondbarca.gov 108 SITE ADDRESS: 24159 PALOMINO OR, DIAMOND BAR, CA 91765 APN 9291027038 LOT# TRACT# OWNERNAME URBINAMALVAL ....................... ADDRESS 24159 PALOMINO DR CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME Pro Tech Constructron ................... ADDRESS 2790 E Regal Park Dr CITY Anaheim STATE CA ZIP 92806 TEL (714i 992-SSSS ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE PfC# ISSUE DATE 14Jan 2019 PR# PR2019ODD0067 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK Drywall, Insulation repair due to fire damage and electrical #DWELL NIT5 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF ADJAREA/VALUATION SFR/ADD%REM GARAGE/CARPORT PATIO/DECK POOLJSP RE-ROO' COMMERCIAL TOTAL VALUATION. TOTAL $5,000 0000 Electrical TYPE QUANTITY AMOUNT TOTAL Lighting Fixtures, Sockets, or Other Lamp Holding Devices 5 $2 35 $1175 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $173 49 PLAN REVIEW ELECTRICAL $55 76 PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $78 69 SMIP $0 65 ENERGY RETENTION FEE $20 63 PRE/ALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT TOTAL FEES: $330 22 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # 42918 PAY METHOD Check # 1952 VALIDATION PERMIT#: PRPA90060067 5 • L ll T JLp INSPECTION SETBACK f LETTER DATE: INSPECTOR: INSPECT[ON TRACK AND LEDG€R DATE: INSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAMS UG ELECTRICAL PWI/SPA 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 FRAMI NGNENTING WALL STEEL 1ST( ) 2ND{) LIFT RO MECHANICAL WALL DRAIN f SEAL RO ELECTRICAL W { ) C {) WALL FINAL RO PLUMBING zo RO FRAMING PLANNING APPROVAL INSULATION WALL "l.lei ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARANENT HOT MOPJSHOWERPAN FINAL PLANNING DRYWALL fjy ¢ -� f t� FINAL PW ENGINEERHVG LATH EXTERIOR FINAL PW MAINTENANCE '.,. LATH INTERIOR PINALHEALTHDEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING IiAk ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINALELECTRR'AL n -� SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT OF OCCUPANCY COMMENTS 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 7031 S, 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 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($S00) ] (_) I as owner of the property, or my employees with wages as their sole compensation, will do (J 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 building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that rt 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 forthe 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 t 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 v, 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 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 B LICENSE NUMBER 485114 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 work NAME OF AGENT C65771275 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, 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 ed (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 1 agree to comply with all applicable city and county ordinances and state laws relating to uilding construction I authorize representatives of the City of Diamond Bar to enter the above -identified pro for inspection puwciscs SIGNATURE PRO ERTYOWNERORAUTHORIZEDAGENT Aillsonpridy DATE }