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Home My WebLink AboutPR20190000276PERMIT #: PR20190000276 t�Y CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 1909) 839-7020 Fax:1909) 861-3117 Budding Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www cityofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS. 221 PINTADO DR N, DIAMOND BAR, CA 9176S APN 8719022011 LOT# TRACT# OWNER NAME RODRIGUEZ RICHARD J & FLOR ADDRESS 1338 E ENCINAS AVE CITY GILBERT ZIP $5234 TEL <NO PRIMARY PHONE> APPUCANT NAME TEL CONTRACTOR NAME S & W Roofing Corporation ADDRESS 15428 Elmcroft Avenue CITY Norwalk STATE CA ZIP 90650 TEL (323) 803-3386 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 21 Feb 2019 PR# PR201WW0276 TYPE CONSTRUCTION OCC GROUP SCOPE OF W0FI REROOF replace edsting roof apply new camp shingle 30 sit (class A) new torch down 27 camp and 3 flat on hone and attached garage #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO. FT FACTOR PST ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF 3,00000 $13,470 00 COMMERCIAL TOTAL VALUATION* TOTAL $13,470 0000 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $371 85 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE 54502. SMIP ENERGY RETENTION FEE - PRE/ALT FEE d$3346 BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT $ TOTAL FEES. $703 08 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION PERMIT #: PR20190rj00276 CITY OF DIAMOND BAR "IT KRRWAMNLLM• • INSPECTIONr SETBACK / LETTER rINSPECTORi TRACK AND LEDGER FOOTINGS FORMS T BAR SLAB POOL DEMOLITION UG-PLUMBING ROOF DRAINS UG ELECTRICAL PDOVSPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING i+} �5 /• f do (jam FENCE/GATE/ALARM FLOOR SHEATHING FINALPOOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL 1'ST(j 2ND( I LIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICALWI)C(j WALLFINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATIONWALL / ROUGH FIR£APPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINAL HEALTH D£PT GAS TEST FINAL 1NDUSTRWL WASTE SCRATCH COAT FINAL BUILDING OI�WI. L ELECTRIC METER RELEASE F1)OAt MECHANICAL GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE OMCTORS T C OF OCCUPANCY CERT OFOCCUPANCY COMMENTS PERMIT #: PR20190000276 WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law forthe reason(s) indicated below by the checkmark(s) I have placed next to the applicable nem(s) [Section 70315, Business and Professions Code Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto 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 ($SOO) ] (_) I as owner of the property, or my employees with wages as their sole compensation, will do (_J 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 ) (_) 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 ) (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 an owner -budder 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 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 976201 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 WESCO INSURANCE COMPANY POLICY # EXPIRATION DATE NAME OF AGENT W WC4152482 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 became 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)30s relating to bmjdi co struction I authorize representatives of the City of Diamond Bar to enter the abo id ntifie proper or ection purposes Z. SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE