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Home My WebLink AboutPR20190000086PRMIT #: PR20190000086 CITY OF DIAMOND BAR �' y COMMUNITY DEVELOPMENT DEPARTMENT 21910 Copley Drive, Diamond Bar, CA 9176S (909) 839.7020 Fax: (909) 861.3117 Building Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citv*fdiamondbar.com building@dlamondbarca.gov JOB SITE ADDRESS: 20638 Shepherd Hills Dr APN LOT# TRACT# OWNER NAME ' ADDRESS CITY ZIP TEL APPLICANT NAME TEL CONTRACTOR NAME KMPaeoCovers com Inc ADDRESS 313S2 Daybreak Ct CITY McMee STATE CA ZIP 92584 TEL 909i 838.6779 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 16 Jan 2019 PR# PR20190000086 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK Solid Alumawood Patio Cover 10'x30' = 300 sq ft with electrical #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SQ FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK 30000 $4,812 00 POOLISPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL $4,812 0000 Electrical TYPE QUANTITY AMOUNT TOTAL Lighting Fixtures, Sockets, or Other Lamp Holding Devices 10 $2 35 $23 5D PLAN CHECK FEES PERMIT FEES CONSTRUCTION $173 49 PLAN REVIEW ELECTRICAL $55 76 PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $78 69 SMIP $063 ENERGY RETENTION FEE $33 91 PRE/ALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE $7791 RECYCLING AND WASTE DEPOSIT TOTAL FEES. $42139 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERM IT RECEIPT# 42955 PAYMETHOD Check # 1358 VALIDATION EM PERMIT#: PR20190000086 • i • I i : + • • •'i S 4 INSPECTIOND+ SETBACK/LETTER TRACKANDLEDGER D+INSPECTOR: FOOTINGS FORMS��• jam+ / r T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOIfSPA 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 t FRAMING/VENTING WALL STEEL 1ST(2ND() LIFT RO MECHANICAL WALLORAIN/SEAL RO ELECTRICAL W () C (} WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATIONWALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOW ERPAN FINAL PLANNING DRYWALL FINAL PWENGINEERING LATH EXTERIOR FINALPWMAINTENANCE LATH INTERIOR FINALREALTN DEPt GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINALBUILDWIS ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINALELECTRMAL { i SPECIAL INSPECTION FINAL PLUMBING SMOKE $ CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT OF OCCUPANCY COMMENTS PERMIT #: PR20190000086 OWNER4t DER 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 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 ($500) ) (_) I as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (J portions of the wgrk, 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 ) (_) 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 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 -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 httpjwww leginfo ca govjcalaw 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 954365 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 <Enter Workers Comp> POLICY# EXPIRATION DATE NAME OF AGENT 0 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 I 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, 1 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 budding construction I authorize representatives of the City of Diamond Bar to enter the above -identified property r inspe tion purposes SIGNATURE 0 PROPERTY OWNER OR AUTHORIZED AGENT Adam Murvine DATE 1 I6 t