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Home My WebLink AboutPR20180034831PERMIT#: PR20180034831 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building inspection Hotline (909) 839-7027 Oii41NC2PiOBAR BUILDING PERMIT APPIUCATION www.cltvofdiamondbar.com building@idiamondbarca.gov JOB SITE ADDRESS: 2S83 STEEPLECHASE LN, DIAMOND BAR, CA 91765 APN 8713049003 LOT# TRACT# OWNER NAME QUDDUSI TANWEER&ASMA ADDRESS 2583 STEEPLECHASE LN CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME Specialty A C Heat Inc ADDRESS 1289 E 7th St CITY UPland STATE CA ZIP 91786 TEL (909) 992-7999 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE PR# TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK Furnace change out - like for like #DWELLUNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SQ FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOLISPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL, Mechanical TYPE QUANTITY AMOUNT TOTAL Furnace F A U , Floor (c 100,001 BTU) 1 $32 42 $32 42 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL $77 15 INSPECTION FEE ISSUANCE $45 02 SMIP ENERGY RETENTION FEE $69S PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT TOTAL FEES: $129 12 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT# 42677 PAY METHOD VALIDATION EM PERMIT #: PR2018003483i r CITY OF DIAMOND BAR 01 1 mata1tEojkw K*lLim SETBACK / LETTER DATE: INSPECTOR:INSPECTION . TRACK AND LEDGER DATE: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOL/3PA UFERGROUNO 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 FOOTINGISTEEL FRAMING/VENTING WALL STEEL 1ST( ) 2ND() LIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICAL W ( ) C { WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIRE APPROVAL INSULATION CEILING FINAL FIREDEPARTMENT HOT MOP/SHOW ERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PWMAWTENANCE LATH INTERIOR FRYAL HEALTH DEFT GAS TEST FINAL INDUSIR14L WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINALMECHANXIuL j m a {!? Y GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING ' SMOKE & CARBON MONOXIDE DETECTORS TC OF OCCUPANCY PERT OF OCCUPANCY COMMENTS PERMIT #; PR20180034831 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, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicantforthe permit to fie 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_) I as owner of the property, or my employees with wages as their sole compensation, will do U 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 budding 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 ) (_) 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 hcensure under the Contractors 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/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 C20 LICENSE NUMBER 78449S 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 Norguard Insurance POLICY #, EXPIRATION DATE NAME OF AGENT SPWC015427 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 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 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 building construction I authorize representatives of the City of Diamond Bar to enter the above -identified property for inspe do pu os SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT Cassandra Aloi DATE ) 3 - 19 -