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Home My WebLink AboutPR20190001395PERMIT #: PR2019OW1395 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Dnve, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Budding Inspection Hotline (909) 839-7027 DlAIAOND BAR BUILDING PERMIT APPLICATION www.citvofdiamandbar.com building@diamondbarca.gov JOB SITE ADDRESS. 21S38 BIRCH HILL DR, DIAMOND BAR, CA 9176S APN 8285065012 LOT# TRACT# OWNER NAME DUENAS MAURICIO A&MARISSAA ADDRESS 21538 BIRCH HILL DR CITY DI NO BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTORNAME ADDRESS CITY STATE ZIP TEL ARCH/ENG/DES NAME ADDRESS CITY STATE ZIP TEL P/C DATE P/C# ISSUE DATE 09 Aug 2019 PR# PR20190001395 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK Composition Re -roof #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SQ FT FACTOR PSF ADIAREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF 3,00000 $7,200 00 COMMERCIAL TOTAL VALUATION TOTAL. $7,200 0000 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $24611 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $46 23 SMIP $0 94 ENERGY RETENTION FEE $12 31 PRE/ALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT $250 00 PERMIT SYSTEM REPLACMENT FEE $9 84 TOTAL FEES: $566 43 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT# 46005 PAYMETHOO CHECK#1214 VALIDATION FM PERMIT #: PR20190001395 f 1 + il i 1 • i INSPECTION RECORD INSPECTION SETBACK / LETTER DATE: INSPECTOR: INSPECTION TRACK AND LEDGER .•INSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOV3PA UFER GROUND GAS TEST, EL, PL, ME SEWERLATERAL PRE GUNtTE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOFSHEATHING FENCE/GATE/ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL 1ST() 2ND(j LIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICAL W O C O WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIRE APPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOW ERPAN FINAL PLANNING DRYWALL FINAL PIA01"WEERING LATH EXTERIOR FINALPIAIMAINTENANCE LATH INTERIOR FINAL HEALTH DEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING 1,5Q 4t ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL £LECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY EDIT OF OCCUPANCY O PERMIT M PR20190001395 OWNER -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 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 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 U all of or (j 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale ) U 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 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 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 LICENSE NUMBER 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 POLICY 8 EXPIRATION DATE NAME OF AGENT PHONE q 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 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 props r inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE