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Home My WebLink AboutPR20190000996k'" ` PERMIT#:PR20190000996 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 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com buiiding@diamondbarca.gov JOB SITE ADDRESS: 530 BELLOWS CT, DIAMOND BAR, CA 92765 APN 9281035057 LOT# TRACT# OWNER NAME HORIKOSHI YUKiKO ADDRESS 2650 E PACIFIC CT CITY BREAK ZIP 92821 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME AMM RESTORATION AND CONSTRUCTION ADDRESS 13321 ALONDRA BLVD UNITT CITY SANTA FE SPRINGS STATE CA ZIP TEL <NO PRIMARY PHONE> ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 13 Jan 2019 PR# PR20190OM96 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK* FIRE DAMAGE REPAIR - 2100 SOFT REPAIR AND REPLACEMENT OF TILE ROOFING, ROOF SHEATHING, TRUSSES, FLOOR JOISTS, CHIMNEY FRAMING, GAS FIREPLACE INSERT, WINDOWS, DOORS, STUCC, DRYWALL, INSULATION, ELECTRICAL & ADD SMOKE/CARBON MONOXIDE DETECTORS (1) ELECTRICAL OUTLET - (6) CAN LIGHTS - NEW DUCT WORK *PERMIT REPLACES PR19.186 BECAUSE OF CHANGE OF CONTRACTOR* #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SQ FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL $100,000 0000 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $1,41996 ! $64621 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $90 04 SMIP $29 00 ENERGY RETENTION FEE $156 51 PREIALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT $250 00 PERMIT SYSTEM REPLACMENT FEE $123 61 TOTAL FEES. $2,714 33 COMMENTS P/C RECEIPT# PAY METHOD VALIDATION PERMIT RECEIPT # 45539 PAY METHOD VALIDATION EM PERMIT #: P112019d0009-6 INSPECTION SETBACK J LETTER D•INSPECTOR: TRACK AND LEDGER FOOTINGS FORMS T-80 SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOVSPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOFSHEATHING FENCE IGATE %ALARM f LOtlR SHEgTHING, }� i FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WADS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING • WALL STEEL SST{}2ND{)LIFT RO MECHANICAL WALL DRAIN/ SEAL RO ELECTRICAL W () C { } f _ , 44ff.•'' j,� WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOPJSHOWERPAN MUL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FIN404EALTHDEP7 GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BURDAVB �j- ,•S I ELECTRIC METER RELEASE FINGILMECHANICAL GAS METER RELEASE FINAL ELECTRICAL » • '( SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS TC OFOCCUPANCY CERT OF OCCUPANCY d I' , 40- � •rrrr.. 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 applicant forthe 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 ($S00) ] U I as owner of the property, or my employees with wages as their sole compensation, will do U 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 ) 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 ) (_) 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 bulk as an owner -builder if it has not been constructed in its entirety by licensed contractors 1 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 legmfo 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* 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 ATrORNEY'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 far 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 WWC3367497 PHONE# 1 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 building construction I authorize representatives of the City of Diamond Bar to enter the above -identified property for inspe s SIGNATURE PFP OPERTY OWNER OR AUTHORIZED AGENT Edward Gon ales DATE 94rd rA