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Home My WebLink AboutPR20190000917t PERMIT #:PR20190000917 CITY OF DIAMOND BAR 10 COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 9176S (909) 839-7020 Fax: (909) 861-3127 Building inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.cltvofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS. 822 DIAMOND BAR BLVD, DIAMOND BAR, CA 9176S APN 8706002056 LOT# OWNER NAME FOREMOST DIAMOND RANCH LLC TRACT# ADDRESS 4590 MACARTHUR BLVD #600 CITY NE FIT BEACH ZIP 92660 APPLICANT NAME TEL <NO PRIMARY PHONE> TEL CONTRACTOR NAME WHITE MECHANICAL INC ADDRESS 27221BURBANK CITY FOOTHI LLRANCH STATE CA ZIP 92610 TEL 1949j 716.8379 ARCH/ENG/DES NAME ADDRESS .._--- CITY STATE CA ZIP TEL P/C DATE P/C# ................... ISSUE DATE 20 Jun 2019 PR# PR2019ON0917 TYPE CONSTRUCTION .......... OCC GROUP SCOPE OF WORK INSTALLATION OF (3) NEW ROOF TOP PLATFORMS ON COMMERCIAL BUILDING 60° INCLUDES ADDRESSES SUITES 822 - 930 - 842 DIAMOND BAR BL % S8" #DWELLUNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF ADJ AREAfVALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL PLAN CHECK FEES PERMIT FEES CONSTRUCTION $194 93 $217 57 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $45 02 SMIP $9 52 ENERGY RETENTION FEE $2013 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $1610 TOTAL FEES: $493 27 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMITRECEIPT# 45209 PAYMETHOD CK12642 VALIDATION RC PERMIT #: PR20190000917 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 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 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 -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 ) (_) 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 1 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 Ieginfo 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. C-20 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 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 INSURANCE COMPANY OF THE POLICY # EXPIRATION DATE WEST NAME OF AGENT WVES02460405 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, 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 law relatin o budding construction I authorize representatives of the City of Diamond Bar to enter the ab v - er i for inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT t DATE —AImo,