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Home My WebLink AboutPR20190001035(2V PERMIT * CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21910 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Budding Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS: 850 DIAMOND BAR BLVD, DIAMOND BAR, CA 91765 APN 8706002056 LOT# OWNER NAME FOREMOST DIAMOND RANCH LLC TRACT# ADDRESS 4590 MACARTHUR BLVD #600 CITY NEWPORT BEACH ZIP 92660 APPLICANT NAME TEL <NO PRIMARY PHONE> TEL CONTRACTOR NAME WHITE MECHANICAL INC ADDRESS 27221BURBANK CITY FOOTHILL RANCH STATE CA ZIP 92610 TEL 949) 716.8379 ARCHfENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE ISSUE DATE 20 Jun 2019 PfC# PR# PR2019000103S TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK REPLACE EXISTING SUITE #225 (2) 4-TON ROOF TOP PACKAGE UNITS LIKE FOR LIKE #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF AD1 AREANALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL Mechanical TYPE QUANTITY AMOUNT TOTAL A/C Residential I< 100,001 BTU) 1 $157 23 $157 23 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL $157 23 INSPECTION FEE ISSUANCE $45 02 5MIP ENERGY RETENTION FEE $7 86 PREIALTFEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $6 29 TOTAL FEES: $216 40 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT# 45212 PAY METHOD CK.112642 VALIDATION RC PERMIT #. PR20190001030- INSPECTION SETBACK/LETTER DATE: TRACK AND LEDGER FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOL/SPA LIFER GROUND GAS TEST, EL, PI., ME SEWER LATERAL PRE GUSKIF SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING FENCE JGATE /ALARM FLOORSHEATHING FINAL POOL $HEAR WALLS EXTERIOR WALES SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL SST(} ZND(} LIFT RO MECHANICAL WALLDRAIN/SEAL RO ELECTRICfiLW(}C(} WALLFINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIRE APPROVAL INSULATION CEILING FINALFIREDEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGRiEfRLNG LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINAL HEALTH DEPT • GAS TEST FINAL WOUSTRIAL WASTE SCRATCH COAT FINALRU)LDING ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELEC701M SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY '.. CERT OF OCCUPANCY COMMENTS t OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) [Section 70315, Business and Professions Code. Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to fde a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($S00) j (_) I as owner of the property, or my employees with wages as their sole compensation, will do (J 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 building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that n was not built or improved for the purpose of sale ) (_) 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 ) 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 httplwww 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 C-20 LICENSE NUMBER, 822474 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 INSURANCE COMPANY OF THE POLICY # EXPIRATION DATE WEST NAME OF AGENT WVE502460405 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 1 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 ing construction I authorize representatives of the City of Diamond Bar to enter the above- en ed ope or i purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE 1 &L413