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Home My WebLink AboutPR20190000128Y• n PERMIT M PR20190000128 CITY dFVrAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Dnve, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839.7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdoamondbar.com building@diamondbarca.gov JOB SITE ADDRESS:1248 DIAMOND BAR BLVD S, Unit:D, DIAMOND BAR, CA 917651248 DIAMOND BAR BLVD S, Unit:C, DIAMOND BAR, CA 91765 APN 87020010438702001044 LOT# TRACT# OWNER NAME YU KEQINMILLER JUDY L ADDRESS 1248 S DIAMOND BAR BLVD C1248 S DIAMOND BAR BLVD #D CITY DIAMOND BAR ZIP 9176591765 TEL <NO PRIMARY PHONEa NO PRIMARY PHONE> DIAMOND BAR APPLICANT NAME TEL CONTRACTOR NAME C£LCO CONSTRUCTION SERVICES ADDRESS 1004 W WEST COVINA PKWY SUITE 502 CITY WESTCOVINA STATE CA ZIP 91790 TEL (626)956-3556 ARCHJENGfDES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE PLC# ISSUE DATE 26 Feb 2019 PR# PR20190000128 TYPE CONSTRUCTION OCC GROUP SCOPE QF WORK, repairing garage fire damage (structuai, roofing, drywall, palntl #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF ADIAREA,NALUATION SFR/ADDIREM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL. Electrical TYPE QUANTITY AMOUNT TOTAL Receptacle, Switch, Lighting or other Outlets 1 $2 35 $2 35 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $594 01 $699 84 PLAN REVIEW ELECTRICAL $55 76 PLUMBING MECHANICAL INSPECTION FEE 15SUANCE $7869 SMIP $3 87 ENERGY RETENTION FEE $37 73 PREJALTFEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT TOTAL FEES: $1A68 90 COMMENTS PIC RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION At PERMIT M PR2019e0Q0128 CITY OF DIAMOND BAR " INSPECTION RECORD SETBACK / LETTER DATE: INSPECTOR: INSPECTION TRACK AND LEDGER DATE:INSPECTION FOOTINGS FORMS T BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL P0011VA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL RRE DECK BONDING MAIN WATER LINE '.. P-TRAP ROOF SHEATHING FENCE / GATE / ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTtNG WALL STEEL 1ST( ) 2ND(} LIFT , RO MECHANICAL WALL GRAIN/SEAL RO ELECTRICAL W () C {) WALL FINAL ' AID PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL KIN lE ROUGH FIRE APPROVAL INSULATION COILING FINAL FIRE DEPARTMENT HOT MOF/SHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PIN MAINTENANCE LATH INTERIOR FINALHFALTHDEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT ',..,.. FINAL BIIILDI✓ 5 ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECTRICAL LyP r t t LT SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIOf DETECTORS T C OF OCCUPANCY CERT OE OCCUPANCY COMMENTS iw PERMIT #: PR20190000128 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 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 ($S00) ] (_) 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 -Builder 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 ) (_) 1 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 -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 B LICENSE NUMBER 988826 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 1 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 CYPRESS INSURANCE POLICY # EXPIRATION DATE COMPANY NAME OF AGENT CEWC929201 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 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 property for inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE