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Home My WebLink AboutPR20190001109PERMIT M PR20190001109 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 9176S (909) 939-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839.7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca.gov 1JOB SITE ADDRESS: 920 GOLDEN SPRINGS OR, Unit:B, DIAMOND BAR, CA 91765920 GOLDEN SPRINGS DR, Unit:C, DIAMOND BAR, CA 92765920 GOLDEN SPRINGS DR, UnIt.D, DIAMOND BAR, CA 91765920 GOLDEN SPRINGS DR, Unit:E, DIAMOND BAR, CA 91765920 GOLDEN SPRINGS DR, Unit:F, DIAMOND BAR, CA 91765920 GOLDEN SPRINGS OR, Unn.G, DIAMOND BAR, CA 9176S920 GOLDEN SPRINGS DR, Unit:A, DIAMOND BAR, CA 9176S APN 87040212018704021202 LOT# TRACT# 87040212038704021204 87040212058704021206 8704021207 OWNER NAME LUTGEN PETER J & KELENE SKOTECHA KAMAL RTSAI DAVID & WEN CHU BINGTESKE PAUL E & MARGARET LTAI FOON KWAN LUACKSON JOHANNA M ADDRESS 920 GOLDEN SPRINGS DR #APO BOX 4335920 GOLDEN SPRINGS DR #C23441 GOLDEN SPRINGS DR #396920 GOLDEN SPRINGS DR #EPO BOX 14441610 SILVER MAPLE DR CITY DIAMOND BAR ZIP 9176591765917659176591765917 TEL <NO PRIMARY PHONE><NO PRIMARY PHONE><NO PRIMARY DIAMOND BAR 9890631 PHONE><NO PRIMARY PHONE><NO PRIMARY PHONE><NO DIAMOND BAR PRIMARY PHONE><NO PRIMARY PHONE> DIAMOND BAR DIAMOND BAR WALNUT LA HABRA APPLICANT NAME TEL CONTRACTOR NAME Royal Roof Co ADDRESS 996 E Price St CITY Pomona STATE CA ZIP 91767 TEL (909) 620.4316 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 28 Jun 2019 PR# PR2019DD01109 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK* Tear off eidsting and apply new Built-up roof #DWELLUNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SCL FT FACTOR PSF ADJ AREA/VALUATION SFR/AOD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF 3,70D 00 $16,613 00 COMMERCIAL TOTAL VALUATION: TOTAL $16,613 DOW PLAN CHECK FEES PERMITFEES CONSTRUCTION $482 05 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $45 02 SMIP $2 35 ENERGY RETENTION FEE $2410 PRE/ALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT $300 00 PERMIT SYSTEM REPLACMENT FEE $19 28 TOTAL FEES, $973 80 COMMENTS P/C RECEIPT# PAY METHOD VALIDATION PERMIT RECEIPT# 45365 PAY METHOD VALIDATION FM I Y PERMIT #: PR20190001109 INSPECTION SETBACK / LETTER D• •INSPECTION TRACK AND LEDGER FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS VG ELECTRICAL POOL/SPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SH EATHING FENCE /GATEJ ALARM FLOOR SHEATHING FINAL POOL MHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMINGIVENTING WALL STEEL 1ST( 12ND(( LIFT RD MECHANICAL WALLDRAIN/SEAL RD ELECTRICAL W () C () WALL FINAL RD PLUMBING' RD FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEIUNG FINAL FIRE DEPARTMENT NOT MOP/SHOWERPAN '', FWALPLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR .... FINAL PWMAINTENANCE LATH INTERIOR FINAL HEALTNDEPT GAS TEST FINAL INDUSTRML WASTE SCRATCH COAT FINAL BUILDING 1 ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT, OF OCCUPANCY COMMENTS PERMIT #: PR20190001109 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 nerd to the applicable Rem(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 Iicensure 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 (_) 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 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade 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 Iicensure 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 C39 LICENSE NUMBER 413067 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 COSTOF 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 California Insurance Company POLICY # EXPIRATION DATE NAME OF AGENT 468759730106 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 forthe 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 inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE F G