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Home My WebLink AboutPR20190001340.L 0 PERMIT #: tPIP 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 DiAAAOND BAR BUILDING PERMIT APPLICATION www citvoidlamondbar.com budding@dlamondbarca.gov JOB SITE ADDRESS. 22530 LARK SPRING TER, DIAMOND BAR, CA 91765 APN 8293019005 LOT# TRACT# OWNER NAME PAPADOPOULOS PETER IS HELEN ADDRESS 22530 LARK SPRING TER CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME ILESCAS INCORPORATED ADDRESS PO BOX292940 CITY PHELAN STATE CA ZIP 92329 TEL (909)320-9515 ARCHJENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE PJC# ISSUE DATE 31 M 2019 PR# PR20190001340 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK RE -ROOF REMOVE AND REPLACE EXISTING COMP SHINGLES, USE EXISTING SOLID SHEATHING, CLASS ASHINGLES #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SQ, FT FACTOR PSF ADl AREA/VALUATION SFRJADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF 2,70000 $5,000 00 COMMERCIAL TOTAL VALUATION TOTAL: $5,000 0000 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $178 19 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE 54623 SMIP $0 6S ENERGY RETENTION FEE $8 90 PRE/ALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT $250 DO PERMIT SYSTEM REPLACMENT FEE $7 12 TOTAL FEES. $492 09 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # 45846 PAY METHOD CHECK 4189 VALIDATION CR PERMIT #: PR20190001340 CITY OF DIAMOND BAR 1 . . INSPECTION SETBACK I LETTER D• TRACK AND LEDGER DATE: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOVVA UFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWERCLEANOUT POOL PRE DECK BONDING MAIN WATER LIN€ P-TRAP ROOF SHEATHING T.+ FENCE/GATE/ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTLNGISTEEL FRAMING/VENTING WALL STEEL LST(j 2ND(j LIFT RO MECHANICAL WALLDRAINISEAL RO ELECTRICAL W () C { j WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PIN ENRINEERINR LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINALNEALTNDEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING l.� l V' ei- Vol ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FIND. ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS TC OF OCCUPANCY CERT OF OCCUPANCY d PERMIT #: PR20190001340 OWNERcBUILDtR 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 dem(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) orthat he or she is exempt from licensure and the basis forthe 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 (_) 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 ) (_) 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 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 httpjwww 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 B LICENSE NUMBER 103648S 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 BENCHMARK INSURANCE POLICY #. EXPIRATION DATE COMPANY NAME OF AGENT CST5015849 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 lawn 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 inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT — DATE i