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Home My WebLink AboutPR201900014940 'k PERMITM PR20190001494 4-0 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 DIAMONDBAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS: 21031 LYCOMING ST, DIAMOND BAR, CA 9176S21033 INCOMING ST, DIAMOND BAR, CA 9176S2103S LYCOMING ST, DIAMOND BAR, CA 9176521029INCOMING ST, DIAMOND BAR, CA 91765 APN 87190120338719012034 LOT# TRACT# 97190120358719012036 OWNER NAME JIAZHI HLAZARRE BERNIENI PEI HSIENSMEE WILLIAM A ADDRESS 15836 ZENOBIA LNPO BOX 427217908 GALUNETA ST21035 LYCOMING ST CITY CHINO HILLS DIAMOND ZIP 91709917659174891789 TEL <NO PRIMARY PHONE><NO PRIMARY PHONE><NO PRIMARY BAR ROWLAND HEIGHTS PHONE> NO PRIMARY PHONE> WALNUT APPLICANT NAME TEL CONTRACTOR NAME ADDRESS CITY STATE ZIP TEL ARCH/ENG/DES NAME ADDRESS CITY STATE ZIP TEL P/C DATE P/C# ISSUE DATE 27 Aug 2019 PR# PR20190001494 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK: PLUMBING REPAIR OF METER TO UNITS #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO. FT FACTOR PSF ADJ AREA/VALUATION SFR/ADDIREM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION. TOTAL. Plumbing TYPE QUANTITY AMOUNT TOTAL Plumbing Future / Trap or Set of Fnaures 1 $57 27 1 $57 27 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING $57 27 MECHANICAL INSPECTION FEE ISSUANCE $46 23 SMIP ENERGY RETENTION FEE $2 86 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $2 29 TOTAL FEES. $108 65 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # 46256 PAY METHOD CASH VALIDATION CR X v PERMIT #: PR2019000IA94 14klx#Tj7/-11T1• ►7 `W-r-U, INSPECTION SETBACK / LETTER ..INSPECTOR: TRACK AND LEDGER FOOTINGS FORMS T BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL P0O0m UFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOFSHEATHING FENCE/ GATE /ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMINGIVENTING WALLSTEEL ISTII 2NDIj LIFT RO MECHANICAL WALLDRAIN%SEAL RO ELECTRICAL W 1) C { j WALL FINAL RO PLUMBING AD FRAMING PLANNING APPROVAL INSULATION WALL ROUGHFIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL NN"PW ENGINEERING LATH EXTERIOR FINAL. PWMAINTENANCE LATH INTERIOR FINAL HEALTH DEPT. GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINALELECTRICAL SPECIAL INSPECTION FIVALPLUMBING SMOKE & CARBON MONOXIDE DETECTORS TC OF OCCUPANCY CERT OF OCCUPANCY 40 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 items) [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) ] (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 -Budder will have the burden of proving that it was not built or improved for the purpose of sale ) (J 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 ) (J I am exempt from licensure underthe 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 http/www leginfo.ca govjcalaw 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 476642 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. ACCREDITED SURETY AND POLICY#. EXPIRATION DATE, CASUALTY COMPANY 1 NAME OF AGENT IATCA160004080 PHONE # I certify that, in the performance of the work for which this permit is issued, I shall not employ any person inany 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 sta aws relator o budding construction I authorize representatives of the City of Diamond Bar to enter the a i if operty for inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE