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Home My WebLink AboutPR20190000937PERMIT #: PR20190000937 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) 939-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citVofdiamondbar.com building@dlamondbama.gov JOB SITE ADDRESS, 227 ROCK RIVER RD S, DIAMOND BAR, CA 91765 APN 971903300-1 LOT# TRACT# OWNER NAME BECERRAISRAEL ADDRESS 227 S ROCK RIVER RD CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME Cypress Heating & Air Conditioning ADDRESS 547S Loraine CITY Glendora STATE CA ZIP 91740 TEL (626)936-9810 ARCHIENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE PJC# ISSUE DATE PR# TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK, New FAU in attic and new condenser #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SLS FT FACTOR PSF ADJ AREA/VALUATION SFRIADDIREM GARAGE/CARPORT PATIO/DECK POOLISPA RE -ROOF COMMERCIAL TOTAL VALUATION. TOTAL. Mechanical TYPE QUANTITY AMOUNT TOTAL Furnace F A U , Floor (c 100,001 BTU) 1 $32 42 $32 42 Refrigerator Condenser Remote (<100,001 BTU) 1 $32 42 $32 42 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL $50 00 $77 15 INSPECTION FEE ISSUANCE 54502 SMIP ENERGY RETENTION FEE $3 86 PREJALT FEE BASF PLOT PLAN ZONING CLEARANCE $77 91 RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $3 09 TOTAL FEES: $257 03 COMMENTS PIC RECEIPT# PAY METHOD VALIDATION El PERMITRECEIPT# 44912 PAY METHOD Check#14490 VALIDATION EM '" PERMIT #: PR20190000937 INSPECTION•' SETBACK j LETTER • TRACK AND LEDGER ••INSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL PtWVSPA UFERGROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNtTE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING FENCE j GATE / ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL LST(j 2NDO LIFT RO MECHANICAL WALL DRAIN (SEAL RO ELECTRICAL W OCO WALL FINAL RO PLUMBING RO FRAMINGPLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP%SHOW ERPAN FINAL PLANNING DRYWALL FINAL PWENGDFEERING LATH EXTERIOR FINAL FIN MAINTENANCE LATH INTERIOR FINAL HEALTH DEFT GAS TEST FISCAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MECHANICAL / GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T.0 OF OCCUPANCY '.. CERT OF OCCUPANCY COMMENTS A, . OWNER -BUILDER DECLARATION I 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 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 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) ] U 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 budding 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 ) (_)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 ) (_) I am exempt from licensure under the Contractor's State License law for the following reason(s) By my signature below 1 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 C20 LICENSE NUMBER 593268 EXPIRATION DATE CONTRACTORSIGNATURE, 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 carner and policy number are CARRIER An employee service group POLICY # EXPIRATION DATE - holds the work NAME OF AGENT C6520504A 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 1 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 constructs n n I authorize representatives of the City of Diamond Bar to enter the above -identified property fo pe o SiGNA RE OF PR PERTY OWNER OR AUTHORIZED AGENT Gabriel Cabral DATE � 1