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Home My WebLink AboutPR20180010807PERMIT M CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839.7020 Fax: (909) 861-3117 Budding Inspection Hotline (909) 839-7027 DIi41VLC)ND BAR BUILDING PERMIT APPLICATION www citvolidiamondbar.com budding@diamondbarca.gov JOB SITE ADDRESS. 21208 TREE TOP CIR, DIAMOND BAR, CA 91765 APN $292023016 LOT# TRACT# OWNER NAME NIETO OSCAR&NANCY ADDRESS 21208 TREE TOP CIR CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPUCANTNAME TEL CONTRACTOR NAME Ten Advisors Inc ADDRESS 1450 N Tustin Ave CITY Santa Ana STATE CA ZIP 92705 TEL (714) 486-3661 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 20 Feb 2019 PR# PR20180010807 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK NEW ADDITION OF KITCHEN, MASTER BEDROOM & NEW BATHROOM 466 SSO. FT #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SQ FT FACTOR PST AD7 AREAIVALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOLISPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL $19,593 0000 Mechanical TYPE QUANTITY AMOUNT TOTAL Exhaust Hood Type 1 1 $75 42 $75 42 Venoiation Fans 1 $19 OB $19 08 Electrical TYPE QUANTITY AMOUNT TOTAL Lighting Fixtures, Sockets, or Other Lamp Holding Devices 23 $162 $5186 Plumbin • TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture / Trap or Set of Fixtures 4 $19 fit $79 28 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $949 58 PLAN REVIEW $80714 ELECTRICAL $53 68 PLUMBING $76 32 MECHANICAL $94 50 INSPECTION FEE ISSUANCE $140 57 SMIP $6 06 ENERGY $80 71 $94 96 RETENTION FEE $194 12 PRE/ALTFEE BASF $2 00 PLOT PLAN $360 00 ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT TOTAL FEES: $2,859 64 COMMENTS r P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # 43441 PAY METHOD VALIDATION "Oilill t ' INSPECTIONM• SETBACK / LETTER •'INSPECTOR: TRACK AND LEDGER FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING 2 % ROOF DRAINS UG ELECTRICAL POOLISPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PREGUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOFSHEATHING �p �:� ''OOdd 1 A (1 {J�•••�-- FENCE/GATE/ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR D WALLS SHEAR WALLS INTERIOR WALL FOOTINGISTEEL FRAMINGJVENTING `Q WALL STEEL SST( 12NO(j LIFT RO MECHANICAL WALLDRAIN/S€AL RO ELECTRICAL W { j C (I j ( WALL FINAL fl0 PLUMBING tJ f f ` b I! {t / f1�{ (j y, • v'--" RO FRAMING PLANNING APPROVAL INSULATIONWALL ROUGHFIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOWERPAN FINALPL NNING DRYWALL FINAL PWENGLNEERING LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINAL HEALTH DEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING G J40 ELECTRIC METER RELEASE FINAL MECHANICAL VOL GAS METER RELEASE FINAL ELECTRICAL yE j} •7 "j SPECIAL INSPECTION FRML PLUMBING SMOKE & CARBON MONOXIDE DETECTORS TC OF OCCUPANCY I CERT OF OCCUPANCY PERMIT M. PR20180010807 OWNER -BUILDER DECLARATION 1 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 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 hcensure 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) ] (_) 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 ) (_)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 Contractors 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 B LICENSE NUMBER 1021841 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 ATTORNEYS FEES I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS 1 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 State Fund POLICY # EXPIRATION DATE NAME OF AGENT 9241197 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 tabor 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-r ection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT- ManaGallardo DATE