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Home My WebLink AboutPR20190001095t , 9PERMIT #: CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 9176S (909) 839-7020 Fax:1909) 8613117 Building Inspection Hotline )909) $39-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.cltvofdlamondbar.com building@dlamondbarca.gov JOB SITE ADDRESS: 20154 Walnut Drive APN LOT# TRACT# OWNER NAME ADDRESS CITY ZIP TEL APPLICANT NAME TEL CONTRACTOR NAME CAU-PACIFIC TRADING INC ADDRESS 1717 Arcdale Ave CITY Rowland Heights STATE CA ZIP 91748 TEL 909 596-9959 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE- P/C# ISSUE DATE PRO, TYPE CONSTRUCTION OCC GROUP, SCOPE OF WORK* Interior Remodel for Kitchen, (2) Bathrooms, Convert (E) rear den room bdo Bedroom and create a bathroom whin same space, Change am (10) windows, legalize fireplace in rear room, roomed ilghb throughout "Code Case - Work started w/o permit" #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION 5C4 FT FACTOR PSF ADJ AREAIVALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION; TOTAL $45,000 DOW Mechanical TYPE QUANTITY AMOUNT TOTAL Exhaust Hood Type 1 1 $78 35 $78 35 Electrical TYPE QUANTITY AMOUNT TOTAL Receptacle, Switch, lighting or other Outlets 44 $1 62 $85 88 Lighting Fixtures, Sockets, or Other Lamp Holding Devices 34 $1 62 $69 68 PlumbEnj TYPE QUANTITY AMOUNT TOTAL Plumbing Fixture / Trap or Set of Fixtures 9 $19 82 $178 38 Gas Piping System i $49 12 $99 12 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $952 49 PLAN REVIEW $80962 ELECTRICAL $311 12 PLUMBING $555 00 MECHANICAL $156 70 INSPECTION FEE ISSUANCE $14603 SMIP $5 85 ENERGY RETENTION FEE $213 68 PRE/ALT FEE BASF $2 OD PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $90 94 TOTAL FEES: $3,143 43 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION F PERMITM PR20190001095 i i • i : a • i•i INSPECTION• SETBACK/LETTER t• • TRACK AND LEDGER •INSPECTOR: FOOTINOS FORMS T-00 SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL PDDLiSPA LIFER GROUND GAS TEST, EL. PL. ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P TRAP ROOF SHEATHING FENCE/GATE/ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS, SHEAR WALLS INTERIOR WALL FOOTINGMEEL FRAMING/VENTING l WALL STEEL 15T{) 2N0() UFT NO MECHANICAL WALL DRAIN / SEAL NO ELECTRICAL W { } C { } WALL FINAL RO PLUMBING ttt` NO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL • FINAL PWENGNIETAING LATH EXTERIOR FINAL PWMAIATENANCE LATH INTERIOR FINAL NEALTHOEPT. GAS TEST FINAL AYDUSERLAL WASTE SCRATCH COAT FD/AL BURRING 9 ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECTRICAL J SPECIAL INSPECTION FINAL PLUMBING lZry, 11 SMOKE IT CARBON MONOXIDE DETECTORS TC OFOCCUPANCY CENT OF OCCUPANCY r I PERMIT #: PR2019000109S 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 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 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 (J 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 budding 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 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.) U i am exempt from licensure under the Contractor's State License law for the fallowing reason(s) By my signature below I acknowledge that, except for my personal residence in which I must have reslded 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 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 998480 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 far 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 worst for which this permit is issued. My workers' compensation insurance carrier and policy number are CARRIER <Enter Workers Comp> POUCY # EXPIRATION DATE NAME OF AGENT 0 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 Secbon 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 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: