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Home My WebLink AboutPR2020-1037PERMIT ##: PRx0200001037 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT Z1810 Copley Drive, Dlamond Bar, CA 91765 (909) 8394020 Fax: (9D91 851.3117 Building Inspectian Hottine {909] 839-7027 61A1V4[]UR BAR BUILDING PERMIT APPLICATION www.city_o€diamnssdbar.cora building@dia 6andbarra.guv JOB SITE ADDRESS, 24141 LQDGE POLE RD, DIAMOND BAR, CA 9176S APN: 8713043007 LOTU., TRACTM OWNER NAME: LODGE POST INVESTMENT LLC ADDRESS; 1142.S DIAMOND BAR BLVD4416. CITY: DIAMOND BAR W: 91765 TEL-. <NO PRIMARY PHONEt APPLICANT NAME: TEL: CONTRACTOR NAME; ADDRESS: CITY:. STATE: ZIP! TEL: ARCH/ENGICIES. NAME; ADDRE55: CITY: STATE: ZIP: TEL: PIC DATE: PICK: ISSUE DATE: PR#: TYPE CONSTRUCTION: DCC GRO JP: _ mm SCOPE OF WORK. Correction to New SlagleTainlly Resldenca.PermiL OPR.12.578 to refiect Basemen[ Cpnverslon to Living Spme1,137 sr & additional 242 sf to N5FR {Permit OR 12.579 indimes 4,GZ8 sf 4 BmemenYConverslon 1,137 sf 4 additional. NSFR 242 sf = 6,007 sf} OWELLUNITS: 1.. USTORIES:: IIBEDROOMS: . BIJ 11D ING FEES DESCRIPTION SQ: FT. FACTOR.PSF AOJ ARWVALVATION. SFRIADWREM _ 1,432.U0 GARAGE/CARPORT v PATIO/DECK POOLISPA RE•RDOF COMMERCIAL -romvAwATIoN: TOTAL: SD:0000 PLAN.CHECK FEES PERMIT PEES CONSTRUCTION. S511A3 PLAN REVIEW: ELECTRICAL: PLUMBING MECHANICAL: INSPECTII7N FEE; ISSUANCE: $47,24 SNiIP: ENERGY:' RETENTION FEE: PRE/ALT FEE. SASE: PLOT PLAN: ZONING CLEARANCE* RECYCLING AND WASTE DEPOSIT:. PERMITSYSTEM III EPWMENT FEE: TOTAL .FEESi . $558.27 COMMENTS: PIC R E CEIPT #: PAY:.METHOD: VALIDATI DN: J.PEAW RECEIPT p;. 50334 PAY METHOD: Cr VALIDATION: PERMIT #: PR10200001037 CITY OF DIAMOND BAR PERMIT # . PR2021DOO 31037 bWNER-BUILDER E)ECLARATION.. I hereby affirm under penalty of perjury that € am .exempt from th:a Contractors State License Law farthe.. reaso6(s) lndlcated below by the checkmark(s) I have placed next to :the applicable items) (section 7031:5, Business and Professions Code: Any city orco requires a permit to construct; alter, improve, demolish, or repair any.stcucture, prior to its issuance, also requires the.applicant for the permit to file a slgged statement that he or she is licensed pursuant.to the.provisions of the Contractors' State License Lao (Chapter 9; Commencing with Section 7000 of Division 3 of the Bus! ness:and.Professions,Ccde) or that he br she is exempt from lice nsute.and the basis. for the alleged exeMOtion. Any violation of 5ection 703115 by. any applicant for a permit subjects the applicant to a civil penalty of nat more than five hundred dollars. ($500),j: [_) I as owner of the property, a my employees with wages as their sole compensation, w]11 do.[_) all'of or (_j.portions. of the work, and the structure is not.Intend ad a offered. for sale. (Section 7044, Business and Professions Coder The Contractors' State License Law does n a t apply to an owner of property.whn, through employees' or personal effort, buiI&ar improves the prop erty,.providad that the improvements are not intended aroffered for sale. if however, the building or improvement is sold within one year ofcompletion, the Owner,Builder will have. the burden of proving that it was. not.buIItor improve d.far the purpose of sale.) (_l 1,. as.ownar of the property,. am exclusively: contracting with licensed Contractors to construct the prof ect. (Se cdon.7044, 90slness and Professions Code: The tontractors`State License law does hot apply.to. an ownerof.pro perty who builds or improves thereon, and :whe contracts far the projects with a Iice nsed Contractor pursuant .to.the'Contractors' State License taw.) (_) i am exempt. from IIcensum under the Contractor'sState License. law for. the following reasons)i By my signature below I. acknowledge that; except for my personae residence in which I Must helve; resided for.at le ast. one year prior to completion ofthe.:imiProve ments covered by: this permit, 1'0nnot legally sett a.structure that 1 have built.as an avuner-builder if It has not -been constructed in its entirety by. licensed co fit ractors, I understand that a copy.of the.applicable law, Section 7044 of the. SusIness and. Professions Code.. is available upon request when this application is submitted or at the following Web site.:.httpjwww.Ieginfo.ca,gov/calaw.html. OF PROPERTY OWNER OR AUTHORIZED AGENT: DATE. - LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that l arcs Iice nsed.under provisions of Chapter.9 (to tnm.encing witrl 5ectian 7000) of Division 3 of the. 6usirim and: Professions Code,.arid my license is.In'fullforceand effect, LICENSE.CLASS: _ LICENSENUMBER: EXPIRATION RATE: CONTRACTOR SIGNATURE.. WORKERS` COMPENSATICIN DECLARATION: WARNING: FAIL Oft E TO SECURE WORKERS' COMPEN5ATION COVERAGE I5 UN(AWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CiVIL.FINES UP TO. ONE HUNDRED THOUSAND. DOILARS.($100,000), IN ADDITION TO.TIiE COST OF COMPENSATION, DAMAGES. AS PROVIDED FOR IN SECTION 3705 OF THE.LABOR CODE, INTEREST, AND ATTOR.NEY'S FEES. I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING' DECLARATIONS: I have and will maintain a certifIcat6of consent to self -Insure for workers' compensation, issued by. the 01rector of Industrial Rai at -to ns..as provided far by Section 3700 of the Labor Code, far the performance of the work for which this parmitIs issued. I have and.tivltI maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is €ssued. My.workers' comper:sation insurance carrier. and policy hurnber are; CARRIER: POLICY €#: EHPIRATION [DATE:. NAME OF AGENTt PHONE #: I certifyt.hat, In the.perfermance of the wok for which this permit Is issued, I shaft not employ any person.In any manner so as to become subject to the workers' compensation laws of Ca life rnia,.and. agree that, if I should become subject to the workers' Compensation previsions of Section 3100 of the La bar Code; I shall:farthwlth comply'with those provIslohs . SIGNATURE OF APPLICANT: [SATE: DECLARATION REGARDING CONSTRUCTIor4 LENDING AGENCY I.hereby affirm under pehatty of perjury thatthere is a constructlon lending agency fort he performance of th.e work for whit this permit is issued (Section 8172, Civil Code): LENDER'S NAM£: LENDER'S ADDRESS: By my signature below,.Icertify to each of the Ioilotvinr. I'am the prope r.ty:own ar or autharieed to act.on the propar ty.own u's behoIF. I have read this applirationan0 the information l have provided is correct: I agree to comply with atl applicable city and county ordInances.and state laws relating to building constructlon. I aiithorlae representatives of the City of D€atnond Banta enter.the above.1dentified rrtoperty for Insp criunpur1 SIGNATURE OF PROPERTY OWN ER OR AUTHORIZED AGENT: DATE: V .f 2, / 10-1 3