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Home My WebLink AboutPR20190000659��•M��// PERMIT tt: PR20190000659 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drove, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Budding Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com budding@diamondbarca.gov JOB SITE ADDRESS: 3328 BENT TWIG LN, DIAMOND BAR, CA 91765 � APN 8714006011 LOT# TRACT# OWNER NAME KUBAL WILLARD L & FUSAKO ADDRESS 3328 BENT TWIG LN CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME Repipe 1 ADDRESS 19326 Ventura Blvd Ste 201 CITY Tarzana STATE CA ZIP 91356 TEL (818) 342.2927 ARCHANG(DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE PIC# ISSUE DATE 23 Apr 2019 PR# PR20190000659 TYPE CONSTRUCTION OCC GROUP SCOPE OF WORK PEX RE -PIPE (11) EXISTING FIXTURES #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO, FT FACTOR PSF ADJ AREA/VALUATION SFRJAOO/REM GARAGE/CARPORT PATIO%DECK POOLISPA RE -ROOF COMMERCIAL TOTAL VALUATION. TOTAL - Plumbing TYPE QUANTITY AMOUNT TOTAL kL-=mb,,gixture I Trap or Set of Fixtures 11 $19 82 $218 02 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING $21802 MECHANICAL INSPECTION FEE ISSUANCE $45 02 SMIP ENERGY RETENTION FEE $10 90 PREfALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACIVENT FEE $B 72 TOTAL FEES: $282 66 COMMENTS PIC RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION PERMIT #: PR20p0000655 INSPECTION•_ SETBACK I LETTER ♦•:' .INSPECTION DATEi TRACK AND LEDGER INSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOUTION UG PLUMBING ROOF DRAINS UG ELECTRICAL P00VVA UFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOFSHEATHING I. FENCE/GATE%ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL. IST(i 2ND() LIFT IRO MECHANICAL WALLDRAIN%SEAL RO ELECTRICAL W { j C (} WALL FINAL RO PLUMBING r` �•'y]RO FRAMING PLANNING APPROVAL INSULATIONWALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOW ERPAN FINAL PLANNING DRYWALL FINAL PYIENGINEERING LATH EXTERIOR LATH INTERIOR FINAL PW MAINTENANCE FINALHEALTHPEM GAS TEST ''.. FINAL INDUSTRIAL WASTE SCRATCH COAT FINALRUILOING ELECTRIC METER RELEASE FINAL MECHANICAL '.. GAS METER RELEASE FINALELECTRICAL SPECIAL INSPECTION FINAL PLUMBING A1 SMOKE & CARBON MONOXIDE DETECTORS'. T C OF OCCUPANCY CERT OF OCCUPANCY COMMENTS 4 PERMIT M PR20190000659 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State license Law for the reason($) 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 7031 5 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 -Budder will have the burden of proving that it was not built or improved for the purpose of sale } i i {_} 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 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 httpjwww 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 C-36 LICENSE NUMBER, 927892 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 BENCHMARK INSURANCE POLICY # EXPIRATION DATE COMPANY NAME OF AGENT CSTS013781 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 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 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