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Home My WebLink AboutPR20190001052f 14 MMIMEMOM CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotime (909) 839-7027 t}I1RMGIND BAR BUILDING PERMIT APPLICATION www.cttvofdiamondbar,com building dlamondbarca.gov JOB SITE ADDRESSIt 790 NEWBURY WAY, DIAMOND BAR, CA 91765 APN 8701054008 LOT# TRACT# OWNER NAME ORANTE CRISOSTOMO L & CORAZON R ADDRESS 790 NEWBURY WAY _ CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME L A BUILDERS & ROOFING SPECIALISTS INC ADDRESS 13300 VICTORY BLVD # 348 CITY VAN NUYS STATE CA ZIP 91401 TEl 855) 722-7222 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 21 Jun 2019 PR# PR20190001052 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK ROOF TILE RESET (30 SQUARES) #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION 50, FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF 3000 $9,800 00 COMMERCIAL TOTAL VALUATION. TOTAL. $9,800 0000 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $283 69 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SAS 02 SMIP $127 ENERGY RETENTION FEE $1418 PRE/ALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE ' RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $1134 TOTAL FEES: $356 50 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT# 45247 PAY METHOD CHECK 3366 VALIDATION CR f q PERMIT #: PR20190001052 B 4 !•B INSPECTIONR+INSPECTOR: SETBACK ( LETTER TRACK AND LEDGER FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOIfSPA UFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNiTE SEWER £LEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING p� %� t� L! j l FENCE/GATE/ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTINGJSTEEL FRAMING%VENTING WALL STEEL SST/ 12ND() LIFT RO MECHANICAL WALLDRAIN/SEAL RO ELECTRICAL W () C { j WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIRE APPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGWEERMG LATH EXTERIOR FINAL PW MAINTENANCE LATH INTERIOR FINAL HEALTH DEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING p !, ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECTRRAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C 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 forthe 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) orthat he or she is exempt from licensure and the basis forthe alleged exemption Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($S00) ) 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 ) U 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 forthe projects with a licensed Contractor pursuant to the Contractors' State License Law ) (_) I am exempt from licensure under the Contractors State License law forthe 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 t 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 farce and effect LICENSE CLASS C39 LICENSE NUMBER. 1041131 EXPIRATION DATE* CONTRACTOR SIGNATURE WORKERS' COMPENSATION DECLARATION: WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECTAN 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 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 earner and policy number are CARRIER STATE COMPENSATION POLICY # EXPIRATION DATE INSURANCE FUND NAME OF AGENT 9233817 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