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Home My WebLink AboutPR20190001420�i PERMIT /I: CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (90 ) 339-7020 Fax: (909) 861.3117 Building Inspection HotBne (909( 839-7027 DIANAOIAI)BAR BUILDING PERMIT APPLICATION www.citvofdiamandbar.com building@diamondbama.gov JOB SITE ADDRESS: 410 NAVAJO SPRINGS RD, DIAMOND BAR, CA 9176S APN 8703016004 LOT# TRACT# OWNER NAME GONZALESJENNIFER ADDRESS 410 NAVAJO SPRINGS RD CITY DIAMOND BAR ZIP 91765 TEL. <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME MARB CONSTRUCTION MANAGEMENT DBA ROBERTO ESPINO ADDRESS 10412 RICHLEE AVE CITY SOUTH GATE STATE CA ZIP 90280 TEL 3101863-1758 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 12 Aug 2019 PR#, PR2019000142D TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK. RETAOFJT 5 WINDOWS #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION: TOTAL: $2,800 0000 PLAN CHECK FEES PERMIT FEES CONSTRUCTION' $13291 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $46 23 SMIP $0 36 ENERGY RETENTION FEE $6 64 PREIALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPIACMENT FEE $5 31 TOTAL FEES: $192 45 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # 46056 PAY METHOD CASH VALIDATION CR • PERMIT #: PR20190001420 CITY OF DIAMOND BAR ■1M1 •�•rrB� INSPECTION SETBACK I LETTER DATE: INSPECTOR: INSPECTION TRACK AND LEDGER KINSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLMON UG PLUMBING ROOF DRAINS UG ELECTRICAL POOVSPA UFERGRDUND GAS TEST, El. PL, ME SEWER LATERAL PRE GUNEEE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING FENCEIGATE(AL4RM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS, SHEAR WALLS INTERIOR WALL FOOTING/MEL FRAMINGNENTING WALL STEEL LST(} 2ND() LIFT RO MECHANICAL WALL DRAIN %SEAL RO ELECTRICAL W () C () WALL FINAL RO PLUMBING AD FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEFARYMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FML PW ENGWEERING LATH EXTERIOR FNALPW MAINTENANCE LATH INTERIOR ANAL HEALTH DEPT. GAS TEST FRWL INDUSTRIAL WASTE I.. SCRATCH COAT FBKAL BURRING • t t ELECTRIC METER RELEASE RUALMECHANM GAS METER RELEASE FIWLFLECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS TC OF OCCUPANCY CERT OF OCCUPANCY COMMENTS' 0 PERMIT #: PR20190001420 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) j. (_) I as owner of the property, or my employees with wages as their sole compensation, will do (J all of or (J portions of the work, and the structure Is not intended or offered for sale, (Section 70", 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.) (_)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.) u 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 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- 924261 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: 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 STARNET INSURANCE POLICY # EXPIRATION DATE COMPANY NAME OF AGENT BNUWC0144289 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, 91 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 CONSTRUCT16N 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 wrth 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.