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Home My WebLink AboutPR17-13178s CITY OF DIAMOND BAR DEPARTMENT OF COMMUNI'T'Y & DEVELOPMENT SERVICES _ 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY RiTTLDING PERMIT APPLICATION www.cityofda iamndbar.com building@dlamondbarca.gov JOB SITE ADDRESS APN LOT TRACT OWNER ADDRESS A S RA-St� CITY ' a s��a L ZIP 1"'STEL. APPLICANT _ &tf aai TEL- tr CONTRACTOR - ADDRESS CITY ZIPS TEL. ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reascri molested below by the checkmafk(s), I have placed next to the applicable Items) [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, al 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 pursuantto the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she is exemptfrom 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). (, j 1, as owner of the properly, or my emp€oyees with wages as their sole compensation, will do L-) 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 aPPlyto an owner of property who, through employees' cr personal effort, Uullds 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 -Builder will have the burden of proving chat it was not built or improved for the purpose of sale}, L-) IT 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): Gate: Sign: 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 perp i,l cannot legally sell a structure that I have built as an owner -bulkier 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 r submitted or rii following Web she: http/www.leginfo,ca.gov/calaw.html. j LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provlslons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my I€cense is In full force and effect. rt LICENSE CLASS f aIC. NO,: EXP. DATE: '7, r `: CCWRACTOR: <..'d°✓°-"% - _ "T`""' -- j WORKER'S COMPENSATION DECLARATION 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 Worker's Compensation, as provided by G Section 3700 of the Labor Code, for the performance of the work for which III permit is Issued I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Coda, for 2 the performance of the workfor which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are: CARRIER _.--. >x,V A - POLICYNUMBER e92&t4 !�`7-P.)6 (THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IB FOR ONE kUNDRED DOLLARS $100 OR LESS), j I certify that In the performance of the work for which this permit is issued, €shall not employ any person In any manner so as to s became subject to the Worker's Compensation Laws of California. And agree that It i should become subject to the Worker's jCompensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions DATE: APPLICANT cWARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal LJ penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of the comPensatlon, damages as provided for in section 3708 of the labor code, Interest, and attorney's tees E CONSTRUCTION LENDING AGENCY D I hereby affirm under penalty of perjury that there Is a Construction lending Agency for the performance of the work for s which this permit is Issued (Sec. 3097, Civ. C.). LENDER'S NAME: C LENDER'& ADDRESS: Li I- I certify that I have read this application and state that the above information is correct. I agree to comply with all city and 5z county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to j enter upon the above-mentioned property for inspection purposes. -a y }t PERMITTEE NAME�,PRINT) n E SIGNATURE OF PERMITTEE DAIE APPLICATION DATE: ISSUE DATE: $�4 r —7 TYPE CONST. f -,I P/C# ATG PERMIT# : 'M 1 - 3 a DCC GROUP: Scope of Work # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREANALUATION SFR/ADD/REM Garage/Carport W Patio/Dock LU LL Pooll ZRe -Root Commercial [D Valuation: Adj. Area: QUANTITY DESCRIPTION FEE CJ w z oc a z CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: Al- ' I BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: q PIC: PAID BY: p s� VALIDATION: RECEIPTik ��\ �� PAID BY: yr �$� `7� VALIDATION:-� WHITE — Department Copy, YELLOW — Finance Copy, PINK— Assessor Copy CITY OF DIAMOND BAR INSPECTION SETBACK/ LET FER 1 HACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB __.. COMMERCIAL I IOOD UG. PLUMBING T43AR UG, ELECTRICAL IN ERCEPTER LIFER GROUND ... ..... HO"I MOP/SHOWFRPAN SEWER LATERAL;: _ 5E:1 IIGICESSPOpl MAIN WATER LINE HERS REPORT RfCFIVED SEWER CLEANOUT ROOD SHEATHING DEMOLITION 001 DRAINS FLOOR SHEATHING ROUGH CONDUI F SHEAR WALLS EXTERIOR POOL/SPA LAR WALLS INTERIOR ROUGH PLUMBING FRAMINGIVENTING ROUGH ELECTRICAL - ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( } C ( GA5 TEST ROUGH PLUMBING PRE GUNITE INSUf ATION WALL POOL PRE DECK RDNDING INSULATION CEILING ... P-TRAL , DRYWAI I FENCE / GATE/ ALARM LATH (PRI-) FINAL POOL LATH EXTFRIOR WALLS: LATH INTERIOR WALL FOOTINCISTFF;L GAS TEST WALLSTEEL 15'( ) ?N°( J LIFT SCRATCH COAT WALL BUND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL. SPECIAL INSPECI ION R0. FRAMING PLANNINGffi R,OVAL FINAL BUILDING Aviv ROUGH FIRE APPROVAL FINAL. MECHANICAL. FINAL FIRE DEPARTMENT FINAL. ELECTRICAL FINAL PLANNING FINAL. PLUMBING FINAL ENGWEERINGI Pw _,.. T,C, of OCCUPANCY FINAL COMMUNITY SERVICES CERT, of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE C17T OF DIAMOND BAR BUILDING & SAFETYDIVISION 21810 Copley Drive Diamond'Bar, CA 91765 (909) 839-7020 In order to help assure the life and safety within existing dwellings, the 2013 California Residential Code (CRC) Section R314 and R316, along with the California Building Code Section 420.5 and 420.6 requires existing dwellings to have smoke alarms and carbon monoxide alarms installed within the upper 12" of the ceiling when a building permit is issued for, worked on, or in a building that is valued at $1,000 or more. Alarms may be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Starting July 1, 2014 all smoke alarms including combination smoke alarms, that are solely battery powered shall contain a non -replaceable, non -removable battery that Is capable of powering the smoke alarm for at least 10 years. CABBON 1VIONOXIDE ALARMS REQUIRED IN EXISTING DWELLINGS: • Where a permit is required for alterations, repairs or additions exceeding $1,000, • Existing dwellings or sleeping units that have attached garages or fuel burning appliances. Carbon monoxide alarms shall be installed: • Outside of each separate dwelling unit sleeping area in the immediate vicinity of the bedroom(s). • On every level of a dwelling unit including basements. REQUIRED IN NEW DWELLINGS: Carbon monoxide alarms shall be installed: • Outside of each separate dwelling unit sleeping area in the immediate vicinity of the bedrooms(s). • On every level of a dwelling unit including basements. Alarms shall receive their primary power from the permanent building wiring without a disconnecting switch other than as required for overcurrent protection. Battery backup is required. NOTE: Multiple purpose alarms: • Listed and labeled combination carbon monoxide /smoke alarms are acceptable in new and existing dwellings. Carbon Monoxide Alarms is a requirement that is in addition to required Smoke Alarms. The alarms are required to be installed in the following locations: ❖ Smoke alarms in all sleeping rooms. •�+ CO alarms in all sleeping rooms where fuel burning appliances are installed. •�• Smoke alarm and CO alarm in hallways preceding sleeping rooms. Smoke alarm and CO alarms on each dwelling level including basements and habitable attic rooms. The smoke and CO alarms are required to comply with the above when requesting a final inspection. Please make sure an adult is present to allow the Inspector access to the home to verify compliance with the above requirements. If no one fication below and leave it with the job card. will be available, you may opt to complete the Installation Certi (Please fill out and tear off this portion to leave with the job card if no one will be available to allow the inspector inside the house.) INSTALLATION CERTIFICATION For the properly locat a IOC (cal S b .J— o e alar s d rb n noxide arms have been installed as listed above. " I hereby certify that the required Signature �It� "V" � Y --E nt Name Q to Relationship to project (please check one): ❑ Owner ❑ Agent for Owner ❑ Licensed Contractor o Agent for Licensed Contractor If "Licensed Contractor"or "Agent for Licensed Contractor" is checked, please complete the following: ('i4 'tea Contra or Contractor's State License Number