HomeMy WebLinkAboutPR17-9767I
CL
DLAVIOND`BAI
CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT AFPT ICATION www.cityofdiamondbar.com building@diamundbarea.gov
JOB SITE ADDRESS,. �',-i' r
APN LOT TRACT
OWNER P:,J"t- � `3 a'`
ADDRESS
CITY p 4ZIP EL.
APPLICANT TEL.
CONTRACTOR ' a
ADDRESS�' ,rv a td r"
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CITY ZIP 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 reasons)
indicated below by the checkmark(s), I have placed next to the applicable items) [Section 7031.5, Business and
Professions Cade: Any city or county that requlres a permit to construct, alfer, Improve, demolish, or repair, any
structure, prior to its issuance, also requires the applicant far 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] Drthat he or she Is exempt from licensure and the basis for
the alleged exemption. Any violation of Section 7031.5 by any applicanifor a permit subjects the applicant to a civil penalty
of not more than five hundred dollars ($500).
U I, as owner of the property, or my emplayeeswffh wages as their sole compensation, will do (-) all of or U portions
of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Code: The
ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, bullds
or improves the property, provided that the improvements are not intended or offered for sale If however, the bullding or
improvement is sold within one year of completion, the Owner-Bullder will have the burden of proving that it was not built
or improved for the purpose of sale.).
CJ I, 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 net apply to an owner of property who
bulids 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):
Date: Sign:
By my signature below i acknawledge that, exceptfor my personal residence In which € must have resided for at least one
year prior to completion of the Improvements covered by this permit,[ cannot legally sell a structure that I have built as an
owner -builder if it has not been constructed €n 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 s{ta! httplwvni.leginfo.ca.govlca[aw.htmi.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)
I �
LICENSE CLASS: I.C.LEC. NO,;
of Division 3 of the Business and Professions Code, and my license n ful�rGe and��fect.
"
EXP. DATE:a `? _ ^� R,
CONTRACTO-
77- WORKER'S COMPENSATION DECLARATIDN-"'""'-- va,
i
I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DFCLARATIONS:
I have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by
Section 3700 ofthe Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Cade, for
the performance of the work for which this permit Is Issued, My Worker's Compensation Insurance Carrier and
Policy Number are,
`,
CARHIERm-� �...����`
? POLICY NUMBER
(ThIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS 5100 OR LESS).
E certitythat In the performance of the worKforwhich this permit is Issued, I shall not employ any person In any manner so as to
r become subject to the Worker's Compensation Laws of California, And agree that if I s '~'ac=me subject to the Worker's
Comps tiq pr isicns of s on 3700 of the Labor Code, I shall ioithwifhh se-inrovig�o"ns,
DATE'. -�: LICANT:
WARNING: Failure to secure Worker's Compensation coverage isi nlaw u, andshalrsubJect an employer to criminal
a penalties and civil fines up to one hundred thousand dollars ($100,000), in addi on to the cost at the compensation,
j damages as provided for in section 3708 of the labor code, interest, and attomey's fees.
CONSTRUCTION LENDING AGENCY
7 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 (Sec SOW, C€v. C.).
LENDER'S NAME'
c LENDER'S ADDRESS:
a
I certify that i have read this application and state that the above information is correct, I agree to comply with all city and
county onfriances and state laws relating to building construction, and hereby authorize representatives of this county to
j enter upon the above-mentlored property for inspection purposes.
u
C PERMITTEE NAME (PRINT)
SIGNATURE OF PERMITTEE" � w.. .,, DATE
APPLICATION DATE: v 1- 2,4114 PIC# C 1��-��— q" &i
ISSUE DATE: /2 "f A T PERMIT# : k� q e '
TYPE CONST. OCC GROUP:
Scope of Work
# DWEL. UNITS # STORIES *BEDROOMS
DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION
SFR/ADD/REM
Garage/Carport
of)
Patio/Deck
rwi
Pool/Spa
Q
Re -Roof
J
Commercial
7
M
Valuation: Adj. Area:
QUANTITY DESCRIPTION FEE
c3
w.+
w
c"s
z
a
a
U
Z
a
U
CONSTRUCTION:
PLAN REVILW:
ELECTRIC:
PLUMBING: 0eC',
MECHANICAL:
INSPECTION FEE:
ISSUANCE:' 7
SMIP:
ENLRGY PIC:
ENERGY PERMIT:
RETENTION FEE:'
PRE -ALT FEE:
BASF:
PLOT PLAN:
ZONING CLEARANCE:
TOTAL FEES Z z C..
COMMENTS:
PIC: PAID BY: VALIDATION:
AFCFIPTIt --I 3 c-%
/ PAID BY: .T, ��'"3 _ VALIDATION:
WHITE --- Department Copy, YELLOW — Finance Copy, PINK— Assessor Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
I I ER
TRACT AND LEDGER
SWITCH GEAR
COMMERCIAL HOOD i7777
F BAR
INTERCEPTER
HOT MOP/SHOWFIIPAN
';EPTIC/CESSPOOL.
HERS REPORT RECEIVED
T)F:MOLITION
ROOF DRAINS
ROUGH CONDUIT
__ ......
7FOOTINGSRMS
G
UG. ELECTRICAL
UFER GROUND
SEWER LATERAL_
MAIN MATER LINE
SEWER CLEANCUT
ROOF SHEATHING
FI OOR SHEATHING
SHEAR WALLS: EXTERIOR
P€}OLISPA
SHEAR WALLS INTERIOR
ROUGH PLUMBING
FRAMINGNENTING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( } G ( }
GAS TEST
ROUGH PLUMBING
PRE GUNITE
INSULATION WALL
P00L PRE DECK BONDING
INSHI ATION CEILING
DRYWALL.
LATH (PRE:)
LATH FXTFRIOR
P -TRAP
FENCE 1 GATE/ ALARM
FINAL POOL
WALLS:
WAI L FOOTINGISTEEL
WAI I STEEL 1sT( )2 NE( ) LIF -T
WALL BOND BEAM
WALL DRAIN/ SEAL
WALL HNAL
LATH INTFRIOR
GAS 1 Lfil
SCRATCH COAT
ELECTRIC METER RELEASE
GAS MI:IELi RELEASE
SPEGIAL INSPECTION
RO. FRAMING PLANNING APPROVAL
ROUGH FIRE APPROVAL
FINAL BUILDING
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL PLANNING
..........._
FINAL ELECTRICAL
FINAL PLUMBING
T.G. of OCCUPANCY
CERT. of OCCUPANCY
- . _...., IW44
FINJAi ENGINEERING/ PW
FINAL COMMUNITY SERVICES
FINAL HEALTH DEPT.
FINAL INDUSTRIAL WASTE
CITY OF DIAMOND BAR
BUILDING & SAFETY DIVISION
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 R315, 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,
CARBON MONOXIDE 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
larms.
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:
6- Smoke alarms in all sleeping rooms.
4- 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
will be available, you may opt to complete the Installation Certification below and leave it with the job card.
(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
�e
For the property located at I hereby certify that the required
smoke alarms and cation monoxide alarms havb been installed as listed above.
ignatfire Print Name Date
Relationship to project (please check one):
❑ Owner ❑ Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor
If "Licensed Contractor' or "Agent for Licensed Contractor" is checked, please complete the following:
Contractor
Contractor's State License Number