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Home My WebLink AboutPR17-8849DU01011TD`BAR CITY OF DIAMOND BAR DEPARTMENT OF COMMUNI1Y & DEVELOPMENT SERVICES 21510 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 539-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarea.gov JOB SITE ADDRESS -2 Q 2 APN LOT TRACT OWNER °tet o �%" ✓'�-GvY�cr�a� ADDRESS "� CITY Ai �( c c.ca.�` ZIP TEL. 43 APPLICANT et-�& 5enV-111i TEL. 5e -.11M q CONTRACTOR `S e-�ctii�- ADDRESS CITY w ZI 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 reason(s) Indicated below by the checkmark{s), I have placed next to the applicable Item(s) [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair, any structure, prlorto 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 exempt from [Icensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the app€Icantto a civil penalty of not more than five hundred dollars ($500). U I, as owner of the properly, or my employees with wages as their sole compensation, will do U 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 -Builder will have the burden of proving that It was not built or improved for the purpose of salI U 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 not apply to an owner of property who builds or Improves thereon. and who contracts forthe projects with a licensed Contractor pursuantteihe Coniractgrs' State License Law.). O I am exempt from licensure under the Contractor's State License law for the following reason(s): Data: Sign: By my signature below I acknowledge that, except for my personal residence in which I must have reslded for at least one year prior to completion of the Improvements covered by this permit,l 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, € understand that a copy of the applicable law, Section 7044 of the Business and Pmfessions Code is available upon request when this application is submitted or at the fallowing Web site: hhp/www.Eeginfo.ca.govlcalaw.htmi. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secpon 7000) of Division 3 of the Business and Professlons Code, and my license isinfull force and effect. LICENSE CLASS C-1(0 LIC. Na! FXP. DATE: ,�r �iI' %� CONTRACTOR: 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 Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. X1_,.. I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are: g CARRIER 6r , POLICY NUMBER (N e— c 1 C'- 1''j _ (THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR LESS). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any mannerso as to become subject to the Worker's Compensation Laws of Califamia. And agree that if I should become subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DATE: -APPLICANT: WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal I and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of the compensation, damages as provided for In section 3708 of the labor code, interest, and atlorney's fees, CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there Is a Constructlon Landing Agency for the performance of the work for which Phis permit is issued (Sec 3097, Clv, C.), LENDER'S NAME LENDER'S ADDRESS, I certify that I have read thls application and state that the above information incorrect, I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mantioned property for Inspection purposes. PERMITTEENAME (P��.,�/9 SIGNATURE OF PERMITTEE DATE APPLICATION DATE:_ ' ISSUE DATE:-2:47-V'. ATE: "✓_7-V'. PERMIT#: TYPE CONST. P/C# 9a yy 6 OCC GROUP: // Scope of Work 4.c. .a. Y # DWEL. UNITS # STORIES f U) „ S -1� .44 It BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREANALUATION SFR/ADIVREM Garage/Carport LO Patlo/i eu ri Pool/Spa ZRe -Roof Commercial 7 m ValuaftP�rrt: Adj. Area: QUANTITY DESCRIPTION FEE a U r U LSJ z z m d 4 U Z U CONSTRUCTION: PLAN REVIEW: 9 ELECTRIC: � x_ d PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: 72 14 SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: : 'may BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: f '; Plc: C F'_PAiD BY; f' s' VALIDATION: RECEIPT# P'A PAIDBl��°�i„�j 4„..-.? VALIDATION:' WHITE — Department Copy, YELLOW — Finance Copy, PINK— Assessor Copy SET5ACK/ LETTER FOOT fNGS FORMS SLAB UG. PLUMBING _._ .. ._ UG. ELEG-FRICAL. UFFH GROUND SFWFI1 LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FI-OOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMING/VENTING ROUGH MECHANICAL ROUGH ELECTRICAL W( } C ( ) ROUGH PLUMBING INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC ME ILI{ RELEASE GAS METER RF.LfASE SPECIAL INSPE(I ION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL FINIAL PLUMBING T.C. of OCCUPANCY CERT. at OCCUPANCY CITY OF DIAMOND BAF',i INSPECTION ! IRACI ANU LEDGER SWI';(A1 GLAR COMMERCIAL HOOD 1 HAR INIFIiCFI'IER HOT- MOP/SHOWFRPAN SFP71CICESSPOOL MFRS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOUSPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING ___ P -TRAP . FENCE / GATE/ ALARM FINAL POOL WALLS: .................. WALL FOOTINGISTEEL MALL STEEL IST( 12ND( j LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL. INDUSTRIAL WASTE DocuSign Envelope ED: 9FB6DD52-DOA5-4261-A8B3-6OB433C23DFD CITY OF DIAMOND .BAR BUILDZ?V & SAFE"DIfJISION 27810 C4ayDrive Diamond fat; CA 91765 (909) 539-7020 SMOKE ALARM AND CARBON MONOXIDE CERTIFICATION In order to help assure the life and safety within existing dwellings, the 2013 California Residential Code (CRC) Section 8314 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 wail and ceiling finishes car 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, non4emovable battery that is capable of powering the smoke alarm for at least 10 years. CARBON A101VOMDEA"RMS 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 DWELLING& 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 I smoke alarms are acceptable in new and existing dwellings. Carbon Monoxide ,Alarms is a requirement that is in addition to required Smoke ,4hwms. DocuSign Envelope ID: 9FB6DD52-DOA5-4269-A8B3-6OB433C23DFD 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 areinstalled. 4# Smoke alarm and 00 alarm in hallways preceding sleeping rooms. 4- Smoke alarm; and GO alarms on each dwelling level including basements and kabitable attic rooms. The smoke and CO alarms are required to comply with the alcove when requesting a final inspection. Please make sure an adult is present to allow the Inspector access to the home to verify compi€ance 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 cut and tear riff 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 property located at 24824 Lycoming Street , I hereby certify that the required s WGrwrw:and carbon monoxide alarms have been installed as listed above. VrvAAIL, Anil Divakaran 6/13/2017 '"c" cry Print Dame i)abs� raGu� Relationship to project (please check one): IeOwner a Agent for Owner o Ucensed Contractor ❑ Agent for Licensed Contractor If "Licensed Contractor" or "Agent for Ucensed Contractor" is checked, please complete the fol louring: Contractor Contractor's State license Number