The URL can be used to link to this page

Home My WebLink AboutPR16-2699CITY OF DIAMOND BAR DEPARTMENT Ob' COMMUNIT i & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 T+ax. (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarea.gov JOB SITE ADDRESS � y C) � S F ° lt/v 5 `� APN LOT TRACT OWNER �� ✓ ADDRESS CITY a'ii C ZIP L° h TEL APPLICANT _C, TEL. f,% ZZ e'er -!7 CONTRACTOR ADDRESS B YCiI 6- - Sir %F-- CITYZIP TFL. 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 reasen(s) indicated below by the checkmark(aJ, I have placed next to the applicable iteri (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, atter, 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 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 licensure and the basis for the alleged exemption, Any violation of Section 7031.5 by any applicentfor a permltsubjects the applicardto a civil penalty of not more than five hundred dollars ($500). (_) I, as owner of the property, or my employeeswith wages as their sole compensation, will do (-) alt of crU 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 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 for the projects with a licensed Contractor pursuant to the Contractors' State License Law.)_ U I am exempt from licensure under the Contractor's Stale License law forthe following reason(s): Date: Sign: By my signature helow I acknowledge that, exceptfor my personal residence in which I must have resided tarot least one year prior to complonon of the Improvements covered by this perrili cannot legally sell a structure that I have built as an owner-huiider If It has not been constructed in its entirety by licensed contractors. I understand that a copy of the j applicable law, Section 7044 of the Business and Professions Code is availahle upon request when this application is submitted or at the following Web site: http/vvww.leginio.ca.gov/calaw.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) of Division 3 of the Business and Professions Core, and my license is in full force and effect LICENSE CLASS: LIC. NO.:.,. ( _ EXP. DATE: I Z as 1'/40 CONTRACTOR: 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 Worket's Compensation, as provided by '- Section 3700 of the Labor Code, for the performance of the work torwhlch this permit is issued. I have and will maintain Worker s Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My Worker's Compensation Insurance Carrier and Policy Numbers I CARRIER POLICY NUMBER {fN15 SEL"110N NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONEHUNDRED DOLLARS $100 OR LESSJ. I certify that in the performance ofthe worktor which this pentiltis issued, I shall notamploy any person In any manner an alto a became subject to the Worker's Compensation Laws of Ca€lfornia. And agree that if I should become subject to the Warker's J Compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. : DATE: APPLICANT: WARNING: Failure to secure Worker's Compensation coverage is unlaw#u6, and shall subject an employer to criminal B penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of the compensation, 5 damages as provided for in section 3709 of the labor code, inthrest and attorney's fees. CONSTRUCTION LENDING AGENCY B 1 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. 3097, Civ. C.). LENDER'S NAME: LENDER'S ADDRESS: J - 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 ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for Inspection purposes. J L PERMITTEE NAME (PRINT)� SIGNATURE OF PERMITTEE DATE APPLICATION DATE ' i5~ - P/C# PA I ILP — �7 _// ( 1 2'`_i�'� ISSUE DATE:i PERMIT#: £ TYPE CONST. OCC GROUP: Scope of Work # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ, AREA/VALUATION SFR/ADDIREM Garage/Carport Lu Patio/Deck Lu LL Pool/Spa ZHe -Roof Commercial m Valuation: t ` Adj. Area: QUANTITY DESCRIPTION FEE J V r w w z m ;z J 0. z U CONSTRUCTION: PLAN REVIEW: 9 eel ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE:. SMTP: _ ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BASF: __ " PLOT PLAN: ZONING CLEARANCE: TOTAL FEES ' COMMENTS: PIC: PAU) BY: VALIDATION: r HECEIPTtt � �� PAIDUY: = VALIDATION: N WHITE— Department Copy, YELLOW — Finance Copy, PINK— Assessor Copy It ,i ,_:l COMMENTS: .r=k CITY OF DIAMOND BAR I I I i ll DEPARTMENT OF COMMUNITY &DEVELOPMENT SERVICES PRESS s. 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY mm.DINC PERMIT APPLICATION wn-mcikyofdiamondbar.com building@diamondbarca.gov APPLICATION DATE: JOB SITE ADDRESS �p - ISSUE DATE: � � + _PERMIT# APN LOT TRACT � TYPE CONST. P/C# OCC GROUP: OWNER ADDRESS '7, q,>5 54, a CITY � 4�erC,4e— ZIP X41 G" TEL. Scope of Worst � APPLICANT Yt" T L. y C twoka A ?`s �`rs r ^T Pk CONTRACTOR ;` d.r ` ff 190 SS I 4. �"b� � des- � # DWEL. UNITS # STORIES #BEDROOMS ADDRE CITY i PAU, ZIP TEL. ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. T OWNER-BuiLDER DECLARATION uJ w iw I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) C7 indicated below by the checkmark(s}, I have placed next to the applicable Rom(s) (Section 7931.5, Business and Z Professions Cade: Any city or county that requires a permit to construct, alter, improve, demolish, or repair, any 2 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 Contractor's State License Law (Chapter9) Commencing with Section 0 7000 of Division 3 of the Business and Professions Cade] or that he or she Is exempt from licensure and She basis for the alleged exemption. Any violation of Sectlon 7031,5 by any applicant fora permit subjectsthe applicantto a civil penalty c of not more than five hundred dollars ($500). D U I, as owner of the property, or my employees with wages as their sale 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 Zi Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds M- or improves the property, provided that the improvements are not intended or offered for sale If however, the building or ' f -1 n the Owner -Builder will have the burden of proving that it was not built DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUA I IUN SFR/ADD/REM Garage/Carport Patio/Deck Pool/Spa Z luation: Adj. Area: S Improvement is sold wif rn one year o comp e o , or improved for the purpose of sale.). Z L 1 I, as owner of the property, am exclusively contracting with licensed Contractors N construct the project (Section E2 n 7044, Business and Profess[ons Cade: The Contractors' State License Law does not apply to an owner of property who, sr builds or improves thereon, and who contractsiortheprojectswlthalicensedContractorpursuanttoiheContractors'State w r License Law.), D i am exempt from licensure under the Contractor's State License law for the following reasorl U) z i Sign: z Date: m By my signature below I acknowledge that, except for my personal resldence in which I must have resided for at least one year prior to completion of the improvements covered by this permit,E cannot legally sell a structure that I have built as an a 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 p submitted oratthe following Wet site: http/wWW.logfnfc,CR.gov/calavv.html. a v LICENSED CONTRACTOR'S DECLARATION LU I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 w M of Division 3 of the /Business {and Professions Code, and my license is in full force and effect, — LICENSE CLASB: LIC, NO.: QEXP. DATE: I CONTRACTOR: o WORKER'S COMPENSA ION DECLARATION LU E HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS, lt�o I have and will maintain a Certificate of Consent to Serf Insure far Worker's Compensation, as provided by Z,It�f Section 3700 of the 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 Tabor Code, for the performance at the workfor which this permit is issued. My Worker's Comes Rae for Insurance Carrier and Policy Number are: UJ CARREER �� POLICY NUMBER � (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR I certify thatln the performance of the workfor which ihle permit Is Issued, I shall not employ any person in any manner so as to a become subject to the Worker's Compensation Laws of California. And agree that If I should become subject to the Worker's Compensation provisions of Section 3700 of the Lahor Code, I shall forthwith comply with those provisions, J M DATE: APPLICANT: �-j WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal ¢ penalties and civil fines up to ane hundred thousand dollars ($100,000), in addition to the cost of the compensation, 8- damages as provided for In section 37GS ofthe lahor code, interest, and minmey's fees. 0 0. CONSTRUCTION LENDING AGENCY LD 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. 3097, ON C.). LENDER'S NAME: LENDER'S ADDRESS: w I certify that I have read this application and state that the above information Is carrect, I agree to comply with all city an z county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to E enter upon the above-mentioned property for Inspection purposes. = - 0r-rm 'C PERMITTEE NAME (PRINT ®, ' v' = SIGNATURE OF PERMITTE DATE QUANTITY I DESCRIPTION FEE WHITE— Department Copy, YELLOW — Finance Copy, PINK—Assessor Copy CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRF FEE: -ALT BASF: PLOT PLAN: ZONING CLEARANCE: TOTALFEES COMMENTS: PIC: PAID BY: RECEIPT# PAID BY� VALIDATION: VALIDATION: L -C° WHITE— Department Copy, YELLOW — Finance Copy, PINK—Assessor Copy CITY OF DIAMOND INSPECTION RECORD SE LBACK! LETTER FOOTINGS FARMS SLAB UG. PLUMBING UG, ELECTRICAL UFER GROUND SEWER LATERAL. MAIN INA'TERLINE_ — SEWER CLEANOUT — — — — RCUF SHE:ATHiN(a __.—. _ — FLUOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FfiAMiNGIVENTING ROUGH MECHANICAL ... ... ROUGH ELECTRICAL W( ROl1GH PLUMBING .. INSUTATI(1N WALL iNSLILATION CEII ING DRYWALL .—. LATA (PRE) I_,ATFI EXTERIOR — —. — _ I_ATH INTERIOR GAS. TEST ..— SCRALCH COAT ELECIRIC METER RELEASE GAS METER RELEASE — — — — SPECIAL INSPECTION _ . FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL — FINAL PLUMBING T.C, of OCCUPANCY CERT. of OCCUPAig COMMENTS TRACT AND LEDGER 5Wf LCH (TEAR — — — — COMMERCIAL HOOD — T -BAR _ INTE-RCEPLER HOT MOP/SHOWERPAN SEPT IC/CFSSPOOL HERS REPORT RL.CEiVCD — — DEMOLITION I1001DRAINS ROUGH CONDUIT...— POOL./SPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL —-- GA5 LEST _.— PRE GUNITI POOL PRE DECK BONDING P_TR AP .. FENCE / GATE/ ALARM FINAL. POOL WALLS: WALL FOOTING/STEEL — — WALL STEEI. 1sT( )2 'ID( ..) LiFi MALL K013EAM — — — —_ WALL DRAIN/SEAL.— — /.�..—. WALL FINAL. HO. FRAMING PLANNINGAPI'ROVAL. ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING _. ... —.. RNAL ENGINEERING/ PVA :INAL COMMUNITY SERVICES -INAL HEALTH DEPT, 'INAL WDUSTRIAL WASTE DocuSign Envelope ID: C87F516A-093D-4D91-88C1-D202A8BBDFCA CITE' OFDIAMOIVD BAR BUILDING A SAFETYDIVISIOiV 21810 Copley Drive Dfanond ftn CA 91765 (909) 839-7020 SMOKE ALARM AND CARBON MONOXIDE CERTIFICATION In order to help assure the life and safety within existing dwellings, the 2013 California Residential Cade (CRC) Section 8314 and 8315, along with the California Building Code Section 420.5 and 420.5 requires existtmg 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, 2044 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 sma'ke aWrn for at least 10 years. SONAMNOMDEAIA.RMS REQUIRED IN MISTING DWER.i_INGS: • Where a permit is required for alterations, repairs or additions exceeding $'1,000_ • E)dsting dwel[ings 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 badmom(s). • On every level of a dwelling unit including basements. RE U[R D IN MEW 9WEI.l_INGS. Carbon monoxide alarms shall be installed: • Outside of each separate dwelling snit 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 f smoke alarms are acceptable in new and existing dwellings. Carbon Monoxide Alarms is a requirement that is in addition to required Smoke Alarms. DocuSign Envelope ID: C87F516A-093D-4091-88C1-D202A8BBDFCA The alarms are required to be installed In the following locations: + Smoke alarms in all steeping morns_ :• CO alarms in all sleeping rums where fuel burning appliances are installed. .• Smake alarm and GO 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 apt to complete the Installation Certification be(OW and leave it with the join card_ (Please rill 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 property located at 24405 Saint Ives Court I hereby certify that the required s :and carbon monoxide alarms have been installed. as listed above. JiaJie Gao 1/13/2017 eg�Nore Print Name Date Relationship to project (please check one): VOwner a Agent for Owner ❑ Licensed Contractor o Agent for Licensed Contractor If "Licensed Contractoe' or "Agent for Licensed Contractor° is checked, Please complete the follomdrig: Contractor - Contractor=s State license Number