The URL can be used to link to this page

Home My WebLink AboutPR17-2856CITY OF DIAMOND BAR I I I 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 www.cityufdiamondbar.com APPLICATION wwcityufdiamondbarcom building@diamondbarea.gov JOB SITE ADDRESS APN LOT TRACT OWNERI-4 ADI i_-5 52' �y. C t.� tr CITY i Z1PgA�TEL. APPLICANT 4{ 47F D�h TEL. CONTRACTOR ySt GLV_ C-_1 ADDRESS CITY Cs�6 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 reason(s) indicated below by the checkmark(s), I have placed next to the applicable Items) [Section 7631.5, 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 Contractor`s State license Law (Chapter 9) Commencing with Section 7660 of Division 3 of the Business and Professions Code] or that he or she is exempt from licensors 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). (_) I, as owner of the property, or my employees with wages astheir sole compensation, will do i-.1 all of or (-) portions of the work, and the structure Is net intended or offered for sale (Section 7044, Rosiness 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 properly, provided tdatthe 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.). (_) 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 for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). L) I am exempt from licensure underthe Contractor's State License law forthe following reason(s): Date: Sign: By my signature below I acknowledge that, exceptfor my personal residence in which I must have resided for at least one year priorto completer of the improvements covered bythls permit,I cannot legally sell a structure that I have built as an owner bidder 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 atthe following Weh site: httplwwwAaginfe.ca.gov/calawhtml. 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 0 LICENSE CLASS: LIC. NO.: 1 EXP. DATE: e?a--; F 1 CONTRACTOR: y 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's issued. I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the werkfor which this permit Is Issued. My Worker's Compensation Insurance Carrier and Pollcy Number�re: CARRIER ? POLICY NUMBER {IRIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS $10D OR LESS). I cerdfythat in the performance nfthe workior which this permit is issued, I shall not employ any person in any mannerso a;to become subject to the Worker's Compensation Laws of California. And agree that if I should became subject to the Worker's I Compensation provisions of Section 37M of the Labor Code, I shall forthwith comply wHh those provisions. J : DATE: APPLICANT: WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal 7 penalties and civil tines up to one hundred thousand dollars ($]00,000), In addition to the cost of the compensation, damages as provided for in section 3708 of the labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 3 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, Civ. C.). LENDER'S NAME: S LENDER'S ADDRESS: E - I certify that I have read this application and state that the above information is carrect. 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 5 enter upon the ajjbovv�e-men8oned property for inspection purposes. ? PERNIFFIEEhAM R1NT) SIGNATURE OF PERMITTEE DATE APPLICATION DATE: `�3 1 " 1-.XP/C# PIS 1 — 26 ISSUE DATE:, ! PERMIT# : P 1 7f` 2 5(o TYPE CONST. OCG GROUP: rt Scope of Work R �t r V f'., # DWEL. UNITS # STORIES # BEDROOMS--- EDROOMS_DESCRIPTION DESCRIPTIONSQ. FT- FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/RFM Garage/Carpert W Patio/Deck LL PDOI/Spa ZRe -Roof FD Commercial m Valuation: �� Adj. Area: QUANTITY DESCRIPTION FEE J c� w w z in J a U_ v CONSTRUCTION: _ PLAN REM EW:a'� ELECTRIC: ; 55-362 PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: 471. Zj Si 1,50 ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: 40-00 BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: P/C: PAID BY: RECEIPTill, `S:-�J PAID BY: VALIDATION: VALIDATION: WHITE —Department Copy, YELLOW Finance Copy, PINK —Assessor Copy ,. 0.014 COMMENTS: �. COMMENTS: DocuSign Envelope ID: 9FF6EECO-ED8C-44BF-8249-E156C1A7C30B CITY OFDL#lE OND BAR BtJlf-DING & SAFETYDIVISIoN 21610 CopleyDrive Diamond Bm; CA 91765 (909) 839-7020 SMOKE ALARM AND CARBON MONOXIDE CERTIFICATION In order to help assure the life and safety within existing dwellings, the 2093 California Residential Code (CRC) Section 8314 and R315, aiorlg 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 92" of the ceiling when a building permit is issued for, worked on, or in a building that is valued at $9,000 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 rneans of attic, basement or crawl space. Starting July 1, 2014 all smoke alarms including combination Smoke alarms, that are solety battery powered shall contain a non -replaceable, non -removable battery that is capable of powering the smoke alarm for at least 10 years. REQUIRED ININ EXISTING gWELLINGS. • Where a permit is required foralteratIM9, repairs or additions exceeding $1,040. Existing dwellings or sleeping units that have attached garages or fuel burning appliances. Carbon monoxide alarms shall be installed: Outside of each separate dwelling unit sleeping area in the immediate vicinity of the bedroom($). • On every level of a dwelling unit including basements. REQUIRED IN N1=W DWEI_I-IN S; Carbon monoxide alarms shall be installed: • Outside of each separate dwelling snit sleeping area in the immediate vicinity of the bedroorns(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 then 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 dwellino. Carbon Monoxide Alarms is a requirement that is in addition to required Smoke Alarms. D �0 DocuSign Envelope ID: 9FF6EEC0-ED8C-44BF-8249-E156C1A7C30B The alarms are required to be Installed In the following locations: Smoke alarms in all sleeping rooms - 0 CO alarms in all sleeping rooms where fuel burning appliances are installed. :• Smoke alarm and 00 alarm in hallways preceding sleeping rooms. 04'�- Smoke alarm and CO alarms on each dwelling level including basements and habitable attic rooms. The smoke and CD alarms are required to comply with the above when requesting a final inspection. Please make sure ars adult Is present to allow the Inspector access to the home to verify compliance with the above requirements. If no one witl be available, you may opt to complete the Installation Certification below and leave it with the job card. (Please till out and tear off this portion to Dave with the job card if no one will be available to allow the inspector inside the house.) INSTALLATION C&RTIFICATION For the property located at 1537 Silver Lane , l hereby certify that the required s alaraqwand carbon monoxide alarms have been installed as listed above. Henry Ho 5/25/2017 �y��ac ire~ Print Name-Dateaate._,,,.,— Relationship to project (please check one): VOwner u Agent far Owner ❑ Licensed Contractor o Agent for Licensed Contractor If "Licensed Contractor" or "Agent for Licensed Contractor" is checked, please complete the following: Contractor Contractor's State License Number 01%[g 0