HomeMy WebLinkAboutPR20190000292i
0
PERMIT #: PR20190000292
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Drive, Diamond Bar, CA 91765
(909}839-7020 Fax:(9091861-3117 Building Inspection Hotline(909}839-7027
DIAMOND BAR BUILDING PERMIT APPLICATION www.cttvofdiamondbar.com budding@diamondbarca.gov
SOB SITE ADDRESS+826 DEL SOL LN IN, DIAMOND BAR, CA 92765
APN 8706006007 LOT# TRACT#
OWNER NAME BELL BRUCE L
ADDRESS 826 N DEL SOL LN
CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE>
APPLICANT NAME TEL
CONTRACTOR NAME Renewal lby Andersen of Orange Co
ADDRESS 22982 Alcalde Dr, Suite 100
CITY Laguna hilts STATE CA ZIP 92653 TEL (714) 259.5120
ARCHJENGJDES NAME
ADDRESS
CITY STATE CA ZIP TEL
P/C DATE PJC#
ISSUE DATE 26Feb 2019 PR# PR20190000292
TYPE CONSTRUCTION OCCGROUP
SCOPE OF WORK REPLACE (1) LIVINGROOM WINDOW - 80 X 64 RBA FIX
#DWELL UNITS 0 #STORIES #BEDROOMS
BUILDING FEES
DESCRIPTION
SCL FT
FACTOR PSF
ADJ AREAIVALUATION
SFRJADD%REM
GARAGE/CARPORT
PATIO/DECK
POOL/SPA
ROOF
COMMERCIAL
TOTAL VALUATION,
TOTAL.
$700 0000
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
$85 33
PLAN REVIEW
ELECTRICAL
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
$45 02
SMIP
$100
ENERGY
rENTION FEE
$7 89
PRE%ALT FEE
BASF
$100
PLOT PLAN
ZONING CLEARANCE
RECYCLING AND WASTE DEPOSIT
TOTAL FEES.
$140 24
COMMENTS
P/C RECEIPT # PAY METHOD VALIDATION
PERMIT RECEIPT # PAY METHOD VALIDATION
PERMIT #: PR20190000292
CITY OF DIAMOND :.. IF
INSPECTION
SETBACK / LETTER
DATE:
INSPECTOR:
INSPECTION
TRACK AND LEDGER
DATE:
INSPECTOR:
FOOTINGS FORMS
T-BAR
SLAB
POOL DEMOLITION
UG PLUMBING
ROOF DRAINS
UG ELECTRICAL
POOL/SPA
UFER GROUND
GAS TEST, EL, PL, ME
SEWER LATERAL
PRE GUNITE
SEWER CLEANOUT
POOL PRE DECK BONDING
MAIN WATER LINE
P-TRAP
ROOF SHEATHING
FENCE/GATE/ALARM
FLOOR SHEATHING
FINAL POOL
SHEAR WALLS EXTERIOR
WALLS
SHEAR WALLS INTERIOR
WALL FOOTfNG/STEEL
FRAMING/VENTING
WALL STEEL 1ST{)2NDj LIFT
RO MECHANICAL
WALLDRAIN/SEAL
RO ELECTRICAL W (j C i J
WALL FINAL
RO PLUMBING
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
ROUGHFIREAPPROVAL
INSULATION CEILING
FINAL FIRE DEPARTMENT
HOT MOP/SHOWERPAN
FINALPIANNING
DRYWALL
I
FIMALPWENGINEERWG
LATH EXTERIOR
FINAL FIN MAINTENANCE
LATH INTERIOR
FINALHEALTHDEPT
GAS TEST
FINAL INOWTRIAL WASTE
SCRATCH COAT
',,..
FINAL 8U7LDIN6
t)
I
A
�I
ELECTRIC METER RELEASE
fiNALMECHAFIICAL
GAS METER RELEASE
FINALELECTBADIL
SPECIAL INSPECTION
FINAL PLUMBING
SMOKE & CARBON
MONOXIDE DETECTORS
TC OF OCCUPANCY
CERT OF OCCUPANCY
PERMIT If: PRZO190000292
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 S, 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 fife a signed statement that he or she is licensed pursuant to the provisions of the
Contractors' 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 S 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 as their sole compensation, will do (_) 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 budding or improvement is
sold within one year of completion, the Owner -Budder will have the burden of proving that it was not built or improved for
the purpose of sale )
(J 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 )
(_) I am exempt from licensure under the Contractor's State License law for the following reason(s)
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 permit, I cannot legally sell a structure that I have built as
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 submitted or at the
following Web site http/www leginfo ca gov/calaw html
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE
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
LICENSE CLASS B LICENSE NUMBER 990416
EXPIRATION DATE CONTRACTOR SIGNATURE
WORKERS' COMPENSATION DECLARATION:
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO
CRIMINAL PENALTIES AND CiVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR iN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES
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 workers' compensation, issued by the
Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the
work for which this permit is issued
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
the performance of the work for which this permit is issued My workers' compensation insurance carrier and
policy number are
CARRIER OLD REPUBLIC INSURANCE POLICY# EXPIRATION DATE
COMPANY
NAME OF AGENT MWC31415800 PHONE #
I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation
provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
SIGNATURE OFAPPLICANT DATE
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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 (Section 8172, Civil Code)
LENDER'S NAME
LENDER'S ADDRESS
By my signature below, I certify to each of the following
I am the property owner or authorized to act on the property owner's behalf
i have read this application and the information I have provided is correct
I agree to comply with all applicable city and county ordinances and state laws relating to building construction
1 authorize representatives of the City of Diamond Bar to enter the above -identified property for inspection purposes
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT
DATE