The URL can be used to link to this page

Home My WebLink AboutPR20180034788PERMIT M PR201RW34798 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 rjL (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 DIAMOND 8AR BUILDING PERMIT APPLICATION www.cmrofdiamondbar.com budding@diamondbarca.gov JOB SITE ADDRESS. 205 DIAMOND BAR BLVD S, DIAMOND BAR, CA 91765 APN 8717008006 LOT# TRACT# OWNER NAME FRANCHISE REALTY INTERSTATE CORP ADDRESS 636 N ECKHOFF ST CITY ORANGE ZIP 92868 TEL aN0 PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME SUPERIOR ELECTRICAL ADVERTISING, INC ADDRESS 1700 WEST ANAHEIM ST CITY LONG BEACH --- STATE CA ZIP 90813 TEL (5621495.3808 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE PR# TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK McDanalds Monument Sign illuminated double face monument sign 8'xB'6"x1'6" #DWELLUNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SC, FT FACTOR PSF ADJ AREAIVALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL. PLAN CHECK FEES PERMIT FEES CONSTRUCTION $147 47 $173 49 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $45 02 SMIP $140 ENERGY RETENTION FEE $9 00 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT TOTAL FEES: $376 38 ................. COMMENTS P/C RECEIPT# PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION PERMIT M PR20180P3 CITY OF DIAMOND BAR 1 , INSPECTION RECORD INSPECTION►+ SETBACK /LETTER i TRACK AND LEDGER i+INSPECTOR: FOOTINGS FORMS ''.. T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOLMA UFERGROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P•TRAP ROOFSHEATHING FENCE/GATE/ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMENGNENTING WALL STEEL 1ST(I 2ND(} LIFT RO MECHANICAL WALL DRAIN/SEAL NO ELECTRICAL W (j C{j WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGHFIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOW ERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PW MAMITENANCE LATH INTERIOR FINAL HEALTH DEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FINAL BUILDING ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECTRICAL ''.. SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT OF OCCUPANCY AAuu..L. i. ��III+I��LYJ 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 70315, 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 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 hcensure and the basis for the alleged exemption Any violation of Section 70315 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 U 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 i 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 ) (_) I am exempt from hcensure under the Contractor's State License law for the fallowing 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, 1 cannot legally sell a structure that I have built as an owner -budder 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 httplwww 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 C45 LICENSE NUMBER 271598 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 ATTORNEY'S 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, forthe 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 SUPERIOR ELECTRICAL POLICY #• EXPIRATION DATE ADVERTISING INC NAME OF AGENT UB5K09465S 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 OF APPLICANT 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 1 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 I 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