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HomeMy WebLinkAboutPR20180010832PERMIT PR20180010832 I AK CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Dnve, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 961-3117 Building Inspection Hotline (909) 839-7027 DIAMAON D BAR BUILDING PERMIT APPLICATION www city9ftliamondbar.com building@dIamondbarca.gov JOB SITE ADDRESS. 2112 Rocky View Rd APN 8713030001 LOT# TRACT# OWNERNAME MALOTJAMESJ ADDRESS 316 AVOCET AVE CITY DAVIS ZIP 95616 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME ADDRESS CITY STATE ZIP TEL ARCH/ENG/DES NAME ADDRESS ZIP CITY STATE TEL P/C DATE P/C# ISSUE DATE 17 May 2018 PR# PR20180010832 TYPE CONSTRUCTION OCC GROUP SCOPE OFWORX• Pod & Spa 1,o6osqft #DWELL UNITS 0 #STORIES #BEDROOMS BUILDING FEES DESCRIPTION 50, FT FACTOR PSF ADJAREA/VALUATICIN SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA 1,06000 $54,547 6000 RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL. $54,547 6000 El"Ical TYPE QUANTITY AMOUNT TOTAL Receptacle, Switch, Lighting or other Outlets i $226 $452 Lighting Fixtures, Sockets, or Other Lamp Holding D�jces 1 $226 $4S2 Plumbing TYPE QUANTITY AMOUNT TOTAL Gas Piping System 1 $9542 $9542 Swimming Pool Drainage Trap and Receptor 1 $1908 $1909 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $1,30342 PLAN REVIEW $1,10791 ELECTRICAL $5368 PLUMBING $11950 MECHANICAL INSPECTION FEE ISSUANCE $10816 SMIP $975 ENERGY RETENTION FEE $12057 PRE/ALT FEE $10000 BASF $300 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT TOTAL FEES: $2,92599 COMMENTS !LC RECEIPTI PAY METHOD VALIDATION PERMIT 0 PAY METHOD VALIDATION 0 PERMIT #: PR2018001083ik NO IIWO] 2 PIT-AMiilI►1117_1 i luMatilt Ilrolz I IgticelilM INSPECTION SETBACK / LETTER •. OW INSPECTIONDATE: TRACK AND LEDGER FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING 08/16/201B ROOF DRAINS UG ELECTRICAL POOL/$PA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE NFR CLEANOUT POOL PRE DECK BONDING �(" J MAIN WATER LINE P-TRAP O6/13j2A1B L b ROOF SHEATHING FENCE / GATE /ALARM t t J f FLOOR SHEATHING FINAL POOL12 ' SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTING/STEEL FRAMINGIVENTING WALL STEEL SSTO } 2NDt I LIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICAL W () C (} WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIREDEPARTMENT HOT MOPISHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FMEAL P W MAINTENANCE LATH INTERIOR FINALHEALTHDFPt GAS TEST FINAL INDLtSTRbU 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 COMMENTS PERMIT M PR20180010832 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 70DO 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($S00) ) (_) 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 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 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 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 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 httpjwww 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 CS3 LICENSE NUMBER 492871 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, 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 carver and policy number are CARRIER State Fund POLICY # EXPIRATION DATE NAME OF AGENT 3012066 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 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 budding 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