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