HomeMy WebLinkAboutPR20180031416PERMIT If: PR20180031416
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Drive, Diamond Bar, CA 91765
(909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027
DIAMOND BAR BUILDING PERMIT APPLICATION www.cttvofdiamondbar.com building@dlamondbarra.gov
JOB SITE ADDRESS 2312S RIO LOBOS RD, DIAMOND BAR, CA 91765
APN 8717029076 LOT# TRACT#
OWNER NAME LIM KENNY & BELINDA F
ADDRESS 23125 RIO LOBOS RD
CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE>
APPLICANT NAME TEL
CONTRACTOR NAME 18 Insulation Inc dba J B Construction
ADDRESS $717 Haneman St
CITY Los Angeles STATE CA ZIP 90042 TEL <NO PRIMARY PHONE>
ARCH/ENG/DES NAME
ADDRESS
CITY STATE CA ZIP TEL
P/C DATE P/C#
ISSUE DATE 06 Aug 2018 PR# PR20180031416
TYPE CONSTRUCTION OCCGROUP
SCOPE OF WORK• Kitchen Area. Closeout window opening, reduce size of window & enlarge sliding door operilng
#DWELL UNITS 0 #STORIES #BEDROOMS
BUILDING FEES
DESCRIPTION
SO, FT
FACTOR PSF
AOJ ARWVALUATION
SFR/ADD/REM
GARAGE/CARPORT
PATIO/DECK
POOL/SPA
RE -ROOF
COMMERCIAL
TOTAL VALUATION
TOTAL:j
_
$10000
Mechanical ,
TYPE
QUANTITY
AMOUNT
TOTAL
Ventilation Fans
4
$19 08
$76 32
Exhaust Hood / Fan Duct
1
L $78 35
$78 35
Electrical
TYPE
QUANTITY
AMOUNT
TOTAL
Lighting Fixtures, Sockets, or Other Lamp Holding Devices
18
$2 3S
$55 76
Plumbing
TYPE
QUANTITY
AMOUNT
TOTAL
Plumbing Fixture/ Trap or Set of Fixtures,
4
$1982
$7928
Dishwasher (Changeout Same Location)
$19 82
$19 82
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
$283 69
PLAN REVIEW
$232 15
ELECTRICAL
$55 76
PLUMBING
$9910
MECHANICAL
$154 67
INSPECTION FEE
ISSUANCE
$180 08
SMIP
$130
ENERGY
RETENTION FEE
$14 18
PRE/ALTFEE
BASF
$100
PLOT PLAN
ZONING CLEARANCE
$7500
RECYCLING AND WASTE DEPOSIT
TOTAL FEES:
$1,096 93
COMMENTS
P/C RECEIPT# PAY METHOD VALIDATION
PERMIT RECEIPT # PAY METHOD VALIDATION
PERMIT #: PR20180r4ll�
AfixellE i
INSPECTION RECORD
SETBACK / LETTER
DATE:INSPECTION
of 4
TRACK AN LEDGER
FOOTINGS FORMS [i„
I ^ f t"r
T-BAR
SLAB
POOL DEMOLITION
UG PLUMBING
^y
4•��--^
ROOF DRAINS
UG ELECTRICAL
POCRIVA
LIFER GROUND
GAS TEST, EL, PL. ME
SEWER LATERAL
PRE GUNITE
SEWER tLEANOUT
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 FOOTINGISTEEL
FRAMINGIVENTING
WALL STEEL LST() 2ND(j LIFT
RO MECHANICAL
S
WALLDRAIN/SEAL
RO ELECTRICA.LW{}C(
7 0/
�r
WALLFINAL
RO PLUMBING
7
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
7 G ay
ROUGH FIREAPPROVAL
INSULATION CEILING
FINAL FIREDE➢ARTMENT
HOT MOP/SHOWERPAN
FINALPLANNING
DRYWALL
FINAL PW ENGINEERING
LATH EXTERIOR
^
+a
FWAL PW MAI TENANCE
LATH INTERIOR
FINAL HEALIW DEFT
GAS TEST
FINAL INDUSTRLAL WASTE
SCRATCH COAT
FINAL BUILDING
Age
ELECTRIC METER RELEASE
FINAL MECHANICAL
J r. ^•
GAS METER RELEASE
FINAL ELECTRICAL
SPECIAL INSPECTION
FINAL PLUMNN6
SMOKE III CARBON
MONOXIDE DETECTORS
T C OF OCCUPANCY
CERT OF OCCUPANCY
14
T 4
PERMIT #: PR20180031416
OVilNER•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 forthe 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 (_) 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 )
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 )
U I am exempt from hcensure underthe Contractor's State License law forthe 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 -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
fallowing Web site http/www legmfo ca gov/calaw htmi
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, 1039033
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 setf-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 Cade, for
the performance of the work for which this permit is issued My workers' compensation insurance carrier and
policy number are
CARRIER This license is exempt from POLICY # EXPIRATION DATE
having worke
NAME OF AGENT. 0 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
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, Gvil 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
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