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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