HomeMy WebLinkAboutPR20180034466PERMIT #: PR20180034466
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 BARBUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca.gov
JOB SITE ADDRESS_ 22230 STEEPLECHASE UN, DIAMOND BAR, CA 91765
APN 8713010019 LOT# TRACT#
OWNER NAME HUANG WEN & YANG
ADDRESS 22230 STEEPLECHASE LN
CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE>
APPLICANT NAME TEL
CONTRACTOR NAME 168 Construction and Remodeling
ADDRESS 1709 S Cordova St
CITY Alhambra STATE CA ZIP 91801 TEL (626) 284-6682
ARCH/ENG/DE5 NAME
ADDRESS
CITY STATE CA ZIP TEL
P/C DATE P/C#
ISSUE DATE 20 Dec 2018 PR# PR20180034466
TYPE CONSTRUCTION OCCGROUP
SCOPE OF WORK Interior Remodel Add (2) new full bath, remodel existing bahtrooms and kitchen (MEPS), Replace all windows like for like
Remove (2) windows, Storage are
"Work started without permit ••
#DWELL UNITS 0 #STORIE5 #BEDROOMS
BUILDING FEES
DESCRIPTION
SQ FT
FACTOR PSF
ADl AREA/VALUATION
SFR/ADD/REM
GARAGE/CARPORT
PATIO/DECK
POOL/SPA
ROOF
COMMERCIAL
TOTAL VALUATION.
TOTAL-
$43 6300
Mechanical
TYPE
QUANTITY
AMOUNT
TOTAL
Ventilation Fans
5
$19 08
$95 40
Exhaust Hood Type 1
1
$78 35
$78 35
Electrical '
TYPE
QUANTITY
AMOUNT
TOTAL
Lighting Fixtures, Sockets, or Other Lamp Holding Devices
14
$2 35
1 $32 90
Plumbing
TYPE
QUANTITY
AMOUNT
TOTAL
Plumbing Fixture / Trap or Set of Fixtures
1 18
$19 82
$356 76
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
$800 30
PLAN REVIEW
$522 15
ELECTRICAL
$111 52
PLUMBING
$713 52
MECHANICAL
$347 50
INSPECTION FEE
ISSUANCE
$146 03
SMIP
$4 68
ENERGY
rENTION FEE
$186 01
PRE/ALT FEE
BASF
$1 00
PLOT PLAN
ZONING CLEARANCE
$155 82
RECYCLING AND WASTE DEPOSIT
TOTAL FEES
$2,988 53
COMMENTS
P/C RECEIPT# PAY METHOD VALIDATION
PERMIT RECEIPT # 42707 PAY METHOD Check # 469 VALIDATION
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PERMIT #`PR20180034466
CITY OF DIAMOND BAR
INSPECTIONR+
SETBACK I LETTER
t
TRACK AND LEDGER
R+INSPECTOR:
FOOTINGS FORMS
T-BAR
SLAB
POOL DEMOLITION
UG PLUMBING
ROOF DRAINS
UG ELECTRICAL
PDDLfSPA
'
LIFER GROUND
GAS TEST, EL, PL, ME
SEWER LATERAL
PRE GUNITE
SEW ER CLEANOUT
POOL PRE DECK BONDING
MAIN WATER LINE
P TRAP
ROOF SHEATHING
FENCE I GATE/ALARM
FLOOR SHEATHING
FINAL POOL
SHEAR WALLS EXTERIOR
WALLS
SHEAR WADS INTERIOR
WALL F00TING/STEEL
FRAMING/VENTING
\ (/
WALL STEEL 1ST( ZNO{) LIFT
RO MECHANICAL
t
WALL DRAIN/SEAL
RO ELECTRICAL W () C
V
WALL FINAL
RO PLUMBING
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
ROUGH FIREAPPROVAL
INSULATION CEILING
FINAL FIRE DEPARTMENT
HOT MOP/SHOWERPAN
(.,''..gyp
g
/
FINAL PLANNING
DRYWALL
FINAL PIN ENGINEERING
LATH EXT£RLOR
FINAL PW MAINTENANCE
LATH INTERIOR
q
FINAL HEALTH DEPT
GAS TEST
.. /
I
FINAL INDUSTRIAL WASTE
SCRATCH COAT
! p
l
FINAL BUILDING
ELECFRIC 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 PR20180034466
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 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 ($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 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 )
(_) 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 Ilcensure 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 -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
following Web site http/www 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 B LICENSE NUMBER 899733
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 carrier and
policy number are
CARRIER State Fund POLICY # EXPIRATION DATE
NAME OF AGENT 9029458 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 building construction
I authorize representatives of the City of Diamond Bar to enter the above -identified property fo ins on urposes
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT Enc Zhao 1,
DATE
Los Angeles Regional Uniform Code Program
STRUCTURAL OBSERVATION REPORT FORM
STRUCTURAL OBSERVA7701V means the visual observation of the structural system, for general conformance to the
approved plans and specifications, at significant construction stages and at completion of the structural system.
Structural observation does not mefuda or waive the responsibility for the inspections required by Section 108, 1704 or
other sections of the Los Angeles County Buitdtng Code (Sections 106 4 5, 1709)
Report No. 002R
This report Includes all construction work through 22 day of .January 20y2_Paga No. --j_of 1
Project Address
Structural Observer of Record (SOR)
SOR Phone No :
22242 Steeplechase Ln. Diamond Bar
Georne Sun
949.331.2708
Building Permit No
IStructural Observabon
Observr Professional LIc./Fteg No:
Observer Phone No.
PR17-8327
1performed by' tie Sun
S4576
1 949,3312708
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION
WALL
FRAMES
FLOOR
ELEMENTS/CONNECTION
OBSERVATION LOCATION
O Footing, Stem Wells
❑ Concrete
0 Steel Moment Frame
❑ Concrete
ALL LOCATIONS
INCLUDING THE FOLLOWING
GENERAL FRAMING, ALL
NAILING, HOLD-DOWNS, &
• Mat Foundation
o Masonry
O Steel Breed Frame
❑ Steel Dads
O Caisson, Piles,
M Wood
❑ Concrete Moment
Q Woad
Grade Beams
(SHEARWALLS)
Frame
(FRAMING)
ANCHOR BOLTS
17 Retaining Foundation
10 Others
U Masonry Wall
❑ Others;
HillsideSpeclalAnchorsl
Frame
O Others
10
Others:
NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general
conformance with the approved plans or In the load path: (A final report by the structural observer which states that
all observed deficiencies have been resolved Is required before acceptance of the work by the building officials.)
ALL OBSERVED ITEMS CONFORM GENERALLY WITH APPROVED DRAWINGS,
I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE:
1. 1 AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE
CHARGE FOR THE STRUCTURAL. OBSERVATION IN ACCORDANCE WITH THE
REQUIREMENTS OF THE CRY OF DIAMOND RAN
2. 1, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS
UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT
EACH SIGNIFICANT CONSTRUCTION STAGE TO VERITY If THE STRUCTURE IS IN
GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS;
S ALL NOTED DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED
ABOVE,
A 1 RECOMMEND THAT ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE COUNTY
OF LOS ANGELES BE WITNNECD UNTIL ALL OBSERVED DEFICIENCIES ARE
Z"�- /')-nl
W, 4518
(STAMP OF STRUCTURAL OBSERVER)
10 RM LACBC) Jan 1D 2008