Loading...
HomeMy WebLinkAboutPR20190000499'r � PERMIT #: PR2019OW0499 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 9176S (909) 839.7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 D'IAtAONO BAR BUILDING PERMIT APPLICATION www.citvofdiamandbar.com building@dlamondbarca.gov JOB SITE ADDRESS• 902 WHITECUFF DR, DIAMOND BAR, CA 9176S APN 8701046029 LOT# OWNER NAME WARREN BARRY C &10YCE M TRACT# ADDRESS 902 WHITECUFF DR CITY DIAMOND BAR ZIP 9176S APPLICANT NAME TEL <NO PRIMARY PHONE> TEL CONTRACTOR NAME Arndt & Trama Inc ADDRESS 124S7 Gladstone Ave, #H CITY Sylmar STATE CA ZIP 91342 TEL (818) 8373430 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE ISSUE DATE 10 Apr 2019 P/C# PR# PR20190000499 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK Dishwasher change out #DW ELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SO, FT FACTOR PSF AD) ARWVALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA R&ROOF COMMERCIAL TOTAL VALUATION' TOTAL. PlumbIn TYPE QUANTITY AMOUNT TOTAL Dishwasher (Changeout Same Location) 1 S19 82 $19 82 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL PLUMBING $55 76 MECHANICAL INSPECTION FEE ISSUANCE $45 02 SMIP ENERGY RETENTION FEE $Z 79 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $2 23 TOTAL FEES: $10S 80 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT# 4405b PAY METHOD Check # 1 rUbz VALIDATION PERMIT #: PR2019660490' INSPECTION. SETBACK I LETTER TRACK AND LEDGER ._INSPECTOR: , FOOTINGS FORMS T BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOVVA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING FENCE( GATE j ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTINGISTEEL FRAMING/VENTING WALL STEEL 1ST+I2ND{ILIFT RO MECHANICAL WALL DRAIN/SEAL RO ELECTRICAL W (j C j j WALL FINAL RO PLUMBING [},. 9•j JG iF fi.7 F / RO FRAMING PLANNING APPROVAL INSULATIONWALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOPISHOW ERPAN FINAL PLANNING DRYWALL FINAL PIN ENGINEERING LATH EXTERIOR FINAL INN MAINTENANCE LATH INTERIOR FINAL HEALTH DEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT i FINALBURDING ELECTRIC METER RELEASE FINAL MECHANICAL. GAS METER RELEASE FINAL ELECTRICAL SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT OFOCCUPANCY COMMENTS [ i$. 3I! ilrr e , ; r ; r ,>Iie1;7_i� * , 1 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 7031 S, 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 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($S00) ] (J I as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (J 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 hcensure 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 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 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 C36 LICENSE NUMBER 799399 EXPIRATION DATE CONTRACfORSIGNATURE. 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 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 An employee service group POLICY If holds the work OF AGENT 04701SS32 PHONE# EXPIRATION DATE 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 my signature below, I certify to each of the 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 r ins action Rp SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT Manuel ZuWga DATE / fit _10V �—