HomeMy WebLinkAboutPR20180034301e) PERMIT #: PR20180034301
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,citvofdiamondbir.com building@diamondbarca.gov
JOB SITE ADDRESS 22353 BIRDS EYE DR, DIAMOND BAR, CA 91765
APN 8293032009 LOT# TRACT#
OWNER NAME GYIMOTY BRENDAC
ADDRESS 22353 BIRDS EYE DR
CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE>
APPLICANT NAME TEL
CONTRACTOR NAME Pool Logic
ADDRESS 1255 Ruggles St _
CITY La Veme STATE CA ZIP 91750 TEL (909)450-7804
ARCH/ENG/DES NAME
ADDRESS
CITY STATE CA ZIP - TEL
P/C DATE P/Ca
ISSUE DATE 07 Dec 2018 PR# PR20180034301
TYPE CONSTRUCTION OCCGROUP
SCOPE OF WORK Pool / Spa 6XII Spa 438 sq ft
Rat Wall :14 Iln ft, 3'
#KNELL UNITS #STORIES #BEDROOMS
BUILDING FEES
DESCRIPTION
SO, FT
FACTOR PSF
ADJ AREA/VALUATION
SFR/ADD/REM
GARAGE/CARPORT
PATIO/DECK
POOL/SPA
RE -ROOF
COMMERCIAL
TOTAL VALUATION
TOTAL,
$18,54160M
Electrical
TYPE
QUANTITY
AMOUNT
TOTAL
Lighting Fixtures, Sockets, or Other Lamp Holding Devices
4
$2 35
$55 76
Plumbing
TYPE
QUANTITY
AMOUNT TOTAL
Plumbing Fixture / Trap or Set of Fixtures
1
$19 82 $5S 76
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
$952 49
PLAN REVIEW
$909 62
ELECTRICAL
$55 76
PLUMBING
$55 76
MECHANICAL
INSPECTION FEE
_
ISSUANCE
$112 36
SMIP
$5 85
ENERGY
RETENTION FEE
$88 11
PRE%ALT FEE
$103 88
BASF
$2 00
PLOT PLAN
$493 21
ZONING CLEARANCE
RECYCLING AND WASTE DEPOSIT
TOTAL FEES.
$2,679 04
_
COMMENTS
P/C RECEIPT # PAY METHOD VALIDATION
PERMIT RECEIPT # PAY METHOD VALIDATION
PERMIT #: PR20180 ODRRtS 1,
CITY OF DIAMOND BAR w
INSPECTION RECORD
;,,
i INSPECTION
SETBACK / LETTER
.•
.
.
TRACK AND LEDGER
.•INSPECTOR:
FOOTINGS FORMS
T-BAR
SLAB
POOL DEMOLITION
UG PLUMBING
ROOF DRAINS
UG ELECTRICAL
POOL/SPA
LIFER GROUND
GAS TEST, EL, PL, ME
SEWER LATERAL
PRE GUNITE
/
SEWER CLEANOUT
POOL PRE DECK BONDING
aa5 I
MAIN WATER LINE
P-TRAP
ROOF SHEATHING
FENCE/GATE/ALARM
I
FLOOR SHEATHING
FINAL POOL
SHEAR WALLS EXTERIOR
WALLS
SHEAR WALLS INTERIOR
WALL FOOTING/STEEL
,
FRAMING/VENTING
WALL STEEL 1ST11 ZND( ) LIFT
'
RO MECHANICAL
WALL DRAIN/SEAL
RO ELECTRICAL W O C O
WALL FINAL
RO PLUMBING
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
ROUGH FIRE APPROVAL
INSULATION CEILING
FINAL FIREOEPARTMENT
HOT MOP/SHOW ERPAN
FINAL PLANNING
DRYWALL
FINAL PW ENGINEERING
LATH EXTERIOR
FINAL PW MAINTENANCE
LATH INTERIOR
FINAL HEALTH DEPT
GAS TEST
FINAL INDUSTRIAL WASTE
SCRATCH COAT
FINAL BUILDING
_1
3o e
ELECTRIC METER RELEASE
FINAL MECHANICAL
GAS METER RELEASE
FINAL ELECTRICAL
SPECIAL INSPECTION
FINAL PLUMBING
1y�
I Lam/
SMOKE & CARBON
MONOXIDE DETECTORS
T C OF OCCUPANCY
CERT OF OCCUPANCY
COMMENTS
PERMIT #: PR20180034301
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 7031 S, Business and Professions Code Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, pnorto 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),]
U 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 building 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 )
(_) 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 )
(_51 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
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 govfcalaw html
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE
LICENSED CONTRACTOR'S DECLARATION
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 C53 LICENSE NUMBER 101333
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 meintam 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 COMPENSATION POLICY# EXPIRATION DATE
INSURANCEFUND
NAME OF AGENT* 9155131 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 to o Code, I shall th comply with those provisions �L
SIGNATURE OF APPLICANT .�--�^-�! DATE o`ti"Z,-
DECLARA O REGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that 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 a v -identified prope inspection purposes
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT " ^
DATE
Flt F