HomeMy WebLinkAbout15-1501 _
� �' CITY OF DIAMC)ND SAR
`� DEPARTMENT t7F CK}MMtINTCY Sc I7�EYELttPMENT S�RYICES
21810 Gapley Dnve,Diamond Bar,CA 917b5 PRESS
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CITY OF DIAMOND BAR _ •` . ,
INSPECTION RECORD . ' — •
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SETBACKlLETTER TRACTAND LEDGER
FOOTINGS FORMS SWITCH GEAR
SLAB COMMERCIAL HOOD
UG PLUMBING T-BAR
UG ELECTRICAL INTERCEPTER
UFER GROUND H0T MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HEflS REPORT RECENED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CDNDUIT
SHEAR WALLS FXT�RIOR POOL/SPA
SHEAR WALLS IMEHIOR ROUGH PLUMBING
FRAMINGNENTING ROUGH ELECTRICAL
ROUGH MECHh1dICAL ROUGH MECHANICAL
ROUGH ELECTRICAL W( )CO GASTEST
RbUGH PLI1M61NG PRE GUNITE
INSULATION WALL POOL PRE DECK BONDING
INSULATION CEILING P-TAAP
DRYWALL FENCE!GAT6 ALAIIM
LATH(PRE) FINAL POOL
LATH El(TERIOR WALLS
LATHINTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL ls� �2uo� )LIFT
SCfiATCH COAT WALL BOND BEAM
ELECTRIC MEfER RELEASE WALL DfiAINlSEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION RO FRAMWGPIAWNINGAPPROVPL
FINAL BUILDING � ROUGH FIRE APPROVAL
FINAL MECHANICAL � ;J � FINAL FIflE DEPAflTMENT
FINAL ELECTRICAL S FINAL PLANNING
FINAL PLUMBING — FINAL ENGINEEflING!PW
TC of OCCUP/UdCY FlNAL COMMUNI'fY SERVICES
CERT,of OCCUPANCY FlNAL HEALTH�EPT,
�FINAL INDUSTflIAI WASTE lr�
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BuiIding 8s Safety Division
21810 Capley Drive
Diamond Baz,California 91765
{904)839-7Q20 Fa�(944) 8b1-3117
Job Address t� � �� �Of�i,lk(�iGC� � � �1GNIfiCKQ tJ(W , �'�917�'�
Oear Property Owner
An apphcataan fpr a budd�ng permit has been suhm�Rted m your name stabng yourself as the budder ofithe
propeRy�mprovements specifled
For your prot�tron, yqu shauld be aware that as°ownervbudder�you are the responsible party of recatd on
such a permd Budding perrnits are not requ�red to be signed by property awners unless they are personally
perform�ng theit own work If your work is being perforrned by sameone other than yourself, yc�u may protect yourself
ftom {�oss�bie I�ab�hry �f that petson appi�s for the proper petm�t�n his or her�ame
Contractors are requirec! by law to be licensed and bonded by the State af GaUfamia and to have a business
iacense from the C�ty of Caunty They are also requ�red by law to put thein c�ense number on all permds for which they
�PP�Y
If you emplay at otherwise engage any persons ather than yaur immediate farn�Iy, and the wark{including
matenals and other cos#s� is $200 QQ or more for the enUre pro�ect, and such perspns are nat hcensed as contraatprs
pr sutx�ntractors,then you may be an employer
if you are an empioyer, you must reg�stet with the state and federai�svemment as an employer and you are
sub�ect ta several obhgatians including state and federai mcame ta�c withhoidmg,federal social secunty taxes,workers
compensa#�on msuran�, disabd�ty msurance costs, and unemplayment compen�t�on contnbut�ns
There may be fmanciai nsks for you if you do not carry aut these obligations,and these risks are espeaally
senous with respect to wprker&compensation msurance
For mare spec�'ic mfprmat�on about your abl�gatMons under the federal law, contact the lnternal Revrew Service
(and �f you wish, the U S Smali Business Administra4an) For more speafic infarmatipn about your ob6gabons u�der
State Iaw, contact the Qepartment of Benefit-Payments and the Divisian af Industnal Accidents
if the sVucture�s mtended for sate, the property pwners who are not iicensed cantractars are allowed to
perform their work personally or through the�r c�wn employees, w�thout a hcensed contractar or su6canVactor, anly
under lim�ted cond�k�ons
A frequent practice af un6censed persons professmg to be contractors is to secure an "owner-buitder" buddmg
permrt, erroneousiy imp{ying that the property owner Es provid�ng his or her own labar and matenals personally
Bu�idmg permds ere not requ�red ta be signed by the property owners uniess they are performing their own work
personally
information about hcensed contractors may be obta�ned by contacdng the Corit�ctors State License Board at
9821 Bus�ness Park pnve, Sacramento, GA 95827, wtivw csib ca aov or at(804}321-CSLB{2752)
Piease complete and retum the encl�as�l"pwner-Budder"venfication fatm sa that we can confirm that you are
aware of Urese matters The budding permd wcii nc�t be issued unt�i the verficabc�n is returned
t � �
Mr
mi
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Building&Safety Divi�ion
21825 Capley Dxive
Diamond Bar,C:alifornia 91765
t�y ss�-�a2o F����ssi-szi�
Attention Property C}wner
An°tJw�er-Budder buddmg perm�t ha&6een apphed for in your name and beanng your s�gnature
Please cromptete and retum th�s mformation at your earhest opport�nity to avoid unnecessary delay m processmg and
issumg yaur budding permd Na bu�Iding permd wdI be issued untal th�s venficatian �s received by us
1 1 persanal3y plan to provide the ma�or labor and matenals for construchon of the proposed praper#y
improvement{yes or no) �'.�
2 I {h8velhave not} — �`r�r — signed an aPPlic,�tion far a buddmg peRmt for the propos�work
3 1 have contraQted w�th the followmg persan{flrmj to provide the ptt�pqsed constructipn
Name �(qn�y - $� Address (��,? j}�g/� L.'C City Stfi+� j�'yyJQ/)
Phone Cantractprs L�cense No
4 I plan to provide port�ons of the work, but 1 have hired the following person ta co4tdinate, supernse and
provide the ma�or work
Name Address City
Phone Contractors License No
5 1 w�il prov�de some of the wark but f have cantrected (hited)the follo+nnng persons to provrde the work
mdicated
Mame Address Phone Type of Work
4-lCuvn�tl ��q Q�uM �9u ����ea�a �Y �i�-�16`lf��` �,
S�gned �AI�\ J�'�n'"ft` �/ �
Prope t}wner
Date � �7��i — ?rfl t�f
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NOTICE TO PROPERTY 4WNER
dear Property flwner
An apphcation for a bu�lding �rm�# has been submitt�d in yo�ur name listang yourseif as the builder of the pro�rty
improvements spec�fied at 3�,'7 .�,�1'N,/�'��'
We are prov�dmg yau w�th an Owner-Budder Acknawledgment and Infamrahan Venficatron Form to make you aware of
yaur respansibdR�es and poss�ble risk you may mcur by hav�ng this permd issued m yaur name as the Owner-Bu�lder
We wdl not issue a buddmg permd untd you have read, im4aled your understand�ng flf each provis�fln, s�gned, and
retumed this form to us at our offi��ai address ind�cated An agent of the owner cannot execute#his notice unless you,
the property owner, obtam the prior appraval of the perm�tting auManty
4WNER'S ACKNOWLEDGEMENT AND VERIFICATIQN
OIRECTItiNS Read and imUal each statemeni belc�w ta signify you understand or verify thrs informaUon
�`"'�` 1 I understand a ftequent practice of uni�ce�sed persans �� to have the property awner obtaen an "dwner-
Butlder" buddmg permd that erroneously imphes that the praperty owner�s prowdmg his or her own latwr and matenai
personaiiy I, as an t}wt�er-8wlder, may be held liable and sub�ect ta senous finanpial nsk for any in�uries suska�ned by
an uMicensed person and h�s or her employees while worlring on my property My homeowner's msurance may not
provide caverage for those �naunes I am wdlfully acUng as an Owner-Budder and am �x+ate of the hmrts of my
msurance coverage for in�unes t4 workers on my property
��2 1 understa�d bu�lding �rm�ts are not requ�r� to be signed by property awners unless they are responsible for
the consVucbon anti are not hinng a licens�! Contr�tor to assume th�s respons�bility
t�3 I understand as an "Owner-Buiider" ! am the responsible party af record on the perm�t 1 understand th�t i may
pro#ect myseif from poteni�al finanaal nsk by h�nng a hcensed Contractpr and havmg the permrt fii� in his or her name
instead of my own
�4 I understand Contractors ate requ�red by Iaw#o be hcensed and bonded in Galrfomia and to Iist the�n c�ense
numbers an permits and contracts
�5 1 understand if I emplay or otherwise angage any persons, other than Cahforrna Ircensed Contractors, and the
tntal value of my construction �s at least five hundred dollars($500), mcludmg �abor and materia�s, i may be cans�dered
an"employet'under state and federal law
�6 i understand rf 1 am pons�dered an "employar" under state and federal law, i must register w�th the state and
federai gavernment, wdhhold payrotl ta3ces, pravide wo�Icers' compensat�on disabdity msurance, and contribute to
unempioyment compensaUon for each °empioyee" I aiso underatand my fadure to abide by these laws may sub�ect
me to senous financial nsk
�7 f understand under California Contractcxrs' State License Law, an Owner-Budder wha buiids single-famiiy
res�denUal structures cannpt Iegaliy bwtd them wdh th� intent to offer them for sale, unless all work �s performed by
licensed subc�ntractors and the number flf structures does not exceed four+xithin any calendar year, or ati of the work
is performed under contract wdh a licensed genera4 buddmg Contrackor
�S i understand as azr Owner-Budder if i setl the property far which th�� �rmit is issued, i may be held i�able ftrr
any financial ar personal in�uries sustained by any suasequent owner(s)that resuit frflm any laten#cflnstruction defeCts
m the warkmanship or matenais
,
�� 9 I understand I may obtain more �nformatian regarding my ob6gat�ons as an "employer" from the Intemal
nue Service, the Un�ted States Smali Business Admmistratian, the Cai�fotnia Qepartment of Benefit Payrnents,
and the Gairfomia Dwisian of tndusmal Accidents I alsa understand I may contaot Rhe Gahfamis Contrecrors' State
license Board (CSLB) at 1-800-321-CSLB(2752}or www csib ca aov for more inforrnetion abaut i�censed contractara
1� I am aware of and consent to an Owner-Bu�lder buddmg permrt apphed for m my name, and understand that I
m the party legaily and financiaily res�nsible far praposed constructian actroiry at the foilowing address
_11 ! agree that, as the party Iegally and finanaaliy respons�ble for th�s proposed constructaon acGvity, i xni! ab�de
by ali applicable laws and requirements that govem 4wner-Butlders as weli as employers
��, 12 f agree ta notify the �ssuer of this form �mmed�atety af �ny adddiQns, defetwns, or changes to any of the
�nformaUon I have prov�ded on this form Licensed contractors are r�ulated by laws des�gned to pratect the publio if
you contract with someone who does not have a Itcense, the Contractars'State License Board may be unable to assist
you wdh any finane�al loss you may sustain as a result af e compiamt Yaur only remedy against unl�censed
Contracttirs may be in c�vil court It is also imp4rtant for you ta understand that if an uNiCensed Contractar ar employee
of that mdnridual or flrm �s m�ured whde warkmg on your property, you may be heid hable for darnages !f you obtam a
permit as Qwner-Budder and wish to h�re Gc�ntractars, yau wtll be responsibie fot venfymg whether or not those
Contractors are properly lioens�i and the statu&af their workers'compensa6on insurance ooverage
Befare a budding permrt can be issued, this torm must be carnpleted and signed by the property owner and returned to
the agency responsible for rssuing the permd
Note A oopy of the property owners dnve�'s t�cense, form notanzation, or other venfication acceptable to the agency is
required ta tre presented when the permit is�ssued to venfy the property owne�s signature
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S�gnature of Praperty Qwner � ��� r Dete 12�.."�,7!,�fJ�