HomeMy WebLinkAbout15-1387 � ` ` CIT7f OF DIAMGf+D BAR
� DEPAItTMENT OF Ct}hSh4UNITY&DEYELt?i't43ENT SERYICES
21814 Coptey Dnre,D�amond Bar,CA 91765 PRESS
(y09}839.7021F Fax:('�9)Sfii-311T Builc6ng Inspection HoY6ne(9Q9)&39-?027 fiRM�Y
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CITY OF DIAMOND BAR � � ' � • •
INSPECTION RECORD
• � • e • • o � • -
SETBACW LETTER TRACTAND LEDGER
FOOTINGS FORMS SWITCH GEAR
SLAB COMMERCIAL HOOD
UG PLUMBING T-BAR
UG ELECTRICAL INTERCEPTER
UfER GROUND HOT MOP/SHOWERPAN
SEWER IATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HEHS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF�RAINS
FLOOR SHEATHING ROUGH C�N�UIT
SHEAR WALLS EXTERIOR POOL/SPA
SHEAR WALLS INTERIOR ROUGH PLUMBING
FRAMINGNENTING ROUGH ELECTRICAL
ROUGH MECHANICAL R�UGH MECHANICAL
ROUGH ELECTRICAL W( �C( 1 GAS TEST
ROUGH PLUMBING • i t' ` PRE GUNITE
INSUlATION WALL POOL PRE DECK BONDING
INSULAiION CEILING P-TRAP
DRYWALL FENCE/GATFIAIARM
LATH(PR� FINAL POOL
LATH EXTFAIOR WALLS
LATH INTERIOR WALL FDOTING/STEEL
GAS TEST WALL STEEL 1�'( )2"°( �LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC MEfER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION � R�FRAMINGPWJNINGPFPROVAk
#INALBUILDING � � ROUGHFIREAPPpOUAL
�FINAL MEGHANICAL FINAL FIRE DEPAHTMENT
FINAL ELECTIIICAL FINAL PLANNING
FINAL PLUMBING / FINAL ENGINEEBING/PW
TC ofOCCUPANCY FINALCOMMUNITYSERYICES
CElff.of OCCUPANCY FINAL HEALTH�EPT
FINAL INDUSTRIAL WASTE
COMMENTS
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Buiiding &Safety Divisian
21810 Copley I3rive
Diamond Bar,Catifarnia 91765
(909) $3R-?020 Fa�c{909)861-3117
JobAddress ZU�O�. �flnn�a/C� �'�, �6tl�s�tf`, Cf�" �l1�'�
pear Ptoperty Owner
An applicatwn for a buiidmg permit has b�n submikted m your name staring yourself as the buiider of the
property impravements speafied
Far your protection, yau should t�aware that as"awner-budder°yau are the respons�ble party of recoM fln
such a permit Buildmg perm�ts are not required ta be s�gned 6y property owners unless they are personally
perfatming their own work tf your work�s bemg performed by sameane crther than yourself,y�u may protect yaurself
from poss�ble Uabi6ty�f that persan applies for fihe proper perm�t�n his or her name
Contractors are requ�ted by law to be I�censed and twnded by the State�f GaGfomia and to have a business
t�cense frqm the City of County They are also requ�red by law to put their liCense number on all permds for wh�ch they
�PP�Y
If you employ�r otherwise engage any persons other then your�mmediate family, and the work(inCluding
matenais and pther costs} is$200 04 or mare for the enhre proaect, and such persans are not hcensed as contrac�tors
or sut�canUaGtprs, then you may be an employer
If yau are an employer, you must reg�ster wdh the state and federal govemment as an empiayer and you are
sub�ect to severai obligabons inciuding state and federal mcame tax w�thhold�ng, federai s�ial secunky taxes, workers
compensafion �nsutance,disabdrty insurance cas#s, and unemplpyment compensation contnbuUons
�
There may be financial nsks far you if you do not carry out these ob6gatwns, and these nsks are especially
senous wdh respeci ta watkers campensat�on insurance
FQr more specific�nformai�on about your obligadans under the federal law, contact the Intemal Rewew Service
(and d you w�sh, the U S Smali Business Admin�stration) For more specific�nformatbn abaut your obicgations under
State law, contact tha Department flf Benefit-Paymerrts and the Division of Industnai Accidents
If the structure is �ntended for sate, the property owners wha are ntrt hcensed corrtractors are ail�wed to
perfarm their work p�rsflnal{y pr thr�ugh their own empiayees,without a 6censed contrackot ot subcontractor, only
under iimited condiUons
A freguent pracuce af unlicensed persons professing tt�t�contractars as t�secure an"owner-budder" buddmg
permit,erroneousiy impiying that the property owner is provid�ng his or her own lebor and matenais personally
Building permits are not requrred to be signed by the property owners unless they are�rforming their own work
personally
Infortnat�on abauk licensed�ntractors may be obtained by cotrt�bng the Contracto�s State License Board at
�&29 Bus�ness Park Drne, Sacramento, CA 9582?,www cslb ca aov or at(804) 321-CS�B{2752)
Please compkete and retum the enctosed"Owner-Budder" venficatron form so that we can canfirrn that you are
aware of these matters The buUding perm�t vnll not be �ssued unUl the venficat�on is retumed
\i
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Building&Safety Division
21825 Copley L3rs've
Diamond Bar,Catifarnia 91765
{9Q9) 839-7020 Faac(909)861-3117
Attenhon Property Owner
An"Owner-Budder" budding �rmd has been app6ed for�n yaur name and bearing your signature
Please campiete and retum this mformation at yaur earl�est opportumty tc�avoid unnecessary delay m processing and
is5umg}rour buddmg permd Na budd�rrg permit wdl be�ssued untd this ve�8cation is receEved by us
1 I personally pl�prowde the ma�or labor and matenals far construcpon of the praposed property
�mprovement e r na} C'Cf�':
2 I hav have not) _,f'�� s�gned an application for a awidmg perm�t for the proposed wark
3 I have cantracted w�th the faitoanng perscsn {firm)to provtde the proposed cansVuction
Name Address City
Phane Contractars Lic�nse No
4 I pian to provide port�ons af the wark, but I have hved the following person ta coordinate, supernse and
provide the ma�or wark
Name Address C�ty
Phane CanGactors L�cense No
5 I will prov�de some of the worle but I have cont�ted (hired}the failowm� persans to prov�ie the wark
mdicated
Name Address Phane Type of Wor9c
5igned � `
Property Owner
Date �r� /n� zo{s'�
a ' � r � a �
NQTICE TO PRdPERTY OWNER
Dear Pro�rty Qwner
An application far a budding petrnd has been syb itted in your na e list�ng yroursetf as the bu�Ider of the pro�rty
impravements specified at 2"�°�- J1� �n t��c Sf (,IS�A�kf, C-►� °1I ��,
We are prov�dmg yau wdh an Owr�er-Budder Acknowledgment and Informatron Venfic�tpn Porm to make y4u aware of
yaur responsibdRies and possible risk you may incur by havmg this permit�ssued �n your name as the Owner-Budder
We will not issue a build�ng perm�t until ypu have read, inrfiaied your understand�ng of each prov�sion, signed, and
retumed this form to us at our offic�al address indicated An agent of the owner cannot execute th�s naUce unless you,
the property owner, o6tam the pnor�ppraval of the �rmittmg authonty
OWNER'S ACKN0IM�EDGEMENT aND VERIFICpTIt}N
DIRECTIt?NS Read and�rnt�ai each statement below to signdy you understarrd or venty this�nformat�an
�1 I understand a frequent pracGce of uNicensed persons is ta have the propertyr pwner obta�n an "Qwner-
Budder' taudding perm�t thet erconeausiy �mpBes that the property owner is providmg h�s or her own labor and material
personally I, as an 4wner-Budder, may be held hable and sub�ect to senous financial nsk far any in�unes susta�ned by
an uniicensed person �nd his or her empioyees whde wark�ng on my properiy My homeowner's insurance may not
prawde coverage for those m�unes I am wdifully actmg as an Ownet-Bwlder and am awaze of the limits of my
�nsurance coverage for m�unes to workers on my property
�'O E I understand 6uddmg permds are not requrr�l tc� be s�gned by property owners unless they are responsible for
the canstruction and are not hiring a i�censed Cantractor ta assume this�es�nsibdity
�3 I understand as an "4wner-Budde+" i am the respons�ble party of record on the permit t understand that I may
protect myseif ftqm patentiai 8nancial nsk by hmng a Ucensed Contractor and havmg the permit fi�d �n h�s or her name
instead of my own
� I understand Contractors are required by law ta be licensed and bonded m Cei�fam�a and to i�st ttre�r license
numbers on permds and contracts
�r"5 I understand rf I empioy or otherwise engage any persons, other than Califarrna hcensed Contractors, and the
total vafue of my consVuct�on �s at teast five hundred dallars (S5Q0}, mclud�nglabor and matenals, i may be considered
an"emplpyer'under state and federaf law
�'�Q�6 1 understand if I am cons�dered an "employer" under state and fedar�l law, I must register w�th the state and
federai gavernment, w�thhoid payroll ta�ces, ptovide workers' compens,atron disabdity insurance, and contr�bute to
unempioyment campensa#�on for each "empioy�" t also understand my fadure to abide by these laws may sub�ect
me to xerious finanaal r�sk
Gt�'�'fi I understand under Cabfprma Contractors' State �icense Law, an Owner-Bu�ider wha butlds single-famdy
res�dent�al structures cannot legally bu�td ihem with the �rttent to offer them far sale, unless aii work is performed by
licensed subcantractors and the number of structures doa not exce.ed four wdhin any calendar year, or all pf the work
is performed under contract w�th a hcensed generai butldmg C.�ntractor
�6-- I understand as an Owner-Butlder rf I sel!the property for whioh this permd �s �ssued, I may be he3d hable far
any financial or personai m�unes sus#amed by any subsequent owner{s)that result from any Iat�:nt constrvchon defects
m the wotkmansh�p or maten0ls
. , , ' , • ,
� .+�I understand I may ohtam mare mformaUon regarclmg my obligatwns as an "employer" from the Intemal
Revenue Serv�ce, the Umted States Smap Business Admin�strafit�n, the Calrfomia Department of Benefit Payments,
and the Califprn�a Divrswn of Industnal Accidents I aiso understand I may contact the Califorrna Gontractars' State
�scense Baard{GSLB}at 1-8q0-324-GSLB (2�52}or www cslb ca aov far morq mformat�on abaut hcensed corrtractors
�40 I am aware of and consent to an Owner-Builder budding perrnd appt�ed for m my name, and understand that I
am the pariy tegally and Rnancially respans�bis for propased construct�on activity at the follaxnng address
�1 I agree that, as the party legally and financrally responsible for this praposed constructian activity, I wtli ab�de
by ali appheable iaws and�equ�rements that gavem Owner-Budders as well as employers
�+��2 I agree to notify the issuer of th�s farm immed�ately af any addNions, deie6ons, or changes to any of the
mfarmation I have provided on this fam Licensed contractors are reguiated by laws designed to prot�t#he pubhc if
you conUaCt with someane who does not have a license, the Contractars' State License Board may be unebie to ass�st
you with any financial Iass yau may susta�n as a resuft of a complamt Youe only rem�y against unlscensed
Contractors may be in av�i court It is also important for you to undetstand that�f an unlicensed Gontractor or empiayee
of that individual ar firm is in�ured whde wark�ng on your property, you may be heid i�able far damages If you abta�n a
permit as Qwnet-8udder and wish to hire �ontractors, you unll be respons�ble far verEfying whether or not those
Gontracttars are propetly licensed and the status of ttre�r workers' compensat�on insurance coverage
Befare a budding perm�t can be issued, this form mus#be completed and signed by the property owner and retumed to
the agency responsibie for isswng the permd
Note A copy of the properiy owner's dnver"s i�cense, form natanzation, or ather venficatian a�ceptable to the agency is
reqwred fio be presented when the permit is issu�to venfy the praperty owne�'s signature
Signature of Proper#y Owner �i� / 1 �y Date �,��° ��f�