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HomeMy WebLinkAboutPR20190000885PERMIT #: PR20190000885 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 1.4 21810 Copley Drive, Diamond Bar, CA 91765 (909) 939-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citVofdiamondbar.com building@dlamondbarca.gov JOB SITE ADDRESS. 205 DIAMOND BAR BLVD S, DIAMOND BAR, CA 9176S APN 8717OD8006 LOT# TRACT# OWNER NAME FRANCHISE REALTY INTERSTATE CORP ADDRESS 636 N ECKHOFF ST CITY ORANGE ZIP 92869 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME WCCS, Inc ADDRESS 9021 Rancho Park Ct CITY Rancho Cucamon a STATE CA ZIP 91730 TEL (909) 982-6979 ARCH/ENG/DES NAME Design UA Inc ADDRESS 12832 Valley View Street, #C CITY Garden Grove STATE CA ZIP 92845 TEL <NO PRIMARY PHONE> P/C DATE P/C# ISSUE DATE 26 Aug 2019 PR# PR2019000088S TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK. T I FOR MCDONALD'S FRONT COUNTER MODIFICATION - SERVICE COUNTER - THE LOW SCREEN WALL - ADD AND REMOVE LIGHTING FOI TUBES - MODIFY CEILING PLANS AT FROM COUNTER ONLY 101 SQ FT #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION $Q FT FACTOR PSF ADJ AREA/VALVATION SF(t/ADD/REM GARAGE/CARPORT PAT10/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION TOTAL Electrical TYPE QUANTITY AMOUNT TOTA(. Branched Circuit and Disconnects 1 $57 27 $57 27 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $522 15 $614 29 PLAN REVIEW ELECTRICAL $57 27 PLUMBING MECHANICAL INSPECTION FEE ' ISSUANCE $90 04 SMIP S7 00 ENERGY $52 23 $6143 RETENTION FEE $56 82 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE $7791 RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE''..... $45 46 TOTAL FEES: $1,58160 COMMENTS P/C RECEIPT# PAY METHOD VALIDATION PERMIT RECEIPT # PAY METHOD VALIDATION in A PERMITM PR2019000ONS INSPECTION• SETBACK ( LETTER ON TRACK AND LEDGER INSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOt/SPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATERLINE P-TRAP ROOFSHEATHING FENCE f GATE) ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS $HEAR WALLS INTERIOR WALL FOOTINGISTEEL FRAMING/VENTING WALL STEEL LST{M 2NDII LIFT RO MECHANICAL WALL DRAIN J SEAL RO ELECTRICAL W j) C {) WALL FINAL RO PLUMBING RO FRAMING PLANNING APPROVAL INSULATION WALL ROUGH FIRE APPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP%SHOWERPAN FMtAt PLANNING DRYWALL FINALPWENGINEERING LATH EXTERIOR'' FINALPWMAINTENANCE LATH INTERIOR mu HEAtTHDEPT GAS TEST FINAL INDUflMAL WASTE SCRATCH COAT FINAL BUILDING d_ f7 �tr^ / ELECTRIC METER RELEASE FINALMECHANICAL GAS METER RELEASE FINAL ELECTRICALS SPECIAL INSPECTION FINAL PLUMBING SMOKE $ CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT. OF OCCUPANCY COMMENTS 0 PERMIT M PR20190000995 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) ] (J I as owner of the property, or my employees with wages as their sole compensation, will do U 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale ) (J 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 ) (J I am exempt from Iicensure 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 -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 httpjwww leginfo ca govJcalaw 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 <Enter License Class> LICENSE NUMBER 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 (5100,000), 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 carnet and policy number are CARRIER INSURANCE COMPANY OFTHE POLICY#. EXPIRATION DATE WEST NAME OF AGENT WSD502958704 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 1 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 for inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE