HomeMy WebLinkAboutPR20190001645PERMIT If: PR20190001645
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Drive, Diamond Bar, CA 91765
(909) 839-7020 Fax: (909) 961-3117 Budding Inspection Hotline (909) 839.7027
tliA(NC)ND BAR BUILDING; PERMIT APPLICATION www.cityofdlamondbar.com buildmg@diamondbarca gov
10B SITE ADDRESS: 20302 FLINTGATE DR, DIAMOND BAR, CA 91765
APN 9762030023 LOT# TRACT#
OWNER NAME NG USA P
ADDRESS 20302 FLINTGATE DR
CITY WALNUT ZIP 91789 TEL <NO PRIMARY PHONE>
APPLICANT NAME TEL
CONTRACTOR NAME FEDERAL BUILDING & ROOFING INC
ADDRESS 15870 CURTIS AVE
CITY FONTANA STATE CA ZIP 92336 TEL 909)428-8007
ARCH/ENG/DES NAME
ADDRESS
CITY STATE CA ZIP TEL
P/C DATE P/C#
ISSUE DATE 18 Sep 2019 PR# PR20190001645
TYPE CONSTRUCTION OCCGROUP
SCOPE OF WORK REMOVE EKRITNG LIGHTWEIGHT TILE AND ROOF WITH NEW LIGHTWEIGHT TILE (ICC-ES ESR 1900)
#DWELL UNITS 0 #STORIES #BEDROOMS
BUILDING FEES
DESCRIPTION
SO, Fr
FACTOR PSF
AD3 AREA(VALUATION
SFR/A04/REM
GARAGE/CARPORT
PATIO/DECK
POOL/SPA
RE -ROOF
2,50000
$15,OD0 00
COMMERCIAL
TOTAL VALUATION-
TOTAL.
$15,000 0000
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
$404 59
PLAN REVIEW
ELECTRICAL
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
$46 23
SMIP
$195
ENERGY
RETENTION FEE
$20 22
PRE/ALT FEE
BASF
$100
PLOT PLAN
ZONING CLEARANCE
RECYCLING AND WASTE DEPOSIT
$250 00
PERMIT SYSTEM REPLACMENT FEE
$16 18
TOTAL FEES:
$74017
COMMENTS
P/C RECEIPT# PAY METHOD VALIDATION
PERMITRECEIPT# 46549 PAY METHOD CHECK 5715 VALIDATION CR
t tlm-"J: I `,,I T
,40
-• • • • • : ,
C
INSPECTOR:
TOR:
SETBACK ) LETTER
TRACK AND LEDGER
FOOTINGS FORMS
T-BAR
SLAB
POOL DEMOLITION
UG PLUMBING
ROOF DRAINS
UG ELECTRICAL
POOLJSPA
UFER GROUND
GAS TEST, EL, PL, ME
SEWER LATERAL
PRE GUNITE
SEW ER 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 FOOTING/STEEL
FRAMING/VENTING
WALLS'EEL SST{)2N0(jLiFT
RO MECHANICAL
WALLDRAIN f SEAL
RO ELECTRICAL IN{j
WALLFINAL
RO PLUMBING
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
ROUGH FIREAPPROVAL
INSULATION CEILING
FINAL FIREDEPARTMENT
HOT MOPJSHOWERPAN
FINAL PLANNING
DRYWALL
FINALPWENOINEERING
LATH EXTERIOR
FINAL PIN MAINTENANCE
LATH INTERIOR
FINAL WEALTH DEFT
GAS TEST
FINAL INWJSTRLAL WASTE
SCRATCH COAT
FINAL BUILDING
/
ELECTRIC METER RELEASE
FBAAL MEC14ANCU
GAS METER RELEASE
FINAL ELECTRICAL
SPECIAL INSPECTION
FINAL PLUMBING
SMOKE & CARBON
MONOXIDE DETECTORS
OCCUPANCY
CERT OF OCCUPANCY
COMMENTS
r
PERMIT #: PR20190001645
QWNER:BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law forthe 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, after, 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 hcensure 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 (5500) )
U I as owner of the property, or my employees with wages as their sole compensation, will do (J 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 -Budder will have the burden of proving that it was not built or improved for
the purpose of sale )
(_) I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
Business and Professions Cade 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 forthe 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 http(www leginfo.ca.gov/calaw hi ml
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 B, C39 LICENSE NUMBER' 374153
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 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 STATE COMPENSATION POLICY # EXPIRATION DATE
INSURANCE FUND
NAME OF AGENT 9038073 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
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
By my signature below, I certify to each of the following
I am the property owner or authorized to act on the property owners 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 rel ing to uilding construction
I authorize repr entatives of the City of Diamond Bar to enter the olio entif p rtY for inspection purposes
SIGNATURE: PRO RTY OWNER OR AUTHORIZED AGENT
DATE