HomeMy WebLinkAboutPR20190000924PERMIT #: PR20190OW924
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21910 Copley Drive, Diamond Bar, CA 9176S
(909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 939-7027
DIAMOND BAR BUILDING PERMIT APPLICATION www cltyofdiamondbar.com budding@diamondbarca.gov
JOB SITE ADDRESS. 1070 GOLDEN SPRINGS DR, Unit A, DIAMOND BAR, CA 9176SIO70 GOLDEN SPRINGS DR, Untt,B, DIAMOND BAR, CA
917651070 GOLDEN SPRINGS DR, Unit:C, DIAMOND BAR, CA 9176SIO70 GOLDEN SPRINGS DR, Unit:D, DIAMOND BAR, CA 917651070
GOLDEN SPRINGS DR, UnIt:E, DIAMOND BAR, CA 917652070 GOLDEN SPRINGS DR, Unit:F, DIAMOND BAR, CA 917651070 GOLDEN
SPRINGS DR, UnIt:G, DIAMOND BAR, CA 91765
APN 87040211448704021145 LOT# TRACT#
87040211469704021147
87040211488704021149
8704021150
OWNER NAME WANG MINGDEKAS14YAP VINOD 5 & SUSHMASHIM JR HUN Li MANHO TRUME JLAO BENJAMINSALVI KIRITKUMAR A
ADDRESS 1070 GOLDEN SPRINGS DR #A21452 CHIRPING SPARROW RD1070 GOLDEN SPRINGS DR #C1070 GOLDEN SPRINGS DR #01070 GOLDEN
SPRINGS DR #E1070 GOLDEN SPRINGS DR #F9 FRANCISCAN PL
CITY DIAMOND BAR ZIP 9176591765917659176S91765917 TEL <NO PRIMARY PHONE><NO PRIMARY PHONExNO PRIMARY
DIAMOND BAR 6591766 PHONE><NO PRIMARY PHONE><NO PRIMARY PHONE><NO
DIAMOND BAR PRIMARY PHONE><NO PRIMARY PHONE>
DIAMOND BAR
DIAMOND BAR
DIAMOND BAR POMONA
APPLICANT NAME TEL
CONTRACTOR NAME Royal Roof Co
ADDRESS 996 E Price St
CITY Pomona STATE CA ZIP 91767 TEL (909) 620.4316
ARCH/ENG/DES NAME
ADDRESS
CITY STATE CA ZIP TEL
P/C DATE P/C#
ISSUE DATE 04 Jun 2019 PR# PR20190000924
TYPE CONSTRUCTION OCC GROUP
SCOPE OF WORK, TEAR OFF EXISTING CAPSHEET ROOF & APPLY BUILT-UP CAPSHEET. 3,700 SQ FT
7 UNITS• A, B, C, D, E, F, G.
#DWELLUNITS 0 #STORIES #BEDROOMS
BUILDING FEES
DESCRIPTION
SO. FT
FACTOR PSF
ADJ AREA/VALUATION
SFR/ADD/REM
GARAGE/CARPORT
PATIO/DECK
POOLISPA
RE -ROOF
3,70000
$16,613 00
COMMERCIAL
TOTAL VALUATION
TOTAL
$16,613 0000
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
$482 05
PLAN REVIEW
ELECTRICAL
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
$45 02
SMIP
$2 36
ENERGY
RETENTION FEE
$2411
PRE/ALT FEE
BASF
$1 00
PLOT PLAN
ZONING CLEARANCE
RECYCLING AND WASTE DEPOSIT
$25000
PERMIT SYSTEM REPLACMENT FEE
$19 28
TOTAL FEES:
$823 82
COMMENTS
P/C RECEIPT # PAY METHOD VALIDATION
PERMIT RECEIPT # 44881 PAY METHOD CK. #12496 VALIDATION RC
1
PERMIT #: PR20190000924
• r = r r :=F
INSPECTION RECORD
INSPECTION
SETBACK/LETTER
._
.
TRACK AND LEDGER
DATE:
FOOTINGS FORMS
T-BAR
SLAB
POOL DEMOLITION
UG PLUMBING
ROOF DRAINS
UG ELECTRICAL
POQVVA
UFER GROUND
GAS TEST, EL, PL, ME
SEWERLATERAL
PRE GUNITE
SEWER CLEANOUT
POOL PRE DECK BONDING
MAIN WATER LINE
P-TRAP
ROOFSHEATHING
FENCE/GATE/ALARM
FLOOR SHEATHING
FINAL POOL
SHEAR WALLS EXTERIOR
WALLS
SHEAR WALLS INTERIOR
WALL FOOTING/STEEL
FRAMINGNENTING
WALL STEEL 1ST( ) 2ND(I LIFT
'
RO MECHANICAL
WALLORAIN/SEAL
RO ELECTRICAL W j j C {)
WALL FINAL
RO PLUMBING
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
ROUGH FIRE APPROVAL
_
INSULATION CEILING
F/NALFIREDEPARTMENT
HOT MOP/SHOWERPAN
FINALPLANNING
DRYWALL
FtAIAL PWENGtNEERiNG
LATH EXTERIOR
FINAL PW MAINTENANCE
LATH INTERIOR
FINAL HEALTH DEPT
GAS TEST
FINAL INDUSTRIAL WASTE
SCRATCH COAT
FINAL BUILDING
ELECTRIC METER RELEASE
FINAL MECHANCAL
GAS METER RELEASE
FINALELECTRICAL
SPECIAL INSPECTION
FINAL PLUMBING
'..
SMOKE & CARBON
MONOXIDE DETECTORS
TC OF OCCUPANCY
CERT,OFOCCUPANCY
PERMIT #: PR20190000924
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 items) [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 forthe 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 ($SOO) )
(_) I as owner of the property, or my employees with wages as their sole compensation, will do (J 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 budding 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 )
U I, 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 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 an
owner -builder 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 (eginfo ca gov/calaw 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 C-39 LICENSE NUMBER 413067
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 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 CALIFORNIA INSURANCE POLICY # EXPIRATION DATE
COMPANY
NAME OF AGENT 468759730106 PHONE #
1 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 relating to building construction
I authorize representatives of the City of Diamond Bar to enter the ab -i n fied property for specuon purposes
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT.
DATE