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Home My WebLink AboutPR20190001089Lrj PERMIT M PR20190003089 CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 DIAMOND BAR BUILDING PERMIT APPLICATION www.citvofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS: 21680 GATEWAY CENTER DR, Unit:300, DIAMOND BAR, CA 91765 APN 8293050002 LOT# OWNER NAME DB GATEWAY CORPORATE INC TRACT# ADDRESS 18818 TELLER AVE #277 CITY IRVINE ZIP 92612 APPLICANT NAME TEL <NO PRIMARY PHONE> TEL CONTRACTOR NAME Horizon Lighting ADDRESS 2351 McGaw Ave CITY Irvine STATE CA ZIP 92614 TEL (7141209-2384 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE ISSUE DATE 18Ju12019 P/C# PR# PR20190001089 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK (41 outlets for (E) office space #DWELL UNITS #STORIES #BEDROOMS BUILDING FEES DESCRIPTION SQ FT FACTOR PSF ADJ AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF COMMERCIAL TOTAL VALUATION. TOTAL. Electrical TYPE QUANTITY AMOUNT TOTAL Receptacle, Switch, Lighting or other Outlets 4 $2 35 $2,000 00 PLAN CHECK FEES PERMIT FEES CONSTRUCTION PLAN REVIEW ELECTRICAL $50 00 $118 27 PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $46 23 SMIP $0 26 ENERGY RETENTION FEE $5 51 PRE/ALT FEE BASF PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT PERMIT SYSTEM REPLACMENT FEE $4 41 TOTAL FEES: $224 68 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMIT RECEIPT # 45630 PAY METHOD CHECK 104717 VALIDATION CR I or I PERMITM PR20190001089 INSPECTION SETBACK I LETTER DATE; INSPECTOR: INSPECTION TRACK AND LEDGER DATE: INSPECTOR: FOOTINGS FORMS T-BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL POOL130A UFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEWER CLEANOUT POOL PRE DECK BONDING MAIN WATER LINE P-TRAP ROOF SHEATHING FENCE IGATE / ALARM FLOOR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALLS INTERIOR WALL FOOTINGISTEEL FRAMING/VENTING WALLSTEEL SST} 2ND(I LIFT RD MECHANICAL WALLORAIN/SEAL RD ELECTRICAIWOCO WALL FINAL RD PLUMBING RD FRAMING PLANNING APPROVAL INSULATION WALL INSULATION CEILING ROUGHFIREAPPROVAL ---R�JWME DEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PW ENGINEERING LATH EXTERIOR FINAL PINMAINTENANCE LATH INTERIOR FINALHEALrMDEPT GAS TEST FINAL INDUSTRIAL WASTE SCRATCH COAT FW4LBUILDING ELECTRIC METER RELEASE FINAL MECAWCAL GAS METER RELEASE FINAL ELECTRICAL 9,Z0- t SPECIAL INSPECTION FINAL PLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT, OF OCCUPANCY MOROI= PERMIT #: 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 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) ] (_) I as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 ) 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 ) (_) 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 leginfo 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. C10 LICENSE NUMBER. 87780S 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 TRAVELERS CASUALTY AND POLICY #. EXPIRATION DATE SURETY COMPAN NAME OF AGENT- UBSIJ54319718 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 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-ide tifiedproperty for inspection purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT p�F DATE (BXe In Sun. 9ulta ]W) V O 216800 0 -cJ�i� iO 7 as, as ooCa = 1sa Gsa� o�� a� 5 s ccD _�_ + Horizon Lig inth g 2351 McGaw Ave'' Irvine, CA 92814 ea emm Ph 949) 3364336 r SCOPE PROJECT Install (2) dedicated 20 amp clruits to feed two SAMPE HQ outlets and also pull In two 21680 Gateway Center or Cal 5 cables from data suite 300 room and place next to Diamond ear CA new receptacle SHEET TITLE Site Map 0 w N c CV Z C M T V Design by James Webb DATE WO/18 Page Number i Horizon L® fighting Estimate: 20901-1 Tuesday, May 28, 2019 ATTN: Sampe Mike Kellty Billipp Location Property:Sampe Sampe 21680 Gateway Center Drive, Suite 300 21680 Gateway Center Drive, Suite 300 Diamond Bar,CA 91765 Diamond Ber,CA 91785 PreJee! Additional Sfatlen CirenWOutleta SCOPE. Please review our cost below to intercept power at existing electrical room and install (2) new dedicated 20-amp circuits each feeding (1) new convenience outlets at the designated area pictured below. We will also pull in (2) new Cat 5 (customer supplied) drops approximately 40' from smte 300 data room to the (2) designated locations next to new receptacle without terminations. We will make all connections from electrical room in existing panel labeled AP3C to (2) existing spare breakers utilizing existing conduit leaving panel to 1 st junction box within suite 300 We will then access the drop ceiling and install all new flexible conduit, new # 12 wire, junction boxes, receptacles and cover plates as needed We will leave unfinished single gang low voltage mounting plates at each of the Cat 5 drop locations with 18" whip for terminations to be completed by others Once installation complete we will test both new receptacles for proper operation �RM AM' PANEL 'AP3G' PANEL 'AP38' Im, ,1 EM�� ® g o® 4 - - -t r•- 1 2 3 + 5 �� — — —� !— SAMPE SUITE 300 Pullin new #12 wire New Conduit and #12 in existing conduit I I wire to new receptacles 1a "1a w D mo vw*o (E) (E) (E) Intercept conduit and existing tuncl on box 6 nP3a f�l 2 new quad receptacles locations (E�'ii iaM uam N Nv` AP3e' p R tl aa- New outlet locations `' u wcauonsPF 1 lY III III � • it �� t' . . 'Arrow Elei ri rL PMWL� LA U[W ' 3 XE' a t j 1 9' h� AP3C