Loading...
HomeMy WebLinkAboutPR201900013481 PERMIT #: PR20190001348 pp 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 24183 WILLOW CREEK RD, DIAMOND BAR, CA 91765 APN 8703008013 LOT# TRACT# OWNER NAME YAO CHI PING ADDRESS 24183 WILLOW CREEK RD CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE> APPLICANT NAME TEL CONTRACTOR NAME Warren Cross Roofing, Inc ADDRESS 1522 Meadow Glen Way CITY Hacienda Heights STATE CA ZIP 91745 TEL (626) 285-8960 ARCH/ENG/DES NAME ADDRESS CITY STATE CA ZIP TEL P/C DATE P/C# ISSUE DATE 31Ju12019 PR# PR20190001348 TYPE CONSTRUCTION OCCGROUP SCOPE OF WORK Composition Re -roof #DWELL UNITS 0 #5TORIES #BEDROOMS BUILDING FEES DESCRIPTION SO, FT FACTOR PSF ACU AREA/VALUATION SFR/ADD/REM GARAGE/CARPORT PATIO/DECK POOL/SPA RE -ROOF 2,80000 $12,740 00 COMMERCIAL TOTAL VALUATION TOTAL. $12,740 0000 PLAN CHECK FEES PERMIT FEES CONSTRUCTION $359 31 PLAN REVIEW ELECTRICAL PLUMBING MECHANICAL INSPECTION FEE ISSUANCE $46 23 SMIP $1 66 ENERGY RETENTION FEE $17 97 PRE/ALT FEE BASF $100 PLOT PLAN ZONING CLEARANCE RECYCLING AND WASTE DEPOSIT $250 00 PERMIT SYSTEM REPLACMENT FEE $14 37 TOTAL FEES. $690 54 COMMENTS P/C RECEIPT # PAY METHOD VALIDATION PERMITRECEIPT# 45851 PAY METHOD U heCKVALIDATION IzIVI PERMIT #: PR2690001348 mil m1*14%rl► i ' i • i INSPECTION•INSPECTION SETBACK/LETTER TRACK AND LEDGER F00TI NGS FORM$ T•BAR SLAB POOL DEMOLITION UG PLUMBING ROOF DRAINS UG ELECTRICAL P004ASPA LIFER GROUND GAS TEST, EL, PL, ME SEWER LATERAL PRE GUNITE SEW ER CLEANOUT POOL PRE DECK BONDING MAIN WATERLINE P.TRAP ROOF SHEATHING � A FENCE/GATE/ALARM FLOCIR SHEATHING FINAL POOL SHEAR WALLS EXTERIOR WALLS SHEAR WALL$ INTERIOR WALL FOOTING/STEEL FRAMING/VENTING WALL STEEL 1STt I LND(} LIFT RO MECHANICAL WALLDRAIN/SEAL RO ELECTRICAL W () C I 1 WALL FINAL RO PLUMBING RO FRAMING PLANNING,.,. APPROVAL INSULATION WALL ROUGH FIREAPPROVAL INSULATION CEILING FINAL FIRE DEPARTMENT HOT MOP/SHOWERPAN FINAL PLANNING DRYWALL FINAL PIN ENGINEERING LATH EXTERIOR FINALPWMARYTENANCE LATH INTERIOR FINAL HEALTH DEPT GAS TEST FINAL INEWSTRIAL WASTE SCRATCH COAT FINALBUILOING ELECTRIC METER RELEASE FINAL MECHANICAL GAS METER RELEASE FINAL ELECIRICAL SPECIAL INSPECTION F'INALPLUMBING SMOKE & CARBON MONOXIDE DETECTORS T C OF OCCUPANCY CERT. OF OCCUPANCY OEM PERMIT M PR20190001348 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 7031 S, Business and Professions Cade 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 ($S00) ) U 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 -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 ) (_) 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 B, C39 LICENSE NUMBER 836560 EXPIRATION DATE CONTRACTOR SIGNATURE WORKERS' COMPENSATION DECLARATION: WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBjECTAN 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 PENURY ONE OF THE FOLLOWING DECLARATIONS I have and will maintain a certt8cate 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 Insurance POLICY# EXPIRATION DATE Fund NAME OF AGENT 9030131 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 far which this permit is issued (Section 8172, Civil Code) LENDER'S NAME LENDER'S ADDRESS By my signature below, 1 certify to each of the following I am the property owner or authorized to act on the property ownees 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 coljstrucnon I authorize representatives of the City of Diamond Bar to enter the above -identified property to ,i n purposes SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT Warren Gross 7 ! DATE-