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HomeMy WebLinkAboutPR16-11910 LU H J LU Z co U) DI�1:�I(IA'D BAR CITY OF DIAMOND BAR r DEPARTMENT OF COMMUNITA" & DE ;/ELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diam arca.gov JOB SITE ADDRESS ` APN LOT TRACT OWNER ADDRESS W CI ZI� TEL.8J�� 8V AP LICANT TEL. CONTRACTOR ADDR SS CI ZIP�� TEL. - ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. 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 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, atter, 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 Contractor's 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). U 1, as owner of the property, or my employees with wages as their sole compensation, will do (-) 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.). 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.). U 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,l 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. 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 Cade, and my license is in full force and effect. LICENSE CLAS LIC. NO.: DATE: CONTRACTOR: WORKER'S COMPENSATION DECLARA ION 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 Worker's Compensation, as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance Garner and Policy Num er are: CARRIER vT 0% POLICY NUMBER (THIS SECTION NE D OT BE COMPLETED IF THE PERMri I FOR ONE HUNDRED DOLLARS ($100) OR LESS). 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 Worker's Compensation Laws of California. And agree that if I should become subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DATE: APPLICANT: WARNING: Failure to secure Worker's 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 the compensation, damages as provided for in section 3708 of the labor code, interest, and attorney's fees. 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 (Sec. 3097, Civ. C.). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. U PE EE NAME R E I E DATE ' APPLICATION DATE: r r� *7-/ ISSUE DATE: S -��'� u PERMIT# : TYPE CONST. P/C#LL �} q�, m OCC GROUP: Scope of Work A/6 k,/ Co, i C # DWEL. UNITS # STORIES (,AIA i / -C`j, # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport Lu Patio/Deck Lu LL Pool/Spa ZRe -Roof i Commercial 03 / cw Is Valuation: Adj. Area: QUANTITY DESCRIPTION FEE U U w w c� z m J a ZU_ Q x CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: 3X7 6 SMIP: R ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: [♦ Z.• (' (7 BASF: . O PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: G P/C: PAID BY: RECEIPT 0 i ��1 PAID BY: �t VALIDATION: / VALIDATIONS WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy . , CITY OF DIAM©ND`BAR INSPECTIQN RLFCORD t INSPECTIONDATE INSPECTOR TRACT AND'LEDGER INSPECTOR SETBACK/ LETTER T -BAR INTERCEPTER FOOTINGS FORMS SEPTIC/CESSPOOL HERS REPORT RECEIVED SLAB ROOF DRAINS ROUGH CONDUIT UG. PLUMBING ROUGH PLUMBING ROUGH ELECTRICAL UG. ELECTRICAL GAS TEST PRE GUNITE UFER GROUND P -TRAP FENCE / GATE/ ALARM SEWER LATERAL WALLS: WALL FOOTING/STEEL MAIN WATER LINE WALL BOND BEAM WALL DRAIN/ SEAL SEWER CLEANOUT R0. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL ROOF SHEATHING FINAL PLANNING FINAL ENGINEERING/ PW FLOOR SHEATHING FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGNENTING ROUGH MECHANICAL Zall ROUGH ELECTRICAL W( ) C ( ) ROUGH PLUMBING ' INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) oe LATH EXTERIOR Ft,4 0 LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING /!P FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING T.C. of OCCUPANCY CERT. of OCCUPANCY COMMENTS: INSPECTION DATE INSPECTOR TRACT AND'LEDGER SWITCH GEAR COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOUSPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P -TRAP FENCE / GATE/ ALARM FINAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL 1sT( )2 ND( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL R0. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE w F0004 Master Bedroom Jack Chang Residents 1127 Golden Springs Drive, Unit A Diamond Bar, CA 91765 SECOND FLOOR Stewart Bruckner (626) 222-6043 0005 Bedroom 2 0006 Bedroom 2 0003 Dining/Kitchen 0002 Living Room Patio Door 0001 Living Room Window Jack Chang Residents 1127 Golden Springs Drive, Unit A Diamond Bar, CA 91765 FIRST FLOOR Stewart Bruckner (626) 222-6043 The Door & Window Store p; "B 91627 Clark St., Suite 103 Arcadia CA 91006 626-854-6466 Fax: 626-303-6469 Project: Option 1 Project ID: 6513 Sales Rep: Stewart Bruckner Created Date: 02/12/2016 Delivery / Pickup: Delivery Modlfled Date: 02/17/2016 St. Lic #724532 Print Date: 02/17/2016 Customer: Chang, Jack PO: Terme: Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed X Est, Delivery: Comments: (After Receipt of Order) Customer Name: Jobslte Contact: Address: I Address: Customer Phone: Contact Phone: Fax: Fax: (Select Preference) Email: Email: Manufacturer: Milgard Item: 0001 Location: Living Room Quantity: 1 Tuscany, 8130T, HV, Net 71 1/2" x 59 1/2", UF: 0.3, SGC: 0.2 1, VLT; 0.48 394.63 1/8" SunCoatMAX and 1/8" Clear 29.23 Gas Filled: Argon 21.17 Item Total: $ 445.03 Clear Opening W: 33 3116" H: 56 1/2" SQ: 13.02 Item Quantity Total: $ 445.03 Fin Placement: 1" Setback; Sliding Direction: XO; Exterior Finish: White; Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed X (Insulated Glass); Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite Option: Clear, Glass Thick 1: 1/8"; Glass Thick 2: 1/8"; Spacer Type: EdgeGard; Gas Filled: Argon; Screen: Standard with Fiberglass mesh; STC: 29 CPD: MIL -A-224-05188-00001 Line Item Comments: /1 Customer Approval: In tials Quote ID 5513 1 Of q C12/171201 6 Manufacturer: Mllgard Item: 0002 Location: Living Room Quantity: 1 Tuscany, 8631T, SD, Net 95 1/2" x 79 1/211, UF: 0.29, SGC: 0.21, VLT: 0.5 1169.28 5/32" SunCoatMAX and 5/32" Clear Glass 69.55 Gas Filled: Argon 37.80 Upgrade Screen 35.78 Item Total: $ 1312.41 Clear Opening W: 30 1/4" H: 76 1/2" SQ: 11.87 Item Quantity Total: $ 1312.41 Fin Placement: 1_"-9ettraak; Sliding Direction: XO; Exterior Finish: White; LO Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass); Tempered: All; Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite Optlon: Clear; Glass Thick 1: 5/32'; Glass Thick 2: 5/32'; Spacer Type: EdgeGard; Gas Filled: Argon; Handle Type: SmartTouch; Screen: Upgraded with Fiberglass mesh; STC: 33 CPD: MIL -A-137-03188-00001 II r dine Item Comments: ,�� Customer Approval: -� 4� • In tial is - P Manufacturer: Mligard Item: 0003 Location: Kdchen Quantity: 1 Tuscany, 8130T, HV, Net 60" x 48", UF: 0.3, SGC: 0.21, VLT: 0.48 312,98 1/8" SunCoatMAX and 1/8" Clear 26,73 Gas Filled: Argon 14.62 Clear Opening W: 27 7/16" H: 45" SQ: 8.57 Fin Placement: 1" Setback; Sliding Direction: XO; Exterior Finish: White; Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass); Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite Option: Clear, Glass Thick 1: 1/8"; Glass Thick 2: 118'; Spacer Type: EdgeGard; Gas Filled: Argon; Screen: Standard with Fiberglass mesh; STC: 29 CPD: MIL -A-224-05188-00001 Line Item Comments: Item Total: $ 356.33 Item Quantity Total: $ 356.33 Customer Approval: M A I ti Is Manufacturer: Milgard Item: 0004 Location: Msater Bedroom Quantity: 1 Tuscany, 8170T, DV, Net 96" x 48", UF: 0.3, SGC: 0.21, VLT: 0.48 513.58 118" SunCoatMAX and 1/8" Clear 45.86 Gas Filled: Argon 23.18 Standard Z -Bar 33.77 Clear Opening W: 21 114" H: 45" SQ: 6.64 Fin Placement: StapdepdiE$er; Vertical Vent Sets: One Quarter; Custom Vertical Vent Sets: 24 118'; Exterior Finish: White; Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass); Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite Option: Clear, Glass Thick 1: 118'; Glass Thick 2:1/8'; Spacer Type: EdgeGard; Gas Filled: Argon; Screen: Standard with Fiberglass mesh; STC: 29 CPD: MIL -A-224-05188-00001 Line Item Comments: / IV�\7/ /� / � r /— O ,, / l/ �'� 7 Z/4 C -N Item Total: $ 616.39 Item Quantity Total: $ 616.39 Customer Approval: Initials Quote IQ. 6513 2 Of 4 0211712016 Manufacturer: Milgard Item: 0005 Location: Bedroom 2 Quantity: 1 Tuscany, 8130T, HV, Net 71 1/2" x 48", UF: D.3, SGC: 0.21, VLT: 0.48 340.20 118" SunCoatMAX and 1/8" Clear 23.69 Gas Filled: Argon 17.14 Item Total: $ 381.03 Clear Opening W: 33 3/16" H: 45" SQ: 10.37 Item Quantity Total: $ 381.03 XFin Placement: 1" Setback; Sliding Direction: X0; Exterior Finish: White; Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass);. Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite Option: Clear, Glass Thick 1: 1/8"; Glass Thick 2: 1/8"; Spacer Type: EdgeGard; Gas Filled: Argon; Screen: Standard with Fiberglass mesh; STC: 29 CPD: MIL -A-224-05188-00001 Line Item Comments: Customer Approval: Initials Manufacturer. Mligard Item: 0006 Location: Bedroom 1 Quantity: 1 Tuscany, 8130T, HV, Net 60" x 48", UF: 0.3, SGC: 0.21, VLT: 0.48. 312.98 118" SunCoatMAX and 1/8" Clear 28.73 Gas Filled: Argon 14.62 Item Total: $ 356.33 Clear Opening W: 27 7,16" H: 45" SQ: 8.57 Item Quantity Total: $ 356.33 Fin Placement: 1" Setback; Sliding Direction: X0; Exterior Finish: White; X Interior Finish: White; Energy Package: Title 24; Gfazing: Dual Glazed (Insulated Glass); Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite Option: Clear; Glass Thick 1: 1/8"; Glass Thick 2: 1/8"; Spacer Type: EdgeGard; Gas Filled: Argon; Screen: Standard with Fiberglass mesh; STC: 29 CPD: MIL -A-224-05188-00001 Line Item Comments: Customer Approval: Initlals Other Charges: 1st Floor Retro -FR Patio Door Installtion 400.00 2nd Floor Nail On Window $1,500.00 1st Floor Nail On Window $ $700.00 Patio Trim And Caulk $75.00 Wood Replacement $750.00 Painting $750.00 SUBMITTED BY: SUB TOTAL (taxable):$ 4292.62 ACCEPTED,BY: SUB TOTAL (non-taxable):$ 3350.00 TAXES ( 9.000 %):$ 386.33 DATE: 07,_ TitiGRAND TOTAL:$ 8028.85 Notice (If any): e` Quote ID: 6513 3 Of 4 04117/2018 For warranty Information please visit www.mligard.com/care-and-warranty/ Please note that actual NFRC energy values may vary from those reported In CTB quote due to variations that may occur during the manufacturing process. In most cases variations will be minimal. Please contact your Mllgard location with questions or concerns regarding this potential variation. Handing Is viewed from outside looking In "X" Indicates operable panel. "0" Indicates fixed panel. 6 Items. ADDITIONAL INFORMATION: This Quote is valid for 30 days. I understand that this order will be placed according to these specifications and Is non-refundable. Quote ID: 6513 19 4 Of 4 0211712016