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HomeMy WebLinkAboutPR16-1206D 1�I0�'D B�1R CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY &DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PR (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRML BUILDING PERMIT APPLICATION ttwww.cityofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS I s C7 :51 Ud 1] wt11r o f B J Jc�1 i APN LOT TRACT OWNER r_p-e" C•er �c0�✓"� ADDRESS 11050 v• b1 caµ�a 3 CITY ZIP TEL. APPLICANT 5kck-. �„t R�Jr�S� TEL. _ 1 `AS -(2:6_3_1 CONTRACTOR 10-v\ S Oy( a S o ADDRESS ZZ ri L. 3- c—c-t l e, r ,\ CITY C>/'cu e ZIP TEL. y - ZfSV 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 Gode: 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 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 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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: hftpAvww.leginfo.ca.gov/calaw.html. LICENSED CONTRACTOR'S DECLARATION I hereby'Wrm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of theBusinessand Professions Code, and my license isinfull force and effect. LICENSE CLASS: L� 53 LIC. NO.: DATE: CONTRACTOR: WORKER'S COMPENSATION DECLARATION 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. I 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 Carrier and PolicyNumberar., ` CARRIER Sf L",r i Ai j/t Not-:', (fJ r POLICY NUMBER 51 4.i I- ' -1 `t") `� (THIS SECTION NEED NOT BE COMPLETED IF THE PERM1_r IS 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 Lays of California. And agree that if I should become subject to the Worker's Gompensabon+p-f�ov_isionns of Section 3700 of the r Ue, I shall foMwith corup with ose p 'ions. DATE: S'- I u It0 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 f inspection purposes. PERMITTEE NA (RIND n SIGNATURE OFMITTEE ^,'_"•- DATE APPLICATION DATE: S��/y�y^ �� /JP///C# ISSUE DATE: d� PERMIT# : /-/�'/y/ / 2 d TYPE CONST. OCC GROUP:: p Scope of Work Ce -,pAaa4ei ekr "-k 1g3,a S� t ip)q c�p��•3k ir-, 1e re PI�� # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport CO Patio/Deck W Pool/Spa ZRe -Roof o Commercial 7 co Valuation: Iy, 0O0 Adj. Area: QUANTITY DESCRIPTION FEE v U w w co z M J CL L) ZU_ Q x CONSTRUCTION: IV 00 PLAN REVIEW: ELECTRIC: n PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: �. PRE -ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: `Y a �J 7 �I'rA_� TOTAL FEES COMMENTS: P/C: PAID BY: s VALIDAT RECEIPT # f I/ / 3 4 PAID BY: Ll 40 VALIDATION: WHITE —Department Copy, YELLOW —Finance Copy, PINK —Assessor Copy CITY OF DIAMOND BAR INSPECTION RECORD SETBACK/LETTER TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG, PLUMBING T -BAR UG. ELECTRICAL INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR POOL/SPA SHEAR WALLS INTERIOR ROUGH PLUMBING 5 FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C () GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P -TRAP DRYWALL FENCE/GATE/ALARM LATH (PRE) FINAL POOL D /7 LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1ST( ) 2ND( ) LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0, FRAMING PLANNING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/ PW T.C. of OCCUPANCY FINAL COMMUNITY SERVICES CERT. of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE C I1" min 2 max") ,� O O O I x I Mastic Joint 14'4' j '�"1 f"G O 2'i•' Decking perimeter line subdeck g \ recast SafetyI I I GripCoping DECK DRAINS THROUGHOUT O P 9 I 1 — — - — - - tis U I --------- U I O AKA i g A Z'I I SAY 1 ► I o I I _ I 6"waterii the s I eJ` ' Split 36" or greater I O -0 �v NON SLIP BREAK LINE '1/„`^►.« S� I (Plannin Hearing 'Off cer,'cily l30unciii un Ne with the Planning Division, as modified pursuant to the conditions noted, and 41/2 FTI thereafter maintained in conformance with such approval. T - I 4' subdeck _ - - ; I \ _ -----------5 41/2 FT ==31/2Fr r Y CITY Or DIAIViOlVD BAR O CITY OF DIAMOND BAR BY VED _-� • _ _ — — — — — Planning Division Plan check Approv� I THESE PLANS AND DETAIL4 � � .� /j APP - fl �z T 6 AY Case.'rile number.-----.ew___.,.�• 1.1 z' P V L ev�G Date:��� 1� cy I— M.Av 20 11� Approved' t�,t: THE-APFKOVAL OF THE _SE SANS SHALL NOT BE ( I �O With Can ai ;ons as L istPd�� cS� COP1STRUED To 8E A r RttIT F ,�, / pF OR ANY V10LTy. 'rUl' AP11' CODE OR ORDINANCE OF THIS CfTY r 1. This - pproval is for f I �i I � -�v-M0, - P/ — THESE PLANS SHALL BE ON THE JOB � - S r- �1 I. v — FOR ALL REQu-STED INSPE,�T;ONS w Ko Plastering 2. No otthe�approva! is implied this one. Paramount SDX 10" Alan Smith Pool Plaste g �y 0 �' ° �p 227 West Carleton Avenue 3. This approval is valid for_ year(s). ` 4. Sh.:: comply with Planning, Zoning, I \ Engineering, and Bldg. R Safety requirements. Q Waterway Skimmer Orange, CA 92867 (model 54)�Contractor Lic # 571196 C61 /D51 C53 Pool Remodel Project GJin. Liability Ins. — Harford Insurance Co. of the Midwest ZCD t 3 G�,C, Replaster existing pool with new white plaster. Pool 144' PER. Volume 36,000 _ — _ _ Workers Compensation & Employer's Liability Insurace — Install nonslip break line and trim tDIAMOND BAR VILLAGE APTS. he L r, Zenith Insurance Company �, Install new VGB Compliant Drain Covers 1850 S. DIAMOND BAR BLVD. — — — Please contact Shaun robinson for plan corrections and REPLACE DECKING WITH CONCRETE PAVERS 1, Vtf when plans are approved. 714-448-0537 cell REPLACE COPING WITH SAFETY GRIP COPING DIAMOND BAR, CA 91765 S �£� Shaun@alansmithpools.com 0 - tf1 .a - n '0^0-%k V 1.1 . "LL %—I'ft Ci