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