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Home My WebLink AboutPR16-2791M w Q 0 J Q in 0 w cZry rn F- 0 im w — w CITY OF DIAMOND BAR I DEPARTMENT OF COMMUNITY &-DEVELOPMENT 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@diamondbarca.gov p 1q►nvI JOB SITE ADDRESS 2ILM GrZ t� APN LOT TRACT OWNERS StJ�O ADDRESS Z CITY �i`/�.sMG�� ZIP G I76 STEL. 90y - 9 7� --O S`dr APPLICANTMI`/\fo �, TEL. C11-1-5'O E- 49 2S CONTRACTOR �(/ (1Cc, CG'e\ rcl CT I O ✓1 ADDRESS CITY ZIP r TEL. U 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, 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 Iicensure under the Contractor's Slate License law for the following reason(s): Date: Sign: 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 permiLl 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 Code, and mylicenseis in full force and effect. LICENSE CLArS�S: LIC. NO.: L V P. DATE:_dCONTRACTOR: C-.,56— rM✓\CC✓ 0— WORKER'S COMPENSATION DECLARATION I HERF$ FIRM 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. 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 Policy Number are: CARRIER ]r POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 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 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. q^\ c 6, \eo— PERMITTEE NAME (PRINT) n ' gtG URE OF PERMITTEE DATE APPLICATION DATE: `a' —+ I I b ISSUE DATE: , a f -% 1 I b PERMIT# : TYPE CONST. P/C# \ '�Z \ LO - a� OCCC GROUP: c Scope of Work X O W Yam\ t"\`t # DWEL. UNITS # STORIES C Q �i` C Q9 ' t ITX G I # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREANALUATION SFR/ADD/REM Garage/Carport w Patio/Deck w LL Pool/Spa ZRe -Roof Commercial ca m Valuatio Adj. Area: QUANTITY DESCRIPTION FEE a U U w w co z M J a ZU_ Q x U CONSTRUCTION: PLAN REVIEW: 3 • �� ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMIP: Sf� ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE-ALT FEE: a_ BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES rr COMMENTS:.% E C. VIN cU\r\(A w\-s • `� nQ}..-� � N—roy. 0'1 \Y\a 0�,V\ r2 Vx Q 4Lt�kk")J1v,,sNw\��TtUy� P/C: �1PAID BY: C t� VALIDATION: J /' RECEIPT u ` PAID BY: VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy -1 - CITY OF DlAhkV,,Vb-, '6-R -A INSPECTION Fi E� COIRD SETBACK/ LETTER TRACT AND LEDGER FOOTINGS FORMS ---,,,; SWITCH GEAR SLAB COMMERCIAL HOOD UG.- PLUMBING' T-BAR UG'ELECTRICAL INTERCEPTER LIFER GROUND % - HOT MOP/SHOWER PAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL `FINAL'P�LW6114- T.C. of OCCUPANCY .CERT. of OCCUPANCY COMMENTS: &,/o I SOILS AND GEOLgGY GROUP Soils Engineering • Engineering Geology 17231 EAST RAILROAD. STREET, SUITE 200, CITY OF INDUSTRY, CA 91748 TELEPHONE (626) 964-2314 FAX (626) 965-3802 February 06 ,2017 JOB# 17_M24 Monca Construction 205 W. Benidict Street, #4 San Bernardino, California 924o8 Subject Report of Soil Density Tests 24275 Lee Creek Dr Diamond Bar, Ca 91765 Gentlemen, Submitted herewith is a s,mrnary of the testing services made by this firm at the subject site on January 31,2017 All fills were placed prior to our inspection and this report represents the compaction results from the locations tested. The laboratory maximum dry density and optimum moisture content for each of the major soil types were determined in accordance with test method A.STM Di557. The following table presents the pertinent test values: Maximum Dry Optimum Soil Classification Densitypcfl Moisture 12(%) CMB 4-3 10.1 1 Field density tests were performed using the nuclear gauge method AS1W D2922. Approximate location of the tam are shown on the attached Sketch. S[7NrlyraRrn RESULTS OF FIELD DENSITY TESTS Depth Moisture Dry Lab. Relative Test Below Content Density Max. Compaction No Date , . F.G. [%) CDCD Density (%) 1 01/31/17 F.G. . 8, 7 112.2, 124-3 90 2 01/31/17 F.G. 9.2 113.1 124..3 91 F.G. — Finished Grade All tests were taken as requested. The opporhrnity to be of service to you on this project is appreciated, and if you have any question, please call us at your conveniences Respectfully submitted, SOILS AND GEOLOGY GROUP Frank C. Stillman G.E. 80.5r tee: Sketch Distribution: Addressee (4) FRANK C. GEo7ECHNIM No. GE8NS 2 a Podgy 6acW L ee CY 40 SOILS AND GEOLOGY Consulting Geologists = Soils Engineering Date: e: Sra By: