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HomeMy WebLinkAboutPR15-2284rt w z 0 0 LU n J CD 0 0 co 0 0 W CIT YOF'DIAMONDBAR' h DEPARTMENT OF COMMUNITY' -A, DEVELOPMENT SERVICES 4 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 APPLICATION DATE: 0 ?_01 �P//Cff ISSUE DATE: 7`— c, "�d,rPERMIT# : TYPE CONST. /—.' OCC GROUP: JOBSITEADDRESS ^ / %S �//x 2`7 r # BEDROOMS APN LOT TRACT OWNER A �L� 7 0490.-!!�I ADDRE CITY ZIP TEL. APPLICANT TEL. 7 CONTRACTOR ADDRESS 141 CITY U 4,A4�kn ZIP &L. ARCH/ENG/ �` ^ , DESIGNER ✓I ADDRESS CITY Un ZIP EL. 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 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 Code, and my license is in full force and effect. U LICENSE CLASS. LIC. NO.: 1 DATE: CONTRACTOR: WORKER'S COMPENSATION DECLAR ION II HE FARM 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 — Policy Numberare"IaQ CARRIER r/� POLICY NUMBERA,4 ALA (THIS SECTION NEED NOT BE COMPLETED IF THE PERM IS FOR 66E 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 Califomia. 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. 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. �i PER ME (P� T) - SIGNA RE 0 PERMITTEE DAT APPLICATION DATE: 0 ?_01 �P//Cff ISSUE DATE: 7`— c, "�d,rPERMIT# : TYPE CONST. /—.' OCC GROUP: Scope of Work 0 CaU%-2 +77o # DWEL. UNITS # STORIES ^ / %S �//x 2`7 r # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Gar a/Carport IfifilDeck f L ooI/Spa ZRe -Roof Commercial co m Valuation: Adj. Area: QUANTITY DESCRIPTION FEE U U J W co z m J a ZU_ Q x ONSTRUCTION: LAN REVIEW: 0r6 r�� ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: 31i 1 L11 SMTP: 21 6,21 ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: !Y�►rri BASF: (! V PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: ITM 7/ P/C: �JJ PAID BY: . / / G/ /A� VALIDATION: -/ RECEIPT # 7 2 pL PAID BY: (/ d6 VALIDATION WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy Y CiTY'OP D!.ANIOPZD BAR ' INSPECTION R--EC'ORC1 INSPECTION DATE INSPECTOR SETBACK/ LETTER FOOTINGS FORMS II SLAB UG. PLUMBING UG. ELECTRICAL UFER GROUND SEWER LATERk ' 1 MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGNENTING ROUGH MECHANICAL - ROUGH ELECTRICAL W( ),C( •) // /o ROUGH PLUMBING INSULATION WALL' INSULATION_ CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT w ELECTRIC METER RELEASE ` GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING 7G / FINAL MECHANICAL FINAL ELECTRICAL $ ZCo FINAL PLUMBING T.C. of OCCUPANCY CERT. of OCCUPANCY INSPECTION DATE INSPECT" TRACT AND LEDGER SWITCH GEAR COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHbWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS' ROUGH CONDUIT POOL/SPA ' ROUGH PLUMBING _ ROUGH ELECTRICAL ROUGH MECHANICAL - GAS TEST . PRE GUNITE POOL PRE -DECK BONDING ` P -TRAP - FENCE/.GATE/ALARM FINAL POOL' WALLS: ;..i WALL FOOTING/STEEL r '* 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 .. ... .. II .. .. _. .. e. �r DETAILED 1230 Ponderosa Ave. Brea, CA 92821 a NSPECTION909 731-6479 AsDetailed@yahoo.com Registered Deputy Inspector's Report ❑ Reinforced Concrete ❑ H.S. Bolts ❑ Sprayed Applied Fireproofing ❑ Post Tensioned, Concrete Welding ❑ Quality Control ❑ Reinforced Masonry ❑ Shop ❑ Drilled In Anchors Job Address 3015•Wagontrain Rd. city Diamond Bar Job Name Duan Residence Permit No. PR15-2284 issued By Diamond Bar Mix Design and Samples Made Architect Phil May Engineer Contractor Inspector(s) Name Dan Kiefer Subcontractor Project Date Wednesday, 10/21/2015 Provided inspection for the field welded connection on the roof framing of patio cover frame and the 5/8" diarneter anchor studs at roof level. Inspection passed visual test at roof level for eight locations from columns to the HSS10x6 Header and the 5/8" studs at the perimeter tube steel. Complete using FCAW process as per detail on Roof Framing Plan S-1 and 4/:S-1. As per Final Report requirements, the work above that required special inspection structural steel welding and anchor studs was, to the best of my knowledge, completed in conformance with the approved plans and specifications and applicable workmanship provision of the codes. J I I i TIME IN TIME OUT REG. HOURS' O.T. HOURS CYLINDERS 4 N/A N/A All inspections based on a minimum of 4 hours and over 4 hours - 8 hours minimum. In addition, any inspection extending past noon hour will bean 8 hour minimum. I Approved by Project Superintendent rrHLjt L)t- CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF.THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND �APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SIGNATURE OF REGISTERED INSPECTOR Structural Steel Welding ICC #5238658 SPECIALTY NO. AGENCY