Loading...
HomeMy WebLinkAbout16-0462BLVIOND B1R CITY OF DIAMOND BAR 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 JOB SITE ADDRESS APN LOT TRACT OWNER ADDRESS �j Q e YOr�I 90410 #zoa CITY ZIPS TEL. APPLICANT TEL. !qD9 CLL7 CONTRACTOR `M ADDRESS COZ /►9 CITY 0M. 06 ZIP TEL. ARCH/ENG/ , �n DESIGN P ki�l ADDRESS 7 Q CITY 0 f'a !r 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 items) [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 L) 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' Slate 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,) 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: httpAvww.loginfo.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. LICENSE CLASS:_ LIC. NO.: - 1 sx- DATE: z---�-� CONTRACTOR��O ccel 'r�L-4dC�j ori 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 Policy Number are: CARRIER � F POLICY NUMBER �D !;w n (THIS SECTION NEED NOT BE C MPLE MO IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS). I cerbty 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 became 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 ofthe r Code, I shall forthwith comply with, lr,�se_pmvisions. DATEAPPLICANT: 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, i damages as provided for in section 3708 of the labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY i 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 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 i enter upon the above-mentioned property for inspection purposes. I H-I;w C -E ap UAA" PERMITTEE NAME (PRINT) 31 S,OFPRMITEE �s 1 co DAT APPLICATION DATE: u01 ISSUE DATE: a vV� PERMIT# : TYPE CONST. P/C# I �y Y OCC GROUP: 0 Scope of Work Wazr_ Th'a"y tlIS-InI # DWEL. UNITS # STORIES a wftt— t 1 IJ %f # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport rn W Patio/Deck W Pool/Spa ZRe -Roof Commercial 2�114,Zo co co Valuation: Adj. Area: QUANTITY DESCRIPTION FEE U 2 w J W 20 G z m J a ZU_ 6 x U CONSTRUCTION: PLAN REVIEW: 7'• , q ELECTRIC: PLUMBING: �• Q �� c D 604D MECHANICAL: fid. INSPECTION FEE: ISSUANCE: SMTP: ENERGY P/C: u �a 4 -All- 10 ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: 7f L'Il / . Pd BASF: PLOT PLAN: ZONING CLEARANCE: Yet • 7 TOTAL FEES Nay • 7 � COMMENTS: l �ot4 ' /9 P/C:%PAID BY: " O RECEIPT. PAID BY: VALIDATION: VALIDATION:'/�� WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy CITY OF DIAMOND BAR INSPECTION RECORD .} N w -It. FINAL INDUSTRIAL WASTE COMMENTS: DATE INSPECTOR DATE- • INSPECTIONINSPECTION SETBACK/ LETTER TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG. PLUMBING T -BAR UG. ELECTRICAL INTERCEPTER LIFER 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 POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL u ROUGH MECHANICAL ROUGH ELECTRICAL W " ) C ()It Z7 I to GAS TEST ROUGH PLUMBINGPRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P -TRAP DRYWALL FENCE / GATE/ ALARM LATH (PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1ST( )2 ND( ) LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO. FRAMING PLANNING APPROVAL FINAL BUILDING UGH FIRE APPROVAL FINAL MECHANICAL a 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 COMMENTS: TEST DATE 6-22-2016 INDOOR UNIT MFG CARRIER MODEL FX4DNF061 SERIAL 4713A85315 TYPE FANCOIL TONS 5 FAN SPEED FAN CHECK OUTDOOR UNIT MFG MODEL SERIAL ENT. DB TONS INDOOR COIL MFG MODEL TONS ENT. WB Cooling Supply CFM Cooling Return CFM c - Average Supply Register 67 22.2 Average Return Grille 67 25.8 System Temp Change 13 3.54 @wUw=1®' Static Pressure + Static Pressure - Total Ext Static Press 0.5 Filter Pressure Drop 0.1 Coil Pressure Drop 0.2 Fan CFM by SP M System Measured Supply Airflow System Enthalpy Change Times Cooling BTU Multiplier 4.5 Rated Equipment BTU Capacity System CSER Rating REGISTERS AND GRILLES 2000 1900 0: 80.0 80.0 13 0.5 0.25 0.9 0.9 0.23 EXEMB 2000 3.54 35864 60000 59% PROJECT BOB WANG CORP UNIT#100 ADRESS 680 BREA CANYON RD DIAMOND BAR, CA 91789 TENANT IMPORVEMENT TEST TIME 8:00 SYSTEM AC -1 READINGS BY - JACKSON COMPANY Q CL O V Z O V Qa Q 2 Z 0 J o w O0 Q U U U c'j � w o ZO Eo 2 Q w ti (D 64 Q v U)w O_ � • 0No 0 - -• '• : �o S1 150 160 107% S2 150 155 104% S3 150 150 100% S4 200 190 95% S5 150 150 100% S6 150 150 100% S7 200 200 100% S9 200 200 100% S10 200 200 100% S11 200 200 100% S12 150 150 100% 2000 1900 96% OSA 400 REMARKS © 2007 NCI, Inc. AB218-10/07