HomeMy WebLinkAboutPR16-11920
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CITY OF i1IAMOND BAR s
DEP.�RTNIENT OF COMMUNITY & UEVEL;OPMENT SERVICES ��v���
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,101 0 C:. A.I 01Z
/4
APN LOT TRACT
OWNER
ADD S
CITY I' TEL.
APPLICANT TEL.
CONTRACTOR
ADDR SSI/f-R 7 C/pVLc -7r 0
CITY ZI TEL —
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 s%e co sa ron, wr 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 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: httpAvww.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.
LICENS/E C S9..� IC/7 LIC. NO.: 7R T
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
Policy Numb are: T
CARRIER f &X0— IV
POLICY NUMBERd'g,it1_roq DO . o
(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
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 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 1 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.
v�
IGRE
�DFPEZRE)E
f
DATE
APPLICATION DATE: S`17— / P/C#
ISSUE DATE: Ab PERMIT# : —�� 1 Z—
TYPE CONST. O//CC GROUP:
Scope of Work Maw �Or.t S % L
# DWEL. UNITS # STORIES
HA. l —y --J)
# BEDROOMS
DESCRIPTION SQ. FT. FACTOR PSF
ADJ. AREA./VALUATION
SFR/ADD/REM
Garage/Carport
OL
Patio/Deck
LU
LL
Pool/Spa
ZRe
-Roof
Commercial
m
Valuation:
Adj. Area:
QUANTITY DESCRIPTION
FEE
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2
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CONSTRUCTION:
PLAN REVIEW:
.1371 3y
ELECTRIC:
PLUMBING:
MECHANICAL:
INSPECTION FEE:
ISSUANCE:
—3
SMIP:
y
ENERGY P/C:
ENERGY PERMIT:
RETENTION FEE:
PRE -ALT FEE:
/ )+
G
BASF:
�• U J
PLOT PLAN:
ZONING CLEARAN E:
TOTAL FEES
COMMENTS:
/
P/C: PAID BY:
RECEIPT # PAID BY:
VALIDATION:
VALIDATION:
WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy
CITY OF -.DIAMOND BAR
INSPECiIO'N"RECORD
INSPECTIONDATE
INSPECTOR
A
SETBACK/ LETTER
FOOTINGS FORMS
SLAB
UG. PLUMBING
UG. ELECTRICAL
UFER GROUND
SEWER LATERAL
MAIN WATER LINE
SEWER CLEANOUT
ROOF SHEATHING
FLOOR SHEATHING
SHEAR WALLS EXTERIOR
SHEAR WALLS INTERIOR
FRAMINGNENTING
ROUGH MECHANICAL
ROUGH ELECTRICAL W( ) C ( )
ROUGH PLUMBING
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 All fi— or -
FINAL MECHANICAL
FINAL ELECTRICAL
FINAL PLUMBING
T.C. of OCCUPANCY
CERT. of OCCUPANCY
COMMENTS:
INSPECTION DATE
INSPECTOR
TRACT AND LEDGER
SWITCH GEAR
COMMERCIAL HOOD
T -BAR
INTERCEPTER
HOT MOP/SHOWERPAN ,•
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:
WALL FOOTING/STEEL
WALL STEEL 1sT( ) 2ND( ) LIFT
WALL BOND BEAM
WALL DRAIN/ SEAL
WALL FINAL
RO. FRAMING PLANNING APPROVAL
ROUGH FIRE APPROVAL
FINAL FIRE DEPARTMENT
FINAL PLANNING
FINAL ENGINEERING/ PW
FINAL COMMUNITY SERVICES
FINAL HEALTH DEPT.
FINAL INDUSTRIAL WASTE
0175
iIAMOND BAR
,v Dr.
ir, CA 91765
& SAFETY DIVISION
(909)839-7020
STOP WORK ORDER
CORRECTION NOTICE
ADDRESS: qp/ & p!d t/) I tOrr'n � 4,Y
rl� war og4it, o n 6/7/vDi6
A BUILDING CODE ENFORCEMENT OFFICER
INSPECTED THE PROPERTY AND FOUND THE
FOLLOWING VIOLATION(S):
Permits required
California Building Code Section 105.1
Diamond Bar Municipal Code Section 15.00.120
Pool Barrier Violation
California Building Code Section 3109.4.1
Diamond Bar Municipal Code Section 15.00.320 (1l)
Planning Approval Required (909) 839-7030
Other: j0,'4/) 64%
nD 0,10 4 mQ Fpr ,` ylspPic bp/1
L -G 4 a.,,>I r B -f C ►, fd ti/ 0
You must contact the Building & Safety Division within
business days to address this notice.
Failure to correct Code violations may result in the issuance
of fines not less than $100 per violation. (DBMC 1.04.010)
Please contact the Building & Safety Division if you have
any questions.
DATE ISSUED: t7 jJ-/
INSPECTOR: Ol7,x- L
SIGNATURE
OF INSPECTOR: �P�,C T -D
V
0001 Living Room
Patio Door
Farah Wanker Resident
1901 Golden Springs Drive, Unit A-4
Diamond Bar, CA 91765
Approved By:
0002 Dining Room
0005 Bathroom
Date:
Stewart Bruckner
(626) 222-6043
0004 Bedroom 2
0003 Bedroom 1
L. Detailed Quote
ICT B The Door & Window Store
11627 Clark St., Suite 103
Arcadia CA 91006
626-854-6456 C 411i &.Cr'"
Fax: 626-303-6459
Project Information
Customer Name:
Jobslte Contact:
Project:
PO 23662 Option 2
Project ID:
6487
IFax:
ck6466
Email:
Email:
Sales Rep:
Stewart Bruckner
Created Date:
09/122014
Delivery / Pickup:
Delivery
Modified Date:
05/172016
St. Lic #724532
Print Date:
05/172016
Customer:
Farah Wanker
PO:
23662
Terms:
Est. Delivery:
Comments:
(After Receipt of Order)
Billing Information Shipping Information
Customer Name:
Jobslte Contact:
Address:
Address:
Customer Phone:
Contact Phone:
IFax:
Fax: (Select Preference)
Email:
Email:
Manufacturer: Milgard
Item: 0001 Location: Living Room
Quantlty: 1 Tuscany, 8621T, SD, Net 117 12" x 79 12 UF: 0:29, SGC: 0.21, VLT,: 0:49 0.00
3/16" SunCOatMAX and 3/16" Clear Glass 0.00
Gas Filled: Argon 0.00
Wide Z -Bar 0.00
Upgrade Screen 0.00
Clear Opening W: 53 1/4" H: 76 12" SQ: 28.29
X 0 Fin Placement: Wide Z -Bar; Frame Accessory Application: 3 Sides;
Sliding Direction: XO; Exterior Finish: White; Interior Finish: White; Energy
Package: F e: Glazing: Dual Glazed (Insulated Glass); Tempered: All;
Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite Option: Clear;
Glass Thick 1: 3/16"; Glass Thick 2: 3/16"; Spacer Type: EdgeGard; Gas
Filled: Argon; Handle Type: SmartTouch; Screen: Upgraded with Fiberglass
mesh; STC: 33 CPD: MIL -A-137-0319400001
Line Item Comments:
Item Total: $ 0.00
Item Quantity Total: $ 0.00
Customer Approval:
Initials
Quote ID: 6487 1 Ot 3 05/17/2016
�i
Manufacturer:
Milgard
Item: 0002
Location: Dinning Room
Quantity:
1 Tuscany, 8170T, HV, Net 44" x 57"I UF: 0.3, SGC: 0.21, VLT: 0.49
0.00
3/32" SunCoatMAX and 3/32" Clem
0.00
Gas Filled: Argon
0.00
Standard Z -Bar
0.00
Clear Opening W: 32 3/16" H: 44 12SO: 9.95
Item Total: $ 0.00
Clear Opening W: 19 7/16" H: 54" SO: 7.29
Item Quantity Total: $ 0.00
X
Fin Placement: Standard Z -Bar; Sliding Direction: XO; Exterior Finish:
White; Interior Finish: White; Energy Package, Titl 4 --Glazing: Dual
X
Glazed (Insulated Glass); Outer Glass Lite Option: S nu Coat MAX; Inner
Glass Lite Option: Clear; Glass Thick 1: 3/32'; Glass Thick 2: 3/32'; Spacer
Type: EdgeGard; Gas Filled: Argon; Screen: Standard with Fiberglass
mesh; CPD: MIL -A-224-05187-00001
Customer Approval:
i
Line Item Comments: This widow will be a 2
Customer Approval:
Manufacturer: Milgard
panel
Initials
Manufacturer: Milgard
Item: 0003
Location: Bedroom 1
Quantity: 1
Tuscany, 8130T, HV, Net 69 12" x 47 12" UF: 0.3, SGC: 0.21, VLT: 0.49
0.00
3/32" SunCoatMAX and 3/32" Clear
0.00
Gas Filled: Argon
0.00
Item Total: 0.00"
$
Clear Opening W: 32 3/16" H: 44 12SO: 9.95
Item Quantity Total: $ 0.00
Fin Placement: 1" Setback; Sliding Direction: XO; Exterior Finish: White;
X
Interior Finish: White; Energy Package; Title24; Glazing: Dual Glazed
(Insulated Glass); Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite
Option: Clear; Glass Thick 1: 3/32'; Glass Thick 2: 3/32"; Spacer Type:
EdgeGard; Gas Filled: Argon; Screen: Standard with Fiberglass mesh;
CPD: MIL -A-224-05187-00001
Line Item Comments:
Customer Approval:
i
Initials
Manufacturer: Milgard
Item: 0004
Location: Bedroom 2
Quantity: 1
Tuscany, 8130T, HV, Net 69 1/2"x47 12', UF: 0.3, SGC: 0.21, VLT: 0.49
0.00
3/32" SunCoatMAX and 3/32" Clear
0.00
Gas Filled: Argon
0.00
Item Total: $ 0.00
Clear Opening W: 32 3/16" H: 44 12" SO: 9.95
Item Quantity Total: $ 0.00
Fin Placement: 1" Setback; Sliding Direction: XO; Exterior Finish: White;
X
Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed
(Insulated Glass); Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite
Option: Clear; Glass Thick 1: 3/32"; Glass Thick 2: 3/32'; Spacer Type:
EdgeGard; Gas Filled: Argon; Screen: Standard with Fiberglass mesh;
CPD: MIL -A-224-05187-00001
Line Item Comments:
Customer Approval:
Initials
Quote ID: 6487 2 Of 3 05/1712016
Manufacturer:
Milgard
Item: 0005
Location: Bath
Quantity: 1
Tuscany, 8170T, HV, Net 20" x 33", UF: 0.3, SGC: 0.21, VLT: 0.49
0.00
3/32" SunCoatMAX and 3/32" Clear
0.00
Gas Filled: Argon
0.00
Standard Z -Bar
0.00
Item Total: $ 0.00
Clear Opening W: 7 7/16" H: 30" SQ: 1.55
Item Quantity Total: $ 0.00
Fin Placement: Standard Z -Bar; Sliding Direction: XO; Exterior Finish:
White; Interior Finish: White; Energy Package Titlr Glazing: Dual
X
Glazed (Insulated Glass); Outer Glass Lite Option: SunCoatMAX; Inner
Glass Lite Option: Clear; Glass Thick 1: 3/32"; Glass Thick 2: 3/32"; Spacer
Type: EdgeGard; Gas Filled: Argon; Screen: Standard with Fiberglass
mesh; CPD: MIL -A-224-05187-00001
Line Item Comments:
Customer Approval:
Initials
Other Charges:
SUBMITTED BY: SUB TOTAL (taxable):$ 0.00
ACCEPTED BY: SUB TOTAL (non-taxable):$ 0.00
TAXES( 9.000 %):$ 0.00
DATE: GRAND TOTAL:$ 0.00
Notice (if any):
For warranty Information please visit www.mllgard.com/care-and-warranty/
Please note that actual N FRC energy values may vary from those reported In CTB quote due to variations that may occur during the
manufacturing process. In most cases variations will be minimal. Please contact your Mllgard location with questions or concerns regarding this
potential variation.
Handing Is viewed from outside looking In "X" Indicates operable panel. "O" Indicates fixed panel.
5 Items.
ADDITIONAL INFORMATION:
This Quote Is valid for 30 days.
I understand that this order will be placed according to these specifications and Is non-refundable.
Quote ID: 6487 3 Of 3
05/17/2016
