The URL can be used to link to this page

Home My WebLink AboutPR 14-4827 (23)CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES G= ;, 21810 Copley Drive,Diamond Bar,CA 91765 PRESS 909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLYBUILDINGPERMITAPPLICATION g n - r y APPLICATION DATE: I P/C# /Y-'y I I s JOB S TE ADDRE85 F ,i, _ - ` . o z APN D O TRACT ISSUE DATE: Z'/ZSf ZO SPERMIT# le LI- YB Z y OWNER 'T O TYPE CONST. OCC GROUP: I n ADDRESS 'I GOO CITY ZIP TEL. I ZONING F ONT KS RW APPLICANT TEL. REAR 3 ec ke O N Un C°'"'`vnS SIDE/SIDESTREEf RW Q CONTRACTOR SIDE ADDREASS,, / w C 1 CITY /'`h ZIPqa o1 TE. 56a'g " ( PROPOSEDUSE 'v ARCH/ENG/DESIGNER ADDRESS DWEL.UNITS STORIES BEDROOMS IzCITYZIPTEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION OWNEH-BUILDEq DECLAHATION IIherebyaffirmunderpenaltyofperjurythatIamexemptfromtheContrac[or's State License Law for the reason(s) SFWADD/REM indicated below by the checkmark(s,I have placed next to the applicable item(s)[Section 7031.5,Business and Garage/Carport PraTessions Code:Any ciry or county fhat requires a permit to construct,alter,improve,demolish,or repair,any Istructure,prior ta its issuance,also requires the applicarrt for the permit to file a signed statement that he or she Patio/Deck i is I;ensed pursuant to the provlsions of the Contracfnr's State License Law(Chapter 9)Commencing wltli Section w 7000 of Divislon 3 of the Business and Professlons Code]or that he or she is exempt from licensure and the basis for PooVSpa I n thealleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 r of not more than five hundred dollars($500). ZQ Re-Roof I I,as owner of the property,or my employees with wages as their sole compensation,will do(all of or(J portions Commercial IoPthework,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m IZConhactors'State License Law does not apply to an owner of property who,through employees'or personal ettort,builds y or improves the pmperty,provided that the improvemenl5 are not intended or offered for sale.If however,the building or Iimprovementissoldwithinoneyearofcompletion,the Owner-Builder will have the burden of proving that it was not built or improved tor the purpose of sale.).I - iL1I,as owner of the property,am exclusively contmcting with licensed Contractors to construct the project(Section Z 7044,Business and Professions Code:The Contrac rs'State License Law does not apply to an owner of property who Valuation: Adj.Area: 6uildsorimprovesthereon,andwhocontractsfortheprojeciswithalicensedContradorpursuanttotfieContractors'State QUANTITY DESCRIPTION FEE ILicenseLaw.). U I am exempt from licensure under the Contracior's State License law for the following reason(s):I I1BymysignaturebelowIacknowledgethat,except for my personal residence in which I must have resided for at least one r Iyearpriortocompletionoftheimprovementscovered6ythispermit,l cannot legally sell a structure that I have built as an W owner-builder if it has not been construc[ed in its entirety by licensed contractors.I understand that a copy of the applirable I law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at IXthefollowingWebsite:http/www.leginfo.ca.gov/calaw.html. z IDATE: SIGN: LICENSED CONTHACTOH'S DECL.AfiATION a IIherebyaifirmunderpenaltyofperjurythatIamlicensedunderprovisionsofChapter9(commencing with Section 7000) of Division 3 of the ABusiness and Professions Code,and my license is in full firce and efted. J I n LICENSEC SIrA s:_-`" ' \ LIC.NO.: , -+ S Z Z DATE:,LI_ CONTRACTOR: Cf..e- C.aMr4Un C+ s a WOHl H'S COMPENSATION DECLAfIATION iIHEREBYAFFIRMUNDERPENALTYOFPERJURYONEOFTHEFOLLOWINGDECLARATIONS: y I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: b.2 Section 3700 of the Labor Code,tor the pertormance of the work for which this permit is issued. p,qN REVIEW: 'y j I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for p ,3 Othepertormanceoftheworkforwhichthispermitisissued.My Worker's Compensation Insurance Carrier and ELECTRIC: p PolicyNumberare: /A. D 1I PLUMBING: y CARRIER I `On 1 1 S InS I y( C S I.JcS M EC HAN ICAL: POLICYNUMBER WC-INSPECTION FEE: n THIS SECTION NEED NOT BE CAMPLEfED IF1HE PFAMR IS FOR ONE HUNDRFD DOLLARS($100)OR LESS. ISSUANCE: I certlfy that in the performance of ine work for which mis pertnd is issued,I shall not employ any person in any manner so as to become su6ject the WorkePs Compensation Lavrs of Califomia.Md agree that'rf I should become subjed to the Worker's SMIP:_ Zp J Compensation pmvisions of Section 3700 of the sh with comply with those provisions. ENERGY P/C: J DATE: ,'.5'S APPLICANT: ;F ENERGY PERMIT: WARNING:Failure to secure Worker's Compensation coverage is unlaw ul,and shall subject an employer to criminal Q Iypenaltiesandcivilfinesuptoonehundredthousanddollars(3700,000,in addition m the cost of the compensation, RETENTION FEE: Idamagesasprovidedforinsection3708ofthelaborcode,interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF. Q O IIherebyaffirmunderpenaltyofperjurythatthereisaConstructionLendingAgencyfortheperformanceoftheworkfor which this permit is issued(Sec.3097,Civ.C.. LENDER'S NAME: IsLENDER'SADDRESS: i I certity that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES 1 Sl Ci QJy -I county ordinances and sTate laws relating to 6uilding construction,and hereby authorize representatives of this county to COMMENTS:z enter upon the abo`entioned p perty for inspection purposes. J a PERMI EN MIT• O Oq l n 0 1SIGNATUREPERMITTEEDATEREf,GIPT# Z i PAID BY: ` I VALIDATION:I WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR IIVSPECTION RECORD y „ A p 5E y; ...... TH,4GtG LETTER TRAGTAND LEDGER FOOTINGS FORN{S,, n SWITCH GEAR SLAB-- '. e o:,; COMMERCIAL HOOD a A ,.' UG:PI.UMBING a i,,r; T-BAfi UG,ELEGTRICAL INTERCEPTER UF ER GfiQllND ` HOTMOPISHOWERPAN SEWER LATERAL SEPTICiCESSP00L MAIN WATER LINE j HERS REPORT RECEIVED SENJER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT r.__ SHEAR WALLS EXTERIOR POOUSPA SHEAFt tNA,LLS INTERIOR ROUGH PLUMBING a-, -. a FR SMIN/VENTIt G ` `` F ' n 'ROUGH ELEGTRICAL x:.,, : ROUGH MECHANICAL- AOUGH MECHANICAL ROUGH ELECTRICAL W( )C( ) ` GAS TEST . PRE GUNlTERQGHPLUJBIN:ur' , = ; _ • ` INSULA?ION WALL FOOL PRE DECK BONDING A' INSULATION CEILING P-T P DRYWALL I FENCE/GATE/ALARM LATH(PRE) FINALPOOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 ST( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSRECTION fl0.FFiAAMMING PLANNINGAPPROVAL W FINA BUILDING . ROUGHFIREAPPROUAL FINAL MECMANICA s,." • FINAL FIRE DEPARTMENT It ALELECTRIGA FINALPLANNING ' ti<. z t-; EINAL.PLUtUIBING - Y` FINAL ENGINEERINGI PW 1 F(NAL COMMUNITY SERVICES 3'LCS of CCUPANCYa: CERT.tifOCCUPAF+lCY ';,, ;' FINAL HEALTH DEPT,a t r fINAL INDUSTRIAL WAS7E COMMENTS:/:. /;Nl'1/('ji' - %"L N/is L S`%G/ l/' %/ %'1,`C I B c m n Request for Permit Transfer Date of request: May 27,2014 f Site Number/Name: Gra.nd 1 Construction address: 1600 Grand Ave,Diamond Bar, CA 91765 Building Permit Number:PR14-3315 Description of project on permit issned: Replacement of(6)panel antennas-Installation of(1) demarcation box(2) 1-5/S"hybriflex shall be routed within-6"PVC conduit from equipment room to monopole. Current permit holder: InSite Telecom,Inc. License No. 835985 InspecNon stages noted on existing permit:No inspections to date New permit holder requested: Solex Contracting Note• The new permit holder agrees that all current and future reports and/or orders will now be directed to them. Both parties agree to this transfer as signed below. For Current permit holder:Michael Croix Signature: Name as si For New permit holder: 1 signa Name az signe Date Received: 02 l Received tiy: 521 W Briardale Ave Orange,CA 92865 •e•(714)282-0663 •2• (714)282-0774 fax