HomeMy WebLinkAbout14-3998 (8) �"',�'''�_ C1TY OF DIAMOND BAR
; I ���I I i ' ;i DEPARTMENT OF COVIMUNITY��_DEVELOPMGNT SERVICES
"� .; ,i�p�„� -,� - � r , 21810 Copley Drive,Diamond 13ar,CA 917fi5 �! PRESS
�' `�� � (909)839-7020 Fax:(909)861-3117 Building Inspection HotGne(909)839-7027 `"
-'�'`,��;-= � suiLnirrGpERMiTaPrLicATiorr FIRMLY
~ APPLICATION DATE: �' �I� `�I P/C#
� SITE ADDRESS n (�
� APN OT TRACT ISSUE DATE: 7— �I'— I� PERMIT# �'y��%�O
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o OWNER L / rN� TYPE CONST. OCC GROUP:
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� ADDRESS '�/ '
� CITY� �ii YM(L�,�f3Ay ZIP��TEL. / ZONING F ONTCKS RW ❑
a APPLICANT TEL. REAR ❑
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N �NQ�N 2� SIDE/SIDE STREET RW ❑
a CONTRACTOR -� SIDE ❑
o� ADDRESS t9 �• Vot�.0 . �
Q CITY �ll . ��'I�a ZIP TEL..S�76I �Z� �?�� P OPOSEDUSE
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o ARCH/ENG/DESIGNER
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z ADDRESS
o #DWEL.UNITS k STORIES k BEDROOMS
z CITY ZIP TEL.
m DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
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OWNEH-BUILDER DECLARATION
°C I hereby aflirm under penalty oi perjury that I am exempt from the Contractor's State License Law for the reason(s) SFWADD/FEM
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p inAicated below by the checkmark(s),I have placed next to the apD�icable item(s)[Section 7031.5,Business and Garege/Carport
w Professions Code:Any city ar counTy that requires a permit ta construct,alter,improve,demolish,or repair,any
z structure,prior to its issuance,also requires lhe applicant for the permit lo file a signed sfatement that he or she W Patio/Deck
a is licensed pursuant to the provisions of the CoMractor's Sfate License Law(Chapter9)Commencing with Section
� 7000 of Uivision 3 of the Business and Prolessions Cade]or lhat he or she is exempt from licensure and the basis for uW. Pool/Spa
Nthe alleged exemption.Any violation of Secfion 7031.5 by any applicant for a Dertnit subjects the apD�icant to a civil penalry Z Re-Roof
� of not more than five hundred dollars�$500). p
o �]I,as owner of lhe property,or my employees with wages as iheir sole compensation,will do(�all of or(�portions � Commercial
0 of the work,and the structure is not intended or offered for sale(Section)044,Business and Professions Code:The m
Z Contractors'State License Law does not apply to an ovmer of propeAy who,through employees'or personal effort,builds
� or impraves the property,provided that the improvements are not intended or ottered tor sale.II however,the building or
� improvement is sold within one year of complelion,the Owner-Builtler will have the burden of proving mat it was noT built
p. or improved for the purpose of sale.j.
� �)I,as owner of ihe property,am exclusively contracUng with licensed ConVactors to construct the prqect(Seclion
z 7044,Business and Professions Cale:The Contractors'State License Law does nat apDly to an owner of property who Valuation: Adj.Afea:
� buildsorimproveslhereon,andwhoconhacLsfortheprojecLswithalicensetlContractorpursuanttoUieContractors'Sfate QUANTITY DESCRIPTION FEE
Y License Law.). .
o U�am exempt trom licensure under the CanVactor's State License law for the followinq reason(s): �
� ¢
LL By my signature below I acknowledge that,except for my personal residence in which I mus[have resided for at least one W ��` f
o year prior ro completlon of the improvements covered by ihis permit,l cannot legally seli a structure mat I have built as an w
� owner-builder if it has not been constructed in its entirery by licensed contractors.I understand that a copy ol the applipble
� law,Section 7044 ot ihe Business and Professions Code is available upon request when this application is submitted or at _
X the following Web site:http,M�ww.leginfo.ca.govlcalaw.html. Z �— '
o DATE: SIGN: �
�' LICENSED CONTRACTOH'S DECLARATION �
H n.
w I hereby aBirm untler penalry of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000)
m ot Division 3 ot the Business and Professions Code,and my license is in fuli force and eftecl. J
N IICENSE CLASS: � �� ���.No.: 9r 2 g p8 Q
o DATE: '�J CONTRACTOR: _
U
a WOHNEfl'S COMPENSATION DECLARATION � ,
W Y AFFIRM UNDER PENALIY OF PERJl1RY ONE OF THE FOLLOWING DECLARATIONS: �
� 1 have and will mainfain a Cert�cate ot Consent to Self-Insure for Worker's Compensalion,as provided by CONSTRUCTION:
� Section 3700 0l ihe Labor Code,tor the performance ol the work for which this pennit is issued. p�qN REVIEW: �y
> I have and will maintain Worker's Compensation Insurance,as requiretl by Section 3700 01 me Labor Code,tor E�ECTRIC: ��yi 6 �.��
� the pedormance of the work for which this Dermit is issued.My Worker's Compensation Insurance Carrier and - �-
a Polic.yNumberare: PLUMBING:
� CARRIER MECHANICAL:
� PouCY NUMBER INSPECTION FEE: )
� � (T}11S SECTION NEED NOT BE fAMPLFfED IF hiE PERMR IS FOR ONE HUNDRED DOLIAFiS(51(10)OR LESS�. ISSUANCE: J JT,r I
. o' I certity that in ihe pedormance of the work br which this permit is issuetl,I shall not employ any person in any manner so as to
� become subjecl to Ne Waker�Compensatlon Laws o(Califomia.Mtl agree ihat it I s�ould become subject tu tl�e Worker's SMIP:
. � Campen n rsi of Section 3700 0l th r Cade,I toMwith comply wi�h those provisions. ENERGY P/C:
I
� DATE: � 'APPLICAN7: ENERGY PERMIT:
� � WAANING faiiure to secure Workers pensa6o overage is unlawtul,and shail subject an employer to criminal RETENTION FEE: � ��
w penaities and civil fines up to one hundred thousand dollars($100,000),in addi0on to the cost of the compensation,
� damages as provided tor in section 3708 ot ihe labor code,interest,and attomey's fees. PRE-ALT FEE: '
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a CONSTRUCTION LENDING AGENCY BSAF:
,z I hereby attirm under penalty of perjury�hat ihere is a Construction Lending Agency for ihe pertormance ol ihe work for
= which this permit is issued(Sec.3097,Civ.C.�.
� LENDER'S NAME
� LENDER'SADORESS: ,
a I certify that I have read this application and sfate that the above information is correct I agree tn compry with all city and TOTAL FEES �
Z county ortlinances and state laws relating to building consVucGon,and hereby authorize representatives oi this county to COMMENTS:
o enter upon the above-mentioned property tor inspection purposes. '
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a P RMI EE NAM
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= SIGNATUR ER E � DATE , • RECEIPT# `yf/��J PAID BY: � j ` VALIDATION:�
�
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy
CITY OF DIAMOND �AR
ItVSPECTEtON R.�C�RD
• � � . � . . � s , . � .
SETBA'CKI,LETTER., , ��; � TRACTAND LEDGER
FOOTINGS fORMS ; ; SWITCH GEAR
SLAB�' � COMMERCIAL HOOD �
UG:PLUMBING�-�� � �� `� ��� �:� T-BAR � . � .
UG.EL'ECTRICAL : � ' INTERCEPTER � ' �
UFER;.GROUND:�' � ' HOT MQPlSHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED � '
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONOUIT
_ - ,. .: . , , . _
SHEAR WACLS EXTERIOR.,. ;. .,. . ;: .. . ; ,. : .:; 'POOUSPA- -. ,, � .: -
SHEAR WACLS INTERIOR" � � - ROUGH PLUMBING. -_„ ' A A
�
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FRAMINGNENTING �,',. .� ` '} : ROUGH ELECTRICAt�r. � `'., � _ _
-. ;
ROUGH MECHANICAL �,-, , .. , ., ,,. : ,', .,,; ,. . . .. . HOUGN MECHP,NICAL' . ` �, ... ,:;. ,-��::� . ,�_. �_
ROUGH ELECTRICAL' W(:`)C.( }�: .( ' GAS TEST'•. `, . - , � '�
, _>
ROUCH PIUMBING,_.:. �' _ ' ��'�� ";= . ';� ",;"- „ -.`�, - � ;".-.. PRE�GUNITE„ : � ..,,; i t
INSULATION WALL POOL,PRE DECK.BONDING' �
INSULATION CEIUNG .P-TFIAP� �� - -�>� , ����
DRYWALL FENCE/GATFJ ALARM ' .` ' " �:: s ' `
LATH(PRE) F.INAL POOL - -
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST � � WALL STEEL 1�( )2ND( j LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE • . WALL FINAL
SPECIAL INSPECTION R0:ERAMING PL.ANNINGAPPROVAL ``
. , .. .
FINAL BUILDING �; , - � �` ` ROUGH FIRE APPROVAL ' ` , : - ' �:`
FINAL�MECHANICAL,. �:. . � - � � � � �� - � �
FINAL.FIRE DEPARTMENT �
FINAL ELECTRICAL .- FINAL PLANNING �,` ' _
FINAL PLUMBING ;�-�� . � =' ,t , �„ 3' ���'� .,.�;, � .' �=`� FINAL ENGINEERING/PW . ��, �� ` "
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T.C.:of OCCUPA �'
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_NCY �.,. ;,:�. ,;;: _ �, .� `�-, ^ '�; EINAL COMMUNIf1LSERUICES ;.�: . , :;� �; -
CERT.of OCCUPANCI' • �- - ' FINAL HEALTH DEPL '
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'fINAL�INDUS�'RIAI:���� � � � �
WASTE' � '
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COMMENTS:
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RVLLERTON =TONE dNC
GronRe Courrtertop,Tiles,&Cabinetr,Whotesale,Retail,&Installatbn;Factory Direct
Te1:626-810-8333 Fax:626-810-0505
invoice —
Customer
Name oscar Date 6/28/2014
Address 2115#3 Dublin Ln P/O No. d062814
City Diamond Bar. CA #### Inv. No. D06281401
Phone 951-733-8889 Term DERICK
Item No. Goods Description Qty Coun Unit Price Extension
USD
6"Ceilin moldin $690 labor with material $690.00
wood floor 8�.stair/ ad. Wall base$ 5524. labor with m $5,524
master bathroom floor tile$450 labor with cement ceme $450.00
Master bathroom 54"vani and to $827 labor with mat $827 'I
hallwa bathropm 34"vani and to $335 labor with m $335.00 j
hallwa bathroom floor tile labor with cement, cement board and grout) $400.00
re lace interior doors 6 cs and frame$1580 labor with material) $1,580.00
re lace 50x switch, outlet labor with.material $1,500.00
aintin interior,remove o corn, atio, ara e. labor with material) $3,900.00
ress li hts 15x$1050 labor with material . $1,050.00
kitchen ceilin moldin $180 labor with material $180.00
kitch�n cabinets ma le$2440 labor with material $2,440.00
kitchen counter mas muve$955 labor with material) $955.00
Kitchen sink and foucet$195 $195.00
kitchen floor tile$475 install labor with cement and grout) $475.00
rest room and lound room$600 install labor with cement and grout) $600:00,.,
demolition and trash out$850 $850.00`V'` �.,
I $600.00
' DISCOUNT $1750 ($1,750.00)
install labor onl
Not include all tile.And lumbin material.
de osut$1000 ck#183 06/30/2014
�.All sales are Final. Deposite is non refundable.Will charge 25%re-stock fee Material Cost:
2.Custom orders are to be picked up no later than 7 days upon notifying the customer. L2b0�COSt:
3.The customer will be responsible for all legal and collection fees in the event of any
disputes or situations where fees are incurred. SUbtOt81:
4.A$20 fee will be charged for all returned checks. TBX: a.75°io It1CI0Ud2 I
TOTAL $20,801
5.All merchandise is sold in"As is"Condition. Variation of the product maybe'inherited
from natural causes. Color,veining,and cracks can vary from one piece to another. DEPOS CheCk $1,000
6.Buyer agrees to pay any collection fees,including attorney's fees if applicable. BALANCE $19,801.00
7.No exchange oi on bought merchandise after purchased over DEPOSIT
,
. i . ..
one week � • � I BALANCE
8. By signing this,you agree to all the terms listed above.
9. Opened cabinets could not be return,exchange, refund
Customer Signature: