HomeMy WebLinkAboutPR17-830 (7),mss_ _ CITY OF DIAMOND BAR PRESS
DPPARi1VIENT OF CO�NlTY & DE
VELOp�NT SERVICES
839-7027 FIRMLY
_ 21810 Copley Drive,
Diamond Bar, CA 9].765
(909) 839-7020. Fax: (969) 861-31.17 Building Inspection Hotline {90 buildi>t wdiatinondbarca.gov
ofdiamondbarX( gC
` ` '^'"` BO1I DING ..."MIT APPLICATION www.city Plc#
APPLICATION DATE:
Zj
�,� PERMIT#
ISSUE DATE:
ILL J0B SITE ADDRESS OCC GROUP:
0
LOT�TRACT TYPE GONST.
o APN � � � e4�
OWNER i I t
t— r e_. �
Z3 ADDRESS, TEL. ' Scope of Work
a CITYcr_ VI
APPLICANT
CD APPLICANT #STORIES BEDROOMS
Cn CONTRACTOR # DWEL. UNITS — f
LILL siruature, Priorm its rssua ,
0-
V) is licensed pursuantto the proaisians of Ute Corttractor's State Lrcense aw hcanto acivU penalty
U-5 7R9g of Rivision 3 M Ute Business and Professions Code] or tbca�tfora perm t subjects me�app uta and me basis for
II the alleged exemption. Any violation of Section 7031.5 by any aAP
- rtof not more man flue hundred dollars {$50O}.
all of or �) portions
j oar ore . of the property, or my employees with wages as' sir site eel compensation, will do {P)
I man owner of property who, through employees' or personal effort, builds
@(- the Work , and the Structure is not intended or oiteretl for sale (Section 7044, Business and Processions Cade: The
w Contractors' State License Law does not app y
or improves the property, provided that the improve me is are Buildee Willave the burden of prov ng that it was,, It however, the �not OAldingK
improvement Is sold whhin one year of templet on,
oEl or Improved for me purpo5e of sale). V to tr owner of property who v
z (� 1, as owner of the property, am or
exclusively contracting with licensed Contractors to construct me of prop ect {Sec h
7044, Rusiness and Professions Code. The Contractors' State Ucense law does not appy
X builds or improves and
and who contractsforme projects with a licensed Contractor pursuant to the Con�rac ors' State
eon,
License Law.).
CD
z
C-} I am exempt from licensure under the Contractor's State License law for the toyowing reason ZIS
2
LL
a
z ersonal residence in which I must have resided for at least ono
o all
By my signature below I acknowledge that, except for my p
year prior to completion of the improvements covered by this permit,l cannot legally seN a structure that I have built as he
a owner -builder it it has not been wnstructed in its entrety by licensed contractors. I u e art he that a copy of the
applicable law, Section 7044 of me Business and Professions Code is available upon request when mis application is s
web site: httplwv+'N.leginto.ca.govlcalaw.html.
submitted or atthe toICI 3
1lCENSEB CONTRACTOR'S DECLARATION cu
coLU I of ❑ vbs affirm under PsnaltY
3 of the Business aof Penury that I am nd Professions Codec and my IenSed c ensu sl in full force and effect. mencing with Section 70011)
llCENPA__
CONTRACTOR:UATWORKER'S LARATIO
AFFIRMUNDERUNDER PENALTYATIONS:
I HEREBY CF PERJURY ONE OF TRE Fto Solt-Insure
p I have and vriii maintain a Certificate of Consent to Sure far Worker's Compensation, as rovided by
Section 3700 of the Labor Cade, for the performance of the work inrun by this permit is issued.
7 V have and will maintain Worker's compensation nsation Insurance Carrier and
Insurance, as required by Section 3700 of the Labor Code, for
CD the performance of the work for which this permit is issued. My Worker's Compe
a
Policy Number are: Lu°
ER
CARRI
W � ]: 4
POLICY NUMBER
- - "' (fl -IIS SEL`S10N NEE6 NOT BE COMPLETED IF THE PEAMfr IS FOR ONE RUNQRED DOLLARS ($1001 DR)'
0 Ice lymatintrispefomance4fthewodtorwhichthlspermitisissued,IshalnotemployatyPesoninanymannersoasto
shalifo with those provisions.
p become subject tq me Worker's Compensation a awns oY C forriia. And agree mat if l should become subject tome Workers
Campensat "MIT provisions n Section 37 -
.APPtJCRNT:uland shall sub}ect an employer to criminal
IN ailure to secure Worker's Co100
damages as provided for n section 3708 fdthe labordc del Vnterest and attorneyaddition
fees.o the cost of me compensation,
a
CONSTRUCIlON LE DING AGENCY
Cl- that mere is a Construction Lending Agency for the performance of to work for
I hereby at under penalty of Perjury
= which this permit Is Issued (Sec. 3097, Civ. C.).
� LENQER'S NAME:
LENDER'S ADDRESS'.
1 certify that 1 have read this application and state that me above information is correct. 189 to to Ives with ail city and
county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to
enter upon the above-mentioned ptoperty for inspection purposes.
CD
cc 14 m i
Ciro
5 ATi1R
r
QUANTITY DESCRIPTION
P 8 i,.
ADJ. AREANALUATION
Area:
FEE
CONSTRUCTION:
""�' s
PLAN REVIEW:
ado
ADDRESS
CITY t� ZIP .( TEL.
DESCRIPTION SQ- FT, FACTOR PSF
x
0
ARCI IENGI
SFRlADD/REM
z
DESIGNER
Garage/Carport
ISSUANCE:
ADDRESS TEL
ZIP
w PatiolDeck
a
4
CIN
pWNER-BUILBEROECLAAATfUN
w. pool/Spa
�
that l am exempt from the Contractor's Slats ctian 7931.5oBtusinessoand
1 hereby affirm under penally of perjury have placed next to the applicable item{s) [
7 Re -Roof
Commercial
LU
indicated 4elow by the checkmark(s),
to file a signed statement that he or she
Any city ar eaunty that requires a permitta conshrrct, aft�hapte
�
BASF:
Prot Code: NcaM for the permit
nca also requires the app 9} Commenc ng vrith Section
rA
LILL siruature, Priorm its rssua ,
0-
V) is licensed pursuantto the proaisians of Ute Corttractor's State Lrcense aw hcanto acivU penalty
U-5 7R9g of Rivision 3 M Ute Business and Professions Code] or tbca�tfora perm t subjects me�app uta and me basis for
II the alleged exemption. Any violation of Section 7031.5 by any aAP
- rtof not more man flue hundred dollars {$50O}.
all of or �) portions
j oar ore . of the property, or my employees with wages as' sir site eel compensation, will do {P)
I man owner of property who, through employees' or personal effort, builds
@(- the Work , and the Structure is not intended or oiteretl for sale (Section 7044, Business and Processions Cade: The
w Contractors' State License Law does not app y
or improves the property, provided that the improve me is are Buildee Willave the burden of prov ng that it was,, It however, the �not OAldingK
improvement Is sold whhin one year of templet on,
oEl or Improved for me purpo5e of sale). V to tr owner of property who v
z (� 1, as owner of the property, am or
exclusively contracting with licensed Contractors to construct me of prop ect {Sec h
7044, Rusiness and Professions Code. The Contractors' State Ucense law does not appy
X builds or improves and
and who contractsforme projects with a licensed Contractor pursuant to the Con�rac ors' State
eon,
License Law.).
CD
z
C-} I am exempt from licensure under the Contractor's State License law for the toyowing reason ZIS
2
LL
a
z ersonal residence in which I must have resided for at least ono
o all
By my signature below I acknowledge that, except for my p
year prior to completion of the improvements covered by this permit,l cannot legally seN a structure that I have built as he
a owner -builder it it has not been wnstructed in its entrety by licensed contractors. I u e art he that a copy of the
applicable law, Section 7044 of me Business and Professions Code is available upon request when mis application is s
web site: httplwv+'N.leginto.ca.govlcalaw.html.
submitted or atthe toICI 3
1lCENSEB CONTRACTOR'S DECLARATION cu
coLU I of ❑ vbs affirm under PsnaltY
3 of the Business aof Penury that I am nd Professions Codec and my IenSed c ensu sl in full force and effect. mencing with Section 70011)
llCENPA__
CONTRACTOR:UATWORKER'S LARATIO
AFFIRMUNDERUNDER PENALTYATIONS:
I HEREBY CF PERJURY ONE OF TRE Fto Solt-Insure
p I have and vriii maintain a Certificate of Consent to Sure far Worker's Compensation, as rovided by
Section 3700 of the Labor Cade, for the performance of the work inrun by this permit is issued.
7 V have and will maintain Worker's compensation nsation Insurance Carrier and
Insurance, as required by Section 3700 of the Labor Code, for
CD the performance of the work for which this permit is issued. My Worker's Compe
a
Policy Number are: Lu°
ER
CARRI
W � ]: 4
POLICY NUMBER
- - "' (fl -IIS SEL`S10N NEE6 NOT BE COMPLETED IF THE PEAMfr IS FOR ONE RUNQRED DOLLARS ($1001 DR)'
0 Ice lymatintrispefomance4fthewodtorwhichthlspermitisissued,IshalnotemployatyPesoninanymannersoasto
shalifo with those provisions.
p become subject tq me Worker's Compensation a awns oY C forriia. And agree mat if l should become subject tome Workers
Campensat "MIT provisions n Section 37 -
.APPtJCRNT:uland shall sub}ect an employer to criminal
IN ailure to secure Worker's Co100
damages as provided for n section 3708 fdthe labordc del Vnterest and attorneyaddition
fees.o the cost of me compensation,
a
CONSTRUCIlON LE DING AGENCY
Cl- that mere is a Construction Lending Agency for the performance of to work for
I hereby at under penalty of Perjury
= which this permit Is Issued (Sec. 3097, Civ. C.).
� LENQER'S NAME:
LENDER'S ADDRESS'.
1 certify that 1 have read this application and state that me above information is correct. 189 to to Ives with ail city and
county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to
enter upon the above-mentioned ptoperty for inspection purposes.
CD
cc 14 m i
Ciro
5 ATi1R
r
QUANTITY DESCRIPTION
P 8 i,.
ADJ. AREANALUATION
Area:
FEE
CONSTRUCTION:
PLAN REVIEW:
.;
. .
ELECTRIC:
PLUMBING:
MECHANICAL:
INSPECTION FEE:
ISSUANCE:
SHIP:
ENERGY PIC:
ENERGY PERMIT:
RETENTION FEE:
PRE -ALT FEE:
BASF:
PLOT PLAID:
ZONING CLEARANCE:
TOTAL FEES
COMMENTS:
VALIDATION: �
PAID BY: ��..PP _
PIC: �� a2- ':i' VALIDATION;
PAID 8Y
RECEIPT # �=��--� � �, r�"•� �
WFIiTE— Department Copy, YELLOW — Finance Copy, PINK—Assessor CoPy
CITY OF DIAMON11) BAR
INSPECTION RECORD
SETBACK/ LETTER - —
FOOTIN{lS FORMS
_w— TRACT AND LEDGER 9
SLAB
��
S_WfTt;H_G_EA_€? ___—_-----—___---- ----
UG. PLU[NEiING— ___
(;OMMERCIAL.------------—____-----�_______-------
11G.—ELECTRICAL _ "_
T__ _�___-------
_
LIFER GROUND _`_`__ ------ __—_---_-----
_
- INTERCE,PiER— --------____— �� —�--------_
_�`-------
SEW:FI LATERAL _ _— _ ----- ---------_______.__—_
—
1IOT_MOP/SHO_WE----- ----------A—
A
MINWATL:RLlNE _
—___—_.-------_—_—�--_—_—
SE ——_.___—_ _—__.__—___-------__
SEPTIC/CESS€'OOL ------- _ _________________
_ ._
HERS — — — —
___LEAN(1L@T__—
ROOF SHUATHING ---_
REPORT RECEIVED —_—------`-----_--_
—
FLOOR SLEEATHING ---------------------------
�_----------------
ROOF DRAINS �_�_ _------- -----
IEAR WALLS I XTI RIOR --------------------
----------------
ROUGH CONLJUIT" _ ---- 7---
SHEAR WALLS INTERIOR --------------------
POLI PA — ---_ -----
€'RAViING/VFNTfNG — _ — —_—
R()UGH P ------C; _—__--_------—_____________ _ __
LU --------------
[@_Wf MECHANICAL --
I30UGHEL,E LlRTC qL __ �— -`----�
ROUGH ELECTR@CAL W{_) (� — —_—_—.__�.�
HOUGH MECHANICAL---—
ROUG;I PLUMBING —�_—�—-----_,
GAS TEST
INSULATION WA(.L ---------------------
PRE GU_NITE
INSULATION GE11 IN_G — — —----------------
DIIYWALI _ —
POOL PRE DECK BONDING --- — _------------_
— _-----
— ---------_—_
[LATH (PRE) `_`
__ _
P -TRAP ___---
--------- FENCE/GATT/ALARM
i�}TH EXT'EIiIUR _--------
-__— --------------------
------
FINAL pU_OL --------------------
f-THINTL"R10R— -------------------------
WALLS: _________
AST
tiASTEST _--------------------------
--
WA[—F----/S -- ——�_�_-- —__� � �-----__ ___
— -----------------
-- ------------------
S RATCH COAT —--------------------
___----_______--- ------
ELE;CTRIC METER R1�L EASE
_ ___._______.______----
WALL STEEL 157 ��
---------(—� 2 {,)LIFE"--------------_—_----
_ _ --------
WALL BONDBE_AM ---—_______
GAS METER RELEASE—_�_._ ______— __--.____--__---^___.__
—
WAIL DRAEN/SEAL — _— ----
SP_F_CIAL INSPECTION _
---- _-------------__—_—�
_ WALL FINAL�_�
FEt'ALBUILD@NG —�
R0.€f MIN(', PLANNING APPROVAL�_-----_---_—
F@NAE.I�E - --CAL___ — _—.______—._—__
ROU HGFIREA€'PRO'JAL�
FINAL ELECTRICAL — —_—__
FLiVALPLUfN€31NC;
__ FINAL FIRE DEPARTMENT _ _ —�
—___
_ — —---------------
FIiUALPLA 11iNG —_ _ — _
T.C, Of OCCUPANCY � — — — ---
_
FINAL ENGINEERING/PW--- —_ — _ ____-
CECT„ ? UPAN --'— -- ---- —------------
-- FINALCOMMUNIT' SERVICES
___--_
FINALHEALTw66;T-------- ---------
----------
COMMENTS,
---
--_— F9Ndll WDElSTRfAt WASTE __-----------_______ ________