HomeMy WebLinkAbout18-25560s
',
C:2
CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Dnve, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION www cityofdlamondbarcom lauddmg@diamondbarea gov
JOB SITE ADDRESS •5✓1 1 Z331'04E
APN LOT TRACT
OWNERIC— IL�
ADDRESS '551 -ro510A( pL:1rL&
CITY�bn+.�Dl 2 ZIP TEL
APPLICANT TEL GLIBo 103
CONTRACTOR u» lC yrs rGvl, ra�N
ADDRESS V S .l•' PtF� r , r, r
cm V�ZIP_A,A_J(WTEL slog-1"�l-fP4017
ARCH/ENG/'p
DESIGNER IZtiIL ,S f+`^rlP1C�r
ADDRESS ZMI
-
CITY /,�.�IAw,$d-.A ZIP / CATEL \/d fn' • O O
OMM-BUILDER DECUBATION
I hamby affirm under penalty of penury Nat I em exempt hom the Commcmr's State Jconee law brine recommit
IndnaerE bebw by the chacbnarNs) I here placed nest mine applicable Inman (Include MU, OmMm end
Prebonne Code Al cl m cwnry WI resole a weld ro wncNn4 eNm, mwan:, demolbn, m rwam, al
etrwbn, prim In the Issuance, also requires Mo applbent M me wmnit In fib a signed etromant any he or eh
II Damorad wnu mI m Me prmlNms of the CdebmcroM1 SMM Upon lair (Chancery el Commences WIN Sao.
7000d DkWmDof Mo Bu dedPo bna COM)ortheheorshebexemptWmlimmumped Nandsfu
the MMged ue ymon Any *bdon of Satbn 7031 S byanyppAwdbra penitsub)et4 NeappUg Ma cMi penalty
of not mom Nm foe hunOW datlam R5M
LII®wnaraff vopmty,wmyampbym Mmwagse®marseMwmpNeatlm wildcUaOarmLJportime
d Me work and me strucbm IB ret phmvMd Or a domed for dela ($octan ids Budnese and Pmeraabns Code The
Co. hm n' Slate Llcoma lar does ml spoly b an met of appeal whe through empbreea or eerncml offrt, baBN
w homes W pmwly podded Om Na hpmremerh em mt mended oroWM lar eels n however Ne nutmeg or
wm manl ow MNb pm yaval oampbhn No Ownm Budtler ped bare Np Ween of mwnA Nal A wa ml Wdt
winmmredW lar wmwaar sM)
LJ L o owned Ne prowsty, em eaJNreFy mntracUip WIN Ikensod CarppW.tva m oaaNnt W mored ISeaWn
lade Rranm antl mplembm fade Ih fantrmmle' Slab llmnm law doe M awl b an w7er al plopwty dem
bothrun pprea oermn aMwde wntram lar No clww4wwatlmneml Cedmpmrwndemm NaCowecmn'Stt
Umme lar )
LJ lam monad Wm Ilwmrte mdirthe IbppsmrY Blum Uacoe lupe brthe lomwmip rnemyl
Dab Sqn
By my egmbw bobw la[Mmwladge WI sued bre/ perncml mellonco In wmbn I mel bare mMdad lar M bmtam
Karr poor m mmpmMn of W Imprpremenb mend by Ne pemH,1 want today ad a==an mat I bre Wm in an
ormer-Wlnm 0 N Iw rot been constructed In h emhoty by ticome l comncmm I undesdmn Wt a mm of the
oppnmbt pan Secvan 7044 of me Flumlmv and mo(esmm Cade o evadable upon request when ma apDgmWn is
cobmmad ora the follmwthg YIBb est hh7wwW tapeta m.pav/ratty hhl
LICUSED COnRACTOR'S DECLARATION
I hereby afford under penal of wOury May I am licensed under modMom of Chapter 9 (commencing win Second 7UDO)
of Division 3 of the Bwlmss and Pmfaselom Code,and my license b In full fame And effect
ENZSE CLASS 5 D/rh�
C ND -L��
1�u
TES(P -5C-141 CONTRACTOR Y'O�a�
WORIIER'S COMPMATION DECLARATION
I HERESY AFFIRM UNDER PENALTY OF PENURY ONE OF THE FOLLOWING OECVAA7NINS
1 have and will malmen a GaNB®le of Conant m Self -Insure for Worions Compensation m podded by
Secdan 3700al the labor Cade for me wrmrmance arms work farwmch this wand is Abue0
I have ef4 will mdintln Worear's Compensation Insurance m rewhd bs Semon 37011 of me labor Code, lar
the pedomunco ar W peek furwhlch ho pemff b hued My Warkerafemwawdon ImunnmCamar and
Polley Numdram
CARRIER
j( (OILY NUMBER
6 SECRON MID HOT RE COMPLETED F THE R3PWf 6 FOR ONE MMOR®D00ARS 1 OR
lc.*Wit ArepWMlwredtewarkbrw Nbcmmffbtmotl melIwempbyarymssenmellwmmmeb
become
GomfimRdMcptmmW mWoarlSAPRmfAeJm3WprW0asdbelaw
DATE -1%7 v'!s re(l4 fA+MI�dlatB.bAMmAayrNe oalinmeeMn wramtxWthorn becmpp`irrmeN Wndi
ntm Are Wodmfe
WARNMG Fatlum b secure Worker's Compamtbn mrerepe Is anbwhl aM area sublet an ampbym b plMrel
theories, and [ d Sea In m ons MVouvM a0Da n eMmmW del al W wmpemalen
theories, n pmfor In sedbn 370of to pabw cost, lftreA est afinnByIan,
CONST1111I LEhMM0 AGENCY
I hereby &Man under career of derlury Out there Is a Condensation Lantra Agency for me derMmame of me work for
which this wand b lysed (Sec 3097 Car C)
LEADERS NAME
LENDERS ADDRESS
I mthly, Met I have reed this application and stale mal me aEma mlonNlnn a conduct. I name n comply With atl My and
coumyorm a des and amm bend, nbeUng m building consbaclbn antl hereby auWdm repruenbree of Nb mudym
amerupon ma above m (honed property far unification mrrposes
�k Syc 1p tl
PERM AME(PWNT) Z4•f la
SIGNIATIREOFFERMITTEE DAZE
APPLICATION DATE �7 /C
ISSUE DATE L PERMRB
TYPE CONST OCC GROUP
Scope of Work IJ 1 ZC C SF pFplp, 11 S% 1 *mIA_r P+.f+
C N I I aF ptowl n orN 1% 13 ATI( lZ o0�1
R DWEL UNITS _4— N STORIES 2 N BEDROOMS
DESCRIPTION SO FT FACTOR PSF
ADJ AREANALUATION
SFRIADD/REM 21.1
0
Gma9e/Cerpon
w
PaHdDBck
w
Pool/Spa
Z_
Re -Roof
9
Commercial
m
Valtlaattla o
Ado Area
QUANTITY DESCRIPTION
FEE
7.0 Lrr l rS
�- ZwarLl rG,S
�
1 �� rFr>- vaS-a. r•L
1 IrK
�
1 SvPfly Err
NT 11 prt`-la
CONSTRUCTION �-�'�
PLAN REVIEW 7�1 !-7 "/ 71
9
ELECTRIC t
gt
PLUMBING
A q • 8�1
MECHANICAL
q q - %4
INSPECTION FEE
ISSUANCE
%LMO. S'.}
SMIP
ENERGY P/C
ENERGY PERMIT
RETENTION FEE
PRE -ALT FEE
SAO L • S S
BASF
w�
rel 00
PLOT PLAN
ZONING ICCE
f.C'
T(OT/AJfyLL FEES 'IQO(JAJ�
COMYOlit/2
1bS•.�. AS
//
S
P/C ID BYJ
RECEIPia PAD BY
VAUDAT10N
VAUDATION
WHITE— Department Copy, YELLOW — Finance Copy, PINK—Assessor Copy
CITY OF DIAMOND BAR i
INSPECTION RECORD 4 #•
INSPECTION
NSPE
INSPECTION IDD AT INSPECTOR
SETBACK/ LETTER
'
TRACT ANU LEUGER
FOOTINGS FORMS
_
SWITCH GEAR
''..... SLAB
-2t.-f
COMMERCIAL HOOD ''..
''..... UG PLUMBING
T -BAR ''..
UG ELECTRICAL
INTERCEPTER
LIFER GROUND
HOT MOP/SHOWERPAN
SEWER LATERAL
SEPTICfCESSPOOL
MAIN WATER LINE
HERS REPORT RECEIVED
SEWER CLEANOUT
DEMOLITION
ROOF SHEATHING
'�
ROOF DRAINS
FLOOR SHEATHING
ROUGH CONDUIT
SHEAR WALLS BMIOR
2 C' U
PGOUSPA
'... SHEAR WALLS INTERIOR
ROUGH PLUMBING "
FRAMINGNENTING .
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH MECHANICAL '
ROUGH ELECTRICAL W )C(
A j
GAS TEST
ROUGH PLUMBING
PRE GUNITE
INSULATION WALL
1,17
POOL PRE DECK BONDING
INSULATION CEILING
P -TRAP
DRYWALL
FENCE I GATE/ ALARM
LATH (PRE) 1-1-tt
FINAL POOL
'... LATH EXTERIOR
WALLS
LATH INTERIOR
+'
WALL FOOT VIGISTEEL
GAS TEST
WALL STEEL V( } 2'm( ) LIFT
SCRATCH COAT I
All I k 1 rl I
WALL BOND BEAM
ELECTRIC METER RELEASE
WALL DRAIN/ SEAL
GAS METER RELEASE
WALL FINAL
SPECIAL. INSPECTION
RO FRAWNGPLANNINGAPPROVAL
FINAL BUILDING
17 kf
ROUGH FIRE APPROVAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
FINAL ELECTRICAL
FINAL PLANNING
FINAL PLUMBING
.... ............................
FINAL ENGINEERING/ PW
T C of.00CUPANCY
FINAL COMMUNITY SERVICES
CERT. of OCCUPANCY
FINAL HEALTH DEPT.
FINAL INDUSTRIAL WASTE
COMMENTS
mPas
GI
inspesctican.INC
229 W, BONITA AVE., SUITE 2E
SAN DIMAS, CA 91773
OFFICE (909) 592-4153
FAX (909) 592-6248
Registered Deputy Inspector's Report
Date 7_?o . Its
U Reinforced Concrete U H S Bolts
U Post Tensioned Concrete U Welding
U Reinforced Masonry U Shop
0 Sprayed Applied Fireproofing
U Quality Control
&brilled In Anchors
/
Job Address ya"��^" t f Qe" 1 4-L} r<
Cry 0 LS d � o'tt
Job Name '7"'L L£. ,&* I -y O r.
{gyp. �} ^fit !?'.w'
P L 1 i `�}� C issued Y tGk ltl9 ^d� il: J
M'vo0es,gn or Materiel used
Architect o, ,} ^ _ r t } - M� y �� I<
fC. r r
Engineer
j
Q „ti Fv C it, I'"t vi f -l,. Q
n
Contractor p .55,
Inspectogs) Name ` <; )
t
Subcontractor r . 1 L ICv
t�
{ 52.fiU<e%
t;IVO%Aii
�3 tat�2fer
Ott'
az,
7*��o et
J
(
NY
/y� x ♦ j
r
r
TIME IN TIME OUT REG HOURS O T HOURS CYLINDERS
Ni impedloas basad on a mimmom of 4 howl and o ra 4 howl • a how, minimum
In addition any Inspectionraaending past noon how will be an a hour minimum
I B
Appmvetl by
pm*ea eupemttandem
CERTIF
1 HEREBY CERTIFY THAT I HAVE
WHITE - OFFICE COPY CANARY • CITY INSPECTOR
S5 4^0
inspection -INC
c 229 W BONITA AVE, SUITE 2E OFFICE (909) 592-4153
SAN DIMAS, CA 91773 FAX (909) 592-6248
1.
l
Registered Deputy Inspector's
Report
Date
- Z S AS
Reinforced Concrete ❑ H S Bolts
Ej Post Tensioned Concrete ❑ Welding
❑ Reinforced Masonry / h Shop
❑ Sprayed Applied Fireproofing
Ej Quality Control
?I Drilled In Anchors
/
Jab Address S 7
7 q,
/
City
Job Name
rz Cknac cllfiOA
rmit No
o Oo7
fSeb
Issu By
,e! %.
f % Design or Material Used
6
Architect a
-/ 4 V /
T-1' r t !�
Engineer
`
'
Contractor
S
I spector(s) Name /
n i�tc t.
Subcontractor
"
Dr t h r7rdo-
i S n Co/1 G e
�. n
I ,
— st4/ rc� awe
k--1 het s
„� IOr; lrf <
ion ,O ,,
l cl/ h411
t
w')
eJr
All onr 6e -if / o r
TIME IN TIME OUT REG HOURS O T HOURS CYLINDERS
L/
All mspaclions based on a minimum of < hours and over a hours B hours minimum
In addilmn 'any inspection eslending Past noon hour will be an 8 hwr minimum
a
Approved by
Prgecl Superintendent aaaall
OF
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE
ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED I HAVE
FOUND THIS WORK TO COPPLY WITH THE APPROVED PLANS SPECIFICATIONS
AND PPLJQABLE SECTIONS OF THE GOVERNING BUILDING LAWS
`J SIGNATURE OF REGISTERED INSPECTOR
/r SCC
SPECIALTv ` NO AGENCY
WHITE • OFFICE COPY CANARY • CITY INSPECTOR
PINK • JOB SITE