The URL can be used to link to this page

Home My WebLink About15-1304 CITY CJF DIAM03YD BAR ' . ' DEPARTMENT 6F COMMUNTTY&DEVF.LGPME3V'I'SERVYCES � 2181Q Copley Dnre,Diamond Bar,CA 4I765 PHESS t��sav�ozo F� �vos�s�i.3u� avt�asa��n�p��uo�xocl�ne tqo9�aa�aos� t,i 7 Y Vl��d FtHMLY ��p°y SU[LD13VG PERMITAPPLICATION .....�..7 ,,(., /"....... j� y— � � XO �-y { l/YD��h 1C(.�, dPPUCATiONDATE PlC� J�J �� I JOBSITEADOflESS_ �Y . / NriPi � �" / t �}/ ft+ r�/ z APN lt}T T T ISSttE DATE�2L1J"�_yT,��—_PERMITp�R V � �.I�V T � yQWNER_,�;�. � TYPEC6NST.._- txGGFiOtIP � ADORES$ ZpN�ry(�, SETeACKS CITY ZIP 7EL � � _.. FRONT RW ❑ � APPLICAMT TEI. AEAR ❑ � SIDEtSIQE$TRE� RW ❑ � GbNTRACTOR SIDE ❑ � ADOFESS ( � �'� Z'P �� PAOPOSED USE � ARGN7ENGfDESIGNER �,�� AODRESS ...�� N DWEL UNITS #&TC}RtE5 k BEDti0QM8 � CITY ZIP TEL � tlWNtR-BUAO�OELYpN0.PIXi DESCRiP7t6N S "". N � ............. � f�ere ��m wbar SFWROQtFtEM �' a} P�rr��(81�M1dve PIszG rert b tl'd�Bk'0 h��mIB}(Socikn J0y/BW�In Md Gere9dCaipCst .,,,,,,.-- � mmca�ea be�a i�m cnedim � eraredwrec�N�'dtSrceo�mrmatrwuheneammitasnnsWc4mmr,�mpn+re,�nonen,arrew��,anY . y etl�cOae�P�mtta�aa�aese,NwmNl�tlsePPiicmRtalMV��mfileedoreaammmmnt9�9�MmMo sn PatkvDack � blloarsetl4+�suaMm9iewori+k�aitlnCamacim's5b9l4kaeatarlaaP��+e•„hSMlm I 4 �e � 7CpQNONIfIen3M9ieWnheam�di59kYbMColBtWp�hBaaheka�empibOmqCAtA�md�tlUBCds�ela u. �'�JU5Gt � �' Cm eaemV��+7mintlansd5astianTU9t5blcnyappl�nttoraPmMsubBCMm99RR�marnl�pmWy C9 � td ma¢NanMahuntlRddoYats '{AAq 2 Ra-Ra9t � �I,asamerufNaPmDeM�O'mramplc�eeswtthraBesasthbirEde �wllldo��ofar{SWNonf � Carv+rercW � ot G�e wmk,z�Ne dttUCWre Ia npt trrtembd ar ortereE br�IB�T4d4�.�sneav antl PiMeawns Gade The , � Can�acme'S�Lp.e�atawdma�ataPP7ma�wmaolPmPaMwlwihrp�'emPh�ees'aoerso�wldtat�Hds i a impram Cie�Wefty qwided tliat Cre ImpmremaMaara not IntanUad wotter�t im�e N Mxavar,llk+x��np m � �mG�em&di9�wGMnrnel�ofwrt�Gat4hedmer8u11defwltlMretlmtundmatqW�ptlnl�we9��i i � ixinWa.cUtotitreP�i�o/�le) fJlaeo�otUeA+nveM1i'.ameuiwHa%conUBCVnB'�hAwmietlCa�macmntomit§WcttheaiWeettSeeibn Valuatan AtlJ Aree ' � 70M,Buslne�end Protesroro Gak rne Cantrmmre'Staffi ueensa Lea aaes nm epoM��ar M propa.M� � 6�ItlsarimpmvesAnwn,amixtcwmrectebrNe�qec9xdthe1lcenaetlCanbazmrpu�tm�h9Ca�6acfore'Stue ' {,K,IpNTIT/ OESCF7�PTtON FEE � � IJc�,eaLawl � {}Iemer�emptlmmlkensu�umterthetunbeelafesra�aticsmelo,wrorthebllaN�preawn(sk � ' i BYmYs9�etebwleCMowto�f�ttmtei¢eNWmYPe�91:edWronwRchfm�iha�e2gtlCtlitratieasime � I zj Y��9ttM�p81bno1N0mqrvrarenbwe.e�edbytllUpe�mX,IC�roklege4ym98sWtivRQ6fihtve�t89an w ' ` av.9�ehGUHtlm{ttthMnaihmnwnsbucteGlninenh2ybylkensaticrc3scousiunEnslana!hela p(iMappiketae � qy IaxSec4m7k94aiM&.�nmeeeandFtUes9iW�4ikdew valleblau� wh�MlsePDHcatl reeuMOhhadorei � theldl VbE htpnWewleA�fOfegdv �, � ' � OFTE SIQN — � -- uqExs� suEcueana� � - -� I�eRdrmfim�umJaP�4dDequnNeilamncensed�0�4nnaolCnppler8{rm�nd�qwMS�tlon� � � d�nikn7otNeBus(�6aa�f§KFesLbwCotla�an0^7�eroeku�N6bR'eantlertep � I n t1t�NSEGLhSS � IJC f�i � ( 7 6lQE tDN77NC1pR d� WOW01'9 C9MVB78ATIINi UFr1dAANIN � ' y IIEI#AYNflWAUWJFAPFxN]Y�PERRIRYplE�'711EHriLPdSNGOEAA4aTI0N3 ___�tr�e a�W wCi malmaln a Cgrta��.qm ot Go�amrt ro Self Irewe tm Wan�x§Campensetlm v pmNaec trt COMSTRUCTION aW SeNon 3fi0�i ihe laEw COdO kr6re P��ce W Ne wo�k kr wNU�Yt Pomdi 4s is9uttl I PL4N REVfEW s _ Ihzre�dwlgmanWnYlaKer'aCanp�tronksuarrce,asrequiadtpBecC.s3TIpofNelaharCadeM E�ECTRIC i � tlmt�fotms�2e�'Cawditlorwt�id�6��sD��easus7MfWoA�a4Cortqevsatlp+ImuanceCeMme� � Polr�tr,cnberms PWMBING �.//� �lf ' y �'� MECHANIGAL... � � Po�� INSPECTIONFEE � (INSSECIIO4FFIDAQf�PR.iPtEiEDIFTHEP6VNTl4F#kOtkHIWOP�0U1MSRi0Pt�it�S&� I$SUANGE �.r �� ( � IrE�9fY9'als4cep¢rtpnanqotfie�.ak�uwhlrllDde�rtMmbaiad:�de9rotm�YqenYPa�Ba�M3nY�6oasm SMIP cecom ahf�i m tlwNbkss PmiP��ta�re IN C�bmiaWd apea tlai q 1 nhoRp bewn�e supect�4uWMnrS ' Cm�Pa�m+pmhbomsavm3rmamst+darGooeishan�+m�ms�vr�EepwAWna ENEflGYPtC ; .�. �'TE ��m'� ENERGY PERMIT � � Y/AIiNNG Feffixe ffi�Cwe Wnk9Ye fumqeneatlm m�xaga a unlax4�l an9 9t�1 e�at+n ampbrs Vt uUnecd RETENTION FEE � .Q � � peneNas antl Gaii ik�m Up pl uire nurvkeG llwu�ntl Ctlmrs(5t90 0001,:� . m ihe rnN ol Ne;um � GamaBg%�OroMtlaCtnh�cban3708o�NekbamCem�restandatMrireYafees PRE-ALTFEE_. — I � cORSt�iialt9NINUA6ENCY 85AF ,Z Ihertb9allGmwderce��f+�C�kWMeitl+ert§aCan5lnuW+tanaMO��N'toromP��aatNBwakhr � whM tlue P�N b imueit i�3�9T Cn C l — tEP6fFRSIJME y tENOfRSA0DPE95 ........ q�} [ ( I � :..ca�UHtlmtlhavareaGtMeaFPGtatlGiBnGD�aleUwlNeabava�nrormet�i6caYeetlaGreebc�m@ywilhamU'teiH TQTAlFBOS /J !� 4 + ( � aLmqa�NRanc6ea�GrteWlBwamaatl;ip�4ueGbqw�mducpan�anOnmatyuMrclEaiavrase�U�atq16CGInhro COMMENia � 91�t8tuP�9ce6bIXm piWemtfur�ec{m W�ees � a �i Bvl' ut J2 __ 'C�., __ � I � r�nnxir�uu��rs q z8N3NAlUNE�FPfqMRSE ' —�piE pr +� �COP7q��Y� PAIDBV�y�y+t.._-_VALIPATION _ _ �/�/ W}1lTE—Department Cop�{YELLOW—Flnem:e Gqty fiNK—A988sbor Capy,GOLOENFMIO—File GoQy,faAEEN—Appllc&H's Copy CITY OF [�IAMOND BAR r . , INSPECTION RECORD � ' e e • • - • . � • - SETBACK/LETTER TRACTAND LEDGER FODTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG PLUMBING T-BAR UG ELECTRICAL INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LAiERAL SEPTIC/CESSPOOL MAIN WAiER LINE HEHS REPORT RECENED SEWER CLEANOUT OEMOLfTION ROOF SHEATHING ROOF�RAINS FLOOR SHEATHING ROUGH CONDUIT SHEA � POOL/SPA SHEA � ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH ROl1GH MECHANICAL ROUGH C ( }C GASTEST AOUGH PLUMBING PRE GUNITE INSULA la � ) UOU�11S IlO POOL PRE DECK BONDING INSULATIO��ING� P-TRAP DRYW L FENCE/GATF1 ALARM LATH Q� FINAL POOL LATH EXTERIOR WALLS LATH INTERIOR WALL FOOTINGlSTEEL GAS TEST WALL STEEL 1"( )2N°� )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIW SEAL GAS METER RELFASE WALL FINAL SPECIAL INSPECTION RO FAAMING PLaNNINGAPPR0UA1 FINAL BUILDING � flOUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIHE DEPAHTMENT FINAL ELECTflIChL FINAL PLANNING FINAL PLUMBING � FINAL ENGINEEBING/PW TC af OCCUPANCY FINAL COMMUNITY SEHYICES CERT.of OCEUPANCY �FINAL HEAL7H DEPT FINAL INDUSTRIAL WASTE COMMENTS ` ..�"' � Building &Safety Division 21810 Copley I?rive Diamand Bar, Califorzua 91765 {�} e�s-�ozo F��}ssr-sii� Job Address '.�� ! �YlS'F� t/�tJ SS�v1 9 l�,fJi , �i Gt m�tt� i'Jatr� �d �� C" � � Dear Praperty Owner An apphcation tor a buddmg permd has been submitted �n yaur name stabng yaurself as the budder of the prtsperty improvements spec�fied for your protect�an, you shouid 6e aware that as"owner-builder"you are the respans�lale party of record an such a permit Butldmg perm�ts are not reqwred to be s�gned by praperty owners unles&they are personaily perfortnmg their own work if your work �s be�ng perfarmed by sameone other than yourseif, you may protect yourself from pasS�ble Iiabdity rf ttrat persan apphes for the proper permd m his or her name ContraCtors are requ�red by law to be licensed and bonded Gy the State of Gahfflmia and to have a busmess i�cense from the C�ty flf Cpunty They are alsa required by law to put their license number on all permds fflr which they aPP�Y If you empioy or fltherwise engage any persons other than your immediate famdy, and the work (mcluding matenais and other costs}�s$200 QO or more for the entire pro}ect, and such persons are not i�censed as contractors ar subcorrtractors, then you may be an empioyer If yau are an employer, yflu must reg�&ter with the state and federal gavemment as an employer and you are subaect ta sevetal olaligations mcludmg State and federal inCome Wx wdhholding, federal social secunty taxes, warkers compensat�on msurance, d�sabGtity insurance costs, and unemployment cflmpensat�on contributwns There may be financial nsks for yflu �f you do not carry out these ob�iga4ons, and these nsks are espec�ally senaus w�th respect ta wc�rkers compensatron insurance For more specific mformation abaut youe obhgations undet the federal Iaw, contact the Intemal Rewew Service (and if you wish,the U S Small Busmess AdmGmstration} For more speGfic mfotmation about your obligation&under State law, contact the Departrnent af 8enefrt-Payments and the D�vis�on of Cndusfiai Accidents If the structure�s intended for sale, the properky owners who are not licensed contractors are ailowed to perform their work persanally or through their own empioyees, withaut a bcensed contractor ot subcontractor, anly under iimited condibans A ftequent pract�ce of unlicensed persons prafess�ng to be conhactors�s to secure an"owner-butlder" bUddmg permd, erroneously�mplymg that the property awner is pravrcl�ng his or her own iabar and mater�is personally Butldmg permits are not requ�red to be signed by the properiy owners �nless they are performmg the�r own work personally Infarrnatron about hoensed contractors may be obtained by contacting the Contractors State License 8oard at 9821 Business Fark Dr�ve, Sacrarnerrto, CA 95827, wrww cslb ca aov or at($pQ� 321-CS�B{2752) Please complete and return the enGosed "Owner-Buikier"'ver�fccatton form so that we can canfirm that you are aware of these matters The budding permd wMll not be�ssued untd the venfit:�t�on is retumed ii *b Building&Safety Division 21825 Capley[hive Diamond$ar,California 91765 (904}839-7020 Faac{9Q9}861-3117 Atten6on Property Uwner An"Owner-Bu�Idet" buddmg permit has been applied far in ypur name and beanng your signature Please complete snd retum this informataon at your earf�est opporiumty to avo�d unnecessary delay m processmg and �ssu�ng your butldtng permd No bu�id�ng perm�t wili be issued unGl th�s verrficabon �s recen+ed by us � � / i personally ptan ta provide the ma�ar labor and rnatenals for oansVuct�on of the propased propett}r '`� improvement(yes or noj Y _� �'P' 2 I {have/have nat} signed an applicat�on for a budding permrt for the proposed work 3 I have contracted wdh the fallawEng perstsn(firm}to prov�de khe proposed�nstruction Name Address G�ty Phone Contractors�icense No 4 I plan to prov�de portions of the work, but I have hved the failawmg persorr to caordinate, superv�se and provide the ma�flr work Name Address Cdy Phone Cc�ntractors Lrcense No 5 I will provrde some of the work but I have cflntracted (h�red}the follotnnng persons to prov�de the work indiCaked Name Address Phone Type of Work Srgned Property Owner Date NOTIGE TO PROPERTY OWNER Dear Property Qwner An appficatx�n for a bwld�ng permit has been subm�tted �n your n5me iistmg }rourseif as the budder of the property improvements specrfied at �-3��GI $�uN ta� �,Y�Ss�N�t �o(/ �a y�d I��y� � We are prowdmg you w�th an Owner-Budder Acknowledgment and Infcyrmabon VenfiCation Form ta make you aware of your responsibihpes and �ssible rtsk you may mcur by hav�ng kh�s perm�t issued m your name as the Owner-Bu�ider We wtll not �ssue a butldmg permd unt�1 you have read, initialed your understanding of each provision, s�gned, and returned this form to us at our official address md�cated An agent of the awner canr�ot execute this notace uniess you, the property owner, obkam the pnor approval of the permdfing authonty OWNER'S AGKNOWLEDGEMENT AND VERIFICATION pIRECTIONS Read and mitiei each statement beiow to sigmfy you understand or venfy this mformat�on � �1 I understand a frequent practice of un6censed �tsons is to have the properiy awner obtain an "Owner- 8uddet' buitdmg permit that erroneously imp6es that the property owner �s prov�dmg his or her own labor and matenal persianaily I, as a� C}wner-Bu�Ider, may be heid bable and sub�ect to ser�us financaal nsk for any mJunes sustained by 8n unitcensed peeson and his ar her employees whde working on my property My hameowners msurance may npt provide coverage for those mJur�es I am wdlfui(y acting as an t}wner-Budder and am aware of the limits of my insurence caverage tflr maur�es to workers on my praperty G�'2 I understand budding permits are not required to be signed by property avmers uniess they are responsible for the construction and are not hmng a licensed Contractor to assume this respansibility �r�- 3 I understand as ar� "Owner-Butlder" i am the responsibie party of record on the permit i understand that# may protect myself from potentiai financ�at nsk by hmng a I�censed ConVactor and hav�ng the permit filed m his or her name instead of my own ��""'4 I underst�nd Gontrectors are required by Iaw to be I�CBnsed and bonded m California and to Iist their 6cense num�rs on permiis and cantracts �� 5 I understand rf 1 employ or otherw�se engage sny persons, other than Caiifomia licensed Gontractors, and the total vaiue of my ccrostruction is at least five hundred dollars ($50d}, mGudmgia6ar and matenals, I may he cons�iered an"empioyer' under state and federal law C�t�6 I undeesta�d �f I am considered an "ernployer" under state and federai law, 1 must register with the state and federai government, w�thhold payroll taxes, prowde workers' compensatron d�sab�hty insurance, and contr�bute to unemptoyment compensabon for eBCh "employee" 1 also understand my fadure to abide by these laws mey sub�ect me to senous financtal nsk � l-� i undetstand under California Contractars' State L�cense Law, an Owner-Builder who budds single-famdy resident�ai structures cannot legatty duild them with the �ntent to affer them for sale, uNess ail work is performed by I�censed suhcontractors and the number of structures dces not exceed four wath�n any calendar year, or aii of the work is perfnrmed under cantrac[with a 6censed general bu�Iding Ctrnhactor �� I understand as an Owner-Butlder if I seii the property for which th�s permit rs �ssued, I may be held ba61e for any financ�al ar personai�naunes sustamed by any subsequeM owner{s}that resul!from any latent panstructwn defeets �n the workmansh�p or matenals , �� . ' ' '�L9 I understand I may obtain mare informatbn regardmg my ob4gahons as an "employer" from the Intemal Revenue 3ervice, the Un�ted States Smali Business Admm�stratron, the Cal�farnia department af Benefit Payments, and the Caltfornia D4ws{on qf Industnal Accidents i aiso understand i may contact the Cai�famia Contractors' State Lioense Board {CSLB) at 1-80Q-321-CSI.B(2752) or�rmmw csib ca qov for more information about 6censed contraciors ��-"f 0 I am eware of end consent to an Owner-Budder bwldrng permit appiied for in my name, end understand that i am the party iegaliy and financ�ally responsible for propased Canstruct�an activdy at the followmg address CJ�1 I agree that, as the party Iegaily and financially responsibie for th�s proposed construct�on actiwty, I wtll ab�de by aii apphcable (aws and requiremeat5 that govem Owner-Budders as well as emplay8rs G�12 I agree to not�fy the issuer of this form immediately of any additions, delefions, ar changes to any of the �nforma4an I have prowded on th�s form I.rcensed contr�ctars are reguiated by lews des�gned to protect the publ�c If you contract wrth someone who dces not have a��cense, the Contractors' State License Baard may be unabis to asaist you wdh any financiai loss you may sustam as a resuk of a complaint Your oniy remedy aga�nst unlicensed Contractflrs may be in crvtl opurt it�s ais�important for yflu to understand that rf an unhc�nsed Contraotor ar empiayee of that ind�vidual or firm is �n�ured whde workmg an your property, you may be held hable for damages If you obtam � permit as Qwner-Budder and w�sh tfl hve Contractors, you will be respons�ble for venFy�ng whether or not those Contractors are properly hcensed and the status of the�r workers'compensatron �nsuranoe oaverage Before a butlding permit can be issued, th�s f�rm must be�mpleted and 5�gned by the pr�perty owner and returned to th�agency�sponsibie for tssumg the permd Note A copy af the property ourt�er's dnver's Iice�se, form natanzation, or ather venficat�o� acceptable ta the age�cy is reqwred to 6e presented when the permit is�ssued ta venfy the property owner's s�gnature S�gnature of Property 4wner ��'j'�,��1�x� Date f? / Z�'2 4 ! .7