HomeMy WebLinkAbout1155 DIAMOND BAR BL (2) �kPr'��(j
'� - �• �-����. C1TY OF DIAMOND BAR � '
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� { ( i ' � DEPARTMENT OF COMMUNITX&DEVELOPMENT SERVICES
��'' j�;;i:.; - ' 21810 Copley Drive,Diamond Bar,CA 917fi5 PRES
�;,� (909)839-7020 Fux: (909)861-3117 Building Inspection Hotline(909)839-7027 F�RMLY
'�`�'��°'`. BUII.DING PERMIT APPLICATION
� 1 , � �V,e APPLICATION DATE: � 3 P� � � °�� _
�¢ JOB SITE ADDRESS {�S� s• ��u�� — ISSUE DATE: ��g .( �� PERMITq I�f--- U(�a„_�
z APN ' LOT TRACT � �—
o TYPE CONST. OCC GROUP:
o OWNER
w ADDRESS ZONING SEfBACKS
�
� C11Y Z}p 7EL. FRONT RW �
a APPLICANT TEL REAR �
�
o - SIDE/SIDE STREET RW
a CONTRACTOR ���`N1/� SIDE �
o� ADDREnSS �a'� � PROPOSED USE �' "
� CITY /��52/Y7 ZIP c1 1 7�A TEL. 6Z6 �`� 6 �-ES-�-flliJ�1�L��
0
" ARCH/ENG/DESIGNER
0
o ADDRESS tl DWEL.UNITS #STORIES #BEDROOMS
Q CITY ZIP TEL. DESCRIPTION SQ.�. FACTOR PSF ADJ.AREANALUATION
� OW11ER-BUILDFR DECLA1fAT10N
¢ I hereby afllrm wMer penatty of Derryry that I am e�mpt hom the Contractor's Sfate License�aw for the reasonls) SFR/ADD/NEM
� InOicated bebw by the checkmark(s�,I have placed ne�R to the aDDlicable item�s)�Section 70375,Business a�M
� Garage/Carport
Profession.s Code:Any ciry or county that requires a Dermit to coreWct,alter,improve,demolish,or repair,any
zstrucWre,priw tu�ts issuance,also requires the applicant for tlie permtt to file a signed sWtement that he or she W Patio/Deck
� Is Iicensed pursuant to the provislons o1 the Contractor's SWte IJce�e Law(Chapter 9)Commencing wit�Sactlan LL p�uSpa
� 7000 ot Division 3 of ihe BuSlness and Prafesslons Code]or lhat he or slia is ezempl hom liCensure and tlie Dasis tOr �
� the alleged ezemption.My violatian of Sectirn 7031.5 by eny applicaM for a permit suD�ects the aDDlicant to a dvll�nalry Z Re-Roof
� of not more than(nn hundred dollars�5500).
�
o (,I,as owner of the property,or my employees with wages as Ne(r sole compensatlon,will do(�all of or(.�purllorts � Commercial
0 of the work,end ttie struchire is not tntended or otteretl fw sale(Sectfon 7044.Business and Rofessions Code:The �
tt m
� Contractnrs'State License Law does not appry ro an ovmer of property vfio,through employees'or personal ettort,huilds
w or Improves ihe property,providod that the improvements are not Intendetl or offered for sale.If however,ihe builtling or
� Improvement is sold within one year ol completlon,the Owner-Bullder will have the burden ol proving that it was rrot buitt
por imprwed far the purpose of sale.).
� 1 as owner ot lha ro
F U, p perty,arn exdusivety conVactlng with licensad Cuatractors ta cnnshuct ihe pruject(SecGa� Valuation: O O Adj.Area:
0 7pqq,Business and Professiorts Code:The Coniractors'Stale License Law does rwt appty to an awner of Droperty who
Z bulldsorimpruvesmereun,andwhocontrxtstortheprojeclswithallce�etlCuntractorDursuanttoiheContracrors'State �UANTITY DESCRIPTION FEE
�
Y Ucense Law.). �
o U���empt hom Ifcensure under the Contractor's State License law for the tollowing reason(s): �
� �
�y, U
By my signalure below I acknowledge tha4 except tor my personal residence in which 1 musl have resided fw al ieast one w
z year prior to completlon of Ne improvements covered Dy this permit,l cannot legalty sell a structure that I have bultt as an �,
0
aowner-builder if it has nol been construcied in its eniirety by Iicensed contraclas.l understarql that a copy ot the applicable
� law,Section 7044 01 ihe Business and Prolessions Code is avallable upon repuest when this application 5 submitled ar at
X Me tollowing Web sRe:httpl�w+w.leginto.cagov/calaw.hhnl. m
"-� OATE: SIGN: �
� LICENSED CONiRACTOH'S DECLAflATION �
U
w I hereby aflirm urMer penaliy ot perjury that I am Iicen5e0 under provisions of ChaDter 9(Comme�i�with SeCtion 7000)
� ol Division 3 of tt�e Business antl Professions Code,and my license is in fiill force and eflect.
N ��� O- C�T S LIC.NO.: Z 1 q S I �
o DATE: S�il�I3 CONTRACTOR: p�•� �/1 IA ' �
Zd WOBKEti'S COMPENSATION�ECIAFlATION �
� I HFAEBY AFFIRM UNDER PENALTY OF PEAJURY ONE OF THE FOLLOWING DECLARATIONS: !��
¢ I nave ar�d win matntaln a Ceriiiinte ot Caisent ro Seli-msure tor worker's Canpensation,as providetl by CONSTRUCTION: �T' C'�'�
� SecUon 3700 o11he Labor Catle,for Ne perfamance of the work far which this permit is issued. p�qN REVIEW: �`' 4�
�
j I have and will malntain Worker's ComDe�tbn Insurance,as requlred by Section 3700 of fhe Labor Code,for ELECTRIC: S� • O`Q—
o the performance oi ihe work for which ihis permit is issued.My Worker's Compensatlon liuurance Carrier and
¢ PolicyNumberare: A� � PLUMBING:
o �16i � � /' \` y�n��I�1'!Jj IV A f�On�, MECHANICAL:
Z �'d_
� POUGYNUMeER �p,fCD-T�.I��� ZZ INSPECTION FEE:
� (f}flS SECf10N NffA N0T BE COMPLETED IFTHE PFAMR 4S FOR ONE FIUPIDRFD DOLLNiS(510�OR LF.,�SJ. ISSUANCE: �� ' �-
�
o �certilY that in ihe P�ormarwe ot ttce vrak lor which this P�mit is issuetl,I shau not emPloy am'Persm m any manner so as ro SMIP: � . C�G
o becane sub�ect to Ihe Worker's Camperxation Laws of Calilomia.Mtl agree Nat il I slroWd becortre subject tu tlie Wmker's
� GompepSauQn�M Sectim 37�0 ot the�aba C�ade,��shan�atlnyith compy witn those awisiuns. ENERGY P/C:
J DATE:K I� aavucnr+r: ���Pn���L �J�•� ENERGY PERMIT.
LL
� WARNING:Failure to secure Worker's Campensation coverage is unlawFul,and shall suaect an empbyer to crfminal RETENTION FEE:_ - �'' L�
w penattles and chril(�nes up to one hundred Mousand dollars(3100,000),in addition to the cost of ttie compensation,
a damages as prmrided for in section 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE:
� CQNSTRUCTION LENOING AGENCY BSAF: 1 � �
w I here�y afOrm unAer penafty oi per�ury thal there is a ConsVuctim Lending Agen�y lor the perlormar�ce ol the work fm '
� whicn tnis permil is ts�ed(sec.3097,Civ.c.�.
� LENDER'S NAME
� LENDER'SADORESS:
`� 1 certity that I have read this aDP�i�tion an0 s[ate thal ihe above informaGon is conectJ agree to compty with atl cfty and TOTAL FEES ag�•
� counry wtlinar�ces and state laws relatlng to buiiding consUuctlon,and hereby authorize representatives of Nis rounry to CpMMENTS:
� enter upon tl�e above-mentioned properry fw inspeclron purposes.
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a PERM � 818113 �
= 7U F P�� QATE RECEIPT H�S� PAID BY: 'S VAlJDATION:
F-
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENFOD—File Copy,GREEN—Applicant's Copy
CITY OF DiAMOND BAR .. -
INSPECTtON RECORD
• � • � � - � e . � .
SETBACK%.LETTER�,.:",: "'' - `�,;; +' TRACTAND LEDGER
FOOTiNGS FORMS - ,. _ys �,-h
�;: :.. - ,
-� � �: ', ," ' �� ,a_ .� -��, SWfTCN GEAR
- - . ;, .�,_. .__ �
=5�-�`B �.'��. ;�;�'� �1.�- =�� COMMERCIAL HOOD
�UG:PlllMBING �""3 ' �`_ � '� �`� T-BAR
'UG;'ELECTRICAL " _ � �, ,� �.,,_ ;' INTERCEPTER
;UFER GHOUND", � - , ;��� ���, ,,� ,��': HOT MOP/SHOWERPAN
SEWER IATERAL SEPTIC/CESSPOOL
MAIN WATER L1NE � HERS REPORT RECEIVED
SEWER CLEANOUT DEMOUTION
ROOF SHEATHIN6 ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
SHEAR WALLS'EXTERtOR _' " - , ; '.. PQOUSPA �'�� _ -`"• � ' ' '• `>�
,
SHEAF?WALLS INTEFRIOIi �;'.' � ` ' .�.,.`' ', t. s ., � �� `''''e .r� `Ft0U611 FLUMBING ;.,�5 , `' A r+,t*'�.�
`.FRAMING/VENTING ' -� _ ' ; , ' r ' 'ROUGH ELECTRICAL �_.�'N� '� _'_' . .;;� >�: ',, �;�;�
ROUGH MECyANICAL ;_ � �' �` ' '�` ' -
/ '" � � „F,:� t- J � r ',. 1S
���ROUGH MECF�ANICAL ' ` ` ` c -
ROUGH.EL`'ECTRICAL;�NI( )C(-�°)', ` ,s,,;-� h = `t c, °GAS TEST ' `'r ` ;F E,�° ; `' E`k,= �i S
'ROUGH'PL•UMBING ` � : � � � s ^
� � -
. ,= , _
� ` PRE GUNITE
.. . .
_� _ . _: _. � . . __�.- �� � �- =
— '
INSULATION WALL `POOL PRE DECK.BONDING `." c;r �� F,_„�_ _,. ,:,; `_ i., �s :;. „ �:;'
INSULATION CEILING �" �:`: +', ',� �'�� �;;� a ��, ��;���
;P TRAP` ,,. ;� ,a =�:r � �. -
DRYWALL ;FENCE 7 GATE/°ALARM 2j; . � .: � , g- "s-,� . ,;�'
LATH(PRE} FtNAL PQOL� �' ' ;,�, - - , `r� ' _;+�
.�::, �.
LATH EXTERIOR WALLS:
IATH INTERIOR WALL FOOTIN6/STEEL
GAS TEST WALL STEEL 1�( )2N0( )LIFT
SCRATCN COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DR,41N/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL fNSPECTION „RO.f�iAMiNG,PIANNINGAPFRO.VAL � '' -' ` = F ";
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FINaL'BUILDING� _ �' � �f � � ' - 'ROU6FI FIRE�AF?PAOURL ;, J � --'� � ,':
fINAL MECHANICAL,: - ' �� , � - <: ,`
" r FlNAL.FlRE DEPARTMENT� ��`� �' �
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FINAL'ELECTRICAL •:':• • ': 1 ; , ` .; , ', c a j �'_ , _
` FINAL,PLANNING='
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FINAL PLUMBING �4 -{ � � - - .�°' r ,�;., �; >,�;
.; ,: �� � _�,
";'�� �� 'FINAC ENGINEERI�NGJ PW_��� _-; .' '�
= = - ,., .� '..< �h' . . . . '. `., � ..�: ' ,:'. ,:�.. .� 1. 5"t!j��F�
T.C:of OCCUPANCY �. '� _ 'FINAL COMMUNITY SERVIGES �.,,� �"��; �, . , ;;;;
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CERT.of,9CCUPAHCI!,,;' . _- ,;; .,. �,;,>,� . �_�. , ,. � .. ��'FINAL`�HEALTH.DEPT . °t . � - �
F,�
. 'FINAC INDUSTRIAL WASTE�, �b ;_ � �' _
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