HomeMy WebLinkAbout1155 DIAMOND BAR BL (28) �E�I a�\�e.y �l �s'ti-a �-
�u,���'�._ CITY OF DIAMOND BAR
j I i ' I DEPARTMENT OF COMMUNITY&DEVELOPM�NT SERVICES
�l���„�.= 21S1�Coplcy Drivc,Diamond Bar,CA 91765 PRESS
�,�� +,,,�� , (909)839-7020 Fax:(909)861-3117 Building Inspec:tion Hotline(909)839-7027 �� FIRMLY
••��°' BUILDING PERMIT APPLICATION �'..J
~ �I SS S• U�l���•N� F�1�'� 'G3�.UQ�C? APPLICATIONDATE: ` � P/C#
w JOB SITE ADDRESS ISSUE DATE: S I � � (�- PERMIT# - 33'4'
oqp� $�Z�Z LOT ��� TRAGT O CO
o OWNER b�I�4(r1UluU (� �ZUJ�A1 C� NalYl LLL TYPE CONST. OCG GROUP:
� ADDRESS FJ 7 f � PrpG�I����I L� GDO��T ��"I�u�1 '�F Z-J b ZpNING SEfBACKS
� CITY �J �1(� 8(�N _ ZiP��TEL. �bZ� �� '�Sy'� FRONT RW ❑
� APPLICANT Flgo I�IOS � /�GAb�hl`1 T,EL. 6Z6 '$bg-g��0 REAR �-
o SIDE/SIDE STREET RW �
I a CONTRACTOR ��GTAL.. �Au�L-D��.S lD���d�.AT�� SIDE �
c� ADDRESS��D s� Yh� I�l�I.SL-E� 'S�1 � / 'S�'�'�T� C PROPOSED USE
¢ ciry Qc.�}cE�inp. ZIP��TEL. �.lt}-�LS�Q>S(o5f _��T t 'r
o ARCH/ENG/DESIGNER µOISE� v((�(.CCrKS w�FR�4UfI�RVA
o ADDRESS'�7 F�d �� v��'"� ���'���T� �u�r� � q DWEL.UNITS #STORIES �BEDROOMS
¢ CITY i�L.4-CF uT//� ZIP qas�oTEL. �(�-�LX� '"����� pESCRIPTION SQ.FL FACTpR PSF ADJ.AREANALUATION
� �wr��s-eNinea oEcuwanax
� 1 hereby attirm under penatty of Derjury that 1 am exempt hom the Contracta's State license Law for the reason(s) SFR/ADD/REM ��
� fntlicated below by the checkmark(s),I have placed next to the aDD��ble item(s)�Secllon 70315,Buslness and Gara PJCarport
u9 g
pro(¢ssions Cotl¢:My dty or counry that requires a permit to construct,alter,improv&demolfsh,a repalr,any
z strucWre,D��or to Its Issuance,alw requires the appllcani tor tAe permit to fila a slgned statemen at he W She w Patio/Deck
� s licensed pursuant to the Drovisions of ihe Contractor's SWte License Law(Chapter 9)Com ng wNh Sectlon LL p��a
� 7000 of Oivislon 3 of the Business an0 Proiesslo�Code]or that he w she is ezempt hom nsure antl the basis for
N the atleged eaemplion.My aolation of Section 7031.5 by any applicant fa a permR sub�e applicant to a cNil penalry Z Re-Roof
N ol not more than frve huntlred dWlars(550D).
�
¢
o u I,as owner of the property,a my employees wfN wages as ihefr sole c nsation,will do(,all of or(�porUons � mmercia
0 01 the work,and the strucNra Is not InterMed or ottered 1or sale(S 7044,Business and Pmfessbns Code:The �
w m
c� Contracturs'State License Law dces not appry to an ovmer ot pr vfio,through empioyees'or personal eflort,builds
w w improve5 Ne property,provided that the improvements ar t intended or oftered tw sale.Ii however,the building or
� Improvement Is sold withio one year of compleli0n,the r-Bullder will have the burden ot proving mat it was not hullt
por improved tor ihe purpose of sale.j. -
� 1,as awrter af the m a 9 �
r (� p p rty,am eaeclusiv cantracUn wilh Ilcensed Caniractors tn consWd ihe pro ect(SectiOn ValuBtiOn: (_ � Adj.Afea:
� 7044,Business arM Prolesslons Code: CoMractors'State Lice�e Law does not appty to an owner ol properry who
� huilds w improves thereon,and wh hxts tnr the prujecls with a Ilcensed Cantracta pursuant to the Contractors'State �UANTITY DESCRIPTlON FEE
Y Liceiue Law.). Z� I.�Gck}T �1 X TLL/1.E�i
o (,I am exempt ftom li ure under lhe Conlractor's S1at6 Ucensa Iaw for ihe toflowing reason(5): �
� � �---� N G(.� �'!r"L b-R�Gr/T'N G
`� By my signatur ow 1 acknowledge tha4 except for my personal residence in which I musi have resided for at least one � �,(, p(1 f LC k O u C
Z year prior ompletion of ihe improvemenLS covered by this perm0.l cannot legally sell a sWcNre that I have built as an
s S Sw � rc -
� own i der If il has rqt been constructed in its entirety by licerrsed contraclors.l undersGntl that a copy of the applicable
law,Sectbn 7044 of the Business and Professions Code is availabte upon reQuest when this application 6 submitted or at
X the following Web s)te:http/www.leginfo.ca.govicalaw.htmV. m ��� o i� T W �Z
w DATE: SIGN: �
� L10EN5ED COMRACTOR'S DECLARATION a
U
w I hereby aftirm untler penalty ot perjury thaf I am licensed under pra+Ssions oS Chapter 9(commencing with Section 7000)
� ot Division 3 ot the Business and Professions Code,and my license is in full torce and effect. � ` µ��� F.� �""k�.,('T!N Cr
�
N ucFNSE cwss: ���Z � uc.No.: 6 GLA SS i iF t Gh T�U� Z D S�7 R t 6u Tt 0 uJ
oZ DATE: �3 L�,.0� ONTRACTOR: �2�►GTfI�L- R i1![..1�t fl� /M C �
¢ WORKER'S COMPENSATION OECLARATION
�� I HFREBY AfFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECIAflNT10NS:
w
¢ 1 have and will maintain a Certi�cate of Consen�to Self-Insure iw Worker's Compensation,as provided by CONSTFiUCTION: �
� SecUon 3700 of the Labor Code,tor the perfumance af the xrork tor which this permit is issued.
� PLAN REVIEW:
> �I have aM will mairrtain Worker's ComDensation Insurance,as requiretl by Section 3700 of the Labor Code,for ELECTRIC: g����-
o the perlwmance of the rrork lor which this permit is issued.MY Worker's Compensation liuurance Carrier end
iu S
a PolicyNumberare: PLUMBING: �• S-
o CARRtER Pcl�l'CttiftirST MECHANICAL•_ S� - ��•
Z POUCYNUMBER S 4t/C' L O��� '�L�I INSPECTION FEE:
� (i}4S SECiION�kEO N0T BE COMPLEfED�FTHE PEFtMfT IS f�i ONE HUNDREO DOLIARS.(a'i10�OR LESS�. ISSUANCE: ���• 9�
� I caUfy tlial in ttie perfortnance of Ne vmrk fa which Nis permit is 4ssued,I sliail mt empfoy arry person in a�ry manner sa as to �=j. g-5
beoome subject to the Worker5 Comper�satlan Laws ol Califarnla.Md agree that u I shouid becrome subject m the Waker,s SMIP: w
� Compensation provisiais ot Section 3700 ot 1he Labw Code,I shall I�ruiwith compy with Nuse pmvisiax. ENERGY PlC: ���•�`�"
�
LL DATE: APPUCANT: ENERGY PERMIT: �`�• 4�-
� WARNING:FaiNre ro secure Workers CompeivaGon cwerage is uNawful,and shall subjed an employer to criminal REfEN710N FEE: `�' �7
w penallles and clvil fines up to one hundred thousantl dollars($100,000�,In additlon to Ne cust of the compensaUon,
d damages as provided tor in section 3708 01 the labor code,interest,and attomey's fees. PRE-ALT FEE:
0
� CONSTRUCTION LENDING AGENCY BSAF:
Z I hereby attirm under penalty of per�ury that there is y �ction Lending Ageiay tor Ihe peAormance ol the work for
w
� which ttus permil is issued(Sec.3097,Gv.C.). `t`�
� LENDER'S NAME �� - —
� LENDER'SADORESS:
a I certity that I have read mis appticatioo and state mat Ihe above informaBon is cwrect.l agree to compry wiN all city and T07AL FEES �1
� cnunry ordinances and state laws relating to bulldinq conshucfion,and hereby authorize representaUves of this counry to COMMENTS:
z
o enter upon Itie above-mentloned pmperty ior inspect'ron purposes.
m tiVZ�f L��1 �,s �/1�c� c. t t, 'R.S �
¢ PERMfTTEE NAME(PRINn � �� _
= SIGNATURE OF PERMITfEE OATE RECEIPT# ���`� PAID BY: �aa�'S VALIDATION:
r
� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENFOD—Fle Copy,GREEN—ApplfcanYs Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
� / � ° � � , � � �
SETBACKI;LETTER ` � �; q �' `� ''^`, 'Y� :�' _=` TRACTAND LEDGER
FOOTfNGS'FORMS, , ;'1 `�-:;=s�' },n;. ,�,�' r'_ , � ;.�; ;e'. SWITCHGEAR
Sl.A6.' r` 2-� .,;ti ,F fi-s vY,i� ,r :
COMMERCIAL HOOD
U6:PLUMBING`; _ `� , F'= `� : >� ` ' ,: T-BAR
-�.,
UG.fLECTRICAL -� - ° "'� :.: INTERCEPTER
UFER'-GROUND:. ' , � �:�� _3. •:'. ,-... ��� HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECENED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLO
OR SHEATHING ROUGH CONDUIT
� � �', �� POOL/SPA�' .�;_; � _ � � �: a
SHEAR WALLS EXTERiOR' � ' � ` �
, , t � 3 ,�, „� ROUGH PLUMBING � - � - :Y � �
SHEAR WALCS INTERIOR> '� -- � ` :
ERAh111NGNENTING �'�.� �S� Iq. ��`..e _ -:��- „ ROUGH.ELECTRICAL'�, � - ,.'� � �' �, _ ' �
Fi0UG11 MECNANICALk� : - ,� : ,F i � ' ` � FiOUGN NIECHANICAL �� �'f , k' �'�'��ri''x
�.ws � r �. : , X _ ,, , ', �� � ,
fiOUGli ELECTFtICALfW(„)C( ) � � d - � 4� - ' GAS TEST: , - j � � � ; "
'ROUGH PLUMBING _��:„ - ' '��_-�� PREGUNITE ' , t' - ' �� � ? '
� , s; � �. � ,.t; .. �,: a :
.,. .�
INSULATION�WALL ;POOL PRE'DECK BONDING '��� �,; � `"� � ���' '•�? c `'t �'
INSULATION CEILING � P,-TR{1P�;�'' ' " ,��' r;,`� }' °� , �
� � F �.��.'
DRYWALL 0 FENCE l'GATE!AIARM ''t � y :� � a� ` �
j;.
LATH(PRE) . FIPIAL.P001. 'z _ ��z��� . . ��
LATH EXTERIOR �A��
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�T( )2N0( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIW SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION R0.FRAMING PLlWNINGAPPROVAL r �:��` _���� r t- ;
FINAL-BUILDING ` LL��{-' ` - " ROUGH FIREAP?RD,UAL ` 3�`� �� ` ' `�_
FINAL MECHANICAL �' � - '' � � � .'' � ` FINAL$FIRE DEPARTMENT ; s �s �, -
'" "" FINAL PI:ANNING�; `- �F ' ` -
FINAL ELECTRICAL�, , ; ' r �, �� _ — � : ,
�FINAL�pL:UMBING � �" ' �"� ` `�� � _+` ` "� �`� :�" .- �. ; , :` :F1NAC ENGINEERING!PW `� � -
T.C:of OCCUPANCY ; ��� , � ` ,FiNAL COMMUNITY SERVICES ` � `
, . .
CERT of OCCUPANCY:'-. �'� , ;:: . .. � � .� .:J ,µ_.,,s. ' .�. ._., FIN LTH,DEPT , `; } �
AL HEA �
FINAL INDUSTRIAL WASTE'::'� � ' -'` ', �
COMMENTS: