HomeMy WebLinkAbout1184 DIAMOND BAR BL �'' " CITY OF DIAMOND BAR � I
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':. I I i I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
� PRESS
I;' ` 21810 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax:(909)861-3117 Building inspection Hotline(909)839-7027 FIRMLY
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���"', BU[LDINGPERMITAPPLiCATION www.cityofdiamondbar.com building@diamondbarca.gov
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w . APPLICATION DATE: P/C# _ � �
a JOB SITE ADDRESS � �
Z ISSUE DATE: PERMIT#:
� APN LOT TRACT
0
I � OWNER h' TYPE CONST. OCC GFOUP:
� ADDRESS (l�dI �
¢ CITY �� ZIP�'��TEL. � ? � Scope of Work
x
N APPLICANT�i� C-��+�r,�,^J TEL. �'��( �,35`7 �TL .
a CONTRACTOR � ` .
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� ADDRESS I ` ,� #DWEL.UNITS #STORIES #BEDROOMS
a CITY � ZIP�xTEL."�/� "=77 7 7 7`7
o ARCH/ENG/
z DESIGNER DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
ZADDRESS SFR/ADD/REM
m CITY ZIP TEL. Garage/Carport
¢ � Patio/Deck
2 OWNEH-BUILDER DECLARATION w
oI hereby affirm under penalty of perjury that I am exempt from ihe Contractor's State Ucense Law for the reason(s) LL PooUSpa
w intlicatetl below by the checkmark(s�,I have placed ne�t to the applicable item(s)[Section 7031.5,Business and Z Re-Roof
WProfeuions Code:My city or couMy that requires a permit to construct,aHer,improve,demolish,or repair,any �
a struclure,priar ta iLs issuance,also requires Vie applicant for 1he permit M file a signed statement that he or she � Commercial
NN is licensed pursuaM to the prorisions af the Contractor's State License Law(Chapter 9)Commencing with Section �
7000 of Division 3 af the Business and Professions Code]or that he or she is exempt from licensure and the basis for m
� the alleged exemption.My violation of Section 7031.5 by any aDPlicant for a permit subjecTs the applicant to a civil penafly
0 of not more than five huntlred dollars($500�.
� (�I,as owner otthe property,or my employees wdh wages as their sole compensation,will do(�all of or(,portions
z of the work,and the structure is not intended or offeretl for sale(Section 7044,Business and Professions Cotle:The V8/YBtiOfY. Adj.Area:
� Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds
Uor improves the property,provided that the improvements are not intended or offered for sale.If however,the building or QUANTITY DESCRIPTION FEE
improvement is sold within one year of completion,the Owner-Builder will have the burtlen of proving that it was not built
or improved for the purpose of sale.�. a
Z (�I,as owner of the property,am exclusively contracUng with licensed Contractors to construct the project(Section ¢ �
N 7044,Business and Professions Code:The Contractors'State License Law tloes not apply to an owner ot property who �
Y builds or improves thereon,and who contracLs for the projects with a licensed Contrador pursuant to ihe Contractors'State �
o icense Law.�.
w
� U I am exempt from licensure under the Contracror's State License law for the(ollowing reason(s): �
z
Z m
� By my signature below I acknowledge that,except for my personal residence in which I must have residetl for at least one �
Q year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an a
X owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the
,�, applicable law,Section 7044 of the Business and Professions Code is available upon request when this appliration is � L, i)
o submitted or at the following Web site:http/www.leginfo.ca.gov/calaw.html. � ��
� Q L
LICENSED CONTRACTOR'S DECLARATION =
� I hereby affirm under penalty of perjury that I am licensed untler provisions of Chapter 9(commencing with Sectlon 7000) � �
� of Division 3 of the Business and Professions Code,and my license is in full force and effect. � I
N LICENSECLASS: C' LIC.NO.: yIQ� I�I�
� CONSTRUCTION:
Z DATE: CONTRACTOR: � G
a PLAN REVIEW:
p WOHKER'S COMP NSATION DECLAHATION
a I HEREBY AFFIRM UNDER PENAL7Y OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ELECTRIC:
o I have and will maintain a Certificate of Consent to Selt-Insure for Worker's Compensation,as provided by PLUMBING:
� � Section 3700 of the Labor Code,tor me performance ot the work for which this permit is issued. MECHANICAL: �� . E��
p I have and will maintain Worker's Compensation Insurance,as required by SecUon 3700 of the Labor Code,for
a Me performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and INSPECTION FEE:
Policy Number �/�
W CARRIER �CI'C/�G ISSUANCE: � . l�}-
z
� POLICYNUMBER �alA (��� �� SMIP:
� (THIS SECTION NEED NOT BE COMR.EfED IF THE PERMfT IS FOR ONE HUNDRED DOLLARS($100)OR LESS). ENERGY P/C:
p I certiTy that in the performance of the work tor which this permit is issued,I shall not employ any person in any manner so�to EN ERGY PERM IT:
o become subject to the Worker's Compensatlon Laws af Califomia.Mtl agree Nat'rf I should become subject to the Worker's
J Compensalion provisions of Sec�Gon 3700 of the Labor Code,I shall torthwiih compy with those provisions. RETENTION FEE: �. CY3
� DATE:ZR/�APPLICANT: �� PRE-ALT FEE:
� WARNING: ailure to secure Worker's Compe sation c erage is unlawful,and s all subject an employer to criminal gASF:
� penalties and civil fines up to one hundred thousand tlollars($700,000),in adtliGon to the cost of the compensation,
p damages as provided for in section 3708 of the labor code,interest,and attomeys fees. PLOT PLAN:
a CONSTRUCTION LENDING AGENCY ZONING CLEARANCE:
= I hereby affirm under penalty of perjury that there is a Construc[ion Lending Agency for the performance of the work for
� which this permit is issued(Sec.3097,Civ.C.).
H LENDER'S NAME:
wLENDER'SADDRESS: TOTAL FEES �OU - 1�
� I certify that I have read this application and state that the above information is correct.I agree to comply with all city and
Z county ortlinances and state laws relating to building cons[ruction,and hereby authorize represenlatives of this county to COMMENTS:
o enter upon the above-mentioned property for inspection purposes.
°° � 1 0�'►�1,2i,�
a PERMITfEE PRINn , P/C: PAID BY: VALIDATION:
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h
RECEIPT# ���I—I �JS PAIDBY: �CC��S VALIDATION:_�_
F SIGNATURE OF PERMI E DATE
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy
CITY OF DIAMOND BAR �
INSPECTION RECORD y`��
• � � . � . . � � , � .
SETBACK/LETTER TRACT AND LEDGER
FOOTINGS FORMS SWITCH GEAR
S�qg COMMERCIAL HOOD
UG.PLUMBING T-BAR
UG.ELECTRICAL INTERCEPTER
UFER GROUND HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
SHEAR WALLS EXTERIOR POOUSPA
SHEAR WALLS INTERIOR ROUGH PLUMBING
FRAMINGNENTING ROUGH ELECTRICAL
ROUGH MECHANICAL ROUGH MECHANICAL
ROUGH ELECTRICAL W( )C( } GAS TEST
ROUGH PLUMBING PRE GUNITE
INSULATION WALL POOL PRE DECK BONDING
INSULATION CEILING P-T�P
DRYWALL FENCE/GATE!ALARM
LATH(PRE) � �'� �" ' � ' � • � FINAL POOL
LATH EXTERIOR ` �� ti � WALLS:
LATH INTERIOR - ' • WALL FOOTING/STEEL
GAS TEST ' ' %� •. •. .. , a. r,. WALL STEEL 1sr� �2No� �LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION R0.FRAMING PIANNING APPROVAL
FINAL BUILDING l' ROUGH FIRE APPROVAL
FINAL MECHANICAL ( • Sr•- ��, a+�/�L'�`..' FINAL FIRE DEPARTMENT
FINAL ELECTRICAL • � FINAL PLANNING
FINAL PLUMBING FINAL ENGINEERING/PW
T.C.of OCCUPANCY FINAL COMMUNITY SERVICES
CERT.of OCCUPANCY FINAL HEALTH DEPT.
FINAL INDUSTRIAL WASTE
COMMENTS: