The URL can be used to link to this page

Home My WebLink About14-4619 _ _ _�_ . _ �� :=x'"-� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES = 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS ``„ �,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 '� ''�' BUILDING PERMIT APPLICATION FIRMLY g APP�ICATION DATE: /��'��Y P/C# x OBSITEADDRESS �y O�t7 ��,�us� .er. r L �j 1 ISSUE DATE: �� D/y pERMIT# � /� ys�g = APN LOT�TRACT � OWNER �c �l� TYPE CONST. OCC GROUP: � n ADDRESS ?�a o Z� "�'s-o i�r u S p v'. � —T— ZONING SEfBACKS CITY �i a w.0 1�� Q a rZIP � 17(��C. FRONT RW ❑ � APPLICANT Ca TEL.7'/y 9 6� _.r��3 REAR ❑ n SIDE/SIDE STREEf RW ❑ � ONTRACTOR �o y � �X� SIDE ❑ � ADDRESS c3_�� ^ � �—��'1 ' Y�l�i�r i�_ , � CITY�i10.�L��y� ZIP q 7�o']rEL.7/y�6C ,_p�Z PROPOSED US S t� R Y � 3 � �-( S o\c.Y rr.e. l�1.��t I � ARCH/ENG/DESIGNER � �v�LL�r� "J � 1.1 ! � P�Y ? ADDRESS � tb�� #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNFA-BUILDFA DECLARATION = I hereby afflrm under penalty of pehury that I am exempt from the Corrtractor's State License Law for the reason(s) SFR/ADD/FiEM I � indipted below by the checkmark(s),I have placed nezt to ttie applicable ttem(s)[Sectlon 7031.5,Business and Garage/Carport � Rofessions Code:My clty or county that requlres a permit to canstruct,alter,Improve,demolish,or repalr,any z struc4ire,prlw ta Its issuance,also requlres tlie applicarrt for Ure permit to flle a slgrred sfatement that he or slre � Petio/Deck I � Is Ilcensed pursuarrt tn the provislo�of the Contrac[w's State Llcense Law(Chapter 9)Commencing wlth Sectlon w n 7(p0 of Dlvlslon 3 of tice Business aml Professlons Cade]or that he or she is exempt fmm licensure and the basis tor � Pool/Spa I � the alleged exemptlon.Any violation of Sectlon 7031.5 by any applicant fa a permit subjects the applicant to a civll penalry C7 I s of not more than flve hundred dollars($500). ZQ Re-Roof � (,I,as owner of the property,or my employees with wages as their sole compensation,will do O all of or(,portlons —� Commercial I y of the work,and the structure is not intended or oftered for sale(Section 704d,Business and Professlons Code:The � I � Contractors'State LJcense Law does not appty to an owner of property who,throu h em lo ees'or m g p y personal effort,builds y or improves ihe property,provided that the Improvemenis are not Intended or offered for sale.If however,ihe building or I � imprwement Is sdd within one year of completion,the Ovmer-Builder will have the burden of prming that R was not bultt jor improved for the purpase of sale.). . I "� I,as owner of the ro e U p p rty,am exclusively contracdng wtth Iicensed Cantractors to consWct the project(Section z 7044,Business and Professions Code:The Contractors'StaLe License Law does not appty to an owner of pmperty who Valuatio a Adj.Area: I � bulldsorimprovesihereon,andwhocontractsfortheprojectswlthallcensedCoritractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). � (_,)I arn ezempt hnm Iicensure under the Contractar's State License law tor the foliovnng 2ason(s): � I � By my slgnature below I acknowledge that,ezcept for my personal residence In which I must have resided for at least one � I Z year prior to completlon of ihe improvements covered by thls permit,l cannot legally sell a strucNre that I have buitt as an � � w owner-builder if tt has not been construded In Its entirery by Ilcensed contractors.I undersfand that a copy of the applicable . � law,Sectlon 7044 of the Business and Professions Code is available upon request when this aDPllcation is submttted or at I � the folbvnng Web slte:ht�/www.leginfo.ra.gov/calaw.htrnL � z = DATE: SIGN: � LICENSfD CONTNACTOH'S DECLARATION � I ereb affirtn under en p p� g � � Y p atty ot perjury that I am licensed under rovisions ot Cha er 9(commencin wlth Section 7000) y Divlslon 3 of the Buslness and Professions Code,and my license Is In full force and effect J .I nuceuse cuss: � - +-( 6 uc.No.: 8 8 3 3 g � � DATE:� �—,I —�LI_ CONTRACTOR: � e, 1 G Y �N��A N 1' fC r v� � I � WOIII�A'S COMPENSATION DECLANATION g I y I HEREBY AFFlRM UNDER PENALTY OF PFAJURY ONE OF THE f-0LLOWING DECLARAiIONS: � I have and wlll mainhain a CertlFlcate of Consent to Setf-Insure for Worker's Compensation,as provided by CONSTRUCTION: �� Sectlon 3700 of the Labor Code,for the peRormance of the work for which this permit is Issued. p�qN REVIEW: � �I have and will maintain Worker's Compensatlon Insurance,as requlred by Section 3700 of the Labor Code,fw � the performance of tha work fa which this permit is issued.My WorkeYs Canpensatlon Insurance Carrier and ELECTRIC: Z¢ PalicyNumberare: L � (^. � PLUMBING: y CARRIER �T��-\�l,t {/� � MECHANICAL: � POIICY NUMBER ^ � INSPECTION FEE: n (TFilS SECTION NEED NOT BE COMPLEfED IFTHE PERMfT IS FOR ONE HUNDRED DOLLAftS($100)OR LESS). ISSUANCE: �J�7 � I certity that in the peAormance of ihe work for which ihis pertnit is issued,I shall not employ any person In any manner so as m � /� � become subject to the Workers Compensation Laws ot Calitania Md ag2e that If I should become subject to the Worker's SMIP: � J C«npensatlon provisions ot Section 3700 of the Laba Code,I shall toMwlth compy wlth ttrose prwlslons. ENERGY P/C: i �A�' ��' ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensatlon coverage Is unlawFul,and shall sub�ect an employer to cnminal � penaltles and civil fines up to one hundred thousand dollars($100,000),in add'Rlon lo the cost of the compensation, RETENTION FEE:_ ,�� = damages as provided for in sectlon 3708 of the labor cotle,Interest,and attomey's fees. PRE-ALT FEE: i CONSTHUCTION LENOING AC�NCY BSAF: �. p = I hereby affirm under penalty of perJury that there Is a ConstrucUon Lending Agen�y for the pertortnance of the work for 3 which thls pertnR is issued(Sec.3097,Civ.C.�. LENDER'S NAME: r LENDER'SADDRESS: '''�i I certlry that I have read this appllcation and shete that me above infortnatlon is conect.I agree to comply wlth all city and TOTAL FEES Z counry ordinances and state laws relating to building construction,and hereby authorize represerrtatives of this courity fi COMMENTS: � enter upon the abave-mentioned property for Inspection pur es.� n 4 ¢� RMITTEE NAME(PRINn :n n , //� = SIGNA DATE RECEIPT#__�-�/�_� PAID BY: .r 4 (� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Appllcant's Copy CITY OF DIAMOND BAR ItVSPECTION RECORD • � � � ' ' • � ' • " � � � ' r�� " TRACTAND LEDGER ',SETBA�KL LETI'ER,., ,��'.� ��," �� YFOOTINGS`FORMS � a�` ..$�, ' �4e% ��Fr <��". SWITCH GEAR � ,g�qg�` ��;�. � �s- �� "� � ;�: .��-. ,�� COMMERCIAL HOOD .e�� _,��,. UG.PLUMBING� �� .�� bN� .�� ,,,��' ';�� .,�.; T-BAR ,UG.ELEGTRICAL �. ° ' °��., y��a�A�� °'�� INTERCEPTER 'UFER•GROUND _, ,`�� , � ~�� HOT MOP/SHOWERPAN SEWER LATERAL � SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION RQQF SHEATHING ROOF DRAINS FLdOR SHEATHING ROUGH CONDUIT , , �`_ < �. ��m . �� s_. -�._ POOVS �� e�� . - ,,�� _ ;SHE4R WAt1S IXTERIQ�� s�< �:.�� :,�� m _.,, � -,,: �P� � � �_ , � RO�JGH;PL � SHEA�WALLSI�1TERt04i� °�� ;� � �;� ��, � r UMBIN6�� ;`�'� � ��"� � �" � � �� FFiAM(iVGI ENTING�� -��i � '�� »� `'�� 'ROUGH�ELECTRICAL ,, �� " °� ��: � �"��'�" ��:A ��- �` � �.��= ar:a� �.F,�F RQUGH'tVIEGHANICAL^ �� ,� o.': � ': ��,. ��.� �ROUGH MECHANICAL �� .,�� " iROUGH El�ECTRICAL W(:,;)C i.).�� ,w�� y� �� . ,�� °GAS�TEST� �� ' ��` ��` �g �`' � 3ROUGti PLtJMBING. �' ' .��;. " �::`�".�� ' "� �PFt£GUN'ITE"�.�' ,� �E .� �,,R� ��. ^°��' �� „�� , �� , �� '�_�e.. .,�. , ,� �.. . �, �T ' � r � ..��. ,.�. ' � �� " .�: ��,�� - � ' INSULATION WALL �POOL�FRE��DEC�t BONDING � = ��-_-.� �� < �,_�� m,� INSULEUION CEILING � r ' , ��.�� ; P„�F�iAPq � � �- � � �� ,� DRYWALL �FENCE�/�GATE/;AIJ#FiM�.„,� :� ��t�� :;_�� LATH(PRE) FINAL POO�L��,,��s. ,��:�^��.��,�� ,;=�,,� ��` ��°�`� �,��.',. LATH EXTERIOR �A�� LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1s( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DFiAIN/SEAL GAS METER RELEASE WALL FINAL F .� �� s�,�� .. �� SPECIAL INSPECTION RQ�RAAII�f�PLMININGAPPROVAL� " � ��° .� ��" ` �` �� se .__-sw.s ._..�d � " .. S . ��D,� FINALBUILDING ��,.� �� . �' �Qr �� ROtlGH�FIREAPPROUAL �� -� � _� � P„� � . 'FINAL'"MEGHANtCAL'.,��"��4�, �'"�`�� ° �>� ,��.�'�� ' ,L FlNAI FIRE�DEPAFiTN1ENT��_ � �.� .'� '�` � �� n ,...� ., �" s R �� :�� 'FINAL PL.ANPIING� �„�; "„ ,�` .: �'�� ',�� .:. � h� � ,� ,fiNAL�ELECTRiGAL�� ,�� r �� , � �FINAL PLUMBING � �� "��;.,�;� '�� `�� , PINAL�ENGINEERINGI�PW _; ��` � ; � � � � ,T.C.of O,CGUPANCY�`�,��'� � �"��° ' � � � ��: �FINAL,COMMUNITY��:SERYICES `.�� ' '� ��":� � � �.�� .,�. - �� , �� `°' : � =""��.� �'a�" F{P�(AL'HEALTH,t}£PT �,�...>�� '`� � � "�� E S,� ��" ,GERT,.of.00CUPANCY��_� .. °�::s .u ��_..�.,_� � � � . � FINAL�INDUSTRIAL;WASTE�'.�; �`- ��`' �� ° �� . ��.e��,. . �. . �f :,. �� COMMENTS: