HomeMy WebLinkAbout1100 RENO RIDGE LN (2) �,�r�-�L:; �_,.,�_ CITY OF DIAMOND BAR � �
'. 1 . 1 DEPARTMENT OF COMMLJNITY&DEVELOPMENT SERVICES }�
. � 21810 Copley Drive,Diamond Bar,CA 91765 � � PRESS
� „ ,:� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 ./ FIRMLY
�"��'" BUILDING PERMIT APPLICATION ���
s JOB SITE ADDRESSX ` APPLICATION DATE: <T �-G 'r l P/C# EX-� �S— \�b�3
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1 ISSUE DATE: PERMIT#�nL �.I, � ���
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� OWNER TYPE CONST. OCC GROUP:
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� ADDRESS
n CITY 7J�'���G,=¢�_��ZIP EL. ZONING F ONTCKS RW ❑
¢ APPLICANT TEL. � REAR ❑
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n SIDE/SIDE STREEf RW ❑
¢ CONTRACTOR � � _� /��� SIDE ❑
� ADDRESS L O yd S . A'n.�. �PC�� ����T.�
J1 .�Jr� PROPOSED US •Co
= CITY C��) L��j�L ZIP�r�. _ _ � — L lo r
1 ARCH/ENG/DESIGNER ��
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= ADDRESS
� #DWEL.UNITS #STORIES #BEDROOMS
z CITY ZIP TEL.
� DESCRIPTION SQ.FC FACTOR PSF ADJ.AREANALUATION �
OWNEH-BUILDEH DECLAilATION
r I hereby attirm under penalty of perjury that I am ezempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I
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� indicated below by the checkmark(s�,I have placed ne�t to the applicable item(s)[Section 7031.5,Business and Garage/Carport
�' Professions Code:Any city or county that requires a permit to construct,alter,improve,demolish,or repair,any
z structure,prior to Its issuance,also requires the applicant for 1he permit tn file a signed statement that he or she � Patio/Deck I
i is licensed pursuant to Me provisions of the Cantractor's State License Law(Chapter 9)Commencing with Section W
j 7W0 of Divisian 3 of the Business and Professions Code]or that he or she is exempt fram licensure and the basis for � Pool/Spa I
� the alleged ezemption.Any violation of Section 7031.5 by any applicant for a permit su6jects the applicant to a civil penalty Z Re-Roof
= of not more than five hundred dollars($500�. �
� L)I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or(�portions � Commercial I
� of the work,and the shucture is notintended or offered for sale(Section 7044,Business and Professions Code:The m I
ZContractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds
� or improves the property,provided that the improvements are not intended or otiered for sale.If however,the building or I
� improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built
� or improved for the purpose of sale.). I
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(,I,as owner oi the property,am exclusively contmcting with licensed Contractors to construct the project(Section
Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who ValuatiOn Adj.Area: I
n buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContradorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I
Y License Law.). 2 ��
_ (,I am exempt from licensure under the Contmctor's State License law for the follawing reason(s):
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i By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w I
Z year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an �
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owner-builder if it has not been wnstructed in its enti rety by licensed contractors.I undersTand that a copy of the applicable I
� law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I
� the following Web site:http/www.leginfo.ca.gov/calaw.html. �' I
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� DATE: SIGN: �
— LICENSED CONTHACTOH'S DECLAl1ATI0N � I
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� I hereby affirm under penalty of perjury that I am licensed under provisions ot Chapter 9(commencing with Sedion 7000)
� of Division 3 of the Business and Professions Code,and my license is in full force and eftect. J I
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� IICENSE CLASS: LIC.NO.: � I
� DATE: CONTRACTOR: ' = I
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¢ WOHI�R'S COMPENSATION DECLAHATION � I
y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS:�
� I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: �� f�'
� �/'Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�,qN REVIEW: ��,, `'—�$
' � ✓ I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � �l
� � the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: a�
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¢ Poli�yNumberare: PLUMBING:
� CARRIER�� �d�� �/�,�5 . �/�A7�� MECHANICAL:
� POUCYNUMeER �`[�"f�� INSPECTION FEE:
n (THIS SECIION NEED NOT BE COMPLETED IF1HE PFAMR IS FOR ONE HUNDRFD DOLLARS($10�OR LESS�. ISSUANCE: ^J� �
= I certify that in ihe performance of the work for which this permR is issued,I shall not employ any person in any manner so as to
� become subject fi me Worker's Compensation Laws of Califumia.Md agree that'rf I should become subjec[Tn the Worker`s SMIP: ,?i�� �
J Compensation provisions of Section 3700 o^f ihe-Labor Code, hall forth�th comply ith Nose provisions. ENERGY P/C:
i DATE:���tT�G—APPLICAN7: c_!�f � �,L7Qi{P'� ENERGY PERMIT:
� WARNING:Failure to secure Worker's Compensat n coverage is un I,and s II subject an employer to criminal� f=A.�
ipenalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the cost of the compensation, RETENTION FEE: �� y
= damages as pmvided for in section 3708 of the lahor code,interest,and attorney's fees. PRE-ALT FEE:
i CONSTflUCTION LENDING AGENCY BSAF: �fUni
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y I hereby affirm under penalty of perjury that there is a Construction Lending Aqenc.y for the pertormance of the work for
= which this permit is issued(Sec.3097,Civ.C.). I
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LENDER'S NAME:
= LENDER'S ADDRESS:
i I certify that I have read this application and state that Ne ahove information is comect.I agree to comply with all city and TOTAL FEES G�, , S� �'�/L
� county ordinances and sfate laws relating to building construction,and hereby authorize representatives of this county to COM MENTS: ,�
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J enter upon the above-mentioned property for inspection purposes.
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� PERMITTE E(PRI � "
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= SIGNANRE OF PERMI x pqh _Z � RECEIPT# �J^ PAID BY: ��J 7 VALIDATION:
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy
CITY OF L�I�MOND BAR
INSPEC`1'fOfV' RECORD " .
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�SETBACK1lEfTER � , �,. TRACTAI�D LEDGER �
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UG�PL`UMBING =�° � ;': �' � `` T-BAR
UG:�ELECTRIGAL .. �'�` ��� � ���"� `` � a�; � ^ � INTERCEPTER
UFE��C�RQI3ND� _ �� ;,�� _ � ,� HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL (
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOQR SHEATHING ROUGH CONDUIT
SHEAR WALLS�EXTERIOR ;. , „ a�, „ � � � �., POOLlSPA • �. r : : ,. .,, I
,SHEARzWALLS�IN7ERI0ft g� ,, , ,� _� �. .� �, ROUGH PLUMBING � �
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FRq(U1INGNEN,TING y� _ s� ;. � ROUGH ELECTRICAL
�ROUGH MECHANICAL , � � � �� � - ROUGH MECHANICAL � � ��� �
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ROUGH ELECTRICAC W� � � � „�� � _ � GAS TEST _
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ROl1�H PCt1MBif�G �``� '� ��� �� .s :"� �,f �PHE GUN{TE s :� _ �_ -
INSULATION WALL POOL`PRE DECK BONDING "�
INSULATION CEILING P-T�P `
DRYWALL � EENCE I GATEIALARM z � -�.
LATN(PRE) fINAL POOL
LATH EXTERIOR � WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GA5 TEST WALL STEEL 1 s'( )2Ne( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE � � WAL�DRAIN/SEAL
GAS METER RELEASE I F WALL FINAL
SPECIAL INSRECTI N R0.FR4MING PLANNIN6APPROVAL
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FINAI BIiILD'����
�(� ` _ , ROUGN FIRE APPRdVAL '
a ��s ..� ..�, � �. , �, .,� . � � FINAI FIRE DEPARTMENT �. , _
FINAI MECHANICA � „
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�IN1�i.E'L�EC7RICAl.� � � '� - �' FINAL�PLANNI�tG " _
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EINAI PLUMBING_ ;, 'a,; � -. � �
`TC�of�aCCUi?ANGY� '' �. �� �: �., �y = FINAL COMMUNITY SER�IGES �
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GEF3T.of�,OC�UPANCY�, °° � �°
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FINAL INDUSTRIAI WASTE
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