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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 � ` ,P'�`� aDi�` 1 ISSUE DATE: PERMIT#�nL �.I, � ��� z APN LOT TRACT � � OWNER TYPE CONST. OCC GROUP: � � ADDRESS n CITY 7J�'���G,=¢�_��ZIP EL. ZONING F ONTCKS RW ❑ ¢ APPLICANT TEL. � REAR ❑ x 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 �� � � = 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 � I � 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 J (,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): � U IQ 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 � � 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 z � DATE: SIGN: � — LICENSED CONTHACTOH'S DECLAl1ATI0N � I a I � 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 � a � U � IICENSE CLASS: LIC.NO.: � I � DATE: CONTRACTOR: ' = I U ¢ 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� z ¢ 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 Vld 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 � 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: ,� z J enter upon the above-mentioned property for inspection purposes. = X � ` V � � PERMITTE E(PRI � " � /'-' p�p, = 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 " . . � o • � • • - • • � , • � � �,���,. � .. �- � �, I �SETBACK1lEfTER � , �,. TRACTAI�D LEDGER � :,,v_� �.<,� .�, �� � ��o F00�'fNGS FORMS � ,� � ��� � � � ��� �, SWITCH GEAR bo , SLAB � ,. �� ,._ .,� � � � r� " � �� "' � ? � � �� �'� COMMERCIALHOOD i 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 � � , „ . � _ .< FRq(U1INGNEN,TING y� _ s� ;. � ROUGH ELECTRICAL �ROUGH MECHANICAL , � � � �� � - ROUGH MECHANICAL � � ��� � _ ROUGH ELECTRICAC W� � � � „�� � _ � GAS TEST _ . ��a. . i )�f 1 , 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 �.,. _. ,;.. FINAI BIiILD'���� �(� ` _ , ROUGN FIRE APPRdVAL ' a ��s ..� ..�, � �. , �, .,� . � � FINAI FIRE DEPARTMENT �. , _ FINAI MECHANICA � „ . � � �, .,, _, ,,, ., ,� a �. �IN1�i.E'L�EC7RICAl.� � � '� - �' FINAL�PLANNI�tG " _ " �� ���° � °`� � �=�� �� _ � �' � - FINAL"ENGINEERIN�/PW , � '° � ` ` EINAI PLUMBING_ ;, 'a,; � -. � � `TC�of�aCCUi?ANGY� '' �. �� �: �., �y = FINAL COMMUNITY SER�IGES � �� � � �� � � �. � ` ; � FINAL HEALTH DEPT, , GEF3T.of�,OC�UPANCY�, °° � �° ;� � .- „ _, _�� :< _ .�_ � FINAL INDUSTRIAI WASTE COMMENTS: gl�5l`�.1� � r '� nOf � L�A'l�l�