HomeMy WebLinkAboutPR14-5263.............. CITY OF DIAMOND BAR
(1 __ 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 FIRMLY
BUILDING PERMIT APPLICATION
JOB SITE ADDRESS )(ZAZ 14(6 J/ Ll/ iVLr.CT
APN LOT TRACT
OWNER X L
ADDRESS V �.'A' 4f
CITY 071AZu•4' ZIP TEL. q0(? _5qL'-Z_5Z7
APPLICANT -R'� TEL.(oLG, 62-fS-7/._5—
CONTRACTOR Lo1i_ FILL t &W,_S Vl c
ADDRESS "1 O`F)o TZ(4-ra a &h��
CITY el �MOn-C f zip 61M 1 TEL. 2.t'5 q -47- -10(75
ARCH/ENG/DESIGNER X j3FY C�1'L
ADDRESS SZ-�y�V'7st
CITY "J 1 U ZIP-V2LTEL. *q 0A 7 !r�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s)
indicated below by the checkmark(s), I have placed next to the applicable item(s) [Section 7031.5, Business and
Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair, any
structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she
is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section
7000 of Division 3 of the Business and Professions Code] or that he or she is exempt from licensure and the basis for
the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty
of not more than five hundred dollars ($500).
(� I, as owner of the property, or my employees with wages as their sole compensation, will do (J all of or (J portions
of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The
Contractors' 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 offered for sale. If however, the building or
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.).
U 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State
License Law.).
(J I am exempt from licensure under the Contractor's State License law for the following reason(s):
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one
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 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 application is submitted or at
the following Web site: http/www.leginfo.ca.gov/calaw.html.
DATE: SIGN:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code, and my license is in fullforce
e11 force and effect.
`
LICENSE CLASS: LIC. NO.: 1-1 iJ
DATE: 5(YJ/1CONTRACTOR: I-&L,�»Ar( 6.Q0_5 VIC_
WORKER'S COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS:
I have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for
the performance of the work for which this permit is issued. My Worker's Compensation Insurance Carrier and
Policy Number are: _.t
CARRIER 4-COIkC_ �I /\01
POLICY NUMBER QIAU •-gt7� 12..1 -701 ai
(THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS).
I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to
become subject to the Worker's Compensation Laws of Calif o I�, And agree that if I should become subject to the Worker's
Compensation provisions of Section 3700 of the i Aho91 c ply with those provisions.
DATE: "C1 flb APPLICANT -^���
WARNING: Failure to secure Worker's Compensation 4emge is unlawful, and shall subject an employer to criminal
penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of the compensation,
damages as provided for in section 3708 of the labor code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for
which this permit is issued (Sec. 3097, Civ. C.).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and state that the above information is correct. I agree to comply with all city and
county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to
enter upon the above-mentioned property for inspection purposes.
12 (C (c- 6C.
PERMITTEE NAME
W/4 /
SIGNA E
ER05TEE �� DATE
III
A
APPLICATION DATE: , 1 (� I I -I. P/C# P\z �}- - �(O V
ISSUE DATE: 9 ILS, PERMIT# LIQ \4} - S 2 (CS
TYPE CONST. OCC GROUP:
ZONING SETBACKS
FRONT RW ❑
REAR ❑
SIDE/SIDE STREET RW ❑
SIDE ❑
PROPOSED USE (r " f• '1
U (/✓)1��
# DWEL. UNITS # STORIES # BEDROOMS
DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREANALUATION
SF D EM
Garage/Carport
rA
W
Patio/Deck
LL
Pool/Spa
Re -Roo) 2,C -JO
�
Commercial
I
00
C 15-0
Valuation: 50�1-13S. S-A Adj. Area:
QUANTITY DESCRIPTION FEE
a
'l0
b
U
w
w
L
is -
m
2— T r �/
J
d
a
r
U
Q
I
CONSTRUCTION: ��9•
PLAN REVIEW:
ELECTRIC: d
PLUMBING:
MECHANICAL: ,GID. 417
INSPECTION FEE:
ISSUANCE: f �%�
I
SMTP: 11,
ENERGY P/C: 10 • S\
ENERGY PERMIT: r3
RETENTION FEE: --
PRE -ALT FEE:
BSAF: _Kee
P9 d4T • S,i
f�
TOTAL FEES
COMMENTS:
'IF;1IR aa3 C3 J .b1 at fs�
P/C o�3b� %1$
RECEIPT # PAID BY: • VALIDATION: 1
WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy
SEWER LATERAL
MAIN WATER LINE
SEWER CLEANOUT
ROOF SHEATHING
FLOOR SHEATHING
CITY OF DIAM;yt`, UIBAR
INSPECTION" RECORD
SHEARWALLS, EXTER(OR� " `�� POOL/SQA
z
SHEAR WALLS INTERIORS , �;, ': ROUGH `PLUMBING' `# _Ve
FRAMINGAt ENTING
i "° m ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( ) C"
ROUGH;PLUMBING• �:g "
INSULATION WALL
INSULATION CEILING �)
DRYWALL
LATH (PRE) _
LATH EXTERIOR
LATH INTERIOR
GAS TEST i
SCRATCH COAT
ELECTRIC METER RELEASE_
GAS METER RELEASE !
SPECIAL INSPECTION t—
FINAL BUILO_iNG
FINAL`MEC6"NICAL "
;T.C. of OCCUPANCY
CERT. i OCCUPANCY.
COMMENTS:
-
TRACT AND LEDGER
SWITCH GEAR
COMMERCIAL HOOD
3
GAS TEST
T -BAR
r
PRE GUNITE- da
INTERCEPTER
P -TRAP :a
HOT MOP/SHOWERPAN
SEPTIC/CESSPOOL
FINAL POOL.. , . ��. ,d
T
_
HERS REPORT RECEIVED
WALL FOOTING/STEEL '
DEMOLITION
�..
ROOF DRAINS
WALL BOND BEAM
,
ROUGH CONDUIT
SHEARWALLS, EXTER(OR� " `�� POOL/SQA
z
SHEAR WALLS INTERIORS , �;, ': ROUGH `PLUMBING' `# _Ve
FRAMINGAt ENTING
i "° m ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH ELECTRICAL W( ) C"
ROUGH;PLUMBING• �:g "
INSULATION WALL
INSULATION CEILING �)
DRYWALL
LATH (PRE) _
LATH EXTERIOR
LATH INTERIOR
GAS TEST i
SCRATCH COAT
ELECTRIC METER RELEASE_
GAS METER RELEASE !
SPECIAL INSPECTION t—
FINAL BUILO_iNG
FINAL`MEC6"NICAL "
;T.C. of OCCUPANCY
CERT. i OCCUPANCY.
COMMENTS:
-
ROUGH MECHANICAL
i
GAS TEST
r
PRE GUNITE- da
POOL PRE DECK BONDING m
P -TRAP :a
P
FENCE / GATE/ ALARM
FINAL POOL.. , . ��. ,d
T
WALLS:
WALL FOOTING/STEEL '
WALL STEEL 1s:( ) 2HO( ) LIFT
WALL BOND BEAM
WALL DRAIN/ SEAL
_
WALL FINAL
R0. FRAMING PLANNING APPROVAL .:
ROUGH FIRE APPROVAL
-FINAL flRE DEPARTMENT
FINAL PLANNING
FINAL ENGINEERING/ PW `
FINAL COMMUNITY SERVICES
FINAL HEALTH, DEPT a
Y
`
-
rlLiAf .LiM11PT1111{1 l�/Atv1"T'•=- .¢..,,,,,,,,, ,,,,»..,#2a��$11���°' _. _. a _,. ,,-.
x.,�w.m,uma n..
COaTE
452 SONOMA CT.
ONTARIO, CA. 91762
PH: 909.538.3725
( master
o � edroom o
L=- -p D2A7
I II I
PROPOSED FLOOR PLAN
Q1/ 2' 5 Uf, I H Y, W/ 8d COMMON NNL5
e 6"/
05/ 8 Aa, @ 48" OC W/ 7" wLtt?h w
ADDENDUM FOR
SHEARWALL # 3
MASTER BEDROOM
RESIDENCE
Raul Alvarado
Phone: 626.625.5715
PROJECT DESCRIPTION
Master Bedroom
ADDRESS:
20815 Moonlake St.
Diamond Bar, CA. 91789
AP# 8762-017-021
I
7.29.16
AS SHOWN
B. CORTEZ
SHEAR WALL SCHEDULE
NO.
L
LOAD
LD/1
CONST. EDGE NAIL FIELD NAIL
UPLIFT
HOLD DOWN BOLT
1
8'
897
112
} PLYWOOD SdNAIL@6"O.C. 8dNAIL@12"O.C.
897
HDU 2 5/8
7'
897
112
897
H
3
4'
1794
224
8dNAIL@3"O.C,
1794
H U 5
HDU 2
5
8'
897
112
997
6
7'
1794
256
1794
( master
o � edroom o
L=- -p D2A7
I II I
PROPOSED FLOOR PLAN
Q1/ 2' 5 Uf, I H Y, W/ 8d COMMON NNL5
e 6"/
05/ 8 Aa, @ 48" OC W/ 7" wLtt?h w
ADDENDUM FOR
SHEARWALL # 3
MASTER BEDROOM
RESIDENCE
Raul Alvarado
Phone: 626.625.5715
PROJECT DESCRIPTION
Master Bedroom
ADDRESS:
20815 Moonlake St.
Diamond Bar, CA. 91789
AP# 8762-017-021
I
7.29.16
AS SHOWN
B. CORTEZ
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