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HomeMy WebLinkAboutPR16-1183w CL 0 0 U) J 0 a 0 0 0 E, 0 MLU 0 0 z m rt 0 0 z a rn Cn rn rr 0 63 U Z z 0 U O �.z N cc aC 0 w z 0 t¢ or d X LU 0 U W M W 0 2 ¢ 0 0 J z 0 z C7 V) H C) 0 J S r LU LU 0 0 a z x F_ 2 LU CL CDz 0 J H CITY OF DIAMOND BAR l I i I DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES I ; = 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 www.cityofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS Z(G`i� I✓ Lill r I �t M.� . APN LOT TRACT OWNER (I _i.yeZ Lr'CL n ADDRESS CL �,C az CITY LA ZIP INTEL. Il 2,e, .5-3-5 r. APPLICANT a` TEL. UZC, 5'7�CY CONTRACTOR L6'�✓ e!, ADDRESS CITY ? ZIP %/AWTEL. S eL,- _ ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. 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 U all of or U 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.). ( 1 I, 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.). U 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. 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 full force and effect. LICENSE CLASS: (0 LIC.NO.: SSS DATE: LP [ 6,4 CONTRACTOR:—�Clil/!O✓L� WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: 1 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: CARRIER POLICY NUMBER C.t% �d 1 �i Z(, J (THIS SECTION NEED NOT BE COMPLETED IF THE 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 Cal'domia. And agree that if I should become subject to the Worker's Compensation provisions of Section 3700 of%�e�Laabborr Code, I shall forthwith comply with those provisions. DATE: � r -- APPLICANT: WARNING: Failure to secure Worker's Compensation coverage 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. d -t&&*- -ttlA.: D: c W&4A,) PERMITTEE NAME (PRINT) /iil-AW,4 c r— . /&.. 1(., SIGNATURE OF PERMITTEE DATE APPLICATION DATE: 5 f iD " i P/C# f'(Z b- 1 Wa ISSUE DATE: i g I I Cs PERMIT# : 9I� I b — \ 8 Z9 TYPE CONST. OCC GROUP: Scope of Work r # DWEL. UNITS # STORIES Qi # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport WL Patio/Deck LU LL Pool/Spa ZRe -Roof Commercial C0 C0 Valuation: 19-(2 Adj. Area: QUANTITY DESCRIPTION FEE U U w w co z M J a 7d U , CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BASF: ll� PLOT PLAN: ZONING CLEARANCE: TOTAL FEES 9-1 • COMMENTS: P/C: 3o'% S-} PAID BY: VALIDATION: RECEIPT # S -N0 4 PAID BY:,, 9 0-10, VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy CITY OF D,VAIVl-QND BAR INSPECTION R�CORD 4r.A INSPECTION• • • SETBACK/ LETTER FOOTINGS FORMS SLAB UG. PLUMBING UG, ELECTRICAL LIFER GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGNENTING ROUGH MECHANICAL_.,. ROUGH ELECTRICAL ,. ) 6 ROUGH PLUMBING INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICA ?/ FINAL PLUMBING T.C. of OCCUPANCY CERT. of OCCUPANCY COMMENTS: INSPECTION DATE INSPECTOR TRACT AND LEDGER SWITCH GEAR COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOUSPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P -TRAP 1. FENCE / GATE/ ALARM FINAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL 1ST( )2 W( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL R0, FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE v Z¢gps Til L C' E✓4 �� r ©��,2 �} T!-(, (.0 L N /kj wpLt-, W ,Ns-F,4L- �-),iyLkJjjL W 14 o N LI SC2(�-fw�_5 aW j)ifAAc)/U 2f -T'Al ThA �] P--- 9 c) ut r, rs fcA � Q AJ DIVCI ✓6, 0u1L-DAOL( ib� WALNUT VALLEY UNIFIED SCHOOL DISTRICT 880 SOUTH LEMON AVENUE WALNUT CA 91789 CERTIFICATE OF COMPLIANCE With Fee Provisions of Government Code Section 65996 DEVELOPER/OWNERcJOSP/U j O/"'` 4 ADDRESS 'K>% � J_(.I-Ck( IC4 CITY/ZIP (k4 00 - TELEPHONE , ature of Applicant The person signing represents that he/she is authorized to sign on behalf of the owner/developer and that the information provided is true and accurate to the best of his/her knowledge. NEW LOT ADDRESS USE OF BUILDING TOTAL SQ. FT. Residential/Commercial/Industrial City HOME IMPROVEMENT OR REMODELING PROJECT ADDRESS DESCRIPTION TOTAL SQ. FT. Diamond Bar Walnut (Bedroom, Family Rm., Kitchen, etc.) Signature of Superintendent of Buildings / - Date <P/al:sk (,-I TO BE COMPLETED BY SCHOOL DISTRICT FEE SCHEDULE: The development fees levied by the Walnut Valley Unified TOTAL FEES DUE School District under provision of Government Code §65995 $ a -11-07 are: (EFF. 6/19/06) Residential Development Commercial/Industrial Fees are assessed on TOTAL square footage "living space" (eliminating garage or uncovered patio). $2.63/sq. ft. Receipt # ��` 0 7 $0.42/sq. ft. Date 712-10 7 of ALL new or remodeling constnTic i�'projects OVER 500 sq. feet This is to certify that all fees due to the Walnut Valley Unified School District under provision of Government Code Section 65995 have been received and a building permit may be issued. This is to certify that the above described development has been determined to be EXEMPT from the development fees of Government Code Section 65995 and a building permit may be issued. Exemption Justification: PROJECT IS 500 OR LESS SQUARE FEET OTHER Assistant Superintendent Business Services 1/87 Rev. 2/88; 6/88; 8/89; 1/90; 8/90; 10/90; 8/92; 6/93; 11/93; 8/94; 6/96; 1/97; 8/98; 7/04; 6/06 PLEASE SEE NOTICE OF 90 -DAY PERIOD FOR PROTEST OF FEES ON REVERSE SIDE elf' -Goy r\ r. NOTICE OF 90 -DAY PERIOD FOR PROTEST OF FEES Section 66020 of the Government Code enacted as Assembly Bill 3091, set forth as Chapter 549, Statutes of the State of California, 1996 effective January 1, 1997, requires that this school district provide a written notice to the project applicant at the time of payment of school fees, mitigation payments or other exactions. This notice is to advise you that any protest in regard to such amounts or the validity thereof in accordance with Section 66020 of the Government Code and other applicable law, commences with such payment or performance of any other requirement as described in Section 66020 of the Government Code.. Additionally, this notice advises that the protest thereof must occur within 90 calendar days thereafter. WALNUT VALLEY UNIFIED SCHOOL DISTRICT 880 SOUTH LEMON AVENUE WALNUT CA 91789 CERTIFICATE OF COMPLIANCE With Fee Provisions of Government Code Section 65996 DEVELOPER/OWNER '<--/ 656 Zu I'S eu 1 a `7 ADDRESS 055, CZ U-0- IrFt, I l %- CITY/ZIP D± • Q �' l % i TELEPHONE odc�ckl Slee 6f Applicant T person signing represents that he/she is authorized to sign on behalf of the owner/developer and that the information provided is true and accurate to the best of his/her knowledge. NEW LOT ADDRESS USE OF BUILDING TOTAL Residential/Commercial/Industrial City HOME IMPROVEMENT OR REMODELING PROJECT ADDRESS DESCRIPTION TOTAL SQ. FT. Diamond Bar Walnut (Bedroom, Family Rm., Kitchen, etc.) J) Signature of Superintendent of Buildings f- Date TO BE COMPLETED BY SCHOOL DISTRICT FEE SCHEDULE: The development fees levied by the Walnut Valley Unified TOTAL FEES DUE School District under provision of Government Code §65995 $ o7 -J o p - 61 are: (EFF. 6/19/06) Residential Development Commercial/Industrial Fees are assessed on TOTAL square footage "living space" (eliminating garage or uncovered patio). $2.63/sq. ft. Receipt # t do � $0.42/sq. ft. Date of ALL new or remodeling constructio proje is OVER 500 sq. feet This is to certify that all fees due to the Walnut Valley Unified School District under provision of Government Code Section 65995 have been received and a building permit may be issued. This is to certify that the above described development has been determined to be EXEMPT from the development fees of Government Code Section 65995 and a building permit may be issued. Exemption Justification: PROJECT IS 500 OR LESS SQUARE FEET OTHER •. ` ` , ,. _. . -- a Assistant Superintendent Business Services 1/87 Rev. 2/88; 6/88; 8/89; 1/90; 8/90; 10/90; 8/92; 6/93; 11/93; 8/94; 6/96; 1/97; 8/98; 7/04; 6/06 PLEASE SEE NOTICE OF 90 -DAY PERIOD FOR PROTEST OF FEES ON REVERSE SIDE NOTICE OF 90 -DAY PERIOD FOR PROTEST OF FEES Section 66020 of the Government Code enacted as Assembly Bill 3091, set forth as Chapter 549, Statutes of the State of California, 1996 effective January 1, 1997, requires that this school district provide a written notice to the project applicant at the time of payment of school fees, mitigation payments or other exactions. This notice is to advise you that any protest in regard to such amounts or the .validity thereof in accordance with Section 66020 of the Government Code and other applicable law, commences with such payment or performance of any other requirement as described in Section 66020 of the Government Code.. Additionally, this notice advises that the protest thereof must occur within 90 calendar days thereafter. - I I I I Planning Divisic Project Review Routing Shei. ,see Communitv & Development Services Department — 21825 Coolev Drive — Diamond Bar. CA 91765 — (909) 839-7030 — www.CitvofDiamondBar.com To: J Building & Safety Case/File No.: PP 2006-114 FPL No.: Location: 21056 Quail Run Drive Description: 877 SF Addition Estimated Review Time: N/A Project Manager: DAVE P.O. No: Comments Due: N/A Routing Date: Submittal Date: Hearing Date: asap Total Review Time: N/A N/A Ll Application Grading Plan Affidavit of easements TT Map LJ Initial Study Title Report Photos Sections Site Plan LJ House Numbering LJ Retaining Wall Plans Architectural Map Elevations � Floor Plans LJ Project Conditions ❑ Irrigation / Landscaping Roof Plan ❑ Environmental Plans Soil /Geotechnical � Other: Information Report TP Map APPROVED Reviewed By: Title: Date: NAW �,•�,�„� -� �t'sl',a, �. �,.fo 3 -�;•ns ® CIS . -Io u�t I a o� (-C-'2 t-:) agIRS - -S3:� r 0 W DL1H11ND RAI i CITY OF DIAMOND BAR���C DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21825 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION OBSTE ADDRIESS' D n'l� \�U�l I W.� r APN LOT T ACT `0V1 U 17 OWNER ✓ I -(A ADDRESS AtO CITY .—ZIPTEL. APPLICAN C. TEL. CONTRACTOR n 6c a 6CLt " ADDRESS CITY ZIP TEL. ARCH/ENG/ ``�� DESIGNER i"A , ll 5, ll-eG.-a ADDRESS ' CITY ZIP TEL. OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5 BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES A PERMITTO CONSTRUCT ALTER, IMPROVE, DEMOLISH, OR REPAIR ANY STRUC- TURE. PRIOR TO ITS ISSUANCE. ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE LAW (CHAPTER B (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. 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).): ❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSI- NESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF, HOWEVER THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LI- CENSE LAW DOES NOT APPLY TOAN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRAC- TORS LICENSE LAW.). ❑ 1 AM EXEMPT UNDER SEC. B. 8 P.C. FOR THIS REASON DATE OWNER IF LICENSED CON,TACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER B (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE. AND MY LICENSE IS IN FULL FORCE AND EFFECT. LICENSE CLASS LIC. NO. DATE CONTRACTOR WORKERS' COMPENSATION DECLARATION I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: _ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT Tq SELF -INSURE FOR WORKERS' COMPENSATION, fS PROVIDED BY SECTION 3700 OF THE IABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. _ I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE. AS REQUIRED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ( SSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: l (CARRIER \POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED OF THE PERMIT 0 FOR ONE HUNDRED DOLLARS ($100) OR LESS} I CEPTIFY 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 WORKERS' COMPENSATION LAWS OF CALIFORNIA D AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WOR ERS' COMPENSATIO I P V 5IONS OF S CTIO 37 THE LABOR CODE. I H FORT ITH COMPLY O ROVI dFJ G%C^� DATE.O � O DPLICANT: WARNING: FAILURE TO S CURE/WORKERS' COM SATI COVERAGE IS UNLAWFUL. AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTI AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 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, EREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE- M D PROPERTY FOR INSPECTION PURPOSES. .5- PURPOSES )1,4,J PERMITT AME NT) © C SIG O ERMITT DATE PRESS FIRMLY PERMIT P/C DATE APPLICATION ' / �Q1 NUMBER L # 6 UA CJ�d��jTYPE ISSUE OCC F�/� DATE _ l/ �� CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ n PROPOSED USE NO. DWEL. NO. NO. UNITS STORIES BEDROOMS DESCRJZTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SF DD/ M1% 0 Garage/Carport WPatio/Deck LL Pool/Spa V Z Re -Roof 0 Commercial - 5 m Valuation 7 ADJ.AREA QUANTITY 6ESCRIPTION FEE Q2 o C> ,- r U oC :.e F U W J W 0 Z a Z Q W 7 CONSTRUCTIONJ PLAN REVIEW , S' L414 ELECTRIC PLUMBING -I /A MECHANICAL 4-2, INSPECTION FEE —'7 ISSUANCE W SMIP � 711 �� ENERGY P/C 1 ENERGY PERMIT • RETENTION FEE: 6� PRE -ALT FEE: �r��� �` 1 s✓ 35-1: TOTALFEES COMMENTTS, , RECPT NO. PAID BY VALIDATION V WHITE—Department Copy, YELLOW --Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN—Applicant's Copy COBE OF DVAM OND BAR INSPECTON RECORD uK!§pR@vo@m MUT Oa@P§@U0Q Oa§pL@Vo@ l mu[ SET BACK FLOOR FLOOR JOIST FTGS/FORMS/STEELS)D i Q"c�� FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR,CONDUIT SLAB GRADE FIREPLACE, FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SE CEEH,`, �'�� �*7 jZJ2,t,_ MID HT. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM FRAMING/VENTILATION FINAL BOND BEAM ROOF COVER PRE -GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC6/ ROUGH PLUMBING SHOWER/TUB TEST ROUGH GRADING FINISH GRADING POOL ELECTRIC EXT. LATH/SIDING 2 � — WALL INSULATION _ {'� _ CEILING INSULATION _ uU I POOL FENCING POOL FINAL OFF SITE IMPS. DRYWALL NAILING Vl a�/6�_ SEWER DEDICATIONS FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST 1a2 B/ 6 .G FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL _ FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY COMMENTS�� 7-16-0ff ��•�� �`�— -- -- SEPTIC TANK SIZE SEEP PIT/U SIZE a C6 0 m O M w J LL. J Q LU O cr 13- ;M Z W F - cc LU R- d DIA310ND ALAR i CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21825 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION ADDRIESS,0�10!!10 izupa I)& APN LOT T ACT OWNER l= l ADDRESS O jM`IiACXjL, A) CITY b ZIP'jtW TEL APIP CANT — A TEL. CONTRACTOR ADDRESS CITY ZIP TEL. ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS U - CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5 BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT ALTER, IMPROVE, DEMOLISH, OR REPAIR ANY STRUC- TURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE LAW (CHAPTER 8 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. 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).): D I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSI- NESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF, HOWEVER THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). O I, AS OWNER OF THE PROPERTY AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LI- CENSE LAW DOES NOTAPPLY TO AN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH ACONTRACTOR(S) LICENSED PURSUANT TO THE CONTRAC- TORS LICENSE LAW.). D 1 AM EXEMPT UNDER SEC. B. $ P.C. FOR THIS REASON DATE OWNER LICENSED CONT CTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER 0 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT. LICENSE CLASS LIC. NO. DATE CONTRACTOR WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDERPENALTYOF PERJURY ONE OF THE FOLLOWING DECLARATIONS:: .: -I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. _1 HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED OF THE PERMIT IS FOR ONE HUNDRED DOUARS ($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 WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 37 OOF THE LABOR CODE, I SHA F THWITH COMPLY WITH T P IS NS. �+• DATE:IA?APPLICANT WARNING: FAILURE TO SECURE WORKERS' C.IlIGSAITION COVERAGE IS UNLAWFUL, AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 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. 3087, 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. SE Qj5 oLD,41') PERMITTE M (PR SIGNAT7 PVMrrTEE ATE PRESS FIRMLY APPLICATIONt� �Jv PERMIT P/C DATE /�% 47 NUMBERa (o�# O- <-- ISSUE.-7TYPE OCC Ia1 ��% DATE CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ PROPOSED USE Ic NO. DWEL. NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREANALUATION SF M Garage/Carport WPatio/Deck LL Pool/Spa 0 Z Re -Roof Commercial – m Valuation 7 ADJ.AREA QUANTITY DESCRIPTION FEE U OC U w J W C7 Z m J d Q Q W CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE r���^ ISSUANCE GU E%C SMIP 0 ENERGY P/C 61 CA C`11 1 ENERGY PERMIT ( O • Ict /T RETENTION FEE: PRE -ALT FEE: TOTAL FEES COMMENTS RECPT. NO. PAID BY 3S VALIDATION WHITE—Department Copy, YELLOW --Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD OG�J�3p�C�400GJ DQ4C� r ,FOGJ�pC�C�40G3 , O[n]�pC�C�400GJ , DGQ4C� ��pI�C�4Q� SET BACK FLOOR JOIST FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM FRAMING/VENTILATION FINAL BOND BEAM ROOF COVER PRE -GRADING ROUGH HEATING A 117BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION '� POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING g-27 DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC _ _ DEV. FEES PAID FINAL PLUMBING, ENERGY COMMENTS �' SEPTIC TANK SIZE SEEP PIT/U SIZE G1 C�7 G CITY OF DIAMOND BAR Community and Development Services Department 21825 E. Copley Drive • Diamond Bar, CA 91765 Building Inspection Request Hotline (909) 839-7027 Building Planning , Engineering (909)839-7020 (909)839-7030 (909)839-7040 CORRECTION NOTICE PERMIT NO. C7 DATE: �% TIME: o pm. CONTRACTOR/ OWNER BUILDER ADDRESS (Project Site) ` d�1A , u In ❑ PLEASE CONTACT THE UNDERSIGNED ❑ PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION ❑ REINSPECTION FEE REQUIRED PLEASE MAKE I CORRECTIONS AND PROCEED WITH WORK INSPECTOR: /VVAa'l (print name) n r SIGNATURE OF INSPECTOR: KVIONn BAR CITY OF DIAMOND BAR Community and Development Services Department 21825 E. Copley Drive • Diamond Bar, CA 91765 Building Inspection Request Hotline (909)839-7027 Building , Planning Engineering (909)839-7020 (909)839-7030 (909)839-7040 CORRECTION NOTICE PERMIT DATE: CO TRAC WNER-B LDER ADDRESS (Project Site) G 5-6 (Pwz Z�Zly A,a s z! �� a.m. TIME.Sp.m, IJ PLEASE CONTACT THE UNDERSIGNED PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION ❑ REINSPECTION FEE REQUIRED ❑ PLEASE MAKE CORRECTIONS AND PROCEED WITH WORK INSPECTOR: F 164p�J L%/" 6 y (print name) SIGNATURE OF INSPECTOifZ��� '. WORKERS' COMPENSATION' DECLARATION I hereby affirm that I hove o .certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 38M, Lob. C.) Polity No. . Compony Certified copy is hereby furnished. Certified copy is filed with the county building inspec- tion department. Date Applicant CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) or lost.) 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 Workers' Compensation Laws. Dote % 2 �Applicanl i NOTICE TO APPLICANT: If, after making this tertificate o Exemption, you should become subject to the Workers' Compensation provisions of the labor Code, you mw forth- with comply with. such provisions or this permit shall be deemed revoked LICENSED CONTRACTORS DECLARATION I hereby affirm 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 full'force and effect. License Number yz0,7U1c_.Lic.ClasL Contractor SU,►G A p P' _ ' Date I am exempt under Sec. B.&P.C. for this reason Date: Signature— tN OWNER -B ILDER D RATION I Isw* affirm "I 1 am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and Professions Code): - I, as owner of the property_ or my employees with wages os'tfieir sole c6mp6sotu6n, will do the work and the structure is not intended or offered for sole (Section 7011, Business and Professions Code). I, as owner of the property, am exclusively contracting with licensed contractors to construe the project (Sec. tion7044, Business and Professions Code). ..CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). B Y Lender's Name 8 Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with oil County ordinances and State laws. relating to building construction, u and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. Signature & ApplAA or Agent Date APPLICATI-ON- OR PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING G ADDRESS BUILDING ?1046 ADDRESS gJ rs 1 CITY �{ 'J') r ZIP LOCALITY NO.•OF91DGS:---••1--• - NEAREST SIZE OF LOT Now ON LOT CROSS ST. 31 2_; ASSESSOMAP TRACT BLOCK' LOT NO. BOOKRPAGE PARCEL OWNER }� d ' J yS d t: d MAP USE ZONE NO. O 33 SPECIAL ADDRESS A M CONDITIONS CITY . ZIP ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE BY.. . ENGINEER N0. CONST. A791 I ADDRESS S �- S9 STATISTICAL CIASSIFICATION APT. CONDO. CONTRACTOR c A N0. r: i ADDRESS ) I 'i ) V G�Gf J� I LNO. ri L d g uAu N0. �y__DwELL. UNITS .A LIC. SEINER MAP CITY j d C n CLASS BK. PG. VALIDATRDN S0. FT. T N0; OF NO. OF CHECK SIZE STORIES FAMILIES ONE NEW VALUATION �, r DESCRIPTION OF WORK : o Coy er' 7d ADD tv ALTER REPAIR _ USE OF . , • r. EXISTING BLDG. ace "Ae. ca AP11= T TEL. R" DATE o� ADDRESS FINAL - BUILDING ADDRESS LOCALITY MOVING TEL CONTRACTOR NO. ADDRESS — REQUIRED SETBACK FROM EXIST. SET BACK YARD HWY TOTAL PROP. LINE WIDTH FRONT SIDE P.L. QQ LDMA Ref. N P.C. fee $ Permit Fee 0 Issuance Fee IDMA P/C Investigation Fee l Total Fee C.; J LDMA Perm. N SH REVOU FOR EXPLANATORY LANGUAGE M PLANS TO APPLICANT INSPECTOR'S NOTES To: " Returned Approved No. Date No. Daft Approvals •' Required Dote Received or Approved •Yes No .. _ . Water Certificate Iieolth Department -- Fire Department Grading Geological Pedestrion.Proteclion . (Fence)(Canopy) Special Inspeclion (Cone.) (Masonry) (Welding) Lot Drainage Parking Approvals Date Inspector's Signature, Location— (Setback & Yards) Foundations Slab Frame Energy Insulation Loth/Drywall— Interior Loth- Exterior House Number— Correct & Posted Final— Enter on Front OWNFR.BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason. (Sec. 7031.5) Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for sucb permit to file a signed statement that be is licensed pursuant to tbepmvisions of the Con- tractor's license Law (Chapter 9)(commencing witb Secy tion 7000) of Division 3 of the Business and Professions Code) or that be is exempt therefrom and the basis for the alleged exemption. Any violation of Section 703 1. 5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars (8500).): (..) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sole (Sec. 7044) Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work bimseff or through his own employees, provided that • such im. provements 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 be did not build or improve for the purpose a sale). 0 I, os owner of the property, am exclusively tontrac- ling with licensed contractors to construct the project (Sec_ 7044) Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves tbereon, and who contracts for such projects with a contractor(s) licensed pursuant to the — "Co'ntractor's License -Law). ❑ tam exempt under Sec. , B.&P.C. for this reason Dote Owner INSPECTOR'S NOTES W i ii -t o N LI SCA�s fcA Tj+:G "-k-tIL, y D j),Am off► 'D C.,,q 0 y'I