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HomeMy WebLinkAboutPR14-3321i t TTA -11r, T i 'f uu� CITY OF DIAMOND 13AR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond liar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION OB SITE ADDRESS !-��-D 1 GkP_rY\&U\ S -T WOW lx� L APN LOT TRACT OWNER A ADM u, t kcAl zlAc\w) ADDRESS •Z 1 Z V Z <2 L t CITY /tT /i Ll ZIP TEL. APPLICANT TEL. CONTRACTOR X -Cuf Ap, 0,C L4 ADDRESS / r r Z L y �V CITY Al 4ZIP? EL. li ARCH/ENG/DESIGNER'?( ADDRESS Zb"I b PA UA /1 p CITY (At h(XwAbtQ,._ZIP _CAAL__TEJIOU) -2_'9 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). U 1, as owner of the property, or my employees with wages as their sole compensation, will do L1 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.). (� I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Corte: 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 permil,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: httWwww.leginfo.co.gov/calaw.htmi. w.leginfo.co.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 full force and effect. (CENSE CLASS:"PERJURYONE NO.: 3 ATE; D " L3 TION DECLARATION 1 HEREBY AFFIRM UNDER PENALTOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by Section 3700 o1 the Labor Code, for the performance of the work for which Utis permit is issued. I have and will maintain Worker's Compensation Insurance, as required by Section 3700 o1 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 _ X POLICY NUMBER �� -e L (THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS I$100) OR (FSS). 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 CompensaU Laws of Cal forma. And agree that if I should become subject to the Worker's Compensation provisions of Section 37�thous.and all Ierthwith cam y ' f�lhose provisiRac DATE/ Q '� "� APPLICAN WARNING: Failure to secure Worker'ge is unlawful, and shall subject an employer to criminal penalties and civil fines up to one h ($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. _, N/ I Lee 4zf ; EE NAME (PRINT) GN RE OFFLKMIITEE DA E VA APPLICATION DATE: P/C# F"R \4-- 3252 ISSUE DATE: PERMIT# PIR *%4 - 33a\ TYPE CONST. OCC GROUP: ZONING SETBACKS FRONT RW REAR SIDE/SIDE STREET RW SIDE ❑ ❑ ❑ ❑ PROPOSED USE As ,d `kAC" AS -1011%k— 15-1 %GAyocM Ls_� 0aL't� rmom5 K' 4 IZAVN .,o. Rrn # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SO. FF. FACTOR PSF ADJ. AREAIVALUATION SF ADD EM 1S "lr• Garag arport � i r7T Patio/Deck Lu LL Pool/Spa Z Re -Root Commercial Valuation:3 Q X Adj. Area: QUANTITY DESCRIPTION FEE a u l J -G11 g5 _S J •C Q 1°� tnlkTk _11-C, a a x CONSTRUCTION: PLAN REVIEW: �a:Pg-• ®I �i ELECTRIC: PLUMBING: MECHANICAL:_ ��4.• -leo INSPECTION FEE: ISSUANCE: SMIP: gC1 . 43 ENERGY P/C: —A 6 • �O ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: y� BSAF: C'O TOTAL FEES COMMENTS: Fill= laiN3921 S •ry RECEIPT # PAID BY: - VALIDATION: �• _ WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD.' INSPECTION SETBACKI LETTER . DATE INSPECTOR INSPECTION DATE INSPECTOR TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG. PLUMBING UG. ELECTRICAL Ale.'®. T -BAR INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT ` DEMOLITION ROOF SHEATHING l e 7- /S ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT .SHEAR WALLS EXTERIOR - . ,; / — 7 - S /L-��% POOL/SPA SHEAR WALLS INTERIOR - ' ` . ROUGH PLUMBING FRAMINGNENTING ROUGH MECHANICALROUGH ROUGH ELECTRICAL W( ) C (') ROUGH PLUMBING . INSULATION WALL " ` �: ` .. Z ; (' " TROUGH ELECTRICAL::- MECHANICAL - GAS TEST PRE GUNITE: - POOL PRE DECK BONDING,` INSULATION CEILING P -TRAP '- DRYWALL i Z FENCE / GATE/ ALARM LATH (PRE) FINAL POOL: LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1-( ) 2ND( ) LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO. FRAMING PLANNING APPROVAL FINAL BUILDING FINAL MECHANICAL : FINAL ELECTRICAL:,,:,, ROUGH FIREAPPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING .FINAL PLUMBING FINAL ENGINEERING/ PW T.C. of OCCUPANCY. r, _ FINAL COMMUNITY SERVICES—,s� CERT. of QCCUPANCY FINAL HEALTH DEPT. J FINAL INDUSTRIAL WASTE- 'T CITY Or 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. " FIRMLY BUILDING PERMIT APPLICATION JOB SITE ADDRESS �Z�-1 V1�Ti1 \ g l APN LOT TRACT OWNER LZ� t ADDRESS E L CITY /9 (C ZIP TEL. APPLICANT TEL. ,tet CONTRACTOR X ��/V •pI 2C//� ADDRESS Z N CITY Al f1ZIP &7L -TEL. — Z3- ARCH/ENG/DESIGNER' ADDRESS 2 -LV -16 U)' V Wjey ?)�")A /� p CIN Allnr�,w►br�. ZIP�_TEL�b��Zg�—'T ll�j OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt tram the Contractor's State License Law for the reasons) 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 cgnstnni, 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): U I, as owner of the property, or my employees with wages as their sole compensation, will do U ail of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044, Business and Prafessk m 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. lt 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 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an awner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Cadractms' 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 permlLl 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: httpAvm.leginfo.ca.gov/calaw.htmi. 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 ficense Is In fullforceand effect. ...7 ICENSE CLASS: LI NO.: 7 ATE/ D 3 ONfRACTOR: - WORKER'S COMP SATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE E FOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to Seff-Insure for Worker's Compensation, as provided by Section 3700 of the Labor Code, for the performance of the work for which this permB 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 Cartier and Policy Number are: / CARRIER X P01 ICY NUMBER , (CHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (3100) OR LESS). I certify that in thu performance of the work for which this permit Is Issued, I shag not employ any person in any manner so as to become subject to the Workers Comperhsa • Laws of Calflemia, And agree that it I should become subject to the Workers Compensation provisions Section 3 th bon Code, I shall for0milh com hose prwhldaS DATE/ 64 ' -4 APPLICANT { WARNING: Failureto secure Worker'spensation coverage Is unlawful; and shall subject an employer to criminal f penalties and civil fines up to one hu red thousand dollars ($100,000), In addition to the cost of the compensation, i damages as provided for In section 3708 of the labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY j 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: r 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. r i E E NAME (PRINT N fFEO ERMITfEEOA E APPLICATION DATE: P/Cft-f?a \Ak - 330L 1 ISSUE DATE: ),o/ a3 X11 PERMITS PR \4 - 33a,\'`" TYPE CONST. OCC GROUP: ZONING SETBACKS FRONT REAR SIDE/SIDE STREET SIDE RW ❑ ❑ RW ❑ ❑ PROPOSED USE S"1alVS �1 �c�reo�,r15L S DWEL. UNITS S STORIES S BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREANALUATION SFADD EM �-5 �• Garag erport ` rn w Patio/Deck LL Pool/Spa ZRe -Roof O Commercial CO 18 Valuation:3 \ Adj. Area: QUA14TITY DESCRIPTION FEE u It Arl- 12 Kit Yi 1 z� m . Z 6l/.d /L I CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: 330 • Lo\ MECHANICAL; INSPECTION FEE: ISSUANCE: SMTP: 4th . X1'3 ENERGY P/C: ENERGY PERMIT RETENTION FEE: PRE -ALT FEE: BSAF: \9J . Op TOTALFEES COMMENTS: c Ica sQ s RECEIPT 4 %,o PAID BY: VALIDATION: ._ WHITE — Department Copy, YELLOW — finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy �� fit-oi�Z�- �����5 �°47� 'BIVIOND BAR: CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION JOB SITE ADDRESS 241VCe -tA a0,l OJ VA �C�} APN LOT TRACT OWNER �` ,�y ADDRESS �,4�— CITY WAi VlLA:*SA ZIP 9. 135k APPLICANT 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 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). U 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.). U 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 Cade is available upon request when this application is submitted or at the following Web site: http/www.leginfo.ca.gov/calaw.htmi. 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 full farce and effect. LICENSE CLASS: UC. NO.: DATE: CONTRACTOR: 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. 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 (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 California. And agree that if I should become subject to the Workert Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DATE: 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. PERMITTEE NAME (PRINT) SIGNATURE OF PERMITTEE DATE PRESS FIRMLY APPLICATION DATE: h�7� v �J1 P/C# /A/ — -7 �l ISSUE DATE: PERMIT# TYPE CONST. OCC GROUP: ZONING SETBACKS FRONT REAR SIDE/SIDE STREET SIDE RW ❑ ❑ RW ❑ ❑ PROPOSED USE --Jj g, rri`• � anl' ih� # DWEL. UNITS # STORIES .tr.'r �..',, a s► i,,.n � # BEDROOMS DESCRIPTION SQ. FT FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport rn Lu Patio/Deck LE Pool/Spa ZRe -Roof 0 M Commercial M Valuation: Adj. Area: QUANTITY DESCRIPTION FEE a U J w co m J a U a_ w CONSTRUCTION: ^ PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BSAF: TOTAL FEES -7, 9 COMMENTS: G A -r 1, 1L RECEIPT # PAID BY: VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy UG. ELECTRICALC" LIFER GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING_ FLOOR SHEATHING 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 ELECTRICAL FINAL,PLUMBING µ. OCCUpANGY CERT. of OCCUPANCY COMMENTS: POOL PRE DECK:B,QNDING" " ; ate? - CITY OF DiANIOND BAR P -TRAP �w FENCE / GATE/ ALARM INSPECTION RECORD ; '° • o y WALLS: FINAL PLANNING!, NEUs ® , mm s �� WALL STEEL 1-( ) 2N°( ) LIFT WALL WALL BOND BEAM ::. FINAL ENGINEERING( PW ? , TRACT AND LEDGER _ — — WALL FINAL ,SRO: FRAMING PL ANNINGAPPROVAL (;FINAL INDUSTRIAL WASTE SWITCH GEAR __ n r COMMERCIAL HOOD T -RAR_______ INTERCEPTER HOT MOP/SHOWERPAN _ (SEPTIC/CESSPOOL _ __ HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT ! P©DUSPA .' ROUGH PLUMBING", _.,.. I ROUNiEkTRICAL '.ROUGH MECHANICAL ' C( } GAS TEST - -„ PRE GUNITE _ 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 ELECTRICAL FINAL,PLUMBING µ. OCCUpANGY CERT. of OCCUPANCY COMMENTS: POOL PRE DECK:B,QNDING" " ; ate? - � Ei0U6H FIRE APPROVAL P -TRAP �w FENCE / GATE/ ALARM j FINAL FIRE DEPARTMENT FINAL POOL WALLS: FINAL PLANNING!, WALL EEL WALL STEEL 1-( ) 2N°( ) LIFT WALL WALL BOND BEAM ::. FINAL ENGINEERING( PW ? , a WALL DRAIN/ SEAL — — WALL FINAL ,SRO: FRAMING PL ANNINGAPPROVAL .. � Ei0U6H FIRE APPROVAL d j FINAL FIRE DEPARTMENT FINAL PLANNING!, , ::. FINAL ENGINEERING( PW ? , FINALCOMMl1NITSERVICESl FINAL HEALTH DEPT l _.I (;FINAL INDUSTRIAL WASTE __