The URL can be used to link to this page

Home My WebLink About14-5322 � ` ,,, ,�''�'�'�,_,i` CITY OF DIAMOND BAR `QP�'' ,. II _: ` DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES , �� ^� 21810 Copley Drive,Diamond Bar,CA 91765 fl\ ' PRESS I ``�,��W,,;� (909)839-7020 Fa1c:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ''��''' BUILDING PERMIT APPLICATION s JOB SITE ADDRESS f—�/�� Vllil Il� � APPLICATION DATE: P/ # z APN LOT T ISSUE DATE: ��/a-��d�� PERMIT# ��d� � OWNER ' TYPE CONST. OCC GROUP: � n ADDRESS CITY ZIP EL. ZONING SEfBACKS � FRONT RW ❑ ¢ APPLICANT r TEL REAR ❑ s � � SIDE/SIDE STREEf RW ❑ � I Q CONTRACTOR Y SIDE ❑ � � ADDRES PROPOSED US = CITY ZI TEL. � ARCH/ENG/DESIGNER � �SCi z ADDRESS � #DWEL.UNITS �� T IE #BEDROOMS QCITY E . I � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION Q OWNEH-BUILDEH DECLAHATION Y I hereby affirm under penalty of perjury that I am exempt irom the Contractor's State License Law for the reason(s� SFFUADD/REM � � indicated below by the checkmark(s�,I have placed ne�R to the applicable item(s)[Section 7031.5,Business and Garage/Carport I Professions Code:Any city or county that requlres a perm(t to construct,alter,improve,demolish,or repair,any � shucture,prior to iLs iuuance,also requires the applicant for the permlt to file a signed statement tliat he or she � Patio/Deck I i is Ilcensed pursuant to the provisions of the Contradar's State License Law(Chapler 9)Cammencing with Sectian W � 7000 of Division 3 of the Business and Protesslons Code]or that he or she is exempt fmm licensure and the basis for � PooVSpa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty �7 � s of not more than five hundred dollars($500). � ZQ Re-Roof I � L)I,as owner of the property,or my employees with wages as iheir sole compensation,will do(,all ot or�1 portions � Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Pmfessions Code:The m I . Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds y or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or I 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 '� (�I,as owner of the property,am exclusively cont2cting with licensed Contractors to construct the project(Section Z 7044,Business and Protessions Code:The Conhactors'State License Law does not apply to an owner of properry who Valuati0 � Adj.Ared: I n buildsorimprovesthereon,andwhocontraclsforiheprojeciswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.�. � (,I am exempt from licensure under the Cont2ctor's State License law tor the following reason(s): � I � ¢ 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w I � year prior to completion of the improvements covered by this permit,l cannot legally sell a strudure that I have built as an w I 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 I � the following Web site:http/www.leginfo.ca.gov/calaw.html. Z I � DATE: SIGN: � — LICENSED CONTflACTOH'S UECLABATION � I a I� y I hereby affirm under penalry of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of therg1�si ess and Pr ssi ns Code,and my license is in II fo e and,e.ff�e/d. I � LICENSE CLASS: I ' LIC.NO.: � �� -7� a I � DATE: CONTRACTOR: = I U a WOHI�fl'S COMPENSATION DECLAflATION � •. I� � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: " .� �,a � I have and will maintain a CeRificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � Section 3700 of the Labor Code,for the pertormance of the work tor which this permit is issued. p�.qN REVIEW: 7- � ¢ > I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: � �th rt r of t work for which this ermit is issued.M orker's Com ensation In uran rri r n e pe o a e p s ce Ca e a d ¢ Polic.yN b /�/� I PLUMBING: y CARRIE U( �1 MECHANICAL: � POLICY NUMBER INSPECTION FEE: n (THIS SCCiION NEED NOT BE CAMP D 1H� fT FOR 0 HUNDRFD DOLLARS($700)OR LESS�. ISSUANCE: 7 J.I��y/ � I cer�ty that in the performance otthe work for which this permit is issued,I shall not employ any person in any manner so as to SMI P: `��.�iS �. � become subject to the Worker's Compensation Laws of Califomia.Md agree that rf I should become su6ject to the Worker's oo— L Compensation provisions of Section 3700 of the Labor Code,I shall torihwith comply with mose pmvisions. ENERGY P/C: J i DATE: APPLICANT: ENERGY PERMIT: q/y � WARNING:Failure to secure Worker's Compensation cove2ge is unlawful,and shall subject an employer to criminal RETENTION FEE: ' �lill y penalties and civil fines up to one hundred thousand dollars(3100,000�,in addition to the cost of the compensation, '�- damages as provided for in section 3708 of the labor code,interest,and attomeys fees. � PRE-ALT FEE: � i CONSTHUCTION LENDING AGENCY BSAF: �.I� y I he2by affirm under penalty of perjury that there is a Construction Lending Agen�y for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: � LENDER'SADDRESS: . i I certiry that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES � county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: � enter upon the above-mentioned property for inspection purposes. J � 7J ¢ PERMITTEE NAME(PRINn I � � �/ ' = SIGNATUREOFPERMITTEE DATE RECEIPT# �� PAIDBY: �%Qi� VALIDATION:�T. WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTIQfV RECORD � ' s ` , � � . � � � � • � � r�wr � �a�,�s-. . �'"" �.. �t4'� � � ' � ' "5ETB�CK/LETTER� ��:,,',� ,.�;,i�„�� ;;�Q� �� " '��,.,.; �'�� TNAGTAND LEDGER i �FOOTINGS FORINS�� a ,`��."� �'�� ,.�-., ;..:�.� . :- .t � - SIJITCN GEAR �S[laB,�� ' � ��-��; COMMERCIAL HOQD ,UG.'PLUMBING� �' ` �� T-�AR � ( i 'ar+� ,gy S.eE^- � UG,,ELECTRICAL��„ . �_`�n:�� s-�� INTERCEPTER __.......—._._ ,UFER�GROUND°��; � � `�«< '_ :--_~� :'.-'',. `- ` :HOT MORISHOWERPAN ��; SEWER LATERAL SEPTIC/CESSPOOL j MAIN WATER LINE HERS REPORT RECEIVED I � SEWER CLEANOUT DEMOLITION i ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING � ROUGH CONDUIT ; ; °SHEAft.VJALLS�EXTERIOR,�, �q ;,.. �.��;^ ��. 4�t '� ;PQDL/SPA � >,�,�,r,.E»::�w��,� �, � �� ,�,,.,F ,� �� ;� ,�N. �� _� �,9,• � � �„�.�� „ _ � ;SHEAR�WALLS 1NTERIOR,;'�� . .,�� , �� :.� ,�E�.�,�.��.. : �� - � =RQUGH.PLU�IiBIM13G;°,� ,, '`�- ,��z'''�� , „ �� - `FRAMINC�VENTING ��.` �"� �,`�" _ - ��" ` � �iROUGHELEGTRIGAL�'`��' �`''�� ` '�'~� '� � ��' �``� �� .�; ,,��.,� � ��. ROUGH MECHANICAL q" ;, : ;�� '� "' _��`� '�'` '" � ROl1GFteMEGNANICAL ��`�," ��!� `�° .� '�t�.i .r�� d��i ��.�5's�'5. � � ��µ �Q � � � �� = ROUGH E�ECTRICAL W(,�)AC( 1 `:�� GAS TESI'�� ;�'� �`" �°�"; �" ��;��, � �ROUGFI PLUMBIN�i � y A ' ° � PRE�GUNI,TiE� �;��° 6 ^ �_ ��a,�� n; :�'�,..� �:.��- �, '��.a�-.s;.��.� �� aM F�,�.. .� ,�' .�z�= INSULATION WALL I POOL PRE'DEGK BQhaQING r� ,,,,� �,��.�,,,., , � � INSULATION CEILING F,�TRAP, ��' � �_ � � ��k� .�u �t;� �� DRYWALL FENCE�l�G�ATEI'AIE1FiM � =�m tl ` S. r;�m �» LATH(PRE) -- FINAL PdOL �� "��v �'� s�. ��"�` °�� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 S'( 12N°( )LIFT I —� SCRATCH COAT WALL E30ND BFAM I ELECTRIC METER RELEASE WALL QRAIN/SEAL � GAS METER RELEASE WALL FINAL SPECIAL INSPECTION �RQ�FFiAMING PIANNIN�PPPROVAt ' � $ � � '� ��n�~� � , a .��. , ,. ua.�, . _- . _ � � > - ,� � �_ w.. �� .� .. ,�. FINAL�BUILOING;., , �� . �� , � c�,. � � �. �.,x �i�U�H FIRE�APPROI�AL u`��`_�Z: .f.��R� -�.� ��,.b��_ � ��."r ..- � � FINi�i.'MECHANi�AL `��r�, ��°� ":: ' �«. �,' „��'� . � �� :_a �1�41L„FIRE';DfiPARTMENT . ��.� .d�;...•', �; `' ��b ': �,�.,- FINAL'�ELECTRlGAL ° , t : g�� ° FtNAI.PLANNING ;� A �`' '� '��'�'��'� �'�q`�` ��. .Z.�%.` ;�, e�.,. . ��<.,� �.�a��.'. �� H �.� ��e.. ' � � ��i E�—;�,��5 _ � �y- ,�,�� =_ `�INAt!��PLUMBING a'°�' � R�� = �Fi�lAL�NGINEERINGI PW_ � '� � �� «� .�.. �n. - �N5"��.i� a%3,� T.C.of�OCCUPANGY b .��, . ,�. '"�� '�9; " ,�, FI#UAL COMMUNITY SERVICES��" � m�` � ,� ; �,��, � "I ,CERT�of OCCUPAIdCY � °�� , ;#,,�� ,�� y:; rr� � � FINAL�HEALTii�DEPT� ,� �� '�� ,"� ,.��,,;„ ,<,� ,r� «., � �,�� M,�,. �,. . . s� LFINAL�'INDUSTRiAL�WASTEs"` � `" � 3 {d C�.�EE .�;us. � �;��_ COMMENTS: