The URL can be used to link to this page

Home My WebLink About15-0188 .-:, �= CITY OF DIAMOND BAR � ` � FINALIZED DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � ��`- 21810 Copley Drive,Diamond Bar,CA 91765 �1 I Z,q)�17 PRESS �,,,,,r ,�;�� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 �'��" BUILDING PERMIT APPLICATION FIRMLY g �� C � , APPLICATION DATE: P/C# y JOB SITE ADDRESS 1, (y z APN LOT TRACT ISSUE DATE: I��d��`1��PERMIT# �^ G �d � � �- � OWNER �L/1�� TYPE CONST. OCC GROUP: � ADDR S 3 (S �-�� ¢ CIT / 6 ZIP TEL. ZONING F ONT KS RW ❑ = APPLICANT TEL. REAR ❑ •r� SIDE/SIDE STREEf RW ❑ � CONTRACTOR � SIDE ❑ � ADDR SS f PROPOSED USE = CITY� ZIP�_TEL.� "�bZ��6I`� � ARCH/ENG/DESIG R � = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. ¢ OWNEH-BUILDEH DECIAMTION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION I = I hereby affirm under penalty of perjury that I am exempt 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#to the applicable item(s)[Section 7031.5,Business and Garage/Carport � Prafessions Code:Any city or caunty that requires a permit to construct,alter,improve,demolish,or repair,any � structure,priar to its issuance,also requires the applicant for the pertnit to file a signed sfatement that he or she � Patio/Deck I i is licensed pursuant to the provisions of the Canhactor's State License Law(Chapter 9)Commencing with Section w � 7(100 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit su6jec15 the applicant to a civil penalty C7 I = of not more than five hundred dollars($500). ZQ Re-Roof � (.J I,as owner of the property,or my employees with wages as iheir sole compensation,will do()all of or(J portions � Commercial y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the pmperty,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 '� I,as owner of the ro e am exclusivel contractin with licensed Contractors to construct the ro ect Section � p P rn� y 9 p � ( Valuation: Ad Area: Z 7044,Business and Professions Code:The Contracmrs'State License Law does not apply to an owner of property who 1� I n buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I License Law.). � � (�I am exempt from licensure under the Contractor's State License law for the following reason(s): a � � 2 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � I � year pnorto�completion of the improvements covered by this permit,l cannot legally sell a s[rudure that I have built as an w I owner-builder if it has not 6een construded in its entirety by licensed contradors.I understand thata 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 CONTHACTOR'S DECLAFIATION � I � I � I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � � of Division 3 ot the Business and Professions Code,and my license is in full force and effect. J _ �-�� 99�i 9� a � U � LICENSE CLASS: LIC.NO.: z I Z DATE: CONTRACTOR: � a WOHI�H'S COMPENSATION DECLARATION "' � 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: � Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. PLAN REVI EW: � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for Z the performance of the wor orwhich this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumberare: PLUMBING /�b'�J� � CARRIER �� MECHANICAL• � z POLICY NUMBER � G INSPECTION FEE: :� n (I}iIS SECTION NEED NOT BE COMPLETED IFh1E PFRMIT IS FOR ONE HUNDRFD DOLLARS($100)OR LESS). �SS�AN�E: r� � = I certify that in the pertormance of the work for which this permit is issued,I shall not employ any person in any manner so as to � 6ecome subject to the Worker's Compensation Lavrs of Califomia.Md agree that rf I should become subject to the Worker's SMIP: L Compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. ENERGY P/C: J i DATE: APPLICANT: ENERGY PERMIT: = WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: a c� y penalties and civil tines 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. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF. I y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance ot the work for = which this permit is issued(Sec.3097,Civ.C.�. � LENDER'S NAME: Y LENDEH'SADDRESS: I i I certfy that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES 1 /^�,/) M �.,,1 � V Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: � enter upon e above-mentioned property for inspedion purposes. J � 1�.i�j t�-��'ic►�'vZ( n — ¢ P RMITTE — � - f /S ^�► /� = SIGNATURE�OF PERMITTEE ATE RECEIPT# � / PAID BY:l�,r�Y�_ VALIDATION: I WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY Oi D47�"M4ND BAR ��`�"��Mi� IIVSPECTIOfV RECORD • � � . � e e � , , . � . '�" � '� ''. � � �"�9 8.. . SETE3AG{V�LETTER� `�� W��,. ; % �'" ��,,; `; 7RACT AND LEDGER FOOTINGS FORMS ,��r �� ,�?9, 5� ,,°,. SWITCH GEAR SIAB�, ��, '� "��. a�„�,, �� ,�� COMMERCIALHOOD UC yPL1JNI�ING , �" ��`r , �e� �� `` T-BAR , � � ° UG�ELECTRIGAL=- "� ��;�;,,, `� �� INTERCEPTER �� ' ;��,'�`� +�"�'� ��'�' ,HOT MOP/SHOWERPAN UFE�{°GP�QIINQ R,� �, � " �„3�,,,,w,a,� .,. SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE i NERS REPdRT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CQNQUIT -SHEARWAL�S`�EXTEFi10l� �,� � ;;��. ,L,:" � ��-, �E ��;: =POOUSPA ,�< ��: � ,.�_��;��_; > , � .��- e�-�� s, . , �. z��. � �� - � a — `� �� -- �� °SNEAR V�A€.LS IN��i1QR �, �"� 'L�"�'�� ,.�'��'�� 'ROUGH PLUMBING�r'� ��,� ,E� ��"� �' �� .� �. q, _. _ ,� �RAM(NGIUENTING "� � . . ',I,�°; ` " ��', '��'' �-';� �'�»�K�,..�`� ; ��ROUGH°�LECTRIGAL ��s' � " `.a�� ` � � �„m. �� ,.. ��, . RQU„GI�ME�NA�IIGAL, '',�,� ��,,; '� � �,�,r, ' �� s �' �''� 'RO[1GH MECHANIGAL� � �;�.�� .' .�- � ' ��, � „�� ;�� ; � ,RDU�aH E��CTRICAL,�W��j C�(_ 1` ` :� ' �:„�'' ��,��: ', , �GASTEST ��;�,��"� :�,_. ':'aT �"� _ ___ _�„ ��a �� ;�" '�, �RQ�GH P�C`UM�BING�� " ` � _ � "` �,�,, �, '' �: `PRE GUNITE a e�`��s�.. � o, � �, -, INSULATION WALL �POOI��PI��DECK BQNDING��, �;�� -�� , �� ,`�'�� . ,... � INSULATION CEILING �P�TFiAF u4 �� ; ";; k ;:��'', � .�` ��` DRY+1'dALL '�FfNCE;l�GATE%AL�ARM ~�� .:�� ; , `�� LATH(PRE) --- �INAL R R � OOL ��a ��., �:' ,� y��= �� lATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1s�( )2Ne( )LIFT SCRATCH COAT ' WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL �� PECIAL INSPECTION �RO.F�Ah+iINGi�tA�JNINGAPPH01lAL�` _ �ri � � �,s�, ..,� �� °�x,�„�� . .,�..�, � � �..,. . ,„�. , ., ,-c � ��4 �z � e� �xz ,�.- � ROU FIN�:BI��:UI�lf . 4 ��.,�i �ld.�R�� . :�, x GH WIR��APPR011AL ,, �' � �w°' - ,_ �� : ,Y , e.�^� ... >- n ��z -. EINAI�MECNANlCAL�� u» �;` ��'��,� �� ' _� 'FfNAI FIRE t1EPARTiNENT`< „��.� �,.. ; �. � a,. �� ' � �� ,. � �� „� ��,� „ � ��IN��ELE�Tf�tGAL ��;'�� ,�,� � �"�'�� 'FINAL�PLANNI�IG�� . ��; �EINAL PLUMBING ��^, �=_; ,�` �' � � �� "``',� �'FINAL ENGINEERING%`PW�`� � �`�� ,��,�� <� �r�� ., � ,_.�; ... � ��. �, _. � _. ° ��.C�-af QCGIIPANCY �; . �` .,�: ' � ' �� '` �� '� �� FINALaCOMMUNITY'SERV)CE5 � �.. �: � .; . �� .:��w:`� ��,, ,� . � "' .� � .� : ,�� - ` � � � , `� .,tt ��„; �E�'i'�ofOCGUPAid�� = . '��, ��,,µ , . ._�_;. � ° �� rr '��FINAL�HEqLTH,DEPT, _�`� �� `� . ,�.: � � � � �. � + ; � �� ' � � n,.� � ��_ � �� ,. , , , _ � ..— �EIHAL INDUSTRIAL 1NAST�' '�` �'� �` �...� _� ��'�.� �� . � �� COMMENTS: