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HomeMy WebLinkAbout14-3620 — �":�:"�'`�'�.�,. C1TY OI'DIAMOND BAR '' "��1 v:r�i.!1.�I i . i i DEPARTMENT OF COMMUNITY&D�VELOPMGNT SERVICES '•�� ��III������+ ' 21810 Copley Drivc,Diamond Bar,CA 9176� PRESS � � , �,�;'„`,`,,� - (909)839-7020 [+ax:(909)861-3117 Building Insptction Hutline(909)839-7027 FIRMLY �'�g'- BUILDING PERMITAPPLICATION � � JOB SITE ADDRESS APPLICATION OATE: SI o��I I I�}-- P1C# � � ' 3 w (7`��O� �I� PERMIT# �y'�' �D� z APN LOT TRACT ISSUE DATE: o OWNER TYPE CONST. �"1--. OCC GROUP: w � ADDRESS � � CITY _ ZIP .�TEL. ZONING F ONT KS RW ❑ � APPLICANT TEL. REAR � c�n SIDE/SIDE STREET RW ❑ a CONTRACTOR SIDE ❑ oro ADDRESS � �' PROPOSED USE S S ¢ CITY / ZIP TEL. G 0 o ARCH/ENG/DES�IER 1) w o ADDRESS #DWEL.UNITS #STORIES k BEDROOMS z CITY ZIP TEL. m DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION a OWNEH-BUILDER DECLAflAiION � I hereby attirm under penalty of Derjury that 1 am exempt from the Contractor's State License law(or the reason(s) SFA/ADD/REM pindicated below by the checkmark�s�,I have placed next to the aDDlicable ilem(s)[Section 7031.5,Business and � w Garage/Carport o Professions Code:Any city or county lhat requires a permit to consUuct,alter,improve,demolish,or repair,any z structure,prior to ils issuance,also requires the applicant for the permit to file a signed statement Nat he or she � Patio/Deck a is licensed pursuant to the prorisians ol the Contractors Siate License Law(Chapter 9)Commencing with Seclion w � 7000 of Uivision 3 of the Business and Professions Code]or that he or she is ezempt from Iicensure and the basis for LL Pool/Spa Nthe atleged ezemption.Any violation of Section 7031.5 by any applicant 1or a Dermit subjects the aDPlicant to a civil penalry Z Re-Roof � of not more than live hundred dollars($500). � o U I,as owner of the property,or my employees with wages as Iheir sole compensation,will do(�all ot or�1 portions � Commercial � ot the work,and the structure is not intended or ottered tor sale(Section 7044,8usiness and Professions Code:The m Z ConVactors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds w or improves the properry,provided that the improvements are not intended or ottered tor sale.I(however,the builtling or � improvement is sold wi[hin one year of compleBon,[he OwnerBuilder will have the burden ol proving that it was not built por improved for the purpose of sale.). FO I,as owner af the proDertY�am exdusively conVacting with licensed ConVactors to construct the project(Seclion �� ' � 0 7044,Business and Professions Code:The Contracrors'State License Law does not appty to an owner of proDertY Who Valuation:�� r7(p�"� 3 O Adj.Afea: Z builds or im roves thereon,and w�o conVacts tor lhe ro ecls with a licensed ConUactor ursuant to the Contractors'State � � P P � P QUANTITY DESCRIPTION FEE Y Lice se Law.). .� � p I am exempt irom licensure under the ConVaclor's Stale License law for the lolfowing reason(s): a l � � ¢ C, ZBy my signature below I acknowledge that,except tor my personal residence in wnich I must have resided tor at least one W o year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w . a owner-builder if it has not been constructed in ifs entirety by licensed conhactors.I undersfand that a copy olthe applica�le � law,Sec�ion 7644 of the Business and Professions Code is available upon request when this application is submitted or at � X the following eb s' :http .leginto.ca.gov/cal hnl. �^ z � DATE: � SIGN: � � LICENSED NT A R' LAflATION � w 1 herebY aftirm under penalty of perjury thal l am licensed der provisions of Chapter 9(commencing with Section 7000) m of Division 3 0l the Business antl Professions Code,and my license is in full force and ettect. a � N UCENSE CLASS: � LIC.NO.: q��3 z , � a o DATE: CONTRACTOR: _ z w a WOHNER'S COMPENSATION DECLARATION g � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � � I have and will maintain a Certificale of Consent to Selt-Insure for Worker's Compensalion,as provided 6y CONSTRUCTION: A S�p . �3 � . Sec�ion 370(1 of lhe Labor Code,for the performance of the work tor which U�is pennit is issued. p�,qN REVIEW: T,b. �� � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 0l the Labor Code,for o the pedormance of�the work Por which this permit is issued.My Worker's Compensation Insurance Carrier antl ELECTRIC: �' - �� z a PolicyNumberare: , PLUMBING: � CARRIEp ' MECHANICAL: � POUCYNUMeER INSPECTION FEE: � (fHIS SEC�ION NEED NOT BE COMPLEfED IFiNE PERMfT IS FOR ONE HUNDRED DOLLMS($100)OR LESS). r ISSUANCE: � o I certify that in the pedormance ot the work for which this permit is issuetl,I sl�all not employ any person in any manner so as to SM�P: , 6.y,� o become subject lo Ihe Worker's Compensalion Laws ol Califomia.Md agree that ii I should become subject to me Worker's J Campensatio rovisi ns of Section 3700 of the Labor Code,l a orlhwith comply wiU tlwse pmvisions. EN ERGY PlC: �n J DATE: APPLICANT: h LL � ENERGY PERMIT: : V I � WARNING: ilure se ure Worker'S Compensatlon co rag avA ,and shall subjed an employer to criminal RETENTION FEE: % w penatties a d civil fines up to one hundred[housand dollai ( 0 0 ,in addiGon to the cosl of the compensation, a damages as provided for in sectinn 3708 ot the labor code,int est,and atlomey's fees. PRE-ALT FEE: 0 1 a CONSTAUCTION LENDING AGENCY BSAF: y.0 d w I here�y affirm under penalry of perjury thal there is a Constmction Lending Agene�for t�e pedormance of the work tor = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: � LENDER'SADORESS: �D,!`J`. %/'` a I certily that 1 have read this applicatlon and state that the above information is correct.I agree to comply vn[h all city and TOTAL FEES S �3• �'1 a counry ordinances and sfate laws rela6ng ro building construction,and hereby authorize represeniatives of this caunty to penter upon the abave-mentioned property for inspection purposes. COMMENTS: J � m a PERMITfEE NAME(PRIN� p� S � `� �,� N �, .li I C. - = SIf+NATURE OF PERMITfEE DATE RECEIPT k 1 �7� PAID BY: C � VALIDATION: r � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROO—File Copy,GREEN—ApplicanYs Copy C1TY OF DIAMOfVD �AR INSPECT�ON RECORD . - • 1 - � .� • s � � � • - • • o � • - SETBACK!LETlER' :;; . _ '` TRACT AND LEDGER FOOTlNGS FORMS �"j SWffCH GEAR SLAB�€����`.. � � _; COMMERCIALHOOD UG.;PL.UMBING�'�' �� � _, T-BAR �� UG'ELECTRICAL ' ` '•,j;= INTERCEPTER UFER GRdUND., � � �' � , " `� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT OEMOLITION .ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT , .- • ; - - :. SHEARWALLSEXTERIOR ���= -:; �:�, ���: , ' ..��",: '�� � - �'� POOUSPA�: �� .. -� -= - SHEAR.WALLS INTERIDR , - ROUGH"PCUMBIN6 _ �''; FRAMINGNENTING �;: , :.;:, L , '" ' ` -` � _ , ,.. ,�,= . - :-. :FlOUGN ELECTRICAL:' _: "..:' � ', :i. . �.', :� .. .�°s . � .:. ,. RQUGH�MECHANICAL ';,` .� . ::. . .. % . <>;. - =; .',r ,ROUGN MEGH'ANICAL r ' � ' ROUGH;ELECTRICAL W(�C.('=":) 1= y, ; - - �6ASTEST.�r '. , ` ' � '.� - _� , �� . , , � _ ; - , . �` PRE GUNITE . .. ;�' �_� ' '.: �� ��• ,,.�:: ; �,� K= ROUG!i�PLUMt31NG, ,, , : � - ._ � � �� . � .� ..__� . � . _ . � : . _ y , � , > INSllLATION WALL POOL PRE';DECK BONDING= - .,,' ; �- s � > � .. INSULATION CEILING P=TRAP � '` `` ' ``' f ` Jt DRYWALL L L4' FENCE/'GATE/ALARM � LATH(PRE) FiNAL P00L �.� - -- 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 FRAMWG PL'ANNI.NGAPPROVAL � -l .�_ . FINAL BUILDING� ' ROUGH FIREAPPROVAL'" ` ` _ _ _ �- = � FINAL MECHANICAL .:_ . `- �' ; �'' .- : � ' ` FINAL.FIRE DEPARTMENT, ; - FINAL ELECTRICAL '° : , . : , . -, ,_ ' � 'FINAL PLANNING.�', - - ,:;, . , _ . FINAL PLUMBING.- '�I , � :. � : '`. ` '=,`" FINAL'ENGINEERING/PW " „ . .: -.° T:C,of OCCUPANCY, FINAL COMMUNITY.SERVICES _ . ,' CERT"of OCCUPpNCY ' _- , ` , ; <: ," . , , ,� ,, �,.:: ���. EINAL HFJILTH DEPT ;, , .<r, ,. > , FINAL INDUSTRIAL WASTE.,.` , - - ' � . . .: - . . - . . COMMENTS: j'6�Anr �l�l�o��Q,� �`�'"�► !C�/�-� G6�.at k P.�-�c�Cdd���Rdsa�D/:.�,, /d/T/I�"Ri / �