Loading...
HomeMy WebLinkAbout13-01519 =�':,15j�'_ , C1TY OF DIAMOND BAR . � � y, j I I I i ' (( DEPARTMENT OF COMMUNITY&DEVELOPMCNT SERVICES � � :;,r,��IIL�� �_ � ' 21810 Copley Drive,Diamond Bar,CA 9176� PRESS �,,, ,,,� (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 FIRMLY � ��''��'���� � BUiLDING PERM T AP LTCAT ON � w~ � APPLICATION DATE: P/C# JOB SITE ADDRESS �� �' a �—' � z APN /� LOT TRAGT ISSUE DATE: PERMIT# I 3— c� 1 �i a o OWNER_/C.v�•o� 1 JQQ��� TYPE CONST. OCC GROUP: � ADDRESS�/�y�/I ,,-_,,t=Z r O r�� � �`�'''�-- r/ ' 'J CITY �,14�✓c, . q� ZIP G�Q TEL.l�/� ,S/J S�` /�'I S ZONING F ONTCKS RW ❑ a � APPLICANT TEL. REAR ❑ 0 �' CONTRACTOR ��hCr� �'�� \c�C.r SIDFJSIDE STR T RW CL o SIDE ❑ � ADDRESS PROPOSED USE o� CITY ZIP TEL. 0 o ARCH/ENG/DESIGNER w o ADDRESS o �i DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. m DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION a OWNEH-BUILDEfl DECLARATION � ereby aNrm under penalty of perjury that I am exempt trom the Coniractor's Sfate Ucense Law tor the reason(s) SFR/ADD/REM 0 p intlicated below by the checkmark(s),I have D�aced nezt to the aDDlicable item(s)[Section 7031.5,Business and Garage/Carport '-'� Professions Code:Any city or county that requires a permit to construct,alter,improve,demolish,or repair,any ? struclure,Drior to its issuance,also requires ihe applicant for the permit to file a signed statement that he or she � Patio/Deck � is licensed pursuant to lhe provisions ollhe Contraclor's State License Law(Chapter 9)Commencing with Section w � 7000 of Division 3 of the Business and Prafessions Code]or that he or she is exempt hom licensure and the basis for � Pool/Spa N the alleged exemption.Any violation of Section 7031.5 by any apD�icant tor a permit subjects the apD�icant to a civil penalry C7 � 01 not more than(ive hundred dollars�$500). Q Re-Roof o (,I,as owner of the property,or my employees with wages as their sole compensation,wiil do(�all of or�J portions � Commercial � of the work,and the strucNre is not intended ar oftered for sale(Section 7044,Business and Pmfessions Code:The m z Contracfnrs'State License Law does not apply to an awner of property who,through employees'or personal effort,6uild5 w or improves ihe property,provided that the improvemenis are not intended or oftered tor sale.lf however,the building nr . � Improvemenl is sold within one year of completion,the Owner-Builder will have ihe burden oi proving mat it was not built por improved for the purpose of sale.j. � (1 I,as owner o1 the properry,am exclusively contracGng with licensed ConVactors to consVuct the project(Section z 7044,Business and Professions Code:The Contractors'State License Law does not appty to an awner ol property who Valuation: Adj.Afea: � builds or improves thereon,and who contracts tor the projects wiN a�icensed Contractor pursuant to the Contracrors'State QUANTITY DESCRIPTION FEE Y license Law.). / / ��� � f,� � O U I am exempt from licensure under the ConVactor's State LJcense law for the following reason(s): �a � � '��u U /�l+a LL By my signature betow I acknowledge that,excepl tor my personal residence in which I must have resided for at least one w o year prior to compledon of ihe improvements covered by mis permit,l cannot Iegalty sell a structure mat I have built as an w a owner-builder if it has not been constructed in its entirery by licensed contractors.l understand mat a copy olthe applica�le _� s �1'� 2, � law,Section 7044 of the Busineu and Professions Code is available upon request when this application is submitted or at a the fallowing We[b��si[e:httphw�nv leginfo.ca.gov/c law.h I. Z � DATE: � '.T ��N�3 SIGN: � � LICENSED CONTRACTOH'S DECLAflAT10N � w I hereby aftirm untler penalty of perjury that I am licensed untler provisions ot Chapter 9(commencing with Sedian 7000) m ot Division 3 of ihe Business and Protessions Code,and my license is in full force and eftect. J (n U y LICENSE CLASS: LIC.NO.: a o DATE: CONTRACTOR: _ U � WORKEfl'S COMPENSATION DECUiRAT10N � � I HEREBY AFFIRM UNDER PEIJALTY OF PERJURY ONE OF THE FOLLOWING DECLAAATIONS: � I have and will maintain a Certifiqte of Consent to Self-Insure for Worker's CompenSaGon,as provided by CONSTRUCTION: � Section 3700 0l lhe LaDor Code,for Ihe pertormance of the work tor which this permit is issued. p�,p,N REVIEW: > I have and will maintain Worker's Compensation Insurance,as required by Section 3700 oi the Labar Code,for ELECTRIC: � the peAortnance of ihe work iw which this permit is issued.My Worker's Compensafion Insurance Carrier antl a PolicyNumberare: PLUMBING: � CMRIEn MECHANICAL: � POLICY NUMBER INSPECTION FEE: � (fHIS SECTION NEED NOT BE COMPLEfED If iHE PERMR IS WR ONE HUNDRED DOl1ARS(5100)OR LESS). � ISSUANCE: o I cedify thal in 1he pedortnance of the work lor which this permit is issuetl,I shall nol employ any person in any manner so as to SM I P: o become s�ibjed to the Worker's Compeivalion Laws of Califomia.Md agree that if I s�ould become subject ro the Worker's J Compensati n prwi wns of Seclion 3700 0l the Labor Co iall o i comp �C+'th ttrose provisions. ENERGY PlC: J ✓ LL DATE:�����P�uCANT:y---j��� ENERGY PERMIT: � WARNING:Failure ta secure Worker's Compensation covera4 is unlawtul,and shail subject an employer to criminal RETENTION FEE: w penafties and civil lines up to one hundred thousand dollars($700,000),in addi0on to the cost of the compensation, d damages as provided for in section 3708 ot the labor code,interest,and attomey's fees. PRE-ALT FEE: Z..�'d 0 a CONSiflUCTION LENDING AGENCY BSAF: w I hereby atfirm under penalry M perjury Nal there is a Constmction Lending Agency for the pedortnance ol ihe work Por � which this permit is issuetl(Sec.3097,Civ.C.). F LENDER'S NAME � LENDER'SAD�RESS: � I certity that t have read this application and state that the abave information is correct.I agree[o comply with all city and TOTAL FEES � � counry ordinances and state laws relating ro building constmction,and hereby authorize representatives of this rounry to COMMENTS: enter upon ihe above-mentioned property for inspection purposes. m ,�o E3 �rT L�1 Y�i� ,� N PERMfTTEi�� ��� X�*1 � ��I� - v� --- x SIGNAT E OF PERMITfEE �ATE RECEIPT k \� PAID BY: VALIDATION: H W HITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR � _ INSPECTION RECORD . . � � , . o . • � • - • - SETBACK/,LETTER ' TRACTAND LEDGER FOOTINGS FORMS . ;' '�� f- SWITCH GEAR g�qg�;� _ - - ..:� ��� COMMERCIAL HOOD UG:PLUMBING::'- - T-BAR 'UG.`ELECTRICAL - � INTERCEPTER UFER GRDUND ' � � ' - HOT MOP/SHOWERPAN _ _ SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT . , _ , ,... . _. SHEAR�WALLS'EXTERIOR' ' � r PUOUSPA.` - SHEAR WALLS INTERIOR .,- , � ` . " `_� . 'ROUGH FLUMBING.; r, ��'_ � �. - . � � � ._ . _ FRAMiNGNENTING ;ROUGH E[ECTRICAL,:= � '� z : . _ ROUGN PJIEGHANICAL " , f - :ROUGH MEGHANICAL`; . _ - ,ROUGH ELECjfl►CAL W(::;),C.(� ) - � � - ;GASTEST. `_ - - , ROUGH,PLUMBING � : ` `- ', "', RREGUNITE. �� - _ ,. - _ __, INSULATION WALL ���POOL PRE��DECK�BONDING '��� .;:�;�., . .�-` s,. _ = INSULATION CEIUNG P.=TR,4P - - " DRYWALL FENCE/GATE(AtARM 7 �_ LATH(PRE) FINAL POOL' :'� _ ;, ::: LATH EXTERIOR WALLS: LATN INTERIOR WALL FOOTiNG/STEEL GAS TEST WAIL STEEL 1�( )2ND( )LIFT SCRATCH COAT � � � WALL BOND BEAM ELECTRIC METER RELEASE �' /'_ � • WALL ORAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNIN�APPROVAL � , ; FINACBUILDING .. ' ;' : " .,.:: --,_ . ' .- ROUGH:EIREAPP.ROVAL FINAI:MECHANICAL �;` - . �� , . ` " =, ``: FINAL FIRE UEPARTMENT�. .` ..;." FINAL.ECECTRICAL �. - FINALPLANNING .;- - � FINAL'PLUMBING `' ; FINAL`ENGINEER{NGL PW - TC.of OCCUPANCY. `': � ' _ - �:_ `, �: ��:: . FINAC COMMUNITY;SERVICES : - � _ CERT.of OCCUPANCY;;�. . _ FINAL HEAITH DEPJ ,.. _ ,. . _.... . _. . fINAL INDUSTRIAL;WASTE - - COMMENTS: 0 V�