The URL can be used to link to this page

Home My WebLink About14-02297 �::-':,'� _ CITY OF DIAMOND BAR f � I I i ' " DTPARTMENT OF COMMUNITY&DEVELOPMGNT SERVICES . . .. ' ....., �' ryp�„� ��, � y,, 21810 Copley Drive,Diamond 13ar,CA 9176� � PRESS ' � , 909 839-7020 Fax: 909 861-3117 Buildin Ins tction Hotline 909 839-7027 ,,,.,;> c ) c � � p�� c > FIRMLY .�,�. w_ . "��' BUILDING PERMIT APPLICATION � JOB SITE ADDRESS Z WWV�I� 'J— APPLICATION DATE: '� — � P/C# a ISSUE DATE: a� at� (��{' PERMIT# (� � UL Z;�_�'_ z APN LOT TRACT ` o OWNER �1F I''�C� TYPE CONST.�I�Y��F OCC GROUP: � ADDRESS U— � CITY ZI I TEL � \ � ZONING F ONTCKS RW ❑ a APP�ICANT TEL. REAR ❑ � 0 (�� ¢ CONTRACTO�Y �.K7Ut'i�J� ��\'1�J(�— SIDEISIDE STREET RW ❑ o SIDE ❑ � ADDRESS PROPOSED USE I �S oc CITY ZIP TEL. 0 o ARCH/ENG/DESIGNER v � �� w o ADDRESS 7t DWEL.UNITS #t STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OWNEH-BUILDER DECLARATION � I hereby affirm under penalty ot perjury Nat I am exempt from the CaNractor's State License Law tor the reason(s) SFR/ADD/REM 0 p intlicated below by the checkmark(s�,I have Dlaced next to the applicable item(s)[Section 7031.5,Business and Garage/Carport �'-� Professions Code:Any city ar county thal requires a permit ta consVuct,alter,improve,demolish,or repair,any 0 Z strucNre,prior to ils issuance,also repuires lhe applicant for the permit to file a signed stalement that he or she � Patio/Deck a is licensed pursuant to Ne provisions of tAe Contractor's Sfate License Law(Chapter 9)Commencing with Seclion w � 7000 of Division 3 of ihe Business and Professions Code]or that he or she is ezempt from licensure and the basis for LL Pool/Spa N the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecls the apDlicant to a civil penalty Z Re-Aoot � of not more than iive hundred dollars($500). p o (,I,as owner of the property,or my employees with wages as Neir sole compensation,will do(�all of or U porlions � Commercial � of the work,and ihe structure is not intended or offered for sale(Sec[ion 7044,Business and Protessions Code:The m Z Contractnrs'State License Law does not appry to an ovmer of property who,through employees'or personal effort,builds � or improves the property,provided that the improvemenfs are nM intended or offered for sale.lt however,the building or � improvement is sold within one year ol complellon,the Owner-Buiider will have the burden of proving that it was not built p or improved for ihe purpose oi sale.):'� � � I,as owner o1 the ro e �� zU p p rty,am exclusively conVacfing witli licensed Contractors to canstruct the project(Section Valuation: Adj.Area: 7044,Business and Professions Code:The Contractors'State License taw does not apply to an awner of property who � builds or improves ihereon,and who conVacts tor the projects with a licensetl Contractor pursuant ro the Contractors'State QUANTITY DESCRIPTION FEE Y License Law.). o U I am exempt(rom licensure under the ConVactor's Stale License law 1or the tollowing reason(s): a � � LL By my signature below 1 acknowledge that,except tor my personal residence in which I must have resided for at least one w o year prior to wmplelion oi the improvements covered by this permit,l cannot legally seli a structure ihat I have built as an w Q owner-builder il it has not been consWcted in iis entirery by licensed contractors.I anderstand that a copy of the applipble � law.Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at X the tollowing Web site:httplwvnv.leginlo.ca.gov/calaw.html. �' ' Z o DATE: SIGN: � � LICENSED CONTflACTOR'S DECLARATION � w I hereby aftirm under penalty of perjury that I am licensed untler provisions of Chapter 9(commencing with Section 7000) m of Division 3 01 the Business and Professions Code,and my license is in full force and effect. J � LICENSE CLASS: C�J� LIC.NO.: �U z ¢ o DATE:7��\� CONTWICTOR: _ Z U a WORKEH'S COMPENSA N g w I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � 0 1 have and will maintain a Cert�cate ot Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: a�a _ � Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued, p�,qN REVIEW: > I have and will maintain Worker's Compensation Insu2nce,as required by Section 3700 of the Labor Code,for o the pedormance ot ihe work for which ihis permit is issued.My WorkePs Compensation Insurance Carrier antl ELECTRIC: a Pa�icyNumberare: PLUMBING: � Ct,�RIER �-�� rC'V`f�� MECHANICAL: I � POLICY NUMBER INSPECTION FEE: � (TFiIS SCCfIDN NEED NOT BE fAMPLEfED IFTHE PFAMR IS FOR ONE HUNDRED DOLLARS($tOD)OR LESS). � ISSUANCE: �S. a a i � I certi(y ihat in the pertormance of ihe vmrk lor which Nis permit is issuetl,I shall not employ any person in any manner so as to SM I P: ' • d� � become subject to Ihe Waker�Compe�alion Laws of falitomia.Mtl aqree that if I should become subjecl lo the Worker's J Compensation provisions ot Sedion 3700 0l the Labor Cale,I shall lorihwith comply wiID those provisions. ENERGY P/C: LL onre: qPPUCarrr: ENERGY PERMIT: � WARNING:Failure to secure Workers Campensation coverage is untawful,and shali subjecl an employer to criminal REfENTION FEE: �- b0 w penatties and civil fines up to ane hundred thousand dollars($100,000),in addition to the cost oi ihe compensation, � damages as provided tor in section 3708 ot Ne labor code,interesC and attomey's fees. PRE-ALT FEE: 0 a CONSTRUCTIDNLENDINGA6ENCY BSAF: �• OO w I hereby amrm under penalty oi perjury that there is a Construction Lending Agen�y for the pedormance of the vrork for .. � which this permit is issued(Sec.3097,Civ.C.). � I � LENDER'S NAME � LENDER'SADDRESS: a I certify that 1 have read this apD�ication and state that the above intormation is correct I agree to comply with all city and TOTAL FEES a(01, a.a• counry ordinances and state laws relating ro building consWcGon,and hereby aumonze representatives of ihis counry to z COMMENTS: o enter upon the above-mentianed prope�spection purposes. ' m �� S a PERMfTTEE NAME PRIN� � 7--tg-�4 � SIGNATURE OF PERMITfEE DATE RECEIPT# ��1�—I PAID BY: �—�I��VALIDATION: �'� I WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs�Copy CITY O� DIAMOND BAFi . INSPECTION RECORD . e , i . A . . � B , � . SETBACKI;LETTER : : TRACT AND LEDGER FOOTiNGS'FORMS - �'�:T� SWITCH GEAR SLAB; _ - ' COMMERCIAL HOOD UG•PLUMBING'::�, �,_ �` �` - � T-BAR UG:ELECTRICAL } ` ` INTERCEPTER UFER GROUND: � ` HOT MOP/SHOWERPAN ._ . ._ SEWER LATERAL SEPTIC/GESSPOOL MAIN WATER UNE HERS REPdRT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING �2 ^ � - fv�J ROOF DRAINS FLOOR SHEATHING - ROUGH CONDUIT ;.: . _ _ ._: . . : - SHEAR�WALLS�EXTERIOR�� :: �, : . _. > "�� ` . '_„ � ,:�� _ POOL/SPA:' `, ;- _ _" � -, � � _ �, � �� SHEA.6WALLS tNTERIOR;; - .,� :` , .':: - ,t;.'.. . . ': �;�.,'' ROUGH PLUM8ING ,; ` ' � ' ' r' - - _ ' FRAMINGNENTING , .' - `�-� - -' ROUGH.ELECTRICAL:`. - ` � C - ROUGH-MECHQNICAL : � ' ' ROUGN�MECHANICAL` - �, ROUGH ELECTRIGAL�f W(��'�)G,(')` - ' ,;� - 6AS TEST= ,. PRE GUNITE. '�' ' ROUGH PLUMBING, ,� ' '' - - INSULATION WALL P,OOL�PRE�DECK;BON,DING-: `�. �'' INSULATION CEIUNG P-TRAP'.:�< - DRYWALL FENCEl:GATFJ ALARM - LATN(PRE} �F,INAI:�POOL r ... . ', _ - �`` 4 LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WAL�STEEL 1�T( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL .. . SPECIAL INSPECTION RO.FRAMING PLEW�NNGAPPRQVAL . ,-- ` '- = ' ' . . . . . ... FINAL BUILDING �'` ROUGN FIRE�APPROVAL � - .: ,, FINAL"�MECHANI�AL . '�' , � � ; � <.;; , , ^ �� =' ` � ' �� `�`� FI�NAL�FIRE.DEPARTINENT` �: ` � ` �� ;, �''� �, ;, FINAL;ELECTRICAL .-� : _ ��. , ..`' , . ,.;, < ;: ;,. : FINAC PLANNIN�' , r,.; � • - - - FINAL;PLUMBI�NG ... . '� :-, ;� ,��' � �: ,; , . : � . • ,, FINAL ENGINEERING/PW;. ; ' r' T:C:of OCCUFANCY' ',' - FINAL COMMUNITY':SERVICES . `- � . ,, - CERT of OCCUPANCY_��.� ,., - - .� �FINAI HEALTH DEPT , . - - s.;;' - , , . . . , . �_ r . .. � , �z�. � INALINDt�STR1AL�WASTE .-, �..�,�- .. �.. =�� =�. COMMENTS: