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Home My WebLink About14-5257 _� _�--__ �'�Jfc rwq�yCn,en �' � �e.:"� ,,,,,, CITY OF DIAMOND BAR . �,, �� '• ' ( � �i. DEPARTMENT OF COMMUNITY&DF;rS'ELOPMENT SERVICES �` � 21810 Copley Drive,Diamond Bar,CA 91765 PRESS � _ ,,.,.,., , � (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �''��'"V BUILDING PERMIT APPLICATION = JOB SITE ADDRESS C �l/ L''1 U Q�I� APPLICATION DATE: - � �I P/C# i , ISSUE DATE: I c��y PERMIT# �Y J �,I^ � z APN LOT TRACT ' � OWNER TYPE CONST. OCC GROUP: � ADD SS 3 f Ve r � � n � ZONING SEfBACKS n CITY ZIP 91?l�TE . 7 � FRONT RW ❑ a APPLICANT TEL. REAR ❑ x � SIDE/SIDE STREET RW ❑ � �T.�aY�- �'�v� Q CONTRACTOR SIDE ❑ � ADDRESS /� dP � CITY G1/Y7Tfl�V ZIP�TEL. �p� �',s PROPOSED USE t O C 5�►� a ' ' ,� � � ARCH/ENG/DESIGNER z ADDRESS � #DWEL.UNITS #STORIES� #BEDROOMS z CITY ZIP TEL. ¢ DESCRIPTION SQ.FC FACTOR PSF ADJ.AREANALUATION � Q ONMEN-BUILOFA OECLAHATION I s I hereby affirm under penalry of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFFVADD/REM indicated below by the checkmark(s�,I have placed next to the applicable item s Section 7031.5,Business and I � (1 I Garage/Carport L Professions Cade:Any city or caunty that requires a permit Tn construct,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires the applicant for 1he pertnit to file a signed siatement that he or she � Patio/Deck I i is licensed pursuanttn the provisions o1 the Co�ac[or's State License law(Chapter 9)Commencing with Section w I j 7000 af Divislon 3 of llie Business and Profeuions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecLS the applicant to a civil penalty � I � of not more than five hundred dollars($500). Z Re-Roof � I� (,I,as owner of the property,or my employees with wages as their sole compensation,will do U all of or(,portions � Commercial y of the work,and the structure is not intended or ottered for sate(Section 7044,Business and Professions Code:The m I � Cont2dors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built jor improved for the purpose of sale.). I :� (]I,as owner of the property,am exclusively contrading with licensed Contractors to construct the project(Section I Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who Valuation: � Adj.Afea: 7 .� buildsorimprovesthereon,andwhocontractsiorlheprojecCswithalicensedContracrorpursuantrotheContractors'State QUANTIIY DESCRIPTION FEE Y License law.). I � (J I am exempt from licensure under the Contractor's State License law for 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 lhe improvements covered by this permit,l cannot legally sell a struclure that I have built as an w I owner-6uilder if it has not been construc[ed in its entirety by licensed conVactors.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 su6mitted or at I i the following Web site:http/www.leginfo.ca.gov/calaw.html. Z I = DATE: SIGN: � — LICENSED CONTfiACTOfl'S DECLAHATION a I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) j � of Division 3 of the Bu�siness and Professions Code,and my license is in full force and effect. � � � LICENSE CLASS: �J C�% / LIC.NO.: ��-/« �� I � � DATE: CONTRACTOR: = I U ¢ WONI�R'S COMPENSA710N DECLAHATION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJUHY ONE OF THE FOLLOWING DECLARATIONS: ) � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: J��'J� � �Section 3700 of the Labor Code,for the pertortnance of the work for which this permit is issued. p�.qN REVIEW: � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: � the performance of the work for which this permit is issued.My Worker's Compensation Insu2nce Carrier and ¢ PolicyNumberare: -�-- J� PLUMBING: � CARRIEH S/�� VNf MECHANICAL: � .�1 ' POLICYNUMBER �/��/�_ INSPECTION FEE: n (THIS SECTION NEED NOT BE CAMPLEfED IFTHE PFAMfT IS F9R ONE HUNDRFD DOLLARS($100)OR LESS). ISSUANCE: .�f�7 � I certify that in me perfortnance of the work fur vfiich this pertnd is issued,I shall not employ any person in any manner so as to = become su6ject to the Worker's Compensation La ifomi d agree that if I should become su6ject to the Worker's SM IP: /-�� Compensation provisions of Section 3700 of the Labor � all rthwith co , vu i those provisions. EN ERGY P/C: y J i DATE:��APPLICAN7: ENERGY PERMIT: i � WARNING:Failure secure Worker's Comp ation cov is unlawful,and shall subject an employer to criminal RETENTION FEE: J .�� y penalties and civil ines up to one hundred thousand dollars 100,000�,in addition m the cost of the compensation, 1 damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTION LENDING AGENCY BSAF: J. � y I he26y affirm under penalty of perjury that there is a Construction Lending Agency for the pertormance of the work for � = which this permit is issued(Sec.3097,Civ.C.). � � LENDER'S NAME: � LENDER'SADDRESS: �� i I certity that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES � a � county ordinances and slate laws relating to building construdion,and he2by authorize representatives of this county to COMMENTS: � enter upon the above-mentioned property for inspection purposes. J � G � {. ¢ PERMITTEE NAME(PRI � n = SIGNANRE OF PERMITfE - DATE _8�_ RECEIPT# '1�� PAID BY:�__`.�_VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy I CITY OE DIAMOND. BAR �� lNSPE'CTIC�N, RFCORD -- �� • � � • - • � � . . � . _ aA.__ �_ _ _ � �� TRACTAND LEDGER SETBACK/�ET7ER � _� � FqOTINGSFORMS �� ,��. ��. �', �ti_ �� SWITCHGEAR ��,� ��..; . � __,.. Slt�B �'� �� _ ``��_ _ '" COMMERCIAL HOOD � ,U6.,PLUMBING ��'°� �� - T-BAR 'UGwELECTRIGAL p` �" � �y�,�� , � '�`" � ,°�"� � INTERCEPTER -- ,UPER GROUN,D � HOT MOP/SHOWERPAN SEWER IATERAL SEPTIC/CESSPODL MAIN WATER LINE HERS REPORT RECEIVED j SEWER CLEANQUT DEMOLITION ROQF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT _. � �._. _ _ w� ,.. — .� _� SHE`AR WALLS�EXTERIO��R � � PUOUSPA � � �� 'SHEAR WALLS INTERiOR � , ROUGH PLUMBING ,_ � �FRAM{NGNENTING�'��" �'�.."� ,._��, y �� ROUGH ELECTRICAL ��'�� _, � � �:. ;_ RQUGH MECHANICAL ROUGH MECHANICAL ROI�GH ELEG,��TRICAL-�� 1��,(��j � , .,.. '��GASTEST � _. . ,��,�� d ;ROUGH PLUMBING �4 . PRE GUNITE INSULATION WALL POOL PRE DECK BONDING ,��: , - INSUlATION CEILING P-TRAP DRYWALL FENCE/GATE/ALARM ,.._, LATH(PRE) FINAL POOL ` LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRA�N/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMW6 PLANNWGAPPROVAL F,IN{kl;BU1LDING _�,. ,�,� , � �,�s_ -__ ROU6HFIREAPPRQVAL , �°�,. �. ,�� : �FIN11l MECNRNICAL�� '��`. � FINAL FIRE DEPARTMENT FINAL ELECTRICAL'�, . _, � �� . FINAL PLANNING; �_, s. `FINAL PLUMBING ', a�' �'. , ,a, � . .; _ �_ � _..._ . , ,. � �;�� — � �� , _�; f � F1NAL ENGINEERING/P'W�� , �,�. _ - ` _ ,LC,;of OCCUPANCY ,>� ��, � FINAI COMMUNITY SERUICES � }�`v�.� " � �,w��{ . ' . . � x.. � �� .�. . . � . ,CERT�of�Of�UPANCY°'� ��'E°'" .��:� � °� � ,.° ��FtNAL HEAL7H DEPT, ��- �� FINAL INDUSTRIAL WASTE COMMENTS: _: . . ~k . . � � !ti:r�e�rmn�� 8� CITY OF DIAMOND BAR BUILDING&SAFETYDIVISION 21810 Copley Drive Diamond Bar, CA 91765 (909)839-7020 SMOKE ALARM AND CARBON MONOXIDE CERTIFICATION In order to help assure the life and safety within existing dwellings, the 2013 California Residential Code (CRC) Section R314 and R315, along with the California Building Code Section 420.5 and 420.6 requires existing dwellings have smoke alarms and carbon monoxide alarms installed within the upper 12" of the ceiling when a building permit is issued for, worked on or in a building that is valued at $1,000 or more. Generally, the alarms are required to be hard-wired, have battery back up and be interconnected. Starting July 1, 2014 all smoke alarms including combination smoke alarms, that are solely battery powered shall contain a non-replaceable, non-removable battery that is capable of powering the smoke alarm for at least 10 years. The alarms are required to be installed in the following locations: ❖ Smoke alarms in all sleeping rooms. ❖ CO alarms in all sleeping rooms where fuel burning appliances are installed. ❖ Smoke alarm and CO alarm in hallways preceding sleeping rooms. ❖ Smoke alarm and CO alarms on each dwelling level including basements and habitable attic rooms. The smoke and CO alarms are required to comply with the above when requesting a final inspection. Please make sure an adult is present to allow the Inspector access to the home to verify compliance with the above requirements. If no one will be available, you may opt to complete the Installation Certification below and leave it with the job card. INSTALLATION CERTIFICATION For the property located at �'�g �D�A /�/� r��a; , I hereby certify that the required smoke alarms and carbon monoxide alarms ha been installed as listed above. �aw�rn.csl �, �Z � Si ture Print N e � � Date Relationship to project (please check one): �Owner ❑ Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor If"Licensed Contractor" or"Agent for Licensed Contractor" is checked, please complete the following: � Contractor Contractor's State License Number