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HomeMy WebLinkAbout14-4797 ,,,,..,. .;::�'r,.-�.��,..__..,. CITY OF DIAMOND BAR �O�I� ��� � � �' � ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21810 Copley Drive,Diamond Bar,CA 91765 ,, � _ __ P�ESS , � (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 '��'� BUILDING PERMIT APPLICATION FIRMLY s JOB SITE ADDRESS ��. ` APPLICATION DATE: �� 7 � / P/C#CS�i i ISSUE DATE: L v/� f � PERMIT# � L�'� y 7�� � APN LOT TRACT � OWNER � TYPE CONST. ����� OCC GROUP: � ADDRE S �3 Y '1 ' � . , ZONING SETBACKS � CITY ZI 7 EL. Z'd• FRONT RW ❑ ¢ APPLI ANT �TEL. REAR ❑ x n � • � SIDE/SIDE STREEf RW ❑ � CONTRACTOR � � ��/'I � SIDE ❑ � ADDRESS c � N - p/f7 � Z L� [�� PROPOSED USE ' s CITY/�v � ZIP TEL�// ��I T ' �� � _ � ARCH/ENG/DESIGNER � = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS ¢ CITY ZIP TEL. I � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION OWNEH-BUILDEH DECLAHATION 'Y I hereby aRirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM � � indicated below by the checkmark(s),I have placed neM to the applicable item(s)[Section 7031.5,Business and Garage/Carport I Prafesslons Code:Any city or county that requires a permit to construct,alter,improve,demolish,ar repair,any z structure,prlar to its issuance,also requires the applicant for the permit to file a signed sfatement that he ar she � Patio/Deck I i is licensed pursuant ta the provisians of the Cantractar's Staffi License Law(Chapter 9)Commencing with Section W n7W0 of Division 3 af the Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I � the alleged ezemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof s of not more than five hundred dollars(5500�. � I � (J I,as owner of the property,or my employees with wages as their sole compensation,will do()all ot or(,portions —� Commercial I 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 eftort,builds y or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or I � improvement is sold wi[hin 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 property,am exclusively contracting with licensed Contractors to construct the project(Section Z 7044,Business and Professions Code:The Contracmrs'Sta�License taw does not appry to an owner of property who Valuatlon: Adj.Afea: I .'i � buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContracrorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I Y License Law.�. I ' � (�I am exempt from licensure under the Contractor's State License law fir the following reason(s�: a I � U S 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 Z year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w � owner-builder if it has not been constructed in its entirety by licensed contractors.l understand that a copy of the applicable I � law,Section 7044 of the Busineu and Professions Code is available upon request when this application is submitted or at I % the following Web site:http/www.leginfo.ca.gov/calaw.html. �' I z � DATE: SIGN: � — LICENSEO CONTHACTOH'S DECLAHATION � I d I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Sedion 7000) � of Division 3 of the Business and Professions Code,and my license is in full force and eftect. J I ;� LICENSE CLASS:GJW��J� LIC.NO.: l!� z I Z DATE:C-=�7,=� CONTRACTOR:�I�T��v�(J./�!���7 i1L � � I ¢ WOHKEH'S COMPENSATION DECLAMTION ' � 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 performance of the work for which this permit is issued. PLAN REVIEW: > I have and will maintain Worker's Compensation Insu2nce,as required by Section 3700 of the Labor Cade,tor ELECTRIC: � the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ PoIi�yNumberare: PLUMBING: � �'�7� y CARRIER � pQGG'� MECHANICAL: � POLICYNUMBER INSPECTION FEE: _�cSrrs n (IHIS SECIION NEED NOT BE COMPLETED IF THE PFAMf!IS FOR ONE HUNDRFD DOLLAAS($100)OR LESS).� ISSUANCE: � 1 certify mat in ihe performance of ihe work for which this permit is iss ,I shall not employ any person in any manner so as to � become subject to the Worker's Compensation Laws of Califo '. d agree that if I should become subject to the Worker's SMIP: � Compensation pmvisipns of ection 3700 of , shall forthwith comply wim ihose provisions. ENERGY P/C: J ! � y DAT� �7 APPLICANT: ENERGY PERMIT: -�f � WARNING:Failure to secure Worker's ensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: i��'� y penalties and civil fines up to one dred thousand dollars($100,000�,in addition to the cost of the compensation, 1 damages as providetl for in sec' 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTION LENOING AGENCY BSAF: y I hereby affirm under penalry of perjury that there is a Construdion Lending Agency tor the pertormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � — LENDER'S NAME: � ��. ` Q z LENDEN'SADDRESS: d�� i I certify that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES Z county ordinances and state laws rel ' ilding construction,and hereby authorize representatives of this county to COMM ENTS: � ent on th bove-mentio forinspection purposes. J � Y1 ¢ PERMITf ��1�/ ���� Q � �y `� 1' O�i / t, = SI ATURE OF PERMITTEE DATE RECEIPT�� 7 �v PAID BY: 11 D� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy . CITY OF t�tAMOND BAFt , INSPECTION RECt�RQ � �� ° � � � � � � � j A � SETBACIV?LEfT,ER�'��°.ro'��" . � s �a+,.d � "�'� . : �;�� - ; j TRACTAND LEDGER F001'INGS�FQRMS� _ , ���''� - •,4�-�-, . `^����; .:�_� " 'S4rJITCH GEAR SLAB;, ��"�.,� �& ,s.�.'.; ' ` ���� , ;a ���� � :�O(v1MERCIAL HOOD _ _ „�s � � UG.PLUMBING: , ;��, �`,� � w �A��.� ,.a�.� � -�� i T-BAR ' �Lt.,, qR, 'i �"x UG E_L'ECTRICRL ''� `��2�s °���"�"'_� �., ,; � j INTERCEPTER ' ,UFERaGROUND�� � @ �"�� '°..� ^ ` , I f �'��;�� ' ;HOT MOP/SNOWERPAN SEWER LATERAL ` ;SEPTICiCESSP00L MAIN WATER LINE ; i HERS REPORT RECEIVED � SEWER CLEANOUT �DEMOLITION ROOF SHEATHING !ROOF DRAINS FLOOR SHEATHING I I ROUGh CQruaUIT SHEAR`WALLS����EXTERIOR�9 .�`y,� � ,�� <,,�, .�; � ;POflLtSPA� �..;'„��k;�,�. >�; .� . ����„ �.��� SHEA�WALCS,INTERlOR � .`'�`�` �_'�° ,�`��� � 'iROUGH-P.LUP�181NG " r ��, ,�,,;, ,�;� ��� ..��' . �a , ,. �P�, �. . �� �� . ���� � �...x ���. FRAMINGNENTlMG ���, ��'��« � 3�� � �IiOUGHELEGTftICAL���� h' � ,���� '��..' ��. 3�, _�- b , .., , �_ ROU � hAC-CNAMCAL' ��t„ ..�� �.� �. ��u _ ������.��M,��,.��� � € Ls � �,�x,'; ' �J � °,,� y L� Gj{ '����� ROt�GH�ME�NANICA �"'" �` _ � r: _, ; ". , � � �r �, ROUG EL6CTRICALaWI�)��i�.) : �� ��n�,;,;�,����� � � `GAS�TEST� ,�.�.. �" � ��, P� t( .�4 ��� � � ��� �, �� �;� _.., �. � ROUGH PLUMBING,� ��� �"� >�+';Es �� �;�E� ' ���'`°'� P,RE GUN(TE �;_� � ��� _ . �;. „� .: _ _ � �� �' �.,, ,r , .. � ,..� ��.��a .,r r.-_ _ , . � ,��. ,. ..,,.. , �»e_.,,,,._,,,__,�.Y-x- �-<-A_. Av�„ " ' . ,� �eA, �." : �_ .. �- , ��. m . ��. , � �„"..�' ', _ � pa�� �.,�,. �:. '�. INSULATION WALL ,:P�OL P�E E7EGK BOP�DING_ _ ,���; ,��;,,, ,��"�� � a� �.��.. . �', x.�-.'�� �.. �� INSULATION CEIUNG ; `�P�TRAP �''"�` '" ������K� � � ` ' �� � � � ��r�,,,�; , ,� � ,k-��..���� DRYWALL ; FE�ICE 1�Al'�,1 ALARM ,,P��� ;��, :� _�." �����`'�.,, ;�'� u° �__._ � I�.a�... � .��z.-�ro. �P I � �& � �,���""- �.."�:,-ax����-. �: . IATH jPRE} � �:�INRL,PDOL �_ == ���^�� __�?�_���.--. �' ��« �_ LATH EXTERIOR �WALLS: LATH INTERIOR WALL FOOTING.%STEEL GAS TEST WALL S i EEL 1 S'( }2"Q( )LIFT _� SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE � �WALL DRAIN/SEAL � : - GAS METER RELEASE ' ;WALL FINAL SPECIAL INSPECTION i '3R0:FRi�,�IN�PLANNING,�ROVALry� �'�'`'��`3"�,' �g„ �;�„�3� ,�,. �� 2�R. ej _: . �, , ., � _ �. � �d, _:u. �� � FINqL BUILDIN'���� �- - �� � ,��_ ��RflUGH�FIRE�APPROUAL���� �x� �_.,. �. s ��� �- „�.E� _ � �_ �.;_ F � , FINALMECNANICAL �, `�' �`���=` � ° � �_�� ° `:`� g<. ;:: :��� _ .. .�__ PIiVAL:F1EiE�DEPARTNiE��;�x;„�_ ._ •_�� . ,"`���:� ,- d� �,. _-��;,._ ;, � .� �4-���. -� ����,_ . � ;��r� ,FINAL ELECTRlCAL� � � � ��-".��' .�_ �-,��,�, -- FiNA�PI�AN(�ING- ---� ���,,�� , ``�'�`�� � �� ` � '� F��_� � �.,_. - _ � -= _-- ..< . FINAGPLUMBING� � � „;' ���� � � �� �, ,����`�� , �� �_ - °F.14VAl�E�NGINEERING/_P'W -- . � � _��� '��,�' � .� � ��' _',r �. ��� _ _ _ _ 3a� _.� ; �`��u�� ` � ` � ,: �xF(NAL COMMUNITY'SERVICES��.`.:�,:, . � � .x.���, �-- �T.C:`of�OGCUPANCY : � . .�. � ��� if===. � „� , � .K �� , ��; � �a�- GERT.��of OGCUPANCY� ,�,� � , < .�r � �4NAL HEI�CTH DEP'F�.���n°�- �� r ��� �� ��_ _ - � .������ � . ' �. l.F�AL�INDt1STR1AL�WASTE__� v ,, .�.g-�.b��s : � ��,��; '��_ � COMMENTS: