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: