HomeMy WebLinkAbout14-4739 �-,�"s��.�.— CITY OF DIAMOND BAR I
� � `� DEPARTMENT OF COMMUNITY&'�)�VELOPMENT SERVICES
:�
-" _��'- 21810 Copley Drive,Diamond Bar,CA 91765 PRESS
. ., E �
�`„ �,�,� (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 FIRMLY
'�R"' BUILDING PERMIT APPLICATION
g t C APPLICATION DATE: � 2 r�� y P/C#
y JOB SITE ADDRESS I �7 ��% S S t V V� �-1� !�
1 ISSUE DATE: �^L 5 ��y PERMIT#�7 ' ��c� Y
z APN LOT TRACT
� OWNER �e'C� 1-�� TYPE CONST.�� _��� OCC GFiOUP:
�
n ADDRESS
l, CITY ZIP rE�. G U 9 6 l D G'1� ZONING FRONACKS RW ❑
= APPLICANT U }CS1(� S�Q(S TEL. U � � REAR ❑
�
;� Q� ,,� SIDE/SIDE STREEf RW ❑
Q CONTRACTOR _ 1` e r ( n'e .r r� SIDE ❑
� ADDRESS � N 3 Z6 ✓PI► U�al I� j '� 1 V I
= C�TY �(�l r �Nf)u ZIP . I 3S�TEL. �I S �`�� Z^5�.7 PROPOSED USE
� ARCH/ENG/DESIGNER
�
z ADDRESS
� #DWEL.UNITS #STORIES #BEDROOMS
za CITY ZIP TEL. I
� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
OWNEH-BUILDEH DECLARATION
= I hereby affirm under penalry 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 next to the applicable item(s)[Section 7031.5,Business and I
y Garage/Carport
Professlons Code:Any clty or caunty that requires a permit to construct,alter,Improve,demolish,or repair,any
ystructure,priar to its issuance,also requires ttie applicant for tlie permit W file a signed statement that he or she � Patio/Deck I
i is licensed pursuant to the provisions of the ContracMr's State License Law(Chapter 9)Commencing with Section w
� 7000 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for LL Pool/Spa I
� theallegedexemption.AnyviolationofSection7031.5byanyapplicantforapermitsubjectstheapplicanttoacivilpenalty z Re-Roof
= of not more than five hundred dollars($500�. � I
� (_)I,as owner of the property,ar my employees with wages as their sole compensation,will do(,all of or L)portions � Commercial
y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I
� Contractors'State License Law does not apply to an owner of property who,through employees'or personal ettort,builds
L 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
� or improved for the purpose of sale.�. I
:..J
(J I,as owner of the property,am exclusively contracting with licensed Contracturs to construct the project(Section Valuation: Ad Area:
Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who �• I
� buildsorimprovesthereon,andwhocontraclsfortheprojectswithalicensedContractorpursuantrotheContractors'State QUANTIN DESCRIPTION FEE I
Y License Law.). I
� (,I am exempt from licensure under the Contractor's State License law for the following reason(s): a
� ¢ 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 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.I understand that a copy of the applicable I
� law,Section 7044 of the Business and Professions Code is available upon request when this application is su6mitted or at I
1 the following Web site:http/vnvw.leginfo.ca.gov/calaw.html. Z
= DATE: SIGN: � �8 y Q I
— LICENSED CONTRACTOH'S DECLANATION � a I
a I
y I hereby affirm under penalTy of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000)
n of Division 3 of the Business and Professions Code,and my license is in full force and effect. J I
� LICENSE CLASS: C �7 V /7 LJC.NO.: `2 7 � %�6 z I
� DATE: �"' � CAMAACTOR: �� (�t n e �- � . I
¢ � WOHKEH'S COMPENSATION DECLAFIATION � I
� I HEREBY AFFIRM UNDER PENALTY OF PERJURY 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: I
� 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 Code,for ELECTRIC:
� the pertarmance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and
¢ PolicyNumberare: l'! PLUMBING: /�y �
� CARRIER �✓ � 3 L J
.0 MECHANICAL:
� POLICYNUMBER �✓�C � I U y 9 INSPECTION FEE:
� (THIS SECf10N NEED NOT BE COMPLEfED IFTHE PFAMR IS FOR ONE HUNDRFD DOWWS($100)OR LESS).
ISSUANCE: >'S:T^�7
� I certify mat in the pertortnance of the work for which this permit is issued,I shall not employ any person in any manner so as to
�
become subject m the Worker's Compensation Laws of Califomia.Md agree that if I should become subjed to the Worker's SMIP:
J Compensation provisions of Section 3700 of the Labor Code,I shall torthwith comply with ihose provisions. ENERGY P/C:
J DATE: g � APPLICANT:
i � , � ENERGY PERMIT:
� WARNING Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: Z.�r''�
y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition to 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 CONSTHUCTIDN LENDING AGENCY BSAF:
y I hereby aftirm 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'SNAME: � / �J�
= LENDER'SADORESS: I
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 counry ordinances and state laws relating to building construction,and here6y authorize representatives of this county to COMMENTS:
� enter upon the above-mentioned property for inspection purposes.
� '�`c�n �t s n q 5 l w► �
� PERMITTEE NAME(PRI� i � 4
= SIGNATU F PERMITTEE �, DATE � ' j RECEIPT# 2�Z�o Y PAID BY: VALIDATION:
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy
CITY OF DIAMOND BAR
INSPECTIO.�RE.�QRQ
. � � , . � . . � � � • • -
SETBACK/•LETTER �`��� �a,- �: � `� � : ��#� ° `TRA� CT AN_D LEDGER _
FOOT NGS�,FORMS ��', �,��,.�r_�`; ' � ��_x_ ,�` �., � ,�;'; SWITGH GEAR
SLAB��. �z.� � ��_.�� ;°�;- � t��� a�«�r z,. �����r''� �'�� GOMMERCIALHOOD
�.
� - �,�
UG:PLUMBING` L R,� �i: T-BAR
UG;ELECTRICAL -=�,�.,�.�w� ,�� x�, `°L �..,r?�°� .- 3 , INTERCEPTER �
�' _� � ., '� � ''� ����a '� �«�„R� � :
1lFER=�ROUND��° � �� � °� �� ���� , :����<„� HOT MOPISHOWERPAN
SEWER LATERAL ` !SEPTIC/CE5SPOOL �
MAIN WATER LINE HERS REPORT RECEIVEQ �
SEWER CLEANQUT DEMOLITION '
ROQF SHEATHING ROOF DRAINS
FL04R SHEATHING ; � ROUGH CONJUIT
z a�.� 3 � s�; ��- iP00USPA: ,�yE� s�""'" � ' + �� �.
SHEA�RWALLS;:EXTERIOR' �" �, ��a�,. ,'" �,.,,��,�'
SHEAR�WALLS INTERIOR' < '� s �„�y ` '� RQUGH PLt1M6(NG,� �, �'; '' ��� ' �`'
f _.�o-�atda�,� �. "„'�_� .&� �E �.�:t�"� '��.s`'�� �%^�
����u .... . Am�.. x V, �.�a'^> .�u�„ � .,.�'�y'ss .� R ..
FRAMIN�NENTIN� � � �:_���„„ ' � _� , � �
: �,R . � ,, v
ri = ,���,�, 'RQUGH�E�GTRICA�._ � ��',�»�, �, ,�' �
ROt1Gii'MECHANIGAL',��' `.' .'��� � 3�.' �� <`'� r �r� ROUGH MECHANIC,4L ` M ����` �`��� �`:
�� ��.�,,, uz�: ��� �;. :�
� -- ,� » . � , � ,
�; ,
x u< �:.. �. �,� ��' �
ROUGH ELECTRICAL W(�)G{�}.� ,<;�e �.: � ��.<`.', � GASTEST�`" .' __ : :. R- ����;�.��y=. ''` N'- a� ��
y-A, ,
_ _ _�� ��- - � ;�--
ROUGH PLUMBING "" � '` � ���
i; a -����_ s �PRE GUNITE�;. �sF: - � ,x �.F �
�- >�
, ��, - _-�� �,
INSULATIUN WALI � POOL PRE§GK BONDING °�°� � � � � �*`� '
s � � .���� �� : �a
INSULATION CEILING I R=TREIR°�'�� ��h�r����..,., G�.�.., ..;�` �� - �� ��� � ��� � "� �,;
DRYWALL i FENCE!GATFJ�A(ARi� _ '���z..,��,� ��, ' ,.� . _ �t ,�;;
LATH(PRE) _._..__ --- -- FINAL.P60L�.,. ' .,..��.;;.��� "��:� � _ '�'�� '_`�� W� �€
LATH EXTERIOR WALLS:
LATN INTERIOR � WALL FOOTINGrSTEEL _�
GAS TEST I WALL STEEL 1 S"( )2"1D( j LIFT �
SCRATCH COAT WALL BOND BEAM —�
ELECTRIC METER RELFI�SE 'WALL DRAIN/SEAL j
GAS METER RELEASE WALL FINAL �
SPECIAL INSPECTION RO FRAMINGPL°aNNINGAPPROVAI �'�,`��, ,°,q R; �,�����; '?�"
� , �-�. ����i� � ��E � ,� ��. ,,Rr ��1 r �� �fiOUGH�FIRE APPR(3UAL,�. -; � �:�`'� a,��� , � ��,,,;;
FINAL`BUILDING ����,, .
. .-� . ..�, , i$§[� .. .... . � _ �:: � _, ac.., E�n �r g E�q � �
, u�.,�� ..-�- .
FINAI MECHANICAL y� � �.�; ��.;�. � ,,, � E� �"�` . rINAL FIRE DEPAfi'f1VI�NT �,� t ��� ���'i� � � � h�.
.�--_. „ �. a:� k�^ '. x ',' � �" '"� 'fa�:�� � ��:� ��. '� ,q,;� 1�. ��^"r«« t
,
-= �
FINA!EL�ECTRICAL�z...��...� _ �s � �� ' .. z;:'� � :;�,�,� � r FIiUAL PLANNlNC� _ti � . �" �,� �8�.. " � ' _.a.._���
�� � - --
� ��°� .,�
FINAL PL�MBING .��'',� �� .. . �; .,: � : ...�., , : � �F�INAL�`ENGINEERING!PW �' � °�� �'� °
�
r ��� �
7�C.of OCCUPANCY ''z�,i�, `��°^ ,�=F � � dFiNAI�GQiNMllNITY SERVlCES "�� r� �
'CERT of OCCUPANCY�� �` °�`.`Ro ��; ' '. �� �'� ,�FINA!HEALTH DEP"t. ���� ��e `
. - -
,,� _ � ; .;
�� , _w_ �. �� �
�, . ._, � __ ;
.__ . �,��,� ����w..e,��< ��« �,,, � _..,�.:- � a � ,:,
FiNAt lNDUSTRlAl:�WASTE';'°, � '.� � s_� �..,'�,
COMMENTS: p�.d ��4.a�3 �1.9�`�'�