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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�`�'�