The URL can be used to link to this page

Home My WebLink About14-3948 "1�.:� C1TY OF DIAMOND BAR �� I , I 111 i :T� DEPARTMENT OF COMMUNITY&D�VELOPMCNT SERVICES �/ ; - . _ �� ,�111L�� ;��-,� ". 21810 Coplcy Drive,Diamond Bar,C�A 9176�� , � � F RM Y '� �� ;' _ �"; � ,,,,,� (909)839-7020 Pax•(909)86]-3117 -�uildin�Inspection Hothne(909)839-70_7 ��"'H'=�� BUILDINGPERiVIITAPPLICATION 02�;2,drp at/� �`'{- g APPLICATION DATE: �� P/C# � JOB SITE ADDRESS ''°� `,� ,/ /y�/�y z APN � ' `�LOT TRACT ISSUE DATE: O —�'� �/�Y PERMIT# �Y`. (7d wOWNE� � DUL TYPE CONST. �'�I� n`U/7 OCC GROUP: � ADDRESS u20 ��A'�/A+� � CIlY Wa' GtT ZIP � TEL. "'� - p� ZONING F ONTCKS RW ❑ oAPPLICANT � �Q-' � TEL. �� '�!-'8'ZL-�-��G REAR ❑ Y -r SIDE/SIDE STREET RW ❑ a CONTRACTOpR 'r'Va'�rA �ne o ADDREGS�S, ObT N` W(h � `� • ((b SIDE ❑ i o CITY d�-� ��^' ZIP�TEL.�"�0�ZT3'�� PROPOSED USE I,�5'�0.0 �Q}' YV�6(.�-'�` O LL� � o ARCH/ENG/DESIGNER '�.fJ VC/ ' , w o ADDRESS �i DWEL.UNITS #STORIES #BEDROOMS II z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OWNER-BUILDER DECLAHATION °C I hereby attirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM 0 p intlicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7037.5,Business and Garage/Carport o Protessions Code:Any ciry or county thal requires a Oermit ta consVuct,alter,improve,demolish,or repair,any z structure,prior lo its issuance,also requires the applicant far the permit to file a signed statement ihat he or she � Patio/Deck a is licensed pursuant to the provisions of the ConVactor's Sfate License Law(Chapter 9)Commencing with Section W � 7000 of Oivision 3 of the Business and Professions Code]or ihat he or she is exempt from licensure and the basis tor LL Pool/Spa � the alleged exemption.Any violation of Sec6on 7031.5 by any applicant for a Dermd subjects the aDP��nt to a civil penatty Z Re-Roof � ot not more than five hundred dollars(5500). o o (,I,as owner ollhe property,or my employees with wages as their sole compensation,wiil do()all ot or(.�portions � Commercial � of the work,and the structure is not intendetl or offered for sale(Section 7044,Business and Professions Code:The m � ConVactors'State Ucense Law does not apply to an owner of property who,through employees'or personal ettort,builds � or improves the Droperty,provided that the improvements are not irrtended or oftered for sale.If however,the building or � improvement is sold within one year o1 comple6on,the Owner-Builder will have Ne burden oi proving ihat it was noi built p or improved for ihe purpose of sate.). U U I,as owner ol the property,am exclusively conVacting with licensed Contractors to construct the project(Section Valuation: 0 Ad Area: z 7044,Business and Rofessions Cotle:The Contractors'State License Law does not appry ro an owner o1 property who �• � buildsorimproveslhereon,andwhocontracisfortbeprojectswithalicenseAContractorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE Y license Law.). o (�I am exempt irom licensure under the Contractor's State License law tor ihe lollowing reason(s): a Z� � pAVAN� D�11i0N By my signalure below I acknowledge that,except for my personal residence in which I must have resided for at least one w o year prior to comptetion of the improvemenfs covered by this permi[,I cannot legally sell a structure tha[I have built as an w � a owner-builder if it has not been constructed in its entirety by licensed conVactors.I understand That a copy ot Ne applicable � law,Seciion 7044 of ihe Business and Professions Code is available upon request when this apDlication is submitted or at a the tollowin Web site:htt � �' x g plwvnv.legiNo.ca.gav/calaw.html. N � z o DATE: SIGN: � � LICENSED CONTRACTDN'S�ECLARATION � ' w I hereby affirm untler penalry of perjury that 1 am licensed untler provisions ot Chapter 9�commencing with Section 7000) � m of Division 3 ot the Business and Professions Code,and my license is in full force and eftecL �� (,�.(��, u"� ^y /► U � -1 � Cl ?V N LICENSE C SS: ` "' LIC.NO.: zQ oZ DATE:�� t� CONTRACTOR� �YI`�-✓G G � a WORNEfl'S COMPENSATION�ECLARATION g —��-� - � - � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: �ID�!7,7 � I have and wili maintain a Certificate of Consent to Self-Insure lor Worker's Compensation,as provided by CONSTRUCTION: � Section 3700 of the Labor Code,for Ihe peAormance of the work far which Oiis permit is issued. p�qN REVIEW: ��y� > I have and will maintain WorkePs Compensation Insurance,as required by Section 3700 of the Labor Code,tor � the pedormance of the work for which this permit is issued.My Workers Compensafion Insurance Carrier and ELECTRIC: z a PolioyNumberare: PLUMBING: � CARRIER MECHANICAL: � POLICYNUMBER INSPECTION FEE: � (fHIS SECfION NEED NOT BE COMPLEfE�IF THE PERMIT IS FOR ONE HUNDRED DOLLARS($100)OR LESS). ) � ISSUANCE: J f.,r 7 o I certify tl�at in ihe perfwmance o(ihe wark for which Ihis permit is issucd,I shall rrol employ any person in any manner So as to SM(P: r, o become subjecl to Ne Worker5 Compensalion Laws of Califomia.Md agree ihat if 1 shwld 6ecome subjecl ro Ne Workers J Compe U p sbiLn�ra�f Section 3700 of th r Code,�LI fortlnv' ompty wilh those provisions. ,q._ EN ERGY P/C: DATE:� �T APPLICANT: ��'�'� LL � ENERGY PERMIT: f-y � WARNING: ailure to secure Worker's Compensalion coverage is unlavAul,and shall subjec an employer to criminal REfENTION FEE: J �:�y w penaRies and civil fines up to one hundred thousantl dollars($100,000),in atldi6on to lhe cost of the compensation, d damages as provided for in section 3708 ot the labor code,interest,and attomey's fees. PRE-ALT FEE: 0 a CDNSTRUCTION LENOING AGENCY BSAF: �l7� w I hereby attirm under penalty of perjury ihat there is a Constmction Lending Agency tor Ihe pedormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � F LENDER'S NAME � LENDER'SADORESS: �� a I certiry ihat I have read this application and state that the above informafion is correct.I agree to comply with all city and TOTAL FEES z counry ordinances and state laws relating to building consVuction,and hereby authorize representatives of ihis county to COMMENTS: p enter upon the abo�-menlioned pr rty 1or inspection purposes. J �� m �� a PERMfTTEE NAME(PRIy,� .y , C /� � ` /�/(� cn c_.�y-LA,�� —�I,_�-,R�f-►.� / � F SIGNATURE OF PERMITTEE DATE RECEIPT M �� PAID BY:f I L VALIDATION:� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOfVD �AR INSPECTION RECORD f. _� . � .. � , � e A . • � � � ' . . �SETBQCKI LETfiER. " - - �� TRACTAND LEDGER FOOTINGS FORMS �� ' } '$ SWITCH GEAR - ;S�qg'.. � COMMERCIAL HOOD UG.PLU,MBING ' : � . -:- - _ - - : T-BAR �UG.ELECTRICAL'-�. ,� �'�� INTERCEPTER �UFER�GROUND.�: � ��'' - 'i��- :I HOTMOP/SHOWERPAN _ .. .. ._ SEWER LATERAL SEPTIC/CESSPOOL , MAIN WATER LINE HERS REPORT RECEIUED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONOUIT . _ ,. ;, SHEAR WALLS�EXTERIOR� .�, „:: � � �. •�: ; �. : � ' �POOL/SPA: �' SHEAR WAILS INTERIOR, ,:... <. `: ' ' .. .. - • " °ROU,GH PLUMB►NG;-.':. �FHAMINGNENTING `' `� ' RQUGH'ELECTRICAL�: , ; .?, . .i,. _ _ - -u , . ._ < ROUGH MECNANICAL.�`: ,_ ' ` ' ROUGH'MECHANICAC' , _ .: , .�' r - r .'' .'• ` ROUGH ELECTRICAL W( )C( '-) ; - GAS,TEST ; `� - �� - ROQGIi PLUMBING' - PFiE'GUNITE, - -_ ;, � . .,, . .. . , . INSULATION WALL POOL PRE DECK'BONDING . ,: ' r` ` ' �x: INSULATION CEILING �P=�P- _��. � �� DRYWALL FENCE!GATFJ ALAFiM - LATH(PRE) FINAI PQOL' > � - '� ,� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2N0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL " SPECIAL INSPECTION R0:FRAMING�PLANNINGAPPROVAL '� FINAL BUILDING � - ' ROUGH FIREAPPROVAL � � ._ � FINAL MECNANICAL ,., :; ` .:• .. .. ' ' FINAL FIRE`DEPARTMENT ;= :. ;: , . .;.:z,.„ �,. : ,i,� FINAG ELECTRICAL '. '' '' ` - FI.NAL PLANNING '� ,� _ � ", , FINAL PLUMBING , .�, ., ' J� ' . ..? , FINAL ENGINEERING/PW� ;:" - �` T.C:of OCCUPANCY ': _ % : '° ': ; :�' . �` �` �: ..' FINAC COMMUNITY:SERVICES - , .- . . ; , ._. - CERTcofOCCUPANCI!;:` , �;' '::. . : .:: . :.: .. ... '� .... ,i_ : ' FINALHEALTH.DEPT.,s... ;. ,, . .?,: �. r. r k'. G , .FINAL'INDUSTRIAL;WASTE ` '` r:> `' ' ��'` } COMMENTS: