The URL can be used to link to this page

Home My WebLink About14-5057 = "=- CITY OF DIAMOND BAR I��"�� ......,.. '"�' i I,� ; DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES `�'= "'— 21810 Copley Drive,Diamond Bar,CA 91765 PRESS d� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY \�''�"°� BUILDING PERMIT APPLICATION i JOB SITE ADDRESS �� 1 �1 APPLICATION DATE: P/C# z APN b6'O� L TRACT ISSUE DATE: j�/�a� ��y PERMIT# /�I'�Q�'7 � � OWNER TYPE CONST. OCC GROUP: � ADDRESS oZ e� � f � ZONING SEfBACKS n CITY l7�GU..c1�r1� ni� ZIP � TEL. ' FRONT RW ❑ � APPLICANT �iJ�G�I/�� .Sl'_�{- TEL.�! '� ��- REAR ❑ Y � SIDE/SIDE STREEf RW ❑ a CONTRACTOR ;J ��tin��^/�,61i iM SIDE � ADDRESS ��ZI�U �3/r�C Li tv ��"• o� ❑ = CITY�rv A v II-� IP ��7SZ TEL. � /',i��gO�Gy , PROPOSED USE � i n� �/x� � ARCH/ENG/DESIGNER y � ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. ¢ OWNEB-BUILDER DECLAilATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � I hereby affirm under penalty of pery'ury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and Garage/Carport I � Professions Code:Any city or county that requires a permit Lo construct,alter,imprave,demolish,or repalr,any z structu2,prior to its issuance,also requires the applicant for the pertnit to file a signed sfatemeM that he or she � Patio/Deck I i is licensed pursuant ta the provisions of the Co�aclor's State License Law(Chapter 9)Cammencing with Section w � 7000 01 Division 3 of the Business and Profeuions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I ,n the alleged exemption.My violation oi Section 7031.5 by any applicant for a permit suhject5 the applirant to a civil penalty C7 I s of not more than five hundred dollars($500�. ZQ Re-Roof � (�I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or(J portions � Commercial I y of the work,and the strudure is not intended or offered for sale(Section 7044,Business and Professions Code:The � I � Contractors'State License Law does not apply to an owner of property who,through employees'or personal ettort,builds m � or improves the property,provided that the improvements are not intended or offered for sale.If however,the buiiding 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 � (,I,as owner of the property,am exclusively cantrading with licensed Cont2ctors to construct the projed(Section Z 7044,Business and Professions Code:The ContracTnrs'Sta�License Law does not apply to an owner of property who Valu2ti0 : Adj.Area: I � buildsorimprovesthereon,andwhocontraclsfortheprojectswithalicensedContradorpursuantmtheConhactors'State QUANTIN DESCRIPTION FEE I License Law.�. � �" U (�I am exempt from licensure under the Contractor's Siate License law lor the following reason(s): a '` I � " I ¢ 1 By my signature below I acknowledge that,ezcept for my personal residence in which I must have resided for at least one � � � year pnor to completion of the improvements covered by this permit,l cannot legally sell a strudure that I have built as an w I owner-builder if it has not 6een construded in its entirery 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 submitted or at I � the following Web site:http/vnvw.leginfo.ca.gov/calaw.html. � ' y Z I = DATE: SIGN: � 'I LICENSED CONTRACTOH'S DECLAHATION � I a I � I hereby affirm under penalty af perjury that I am licensed under.provisions of Chapter 9(commencing with Sec[ion 7000) � ot Division 3 of the Business and Professions Code,and my license is in lull force and ettec[. J I � ? / �7 ¢ � LICENSECLASS:�✓ G-'/ ��/ LIC.NO.:_�� z I � DATE: �`� 3/—ZG/7 CONTRACTOR: �I t G (i/L/( � I z w a WOfll�fl'S COMPENSATION DECU1flAT10N � I y I HEREBYAFFIRM 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 pmvided by CONSTRUCTION:_ /�. �-a.y, �� Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�p,N REVIEW: ��l � �I have and will maintain Worker's Compensation Insurance,as required by Sectlon 3700 of the Labor Code,for l �� Z the pertormance of the work for which this Dermit is issued.My Worker's Compensation Insurance Carner and ELECTRIC: _ ¢ PolicyNumberare: PLUMBING: ,�, CARRIER �//!D��/Ii6 `T�CivCv9� �N,$Y/I�Aii/C _ MECHANICAL: � PouCYNUMBER �fCGr/O�S`�/�/�l/ INSPECTIONFEE: 'n (iHIS SECIION NEED NOT BE COMPLEfED IFTHE PFAMfT IS FOR ONE HUNDRFD DOLLAAS($100)OR LESS�. ' ISSUANCE: '7/ �' � I certily that in the performance of the work for which this permit is issued,I shall not employ�ny person in any manner so as to � � become subject to the Worker's Compensation Laws of Calitomia.Md agree that'rf I should become subjed to the Worker� SMIP: ,� JCompensation provisions of Section 3700 of the tabor Code,I shall forthwith comply with those provisions. ENERGY P/C: y DATE: APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall su6ject an employer to criminal y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition tn the cwt of the compensatian, RETENTION FEE: _ = damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: t = I hereby affirm under penalty of perjury that there is a Construdion lending Agency for the performance of the work for P/Of Q�a n ('�riQk �.y/ .� � which this permit is issued(Sec.3097,Civ.C.). LENDEfl'S NAME: s LENDER'SADDRESS: 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 j IL�� iY '7 tJ Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMM ENTS:��sJ��,Q� J enter�upon the ahove-mentioned property for inspedion purposes. n /], �� LRr1'o✓ 1� / y � �a PE ITTEE NAME(P� � /� /� I �, ) � :n = S�lURE OF PERMITfEE DATE RECEIPT# ' I PAID BY �� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy � CITY OF DIAMOND BAR INSPECTIUN REC�RD -� � � � � _ . • o . � � , . � o '�SETBAGKi LEfTER :3'�� -�"��'� ��:`�':'�° TRACTAND LEDGER � i�e-- �: FOOTINGS FORMS�`', �`:� - � ' �� SWITCH GEAR � �SLAB � �� GOMMERCIAL HOOD � �UG.PLUMBING-• � _:,a��' `�� T-BAR ;UC�,ELECTRIGAI.� � ��`�� INTERCEPTER �� n ka� ... ws ;IJEEfl GROUND ;; -�_>. ,��, , ,;, a �� HOT MOPISHOWERPAN SEWEH LATERAL SEPTICr"CESSPOOL � MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT „�,. SHEAR WALLS IXi"ERIOR;� �� " POOUSPA .,,. � , . _ � SHEARWALL5INTERIOR' _:�.,��`" �, .., � "� � �a., ., ROUfH�pLUMBING � a��- `� „��'�`� ,, e . _ FR�AMING�NENTING, :"`�:'�� "';,. �`��h 'ROUGH ELECTRICAL �' �"� . ��°�� ROUGH MECHANICAL 3ROt1GH MEGHANICAL ` �ROUGH ELEGTRICAL W( }C( ) � .�.,�� GAS T€5T RQUGH PLUMBWG .-�� "�� PRE�UNITE INSULATION WALL POOL PRE QECK BONDING INSULATION CEILING P-T�P DRYWALL FENCE�I`GATE/ALARM ��• _ "�:' LATH(PREI FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL f00TING/STEEL GAS TEST WALL STEEI 1s'( )2"0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEAS� WALL FINAL SPECIALINSPECTION �� flO.FRAMINGPtANNINGAPPROVAL '` '��` ' ROU6H FIRE APPROVAL FINAL BtJIIDING.��p. � . _�, _ zFINAI MECHANlCAL�� ` FINAL FIRE DEPARTMENT - , aE,-�. FINAL�E'LE�TRi�,4'�L� �. '�,, , `' ' F� � ° FINAL PLANNING F,INAL PLUMHIN� �� ' �� '''�� ,,�„ x.A ;_��.� FINAL ENGINEERING/P'W �� ;f,G.of�O�GCUPAN�Y ' �?�� `�� r � � �� °` FINAL'�GOMMUNITY SERVICES� ' �� .. , .��;.� . :_. „ � �.� �.. � � � w . of OGCUPAidC��" '�� -� `��_`� `� FINAL HEALTN DEPT. ,CERT Y��, `"� FINAL INQUSTRIAL WASTE COMMENTS: