HomeMy WebLinkAbout14-3364- - -- --- --- -
��„�"�,'���w�,.,,.�.,, C1TY OF DIAMOND BAR ���S ���E�
� I I I i ' ¶i DEPARTMEl�3T OF COMMUNITX&DEVELOPMCNT SERVICES
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"��{� • - ' 21810 Copley Drive,Diamond Bar,CA 91765 ��Q�� PRESS
� �:d��U�.:
�^�,, ,,,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hntline(90 39-702 FIRMLY
"��+"" BUILDING PERMIT APPLICATION
� � � ¢/� /� `�n/ APPLICATION DATE: /� p/C� D `�'�
wJOB S1TE ADDRESS [ �'CL �V v ��/�
� ISSUE DATE: �� PERMIT# � i d
z qp{� L�T TRA�T
a OWNER �I�Q A1 IYPE CONST. C OCC GROUP:
� ADDR��SS � r���� ` c Q� ZONING SETBACKS
� C�Ty I M p ZIP j S TEL G � � FRONT RW �
¢ APPLICANT TE � — U� REAR �
x � �
o d Q �,/��,�� , � ^ SIDE/SIDE STREET RW ❑
a CONTRACTOR /T/-� //1.1T/1 N��W/n— CC?N iJ ' SIDE �
oro ADDRESS � �,^�pT-4 � PROPOSED USE
cc CITY� f J�LIP��TE��-� �t) � �� �d J
0
11- ARCH/ENG/DESIGNER
0
z ADDRESS tt DWEL.UNITS !t STORIES #BEDROOMS
0
a C�7y ZIP TEL. DESCRIPTION SQ.FT. FACTOR P5F ADJ.AREANALUATION
� owx�-em►n�oecwunoN
¢ I hereby aHirm under penally ot perjury that I am exempt hom Me Cantractor's Stata Lfcense Law for the reason(s� SFR/ADD/REM
� irMicated below by the checkmarWs),I have D�^��o the aDP���e ilem(s)[Sectfon 7031.5,Business and
o Garage/Carpwt
w Professions Code:MY city or county that requlres a Oermit ta conslru�M,alter,Improve,demollsh,or repalr,any
z structure,Ddar to�ts Issuance,alsu reqWres the applicant for IAe permit to file a slgned statement that he m she tn Patio/Deck
a is licensed pursuant to lhe provisions ot the Cantredor's State Ihxnse Law(Chap�er 9)Commencing with Secdon W
� 70D0 of Uivision 3 of the Business and Professlons Code]or that he or she is ezemD�1�om Ilcensure and Ne basls(or � PooVSpa
� �
� the alleged exem0�ion.Any violation ol Section 7031.5 by any applicant for a pertnit sub�ecls the aDDlicant to a cNil perqtry Z Re-Roof
� ot nol more than frve hundred tlollars($500).
�
o (�I,as owner of the property,or my emD�Wees wiN wages as thelr sole compensation,will do(�all ot or(�portions J Commercial
o af tha work,and the structure is not Intended or oftered for sale�SecUon 7044,Business and Professbns Code:The � �
� Contractors'State Llcense Law dces not appry ro an owner al property who,through employees'or personal ehort.builds m
w or improves ihe property,pmvided Mat ihe improvements aro not intended w ottered tor sale.If however,the bullding or
� improvement Is soltl vnihin me year of completlon,the Owner-Builder will have the burden of prrning that It was rrot Oultt
� or improved far me purpose of sale.).
0
� (�I,as owner o11he pmPertY,am exclusWefy conUactlng wilh licensed Contraciors to construct lhe proJeCt(SeCtbn V81Uation: D J Adj.AfeB:
0 7044,Business and Professions CoAe:Tha CoMractors'Slate License Law daes not appty to an ovmer of properry wtro
z buildsorimprweslhereai,andwho«m�tractstorfhepruleclswEthellcensedContrsctapursuanttotheContrxtars'State QUANTITY DESCRIPTION FEE
�
Y Licerese LewJ. . J
o U�am exempt hom Ilcensure under the Contractor's Stete Llcense law tor IAe tollowing reason(s): �
� �
"—' By my sigr�ture below I acknowledge tha4 except for my personal residence In wMch I must have reslded for at leas�me w
z year prior to completion of ihe Improvements covered by ihfs permit,l cannot legally sell a sWcture that I have hulR as an „-j
0
Qowner-builder I}It has not been constructed in it5 entirery Dy licensed conVactms.I understand that a copy ol the applicaDle
Q law,Sectim 7044 of ihe Business and Prolessions Code Is available upon request when ihis appllcalion is su6miqed or at
d the following Web site:http/tmav.leginlo.ca.gov/Calaw.�trnl. `'O
w m
OATE: ��N: �
� LICENSED CONTRACTOH'S DECWIATION �
� a_
� I hereby attirm under penatry of perjury thal I am licensed under provisions ot Chapter 9lcommencing wilh Seclion 7000)
w
� of Division 3 of the Business and Professions Cafa,and my license is in full force and efteCL � � ,5 /J /i�
� LICENSEC �` v-- uc.No.:� 6 � !S Q r-..i.tiN�c�t T�( � /0
aZ DATE: �� CONTRACTOR: - w
¢ WORKER'S CAMP ON OECIARATION �
� I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING OECW2Al10NS:
w
¢ I�ave aiM will maintaln a CertiFlpte ol Cor�sent to Sell-Insure for Worker's Compensation,as provided hy CONSTRUCTION:
� SecUon 3700 ot Ihe Labor Code.for the perfwmance ol the vrork tor which this permit is issuetl.
� PLAN REVIEW:
> � I have and will maintain Worker's ComD����Insurance,as reqWred 6y Section 3700 of the Labor Code,fw ELECTRIC:
o the perfarmance of the work for which Ihis permR is issued.My Wwker's Compensatlon liuurance Carrier an0
a Po�icyNumberare: / ,�� ( � PLUMBING:
� CARqIER �?4��f tX P[�l i l T MECHANICAL� �
Z POUCYNUMBFA�(_T INSPECTION FEE:
� (T}tlS SCCfION NffD NOT BE COMPLEfED IF71�PFNAIT IS FOR OME HUNDRED DOLIARS(8100)OR L.ESS). ISSUANCE: � �
oI certity that in Ihe peAormance ot the work la which Ws pertnit is issued,I shatl rot emqoy arry person in any manner so as to SM I P:
o become subject to the worker^s Compensatiwi Laws ot Calttom�.MU aqree that if I shadd 6ecane subject m the Wakefs
w Compensa(ion prwisla�s of Sectiai 3700 0l N bor Coda,i sha�i twttTMmt�compy v.�tn mose provisiors. EN ERGY PlC:
J DATE:�—/S ' �APPUCANT: � 9"—'—'"�L �-- ENERGY PERMIT:
�
� WARNING FaiWre to secure Worker's Compen atlon coverago Is unlawful,and shall sub}ect an emptoyer to criminal REfENTION FEE: ���
� penatties and civil fines uD to ane hundred thousand dollars(3100,0001,in addition to the cost of the compensation,
w PRE-ALT FEE:
a damaqes as proviAed fa in section 3708 of the labor code,interest,and attomey's fees
a CONSTRUCTION LENDING AGENCY BSAF:
Z I hereby aKrm under penalty of perjury Nal there is a Cortstruction Lentling Agency far the pedortnance of the work tor
w
� whicb t�is Dermil is issued(Sec.3097,Gv.C.�.
r LENDER'S NAME
¢ LENDER'S ADORESS: �
a I ceriiry that I have read this aDP�iqtion antl state that Ne abwe lnformation is conecL I agree to compry wiM all city and TOTAL FEES �
� coun wdinances antl sfate laws rolatin to buildin constructlon,and hereb authalze re esentatives of this coun to '
Z ry g g Y P� �Y COMMENTS:
p .enter upon Ne abov^e-menlionedproperty far inspectian purposes.
J � / ,^ �.
m d niv _
Q NA�INn `. �
� � �
N RECEIPT k PAID BY: � VALIDATION:
= SIGNATU E OF PERMITTEE ' DATE
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WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessor Copy.GOLDENROD—Fle Copy,GREEN—Applicant's Copy
����� ����� CITY OF DIAMOND BAR ,' �
�9t�,��� � INSPECTION RECORD ; . �v,
� � � � �a
� �,
. . . . . - . . • • -
SET,BACKI LETTER , � �°= _ '��= TRACT AND LEDGER
FOOTINGS FbRMS ' ` ' — '' ' d '� � � � " `��^� SWITCH GEAR
,u ._
SLAB::�� `:� 7 `' '� `� �,�� A� �:: . � ;� ir.: COfvIMERCIAL HOOD
UG.PLUMBING�;_ ' x'�`� r� �'Y `_'.` `�' T-BAR
UG.ELECTRICAL"-=� ", ;� $ � '` ': ' ' ' '''- -" _: INTERCEPTER �
UFER GROUND-:r': 'j `' �, `� '�° :,'., ^`';.�;3;' HOT MOP/SHOWERPAN
.� �,. ,. r ,. • ,.�,. ,.. _ . .._
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECENED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
, .,, , , �-.
SHEAR WALLS:EXTERIOR'; , . r,; .: ; ,' POOL/SPA> ,.,:' � � ' ' -� �
SHEARWALLS,INTERI�OR.�; �\:� � ��' , 'ROUGH{PLUMBING �' ', �' } i '' r
FF�AMWGNENTING� ''' ' ' T`' � :'� '- 'RQUGH ELECTRICA�� � r''+� ri* �* a s '
, F r, t x -
RQUGH MECHANICAL ��� � ROUGH MECHANICAL� '� �,4 ��xs � � � �� `� Y
,� , s� -' � j �
�� �,�i ; - + GASTEST �= �' �� �� � _� � �i��r - �� �'-� � �� ' '
ROUGH ELECTRICAL W( >)C( ) - _ °
� 4 l :
ROUGH•PL'UMBING�• "" `�, } 4-_� ,�. : � PRE GUNITE, � �� '�� -
POOL PRE'DECK BONDING `��� � ' �' �� ��
INSULATION WALL '�'' �
_ y.;��, 1-11 lh f �.�_r3 ,��, ,ri � '7^F
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�.� �
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.��. . ' ♦ .._.. 1 ..�r_.,. �......
INSULATION CEILING R;;TRAP�,�� ��:, � �` �
,FENCE,/,.G/iTE/ALAFiNi ' ; � ` " � ~ ���
DRYWALL - „
LATH(PRE) FINAL P.OQL - � �:-. - - -��=
LATH EXTERIOR WALLS:
IATH IPJTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�( )2ND( )L1FT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIW SEAL
GAS METER RELEASE WALL FINAL _
SPECIALINSPECTION ROFRA�AINGPLPNNINGAPPROVAL ' `� `
y �`;Uh , s , �t.,: -..�z r ; `:t i ,� ROUGH f.IRE APPROVAL. ; �� ' s q ,
FINAL��BUILDING ' " ,� �
�' I 5 l T - fl .
F1NAL MECttANICAL .;��; �, . ���� � � � � . ����, FINAL FIRE DEPARTMENT >; `-�T � � ` � ��� `
v �k� '
FINAL ELECTRICAL - � FINAL''PIANNING �r ` - a `- '' '� F '� Y
, '' � ' ' FlNAL ENGINEER{NG/PW �:' ` 'r '° � r^ `' f
; _, , :
FINAG PLUMBING .�" " ;s'•R:.;1 � . (,,..,, , ; i,. ';�. . _ . , _ ,
LC.;Of OCCUPANCY � i� E r FlNAL COMMUNITY�SERVICES � � r �� y �.
CEHT,of OCCUPANCI',.:,�, . - �� � ,..��,.��. , FINAL-�HEALTH DEPT ��� f = � �
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FINAL`INDUSTR(AL;WASTE_';;,.��� .T , ,, ' `^� ���`�_'� �Y
COMMENTS: