HomeMy WebLinkAbout14-4549 -:��:-'� CiTY OF DIAMOND BAR
{ I ,i I� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
�jj�-'�. < 21810 Copley Drivc,Diamond Bar,CA 91765 . ,. ., -c'i PRESS:. �..
(909)839-7020 Fax:(909)861-3117 Building Inspection HQtline(909)839=7027 � FIRMLY
. �'��",�. . BUILDING PERMIT APPLICAT'ION
� ? � APPLICATION DATE: '(I��� . a`D� / P/Clt
� JOB SITE ADDRESS �` " � • ISSUE DATE: ,�n
z APN LOT 7RACT �r "� "v�`' PERMffp �y-�,r L�'1
o OWNER � TYPE CONST. O C C G R O U P: '
� ADDRESS � �°� / ZONING SETBACKS
� ,CITY�-�- o�dl (�+l P TEL. �' o FRONT RW ❑
¢ APPLICANT TEC REAR ❑
¢
o L �' SIDEJSIDE STREET RW ❑
Q CONTRACTOR 0 f/�l ������;S! /!n ��� o''� 1 �r• SIDE ❑
0
oro ADDRESS � '�
,^ L - PROPOSED USE
� CITY f'�c.i..fot._-� Il�_/�t.�IP o TEL. - �
o �
o ARCH/ENG/DESIGNER
o ADDRESS H DWEL.UNITS #STORIES #BEDROOMS
� CITY ZIP TEL.
a�a. owx�-em�oQ+oEcinnnnoN DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANAIUATION
� I hereby afllrm under penally ot perjury that I em ezempt from Me Ca�tiactw's S[ete llcense law tor the reason{s) SFR/ADD/REM
� InAipted below by Me checkmark(s),I have placed nezt to the aDW�ble Hem(s)�Section 70313,Busl�rcss a� � �
o Gerege/Cerport .
w Pro�essians Code:Any city or crouMy that requires a pmnR M eonstrucf,alter,improv0.demollsh,a repair,any � .
z structure,prlor to ih fssuance,also requlres ihe epplfqM M ihe permit to flla a atgned atatert�ent Nat he or She u) Patb/Dec:k � � �
a is licensed pursuant to the provfsions of the CoMrecta's State License Lew(Chaptn�Commenchip with Sedton W . . ,
� 7000 0l Divislon 3 of Uro Buslness and Professlom CadaJ or that he a she Is exempt hom Ilce�tte and ttce basis fw LL PO��a
N the alleged exemption.Any viWation oi Section 7031.5 by eny eppBcant fa a partnft sub{ecb fhe applipMto e civfl perelty �7 � .
V' oi not more Uian frve hundretl dallars(5500). . Z R�Roof .
o (J I,as owner ot the property,a my amployees wtth wages es their sale compereatlon,w@I do(J ell of or U DoAWns � Camme`ciaf ' �
0 ot the work,and Me struclure is not Intended a affered for pla(Secfbn 7044,&Nnes.t eM Professbm Code:lhe m
� Contracmrs'State Ucense Law does�at appry to an a�er a(property wtw,thruugh emplayees'm personal etfwt,builds
' ' �w a imprwes ihe D�WQrtY.P�Wded that ihe ImprovemeMs ere not Irrtended a oftered tor sale.tt twwever,itte bullding a � .
� Impmvement is sold within one year ol completlon,the Owner-Bullder wilt have tlie burtlen aS provi�tl�at ft vaas nM Wltt
,p- m Imprwed Por the W�of sale.). � �
� .(,I,as owner ai the property,am exdusivey contractl�with Ifceivsed Contractors to construcl the pToject(Section • �� ��
o :7044,Business and Professions Code:Tiie COMractms'State Lkense Law daes not appry tn an awna ol pmperty wlro Valuation: Adj.fVea:
z' :builesaimprovesmereon,a�Mvfiocontractsiathepro}ectswitheticer�sedCmtrectorpursuenttotlreContractms'State pUANTITY DESCRIPIION. FEE
�
.:.Y.:.License lawJ. . . , .
o U�am exempt from Ilcensure under Ma Contracror's State Ucense law tor the lollowing reason(s): � � _ i
. �. . . _ - � � .
�- By my signature belmv 1 acM�owledge ttia4 excePt tor my personel residence In whkh I must have resided for at least ane �
z year p�ior ro completim of ine improveme�covered by thfs permR.l canrrot legelly sell a strucRira that I have built as an � . ��
0
� owner-bulitler Il lt has rrol been constructetl In its en�iiely by Ilcensed contractors.t undarstand tlmt a copy of ttre appllpGle
� law.Secibn 7044 of the Business and Professlons Code b a�aflahle upon repuest when 1Ms appllcatlon Is su6mlited a et �
X the iollowing web site:nitp/www.leginfo.ca.gov/calaw.htrnl. _ .
w �ATE: � S1GN: � � � � _
�\ UCENSED CONiAACTOH�s oEcunanox � �
U
w I hereby attirm under perelly of perjury tfiai I am licensed under prwisloiu ot Qqpter 9(commencing with Section 7000)
� of Oivision 3 ot the Business and Professio�s Code,and my Bcense is in fiill/orce m�d eflect. , �
_ y a1/ � u,7
� LICENSE LIC.NO.: ��� 1 1 V � .
oZ DATE: CONTMCTOR: � .
¢ . WORKER'S COMPEtISA OE � � - -
� 1 HfAEBY AFFlRM UNDER PENALN OF PERJUFiY ONE OFTHE FOIlOWING OECIARATIONS: �
w
. ¢ I have and wln mainlain a Certi�cate of Crn�sent to Sett-Insure ta Wakers Compertsatlon,as provided by CONSTRUCTION:'
� � tlon 3700 ot the Labw Code,for Ihe D��mance ai the wak tar whkh tMs pertMt Is}ssued. PLAN REV{EW: � - '
�� _�ve aml win matrrtain Wrnxer's ComD��limi Insurance,as required by Section 3700 oI the Labor Code,(a ' ELECTRIC:
�o ihe Performance al the vrak tm which this ce��is issued.My Wak�^s Compensatton trrsurance Cartter and �
rs
¢ PolicyNumberare: 1 I /� L � � PLUMBING �.��
� canAt� 4 i h r f�� � 1 �� �°�' MECHANICAL: �'�
� PO�CY NUMBER � (nI C `'( � �"� � `�v INSPECTION FEE:
� , (TMS SECIION NEED N0T BE CAMPIFfED IF TFIE P97dfi IS FOR DNE MINORED D�LM5(.EtOQj OR(�. .
� ISSUANCE: � IQ`, �
� �cenxy mai�sne a�so�r�r�a Na work ra wracn m�s�it�s�ea,i st�n om e�r�pay env ve�+e,a„y�,an„er so�ro
obecorne sub}ect to Ihe Wakerk Compersation Laws of CallfomlaMtl agree mat If I shadd becane sub�ect m Bre Wakefe SMIP:
u� Compensauon���'+���ot Sectia�370o aI ttre Labor Code,I shaA tath�rie+cam 'Ih.tda pro+lebns. ENERGY P/C:
LL DATE:���//���`//��nPPUCtWT: - ' ENERGY PERMIT: �
� WARNING:Pailure'to secure Waker's Comp n I,and shatl sub�ed�an emphyer 10 g�ninal� _ REfENTION FEE: •da,
: w pena�les and civil.fines up to one hundred dollars(5100,0(10�,In addiHon to the cast af the camper�satim. - .
a damages as provided tw in sectbn 3708 0l the IaDor code,iirterest.arM attmney's fees. PRE-ALT FEE: .
0
. .� � CQNSTRUCTIOt!LENDIN6 AGENCY,' � . . � BSAF:
W I hereDy affirm under penalty of per�ury Nat Mere is e Cunstruction Landing Agency far,the peAomrance ai the work for
,-.� which tbls permil is I5sue0(Sec.3097,C�v.C.). .
F._. LENDER'S NAME '
� LENDER'SADORESS: � �����
I��a I certity Ihat I nave read this applkation end state ttiat the above Informatlon h corte�til agrea b Cwnpry wiM all dty and TOTAL fEES .
� counry ordinances and state laws relating m buldir�g consouctlon,and hereby aumorize representatives at 6�is caimty to COMMENTS: �
z enter upon the above�mentioned property tor Inspeclbn purposes. "
_ �I�LAL �1� �� � ,
m
a PFRMITTEE NAME(PRMn � � ' . �"
�
�
� SIGNATURE OF PERM . 0 TE RECEIB�T N�_ PAID BY: i l�� � VAIJDATION:�L,_
� WHITE—DepeAment Copy,YELLOW—Flnence Gopy,PINK—Pssessor Copy,GOLDENROD—Flle Copy,GREEN—Applicerrt's Copy ' � � °:�
.-. . ..��,.�:._. .. � �.�>... . � : .. � .�- .p
CITY�Of DIAMOND BAR
INSPECTION RECORD '
0 0 � ' • ' A 0 . 0 0 .
SET.BACKILETT,ERi�+3�;x��;,`�,.���r��,F`,�'„�,�.����'�., '�'���'�'�'9`�''���r��'"'.� TRACTANDLEDGER
FOOTINGS FORMSS�'��s����±���r;. ,.�, �ra:i�'}���,���41§ �'z��"zx��� t -r� "� SWITCH GEAR '
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SLAB�s�r'�s�`��xf�``r�k�`s��¢�''�,�'��t��'s�,��c�����+ '��``,���� � COMMERCIAL HOOD �
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;UG'�P4UMBING��r������'��`����T . ..i��� ,� .� s������� T-BAR ._
�UG°`ELECTRICAL��'���4���'�;���;?����.�� � � '�p�� �_� � INTERCEPTER
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�UFERFGpOUND�;������'?�r'� .:��;S���r�.���'�'��`,��'���r�'� ������'���'�� HOT MOP/SHOWERPAN _
SEWER LATEftAL • SEPTIC/CESSPOOL
MAIN WATER LINE HERSREPORT RECENED �
SEWER CLEANOUT DEMOLITION �
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
z»,+:.�.,..:-.�.n�a�r� '-pz �.Td�"';�.r �b'"� r�?' '"� $'3i.P," •• ..Sa=s A''.'r.. � x.�e.t��+,t,�T� �:-s a�r,.-)r�;-� r�y� '�� f4._ -�pC'i;��(-��
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SSHEAR�WALLS�EXTERIOR�F� ��t ls � �' -t�'.r�5,'�'' �.t� � ��D�USPA �����' S�" ���� .�:�� � r��,,��5�<��r��ti:t����
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+SHEARRWALLS INTERIOR����'�� ��'.�t�>��,F��`�U� '�����,'�c�'� ROU�`iFrrPLUMBING�t���,�i�� ��s�',`�.3a �_�,�"!s����:���-���r�� ��,�+�` �
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�ROUGH;ELECTRICALf;W(�1��.(3.�);,�0 �+ �'� + ����11a�r'�=. �;:�=��,��' ;GAS�T�EST��`-'��, '����.����� a ��- y�� ��r�w-��-_-�'�� .
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RQUGH�PLUMBIN�,cP.,a��".�,��c�:�.:t������:'fi'x�.��.'�,�:��������'�.��,� PREGUNITE` �°�.���.'� _;�;k �fa�i-�h��..,�r',�;�� ,�x� `�':� ��� .
INSULATION WALL ?FOOC;�?f�E�DECK BONDING;'��'�`tN �,��?„��,�z���i�i������'��'`{fi`�J�'�"������'���=
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INSU�ATION CEILING ' PW,;�P.+�V��i�' � �'�};��:��, �z ,rai) ��a��.�i i�n'4r���,�`�,-'-- r �i S�n�•�'r.;
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LATH(PRE) ��" � �, � E= -�� z�� F >�� �a�� � � � � ,,��.,3 � � �
1FINAL��POOL'�,��r�� � � �;� ¢�"x�;�����'�,�3���,-���`���", �.„�s.,��~,�'��,�}*,.!Y
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LATN EXTERIOR WALLS:
LATH INTERIOR � WALL FOOTING/STEEL -
GAS TEST WALL STEEL 1n( )2ND( )LIFf
SCRATCH COAT WALL BOND BEAM -
ELECTRiC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION 'RO�F�iANIING�'LANMNG�PROVAL��'`;��—*rz�,�',�v��i,,����� �'``���,��?r"'
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,� � r,�'a� �, � a. N�',���,+� ��c,��r��e���1t�''a��� FINAL��IRE DEP�RTMENT n «�j��c���,�€r,�+;i U,�,�,+������k�,��=�� �Y�1 ',.i�''
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