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Home My WebLink About14-4956 (8) ,,,....��,_, CITY OF DIAMOND BAR �,�JJ��( �'"/ I � DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES ��I� � L/ - =�� 21810 Copley Drive,Diamond Bar,CA 91'765 PRESS ��,��,, (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION � APPLICATION DATE: P/C# s JOB SITE ADDRESS I�� U��IR� DP-. �l�1MOR1D BAR a i ISSUEDATE: �d��/�y PERMIT# ��'�a y�/�� z APN LOT TRACT I � OWNER M�Rk (� TYPE CONST. OCC GROUP: � ADDRESS � 1� G . � CITY�D B/4R ZIP QI'7 ZONING SEfBACKS � �TEL._��o�e �aJ�-IIQJI FRONT RW ❑ = APPLICANT TEL. REAR ❑ ,� SIDE/SIDE STREEf RW ❑ = CONTRACTOR �LL-�{�N �Q4�4-' P�-tM6tN6 �1Yi. SIDE ❑ ; ADDRESS �IOEn N•pa1LM �J'T. k1 EO�- x CITY �UU.�L�N ZIP q�B3S TEL.C.,�`G�'1B�dSGIb PROPOSED USE � � ARCH/ENG/DESIGNER y = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS dz CITY ZIP TEL. � OWNEi1-BUILDFA DECIANATION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � I here6y affirm under penalry of perJury that I am ezempt hom the Contrac[or's State License Law for the reason(s) SFWADD/REM I � Indicated below by the checkmartc(s�,I have placed neM to the applicable Rem(s)[Sectlon 7031.5,Business and Garage/Carport I � Professlorrs Code:My city a county that requlres a perMt to construct,atter,Improve,demolish,or repalr,any y sWclure,prior to fts Issuance,also requlres the applicairt for the pertnit to Flle a signed statement that he or she � Petlo/Deck i is Ilcensed Dursuarrt to the provislo�af the Contractor's State Lkensa Law(Chapter 9)Commencing wfth Sectlon w � 7000 of Division 3 of tha Business and Prolesalons Cotle]or that he or she is exempt fmm Iicensure and the basis for � PooVSpa I � n the alleged ezemptlon.My violation of Sectlon 7031.5 by any applicant for a permtt subjects the applicant to a civil penalty C7 I = of not more than Flve hundred ddlars($500). QZ Re-Roof � (�I,as owner of the property,or my employees with wages as their sole campensation,will do�1 all ot or(�portions � Commercial I � y ot ihe work,and Ne struc[ure is not intended or offered for sale(Sectlon 7044,Business and Professions Code:The m I Z Conhactors'Sta�License Law dces not apply to an mvner of property who,through employees'or personal eBort,builds y or Improves the property,prwided that the improvemenb are not intended or offered for sale.If however,the building or I � improvement Is sold within one year of completlon,the Owner-Builder wlll have the burden of proving that it was not bulR � or improved fw lhe purpose of sale.). I "� ()I,as owner of the property,am ezclusively cor�tmctlng witli Iicensed Contractors ta consWct the project(Section Z 7044,Business and Professions Code:The Contracrors'State License Law does nat appty to an owner of property who Valuation: Adj.Area: � n buildsorimprovesthereon,andwhocontractsfortheprojectswithallcensedContractorpursuanttotheConhactors'State QUANTITY DESCRIPTION FEE I Y License Law.�. � � U I am exempt ham licensure under the Conlractor's State LJcense law for the lollowing reason(s): � I � By my slgnature bebw I acknowledge that,except for my personal residence In which I must have resided for at least one � = year prior to completion of the improvements covered by this permtt,l cannot legalty sell a struclure that I have bultt as an w I owner-builder If tt has not been consWded in tts entlrety by licensed wntractors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professlons Code is avallable upon request when this applicaUon Is su6mitted or at + i the following Web site:http/www.leglnfo.ca.gov/calaw.html. _ = DATE: SIGN: � I — LICENSEO CONTflACTOfl'S DECIAflATION . � ' I hereby afflrm under penalry of perjury that I am licensed under provisions of Chapter 9(commencing wRh Sectlon 7000) � I � of Dlvision 3 of the Business and Professlons Code,and my Ilcense Is in full force and effecL J I n LICENSE CUVSS: G 36 IJC.NO.:�� Z DATE: CONTRACTOH: AJ�GK��M�� I ¢ WOHI�H'S COMPENSATION OECLAFIATION � - � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: L � I have and will maintaln a Certificate of Consent to Self-Insure fir Worker's Compensatlon,as provided by CONSTRUCTION: � Section 3700 ot the Labor Code,tor the pertormance ot the work tor which this permit is Issued. p�qN REVIEW: ' � ��I have and wlll maintain Worker's Compensatlon Insurance,as requirad by Sectlon 3700 of tlie Labor Code,for � �- the pertormance of the work fw which this permlt is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: Zd PoIi�yNumber.are: PLUMBING: / � /''g Z CAARIER �1/�_��r�pt�'�ONAL.. INt, GON�. MECHANICAL: ;� POLICY NUMBER 76�� INSPECTION FEE: � (THIS SECIION NEED NOT BE COMPLETED IFhIE P6iMfT IS FOR ONE HIRJDR�DOLLPAS(510�OR LESS), v. � ISSUANCE: ��'•,��] = I certify tliat in the perfurmance of the work for whlch ihfs permit is issued,I shall not employ any parson In any manner so as to become subJect to the Worker's Comperaation Laws of Califania And agree that if I shauld hecome subject to the Workers SMIP: J Compensation proNsiorrs of Section 3700 af the Laba Code.I shall torthwith compy wlth those provislons. ENERGY P/C: i DATE: APPLICANT: ENERGY PERMIT: � WARNING Failure to seare Worker's Compensation coverage is unlawful,and shall sub�ect an employer to cnminal � y penaltles and civil flnes up to one hundred thousand dollars($100,000),in addition to the cost of the compensatlon, REfENTION FEE: � = damages as provided tor in section 3708 ot the labor code,Interest,and attorney's tees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: y I hereby afflrm under penalty of per�ury that there Is a Constructlon Lending Agency for the pertormance of the work for � which this permtt Is Issued(Sec.3097,Civ.C.�. LENDER'S NAME: . s LENDFA'SADDRESS: i I certiy that I have read this applicatlon and state that the ahove information is wrrect.I agree to comply with all ctty and TOTAL FEES ��, 1� Z wurity ordlnances and state laws relaUng to building construction,and hereby authorize represerrtatives of this courrty to COMMENTS: � enter upon the above-menUoned property for Inspection purpases. � � a PERMfTTFE NAME(PRItJ� :n n = SIGNAlURE OF PFAMITTEE DATE RECEIPT#�J_71�� PAID BV: '� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—F�ssessa Copy,GOLDENROD—Flle Copy,GREEN—P,pplicant's Copy CITY OF DIAMC?ND BAR INSPECTIOM RECORD � �, • m . • • - • o � e ' �g �� A�' ��''�`=� � �� ' TRACTANDLEDGER �5ETBACK/�LE7T �� N� wm� ER'� � ��' � �_.. _� � �°� �_.��9 . FOQTINGS FORMS � �;��E°��'�� M�� 3..�� ,�.�'�� SWITCH GEAR ' � � � � y� "`"�" �� °.�� - �� COMMERCIAL HOOD � ,SLAB � � �- � ._� � .M� � ��,a�� ,UG�PLUMBING��. :� ��` R "�ffi T-BAR ,UG:ELECTRICAL ��;�. �� `�� „�"� �,�"��;: INTERCEPTER 'UFER GROUND'' � �'�" W� ��" � �'` �; ��.,��. HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVEQ SEWER CLEANOUT DEMOUTION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT 'SHEAR WALLS'EXTERIOR`` � �� ;}�_,��'�°��,,;. �`€'',,�;�. �PUOL/SPa�� '�� ,„�. �� x�; �y�m�,.-��,� o .,��;�: ; _ _ � � � �� ,� � , �ROUGH P�UMBING�� ^�� '..�� : �� .,� s� � SHEAR WALLS INTERt4R rt�� ,��:�� ,��. � . �.��: »�` � � ` ' __-� , .; . - - � ..�,€ ,.- �— . .�� i �. ,��,� �5,9e� : ��. . .� �� ,�a3" � ' .�s�` FRJSNIINC�'VEM'1NG � �� -�" �RQUGH ELE�TRICAL � � � ��'� �� . �� ROUGFi MECH,4tJIGAL�� . . �' „', ;, ROUCH MEGHANIGAL �? �°3 �' � �. ,��7 � .�' � ��.,. ._ �� ' � ROUGH ELECTRICAL W( �)C�( )�; �..,�' � � � � � �� GAS�TEST��- �" �� .�,�� :� �� '� ° �� ;ROUGH PLUMB,iPJG ,'��+ ��,� :; ��d � -� €P �� s' �E �� ?�� c,� _ A� � � � �� . ce� . .� AE GUNIT, � . � �.. '" „� �� INSULATION WALL `POOG PRERE3ECK�BONDING,� � 5 �� ., "� �� ` ' INSl1LATI0N CEIIING =p�TRAP ,�� "� " _� '� '� � ";- � f �� 1 "" „� DRYWALL =FENCE�/xGATFJAIAEiNI �.� � �� '`�:��" ° � `°�:�_�' hFINA1.�P00� -�� ,� � �' r,�< ,� ,v�. �.�: �� '� �� LATH(PRE� . ._u�.�, � .. � ,.��°-�. � ��° , , ��, �z,�.� ,...,. ��. LATH EXTERIOR WALLS: LATH INTERIOR WALL FQOTING/STEEL GAS TEST WALL STEEL 1�T( )2NQ( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAI SPECIAL INSPECTION RO�FRAMB�I�PU�lNWG�'PR�VAL � ",�� ` �'�� .�� , -- �. � �_ _. `R FINAL BUILDING�.. �� ,�,. �". � ' �y _ � �� OUGH FlRE APPROUAL ` � �' : � . � .�� FINAI`_°MECHANICAL��'�°v .e,�. ��"� - �.�;� �x:� ��, '� n ,. FINAL�FiRE DEPARTMENT�,,�- � _ '� �'`��:.. ' �� - � �° �`� �fINAI<ECECTRIGAL��r �+,�,�� °�,�._ . � °�'�� r��T '��'� �FINAL�P�LAtdPlltdG ';a e�`�` �' ,„�� " �' ��t��; ��' �... �_ _� � ., �� _�„��. <�� .. �f(NAL�ENGINEERING/PW :� ",,tt� ,� �� ';: � " :� '�`�" FINAL PLUMBING �;� �'"I / � ��"�` ��_ � � -- �� ;'� `"` ' "� r� � ` � �`,`�°��.� .FIIdAt`�COMMUNITY S RVICES �� `� � �� T C.'��of OCGUPA'NCY � �� _ �� = � ° � � � .r � �6 � e� 'CEi�T,�OfOCCUPAFICI(t�.,��, . �, �.� ��• s. �- �. ts„�� "�'�� INAL�HEQLTHDEPT � � �x„ � �� . ; � �..W ��. _ �. _ FINAt;INDUSTRIAL�WASTEg�``� � � ,�r, "� " y�.. �. COMMENTS: ,i Y ` 1 i 1P` L' ' � • I . ��T:��/k�1�p�HT'(�� '00� CITY OF D/AMOND BAR BUILDING&SAFETYDIV/SlON 21810 Copley Drive Diamond Bar, CA 91765 , (909)839-7020 SMOKE ALARM AND CARBON MONOXIDE CERTIFICATION In order to help assure the life and safety within existing dwellings, the 2013 California Residential Code (CRC) Section R314 and R315, along with the California Building Code Section 420.5 and 420.6 requires existing dwellings have smoke alarms and carbon monoxide alarms installed within the upper 12" of the ceiling when a building permit is issued for, worked on or in a building that is valued at $1,000 or more. Generally, the alarms - are required to be hard-wired, have battery back up and be interconnected. , Starting July 1, 2014 all smoke alarms including combination smoke alarms, that are solely battery powered shall contain a non-replaceable, non-removable battery that is capable of powering the smoke alarm for at least 10 years. The alarms are required to be installed in the following locations: ❖ Smoke alarms in all sleeping rooms. _ ❖ CO alarms in all sleeping rooms where fuel burning appliances are installed. ❖ Smoke alarm and CO alarm in hallways preceding sleeping rooms. ❖ Smoke alarm and CO alarms on each dwelling level including basements and habitable attic rooms. The smoke and CO alarms are required to comply with the above when requesting a final inspection. Please make sure an adult is present to allow the Inspector access to the home to verify compliance with the above requirements. If no one will be available, you may opt to complete the Installation Certification below and leave it with the job card. INSTALLATION CERTIFICATION For the property located at �2�� CL�1-�'r� 6�� , I hereby certify that the required smoke alarms d carbon monoxide alarms have been installed as listed above. � I'�-64�K� ��C�� Signature Print Name Date Relationship to project (please check one): , �� Owner ❑ Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor If"Licensed Contractor" or "Agent for Licensed Contracto�" is checked, please complete the following: Contractor Contractor's State license Number .. -. . ' .. -�; _:t