HomeMy WebLinkAbout14-3969 'i4�� CITY Or DIAMOND BAR �
I � I� _ ( F���I��l DEYARTI4ENT OF COMiV1UMTY&DEYELOPMCNT SERVICES
����;;�,-; " 21870 Coplcy Drivc,Diamond Bar,CA 91765 � PRESS
'b ,,,,�� (909)839-7020 rax: (909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY '
��4"%�"". BU[LDINGPERMITAPPLICATION
� a�V �j'`J �N �',/h�,g C �� APPLICATION DATE: � ^ dO� 1 P/C#
� JOB SITE ADDRESS 7- �- W J'�'� PERMIT# /� `�9 O /
W ISSUE DATE:
a
z APN LOT RACT
o OWNER
TYPE CONST. OCC GROUP:
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N ADDRESS ZONING SEfBACKS
� C�Ty ZIP TEL. FRONT RW Ll.
a APPL CANT TEL. REAR Q
o /� SIDE/SIDE STREET RW Cl
¢ CONTRACTOR tT� ���7� SIDE �
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o ADDRESS
� ry PROPOSED USE
¢ CITY ZIP'�fL�TEL.�'�7n1 � 93 � S 9�
0
o ARCH/ENG/DESIGNER
o ADDRESS ri DWEL.UNITS N STORIES #BEDROOMS
aCITY ZIP TEL.
m ownea-sui�oeN oeew�anoN DESCRIPTION SQ.F7. FACTOR PSF ADJ.AREANALUATION
¢ SFR/ADD/REM �
¢ I hereby atllrm mMer penatty of perjury Iha�I am exempt irom�he Contractor's State License Law for the reason(s)
� intlicated be�ow by Ihe checkmark s,I have faced next to the aDD�icabie dem s Sectlon 7031.5,Business and
0 () p ()( Garege/Carport
w Protessbns Code:My city or counry that requires a permit ta construct,alter,improve,demolish,or reDair,any �
z struclure,pNor to iis{ssuance,also requlres Ihe aDP����for the permit to file a signed slalemenl thal he or she � Pafw/Deck �
�" is Itcensed pursuant to tlre Orovisians ot ihe Contractor's State License Law(Chapter 9)Commencing with Secllon W
w
� 7W0 of DivYsion 3 of Ihe 8usiness and Protesslo�u Code]or Ihat he or she is exampl hom Ilcensure and the basis tor � P�USpa
N the alleged exemption.My violation of Section 7031.5 6y any apD��caM lor a permft subjects the applicant to a civil penalty
� ot nnl more than frve huntlred dallars(3500). . Z Re-Roof
�
o (�I,as awner of Ne property,w my employees wiN wages as Neir sole compensation,will tlo(�all of or(.,,)portfons � Commerclal
� of the work,antl the struclure is not intended or otlered for sale(SecUon 7044,Business and Protessions Code:The �
m
� Contractnrs'Stata LJcense Law does not apply to an owner of property vfio,thragh employees'or personal effort,builds
w w Improves the D�op�Y,D�'��ihat�ho Improvements are not irrtendetl or ofleretl tor sale.If however,ihe Duiltling or
� improvement is sold vnthin one year of completlon,Ihe Owner-Bullder will have Ne burden of proving ih8t lt was not 6uilt
ow imprwed for tl�e purpose of sale.).
v U 1,az owner o1 the property,am exdu5ivety conVacting with licensed Contractors to cansUuct the pro�ect(Section
� Valuation: Adj.Area:
0 7044,Business and Prolesslons Code:The Coniractors'State License Ww does nat appty to an owner ol properry who
' z builds or improves lnerean,and who convacis fm the projects with a licensetl Cantractor pursuant to ihe Contrxmrs'State QUANTIIY DESCRIPTION FEE
�
Y ucense Law.).
� O I am exempt han Iicensure under tbe ConVactw's State License law lor Ne IoAowing reasort(s): �
¢
�—` By my sfgreture below 1 acknowledge that,except tor rtry personal residence in which I mu�t have residetl f�at teasl one �
Z year prior to completlon oi tha ImprovemenLs covere0 by this permit,l cannot legally sell a structure that I have built as an —j
0
j- owner-b�ilder tt it has not been conshucted in its ent'aery by licensed contracirns.I understand fhat a copy of ihe applicaDle
¢ law.Section 7044 of the Buslness and Professions Code is available upon repuast when this epplication is submitted a at
�
� X tl�e toflowi�Web site:httpMiww.teginto.ca.govlcalaw.htrnl. Z
`L DATE: SIGN: `n
�
� LICENSED CONTRACTOH'S DECIARATION �
U
w I hereby aKrm untler pernlry oi perjury thal 1 am licensed under pwvisions ot Chapter 9(commenci�with Section 7000)
m of Divlsion 3 of the Business and Professio s CoJe,and my license is in full force and eftect. � �
_ /� I� ^ � �i.�
� (/ �/
y LJCENSE C �"'v'" IJC.NO.: a
O DATE: � j CONTRACTDA: �� w . �
Zd WOHI(Efl'S COMP6! t�E RATIQN �
� I HEREBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DEClNNi1DNS:
¢ I have and will ma{ntain a CeAAlcale ot Consent to Self-Insure fa Workei's Compensation,as provided try CONSTRUCTION:
� Section 3700 0l the Labor Code,lor Ihe periwmance of the work for which this permit is issued.
= PLAN FEVIEW:
� I have aiM will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,fw ELECTRIC:
o the performarice ot the vrork for which this permit is issued.My Worker's Compensafion I�urance Carrier anA �
¢ PolicyNumberare: - PLUMBING:
� CARRiER MECHANICAL' �
w
z POLICYNUMBER INSPECTION FEE: /r
� (T}tiS SECTiON NEED NDT BE COMPIEIED IF THE PEflM1T 5 FOR ONE HUN6RED DOLLARS(S100j OR LESS�. ISSUANCE: -�'`� �
� I certiry thal in ttie pertormance of the vrak fa which Ihis pertnit fs iswed,I sFall not empby erry persai in arry manner 5o as to
� become subject lo Iha Worke�g CompenSalion Laws ol Cali .M�a Il�t il I should 6ecane subjecl to Ne Worl�er's SMIP:
� Com ot Sectlon 3700 ot ihe , shau f amply with�tose pmvisiaa. ENERGY P/C:
J DATE: APPLICANL�
LL ENERGY PERMIT: /�/►
� WAPNI :Pa' re to secure worke' llo erage is unlavAul,and shall sub�ecl an empbyet to cdminal RETENTION FEE: "�"'"V
w penaltl an civil firces up to one hundred t d dolWrs($7(H1,000�,In atltliaon to the cost M the compensatbn,
a damaqes as D���d for fn section 370B ot Ne labw cade,interesl,and attomey's fees. PRE-ALT FEE:
0
¢ CONSTRUCTION LENDING ACENCY BSAF:
a
z I hereby attirm under penalty oi per�ury thal there is a Construction Lending Ageix.y fw Ihe perlomiance of the work for
w
= which this permft is Issuetl(Sec.3097,Civ.C.�.
� LENDER'S NAME
� LENDFR'SADDRESS:
� 1 certity that I have read this applicatlon and state that the above intortnatlon is wrtect I agree to compty vnth alt city and TOTAL FEES
� counry ordinances and sfate laws relating ro buliding construcGon,and her y authonze representatives of this counry to COMMENTS:
Z enter upon the abave-mentbned property(or inspection purposes.
0
m ✓A�/ �C/�')`.S� /
Q PERMfT'fE E(PR �
� �SIGNANR OATE RECEIPT k,�D�J./� PA1D 8Y:��J� VALIDATION:�9-T,
WHITE—Depariment Copy,YELLOW—Fnance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—Applican['s Copy
, CITY OF DIAMOiVD BAR
� INSPECTION RECORD
:
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, o � . � . . � � , . e .
SE�TBACKI LETTER �� - � TRACTANO LEDGER �
FOOTINGS FORMS _ SWITCH GEAR
S�B: - COMMERCIAL HOOD
UG:PLUMBING� - - T-BAR
UG.fL'ECTRICAL ° '�� ' � �'? INTERCEPTER
,
UFER GROUND '; ` HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIG/CESSPOOL
MAIN WATER LINE HERS REPORT REEEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
.... , ,. ,,,. � .;.- -- ` POOL/SPA_=
.., - � '�; �' :
SHEAR WALLS'EXTERIOR_ - =� � ' - '
SHEAR WALLSINTERIOR, �` ROUGH PLUMBING: - ' � � ` : j�r'
FRAMINGNENTING ,: �ROUGH ELECTRICAL ' -�� '' � � _ �i` ' ;
ROUGH�MECHANICAL z. ; ir � � £ s� FlOUGH MECHANICAE � �� r 7 r� `t �°``
p ,. J 1 SL
��c�t ' �� � f7AS TEJT �;� � �J r �� � 7 .�r ,x
ROUGH ELC-CTRICAL W(",)C.( )' = ' '`'- "
„ - 4
- � PRE 60NIT� �'� - h� �' � �_
ROUGH PLUMBING,_ :. - r_ ; ` '� 4'
POOL PRE DECK BONDING - Y�'; � 4�� � �.''� �' F'�
INSULATION WALL _
INSULATION CEIUNG ` P-�'P r',' ' � n �' e '
DRYWALL F„ENCE'/;GATE/ALARM ` { ��` " '
r �
LATH(PRE) �FINAL€?ODL , - .��A''- � r .� � � � ����
LATH EXTERIOR WALLS:
LATH INTERIOR • WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�T( )2HD( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE - WALL ORAIN/SEAL
CAS METER RELEASE WALL FINAL " , ,
,RO}FRAMING PtANMNGAPP.ROVAL' .; ` - L �- °, �� t
SPECIAL INSPECTtON - -
ROUGH.FIRE APPROVAL •=� �• '" ' � � }'} '
FINAL BUILDING ' ; -
fiNAL MECHANICAL )-1�F FINAL FIRE DEPARTMENT _ � � `
FINAL ELECTRICAL � FINAL PLANNING , � . '`r ' ` ' �
A �Tti
FINAL PLUMBING�� � _ ` ;� ' ' -FINALEENGINEERING/PW ���,? � �' t � ` "� •' ��'
T:C:bf OCCUPANCY FINAL CUMMUNITY'SERVICES " � ' <
CERT.of OCCUPANCY, ,,'� FINAL HEALTH DEPT ' ` '
„ ..
. ._, � . �. � .,
_ . , ,
-i.a � 7 f ::.
FINAL INDUSTRIAL WASTE_
COMMENTS: 7 �