The URL can be used to link to this page

Home My WebLink About14-4720 ........,,�':��_...... CITY OF DIAMOND BAR � DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES � - 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ,h,R�,,,,) (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 FIRMLY `'�""� BUILDING PERMIT APPLICATION = JOB SITE ADDRESS �� E• �OIU �$Y 1 Qr APPLICATION DATE: �I.�-�� '�/� / P/C# i ISSUE DATE: ��/�� PERMIT# �-/—y 7a�p z APN LOT "�T"R'A�CT � OWNER OI'''I'"A L��G �ZSI ctiC.Yl C� TYPE CONST. OCC GROUP: y n ADDRESS � CITY ZIP TEL. ZONING SEfBACKS � APPLICANT 1r TE��F�oI �J I —�OO, FRONT RW ❑ REAR ❑ Q CONTRACTOR �rS�h�/`^"� SIDE/SIDE STREEf RW ❑ SIDE ❑ � ADDRESS y,,,�I �� T (/�V\�UL s CITY SQ�'L"i�l cl��~�-� ZIP � 0 TEL. I I / ' �700 PROPOSED USE � ARCH/ENG/DESIGNER L = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION � OWNEN-BUILDFA DECUIMTION I = I h Gy aKrm under penalty of per�ury that I am ezempt from the Co�actor's State Llcense Law for the reason(s) SFR/ADD/REM � Indica below by the checkmark(s),I have placed next to the applicable item(s)[Sectlon 7031.5,Business aml Garage/Carport . I � PrMesslo Cade:Any ciry or county that requlres a pemdt to co�truct,alter,Improve,demollsh,or repair,any z structure,p M its Issuance,also requlres Me appllwrrt tor the pertnit ta flle a signed sFatement that he ar she � Patio/Deck I iis Ilcensed purs to tice provislans oi the Contractm's State License Law(Chapter 9)Commencing wfth Sectlon W � 7000 ot Divislon 3 Busl�ress and Prafesslons Code]or ihat he or she is ezempt hom Ilcensure and the basis for � PooVSpa I � the alleged exemption.An alation of Section 7037.5 by any applicant fw a permtt subJecLS the applicant to a clvll penalty C7 ,�—= of not more than flve hund lars($500�. Q Re-Roof I � (_,)I,as owner of the property,or m ployees with wages as their sale compensatlon,will do(,all of or(,portions —� Commercial I y of the work,and the shucture is not ded or oftered for sale(Sectlon 7044,Business and Professions Code:The m I ' Contractors'Sta4e License Law dces not app an owner of property who,through employees'or personal eftort,builds y w imprwes the pmperty,provided that the Impro nts are not Intended or oHered for sale.If however,the building ar I � Imprwement Is sold within one year of completion,ihe er-Builder will have the burden of proving that it was not buiR � or improved for the puryose of sale.�. I ' U I,as awner ol ttie property,am exclusively conhactfng with li sed Corrtractors to consWct the project(Section Z 7044,Business and Protessions Code:The ConVactors'State Ucense dces not appty ta an owner of property who ValUation: U Adj.Area: I n bulldsorimprovesmereon,andwhocontractsforMeprojectswithallcensed tractorpursuarrttotheContractors'Slate QUANTITY DESCRIPTION FEE I ,� ucense Law.J. � U I am exempt(rom licensure under the Contractor's State License law for the follo reason(s�: � U� 0�l1'1. O W � mod �' By my signature below I acknowledge that,e�ept for my personal residence In which I must have ed for at least one � . I � year pda to wmpletion of the improvemerrts covered by this pertnit,l cannot legally sell a structu2 tha ave bultt as an � owner-builder If tt has not been consWcted in its entl2ry by licensed contractors.I understand that a copy of applicable w I � law,Section 7044 oi the Business and Professions Code is avalla6le upon request when this appllcatlon is subm or at I .i the following Web site:http/www.leginfo.ca.gm/calaw.html. � = I ? DATE: SIGN: � I LICENSED CONTIIACTOH'S DECLAflATION � y I hereby aftirm under penatty of per�ury that I am Iicensed under provlsions of Chapter 9(commencing with Sectlon 7000) I � of Division 3 of the Business and Professions Code,and my license is In full Nrce and eRect. J I n LICENSE CLA S: ��O v l��(J L1C NO.: �v v/I � � � � �z DATE: GI fANTAACTOR:C �1'. � I ¢ WOHIffA'S COMPEN ATI DECLAHATION � I � I HEREBY AFHRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: , p. y ? I have and will maintaln a Certificate ot Consent to Sett-Insure for Worlcer's Compensation,as provided by CONSTRUCTION: dV• � � �Section 3700 of the Labor Code,for the performance of the work for which this DermR Is Issued. pLo,N REVIEW: � J�� I have and will malydaln Worker's Compensation Insurance,as requlred by Section 3700 of the Laba Code,for z the performance of the work far which Mis permit Is Issued.My Worker's Compensatlon Insurance CaMer and ELECTRfC: ¢ PolicyNum�jrarec PLUMBING: y CARRIFA_ 1� JPe�'IG{�}L) �!1 Sy. CC. ' POLICYNUMBER �I O� � MECHANICAL: INSPECTION FEE: n (THIS SECTION NEED NOT BE COMPLEfED IFTHE PERMR IS FOR ONE HUNDR�DOLLARS($10�OR LESS). ISSUANCE: j� �7 = I certify that In the peAormar�ce of the vrorlc for which this pertntt is Issued,I shall not employ any persan In any manner so as to = become subject to the Nbrkers Compensatlon Laws of Califomia Md agree tliat if I should becorne subject to the Wakers SMIP: �, � � Compensa'on m�sions af Sectlon 3700 of the Labor Code,I shall forttnvlth compy wim those provislons. ENERGY P/C: i �A�' 2 ��' ENERGY PERMIT: � WARNING Fallure to secure Worker's Compensation cove2ge is unlawful,and shall subject an employer to crlminal �A Q� ipenatties and civll fnes up to one hundred Vwusand dollars($100,000),in addftlon lo the crost of the compensatlon, RETENTION FEE: a = damages as provided for in sectlon 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTHUCTION LENOING AC�NCY BSAF:_ 0(y y I hereby aKrm under penalty of perJury that there Is a Constructlon Lending Agency for the pertormance of the work fa = whlch ihis permit is Issued(Sec.3097,Civ.C.). 3 LENDER'S NAME: � LENDER'SADDRESS: rD�O �� s �' I cert'ty that I have read this application and sEate that the abme informatlon Is correct.I agree to comply with all city and TOTAL FEES � county ordinances and state laws relatlng to building consWction,and hereby authwize represert[atives of this courAy to COMMENTS: Z eMer upon the above-mer�tioned property far inspectlon purposes. � � �, r � ¢ PERMITT�E PRI � � /� n = SI F P , DATE RECEIPT#�[�1�_ PAID BY:(� VALIDATION: WHffE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—AppllcanYs Copy CITY OF DIAMOND BAR IIVSPECTION RECORD . o � . • � - • � � � • ' � � �` � „�.,��& �.�� ,�� '��.��.� '��.�ffi��.; TRACT AND LEDGER SfTBACK/�LET�TER,,z �. a�`: �9:� ��_ FDOTItJGS�FORMS 3. r��`�°;;x��'��. �� <; SWITCH GEAR � -;� �;��.e-� �5��. �; :, w� ,.� ff R.� � ,,.°�� "„% ��° # � , , � ,�� =r, � ,.,N � COMMERCIAL HOOD 'UG.FL.UMBING';� � ��. E:< E ,.:; a� �:�F3 =� ..�`,�„ �°`R�" T-BAR ;UG.ELECTRICAL,ak �, � s '��, .�"^� � �°`<��'�,�'`��",,,.��w �' INTERCEPTER ��"� �� ..�'�� " HQT MOP/SHOWERPAN ;UFER_GROUNQ �" Y � ,�, ,�„ ;�� SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE . HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS E}fTERIOR��.��,� �� '�;��' POOUSPA' � ..�� "��,' �� , ��,��, � ; ;SHEARWALlS�Y1N7ERI0Fi�` ,�° '"`� ��`�'��''r �'��,%�; �"�'`�� ROUG{i�PLUMBING�� _� R„�'�� ' �;;'�, � �^� �: � � FRAMING/VENTING ,� �,� � ��', �� °� �` .� .�� ,, ' -ROUGH,ECECTRICAL�� ,,. � �,.�p `„,�.� �� ' � �� `, � ,� � �3 - ;�, � ~ ��' � �� ROUGH MECHANICAL �`�� ° �� °'°F" �, � ROU6H MECHANI£AL �°� � � � �� , �, �, � _ � � �'ROUGH�ELECTRICAL�W(��l C( ) � �� ; '�� _� GASTEST`,�� , " �` � F{OUGH PLUMBIN6 �„ ��-;�,�-�. _ ��,� ,�� ;��...... � � � PRE GUNITE ,� �'° ��,� �"� �� ' , �,��;�, . � � � �_ � �� 3.,�' ` � � INSULATION WALL � � � �'� �'"�� "� � � � �� OOL�PR��DECK BONDING�� . �° INSULATION CEILING F-TRAf'� : ,;�'` °� ' �� ",`�`� � '"��,��"��,p,';�"°� DRYWALL 'FENCE>Z�GATElAL�1RM��+��,��.,,., ��;��;� �.� `�. � "��.',�„�-� � �` �.�$��. �.�� '��,��,��`` � � ;��' x�_< LATH(PRE� �tNAL PO�L�,y_ �..�� ,�. �o�� .s.��.. �,. . LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL RO fRAM�IGPLlN1NWG Pf'E3dVAt��;�� '��.�� `� SPECIAL INSPECTION � - '' ` FINA`L"°BUILCIIPlG��„:��,.��°"�`��.;' � �F� �� "�°"�� OUGH FIREAPPROVA� �� ',��"� �M �i � �� „ �FINAL�MEGFtANlCAL�..��; �,�,,�� „,''� � $�,,a4� �.:�- � �� FINAL F,1RE QEPARTMENT, `�� `� � �� ; �, � , � '�INALES.EGTRIC{1L�.%� � . � O� „ w �,-�b�� . �° � � ElNAL�`PLANNING � °��,� a �� , W � �� , � � �� „`�� FINAt ENGINEERINGJ�PW� � .;�� ,.�� `� �� „�, �' �� FIhiAL.PLUMBING � °��, �� ,� � >.�� " �_ � ;�" � � �� .�. ,F�;;��'�,� � � '"`�� FINAL"COMiNUNITY SERVIGES � �� "� ��'°" � �T C�of QCCUPANCY . . _ � � �; �. � � ��,��. a, � ,� �� ;GEiiT.01 OCCUFANCYm�`�� ,�s � ��, �°'`� :;� � �FINA!HEALTH DEPT ��dA s' �� . ��_�� .,� , -�, � .� �,� _. .. : FINAL�`INDUSTRIAL�WASTE�� ... ;�.'��-��:�_��,��..,� �`�. ��"� COMMENTS: