HomeMy WebLinkAbout14-3986 .�^'''+'� C1TY OF DIAMOND BAR
I _�, � � � DEPARTMENT OF COMMUNITY&DEVELOPMCNT SERVICES
��1111��;� 21810 Coplcy Drive,Diumond Bar,CA 91765 PRESS
�. ,,y,,,,,,,:>� � (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027
�"�"'�� BUILDING PERMITAPPLICATION FIRMLY
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� APPLICATION DATE: P/C#
JOB SITE ADDRESS �n A p�'n
z APN LOT TRACT ISSUE DATE: �—'9 `dJ/��PERMIT#i �Y� .�/�5 O
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o OWNER /' IYPE CONST. OCC GROUP:
� ADDR SS �
N CITY/ ZIP TEL. ZONING F ONTCKS RW ❑
� APPLICANT TEL. REAR ❑
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Q CONTRACTOR��I(�i�L/�G�/�d�//Z1�7/� Y/J��/Q/7fjr SIDE/SIDE STREET RW ❑
�7 n_ 2 SIDE ❑
� ADDRESS/�"/� /�/�`�S�C/T/�r � � 't ��-7 pROPOSED USE
¢ CITY ZIP EL. �
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o ARCH/ENG/DESIGNER ,s� � �t► ��
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o ADDRESS #DWEL.UNITS��_ N STORIES� #BEDROOMS
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� ' DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
OWNFA-BUILDEA DECUIHATION
o I hereby attirm under penalty of Derjury that I am exempt hom the Conhactw's State lfcense Law lor the reason�s� SFR/ADD/REM ,
p indicated below by the checkmark(s),I have placed next to the aDDlicable item(s)[Section 70315,Business end Garege/Carpat .
o Pratessfons Code:Any city a county that requires a permlt to cwisUucl,alter,lmprove,demollsh,a repair,any
z structure,prior to its issuance,also requires the applicaN for the permit to file a sigired statement that Ae w she � Patio/Deck
a Is Itcensed pursuant to the provisions of ihe CoMractor's Sta�e Liceme Law(Chapter 9)Comrtrencing wNh Section w
� 70�of Ulvision 3 of the Business and Professions Code]or that he or 5he is exempt hom IlCensure an0 the basis tw � Pool/Spa
N the atleged exemption.My violation of Section 7031.5 by any applicant for a permit sub�ects the applicant to a civii penalry C7
� ol rrot more�han(rve huntlretl dollars(5500). Z Re-Roof
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o (�I,as owner of the property,or my employees with wages as their sole compensatlon,will do(�all of m(�poNons � Commercial �
� � ol ihe work,antl me struclure is not intended a oflered tor sale(Section 7044,Business and Pratessiwis Code:The �
� � Contractors'Stata License Law dces not a ro an ovmer of r who,thmu em m �
� PDN P Werl�' gh pbYees'or persanal ettwt,bullds
or improves tho property,providetl that the Improvements aro not intendetl or offeretl 1or sale.II however,the building w
� improvement is sold within one year ol complelion,the Owner-Bulider will have tlie burden of proving ttiat It was nnt bullt
p or Improved for ihe purpose of sale.).
� I,es owner af ihe ro
r (� p perty,am endusNety contracting with Ilcensed Cantractors to construcl the proJect(Section
0 7044,Business and Pro(essions Code:The CoMraciors'State License Law tloes rqt appty to an ovmer ot property who ValuatiOn: Adj.,Afea:
z builds or improves Nereon,nnd who conhxis fw ihe projects with a licensed Contracta pursuant to ihe Conirxtors'Stale
� QUANTITY DESCRIPTION FEE
Y License Law.).
o (�I am exempt trom licensure under the Contractar's State Llcense law for the tollowing reason(s): �
3 ¢
LL By my slgnature below I acknowletl a that,ezce t for
g p my persm�al resldence fn which I musf have reslded lor at least one �
o year prior to completion of the improvements cuvered by this pertnit,l cannot lepalty sell a strucWre that I have buitt as an w
� owner-builder i(it has not been consWded in Its enUrery by Ikensed contractws.I understand ihat a copy ol the applipble
law,Sedion 7044 of the Business and Prolessions Code is avallable upon reQuest when this applicatlon is submitted ar at
X ihe tollowing Web site:httphwr.v.leginfo.p.gov/qlaw.htrnl. �
z
"'� DATE: SIGN; m
O �
~ LJCENSED CONTRACTOH'S DECLARATION �
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� I hereby aHirm under penaly ot perjury ihat I arn liceraed under provisions at Chapter 9(Commencing with Section 7000)
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m of�ivisFon 3 0l the Business and Professions Code,and my Ikense is in fWl larce and etfect. J
_ _�_ �G 27
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� UCENSE CLASS: UC.NO.: _
oZ DAlE: CONTRACTOR: • �
a WORKEFI'S COMPENSATIDN UECLARATION �
w I HEAEBY AFFlRM IINDER PENALTY OF PFAJURY ONE OF THE FOLLOWING DE(IAFiAT10NS:
oI.have and will maintain a Cert�cate o1 Consent to Self-Insure lor Worker's Compensation,as providee by CONSTRUCTION: ���,
� Section 370(10l the Labor Code,(or the peAamance ol ihe wmk fw,which mis permit is issued. p�qN REViEW:
> I have and will malntain Worker's Compensatlon Insurance,as required by Section 3700 of Ne labor Code,fw
Z the perlormance ot ihe work for which this permit Is issued.My Worker's Compensation liuurance Carrier antl ELECTRIC:
¢ Poli�yNumberare: ,/ PLUMBING:
� CARRIEA ' �� �/�fGJ MECHANICAL'
� POLJCY NUMBER '�I�� ��O/�
� �—r � INSPECTION FEE:
(T}flS SEC�ON NFED MOT BE COMPLEfEU�1}€PERlAff 5 FpR ONE HUNDR�DOLLARS($1 p�OR LESS). ISSUANCE: � �
� I certify tlial in the peAormvir,e of�he wwk(a whkh ' permit etl,I shM nol em
o pby erry parson in a�ry manner so as m SM IP:
o heoome su lo WukerS Compensalion o1 Calil ia d that if I s7qWd become subject to the Wmker's 1�
� Comper fSecuon370oo Code, prywiththoseprovisiorrs. ENERGY P/C:
J oa�: naPucnrn:
" ENERGY PERMIT:
� WARNING.Fail re to secure Workers Com nsatlon coverage fs unlawlul,and shall subJect an empbyer to criminal ��y0
w penatties and civil fines up to one hundred Nousand Uollars($100,000),In addition to the cost of tho compensation, REfENTION FEE: y
o damages as prmided for in section 3708 0l Ne labw caae,interest,and attomey's tees. PRE-ALT FEE:
a CONSTRUCTIONLENDINGAGENCY BSAF: � ��
= I hereby af(um under penalty of per�ury that there is a Construction Lending Agenq tor Ihe periormance o1 the work for
3 whicb ihis permit is tssuetl�Sec.3097,CI¢C.). �
� LENDER'S NAME'
� LENDER'SAD�RESS: o�_
� I certity that 1 have read this appliption and slate that ihe above intormatlai is correcL I agree to compty with all city and TOTAL FEES
Z counry ortlinances and state laws relatlng to buudirg caGssvuctlon,antl hereby aumorize representatives of this counry to COMMENTS:
9 enter upon t abave-mentioned roperry fo in tion purposes.
m �r �
a PERM(TTE- (PRIN /1 �/ �
� 7 y ,}d i?
� SIGNAT R F PERMI E pATE RECEIPT k_ PAID BY: ✓ IDI� VALIDATION:�
y WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—ApplicanYs Copy
4
CITY OF DtAMOND BAR
INSPECTION RECORD
. � � . a - • � � • '
SETBACKI,LETfEF�; � �':., }'. - ' TRACT AND LEDGER
FOOTINGS'FORMS - '_- SWITCH GEAR
S�g:, ' x � '`` ; COMMERCIAL HOOD
�jt r e�- .�
! �
UC,.:P.,,LUMBfNG"' `�� �`'' � T-BAR
UG.ECECTRICA,L-;;i ' ^ `' '�' INTERCEPTER
UFER GROUNQ:�� . � ;_�'f, <' ' HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPQOL
MAIN WATER LINE HERS REPORT RECENED
SEWER ClEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUtT
SHEAR WALLS-EXTERIOR' , � � POOUSPA,_; '-
� ' _
,SHEAR�WALLS,INTERIOR.�: , � � ` °� ,'<�,�, , Y_,��, �ROUGH PLU�MBING�,- � � �
FHAMINGNENTING t- :. � � r '�i' � � ROUGH ELECTR1CAt,'_ " *` .= ``� ' ` ' ' : _
ROUGH MECHANICAL; '_� ' ' � a�,_': *� �� .ROUGH'MECHANICqL � � t �
'ROUGH ELECTRICAL"W( j C(_) : � �` � - � GAS TEST'.= 1 ' -
'ROUGH PLUMBING. PRE GUNITE - � ' ' �
POOL P,RE DECK BONDING .- � � ' ''�
INSULATION NIALL � . . , � , . � <� _� ��;,� , � , �,�,
_ - — � � _ ;,
INSULATION CEILING �P-TRAP. - -
DRYWALL FENCE/_GATEI AtARM ` -
LATH(PR� FINAL POOL - `��
LATH EXTERIOR l! / iC� WALLS:
LATH INTERIOR WALL FOOTING/STEEL :
GAS TEST WALL STEEL 1 sr/ `2ND� �LIFT
� i
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION R0.FRAMING PLANNINGAPPROVAL - « r' r j� `
„ �'� ' '` ,`,•' ROUGH FIRE APPROVAL `r � � �'
FINAL-BUILDING � " ,:. - -
FINAL MECHANICAL` .�� . '�'` - FINAL FIRE DEPA6tMENT `: ' `
� _F.�
FINAL�ELECTRICAL �^' ' ' ' �+ FINAL,P.L'AMNING �:: - - -
FINAC PLUMBING � ° ;��. �'`" .�;� ��;' � ' ��� �F�INAL;ENGINEERING/PW r.;r ' � '
•LC;of OCCUPANCY ` � �� :' `� ' FINAL'COMMUNITY SERUfCEB i �''� r { - � , ' k�
; .
°CERT.'of OCCUPANCY', = ` _ � ,;,, - FINAL�HEALTH DEPT ;r f `' ' '� t ''
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FINAL•INDUSTRIAC WASTE � `, �=- - S - `-• .��`
COMMENTS: �I3P SY