The URL can be used to link to this page

Home My WebLink About15-1788 —� ,,,,,,,,,,�� ,.�.. CITY OF DIAMOND BAR � ��D ; i � DEPARTMENT OF COMMUMTY&D��ELOPMENT SERVICES r—_L _ _ -- 21810 Copley Drive,Diamond Bar,CA 91765 . PRESS `\`��,� (909)839-7020 Fax:(909)861-3117 Building Inspeci��n Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION �--.. �� / APPLICATION DATE:� �� P/C# � " �� i JOB SITE ADDRESS /'LiYJf��l/Ct �i' - i ISSUE DATE: ^� �~ PERMIT# z APN—��LOT TRACT � LOWNER I"��I/P le/h 1 TYPE CONST. �' OCC GROUP: ;� ADDRESS I��I� )Yl/�f'CG14 D/ - ZONING SEfBACKS I, CITY �/C!!Y1 L�/'�r/ :rI' ZIP`��-LY TEL. Il)�I�G�4 v�l�� FRONT RW ❑ r APPLICANT V .!'b G TEL.j/U�(02 7 SZU REAR ❑ � " f 6(prr i�-� SIDE SIDE STREET RW ❑❑ a CONTRACTOR � ADDRESS J��'" C(��rvi(GJ GJG�j � PROPOSED USE ' ' � L'�/. = CITY fGlh P17Gl�CU ZIP ��(OZ TEL. y�V'� 1�I M[v��//f�. �. %PJ`L'(4 Z 1 ARCH/ENG/DESIGNER J'a� �-1 C�h�� —� � L ,�' �rr�f; 7 j�t vr�f�c�, rrt/�z� �i 25 i�� ADDRESS �DWEL.UNITS #STORIES � #BEDROOMS z CITY ZIP TEL. I ay DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNEfl-BUILDEH DECL.AFIATION = SFR/ADD/REM = I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) � indicated below by the checkmark(s),I have placed neM to the applica6le item(s)[Section 7031.5,Business and Garage/Carport I � Professlons Code:Any city or county that requlres a permit to construc[,alter,improve,demolish,ar repair,any i z structure,prior to its issuance,also requires the applicant for the permit to file a signed s[atement that he ar she � Patio/Deck I i is licensed pursuantto 1he provisions of Me Contractor's State License Law(Chapter 9)Commencing with Section w I � 7000 af Division 3 of the Business and PraTessions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa i � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof I x of not more than five hundred dollars($500). � � (�I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or(,portions � Commercial I y of the work,and the structure is notintended or offered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'State License law does not apply to an owner of property who,through employees'ar personal ettort,builds � or improves the pmperty,provided that the improvements are not intended or offered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not buitt � or improved for the purpose of sale.). I '� (,I,as owner of the pmperty,am exclusively cont2cting with licensed Contractors to construct the project(Sedion Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who Valuation: . Adj.Area: I n buildsorimprovesthereon,andwhocontractsformeprojecLswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE � Y License Law.). I � I _ (�I am exempt from licensure under the Contractor's State License law for the following reason(s�: � I �i 2 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w I � year prior to completion of the improvements covered by this permit,l cannot legally sell a strudure that I have built as an w owner-builder if it has not heen constructed in its entirety by licensed contradors.I understand that a copy of the applicable �i � � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I � the following Web site:http/w�wi.leginfo.ca.gov/calaw.html. Z I DATE: SIGN: m � I — LICENSED CONTHACTOH'S DECLAMTION � a y I hereby atfirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) I � of Division 3 of the Business and Professions Code,and my license is in full furce and ettec[. � I n LICENSE CLASS: 1�� , �1�]LIC.NO.: O O ��Q 7 � I Z DATE: �7IZ�l�P{� CONTRACTOR: f'�G!/C'/�/ w I ¢ WOHI(EH'S COMPENSATION DECLA ION � y I HEREBYAFFIRM UNDER PENALN OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � I have and will mainTain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: , ��3S:�g � �c Section 3700 of the La6or Code,for the performance of the work for which this permit is issued. P�.,qN REVIEW: �� ) p1 � ��\I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: .f.7/�� the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and � � ¢ PoIi�yNumberarf:� L PLUMBING: y CARRIER ` I�-P/7��/ I/1.�L//�/i'7« MECHANICAL: � POLICYNUMBER ��CtCaD Gji�rL � INSPECTION FEE: /,�i�� (THIS SECTION NEED NOT BE CAMPLETED IFTHE PFAMR IS FOR ONE HUNDRFD DOLLARS($100)OR LESS). � ISSUANCE: � I certify that in the performanr,e of Ne work for which this permi[is issued,I shall not employ any person in any manner so as to �f � becrome subject to ihe Worker's Compensation Laws of Califomia.And agree that'rf I should become subject to the Worker's SMIP: ,�7r J Compen�n pm isions of Sec�on 3700 of e Labor Cpde,I shall foMwith comply with those provisions. ENERGY P/C: i DATE:G Zk APPLICANT: �I�DY7IC� U�L�1'q C{.f' ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unla ul,and shall subject an employer to criminal RETENTION FEE: ipenalties and civil fines up tn one hundred thousand dollars($100,000),in addition tn the cost of the compensation, = damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i i CONSTIIUCTION LENDING AGENCY BSAF: / I = I he2by affirm under penalty of perjury that there is a Construction Lending Agenq for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: = LENDER'SADDRESS: TOTAI FEES i I cer6ty that I have read this application and state that the above information is correct.I agree to comply with all city and i� �.�� Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this counTy to COMMENTS: � J enter upon th e-me ioned propedy for i pecC ses. � � ¢ PERMITTEE AME(P N� � � ,,,Z J" O .�, �r�(1 �� n f :n n0. = SIGNATURE OF PERMITTEE DAlE RECEIPT# PAID BY: �I W VALIDATION: I WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy ,' l � . ' � � ' . ' r . . . . . , . a�j�„ � CITY OF' Dli�;�„IOiVCi BAR INSPECT!�N RECORD ,.�� ' A � � � ' SETB�C{V LETTER� °Y �Y. _ _ ` � .,,_,,, ;,,,�� TRACTAND LEDGER _�__�� . FOOTINGS FORMS �`,;��; °" _ `a�"� " �� SWITCH GEAR SLAB �� ; _ � . i COMMERCIAL HOOD .��,��,� UG.�PLUMBING :� �� "` � ` � °� :, � ��. T-BAR ,UG.�ELECTRICAL �� INTERCEPTER � � t�� — �;� , 'HOT MOP/SHOWERPAN UFER GROUND � � SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEARWALLS EXTERIOR;- `9 POOVSPA < �SHEAR WALLS INTERIOR :' ROUGH PLUMBING ,FRAMING/VENTING RQUGN ELECTRICAL �ROUGH MECNAMCAL ''�� ,a,�, '� �� ROUGH MECHANICAL RQI�GH ELEC'fRICAL W� )�C�(°'1'�� ` �'GAS TEST `,� _., � r��„ _. - `�- ROUGHxPLUN�BINC��' � �h � ��: �, . � �� ,PRE GUNITE � _ �,-, .� _ , �� ,,.� �� .�� ti: s�_,. INSULATION WALL POOL PRE QEGK BONDING INSULATION CEILING P-TRAP DRYWALL FENCE/GATE/ALARM LATH(PRE) FINAL POOL LATH EXTERIOR WALLS: L:,4TH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2Nei )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE 9 / � WALL DRAIN/SEAL GAS METER REIEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PIANNINGAPPROVAI _ _ _ ___ FINAL BUILDING F' �' � • ROUGH FIRE APPROUAL ;FINAL MECHANICAL ,,�, ,�'° ` � FINAL FIRE DEPARTMENT FINRt-.ELECtRfCAL �.�'` � -:�� ,,, " , �;e , FINAL PLANNING �� ,� � � - . FINAL�PLUMBING� ,�� ;�-_ ' � �� ' �, FINAL ENGIN6ERING/P'W ��,�- ,�,�� .:, � �� y-�:� w.�� , _ T:G.of OCCUP � � � ANCY, "� � � '�: ; �� FINAL GOMMUNITY SERVI�CfS : s « „_. `"° � C�I�t;�of�OCCUPANCY�� '�� `_ ��,"�� 'PINAL NEALTH DEPT. FlNAL INDUSTRIA�WASTE COMMENTS: