The URL can be used to link to this page

Home My WebLink About15-804 `� � � .,,,,.�. , CITY OF DIAMOND BAR ` � -��.�"-A'"'=; . �..NF ' I I DEPARTMENT OF COMMU1vITY&DEVELOPMENT SERVICES ,: `'� T 21810 Copley Drive,Diamond Bar,CA 91765 PRESS \,,,,o��,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �''��'"" BUILDING PERMIT APPLICATION j�"l B�f� r JOB SITE ADDRESS L��OO� I-I�F}h cx� C K D�' APPLICATION DATE: �"�7'�� P/C# I�� cx y /,!' �f"' �l'� i ISSUE DATE: /d 7 I PERMIT# z APN LOT TRACT LOWNER�ja iA. �D�Q�� TYPE CONST. OCC GROUP: ;� ADDRESS Z��.� HO.��I��L (� ZONING SEfBACKS ¢ CITY �/6.l'-�toNg_C3�ZIP q[�l.��EL. 9 e�86/ t7� FRONT RW Cl z APPLICANT � EL. Z T REAR ❑ � SIDE/SIDE STREET RW ❑ ¢ CONTRACTOR ��L!/llS�l �I_6G�'R-AL SIDE ❑ I � ADDRESS � �O /V I��AJSolV 57�� PROPOSEDUSE� GOV��EQ n�T'(c� = CITY t.fQ�-41�i[� ZI�M�TEL. O � ARCH/ENG/DESIGNER � z ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS � z CITY ZIP TEL. I ¢ DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNEH-BUILDEH DECLAFIATION I = I hereby affirm under penalty of perjury that I am ezempt from the Contrador's State License Law for the reason(s) SFR/ADD/REM � Lindicated below by the checkmark(s),I have placed next to the applicable item(s�[Section 7031.5,Business and Garage/Carport I Professions Code:Any city or county that requfres a pertnit to construct,alter,improve,demolish,or repair,any z structure,prior ta its issuance,also requires the applicant for 1he permit tn file a slgned sfatement that he or she � atio Deck � I i Is Iicensed pursuaM M the provisions of the Contractor's State License Law(Chapter 9)Commencing with Section w I � 7000 01 Division 3 of the Busineu and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecCs the applicant to a civil penalty Z Re-Roof � of not more than five hundred dollars($500). 0 � (�I,as owner of the property,or my employees with wages as meir sole compensation,will do(,all of or(�portions � Commercial I y of the work,and the structure is not intended or oftered for sale(Section 7044,Business and Professions Code:The m I � Contractors'State License Law does not apply to an owner of property who,through employees'or personal ettort,builds � or improves the property,provided that the improvements are not intended or offered tor 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 built jor improved for the purpose of sale.). I :� (J I,as owner of the property,am exclusively contracting with licensed Contractors to construct the projed(Section � 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who Valuation. Adj.Area: � nbuildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContracmrpursuanttotheContractors'State QUANTITY DESCRIPTION FEE j Y License Law.). I � L)I am exempt from licensure under the Cont2ctor's Shete License law for the following reason(s�: � � ?r ¢ I 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 struc[ure that I have built as an w I owner-builder if it has not been constructed in ik entirety by licensed contractors.I understand that a copy af the applicable � law,Section 7044 of the Business and Protessions Code is available upon request when this application is suhmitted or at I i the following Web site:http/www.leginfo.ca.gov/calaw.html. Z I � DATE: SIGN: � LICENSED CONTHACTON'S DECLAHATION � I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � � of Division 3 of the Business and Pmfessions Code,and my license is in full force and effect. J I n Q p� U � LICENSE CLASS: R—I LIC.NO.: O�C7S�� a I Z DATE:T7--1 S CANTRACTOR: w I Q WOHl�N'S COMPENSATION DECLAIIATION � I y I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � ' � ¢ `7 iL I have and will maintain a Certificate of Consent to SeM-Insure for Worker's Compensation,as provided by CONSTRUCTION: / � �� Sec[ion 3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVI EW: ��•.sf� nn1 > I have and will mainTain Worker's Compensation Insu2nce,as required by Section 3700 of the Labor Code,for ELECTRIC: f�� V'�S' � the pertormance of the work Tor which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ PolicyNumberare: PLUMBING: � CARRIER � MECHANICAL: � � POUCYNUMeER INSPECTION FEE: n (T}iIS SECTION NEED NOT BE COMPLEfED IFTHE PEAMfT IS FOR ONE HUNDRED DOLLARS($100)OR LESS). ISSUANCE: Ih ��I � I certify lhat in the performance of ihe work for which this pertnit is issued,I shall not employ any person in any manner so as to e � � become subjed to the Worker's Compensation Laws of Califomia.Md agree that rf I should become subject to the Worker's SMI P: /- J Compensation pmvisions of Section 3700 of the Labor h �hnitt' y with ihose pmvisions. ENERGY P/C: i DA7E:��APPLICAN7: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensa i n coverage is unlawful,and shall su6ject an employer to criminal RETENTION FEE: �Q� � y penalties and civil fines up to one hundred thousand dollars(5100,000),in addition to the cost of the compensation, 1 damages as pmvided for in section 3708 of the la6or code,interest,and attorney'S fees. PRE-ALT FEE: � � � r CONSTHUCTION LENDING AGENCY BSAP. �� i y I hereby affirm under penalty of perjury that there is a Constructlon Lending Agency tor the pertormance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: � LENDER'SADDRESS: I � TOTAL FEES ��Q.C�'6 J1[�pe� �, i I cer6fy that I have read this application and state that the above information is correct.I agree to comply with all city and UJ ' � county ordinances and state laws relating to buiiding consW ction,and here6y authorize representatives of this county to COM MENTS: z � enter upon the above-mentioned property for inspection purposes. J �� v I � LLl__�'!AJ t—d�T�� a PERMITTEE NAM d�tJn � � ' � �' � A �J q = SIGNAlUR ITfEE DATE RECEIPT#�7`j J i PAID BY: �� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF•�I�P��IOND BAR - � INSPE�fiiC�N RECtaRD � • � � • � � - � , � . � . � K„ri. .� q �ETBACK!LETTER� � " " '��"� � � � - � TRACT AND LEDUER _ � � � � , FOOTINGS FORMS�` � � �� S�% ��r�S�� ,�. :-� � � � , , SWITCH GEAR "S� �� r � � `!1 I,S'�* �� ' . COMMERCIALHOOD � �. � � � . _. , _ ._ E a 1J rC�.�PLUMBING -��,��' � .i � � � ` �. � � T-BAR ,UG,ELECTRICAI � �� ``�°�_, q � � ,� `'�� e INTERCEPTER �,-�_,. ,UEER GROUND� �� , - T � � � n�� '� - � ` �� " � `` � HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEARWALLS EXTERIOR ' . � � ,.� .s � „ A, � � , .. 'POOUSPA , :� ,� a. � .;..: � �.� a�,.� �. �� . � � SHE,�Ft WALl5 INTERIO�{�� , ;, - � �ROUGH f'LUMB(NG � � � � �. �FRAMIN�NENTING� � � " '` . . �, � � � � � � ' ., � � �� _ ROUGH ELECTRICAL � ' ' �� ; ,, � ROUGH MECHANICAL �'�� ' ` ROUGH MECHANICAL �ROI�CN ELEC1'RICALg�� A - , �� . ._ � " � ��).0( ) , � fi, . � � � _ . �. $ 6AS TEST _ . �ROU�H PLUMBING �� -,� '. , � � � �� „ � . ., PRE GUNITE e . � INSULATION WALL POOL PRE DECK BONDING � INSl1LATI0N CEILING P-TRAP ` ' , ° DRYWALL FENCE/GATE/AUaRM LATH(PREI FINAL POOL F LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST ____ WALL STEEL 1sT( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL ORAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.FRAMINGPLANNINGAPPROVAL FIN1�BUILDING�`� � � �� ; �` � � _. . . . ROUGH FIRE APPROUAL � ' ' � � � FINAi MEGNAMCAL �d �� "�� `�� T� '" " � � " FINAL FIRfiDEPARTMENT � � � : .:r�. . . , fINAi ELEC7RICAL � ;�-. '�� - � - ° FINAC PLANNING � � a ; �FINIIL PLUMBING �� `��' � " .: .ta. �� - �� - FINAL ENGINEERING!PW � � �` " � ' � � . TC.of�OCGUPANCY - - ' �� FINAL COMfVIUNITY SERYICFS a � � ., . d � � CERT�ofFOCCUPAWCY: �� -� e � � ° � � FINAL HEALTH DEPT. �� FINAL INDUSTRIAL WASTE ° COMMENTS: