The URL can be used to link to this page

Home My WebLink About14-4838 „�,..:..�s?'%a'6'�;� __ CITY OF DIAMOND BAR ' � ( � _ DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �pf��1 I��` i "� •� 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS � �,;,,R�,�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 �''�"� BUILDING PERMIT APPLICATION FIRMLY = JOB SITE ADDRESS G.-/ O I' /�C�tCT�S� APPLICATION DATE: ��/ 111�/ PV/�7 P/C# L ISSUE DATE: �D/J��a'D�� PERMIT# /L/� 7�� i � APN LOT TRACT � OWNER � TYPE CONST. OCC GROUP: n ADDRESS C � t% J arv A ��►^�aN D /S�- ZIP TEL. Q �+/ ^'- d' Z�NING SEfBACKS �—”! 91�-�� FRONT RW ❑ � APPLICANT �I/I�7TT� TYI�`z-/� TEL. � �O O REAR ❑ :n -�7, _ SIDE/SIDE STREEf RW ❑ � CONTRACTOR / I�wL+4 f �L�GrZ,/C- SIDE ❑ � ADDRESS x CITY��/JD ZIP 9/7/v TEL. O PROPOSED USE � ARCH/ENG/DESIGNER y = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNEN-BUILDEA DECLAHATION � I hereby affirm under penalty of perjury that I am ezempt fmm ihe Contractor's State License Law for ihe reason(s) SFFUADD/REM ' I � Indicated bebw by the checkmark(s),I have placed nezt fi the applicahle item(s)[Sectlon 7031.5,Buslness and Garage/Carport I � Rofesslons Code:Any cfly or cou�rty that requires a permft to coretruct,atter,Improve,demolish,or repalr,arry z structure,prla to Ifs issuaue,also requlres the applicant for tice pertnit to flle a sigired siatement that he a she � Patlo/Deck I � Is Iicensed puraua�rt M tice provisions of the Contractor's State Llcense Law(ChapOer 9)Commencing wtth Sectlon w � 7000 of Dlvlslon 3 of the Business and Professlans Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I n the alleged exemption.My vidatlon of Section 7031.5 by any applicant for a Dermit subjects the applicant to a clvll penatty C7 rof not more than flve hundred dollars(SSW). QZ Re-Roof � (�I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or(,portlons � Commercial � I y of the work,and the structure is not Intended or oRered for sale(Section 7044,Business and Professions Code:The � I � Contractas'State License Law does not appry to an owner of properry who,through employees'or personal ettort,builds m y or improves the property,provided that the improvemerds are not intended or ottered for sale.If howaver,the building or � I � Improvement is sold within one year of completlon,the Owner-Bullder wlll have the burden of proving that tt was not buitt � or improved for the purpose ot sale.). I '� U I,as owner of the property,am excluslvely contractlng wtth licensed CoM2ctors to construct the proJect(Section � 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who V81U8tion: Adj.Area: I � buildsorimprovesthereon,andwhocontractsforthepraecCswithalicensedContradorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE � Y LJcense Law.). � O I am exempt from Iicensure under Me Contractor's State License law Mr the following reason(s�: � �� I 3 " /YN L (J � � 1 By my signature below I acknowledge that,ezcept fa my personal residence in which I must have resided for at least one w I � year prior to completlon of the improvements covered by this permit,l canrrot legally sell a structure that I have buitt as an w owner-builder if it has not been wnstruded In Its entirary 6y Iicensed contractors.I understand that a copy of the applicable I � law,Section 7044 of the Business and Professions Code Is available upon request when this applicatlon is su6mitted or at I i the following Web sKe:http/www.legirrfo.ra.grn/plaw.html. � '� = I � DATE: SIGN: � — LICENSED CONTNACTOR'S OECIAlIATION � I I ' I hereby affirm under penally of perjury that I am licensed under provislons of Chapter 9(commencing with Sectlon 7000) ' � of Division 3 of the Business and Professions Code,and my license is in full firce and effect. I ,-nj� LICENSE CIASS O LIC.NO.:��3�� I Z DATE: O CANTAACTOR: �,l� � �G��' � I ¢ WOHI�A'S COMPENSATION DECLqMTION � I � I HEREBYAFFIRM UNDER PENALTY OF PFAJURY ONE OFTHE FOLIOWING DECLARATIONS: y � I have and will malntain a Certificate of Consent to Self-Insure for Worker's Campensation,as prmided by CONSTRUCTION: Sectlon 3700 of the Labor Code,for the pertormance of the work fw which this permit is issued. p�qN REVIEW: � I have and will maintain Worker's Compensatlon Insurance,as required by Section 3700 ot the Labor Code,for � � � �the pertormance of the work for which this permtt Is issued.My Worker's Canpensation Insu2nce Carrler and ELECTRIC: zd PolicyNum6er�re; �� PLUMBING: y CARRIER /t� MECHANICAL: ' POLJCY NUMBER__��/�Z �O-� INSPECTION FEE: '� (THIS SCCTION NEED NOT BE COMPLEfED IFTHE P6iMR IS FOR ONE HUNDRED DOLLAAS($100)OR LESS). ISSUANCE: �l J�� = I certify ihat In the pertortnance of the worlc for which ihis pertnit is issued,I shall not employ any person In any manner so as to v� � becane subJect to the Worker's Compensation Lavrs of Califomla.Md agree that if I should becort�e subJect to the Workers SMIP: J Compensatlo�Sectlon 3700 of ihe Lab de,I shall to wlih com Nh prwisbns. ENERGY P/C: i �A� ��' ENERGY PERMIT. � WARNING: lur to secure Wo satlon coverage Is ilawfu,and all subject an empbyer ro criminal �,�0 z penatties and dvil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, RETENTION FEE: = damages as provided for In section 3708 of the labor code,interest,and attomey's 1ees. ' PRE-ALT FEE: i CONSiAUCTION LFNOING AC�NCY BSAF: y I hereby afflrm under penalty of perjury that the2 is a Construction Lending Agency tor the performance of the work for = which thls permit is issued(Sec.3097,CI¢C.). � LENDER'S NAME: ,� LENDER'SADDRESS: � I certify that I have read this appliption and state that the above informatlon Is correct.I agree to comply with all ctty and " TOTAL FEES Z courtry ordinances and state lavrs relating to bullding consWcdon,and hereby authorize representatives of this courrty to COMMENTS: � eriter upon the above-mentioned property for inspection purposes. � � ¢ PFAMI E A Nn � �0 /3 ` = SIG R DATE RECEIPT H J tl� PAID BY:✓'I� ,� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy . CITY OF DIAMOND BAR INSPECTION RECORD . � , . � � • � � • ' �, li. � 4SETBAGK/LETTER� ��. ��' "`� �� ?��b�y��"'..,.. ��°'� TRACTAND LEDGER �� ,�, °� � � �� a °��.'� SWITCH GEAR FOO�INGS FORMS,. ... ,.=.z._ ,�� .��, ��°.. _��t._ �_ ��-��:�, , . �a;; „��,,,�,� «�;.,,� � "„,� � �^ �r . ��„� COMMERCIAL HOOD SLAB' � �� ,� � ��_ , �� =� �� 'UG.PIUMBING�� ' �� "�� '� � T-BAR �� 9 � ��- „UG�ELEGTRICAI , � �� . ` �°W�"��`�"�� INTERCEPTER sUFER GROUND � � �_� ' � � �; �� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT QEMOLlTION R�OF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ;SH64RWALLS�EXTERIOR °�' � ge `� �� .��.� POOL/SPA �.�„ � °� �°� �� " -� ��t `: ,, � �� ,� � , � : iSHEAR WALLS INTEfiIOR�� , �., � � � "° � ' � � H`PLUMBING;W�T� �, � ` • � � �- � e�� °��: ,,,� � ROUG � .,� ��,�_ � ��". � �� - � �� , � ��,�� L h� °-' � ,FRAMIN�IVENTING � �� " � f� �F "� F��k� ROUGN�ELEC7RICJ�L � � �'� `�� ,, a �ROI�GN MECWAN(G,RL + �,� a� � �� ,�� RdUGH ME�HANICAL � �� , '" �_��` .` �� ROl1GH�ELECTRICAI. W(,.:)�{` 1.��. ` �f,�,� �n ' GAS TEST��.� ,�.�,. "�,F ��.�."� �� . � � �... x�,_- .r.�°"# .��<� , .�� -�4�� , . E ��.�,..�� » � a�� PRE�.7��I��u �,.,��° �«�� '� K �°z'� `�^�e'�,�,� �,�:. � � �e �,�« , ,i .� _ »� .. ��--� ,ROUGH`PLUMBING� �, �� . �_ _.x � a � INSULATION WALL POOL F'RE�ECK.BO��<�� NDI�JG � �� a��_� �«, �� m, � ; . - INSULATION CEILING P=TRAP,� ��„a� m,,. � �� . �� .�` „' �`-�� .. � � . . o� o, �-,., � DRYWALL F�NCE�I�GATElAIi4RM��'�-� °� _ ,� ,� � � �� `:�k � LATH(PRE) �� P ,�»°��;��:�� w��.,�;;��.� � FtN1iL PDOL.�= � .�__ �� _._�x � '�� _� �� .� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2NQ( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN(SEAL GAS METER RELEASE WALL FINRL SPECIAL INSRECTION RO FRAMWG PLAldtJINGAPP�iOVAL �"�� 4'`'� � �� €.�� =�� "� �� ., �, ,�� -- � � � '�.�� °ROUGW�FIR£�APPFtdVAI. ��µ:_. � m,w .��, '�,,� �� FINAL��BGILDING � ,�� .��a �'� ' ` ` �«� � -�� s;" � ,,�_� � .FlNAL�`FIRE Q£P�RTMENT�,,�� p� a� �� '� ' �� EINAL MECHl�NICAL ,�� .�� .� ��3 :�� `��. x - � ; x- ��-� ,� .�� n � ��r�� $� �� ;�� FINAL ELECTRIGAL �� D "►� ...� � � � ,FTNAL PLANNIN , ,� �� .o�,,_--- � �`� s � .�_� � �� FINAL�PLUNIBING� � - , � " � � �4` �, R �� FtNAL�ENGINEERING/FW """� , �, � �� '� �� :� � T.C.�Of.OGCUPANC,'t` �� ,�a,„�� ` `� FENAL�GOMR8UN1�1'�5ERVtCES� �`�� °��. �ff � �e.�� ",—� f ` �� ` Mh,�" �� ' � re� � �° �� .. � �� ' ,.� FINAL�t1EALTH.DEPT�` �� ' �N ��g�� _ - � ��- ,CERT of OGCUPANCIf .,�. _�� - '-� FfNAI.�kNDUS'[R A WASTE�.��u�'��w:F�`'` ' , ��', �� , � COMMENTS: