Loading...
HomeMy WebLinkAbout15-0968 �-.g*`� _ ._.., CITY OF DIAMOND RAR . •` �' � _ ,' _. � ' � s DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� `��Q ' �� 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � FIRMLY �'�""� BUILDING PERMTT APPLICATION s JOB SITE ADDRESS 7 -- R APPLICATION DATE: '1 a, ��S P/C# P� �S- dllc� i ISSUE DATE: t7 "��'IcS PERMIT# /���lJ/Gd = APN LOT TRACT I, , L OWNER)�Pl-11�"� M\C.LFc..SL TYPE CONST. �(wGI/�IlI/l� OCC GROUP: ;� ADDRESS � CITY ZIP TEL. ZONING F ONTCKS RW ❑ Y APPLICANT TEL. REAR ❑ 0 SIDE/SIDE STREEf RW ❑ Q CONTRACTOR S��Y7 L� J=��LST SIDE ❑ � ADDRESS Z��o n/. G,,z,a..►,� d y�. Y �/,�li�r�//� �j PROPOSEDUSEX a� S1niC��,F, ScaS'c.Y fl�\�• = cin 5��+/T•+�A�i�l ZIP9ZJ�.fTEL. 7/Y-:S�3-ZZDo .T� MvCTI^�S�oQ-� 5�N6•LE 'FA�,�L�,^ � ARCH/ENG/DESIGNER 1� �'f Ci SE�V\L�.S �t�J�LLSN b'� � = ADDRESS � � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. ¢ DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION � OWNFA-BUILDEN DECLAAATION � I hereby attirm under penalty of perjury that I am exempt from the Contractor's STate License Law for the reason(s) SF A EM •�'� I � indicated below by the checkmark(s�,I have placed nezt to the applicable item(s)[Sectlon 7031.5,Business and Garage/Carport I � Professions Code:Any city or county that requires a permit to construct,alter,improve,demolish,or repair,any � structure,prior to its issuance,also requires the applicant for ttie pertnit to file a signed statement that he or she � Patio/Deck I i Is licensed pursuaM to the provlsions oTMe Cantractor's State License Law(Chapter 9)Commencing with Section w � 70W aT Oivision 3 of the Business and Professions 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 far a permit subjects the applicant to a civil penalty C7 ,Y of not more than five hundred dollars(5500). ZQ Re-Roof I � (,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 not intended or offered for sale(Section 7044,Business and Professions Code:The m I � Contractors'Sh�License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the property,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 built � or improved for the purpose of sale.). I :� (,I,as owner of the property,am exclusively contracting with licensed Contractors to construct the project(Section � 7044,Business and Professions Code:The Contractors'State License Law does not appty to an owner of property who V8luation �, Adj.ArBa: I '}�� buildsorimprovesthereon,andwhocontractsforlheprojectswithalicensedContractorpursuanttotheConVactors'State QUANTIIY DESCRIPTION FEE License Law.�. I � � O1 am exempt from licensure under the Contrador's State License law fir the following reason(sf. � `d '��-r PT4 L L E S I I � ¢ �1- �1 I '�l By my signature 6elow I acknowledge that,except for my personal residence in which I must have resided for at least one � + � � � �� I � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable � sw�T ES I � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I i the following Web site:http/www.leginfo.ca.gov/calaw.html. � � I `.� Z I = DATE: SIGN: � — LICENSED CONTAACTOH'S OECLAflATION � I a I _�� I hereby aftirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � of Division 3 of the Business and Professions Code,and my license is in full force and etfect. J ` ������ � P�� �� I �� � a LICENSE CLASS: ���D� �2 a �Eq� � �S M I ' Z DATE: � ISr CONTRACTOR: � = I � -.� U ¢ WOflKEH'S COMPENSATION DECLARATION g I y I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: �n R• (�'� � Section 3700 of the Labor Code,for the pertormance of the work far which this permit is issued. PLAN REVI EW: �J • g � � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for Z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: � ,r�� ¢ PolicyNumberare: PLUMBING: > `t1a � CARRIER I�SW�d►�E-E. C_[��w1'POFTN'�L.��S MECHANICAL: U.�/7 � POLICY NUMBER��(Z��Z�4� d'v INSPECTION FEE: n (iHIS SECTION NEED NOT BE CAMPLEfED IFhIE PERMfT IS F9R ONE HUNDRFD DOLLARS($100)OR LESS�. .y/�3��r� ; L _/� ISSUANCE: ,��� q• � I certify that in the performance of the work for which this pertnit is issued,I shall not employ any person in any manner so as to � become subject tn the Worker's Compensation Laws of Califomia.And agree that A I should become subject to the WorkeYs SMIP:_ -- ry/��— L Compensali pro sions of Section 3700 af the Code,I all forthwith com I with mose provisions. J ���� � � PY ENERGY P/C: �J �L g i DATE: APPLICAN7: ENERGY PERMIT: � WARNING:Fai re to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal y penalties and civil fines up to one hundred thausand dollars($100,000�,in addition to the cost of the compensation, RETENTION FEE: 1 damages as pmvided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTf1UCTI0N LENDING AGENCY BrS�A,F. �� = I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for �`o� P�Gv� ay4\ $g � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: z LENDER'SADDRESS: i I certiry that I have read this appliration and state that the above information is correct.I agree to comply with all city and TOTAL FEES �7j,• (ps '� f� 7 Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMM ENTS: � enter upon the above-mentioned property for inspection purposes. J _ �Q �� �.t�.2L/11. n ¢ PER E(PRIt� �I C �� `� �, :n /� = SIGNAlURE OF PERMITfEE • DATE� � �� RECEIPT# S� PAID BY: N dQ�� VALIDATION:� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF Dt�k1�V1QiVD B�►;�R �._ , � INSPECTiC3'N R`ECOi�D ; � ��, � s s � � - o � � . � . �SETBAGK!LE7TER � � � �� � � � � � � TRACT AND LEDGER > �� '� `� � FOOTINGS,FQRMS; ,` - �°�� �' % ` � " ' ' � SWITCH GEAR SLAB :�; , ,�'„� , _- � � � � � � � -- � - COMMERCIAL HOOD UG:�P,LUMBING ���=; � � � ��� � � � � . T-BAR , ---- ��`�� � '� � � � ����� � ` � INTERCEPTER UG:`ELECTRIGP,L �'�u a �� a ��� _. � �. � _ LlFER;GROUND ��Y; ��� °�-���'°` ' °����� � ' � ° `` ^' "' " � HOT MOP/SHOWERPAN SE4'VER LATERAL SEPTIC/CESSPODL PJIAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROQF SHEATHING / � ROOF DRAINS FLOOR SNEATHING ROUGH CONDUIT ,SHEkR WAtLS EXTERIOR � � � � ;'� � � � �" 'P'OOUSPA ' � � � � � ���� � �- � � � , � � � SHEAI�WALL��,� ,.� � - � ., , � � ,_ _ _ _ _ S INTERIt�R .g . ` � ROUGH RLUMBING - � � � -x �� ° �� '� ' � �. �FRAMiNG/VENTING�-� � �� ''' ` �' `� ' �� � �ROUGH ELECTRICAL ' ` �� � � � � ��� � � o � � _ .; . _ R'Ot�GH MECHANICAL�� , � � � � � ROUGH MECHANICAL � � � � �ROI�GH ELEGTRICAL W( )-C�(� )' � �! ,�� , GASTEST � ' � : �ROUGH PLUMBING � ���� ����� � '��� � � � PRE GUNITE � � � , . � INSi1LATI0N WALL POOL PRE DECK BONDING x INSiJLATION CEILING p-T�p " " DRYWALL FENCE 1 GATEl ALARM R y � � � IATH(PRE) FINAL POOL = � ` LATH EXTERIOR WALLS: LATN INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sT( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN(SEAL GAS METER RELEASE WALL FINAL r � ,, . , ,- SPECIAL INSPECTION RO.FRAMING PLANNINGAPPROVAL �� � � _ _ HOUGH FIRE APPROVAL , ° , � _ ° ,x � FINAI BUILOIt�G_ � � - - >- .: . .� � � a � . , ;�, AL_MECtiANIC1� ' '�; � � "� ' � � � � ��FINAL FIRE DEPAR7MENT � � � � � _ � I -- ' - FINAL PLANNING � Z� 'FiN�1l El�E��RICAL= �, r� � .�, o.1,�.� � � � � , - x . _ _ x � FINA�PLUMBING��� �' �� , �' �'�` � � � `FINAL ENGINEERINGI PW ( I) .,� �� � � , � . M �_ � • � ° ;i,C of�O�CUPANCY���. ".,�.�s,�z� ��� � � ��FINAL COMMUNITY SERVICES � � ° ,<. _� � . . , , . . CEitT�of�OCCUPAPiCY "� '° _ �� ��� ; ' � ' ' � " ���FINAL HEALTH DEPT. �fiNAt INDUSTRIAL�WASTE � � � � � � �� � ° � � COMMENTS: � . �-- %2 r� /\ c:�� -avr���•h� �/�� �� ,�1 � -�� � �.,,���W�r�—�9 ?;t�.� �\ � I ��