HomeMy WebLinkAbout14-4176 _ __ . . _ _ �
�';�:;._ C1TY OF DIAMOND BAR
II � I I r,i ' � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
"�,��pp„I`:-`=`� 21810 Coplcy Drivc,Diamond Bar,CA 91765 PRESS
,,,,� (909)839-7020 Fax:(909)867-3117 Building Inspection Hotline(909)839-7027 � FIRMLY
���'�H"�� � BUILDING PERD9ITAPPLICATION
I� s JOB SITE ADDRESS �V 0� �� I���'1 N'eA l V r" ' APPLICATION DATE: ���a_ � / P%�y`����
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� ISSUE DATE: ��a' �J- —� PERMIT#
z APN LOT TRACT
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o OWNER�y��-.6:�„ti���A��A✓1 TYPE CONST. OCC GROUP:
� ADDRESS � f �
N CITY �RG✓ ZIP TEL. ZONING F ONTCKS RW ❑
a APPLICANT TEL. q�Ji?i REAR ❑
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� I' / �{ SIDE/SIDE STREET RW ❑
o CONTRACTOR w/��� `'p��"��� 9�I1.. SIDE ❑
oro ADDRESS ��7.� � Y /�,,,,
oc CITY ✓�V�'I.0 ZIP��TEL.7,] � [.f��JU O�T OU PROPOSED USE L d-
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`� ARCH/ENG/DESIGNER
o Ra� s�r �.-I-
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o ADDRESS
#DWEL.UNITS #STORIES #BEDROOMS
z CITY ZIP TEL.
� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
OWNFA-BUILDER DECLARATION
o I hereby aflirtn under penalty of perjury that I am enempt irom the Contractor's State lJcense Law for me reason(s) SFR/ADD/REM �
p Intlicated helow by the checkmark(s),I have placed next to the aDM��ble item(s)[Section 7031.5,Business and Garage/Carport
� o Rofesslons Code:My city m county that requires a permlt ta construct,alter,improve,demolish,or reDair,any
, z structure,Drior lo its issuance,also requires the appl{ca�rt for Ihe permit to file a slgned slatement ihat he w she � Patio/Deck
� Is licensed pursuant to the proWsions ol ihe Contractor's SWte License Law(Chapter 9)Commencing wiN Section w
� 7000 of Divfsion 3 of iha Business and Protessions Code]or that he w she is ezempt hom Iicensure antl ihe basis for � Pool/Spa �
N the alleged exemplion.My vidation of Section 7031.5 by eny applicant lor a permit subJects the apDlicant fi a civil penalty C7
0 ot rrot more ihan tive huntlred dollars(5500). ZO Re-Roof
(�I,as owner of the property,a my employees wlth wages as thelr saie compensatlon,will do(,all of or(,porlions � Commercial
� of the work,and the structure Is not intended a ottered for sale(Sectlon 7044,Business and Rofessiorts Code:The m
' � Contracmrs'State License Law dces not appty to an ovmer of property who,thmugh employees'or personal ettort,builds
u�7 w improves the properry,provldetl mat the imprmemenLS are not intended or oflered tor sale.If however,the building or
� Improvement Is sold within one year of completion,ihe Owner-Builder will have the hurden of proving Mat R was not hultt
pa imprmed fw the purpose ol sale.).
V I,as owner ol ihe ro
U p perty,am exclusively contracting wilh Ilcensed Contractors to conshvct the project(Section Valuation: -� Ad Area:
0 7044,Business and Professiars Cotle:The Contractors'Slale License Law does not appty to an owner of property wtq 1�
z builds a improves Ihereon,and who conhxfs fa ihe pro�ecls with a Ilcensed ConVacta pursuant to ihe Contractors'State
� QUANTITY DESCRIPTION FEE
Y License Law.).
o U��exempt hom Ilcensure untler the Contractor's State Llcense law lor ihe tollowinq reason(s): �
� �
"—' By my signature below I acknowledge that,except for my personal residence in which I must have resided iw at least one �
� year pnor N completion of the Imprwements covered by t�is permi[,I cannot legalty sell a strucNre ihat I have twitt as an �
o ,,,
Q owner-bultUer If R has rrot been consiructed in Its enCvery by licensed contractors.I unders�nd that a copy ol ihe applicable
pC �W.Section 7044 ot the Business and Professiau Code Is available upon request when this application Ls submittetl or at
wttie tollowing Web si[e:httpAwnv.leginfo.ca.gov/calaw.htrnl. Z
� DATE: SIGN: �
� LICENSED COMRACTOfl'S DECLARATION �
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� I hereby aftirtn urMer percdty ot perjury that I am licensed under provisiorts at Chapter 9(commencing with Section 7000)
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m of DiWsion 3 of the Business and Rotessions Code,and my Gcense is in full force and eflect.
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�, ucerrse cuss: G uc. o.: Z
Z DAiE: CONTMCTOR: W G N.d 1 C � Q
Q WORNEH'S COMPENSATION OECLAHATION �
� I HFREBY AFFlRM UNOER PENALTY OF PEPJURY ONE OF THE FOLLOWIN6 DEIX.ARATIONS:
oI have aiM will maintain a CeAi�rate ol Consent tn Self-Insure lor Wwker's Compensation,as provided by CONSTRUCTION:
� �Section 370D ol the Labor Code,(or Ihe performance ol the vrork for which this permit is issued. p�qN REVIEW:
> I have and will maiMain Workefs Compensation Insurance,as requiretl 6y Section 3700 of Ne Labor Code,for
Z the perlormance ot Ne vrork fm which this Dermit is issued.My Worker's Compensation Insurance farrier antl ELECTRIC:
a PolicyNumberare�� o',�� f-j PLUMBING:
� CARRIEFl � /�'v�`GL
w - MECHANICAL: 6Q- Y7
Z POLICY NUMBER��-T�DG �s� INSPECTION FEE:
c�s
� (fH5 SEC�ION NEED NOT BE COMPLEfED FTHE PERMIT IS FOR ONE HUNDRED OOLLARS(510�OR LESS�.
ISSUANCE: �f.J'�7
� �cenify ma�m ihe perrortnance a u�e work ra Nrttid,lhis permi�is iss�, ,�srou ro�emv�r am v��arry manr�er so as to
0 6ecome subject to ihe W r's Compensalion Laws af Califpnia. d thal II I sMWd become subject to ihe Worker's SMIP:
� Compensatim provisiais tlon 370D of the Labor Code,l 1 mpry '1n those Provisions. ENERGY P/C:
_� DAiE: PLICANT:
LL ENERGY PERMff:
� WARNING Fallure to secure Worker's Compensation coverage is unl I,and shall subject an emptoyer to cnminal �.0�y
w pena�les and civil Mes up to me hundred thousand dollars(§700,000),in addition to the cost of the compensation, REfENTION FEE: V
o damages as prwided fw In section 3708 of the labor code,interesK,and attomey's fees. PRE-ALT FEE:
a CONSTRIICTION LENDING AGENCY BSAF:
w I hereby amrm under penalty of perjury that there is a Construction Lending Agency for the perlormance ol ttre work for
� which ihis permit(s Issued(Sec.3097,Civ.C.).
� LENDER'S NAME
� LENDER'SAD�RESS: ����
a I cer6ty that I have read this application and sfate that the abave infwmatlon is correct I agree to compty with all ciry and TOTAL FEES
Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this counry to COMMENTS:
p enter upon the above-mentbned property far inspection purposes. �
J
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a PERMfTTEE NAME(PRINn
y ���
� SIGNATURE OF PfAMITTEE DATE RECEIPT# �'!/� �'�y_ PAID BY:vI�'.T�`�VALIDATION: '
WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessw Copy.GOLDENROD—File Copy,GREEN—Applicant's Copy
CITY OF DIAMOND BAR
INSPECTION RECORD �
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SETBACK/LETTER ` - �� � " ��` - �''��'� TRACTAND LEDGER
FOOTINGS FORMS -�' `�: �, `.' ;` SW(TCH GEAR
S�qg , - . ?. � � :;F� : 't F� COMMERCIAL HOOD
' '�:� T-BAR
UG:PLUMBING�: . . . ,;;: ,< .� � f ..€,;.:�� ��.���. , ���� `
� ` `° " INTERCEPTER
UG.ELECTRICAL� . . �,� ` ' '' "ti.�:�? _ ''r '�� .'=.k.;<I
�UFER��GROUND''- "�.,.., '��''� a ',.����"�r5';� . <:�,�'; � ` '� `"' 'i"��� HOTMOP/SHOWERPAN
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SEWER LATERAL SEPTIC/CESSPOOL
(NAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
. HING .DUIT
FLOOR SHEA
ROUGH
�SHEAR-WALLS EXfER10R` �' ` ' POOL/SPA_:�,"" '"r; � ' { ' q ` '.' `:` ��',
' :ROUGH PLUN161NG � " � � ; F `t
SHEAR��WALLS INTERIOR�,� z �
_ ,,. ; ` . _ � . ,
FFlAMINGNENTING, , . �: . - - _ 'ROUGH ELECTRICAL _; � ' = � M''"� ; `�=
ROUGH MECHANICAL : :; - -- � :','_ ' 'h � � _ -ROUGH MECHANICAL': � � r ' , � T '_'�1 " � � ��r ���
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ROUGH ELECTRICAL�W(`:)C( ) , - ' - •� • �
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>` � � GaSTEST = e� ' ���'� � � �
ROUGH PLUMBING �' • _� ; . `�=�, � �'. '' .,'' �."'� �, PRE GUNITE;� " �t � 'r � ,��� � _��'z ti ' �
INSULATION WALL POOL;PRE_DEC1f�BON�DING"�� ''+. .� � �ia '�'` `'��� ` ������ --
INSULATION CEIUNG p�T�p -_ i�` - �r�°` � �`y� ' - 9 r�
FENCE'/GATEJALAf3PA ' �. � � ��
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DRYWALL ,, .: _ -', -: .� r
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- . � - -
LATH(PR� F.INAL POOL � ' - =
LATH EXTERIOR WALLS:
IATH INTERIOR WALL FOOTING/STEEL
GAS TEST� WALL STEEL 1�T( )2N0( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL ORAIW SEAL
GAS METER RELEASE WALL FINAL
�PECIAL INSPECTION ��RO FRAhA1NG PL/NININGAPPROVAL .,��:�;i ` ' ' ,. , �"� � ' �'
_ �, = -�'
� f .. {..'.: � T F -. �Ci K si,1._r ,4 " J I_N T 1: `�
FiNAC'BUILDING,�_ �: ss��� � '."� � � :> ' ROUGH FiREAPPROVAL _ . 5 � -
FINAL MECHANICAL',.' ,,�_' O ��; ' ,: " ',:_ ,;.; ..;; :: FINAL FIRE OEPARTMENT : `' - �',"' +=� ',:, "i
EINAL ECECTRICAL ' S ; ';, � � �� FINAL PLANNING ?;� ` �`.; �'�� - ' ` `
,r 5'1 "
FINAL PLUMBING ., � ' FINAL'ENGINEERING/PW `� - R ` , �, `�
T.C.of OCCUPANCY : - - FINAL COMMUNITY SERVICES ^ -' ;
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CERT:of OGCUPANCY , � x
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�� ' " 61NAL HEALTH DEPT r� t;�
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FINALINDUSTRIAL.WASTE_�-r . ": � -:; ._. =` _.�?- . =
COMMENTS:
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