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HomeMy WebLinkAbout14-4892� � .....e:�._���'�_.... _ CITYOFDIAMONDBAR ���� �G�� �C �'�/�� , __ �__ i DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES �= r' 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �R w � (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 � '�' BUILDING PERMIT APPLICATION FIRMLY I s JOB SITE ADDRESS Jc� ` (', APPLICATION DATE: (O'o►��' '� ' p/��^ u� i y �/�/ z APN LOT TRACT ISSUE DATE:� w'�// PERMITq 7 a. � OWNER Q TYPE CONST. OCC GROUP: � . .� ADDRE S � • 'A J CITY ZIP TEL.�IDq' Jd�'I��� ZONING FRONT KS RW ❑ � APPLICANT � � � J TEL. � ' REAR ❑ 0 :n SIDFJSIDE STREET RW ❑ ¢ CONTRACTOR �� SIDE ❑ � ADDRESS 3���I � S' � •v� PROPOSED USE� '� h ^ x CITY s�1Ss\�I`�Q ZIP��TEL. Q N�'. .�^.�—I'1 � — � � , �' � . � ARCH/ENG/DESIGNER L = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. I OwNEF1-BURDEfI DECLAMTION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION '= I hereby aKrm under penalry of perjury that I am exempt from the Conhactor's State License Law for the reason(s) SFR/ADD/REM I � indicated below b the checkmark s I have laced naxt to the a Iicable item s Sectlon 70315,Buslness and y Y (�' P pp (�� Garage/Carport � Professlons Cade:nny cny a coimty that requires a permit m co�truct,atter,Improve,damollsh,or repair,any z structure,prla to its Issuance,also requlres the applipM for tice permit to flle a sigrred statemerrt tl�at he or she � Patio/Deck I i Is Ilcensed pursuarrt to ttie pmvlsla�s of the Contractors Shte License Law(Chapter 9)Commenclig wMh Section w n7(WO of Dlvlslon 3 of Me Buslnesa antl Professlons Code]or that he or she Is exempt hom licensure and the basis for � PooVSpa I n the alleged exemption.My vlolaUon of Seclion 7031.5 by any applicant for a permtt sub�ects the applicant to a civil penalty C7 s of not more than ffve hundred dollars($500�. ZQ Re-Roof I � U I,as owner of the property,or my employees with wages as their sale compensaUon,will do(J all of or�j portions � Commercial I y of the work,and the structure is not intended w oftered for sale(Sectlon 7044,Business and Pmfessions Code:The � � Contractors'Sta�License Law dces not apply to an owner of property who,through employees'or personal effort,builds m � y or improves the property,provided that the Improvements a2 not Intended or offered for sale.If however,the building or I � improvement Is sold within one year of completion,the Owner-Builder wlll have the burden of proving that R was not bulR � � or improved for the purpose of sale.�. I � U I,as owner of the property,em exGusively contracting with Iicensetl Contraclors to construct the pro�ect(Section Z 7044,Business and Pmfessions Cade:The Contractnrs'State License Law does not appry to an owner of property who Valuation: Adj.Area: I � bulldsorimprovesthereon,andwhowntractsforthepmjectswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). I . � U I am exempt from Iicensure under the Contractor's State lJcense law fir the lollovnng reason(s): � I � � 1 By my signature below I acknowledge that,except for my personal residence In which I must have resided for at least one c~-� I Z year prior to completion of the Improvemerrts covered by this permlt,l canrrot legally sell a structure that I have bultt as an w � � J I W owner-builder if It has not been construc[ed i ,r��� ' nsed cont2c[ors.I understand that a copy of the appllcable � law,SecUon 7044 of the Business and P eref ssions e is avalla e equest when thls application Is submittad or at I � the follo �ng eb site:ht�/w�vw.legin .ca.gw/ w.i = I � DATE: GN: � — ECLAFlATION � I y I hereby affirm under penalry of per�ury Nat 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 force and effect. I � � ^ � 32 � � „ uc�se c s: � � DATE: CANTTWCTOR� � WOfl1�R'S COMPENSATI N D TION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: 1 U � I have and wlll mainhain a Certificate of Consent ta Self-Insure for Worker's Compensation,as pmvided by CONSTRUCTION: y.�/ ��� w' Section 3700 ot the Labor Code,tor the peRormance of the work for which this permit Is Issued. p�qN REVI EW: � �L�Hc�—I have and will malnttin Worker's Compensatlon Insurance,as required by Section 3700 of the Labor Code,for � ' \ the perfurmance of the work fw which thls permd Is issued.My Worker's Compensation Insurance Carner and ELECTRIC: dz Polic.yNumberare: PLUMBING: � � CARRIEA MECHANICAL: � POUCYNUMBER � INSPECTION FEE: n (THIS SECTION NEED NOT BE COM IFTHE PHiMR IS FOR ONE HUNDRm DOLLPRS($10%OR LESS). ISSUANCE: = I certify that In tYs performance of the wak fw whlch th' S�htie�eed�f�yroi mploy any person In any manner so as to becane subject tn tice Nbrker's Canperrsati ot Califania Md a ree that if I o I SMI P: f � g BGpme.suqect m the worker's J Com sa'n provisbns of Sectlon 37 the LaborCode ttwse provisims. ENERGY P/C: ��D J DATE: qppLl � � ENERGY PERMIT: � WARNING: Ilure to secure Worker's ' awful,and shall sub�ect an employer to criminal ipenalties and civll flnes up to one hundred thousand dollars($100,000�,in addltlon to the cost of the compensation, RETENTION FEE: �•(}n = darnages as pmvlded for in secUon 3708 of the labor code,Interest,and attomey's fees. PRE-ALT FEE: i CONSTAUCTION LENOING AGENCY BSAF: � QO y I hereby atflrm under penalry of perjury that there Is a Conshuctlon Lending Agency fir the performance of the work for � whlch this permtt Is issued(Sec.3097,Civ.C.�. LENDER'S NAME: = LENDFA'SADDRESS: � I certlty that I have read this application and state that the above information is conect.I a ree to com TOTAL FEES ^ g pty with all clty and ,�-7 O��,� Z courrty ordinances and shate laws relating to bullding constructlon,and hereby authorize representativas of mis county to COM MENTS: '� Jenter upon the above-mentioned property for Inspectlon purposes. � n � ( � ` /� SI RE E DA7E RECEIPT# I PAID BY: ✓ �PJ'7 VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD • � � • m • • sj • � . S� _ ,>�_ ' �� `�`�� ��� rt a, „ �. ",,,���'"� �.: - TRACTAND LEDGER ETBACK/'LET�TER .�� e� � .�.��� ...���. � t�- ,,. ��� � � . FOOTINGS FORMS_.� � �,�� ". ��� ,���:���_` � �:�`��s�� ,�� �- ; SWITCH GEAR � � - _. 9� �.� ,,, f�s�- �a•- ,��� �SLqg ,°�� �- , m�_;� ��.��. , � ..�v;"�,� . .� GOMMERCIAL HOOD ��_ _., e �UG.FLUMBING�:�,� ,.- .,, �:° :�� ��,°qa..���`�,^*�'s�`.�,.;�, ,e,:y�;...� T-BAR .�� _ � �,�.,, ,���' �� ��„y , ��, INTERCEPTER UG�ELECTftIC�L', �� �,,��_rt��� ,3���.. . ��r, UFER GROUNq� .,� ;. ��T ' ,.���" �� ��.:: HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE NERS REPQRT RECEIVED SEWER CLEANOUT DEMOUTION ROOF SNEATHING ROOF DRAINS fL00R SHFATHING ROUGH CO DUIT ��,�,�,. � POOUSPA� �- � � , �� .ri� SHEAR WALLS E}CTERIOR_ � � �+ �� .� a � : '" � ��� R� �4� _��� .� � � ��W��" �' � � .. �A� � �� '' ROUGH`P�LU BING .�., ���E���� ... �,� � � �... a � . � �. ,SHEAR WALLS INTERIOA� , ���� , .,����� � .�� �� �" .x �.k- � � � �� �� ���^ ���+���- r ��'�' 'FRAMINGNENTlN6�� �a ` � _ � 'ROUGH ELECTRICAL�� _ � ,� _ � � �. � � ��a� � h��� � „���� ROUGH MEGNANICAL �' `a°�m,;`� '`�°����� �,s� � '� „�: ROUGH MECHANICAL �,� � � .�.�� � � `ROUGN EL�EC?RI�C,4Lx:.1N(�EC�i�) ����� �� , � ����°o ����: �GASTEST���� ' �_ .,��� .�,, � �� �� ' � �� ` �� u��� „�3W ,��' ; ���� �.�� � � � � !'�.��4� � �',��' f` �' ,.�� ��..� �� .e,ar FiOUGFt°PLLIMBIPiG��� � � ,.; �� PRE Gl1NIT��'� '� ,�� 3 � ��': "• � k ; , � INSULATION WALL P�OOL PRE 6ECK 80NDING���� � .;, � �� � �� ! r � � � INSUlATION CEILING �� ��• �� ' �°'�� ��� ����''�� ' ��"�� ��� �� `-� ��` F-TRAP�, � ��"' DRYWALL FENCE/GATElAtJaRM � �� �� � �- ���. � '� �� `�' �,r_ � `��' � � � �'���� � � �_- �� ��- LATH(PRE) =FINAL PQOL� � � ������� ,A�-�°"` _ ���`�,�� , �� _�� , � ..�� � IATH EXTERIOR �A��� LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 S`( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIPJ/SEAL GAS METER RELEASE WALL FINAL �._�r � - _ � �". ti• ",` �rra�a p ; �' "�d'-=`�yr����� ��.�. SPECIAL INSPECTION �_ ,� 3 �`� � ..�.. �.:` .�- �,;, �,_ �� ,Q �;"; � _ ,, ROUGH�F RE APP�.ANNINGAPPR AL� �� ��«a� � . L �:�� OV ��� � E� FiHAL BUIL�IN���� �. '�� '� �„ FINALMECH,4NICAL, �;� `�-`�_� � � �� "�d«� � .� ,.���`�� ���� "� F,INAI.�FIRE�DEPARTMENT� ��� �._ .,� � ������ '� '���°�_��� FINAL ELECTRICAL���� -� "'�a� �� ���' � �FINAL P_L�A"�NNt�i� " � �"��°�#�""°�� ���<" �,����? �_ � �� � ;� < � �� �� ��� ,d�_�� ��„� � �'�� =FINAL�EN�INEERING/FW: .� � ,���' �� -m��° � � � � e FINAL PLUMBING� �, .� � �� �P � � « �s.,� , � ;T.C..ofOCCUPANCY��`-�� ��" ����`���,' .�x�:,. � � �",� _FINAL.�GOMMt,tldlTY�;SERVICES����. '�;•�� ,� �°� g��� ��"' � . � � •,; r��`�� �° ���'� �FINAL,H ITH�QEPeT����g..� �,;���� �� ��;:��� :,���° � ��� CERT.ot�OCCUPANCY�� _��,«, °r�, . �_�_. F NA!INdtiS'i'RiAI_;.WASTE� � � „�,�,' ���;.� �b � ' �,' a .r�,� � COMMENTS: �`�:� a�' ;�' ;Y �.. 3 1 .�