HomeMy WebLinkAbout14-4892� � .....e:�._���'�_.... _ CITYOFDIAMONDBAR ���� �G��
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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
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= 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
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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.
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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
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S� _ ,>�_ ' �� `�`�� ��� rt a, „ �. ",,,���'"� �.: - TRACTAND LEDGER
ETBACK/'LET�TER .�� e� � .�.��� ...���. � t�-
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FOOTINGS FORMS_.� � �,�� ". ��� ,���:���_` � �:�`��s�� ,�� �- ; SWITCH GEAR
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_. 9� �.� ,,, f�s�- �a•- ,���
�SLqg ,°�� �- , m�_;� ��.��. , � ..�v;"�,� . .� GOMMERCIAL HOOD
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�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���� ... �,� � �
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,SHEAR WALLS INTERIOA� , ���� , .,����� � .�� �� �"
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'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 � �� �� � �- ���. � '� �� `�'
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� `��' � � � �'���� � � �_- �� ��-
LATH(PRE) =FINAL PQOL� � � ������� ,A�-�°"` _ ���`�,�� ,
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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
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SPECIAL INSPECTION �_ ,� 3 �`� �
..�.. �.:` .�- �,;, �,_ �� ,Q �;"; � _ ,, ROUGH�F RE APP�.ANNINGAPPR AL� �� ��«a� � . L �:��
OV ���
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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 � �
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;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
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COMMENTS:
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