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HomeMy WebLinkAbout14-4376 '•i5i� C1TY O['DIAMOND BAR � iI IJ-N�I��� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � ': ��'p�;,�,-; ` '� 21810 Copley Drivc,Diamond Bar,CA 91765 PRESS y r„� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotlinc(909)839-7027 �`'�"'�� BUILDING PER111T APYLICATION FIRMLY g APPLICATION DATE: �� P/C# ¢ JOB SITE ADDRESS �-� IRICYA N C�i�c�r R�.. ,J L/ ) � a ISSUE DATE: ��Y'� PERMIT# �_/� 7 J 7 z APN LOT TRACT oOWNER��—KI�kN�w►C7 TYPE CONST. SOIi�P �V OCC GROUP: N ADDRESS 2�v0 S I/Jp��l � R'D- ZONING SEfBACKS ¢ CITY DIAl�l��.1'� �ZIP�17� TEL.�10�S��d1 ffT FRONT RW ❑ � APPLICANT_RpBE�sr��OSH� TEL. � REAR ❑ � SIDFJSIDE STREET RW ❑ o CONTRACTOR ��.i�'I�ifs F�w1� GL°e��� SIDE ❑ oro ADDRESS J'3SSZ iHYtBST��Q��kv�- o� CITY C, G ZIP�g'�TEL. (1�.� FROPOSED USE��F�lDv rt'C4a S e:-�!R 1�V 3•$`/ ��� o '1l�ff+�_�C►�l£ � .—�����OG C i 8� PA�S$l.S �1� i�JJ£��� o ARCH/ENG/DESIGNER �p�y�� ����►�£�R�,�, o ADDRESS ���S I ��uJ�N �/4!I Tc, Q CITY ZIP�TEL.e ' 2 �i DWEL.UNITS 1!STORIES #BEDROOMS � OWNER-BUILDER DECLAAATION DESCRIPTION SQ.f=f. FACTOR PSF ADJ.AREANALUATION °C I hereby attirm uMer penalty of perjury that I am e�mpt hom the Contracta's State lJcense Law lor the reason(s) SFR/ADD/REM 0 p intlicated bebw by the checkmark�s),I have D��ed neaT to the applicable item(s)[Section 7031.5,Buslness and Garege/Carport "-' Protesslons Cade:My city m county thal requires a permit to construct,alter,improve,demolish,or repair,any zstructure,D�or to ils fssuance,also requlres the applicarrt for the Dermit to flle a signed.statement that�e w she � Patio/Deck a is licensed Dursuant to iha Drovisions o1 ihe Co�actor'S State License Law(Chapter 9)Commencing with Sectlon W � 7000 of Uivlsfon 3 of ihe Business an0 Protess�ons Code]or that he w she is ezempt hom Ilcertsure and the basis for LL PO���Pa N the alleged exemption.My violation of Section 7031.5 by any appiipM 1or a Dermit subjecLc the aDPlkant to a civil penatty � ot not more tlian five huntlretl dollars(E500�. o Re-Foof o U I,as owner of the property,w my emptoyees wtth wages as iheir sole compensatbn,will do(J all of or�1 portions � Commerclal � of the work,and ihe struclure fs not intended or oftered lor sale(Sectian 7044,Business an0 Professions Code:The m w � Contractors'State LJcense Law does not appty to an owner of property who,ihrough employees'a personal effort,builOs � or improves the property,provided that the improvements are not intended or ottered lor sale.If however,Ne builtling or � improvement Is sold within one year af completlon,the Owner-Builder will have the burden ol proving that It was not bullt 0 or Improved for the purpose of sale.). U I,8S OWnBf of UIB f0 F U p perry,am exGusirely conVacting with Iicensed ConVac�ors to consWct the proJect(Section 0 7044,Business and Professlons Code:The Contractors'Stale license Law tloes not apply to an owner ol properry wtro ValUatiOn: Adj.Area: z nuilds a improves Ihereon,and who conUxts for the projecis with a licensed Contractor pursuant to the Contractors'State cn QUANTITY DESCRIPTION FEE Y lJcense Law.). � o U�am exempt 1rom Ilcensure under Me Contractofs State License law fm the fotlowtng reason(s): � � � �—` m si nature below I aclmowled e tha4 exce t tor m Z BY Y 9 g p y personal residence in which I musl have resided Iw at least one � . o year prtor to completion of the imprmements cavered by this permit,l cannot lepalty sel�a strucNre tliat I have buitt as an w Q owner-builder If It has rqt been construc[ed In its entirety by licensed conUactors.I undersfand ttiat a copy ot ihe applipble � law,Section 7044 0l the Business and Professions Code ts available upon request when ihis applicatlon is submitled ar a[ X Ne following Web sile:httplwvrw.leginto.ca.goWcalaw.html. Z � DATE: SIGN: � � LICFNSED COMRACTOH'S�EG.ARATION � � I hereby affirm under perqlty of perjury ihat I arn liceraed under prwisians of Chapter 9(commencirg with Sectian 7000) w m of Division 3 of the Business and Prolessions Code,and my license is in full torce and eflect. J c��i N uc�se c-��/'� uc.No.: 9-2 84�-5� Z o DATE: corrrnAcron:�l2�'s�ecsr�pa 1�Q �;Ke� _ Z w a WOfli(ER'S COMPENSATION OECLAHATION g � I HEREBY AFFIRM UNDER PENALTY OF PEPJURY ONE OF THE FOLLOWING DEpNW710NS: ow .��7. 7� I have and will malntain e Cert�pte of Consent to Sefl-Insure lor Worker's Canpensation,as provided try CONSTRUCTION: � Sectlon 370D ol the Labor Code,tor Ihe perfwmance of the work for wliich this permit is issued. p�qN REVIEW: 7.�q I > �I have and will maintain Worker's Compensatbn Insurance,as reQWretl by Section 3700 of the Labor Code,for Z me pedormance ot the work tar which this permd is issued.My Worker's Compensation I�urance Carrier and ELECTRIC:� ¢ PolicyNumAberare: PLUMBING: � CARRIER�+C-� �lg_plC.y�l I�StTQ.A►1C.� C}� MECHANICAL: � POUCYNUMBEra QWc.c+�4oQ9373 INSPECTIONFEE: � (f}flS SEGTION NFED NOT BE COMPLE7EU IF TFff PERIAR IS FOR ONE HUNDRED DOLLARS 1 OR � �� �' ISSUANCE: i.I� 0 I certiry tliat in the perforrtkv�ce o(ihe w�ak for which this pertnit s issuetl.I sl�afl rot employ any persm in arry rnaru�er so as to o becane subject to Ihe Workers Compensalbn Laws of Califomia.Md agree that II I sfquld becmne subject to ihe Wotkefs SMIP: _ ._. „�,�y � Compensa� proris o1 Section 3700 0l tl��abor Cade,i shau lor�lnvph compty wim ttose provisiors. EN ERGY P/C: LL DATE: PLICANT: 1C�L'Z���.� l�'�\`tO S 1i 1 ENERGY PERMIT: ' � WARNING:Fallure o secure Workers Campensatlon coverage is unlawlul,and shall suDjecl an employer to crfminal /� w penalties and civil fines uD�o one nundred ttwusand dollars(5700,000),�in atldibon to the cost of the compertsation, RETENTION FEE: 1 121L' � damaqes as pra✓ided fa in sectlon 3708 of the iabor code,irrterest,and attomey's fees. PRE-ALT FEE: 0 d CONSTAUCTION LENDING AGENCY BSAF: f�nn �� W I hereby etfirm urWer penelry of perjury that ihere is a Construcfion Lending Agerrc,y for Ihe pedorn�ance of the work for � � which lhis permit is Issued(Sec.3097,Clv.C.). � LENDFR'S NAME � LENDER'SAD�RESS: �Q�Q� a I certity that 1 have read ihis nppllcation and state mat the above information is correct I aqree to compry with all city and TOTAL FEES � counry ordinances and state laws relating ro buflding consVucBon,and hereby authorize representatives of this county to z COMMENTS: p enter upon ihe above-mentioned properry far Inspection purposes. m _�QaQ�T �"'�OSk'k'� ¢ PERMfTTEE NAME(PRI I" 1� � g N ` � SIGNATURE OF PERMfrfEE DATE RECEIPT q d PAID BY:V�VALIDATION: WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CtTY OF DIAMORID BAR - INSPECTION RECORD • 0 � s - e � � • ' ;SEfBACK/LETTER � . .�. "r � ' ' : TRACTAND LEDGER FOOTINGS FORMS - SWITCH GEAR S�;qg:. . � �- � COMMERCIAL HOOD UG.PLUMBING,_' ;-' � ' - , ':ti :" T-BAR 'UG.ELECTRICAI:-, � � r INTERCEPTER UFER GROUND.� r�, ''� s`.'� � ;' HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEAN011T DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUBH CONDUIT -- : ,,.. , ,;. ,; SHEAR_WALLS,EXTERIOR � �POOUSPA�; ? � ,SHEARWALLSJNTERIOR'��� -��: " ROUGH�PIUMBIM1lG. ; - � „�,` � ��u� �� `��; - ��` ROUGH ELEGTRICAL�', ' � _ ` � ^" ; � � k' FRAMINGNENTING; ���'� ti � - � �� � ' ' : ROUGH MECHANICAL _; � , ,, '�, �. �'�. :� , r: ROUGH MECHANICAL �- � ` ';_i. = ' �'�:* f ROUGH ELECiRICAL W(.`j C,(''.} _ . •,., _. � , -` _• GAS TESTF, -�� _,� ; 3 , :� � } ROUGH. PLUMBING. - " " PRE;GUNITE , - t . =� } �. r; � ,,_.;, ., , � �.. ..,, .. . . . INSULATION WALL PDOL;PRE_DECK,BONDING ,,::�.. , `,.:,t, „ ._. �, �. �.;i,� _�i ,� ,,5 ''� INSULATION CEIUNG P�-TAAP, : `�� ���r`' �:=�' � ,'v; , ��`� � �, � �,°: DRYWAIL FENCE%GATE!ALARNI + - - 'l r - ` � � � J '-( LATH(PR� FINAL-POOG ` _ '�f 1,'� > -- :�.r ... _ LATH EXTERIOR WALLS: LATH INTERIOR WALI FOOTING/STEEL GAS TEST WALL STEEL 1�( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIW SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION .RO.FRAMING PCANMNGAPPROUAL` ?, � ,',c` � " ' `Y �;��' �,' ' ' - FINAL BUILDI'NG " (; �'S =' � ROUGH FIRE APPROVAL ` �' � FINAG�MECHANICAL -` s �.` ���:� ,��_ _ FINAL FIRE DEPARTMENT., ' , '� ��� . FINAL'ELECTRICAL 4 , ., � 'FINAL PLANNING ;: � = t Y ' r •FINAL PLUMBING ; .,.�, , ;' ) ' �'y ,, � PWa �_ : �� , ', , °,; r �� FINALENGINEERING/ ,_ < : T.C:of OCCUPANCY � ` �, FINAL�COMfiAUNITY`'SERYfCES ' �` q � ' - ;. ; �; �. - ; . . . ' �.' . . _ .� . . - �- k 1" . . _. . .; .> ... .. .- .. . ... { ,; , y s CERT of OCCUPANCY���; , _�,,,.� EINAL HEALTH DEP-T � � ` - FINAL INDUSTRI{1L:WASTE '. ' `' ` � , ` � �f' ;` _ COMMENTS: