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 - ` � � �
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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 � ' -
;. ; �; �. - ; .
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. . _. . .; .> ... .. .- .. . ... { ,; , y s
CERT of OCCUPANCY���; , _�,,,.� EINAL HEALTH DEP-T � � ` -
FINAL INDUSTRI{1L:WASTE '. ' `' ` � , ` � �f' ;` _
COMMENTS: