The URL can be used to link to this page

Home My WebLink About14-4361 � _,��'�'�, CITY OF DIAMOND BAR { I I ' � DEPARTMENT OF COMMUNITY&DEVELOPM�NT SERVICES ��iii = �� ' 21810 Coplcy Drivc,Dia�nond 13ar,CA 9176� �� PRESS � � � (90I)839-7020 Fax: (909)861-3117 Building Inspection Hotline(909)839-7027 r' FIRMLY '�'�" � BUILDING PERMIT APPLICATION � ~ ^� �')''' APPLICATION DATE: 'I.�.--`��' P/C# ¢ JOB SITE ADDRESS oc C� ..L. O C L� � �' a ISSUE DATE: � I �O� PERMIT# ! 7� � z APNQ�/(t2-�I'1 LOT_',�i�TRACT �2�a�e'Z � o OWNER ��.�o L�� G TYPE CONST. � OCC GROUP: "-' �2 1 G ' � ADDRESS � � CITY ZIP �L. ZONING F ONT KS RW ❑ a APPLICANT TEL. REAR ❑ ¢ 0 / ¢ CONTRACTOR C.� O ��W1S U�/Q/L,$ SIDE/SIDE STREEf RW ❑ SIDE ❑ o� ADDRESS 3� • �o � PROPOSED/�USE � . L/9- C e O o CITY l� (2Q-� ZIP�EL. �Z' � CO✓C�� /4'" � /> ' . o ARCH/ENG/DESIGNER w I�� oADDRESS o tl DWEL.UNITS k STORIES q BEDROOMS z CITY ZIP TEL. � owrrEn-euanEn oEcwlAnoN DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ I hereby attlrm uMer penatty of Derjury that I am exempt fmm the Coniractor's State License Law tor the reason(s) SFR/ADD/REM pintlipted below by the checkmark(s�,I have placed nexl to the applicable item�s)[Section 7031.5,Business and '-'-' Professions Code:My aty ar counry that requires a rml[W coretruc alter,im Garage/Carport p Pe 4 Pro�&demollsh,or reDair,any z strucNre,pria to Its Issuance,alw requires iha applicaM for tha pertnit to flle a signed statement Mat he or she � Patio/Deck a is Iicensed pursuant to Me provtslons of the Canhactor's State L(cense Law(Chapter 9)Comme�ing with Sectlon w � 7D00 of Uivtsion 3 of the Business and Prolessior�s Code]or that he or she is exempt hom Ikensure and the basis fw � P��Spa N Ne atleged exemD�bn.My violation of Section 7031.5 by eny applicant tor a permit subjecis the applicant to a civll penalty C7 N of not more than five hmMred dollars 1$500). 2 Re-Roof ¢ q o (�I,as owner af Me property,or my empbyees with wages as thelr sole compensation,will do(�all of or(,purtions J Commercial 0 of the worlc,and the structure is not intendetl w offered for wle(Section 7644,Business and Protessbrts Code:The m � Contractors'State License Law dces not appty to an ovmer of property who,through employees'or personal eftort,huilds w w improves the property,prmitled that ihe Improvements are not lirtended w ottered for sale.II however,�he builtling or � improvement is sold within one year of completlon,the Owner-Builder will have ihe burden of proving ihat it was not�uitt pw improved for ihe purpose of sale.), g V U I,as owner ot ibe pmperry,am exdusNely conVacting witl�licensed ConVactors to construct the project(Section 0 7044,Business and Professiwrs Code:The Contractas'Sble License Law does rwt appty to an owner of property wfro Valuation: Adj.Area: z builds or improves thereon,end w�o conirxis fm ihe projecls wlih e Ilcensetl Contraciw pursuant to ihe ConUxtors'State v� QUANTITY DESCRI TION FEE Y ucense Law.). L o U�am exempt hom Ilcensure under the Contractor's State Llcense law lor ihe lollowing reason(s): � � Q � � By my signaWre below I acknowledge ihat,except for my personal residence in which I must have resided for at least one w �� • Z year prior to completion oi Na tmprwements covered 6y this permit,l cannot lepalty sell a strucWre that 1 have built as an -� o ,,, a owner-builder il it has rwt been cautructed In Its entlrety by Ilcensed contractors.I undersharxl that a copy of tha applicable Q law,Section 7044 0l the Buslness and Professlons Code is available upon request when this application is su6mitted a ffi � ihe following Web site:http/wHw.leginfo.q.gov/calaw.html. � z o DATE: SIGN: � � � LICENSED CONTRACTOH'S DECLAHATION � � a � I hereby affirm under penalty ot perjury Nat I am licensed under provisiwu of Chapter 9(commencing with Sectivn 7000) w m of Division 3 of ihe Business and Professions Code,and my license is tn full force and eMect. � � LICENSE LIC.NO� �I� � 1� z �� oz DAiE: ^ CONTRACTOR: n - � ¢ WORI�H'S COMP—ENS�OECUIflATION � . � I HEAEBY AfFlRM UNOER PENALTY OF PERJURY ONE OF THE FOLLOWING DECWlA710NS: 1� oI have an0 will maintaln a Certi(icate af Consent ro Sett-Insure Ia Worker's CompensaGon,as prowdetl by CONSTRUCTION: •��T/ . 7 � � � Sec6an 3700 0l the Laba Code,for Ne pertormance of the work tor which this pertnit is issued. p�,qN REVIEW: • � I have and will maintain Warker's Compensation Insurance,as repuired by Section 3700 01 be Labor Code,(or /�,�� Z ihe D�ormance of ihe wwk for which ihis Dertnit is issued.My Worker's Compensation liuurance Carrier and ELECTRIC: ,r�� ¢ Policy Number ara: PLUMBING: w �R�� MECHANICAL: � POUCYNUMeEA INSPECTION FEE: � (T}pS SECTION N�N0T BE COMPLEIED IF THE PERMR IS F-0R ONE HUNDRED DOLWiS 7 OR � �� ' ISSUANCE: � Q I certity thal in the performance of the work for wltich ihis permit is issuetl,I shall not empby arry person in arry«�nner so as to . o beoome subJect to Ihe Worker`s Compensatlon Laws ot Calitomia.Mtl agree ihat it I s1�wW become subject m ihe Worker's SMIP: ( � . � Compe fim prw'sians ot Sectiai 3700 ot�he e,I shaq ly}�thw compty witn ttmse provisiora. ENERGY P/C: ia � DATE:��APPLICANL' �i .�J ��-�. ENERGY PERMIT: �p � WARNING:Failure to secure Worker's Compensatlon crnerage Is unlawlul,and shall sub�ect an employer to crtminal RETENTION FEE: /�,/ � /Y w penatties and civil fines up to ane hundred Nousand dollars(5100,000),in atldition to ihe cust of the compersation, �— a damages as pro+dded tor In section 3706 0l the labor code,inmrest,and atlomey's tees. PRE-ALT FEE: 0 a CONSTRUCTION LENDING AGENCY BSAF: �/�A w I hereby amrm under penalry of per�ury that there is a ConsVuction Lentling Agen�y lor the pedormance ol the work fm /�— = wbich this permit is issued(Sec.3097,Civ.C.�. 3 LENDER'S NAME: � LENDER'SAD�RESS: a I certify that t have read this applicatlon and state that the above intormatlon is conecL I agree to comply with all city and TOTAL FEES � counry wdinances and state laws relating ro buildirg consWctlon,and hereby authorize representatives o(this county to COMMENTS: ��+C.� �� / 1�� ["' z o enter upon the above-mentioned property for inspe tion purposes. �� j �_ n O J I�' �L � ��Z � m ¢ PERMfTTEE NAM n � %Vh� � ��~� `� � SIGNATURE OF PERMITTEE DATE RECEIPT N�Q,f J''6 PAID BY:��VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—Fie Copy,GREEN—Applicant's Copy CITY OF DlAMOiVD BAR INSPECTlO(V RECORD . � � . a - s � . • � - �SETBACKI LETTER�, � �= '� � - ��= TRACTAND LEDGER FOOTINGSfORMS -` � ' `'' :` SWITCH GEAR g�qg ,- � COMMERCIAL HOOD .UG.PLUMBING, - J ' . '� ;=� T-BAR UG.�ELECTRICAL: _ ° �„-�� ` '�`�v INTERCEPTER UFER�GROUND�� } " .�� ,";� �:�" =�� "r '' �� HOT MOP/SHOWERPAN _ . . . . . � SEWER IATERAL SEPTIC/CESSPOOL MAIN WATER UNE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ' ROOF DRAINS FLOOR SHEATHING ROUGH CONOUIT �SHEAR WAL'L5 EXfERIOR� �'`�- POOUSPA�`,:- � t '' � �`�� ' �� `�a �' C:fi �,. �� SHEAR WALLS INTERIOR'_�c � ` r ' : ;� `.: R�UGH PLUMBING.� ° f - ' �s ,"` ��F FRAMINGNENTING , - ' '` _ '+:_ " ROUGHELECTRICAL 'Y.,•' h �" ,; *"' �� • ROUGH�MECHANICAL ,�,,;� ROUGH MECHANICA[ ��. r r - ` `� �" �5 �`�ti,� " - _ ;GAS 7EST,; _ � � �_� �. ;,� � � ROUGH ELECTRICAL W( )C( ) - - ' ROUGH PLUMBING y ;,rti . - PRE GUNITE �"` { ,'` `� � .,- _ �;� ... _ °` < , _ _ .., ,_, �. „ , , INSULATION WALL �POOL'PRE DECK'BON�DINGr.��'�, � :�� '��, -�: � � - INSULATION CEILING P'T�P � '� '` - DRYWALL FENCE/GATE/.�AU1RM 9 ,`;- ` - � � 4 �ti ' ' LATH(PRE) :FINAL POOL - - ��,' LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTINGlSTEEL GAS TEST WALL STEEL 1�T( )2ND( )LIFf SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.F�iAMING�PL'ANNINGAPPROVAL � ''' ' - s FINAL;BUICDING _ � .�I , °, �`� }y ' ROUGH FIRE`APPROVAL `t `�� ' r �� r� � ; EINAL MECHANICAL ' � :FINAL FIRE DEPARTMENT,,,'<_, FINAL ELECTRICAL - " - FINAL PCANNING � - _ _ '' k FINAL PLUMBING °, ' ' . _ � ;. ` FINAL ENGINEERING/PW';; ' _ `, �^ T.C.of OCCUPANCY - ;, FINAL-COMMUNITY'SERVICES - - = CEEiT;'of OCCUPANCY,::'. . . ., ,,, !- � ,'�' FINAL�EALTH DEPT °. - _ , �� , ,,r FI , � ,. , .. �� _. � u . _ . • - - .� � .. � 4 �j. � `: �DUS7RIA,L;WASTE,",' <__� .,� , �-4,� , : . .., � �,�... COMMENTS: � � `—' � i' r r ` _ _ ► ...1 .. 1 5 v�:e� - - ` �