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Home My WebLink About16-0568 �' '• ` W� ''��, _ CITY OF DIAMOND BAR '� � ,. i I I i � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �" ` 21810 Coptey Drive,Diamond Bar,CA 91765 ', '.. PRESS �,��,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMITAPPLICATION www.cityofdiamondbar.com building@diamondbarca.gov � � Q � /� d JOB SITE ADDRESS � v� ��Q �I�es��'C' APPLICATION DATE: ?7�I �� /C# Z ISSUE DATE: PERMIT#: I�: � APN LOT TRACT 0 � OWNER G.a Y TYPE CONST. OCC GROUP: � ADDRESS Z6WQ. �r YiGQs a CITY -r1 ZIP��TEL. [O "�I � o APPLICANT S C i� D EL 2- ,�-3 Z Scope of Work 'L✓ O � [�► S,.$' cn G� O�K- � o CONTRACTOR S�� l O tl � ADDRESS / (r �^' #DWEL.UNITS #STORIES #BEDROOMS o CITY L � /4• ZIP�EL. Z�?i-�I y�-99� " ARCH/ENG/ z DESIGNER DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ZADDRESS SFR/ADD/REM m CITY ZIP TEL. Garage/Carport Q OWNEB-BUILDEN DECLANATION w Patio/Deck � I hereby affirm under penalty of perjury ihat I am exempt from the Contractor's State License L2w for the reason(s) �- Pool/Spa oindicated below by the checkmark(s),I have placed nezt to the applicable item(s)[Section 7031.5,Business and Z Re-Roof w Professions Code:Any city or caunty that requires a permit Tn construct,alter,improve,demolish,or repair,any � a strucWre,prior to ifs issuance,also requires the applicaM for the pertnit fa file a signed stalemeirt that he ar she � Commercial � is licensed pursuant to the provisions of the Contractar's State License Law(Chapter 9)Commencing with Section m � 7000 of Division 3 of the Busineu and Professians Cade]or that he or she is exempt from licensure and the basis for N the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjecLs the applicant to a civil penalty 0 oi not more than five hundred dollars($500). e (J I,as owner of the property,or my employees with wages as their sole compensation,will do()all of or(�portions Z of the work,and the sWcture is not intended or offeretl for sale(Section 7044,Business and Professions Code:The V81Y8tiOn� Adj.AreB: � Contractors'State License Law does no[apply to an owner of property who,through employees'or personal effort,builds � or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or QUANTIIY DESCRI PTI ON FEE p improvement is sold within one year of completion,the Owner-Builder will have the 6urden of proving that it was not built � or improved for the purpose of sale.). ¢ � . Z I,as owner of the ro e " (_J p p rty,am exclusively contracting with licensetl Contracrors ta construct the project(Sec[ion � � 7044,Business and Professions Code:The Contractors'State License law does not apply to an owner of property who � — builds or improves thereon,and who conVacts forthe projects with a licensed Conhactor pursuant to ihe ConUac[ors'State � Y w o License Law.). � U I am ezempt from licensure under the Contractor's State License law for the following reason(s): � � — z z m � By my signature below I acknowled e that,exce t for m ersonal residence in which I must have residetl for at least one � Q 9 P YP � year prior to completion oi the improvements covered by this permit,l cannot legally sell a structure that I have built as an d X owner-builder if it has not been consWc[ed in its entirety by licensed contractors.I understand that a copy of the w applicable law,Section 7044 of the Business and Protessions Code is available upon request when this application is � o submittetl or at the following Web site:http/www.leginto.ca.gov/calaw.html. �, a v LICENSED CONTIIACTOR'S OECLAHAiION = mI hereby affirm un0er penalty ot perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � ��f Division 3 of the Business and Professions Code,antl my license is in full force and effect. N LICENSE CLASS: LIC.NO.: / � �`� �� CONSTRUCTION: Q DATE: CONTRACTOR:_� 0 l � WONKEfl'S COMPENSATION DECLAl1ATI0N PLAN REVIEW: aI HEREBY AFFIRM UNDER PENALIY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ELECTRIC: o I have antl will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by PLUMBING: � Section 3700 of the Labor Cotle,for the performance of the work for which this permit is issued. MECHANICAL: o �I have and will maintain Worker's Compensation Insurance,as required by Sec[ion 3700 oi the Labor Code,tor '. z the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and INSPECTION FEE: a Policy Number ar� , �� w CARRIER _S'�'T�G � /�,� ISSUANCE: Z ��,,,///�� SMIP: t� � POLICYNUMBER�GL/��l�D= I,� � � [ � r (fHIS SEGTION NFED NOT BE�MPLETED IF iHE PERMfT IS FOR ONE HUNDRED DOLLARS($100)OR LESS). EN ERGY P/C: p I cer�ty that in the perfortnance ot the work tor which mis permit is issued,I shall not employ any person in any manner so�to EN ERGY PERM IT: o become subject to the Worker's Compensalion Laws of Califomia.Md agree that if ould become subject to the Worker's J Compensation provi'ns f Sec6on 3700 of the Labor Code,I shall Torthwi ry mose provisions. RETENTION FEE: � LL DATE: / APPUCANT: PRE-ALT FEE: � WARNING:F ilure to secure Worker's Co nsati coverage is unlawful,and shall subject an employer to criminal gASF: �/,� � penalties and civil fines up to one hundred thousantl dollars($100,000),in addition to the cost of the compensation, � � damages as provided tor in section 3708 of the labor code,interest,and attorney's fees. PLOT PLAN: a CONSTHUCTIONLENDINGAGENCY ZONING CLEARANCE: � w I hereby affirm under penalty of perjury that there is a ConsWcSon Lending Agency for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � F— LENDER'S NAME: � LENDER'S ADDRESS: TOTAL FEES � ♦ �/ w a I certify that I have read this application and sfate that the above information is correct.I agree to comply with all city and � COMMENTS: Z county ordinances antl sfate laws relating to building construction,and hereby authorize representatives of this county to p enter upon the above-mentipaed property f in ectiorypurposes. m �� - S�b ��.d v a Ir0 a PERMI ME(P // ' !� P/C: PAIDBY VALIDATION: � 't � > r RECEIPT# PAID BY: VALIDATION: � SIGNATU F PER EE DATE WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy �� L�j� ;�'�� - CITY QF Dl.�l�lfi'��1J BAR ,�„ INSPECTIUN RECORD ..a.� . - - . . . , . . ,.' • � � • ' • � � • ' SETBACK/LETTER ' TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR S�qg COMMERCIAL HOOD UG.PLUMBING T-BAR UG.ELECTRICAL � INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( )C( ) GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P-T�P DRYWALL FENCE/GATE/ALAflM LATH(PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1sT! 1 2ND� �LIFT „ SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNING APPROVAL , FINAL BUILDING ,� J/ � ROUGH FIRE APPROVAL � FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/PW T.C.of OCCUPANCY FINAL COMMUNITY SERVICES CERT.of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTHIAL WASTE CO M NTS: Z Co o G� G � o..� s i�� . r;✓R'S c �e! �' � �o ,� �id�t/�D£/� � �. .Ll.4�L CITY OF DIAMOND BAR ,.,�.� Community-and Development Services Department � �n„�_ . � � 21810 E.Copley Drive•Diamond Bar,CA 91765 - Building Inspection Request Hotline ,��>��g� (909)839-7027 � Building � Planning � Engineering (909)839-7020 (909)839-7030 (909)839-7040 CORRECTION NOTICE PERMIT NO. �F7 �d.�6•� DATE: � �� 1 TIME: `�p CONTRACTOR/ OWNER BUILDER ADDRESS(Project Site) '��`� �` �d �� e ��°✓�� , FO D � ' � _�� ,` � o c.� � � � � �� . � � . �P f-s�, �' .nc�� ' ❑PLEASE CONTACT THE UNDERSIGNED �'PLEASE MAKE CORRECTIONS AND CALL FOR REWSPECTION ❑REINSPECTION FEE REQUIRED ❑PLEASE MAKE CORRECTIONS AND PROCEED WITH WORK INSPECTOR: `� e�r �a� (print name) SIGNATURE OF WSPECTOR: � (Please fil/ out and tear off this portion to /eave with the job card if no one will be available to aUow the inspector inside the house.) � �� • 4� INSTALLATION CERTIFICATION For the property located at l'�OS ��cc?��c� C��«��d�"w�/�-��ereby certify that the required smoke alarms and carbon monoxide alarms have been installed as listed above. ��,�� GlQ��C � �o7zt 3��0- z.vG6 Signature Print Name Date Relationship to project(please check one): ❑Owner ❑Agent for Owner ❑ Licensed Contractor ❑Agent for Licensed Contractor If"Licensed Contractor"or"Agent for Licensed Contractor"is checked, please complete the following: �r9'�o yj'�c-:�lr�rlr� ��0/� Contractor Contractor's State License Number . . � _. . . Ticket: 344169 Driver: 709 RUDY G Date Requested: 03/O1/2016 Opened by: JMAIN2 Date Dispatched: 03/03/2016 Customer: 012-243730 ARMSTRONG ROOFING 1805 KIOWA CREST DR DIAMOND BAR CA 91765-2914 Contact: SERG20 MEDRANO 562-455-3421 Requested by: 5624553421 SERGIO MEDRANO Load Type: DO NOT RETURN Dump Site: AZUSA C&D TO DDI Swappable? Y Mandate Disposal Site? N T Waste Service Quantity P Yds Type Weight Job Special Description 25 YD DEMOLITION 1.00 P 25 DEMO FLAT RATE/3.60TNS DRW/ FRONT OF 2 CAR GARAGE. . Signature: Date: