HomeMy WebLinkAbout14-1837 ,=��.�.; CITY OF DIAMOND BAR k � I 1 i ' I DEPAKTMENT OF COMMUNITY&DEVELOPMENT SERVICES �,,� ������;,�, ` ' 21810 Coplcy Drive,Diamond Sar,CA 91765 R t � (909)839-7020 Fax: (909)861-3117 Bailding Inspection Hotline(909)839-7027 IRMLY w.,..,>. �"���'�"�" Bi)ILDING PERMIT APPLICATION � � � APPLICATION DATE: � � � P�C� � � I ! -Cf ac JOB SITE ADDRESS r4.. �Q �_ � w ISSUE DATE: PERMIT# � a z APN LOT T T � � o OWNER � TYPE CONST. OCC GROUP: � ADDRE S '' � ZONING SEfBACKS � CITY ZIP TEL. � ' � FRONT RW ❑ '¢ APPLICANT TEL. REAR � o ./ SIDE/SIDE STREEf RW � a CONTRAGTOR � �'� f� !/ e�/ 6 !� SIDE � 0 o� ADDRESS PROPOSED USE � � CITY ZIP��EL. � n 6� 0 `� ARCH/ENG/DESIGNER 0 z ADDRESS #DWEL.UNITS k STORIES k BEDROOMS 0 a C�7y ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDEFI DECIMATION � I Aereby attirm under penatry of D�lury that 1 am e�cempt trom the Coniractor's State License Law fw the reason(s) SFR/ADD/REM � indicated below by the checkmark�s�,I have D����xt to Me aDD����e��em(s)[Section T031S,8uslness and Gara e/Carport u9 9 Professions Code:My dty or county that requires a permit lo comtruct,alter,improve,demolish,or repalr,any Z structure,prim to iTs issuance,a15o reqWres ihe aDP���nt tor ihe permtt to file a slgned statement that he or she p3 Patio/Deck Nis licensed Dursuant to ihe provisfons of Ihe ConVactor's State License Law(Chapter 9)Commencing wiN Sectlon W � 7000 of Divisfon 3 ot the Business and Protesslwu Code]or that he or she is exemDt hom licensue and tlie basis fw LL P�VSpa � the alleged exemptwn.My violation ol Seclion 7031.5 by any applicant 1or a Dermit subjecCs the aDDlicant N a Gvll�relty Z Re-Roof `n at not more than five huntlred dollars(8500). . . ¢ o U I,as owner of the pmperty,or my emplayees with wages as Uielr sole compensation,wfll do(�all of or(,portions 9 Gommercial � ot Mo work,and the struclure Is not intended a oflered ior sale(Section 7044,Business and Protessions Code:7ne m � ContracWrs'State License Law tloes not appty to an uwner o1 Droperty vfio,thraugh employees'or personal eBort,bullds � w a imprwes the properry,Providetl t�at Ihe improvements ara not intended a oNered lor sale.B however,the building or � improvement is sold within one year of canD�etion,the Owner-Builder wIU have the hurden of prwing ihat it was irot bullt por Imprmed for the purpose ol sale.). � I,es owner ot the ro 1� (, p peAy,am exclusively contracling with Ifcensed ConVactors to construct the pro (SecGon Va{uation: Adj.Area: 0 76qq,Business aiM Prafesslons Code:The Contraciors'Stale Lice�e Law does not appty to an owner of property who Z builds or imprwes mereon,and who crontrxts tor me projects wfin e Ilcensetl Contractor pursuant to the Convxtors'Stale QUANTITY DESCRIPTION FEE � Y ucense Law-). . r J o U��exempt hom licertsure untler ihe ConVactofs State License law tor Ne tollowing reasoMs): � � � `L 8y my signature betow f acknowledge ihat,except tot my personal residence in whicti I must have reslded Iw at least one � � Z year prior to completlon of Ne improvemen�covered by this permit.l canrrot legally sell a structure that I have built as an „—',, 0 � avner-bWlder if ii has no1 been consirucied In its eniirery by Itcensed cmtraclors.I understand that a copy o11he appliq�fe law,Section 7044 of the Business arid Professions Coda is available upon request when ihis applicallon Is submftted or al c� X the foltowing Web sde:httpJwww.leginfo.ca.govJcalaw.ntrnl. z� 'L DATE: SIGN: � . � UCENSED COMAACfOfl'S�ECLARATION a U w I hereby aKrm�nder pe�lty of perjury ihat I am licensed untler provisions of ChaRter 9(commencin9 with Sectio�7000) . � ol Division 3 01 the Business �tl Professians Code,and my license Is in full force and eHect. � . � �: o?��b`� � "' ucer+se c � u, c.No.: � o DATE: � � COMRACTOR� f � c.� zd WONI(ER'S COMPENSATION OEClAF1ATI0N g � � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLAFiAT10NS: w 4 I�ave arM wi0 mainlain a CeAiLca�e oi Conseni to Setl-Insure for Worker's Compensalion,as provided by CONSTRUCTION: � Seclbn 37�of the La�or Code.for Ure perfwmance of tl�e work tor which thls permit is issued. � PLAN REVIEW: j _I have and will maintain Waker's Compensatbn Insurance,as required by Sectian 3700 M the Labor Code,for ELECTRIC: 'O — o Me perlormance ot lhe wak fw which thi�permit is issued.My Worker's Compensatinn Insurance Cartier and � ¢ PolicyNumberare: ` / PLUMBING: o CutRiER S � G�Q �/� MECHANICAL Z POt1CYNUMBFA� � �, INSPECTION FEE: � t7 N (T1dS SECTION NFED NOT BE fAMR.ETED If 7HE PEM4R 6 FOR ONE F4RJDRED DOLIAAS(810�OR t.ESS). ISSUANCE: � oI certity ll�al m the performance ol the�wrk fa wh�h Ws pemdt is' s1�a0 wt emWoy am!Persm in any manne�so as to beoome subjecl to the Nbrfeer9 CompensaUon Laws ol Cal' ia. aqree that il I shadd becane subject eo tlie wakefs SMIP: � Campen tion p 'ia�s o tian 370o at or ortmvith compN with ihose 9ro'^sias. ENERGY PlC: � LL DA �" � APPUCaHt: ENERGY PERMIT: � WARNING:Failure to secure Worker mpensauon coveraga s uNavRul,a�M shall sub}ect an employer ro criminal REfENTION FEE: � � penattles and civll fines up to on hundred thousand dollars($1�,000),in addition to the cost ol the comperaation, w PRE-ALT FEE: a Aamages as provided for in section 3708 of the IaDoi code,interest,arM attomey's fees. a CONSTAUCTION LENDING AGENCY BSAF: w I hereDy amrm under penatty of per]ury ihat there is a ConsUucfion Lending Agenq lor the pertormance of ihe work for � whicb this pertnit is issu¢d�Sec.3097,Civ.C.). � LENDER'S NAME ¢ LENDER'SADDRESS: � TOTAL FEES a I certlty that 1 have read Ihls aDDlication antl state that Ne above information is cortec�.l agree ta compty with atl ciry a� . ?j � county wtlinances and state laws rolatlng ro building cansWcfion,and hereby authorize representatives of this counry ro COMMENTS: Z enter upon the above-mentwned prope for ins ciron purposes. � m ¢ PERM ME cn i � N � RECEIPT k PAID BY: VALIDATION: � SIG RE R �AT� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Pssessor Copy.GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD � '� � ' � � � , . s . . � e , . � . �SETBAGIO LETTER ,'fi�.;:,i � ., ,'�+, , = ' _ `-�`� � -. � = TRACT AND LEDGER FOOTINGS'FORMS "' �`F;�.,,�, _ ",�U " ..i,,� , y�,�. . �'' SWITCH GEAR SLAB - `-� t�� �;,, � ��' ,�� z � .;;�; COMMERCIAL HOOD UG.P.LUMBING�` �" ` - -' ' `':+ T-BAR U6.,ELECTRICAL;, `=' -'z '�' }°" , f_.s' :s `" =' INTERCEPTER UFER GROUND__`: ,�i•`�_ ±' �", , ` �` '.'��k . - 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 ExfERIOR r�rJ � ��� POOUSPl1`` § ;� s �', SNEAR�.WALL'S`sINTERIOR `� � `�� � �� � ROUGH'PLUMBINGs� �; ��; � �� '�' FRAMING/VENTING � ~�: i � �� ` , z ROUGIi ELECTRICAL- '. ` ' ' ' :- S f r r ; '� , ROU�H MECHANICAL�rf � � �:: �- �_ ;sk - r�`w� = ,. ROUGH MECHANICAL�: � s> � .� �� , ` , �`� '�� �s�'r � °. . �, _ .� s ci�, t,^ r ti r 4 ROUGH ELECTRICAL W(.�),C{,} �`, � _ .GAS TEST:� ; ��,,,,. - + � Y j ROUGH PtUMBING �r , , _ �'. �_ -': ' ' m , . _ `-' PRE GUNfTE" �,,.. ' � � `^ 4 � , T INSULATION WALL �PODL�PRE_DECK�BONDING _��_� �. . � � � a r� ` ��`�' �'.` INSUTATION CEILING � � ��' �� �� � P=.TR�4P '` : , :, �t�, ��' , �. � DRYWALL FENCE/GATE/ALARM s � , ' ' ^ :-r x ' ` �� 'k� LATH(PRE) FINAL'POOt ., � �" - � ;: �� c�=_ LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WAIL STEEL 1�T( )2ND( �LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL ....rl u,.;Ii ..'I. C: SPECIAL INSPECTION RO FRAMING PLAlJNINGAPPftOVAI , -- � ' '"ryr " '` { ' ` ROUGHFIREAPPRQVAL - � `� � -� ' FINAL BUILDING ' ' M � " _" � ,�� :. •- . . . .� FINAL;MECHANICAL, . ., 1 u ` _' t � '', FINAL�FIRE DEPARTMFJJT — ' : � � ':� �.r ' �,,' ""�' :, ' � F,INALPLANNlNG��; u` , ` - � �� {, ` F�NAL'ELECTRICAL ,_„ ,�- FINALP,LUMBING r - : ' { ' ' FINAL'ENGINEERING/PW. ,: ;i' t' �' '" ` '` T.C:Of OCGUPANCY _ -� ` z,,',� `A " �,Y�.:r �',' FINAL COMMUNiTY'SERViCES �` � = ,> 4 -_ �- CERT;�of OCCUPANCY''�, s ,k�, r, - �.�° �,r. .'. .�'.:_ , �FINAL.HEALTH DEFT ; � ;` ` `. � � .,, � ,,' -� � FI "INDUSTRIALWASTE� �_ . .` T ' '_ �' t-' `�` ti � � . � �� COMMENTS: �-- �� �� C/N � �� ,� .