Loading...
HomeMy WebLinkAbout14-5036 _ _f _ `__ ,..,.,�.r�'`� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES =� �- � PRESS - •K` 21810 Copley Drive,Diamond Bar,CA 91765 ,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 ��'��"� BUILDINGPERMITAPPLICATION FIRMLY i JOB SITE ADDRESS � ` / L�/ L�-/T/(, APPLICATION DATE: P/C# i ISSUE DATE: /�/7/�D�� PERMIT# � � J D✓ z APN LOT TRACT v-- � OWNER ��ti''� �✓� TYPE CONST. OCC GROUP: � ADDRESS � « ' J CITY V. �� ZIP TEL. D $' (ot� ZONING SETBACKS FRONT RW ❑ � APPLICANT TEL. REAR ❑ n G SIDE/SIDE STREET RW ❑ � CONTRACTOR �i�L� °v/?"'�yT ��/� �tG-r��T SIDE � ADDRESS �o�Oc3t�' ��/`"/�/2vrG�A 2, �LC'+�1L � ❑ j CITY r� �• ZIP 07 EL. G'JZS—r7/7,��5[p1� PROPOSED USE � ARCH/ENG/DESIGNER y � ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. I OWNEH-BUILDHI DECIAHATION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION = I hereby affirm under penalty of perJury that I am exempt from the Corrtractor's State License Law for the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s),I have placed next to the appllcable item(s)[Sectlon 7031.5,Business and Garage/Carport I � Prolassiare Coda:Any cfty a county that requlres a pertNt to conshuct,alter,Improve,dertrolish,or repalr,any z structure,prlor W its Issuance,also requlres the applicarrt fa the permtt M flle a sigrred sfatemeM that he or she � Patlo/Deck I i Is Iicensed pursuaM to the provislons a1 the Contractor's State License Law(Chapter 9)Commencing with Sectlon w � 7000 of DlNslon 3 of the Business and Professions Code]or that he or she is ezempt from licensu2 and the hasis for � Pool/Spa I � the alleged exemption.Any vlolatlon of Section 7031.5 by any applicant for a permit subJects the applicant to a cNll penalty C7 of not more Man five hundred dollars(5500�. Z Re-Roof I I � (,I,as owner of fhe property,ar my employees with wages as their sole compensatlon,will tlo(�all of w(J portlons � Commercial . y of the work,and the structure Is notintended or oHered for sale(Sectlon 7044,Business and Professlons Code:The � I �--� Contractors'Stata License Law does not apply to an owner of property who,through employees'or personal effort,builds m � or improves the property,pmvided that the Improvements are not intended or ottered for sale.If howevar,the bullding or . � Improvement is sold within one year of comple8on,the Owner-Bullder wlll have the burden of proving that it was not bultt j or improved for the purpose of sale.�. , I (,I,as owner of tlie propertg am exclusively contracting with Iicensed Cantractors to construct the project(Sectlon I � 7044,Buslness and Professions Code:The Contractors'StaLe License Law does not apply to an avner of property who Valuation: Adj.Area: nbulldsorlmprovesthereon,andwhocontractsfortheprojeclswlthalicensedContractorpursuanttotheContracfirs'State QUANTITY DESCRIPTION FEE I Y License Law.). � U I am exempt hom Ilcensure under the ConVactor's State LJcense law Por Me following 2ason(s): � I � " I 1 By my signature below I acknowledge that,except for my personal residence in which I must have reslded for at least one � z w I = year prior to completlon ot the impmvements covered by this pertnit,l cannot legally sell a strucNre that I have huilt as an � I owner-builder if it has not been consWcted In tts entirety by Ilcensed contradors.I understand that a copy of the applicable w - � law,Sectlon 7044 of the Buslness and Professlons Code is avallable upon request when this application is submttted or at � I i the following Web site:http/www.leginfo.ca.gw/calaw.htrnl. _ = DATE: SIGN: � I I — LICENSED CONTFIACTOR'S DECLANATION � G� < � ' I yI he2b afFlrm under p P ( 9 � � y penalty of perjury that I am Ilcensed under rmisions of Cha ter 9 crommencin wtth Section 7000 I � of Division 3 of the Business and Professions Code,and my Ilcense is in full force and effect. � I � ^ n LICENSE CLASS: ���/ L1C.NO.: �l ���� � DATE: CONTRACTOR: L � i°� � ' Z / 7 U Q WOHl�A'S COMPENSATION DECLAfiATION "' I � � I HFAE�M UNDER PENALTY OF PERJURY ONE OF THE f-0LLOWING DECLARATIONS: y � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensatlon,as prmided by CONSTRUCTION: � e on 3700 of the tabor Code,fa the performance of the worlc fa which thls permr[is issued. p�,qN REVIEW: � I have and will mairrtain Worker's Compensation Insurance,as requlred by SecUon 3700 of the Labor Code,for z the performance of the work for which this permtt Is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PoIIcyNumberare: PLUMBING: �y(' ' y CAHRIER MECHANICAL: ' POLICY NUMBFA INSPECTION FEE: � (IHIS SECf10N NEED NOT BE COMPLEfED IFTHE PHUAR IS FOR ONE HUNDR�DOLLARS($10pj OR LESS�. ISSUANCE: �r�J" 7 = I certify that In the pertormance of the work fa v,hich this permit is Issued,I shall rwt employ any person in any mannu so as M � become subject to the Worker's Compensation Laws of Califomla.Md agree that If I should becane suqect to the Worker's SMIP: J Campansation prawslo Sectlon 3700 of m with mose pravisians. ENERGY P/C: i DATE: /�'� App��qNi: �` � ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensatlon coverage is unlawful,and shall subject an employer to criminal y penalties and civil flnes up to one hundred thousand dollars($100,000�,in addttlon ro the crost of the compensation, RETENTION FEE: 1 d'� � damages as provided tor In section 3708 of the labor code,Interest,and attomeys fees. PRE-ALT FEE: i CONSTHUCTION LENDING Af�NCY BSAF: y I here6y affirm under penalty of perjury that Mere is a ConstrucUon Lending Agency fir the peRormance of the vrork for � whlch this permtt Is issued(Sec.3097,Civ.C.). LENDEA'S NAME: = LENDER'SADDRESS: � i I certify that I have read this applicatlon and state that the above irrtormation is correct.I agree to crompry with all city and TOTAL FEES � l , � courrty ordinances and state laws relating to 6uilding consWction,and hereby authorize representatives of this crounty fi COMMENTS: � ��"V`� z � enter upon the e-menGoned prope far inspectlan purposes. � �'--1 _��T� n ¢ PERMI NAME(PRIM1 " �� �, �C`-�--�! � /� = SIGNANRE OF PFAMRIEE DATE RECEIPT# �I PAID BY:_li_��_VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTIOfV RECQRD • e � a ° � � � � � � � SET6,4CKI-LEtTER . �`�'�� _:`'��, .�,�,���;�r�������`����g����x�� TRACT AND IEDGER FOQTINGS�FORMS�.,�����. , '��k�' � ,"' ",�`" � �� pW , „'�: SWITCH GEAR �66.AB$� °"��� ,� � '�°A����x':.���'� ' � ;�'g�„�v'���' _`:;,� COMMERCIAL HOOD _ �' ` ���.� � �� '�����.4���.�:.'° ,��,; T-BAR UG:°PLUMBING�,� ,,M �� �.�� UGr ELECTFiICAL��'���� �' � ,�� �'� �� ° � ��:�� INTERCEPTER - `� �"' � � ���� �3��,������°�'� .������� HOT MOPISHOWERPAN ;llFER�.GROIlND�� ��a..°�;,.. .�� �` ,.�_. .. SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE NERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT � � �� �-- ���,,. , �� ���°"����,. 1�" � ��������� ,�; ���. � °, � ",' �; `,POOVSPA ���������� ��,� ��� �� . � SHFARWALLS�FXf`ERIOE? � �� �� , � � �SHEAft WAILSxiNTERlOR,�,$� A A.� ��� °" ��y���"�������..� (iOUGH PIUMBiN6����'p� ��� ���������""`,;�:� �'�% �� �' � � �*U � ��3�' �,��; , �.. � ��' �. :ROUGH EL€CTRICAL`����° �'� ��t`�+�°�.���� ��� x�" ���' Ff�AMINC,�UENT(NG � m'� , � __ ROUGH MEGHANICAL �� � ��� � . � a�� �� �=� � e°', ��;��`� � � ,.� � .; °����� . �:��������� �� � ' _ ROUC�H�MECHANICAL � �� �. ���;� ; __. � � •`` �� �.� � ,� ��� � ��� `T� � � �� �= �a� �� � ROU GH EkEGTRICAL�W(�)�C(�) � �� �; � �� '�. � '� . �-�. � ° GAS TEST= �e, �,�'�. ��� ��,� �„� � .,� �: � R(lt1GH:PLUM6ltVG �.:� ���` �� �� � � ��� �45�: :C�� �PRE GUNlTE ��*.� ������ . 3 �,��,�� ,� . � � a. �� � � � ��� � � : . .: � � , . , ., e .�� ' � � INSULATION WALL FOOL�P�RE DECK BONDI�NG� ��,� �� , �� ��� �� �'��� �t= � � � ��� � � � INSUlATiON CEILING �°� " � � �s*� u� �� �����"�� DRYWALL °FENCE/CiATE!ALARM�������� � �' �, � �"��� ��_ �°��� �'' LATH(PRE) FINAL PQOL�-:��� '� ` ' � � � ;��`.�.�� � - f-; �".�� ��� �;� LATH EXTER�OR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1Srt �2No� ���� SCR,4TCH COAT WALI BONQ BEAM ELECTRIC METER RELEASE WALL DRAIN(SEAL GAS METER RELEASE WALL FINAL SPECIALINSRECTION R�.FRAM�GPLMlNIN6f1PPRt�ilA1����,� �d�,��x �����.���� ��� ���,-a �� �� �,, �� �, :,r � �;3��; �"ROUGN$FIRE lif?PROVAL��� �� ���=����'��� ��;:� ����� FIN�tIBUILDING� a, � � ��;� �� � �� �� �� �; '�h _ �aa_ � ,�` . ,� ;' �� � ` �� ��� ' i�tNAL FIRE DEPAR?MENT,.� � `���,�' ��; � �� � ,�������`����: FIN1xL MECHA�tICl�L _� �-<� �� ,�� ��, � �.� .� � � � � �'«a ,�' � ^.: �� . . � � �. � � �� ,�`�'��' '"; .,�ro,,,a' *� �' � .� �. ,��' r.��ti �s�, � � ' �.' . `����R,�^. 3t c,„� '� FIN,4L�LECTRIGAL��� ,� � �� �� �� FtNdL PLAN�ItNG �' � , , � �� . e s'�,��`' � 7.�y ���.�_�� ��, �.. ,� .�.'� �'�a;�"� � 'FtNAL ENGINEERING/PWvT' � � �„� ' � �� �� �¢� ; � a FIN,4L�PLUMBING � ,�� � �� � " � �'�. �� -��. � �� � ��� �- ���' � � �� �FINAL�COMflRUNITY SERYICES�����'��t'� �� � , � � "�� ����^� �T.G.�of OGGUPANCY , • � -�.��« �� � > , .�.� � . � " CERT,qf�CCUPANGY, � ;� ,e �����' � �� `:FfNAI INDUSTFtIAI:�WA$E� W����� ..�..����„�.� ����'�� �� � r �� ,�r � �.� ��-° �,�� �a _�.�._:.���'� �INAL;HEALTH DEPT�� �� COMMENTS: � � ,