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? � �� �� , �
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�SHEAft WAILSxiNTERlOR,�,$� A A.� ��� °" ��y���"�������..� (iOUGH PIUMBiN6����'p� ��� ���������""`,;�:� �'�% �� �'
� �
�*U � ��3�' �,��; , �.. � ��' �. :ROUGH EL€CTRICAL`����° �'� ��t`�+�°�.���� ��� x�" ���'
Ff�AMINC,�UENT(NG � m'� , � __
ROUGH MEGHANICAL �� � ��� � . � a�� �� �=� � e°', ��;��`� � � ,.� � .; °����� .
�:��������� �� � ' _ ROUC�H�MECHANICAL � �� �. ���;� ;
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�� �.� � ,� ��� � ��� `T� � � �� �= �a� �� �
ROU GH EkEGTRICAL�W(�)�C(�) � �� �; � �� '�. � '� . �-�. � ° GAS TEST= �e, �,�'�. ��� ��,� �„� � .,� �: �
R(lt1GH:PLUM6ltVG �.:� ���` �� �� � � ��� �45�: :C�� �PRE GUNlTE ��*.� ������ . 3 �,��,�� ,�
. � � a. �� � � � ��� �
� : . .: � � , . , ., e .�� ' � �
INSULATION WALL FOOL�P�RE DECK BONDI�NG� ��,� �� , �� ��� �� �'��� �t=
� � � ��� � � �
INSUlATiON CEILING �°� " � � �s*� u� �� �����"��
DRYWALL °FENCE/CiATE!ALARM�������� � �' �, � �"��� ��_ �°��� �''
LATH(PRE)
FINAL PQOL�-:��� '� ` ' � � � ;��`.�.�� � - f-; �".�� ��� �;�
LATH EXTER�OR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1Srt �2No� ����
SCR,4TCH COAT WALI BONQ BEAM
ELECTRIC METER RELEASE WALL DRAIN(SEAL
GAS METER RELEASE WALL FINAL
SPECIALINSRECTION R�.FRAM�GPLMlNIN6f1PPRt�ilA1����,� �d�,��x �����.���� ��� ���,-a
�� �� �,, �� �, :,r � �;3��; �"ROUGN$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: �
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