HomeMy WebLinkAbout14-3971 _ - __. _ _ __
.,�'`��,b�_, C1TY OF DIAMOND BAR � �
i _r��._
i I I I i ' �I DEYARTMENT OF COMMUNITY&DEVELOPMGNT SERVICES
�'pl„ � 21810 Coplcy Drivc,Diamond Bar,CA 91765 PRESS
', !_i;;
� ���`�� (909)839-7020 Eax:(909)861-3ll7 Building Inspection flotline(909)839-7027 F�RMLY
�� „�,,,�.��>>
��LW��'. BU�LD[NG PERMITAPPLICATION
w JOB StTE ADDRESS I Z (('?�S I � APPLICATION DATE: �-' g� ` I P/C�1
a
ISSUE DATE: �'�a ' �� PERMIT# �7–�� ��
z APN LOT TRAC7
o OWNER Iv TYPE CONST. �;! � �� OCC GROUP:
� ADDRESS U ZONING SEfBACKS
� C��y Z�p TEL. - FRONT RW �
¢ APPLICANT I�d.►'��A �-a a�7EL. REAR �
o SIDEISIDE STREET RW �
Q CONTRACTOR G SIDE �
0
o� ADDRESS r / PROPOSED USE �
� CITY � � YN�NI�-.� ZIP TEL.�l�L 4) "� Sl��–' "I(1 ��, .•�
� ;o� .
o ARCH/ENG/DESIGNER ,�,e
o ADDRESS #DWEL.UNITS �� it S ORIE� L 2t�8�DR00 Sn � r��
Q CITY ZIP TEL. DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION
� 4WNFR-BUILDER DECLARATION
� 1 hereby affirm under penafty of Derjury that I am exempt from the fAntrac[or's State Uceiue Law for the reason(s) SFWADD/REM
� IiMicated below by the checkmarkls�,I have placed next to ihe apPiipble ilem�s)(Sectbn 7031.5,Business and
o GarageJCarport
w Professions Cade:My city or county that requfres a permit to consWct,alter,improve,demolish,or repair,any
Z structure,prior to its issuance,also requires the epplicaM for the permit to file a signed sfatemenl that he or sha w Patio/Deck
� fs licansed pursuant to the provisions of the CaMractor's Sfate License Law(Chapter 9)Commenc(ng with Section � p�VSpa ��
N 700D of Dlvislon 3 of Ihe Busineu and Pmlesslons Code�or tFiat he w she is exempt from Ilcensure arrd ihe basis iw G
_ � �\
� the alleged exemD�n.My violation of Section 7031.5 hy any applicant lor a permi�su0jects ihe apDlicant to a civil penalty Z Re-Root
� a1 t rtwre than frve hunGred dollars(5500). �
�
o i I,as awner of Me property,or my employees with wages az their sole compensation,will do U�I of or U PoNo� J Commercial
� o of the work,and ihe slluch�re is not Intended a oBered for sale(Section 7D44,Business a�Pralessbns Code:The m
� ContracNrs'State Ucense Law dces not apply to an owner of property w�o,ihrough employeas'w personal eflort,builds
w or imprwes ihe property,P�'ided that ihe imprrnements are not intended or ottered lor sale.II however,ihe building or
� impmvement is Sold vnNin one year of completlon,the Owner-Bullder will have the burden of proving that It was nat hultt
� or improved for ihe purpose of sale.).
0
� I,as owner ot lhe ro
F U p perry,am ezclusivery conVactiog with Itcansed Conhactors to construct tha D�oJect( on Valuatio Adj.fVea:
O 7044,Business and Professiars Cale:The Contraclms'Sh�te License Law dces nat appty to an ovmer of p�operty who
z buildsaimprweslhereon,endwhocontractstoriheprojectswiNaliceraedCantracrorpursuamtotheCuntracmrs'State QUANTITY DESCRIPIION FEE
�
Y uceiue taw.).
a
o U��exempl hom tice�uure under tbe Coniraclofs State Llcensa law tor Ne lollowing reason(s}: �
� �
LL By my signature below I acknowledge that,ezcept Iw my persmial residence In whlch 1 must have reslded for at Ieast one �
Z year pdor to comD�edon of the improvemen6 covered by this portnit,l cannot legally sell a structure that I have built as an w
0
� owner-builder if it has no�been constructed in iis entirety by licert5ed contractors.I undersfa�ma�a copy ol ihe appllpUle
� law,Sectlon 7044 of the Business and Professlons Cotle is available u st when this applfration is submittetl ar at
a the tollowing WeD stte:�ttp/wvnv.le8�nto.ca.gov/plaw.�hnl. z
x m
� DATE: �� S —/� SIGN: _
� UCENSED CONTRACTO � LAHATION a
U
w �hereby affirm under penaity ot perjury Iha1 I am licensed undar provisions of Ghapler 9(commencim�with Seclion 7000)
� 01 Divlsbn 3 of the Business and Professions Code,and my lice�e is in full force and eMect. �
Z � �
� LICENSE CLASS: LIC.NO.: Z
V� �7 _
o DATE: 1 CONTRACTDR: � w
¢ WORKEfl'S C�MPENSATION OECLAHATI�N g
� I H�Y AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DEClARA710NS:
w �
¢ 1 have and will maintain a Cert�nte ol Consenl to Self-Insure Iw Waker's Compensation,as provtdetl hy CONSTRUCTION: `
� Sectian 3700 of IDe Labor Cotle,for Ihe periormance ol the work far whkh this permil is issued. �
� PLAN REVIEW:
j I have aiM will maintain Worker's Compensatim Insurance,as required 6y Section 3700 0l the Labor Code,for ELECTRIC:
o the peRartnance of tbe work to�which this permit is issued.My Worker's Compensa6on Insurance Carrier anU
¢ PWicyNumbera,r/e� PLUMBING:
� CtwRl� !"�'(C 1r.��_ — MECHANICAL•
w
Z POUCYNUMeER ���' I 7 �Z � INSPECTION FEE: r
N (TH5 SECIION NEED N0T BE COMPLETEU IFhIE PERMlT lS F-0R ONE NUNDRED DOLLARS(S100j OR LESS�. ISSUANCE: d '��
oI certity ihat in 1he D�omwvxe of tho vrak(a which th's permit s ssuetl.I stc�lll nol emptny any persati in anY manner so u to SM I P: � b
o become subjecl to ihe Wakers Compensaliw�Lews of Calitania.Mtl agree that if I shadd become subject tn the Warker's
u� Cappe�uation provisiors of Sectiai 3700 oi lhe La�or Code,I shall Iorthwith vnln tho� pmvivons. ENERGY PlC:
�u
J DATE: APPLICANT: ��•L`• N �?- ENERGY PERMIT:
� /y
� WARNING:FaiNre ro secure Workers Compensatlon coverage is un�awful,and shall suD�ect an empbyer to cnminal RETENTION FEE ��U
� penaNes and cWil tines up to one hundred thousand dollars($100,000�,In addition to the cost of Ne compensatlon,
a damages as provided 1or in section 3706 ot the labw code,interest,and attomey's tees. PRE-ALT FEE:
a CONSTRUCTION LENDING AGEHC7 BSAF� /� a�
w I hereby affum under penalry oi per�ury ihat ihere is a Construction Lending Agen�y for the perlom�ance af the work for
x whicD this permit is issued(Sec.3097,Gv.C.).
� 73
� LENDER'S NAME
� LENDER'SADDRESS:
a"�. I cadity Ifiat 1 have read Nis application and state mat Ne above informatlon is correct I agree to comply vntl�all city and TOTAI f EES
� counry ordinances and state laws relating to building construcGon,and hereby auttiorize representatives of this wunty to COMMENTS:
Z enter upon the above-menlioned properry tor Inspection purposes.
0
� ►'1't�..r 'r.� Sc� }�- �1- r-
m
¢ PERMfI"fEENAME(PRINn ^/ /� n
= SIGNATURE OF PEAMITTEE �ATE RECE4PT k � �� PA�D BY: C�I�/� VALIDATION:
�
WHITE—DepaAment Copy,YELLOW—Fnance Copy,PINK—Assessor Copy,GOLDENROD—Fle Gopy,GREEN—Applicant's Copy
CITY OF DIAMOND BAR
� lNSPECTION RECORD
• � � . � . . � e , . � .
SETBACK/LETT�ER `�;'�; �� _. � � ,`_ ���� � - ��� -��` �' TRACTAND LEDGER �
FOOTINGSfORMS �=:' , , ��:': - SWffCH GEAR
SLAB �� ��` .� "��- , � , ' � '� ;��� �� � '�" ��.;�� COMMERCIAL HOOD
UG:PL'UMBING''� � - `�'��' 7-BAR
UG:ELECTRICAL � - � ' � - ' INTERCEPTER
UFER;GROUND�„� � , , �' _ �� � � .F. HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECENED
SEWER CLEJINOUT DEMOUTION
ROOF SHEATHING +i t L ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUfi
SHEAR:WALLS`EXTERIOR r PQOUSPA _ �`�
:SHEARWALLS�INTERIOR ��+ ' ° ' '�',, _ ROUGH'PLUMBIN� _ � �'� �� ' <� �`
FRAMWGNENTING s; '� ��" � ��. ' ROUGH ELEGTRICAL a" � _ � =' =y � � � i
. ,r i y r � r a ,` � t.
ROUGH MECHANICAL � �',. + � � ` ��, , �� � ROUGH f�ECHANICAL� � � � +
ROUGH El-ECTRICAL Wf.'-)C( ) ,,�� ' -�`��i- ��� _ , 5; ._4 GAS`TEST��t a z r .�'��, s �, r ` • E '� `.
ROUGH PLUMBING _ PRE GUNITE '� , :=-: ` - ' ' _ - "°
_ " y;,. .. : _. � ., „ ., � -
INSULATION WALL POOL;PRE_DECK BON�ING '. + , � �t '-�
�
INSULATION CEILING ��''���P � �'���- - ', _ � "% ��
DRYWALL ,FENCE%,GATFJ ALARM _ ' ' ' � _ -` ` y�t -
tATH(PRE) FINALPOOL •' ' �'�
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�T( )2N0( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION `R0.`FRAMjNGPLANNINGARPROVAL �3 '-. h=
FINAL BUILDING T� , =7� ! II - � ;ROUGH FIRE APPROVAL ` ' � �` ' `
FINAL MECHANICAL '= ' ,: � � � � FINAL FIRE DEPARTMENT _ X _ �
; } `^ '�' i.,, �x 'FINAL P�l'AtdMIN6','; , �, - -�,>: z '?
FINAL'_ELECTRICAL ,,< < � „, � " _ _. '
r" ` �: 'FINAL ENGINEERING1,pW . r :; i � s�
FINAL'PLUMBI_NG �=� ��. � � .�� ��.
� _ ,�, ,� . ,v. �
>> . ,
�_ _ : ;. F
T.C:of OCCUPANCY ; - INAL COMMUNITY SERVICES ` _ ��
CERT:of OCCUPANCY,'��, ` :-k$ � - EINAL HF�ILTH DEPj ;„ -
� , ;� ,.
� °�INAI:INUUSTRIAL"1NASTE,��'� , �' `` , � � '�
COMMENTS: 7�iyfJy�- J�f pr�8� D� �DC��G bDO��� nOgdJ' �G��nf-�it�►Q.