HomeMy WebLinkAbout14-4797 __..�,s} ..........,..._ CITY OF DIAMOND BAR � ��
� �j DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � r
�- " 21810 Copley Drive,Diamond Bar,CA 91765 ���1�� PRESS
,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 !
�'�'�"� BUILDINGPERMITAPPLICATION FIRMLY
� � APPLICATION DATE: � V/�/�"�� P/C#
y JOB SITE ADDRESS r�l� ��/� j y� y� ,
z APN LOT TR T ISSUE DATE. � PERMIT#_ !
LOWNER � S' TYPE CONST. OCC GROUP:
;� ADDR SS ZONING SEfBACKS
� CITY � IP TEL. FRONT Ryy p
j APPLICANT TEL. REAR p
¢ CONTRACTOR t C'� SIDE/SIDE STREEf RW ❑
� SIDE �
� ADDRESS {p PROPOSED USE
= CITY ZIP��T�o`
� ARCH/ENG/DESIGNER -
y
� ADDRESS
� #DWEL.UNITS #STORIES #BEDROOMS
� CITY ZIP TEL.
OWNFA-BUILDEfi DECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION �
= I hereby aKrm under penalty of perjury that I am exempt from the Contractor's State lJcense Law for the reason(s) SFFVADD/REM I
� indicated below by the checkmark(s�,I have placed next to the applicable ttem(s)[Sectlon 7031.5,Business a� Garage/Carport
� Professlons Code:My city or couMy tliat requires a permR to coretruct,atter,Improve,demolish,or repalr,any
z structure,prlor to Its Issua�e,also requires the appllcaM for tice pertnit to Flle a sigired statement that he a she � Patio/Deck I
� Is Ilcensed pursua�rt to the provislons of the Contractor's State License Law((�apter 9)Commencing wlth Sectlon w
� 7000 of Dlvlsion 3 of tha Busirress and Professlons Code]or that he or she is exempt from licensu2 and the basis for � PooVSpa I�
� the alleged exemptlon.My violation of Sectlon 7031.5 by any applicant for a permit sub�ects the appllcaM to a clvll penalty C7 I
'n of not more than five hundred dollars(S500�. Z Re-Roof �
I
� U��es owner of the pmperty,or my employees with wages as thelr sole compensatlon,will do(J all of or(J portions � Commercial �
y of the vrork,and the structure is not Irrtended or offerad for sale(Section 7044,Business and Rotessions Code:The �
� Contractors'Sha�License Law does not apply to an owner of property who,thmugh employees'or personal eRort,builds m I
y or Improves the praperty,provided that the improvements are not Intended or offered for sale.If however,the building or I
� Improvemerrt Is sold withln one year of completion,the Owner-Builder will have the burUen of proving that It was not buitt
� or Improved for ihe purpose of sale.�. . , I
�
(1 I,as owner of Me property,am exclusively contracting with licensed Contractors to consWct the pro�ec[(Section Valuatlon: Ad Area: I
Z 7044,Business and Professions Code:The Corrt2cUors'State License Law daes not appty to an owner oi property who j.
� buildsorimprovesthereon,andwhocwitractsformeprojectswlthalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE
Y License Law.).
� (�I am exempt from licensure under the Cantractor's State License law tor the following reason(s): �
� I
1 By my signalure below I acknovAedge that,except for my personal residence in vfilch I must have resided for at least one � I
� year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have buitt as an w
owner-builder if it has not 6een constructed In Its enti2Ty by licensed contractors.I undersfand that a copy of the applicable
� law,Sectlon 7044 of the Business and Professions Code is available upon request when this application Is submitted or at I
i the following Web site:http/w�wi.leglrifo.ca.gov/calaw.html. = r r
= DATE: SIGN: m ti I
� I
— LICENSED CONTHACTOH'S OECLAFIATION �
a
y I hereby amrm under penalty of perjury that I am Ilcensed under provislons of Chapter 9(commencing wtth Section 7000) �(„( '�
� of Division 3 of ine Business and Professlons Code,and my license Is in full forc and effect. / � I
' n LICENSE CLASS: LIC.NO.: �'/ OC.../ � I
� DATE: CAN7AACTOR: x I
Z U
Q WOHI�R'S COMPENSATION DECLAHATION � I
y I HEAEBY AFHRM UNOER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: �
� I have end will mairitain a Certiflcate of Consent to Selt-Insure for Worker's Compensation,as prmided by CONSTRUCTION:
Section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. p�.,C,N REVIEW:
� �I have and will maintain Worker's Compensation Insurance,as requlred by Sectlon 3700 of the Labor Code,fw ELECTRIC:
� the performance o}the work for which this permit is issued.My Worker's CompensaUon Insurance Carrier and
Zd Polic,yNu e: PLUMBING: (�
� GwRIER ' � � N MECHANICAL: �
� POIJCY NUMBER �
INSPECTION FEE:
n (�HIS SECf10N NEED NOT BE COM I hIE PHiMf!IS FOR OME UN Dq1MS($10Q�OR LESS). ��
= I certiry that In the perhxmance of the wak for which this pertnit is issued,I shall not em I an ISSUANCE:_
poy ypersoninanymannersoasto SMIP:
� hemme subject lo the Worker's Compertsatlon Laws of Callfomia Md ag2e ttiat it I shald becam �' t lo Ne Worlcer's
� Compensation provi i ns Section 370D of ine Laba Code,I shall iwmwith compry wltti� e vi' s. ENERGY P/C:
y DATF��`Z�1`����"PLICANL / � ENERGY PERMIT:
YWARNING Failure to secure Worker's Compensation coverage Is unlawful,and shall subje n employer to cdminal RETENTION FEE: /!
y penaltles and dvil Mes up to one hundred thousand dollars($100,000),in addition b the cost of the compensatlon, ,�/
= damages as provided tor In section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE:
i CONSTpUCTION LENDING AGENCY BSAF:
y I hereby affirm under penalty of perjury that the2 Is a ConstrucUon Lending Agency for the perfurmance of ihe work for
� which this permit Is Issued(Sec.3097,CN.C.).
LENDER'S NAME:
� LENDER'SADDRESS: • ��/
s
i I certity that I have read this applicatlon and state that the above Intormation Is wvect I agree to comply with all city and TOTAL FEES
z counTy ordinances and state lavrs relating to building construction,and hereby authorize representatives of this county fi COMMENTS:
� enter upon the above-mentioned property f r Inspection purposes.
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¢ PERMITTFE E(PRINn �
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= SIGNAlURE OF PERMfTTEE DATE RECEIPT# PAID BY: �"7 VALIDATION:�-�
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
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,5ETBACIV LETTER � agy��m`e��� ���� � � TRACTAND LEDGER
�FOOTINGS`F,OR(VIS�,����_,,,, "� ��"� �.:.� .���.s:,.��� ''"+ SWITCH GEAR
;S� � ��,a . s��� ���� ��,A �� W �'�`�,"� �� CIAL HOOD
COMNIER
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�,UG�PL`UMBING �� e;�`� �, '� � �� .;
�UG�ELECTRICAL �, '� � � '`� �� �� M�. "'�'��� INTERCEPTER �
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,UFER GROUND� �' _„
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVEQ
SEWER CLFANOUT DEMOLITION
ROQF SHEATHING ROOF DRAINS
FLOOR SHEATHWG ROUGH CONDUIT
" $ �" �' �A ,�� �- � �� �P,,OOIJSPA� � s ` �f �� ��-�� � �, �� � � -� �
SHEAR�WALLS�EXTERIOR�T < ,, _ �� ,���� �
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SHFARWALLSINTERIOR' � ��° � x� � � �� �� ��� � ROUGH PLt1MBIN� � � � � �b� �� �� ��
`FRAMIh�GNENTfNG ,�, �_ ��� ,� ", �� `" �`� �° � ;� ROUGH EL€GTRICAL����,�� ���' �_��:� � � .��
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ROUGH MECHANICAL ��� ;��.� : � 3=�' ���� � � _
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�ROUGH ELECTI?1CAL�W('°�)��( 1� � �� �� ������ � '�;�'�`3 � � � , � ,� ��� � ����
�"' � GAS�T€�T ': � ����� �
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ROUGH PLUMBING��'��.' � '.� ,� .� --�=
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INSUlATION WALL POOL�PRE DECK B�NDIfJG ;� � � :�, ����� �� .s.� � ��, �,
INSULATION CEILING �P��R,.�! � ��''� "�""' ��' �:'�' � � ���� ��
DRYVVALL iFENCE�!`G;4TEI�ALARM�� °�� �������"� >., ���`�����;�'
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FINAL�P00 � � ` m
LATH(PRE) � �-� �� � ��' '�
LATH EXTERIOR WA��'�
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�( )2ND( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION RO FRAMlNG PLAtdNINGAPPR01(AL' „ '��� �`�� �����°�
FINAL�BUIWING��' "�'��°�� � ���� "'� � : ?��°�� � 'RO�JGH FIRE APAROVAI.� � ���'�y«� `��,��� � ��'".,�'
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�INAL M,6CHAPlICAL ,�__� ," � �`�,+� � �����'� '� � � �� FINAL FIRE DEPARTMENT� �� �� ���`�� �
FINAL`�ELECTRICA� '� '�n � �.� `�� � ��� �� FINAL�PLANNING .''�. � �,r �� � ,�,�� ��� ' ���:'��
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F�NAI EN�INEERINGI�PW ,�, �
E1NAi.�PLi.iM�iNG��� ,���: �- ;J y/�✓��� �w� �� � �� �� � � � ...,
LC.of OCCUPANCY�, � � � `'� .� � x�,� '� �.., � _ ' ,FiNAL'COMMUPiIT�YrSERViCES �� ��� `�
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;CERT.of OCCUPANCY`� ��;£����� `��.��'�� FfNAL HEALTH QEPT � , x .��_?�_Lr� � � ' ,� � �r
°FINALINpU$TRIAL"WASTE�'' M,� ,.� �,,.. '.�<, `�",�., �a�'.. ���� ��:
COMMENTS: