HomeMy WebLinkAbout14-4348✓ _ _ _. _ _ �
� '�':'��, C1TY OE DIAMOND BAR
( I I I i ' � DEPARTMENT OF COMMUNITY&DEVELOPMCNT SERVICES
�,�pll,�; " 21810 Coplcy Drivc,Diamond Bar,CA 91765 PRESS
V J ,,,�� (909)839-7020 ['ax: (909)861-3117 Building Inspection Hotline(909)839-7027 �
`�`"'"° - BUILDINGPEKMITAPPLICATION FIRMLY !I
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� J O APPLICATION DATE: �" ��`r�DI'y P/C#
w JOB SITE ADDRESS y 'n /� �/
z APN LOT TRACT ISSUE DATE: U ��' OV`% PERMIT# J�� y��!'
oOWNER TYPE CONST. � I'� 1� OCC GROUP:
� ADDRESS O� �
� CITY ZIP TEL. � ZaNING F ONTCKS RW ❑
o APPLICANT U TE ` ` � � 5
REAR ❑
¢ CONTRACTOR � �� SIDFJSIDE STREEi RW ❑
SIDE ❑
� ADDRES l- _ f � , � PROPOSED USE S
oc CITY ,//4(.��IP��TEL - c
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o ARCH/ENG/DESIGNER � �o
w .
o ADDRESS
ri DWEL.UNITS #STORIES k BEDROOMS
z CITY ZIP TEL.
a DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
� OWNFA-BUILDFA DECLAflATION
� I hereby afflrm undar penatly ot perjury Ihat I am exempt trom the ConVactor's State License Law tor the reason(s) SFR/ADD/REM
p intlicated betow by the checkmark�sJ,I have placed ne#to the apDlkable item(s)[Sectlon 7031b,Buslnass and Garage/Carport
o Professlo�Code:Nry city ar county that requires a permlt to construct,aRer,improve,demolisA,or repalr,any
Z structure,D�for to iGs issuance,atso requlres the applicant far the permlt to file a slgned statement thal lre or she (q Patio/Deck
� Is licensed pursuant to the provisions of the Cantractor'S State Llcense Law(Chapter 9)Commencing with Sectlon W
� 7000 of Uivislon 3 of the Business and Protesslom Code]or that he w she is exempt hom Ilcensure arid the basis fw LL P�USpa
� Me alleged exemption.Any violation ol Section 7031.5 by any apD���nt fw a permit suDjects the apD�����O a civB Denalty �
� ol rwt more than five hundred dollars(5500). Z R�Roof
�
o (,I,as awner of the pmperty,or my employees wlth wages as Nelr sole compensation,will do()all of or U porllons � Commercial
� of the w0�lc,and llte SWcN�¢i5 nOt i�tCnded Or Off¢red 10�sal¢(S¢C�iDn 7044,Bu5ine55 and Pr01¢55ion5 COd¢:ThB �
U m
z Contractors'State License Law dces not appty to an ovmer of property vfio,through empbyees'or personal ettort,hullds
w or tmprwes Ne property,provldetl that the Improvements are not intended or oftered lor sale.tf howevu,the building or
� improvement is sold withln one year of completion,the Ovmer-Builder will have the burden ot proving that it was not hultt
pw Improved for the purpose of sale.).
� I,as owner of the ro
r U p perty,am excluslvely convacting with Ilcensed Cantractors to construct the project(Section
� 7044,Business and Professions Code:The Contracrors'State License law tloes not appty to an ovmer ot properry wtw ValuatiOn: qdj,,qrga;
Z bullds a improves tnereon,and who contracts tm the projecls with a Ilcensetl Cbntracror pursuant to Ne Contrxmrs'Sta1e QUANTITY DESCRIPTION FEE
�
Y License LawJ.
o U I am exempt hom Ilcensure umler tha Contractnr's State Llcense law lor the following reason(s): �
� �
`i By my signature below I acknowledge that,except for my personal residence In which I must have reslded fw at least me c~.�
o year prior to completion of Ne imprmemenfs cmered by thts permit,l canrrot legally sell a shucture that I have bullt as an w
¢ owner-builder if It has not been conshucted In Its enCuety by licensed contractors.I understand that a copy of the eppllcaDle
¢ law,Sectbn 7044 of the Business and Professions Code is available apon request when thls appllcatlon Is submitted or at e
a Ne tollowing Web stte:http/www.leginto.ca.gov/calaw.html. � "
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w DATE: SIGN: m �
O �
~ LJCENSED CONTAACTOP'S DECLAHATION =
� a
w I hereby aKrm under penatty of perjury that I am licensed imder provisions ot Chapter 9(commencfng with Section 7000)
m of Division 3 of the Business antl Rafessions Code,and my liceine is in full force and etlecl.
_ / ��/
� LICENSE CLASS: � �b LIC.NO.: 2��7S ��O z
Z DATE: � � CANTRACTOR: �
Q WOHKEp'S COMPENSATION OECLAflATION �
� 1 HFAEBY AFFIRM UNDER PENALiY Of PERJURY ONE OF THE FOLLOWING DEGNWTIONS:
0 1 have and will maintaln a Certlflpte of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION:
Sectian 3700 of the Labor Code,tor Ihe pertormance ol Me wak fw which this permit Is issuetl. p�qN REVIEW:
� I have and will malntain Worker's Compensatlon liuurance,as requlretl hy Section 3700 oi fhe Labor Coda,for
Z the perfamance of the work fw which this permit is issued.My Worker's CompensaUon liuurance Carrier and ELECTRIC:
a Policy Numb�f�rer:� f PLUMBING:
� cNtRIEA / � n-PT�'� eJ-y rlG� MECHANICAL ..
� POLICYNUMBER�� �' '�L/ O �(,[�,S' INSPECTION FEE:
� (f}OS SECfION NEED NOT BE COMPLFfED IF THE PEf@AR IS f�i ONE HUNDRED DOUAFIS(§10q OR IFSSJ. �
ISSUANCE:
o I certily Ihat in tlie pertamarice o(the wnrk lor whicli t�is permit's issued,I shall irot employ any person in airy mamer so as to �
o hecane subJect to the Worker�CompensaGon Laws of Califania.Md egree Ihat if I stqWd become subject to the Worker's SMIP:
� Compensauon prwisbns of 3700 ot bor Cale,I sha�fpthwipi compry wi 1i4se provisiau ENERGY P/C:
� DATE:� PLICANT: �JtG-��I �n. .�4 td�/ A/
�C ENERGY PERMR:
� WARNING Fallure ro secure Worker's Compensafion cmerage is unlawlul,antl shall subject a empbyer to crfminal �
w penatUes and Gvll fines u0 to ono hundred thousand tlollars(3100,000),in addition to the cost ot the comperrsation, REfENTION FEE:
o damages as prmided fm in section 3706 01 the labor code,interes[,and attomey's tees. PRE-ALT FEE:
a CONSTRUCTION LENDING AGENCY BSAF:
w I hereby attlrm untler penalty of perjury Ihal there is a Construclion Lending Agen�y for Ihe perlormance of the work for
= which 1hls permit is issued(Sec.3097,Civ.C.).
� LENDER'S NAME
� LENDER'SADORESS: — � �
a I certlfy that I have read this application and state that the above Informabon is conecL I a rea m com TOTAL FEES
A pry with all dty and
� counry adlnances and shate laws relating to bullding constructlon,and ereby authorix representatives of this county to COMMENTS:
z
p enter upon the above-mentioned properry for inspection purposes.
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¢ PERMfTTEE (PRIN�
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� F SIGNATURE OF PERMI /:•' DATE RECEIPT k�_ pA1D BY:�VALIDATION:
i y
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—Applicant's Copy
CtTY OF DIAMOIVD BAR
INSPECTION RECORD
0 i + i ' • � � • � -
SET�BACK/LETTER_. ;� � � � ,�. ;' ` � `'� TRACT AND LEDGER
FOOTINGS F.,ORMS _ t.F�- �; , f�-� ���� SWITCH GEAR
SLAB, �. ��' � ,, .� :�' i�, �w:: COMMERCIALH00�
;UG'-PLUMBING � - "� _-� � z1 �' T-BAR
�UG.ELECTRlCAL � �` ` � -`` F 7, E � ''; >; INTERCEPTER
UFER GROUND., - [, ' `�� , �, ;'. , ' r� '� HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LJNE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
SHEAR WALES EXTERIOR ' ,' POOL%SPA -'" .r ` ' "` ` �
f% r. I
SHEAR WALLS 1NTERIOR �' 'RQUGH'PLUMBIN6 ��' ''� .�a
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FRAMINGNEiVI'ING z '� � �'`ti _i" FiOUGH�ELECTRICAL M,�, -' � .- 1~ ''` „ ;;X i .;k- -�, '' , ai-.;
ROUGH MECHANICAL,' '`_ � �, J: �RDUGHaMECHANIGAL ,r, . �tia�;,_ a �.f�,{��r,� ;,�'�;;
ROUGH ELEGTRICAL;NII )C(�'j ` `-' <. =_: .'`= , ;.'; � ,,;,, : `: GAS•TEST ` _r.. :'`�, t ,;:_ �„ L z -
ROUGH PLUMBING . ' '. ,`_ ,%" 'PRE`GUNITE .- : f ,� f �{ ;:,
INSULATION WALL POOL PRE DECK BONDING' � ,, . � '. �, i;�_
INSULATION CEILING P-TRAP.;- �;. - �;
ORYWALL FENCE/GATEJ Ai1iRM ," -� -
LATH(PR� FlNAL POOL ; b J ;- ' + ,,��.
y�.
LATH EXTERIDR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WAIL STEEL 1�T( )2ND( )L1FT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIW SEAL
GAS METER RELEASE WALL FINAL
SPECIALINSPECTION ;Rd.F�iAMING�FLFWMNGAPPROVAL ,:� �`� `-'; �.«f :,,`; V,. r;;�
FINALBUILDING - �.'� ;�-' '` ROUGH:FIREAPRROVAL -
FINAL MECHANICAL :' ``• ' �` ' � ' }`:., ;- FlNAL FIRE DEPARTMENT'.'. - :'" ;�, ��:
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�EINAL'.ELECTRICAL ` '` _ - :� ` , `FINALPLANNING':r ,'', �' •'1� ..,: ; �,� '.
FINAL PLUMBING - " _ , � ' ' �� .z,f; ,.. i ._ { r .
,, ..:- . . _ ., -
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- � . _ , ": FINAL'ENGINEERING/PW�.`�, _,. , ' :� .�. .
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_ � _ �" FINAG'CQMMUNI7Y SERVICES -
T.C�ofOCbUPANCY - - r - 4 �- __
CERT.Of OCCUPANCY.' - ' . ,,;,; ':r: _ FINAL'HEALTH DEPT ".x,� , r",': • � .`„`,�;? . �'
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FINAL=INDUSTRIAL WASiE� - "= ��F `' � � ^� s,'�;'�;
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COMMENTS:
4�4 ��, �';-
M�<<-- ; MINK
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