HomeMy WebLinkAbout14-3906 .,.e,,,.�;:'="�`�w_ C1TY OF DIAMOND BAR
f'! �IJ I I ' � DEPARTMENT OF COMMUNITY&DEVELOPMGNT SERVICES �
�.�jllf�i��-' 21810 Copley Drivc,Diamond Bar,CA 91765 RESS
� ,,,�� � (909)A39-7020 Fax:(909)861-3117 Building Inspection Hotline O09)839-7027 FIRMLY
�y''"'� BUILDING PERMITAPPLICAT[ON
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g �A� �/ APPLICATION DATE: � �� �i/I
w JOB SITE ADDRESS�.JUl�iV M ,` ISSUE DATE: 6/ �� PERMIT# ��,7D�_
z APN LOT TRACT 1
oOWNER � (P��iIN L��i IYPE CONST.•�/eM1BCAIZ�/ft CL� OCC GROUP:
� ADDRESS
� CITY ZIP TEL. ZONING F ONT KS RW ❑
� APPLICANT TEL. REAR ❑
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cn SIDE/SIDE STREET RW ❑
o CONTRACTOR �N ✓ � SIDE ❑
' � ADDRESS � N 1 A'—
i o CITY�/�,�I��(/J{'�IP 17 TEL.�Nv� •L�FjZ PROPOSED USE
o ARCH/ENG/DESIGNER
w
o ADDRESS
tt DWEL.UNITS #STORIES #BEDROOMS
z CITY ZIP TEL.
� DESCRIPTION SO.FT. FACTOR PSF AD.1.AREANALUATION
OWNER-BUILDEH DECLAFIATION
o �I hereby affirm uiMer penatty ot perjury that I am exempt irom the Contractor's State Licerae Lew for ttre reason(s) SFR/ADD/REM
�� p fntlicated betow by the checkmark�s�,I have placed next to the aDP��ble item(s)[Section 7031.5,Busfness and �rageJCarport
o Rofessions Code:My dty a county that requires a permlt to caneUucl,atter,tmprore,demolish,or repalr,any
�z strucNre,prior to its issuance,also�requires tha epplicaM fa tl�permit lo ftla a signed slatement that he or she � Patio/Deck
� � Is licensed pursuant to the provisions ol the Contractor's State License Law(Chapter 9)Commencing with Section w
� 7000 ot Uiviston 3 of the Business antl Professlons Code]or Ihat he or she is exempt hom licensure and the basis tor LL PooUSpa .
N the alleged exempfion.My viWation ot Section 7031.5 by any applicant Iw a pertnit subJecls Ne apDlicant fi a civil penalry Z Re-Roof �i
� of rrot more than frve hunUretl tlollars(3500).
s
o (�I,as owner af the proporty,a my employees wlth wages as ihelr sole compensatlon,will do(]all of or(,portlons � Commercial
� oi Ne work,antl the sWCNre is not intended a oflered for sale(Sectlon 7044,Busi�ress and Protessions Code:The �
� Contractors'State License Law does rrot appry to an awner of property who,through emptayees'or personal ettort,builds m
w or imprwes the property,provided that the improvements are rrot iMended or offered for sale.li however,the buBding or
� improvement is sold within one year of completlon,Ne Owner-Builaer will have the burden of proving tha[lt was not Auill
pw Imprrned tw ttie purpose of sale.).
U
� U I,as owner of the pmperry,am exGusivery contracllng with Ilcensed Cantractors ro construct the prqect(Section .
0 7044,Business and Professioris Code:The Contractors'Sble License Law does not appy ro an awner ot property wtro Valuation: Adj.Area:
z bui�ds a improves Uereon,snd wno contracts tor the projecls with a Ilcensed Cmitractor pursuant to the Coniracrors'Sete pUANTITY DESCRIPTION FEE
�
Y Licertse Law.).
o (_]I am exempt from Iice�uure under the ConUactor's State lJcense law for ihe foliowing reacon(s): �
� Q
�—` By my si ture below I acknowled e thal,exce t for m �
9� g p y persanal residence In which I must have tesided fw at least one �
o year prior to completion of the improvemenLs covered by this permil,l cannot tepalty sell a strucWre ihat I have bultt as an w
a owner-builder If it has nol been constructed in its entirery by Iicerrsed conhactors.I understantl that a copy of the appllcable
� law,SecCqn 7044 ot ihe Business and Professlons Cade b avallable upon request when tlds appffcation is submitled a al �
a the following Web stte:httpJ�wnti.leginfo.q.gov/plaw.html. �
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w DATE: SIGN: m
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~ IICENSED COMRACTON'S DECLAHATION �
� �
w I hereby afflrm under penalty of perjury ihat i am licensed under provision5 oi Chapter 9(commencing wflh Section 7000)
m of DiNsion 3 of the Business and Protessions Code,and my I�ense is tn full force aiM eftect.
� J
N ����r���, : c ���o ���. o.: a��63'� _
o DATE: 1V CONTRACTOR:�_G� � .
� WORNEH'S COMPENSATION DECWiATION g
� I HEREBY AFFIRM UNDER PENALTY OF PERJl1RY ONE OF hIE FOLLOWING DEqNWT10NS: ,
o I have ane will maintain a Certincate of Consent to Seu-tnsure tor Worker's Canpensation,as providetl by CONSTRUCTION:
� Sectlon 3700 0l the Labor Code,for Ihe pertormance of the wark fa which this permfl is issued. p�qN REVIEIN:
> I have a�will maintain WorkeYs Compensatim tnsurance,as required by Secfion 3700 of the Labor Code,for
z the performance of the v✓ork tor which this permit Is lssued.My Worker's CompensaUo�Inswance Cartier and ELECTRIC:
a PolicyNumberare: PLUMBING:
� CARRIER
� POLICYNUMBER MECHANICAL: � ,j"9, �
INSPECTION FEE:
� (THIS SECf10N NffD NDT BE CAMPLEIFD IFTHE PERMIT IS FOR pNE Fg1NDRE0 DOLLARS($10�OR LESS�. ISSUANCE ��..�
oI c�tify tliat In ihe pertwrt�ance of ihe wuk lor which ihis pertnit Is Issued,I sFnd rot emWuY�9 Pe���Y manner so az to
o beoome sibJect to the Waker's Compe�uation ta domia.Md a{pee Ihat fl I shaild become subject to the Worker's SMIP:
�u
J Compe 'on � ot Section 3700 oi ,�shal�� U`nJeh ' those provisiorrs. ENERGY P/C:
� oa�: nrPUcaerr: ENERGY PERMIT:
� WARNING:Failure to secure Worker's Compensation coveraga is unlawlul,and shall sub�ed an employer to criminal �n^
w penatlies and Gvil fines up to one hundred Nousartd dallars($100,000J,in additian to the cost m the compensauon, REfENTION FEE: V� •
o damages as prwided for in sectfon 3708 0l ihe labor code,interest,arM attomey's fees. PRE-ALT FEE:
a CONSTRUCTION LENDING AGENCY BSAF:
= I hereby�rm under penalty of perJury ihat there is a ConsVuction LerMing Agency tor the pertormance ai the work for
� which ihis permit is issued(Sec.3097,Gv.C.).
� LENDER'S NAME
� IENDEA'SADDRESS: �
a I certity Nat I have read this appliptlon and sfate that the above inPormation is cortecL I agree ro compry with all ary and TOTAL FEES
p� county ordinances and state haws relating to huilding constructlon,and hereby author¢e representatfves of this wunry to COMMENTS:
enter upon the above-mentianed property for inspection purpases.
�' LV Irl� N
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� PERM E INn � _ � �I���I�
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� SIG E OF PERMITTEE DATE RECEIPT q W � PAID BY:� I VALIDATION:
' WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—Applicant's Copy
CITY OF DIAMOIVD BAR
INSPECTION RECORD � ��. ��`
• � � � • ' • � ' � '
SETBAGK/'LETTEA `"r �� _ < TRACTAND LEDGER • '
i:�-N
FOOTINGS F,ORMS ;�� , - ti;;.. . , '; `'�_='%� SWffCH GEAR
�s�qg;,: ��� �`� � `� � xr " �� ' ��'� s` COMMERCIAL HOOD
`��� �' - ��`� "� T-BAR
UG:_P[UMBING:``_. �� � , - � . �` , �� o ' .
UG:ELECTRICAI `;� , �� ,�; ; P ,.."-=-' INTERCEPTER
UFERGROUND;�`; �`f � =``�. �' " ! � _ � _ >��, .._ �; „+' HOTMOP/SHOWERPAN.
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
-.�� - ° : � � - -
, ,_ _ r, � , __
,..
� ` P.dOL/SPA-..::
SHEAR WA6LS EXTERIOR;` �„ � , . ```` ` ,- -�
SHEAR WALLS=INTERIOR � ,1 , _< _ : 'ROUGH PLUMBING ' , ` � � r
_ . r .
FRAM�INGNENTING, x ,_ , ' � `� �..'. �,�... - � ` ROUGN ELEGTRICAL:; � '�i � `:�� � Yn 4}':i=
' i� ' ' •, ��,' -M , RO.UGH MECHANICAL' , `- - "�� ;,� '" � �s �`
ROUGH�MECHANICAL � � f 2 �
t'J I[�
ROUGH:ELECTRICAL W(,�)C( } � ��F � �'x � ` ` ��� ' ���' GA5 TEST�,�: '��� � � r � ,�'' a `
� I' F y; ` ` �� , PRE GUNITE, a;�� � y' .: .
ROUGH',PI�UMBING �<�,��;:, , �: �.. :, �,' �.,,. �, � �'w , ' '.
INSULATION WALL POOCPRE;DECK BONDING ,=� ��, �� . .,.., '`r : r :� ''`
,.� � i Y+�� � i
INSULATION CEILING P"�P � �` � "' '
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DRYWALL FENCE/-GATE/ALARNt z �.: 4`s
LATH(PR� FINAL';POOL ' -
�v. .,I e�' i- r,�'
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�T( )2"D( )L1FT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS MEfER RELEASE WALL FINAL
: � � _
SPECIAL INSPECTION RO`F13QMING PLANNINGAFPROVAL *x rt s r° i '_ v t }:
y> „ >l 7• :; i y, . . _ �.j i� t � i. � 1'� P f 2��
FINAL`'BUILDING r ' ' "�` ' ° , , � ' ROUGH�FIREAPPROVAL >
, , ,. �;.� ,,.,
�F1NAL-'MECHQNICAL ::�'� �` "�,, ; ' �� FINAL"FIRE DEPARTIVIENT �- " , �� ��� �� r, '
FINAL��ELECTRICAL �:;� � ��. �`' ' ° ��� FINAL PCANPIING '�;�r °. "�_ _ , � ��
FINAL�PLUMBIN6 �`',��' � �� _ '' ' � `_ �FIPIAL;ENGINEERING/PW . ' � �"�` ' " `
�T.C.of OCCUPANCY ."_ _ � FItdAL CUMMUNITY SERVICES L � <' -
',z 'FINAL.H,EALTH DEPT . ''' :r , ,, , ,; `� , r
CERT ofOCCUPANCY.,. � �:: _ �' ' �
FINAL`INDUSTRIAL':WASTE_ -" - �j' �-�.:`�` � -` }
COMMENTS: