HomeMy WebLinkAbout14-3907 (8) ; �
��,_'� C1TY OF DIAMOND BAR
; I I i ' DEPARTAIENT OF COMMUNITY&DEVELOPM�NT SERVICES
� ,��III i;: � ' 21810 Coplcy Drivc,Diamond Bar,cA 9i�fis � PRESS I
w,,,,� (909)839-7020 Fax: (�9)861-3117 Building Inspection Hotline(909)839-7027
'��`%�"'�" BUILDING PERMIT APYLICATION FIRMLY
� JOB SITE ADDRESS �S 9rr�,jr ' C.��. 0' APPLICATION DATE: � ��� ��/ P/C#
w ISSUE DATE: h`�a'y' d-D��PERMITtI �L,- �g O , I
a
z APN LOT � 1 T�CT
o OWNER ,W 1��1CUM tilL !7-0✓�.1Q TYPE CONST. OCC GROUP: I
J ADDRESS ZS 'MO/'�'1�P1_ L h O3'1. ZONING SEfBACKS �
� CITY 1'ht n � J�r ZIP TEL t�-�E� -�R .fS'I FRONT RW ❑
oAPPLICANT MC r'�-ne-ral w'^'�''*-C�5 TEL: . �3— � REAR ❑
N MeC-��ti��,i ����C,� LJ'Le..' SIDE/SIDESTREEi RW ❑
o CONTRACTOR SIDE ❑
� ADDRESS� � T Z.'L GW
/ /,� PROPOSED USE � �1 N<— ��j S-1,i rl!' H.J Ov S/)j� �L
oc CITY �DM_tJ s�.(.t ZIP � TEL. "!tia`~'�S� ��'1��`
o = 11-v tl F �` �n.S-1--l111 {h r.c,J 13��r�a.L —
o ARCH/ENG/DESIGNER Z-- 1�+Q,,Cj�,j' `CiftL �Ep/Lc{ N�+C- L3/�
o ADDRESS � ' �—�' �Q.��
#DWEL.UNITS #STORIES #BEDROOMS_
z CITY ZIP TEL.
� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
OWNER-BUILDEFI DECLAAATION
o I hereby amrm under penatty of perjury that I am exempt hom the Coniractor's Skte Lice�e Law lor the reason(s) SFR/ADD/FtEM
o fntlicated beiow by the checkmark(s),I have placed next to the aDD��ble item(s)�Section 70315,Buslness end Garage/Carport
o Protessions Code:My dty ar counry ihat requfres a permit to conshuct,aller,tmprove,demollsh,or repair,any
iz struclure,prior to Its issuance,also requires the applicant for the permit to file a signed statement that he or she � Patio/Deck
� is licensed pursuant to the provlslons of the Ca�rtraclor's State Ucerrse Law(Chapter 9)Commencing with Section W
� 7000 of Uivision 3 of ihe Business and Professions Code]or ihat he or she is exempt hom Iicertsure and the basis for LL P�VSpa
� the alleged exemption.Any viWation of Section 7Q31.5 by any applicant tar a permtt subjects the aDDlicant to a Civil penalty C�
� of not more than frve hundred dollars(5500). ZQ Re-Roof � �� �
¢
o (,I,as owner of the property,or my employees with wages as thelr sole comperttatlon,will tlo(,.J all of or(�portions � Commercial
� of the work,and the strucNre Is not intended a oftered lor sale(SecUon 7044,Business and Professbns Code:The �
� Contractors'State License Law does not a m
Z ppty ro an owner af property vfio,through employees'or personal eflort,builds
� or improves the property,provided ihat�he improvements are not Intended or offered tor sale.If however,ihe building or
� Improvement Is soltl wlthin one year ot canpleBon,the Owner-Builder will have the burden ot proving lliat tt wa5 rmt hultt
p or imprmed for ihe purpose of sale.).
0� (�I,as owner of the property,am�Gusively contracting with licensed Cantractors to canstruct the proJecl(Section
7044,Business and Protessions Code:me Contractors'Sfate License Law tices rrot appty to an owner ot property who Valuation: Adj.fVea:
Z builds a imprmes ihereon,and who conVacts for the projecis with a licensed Cantraclor pursuant to Ihe Contracmrs'State QUANTIIY DESCRIPTION FEE
cn
Y Lice�e Law.).
o U�am exempt hom Iicensure under ihe ConVactofs Siste LJcense law for tAe tollowing reason(s): �
� �
LL
Z By my signature below 1 acknowledge that,except for my personal reside�e in which I must have reslded tor at least one c~.�
o year prior to completlon of the fmprovements covered by this permit,l cannot legally sell a structure ihat I have buill as an �
Q owner-builder if tt has not been constructed in Its enttrety by licensed contractors.l understand ihat a copy of ihe applicable
� law,Section 7044 of the Business and Professions Code is available upon reQues[when tMs applicallon is su6mitletl w at
X the following Web sRe:httµAwnv.leginfo.ca.govlplaw.hLn�. Z
� DATE: SIGN: � ' �bSt- �k � �b, �
~ LICENSED COMAACTOH'S DECLAHATION �
� �
. w I hereby aftirtn untler penalty of perjury that I am licensed untler provisions of Chapter 9(commencing with Section 7000)
� ol Divislon 3 0l the Business and Protessions Code,and my license is in fWl force and ettecL
� G J
N LICENSE CLASS:� LIC.NO.: �� 11 D��O z .
oZ DATE:� "Z"7�--! '� CONTRACTOR:�',�-i-.G� GI� -4.,-�. �
a WORKQI'S COMPENSATION OECLARATION g
� I HFREBY AFFlRM UNDER PENALTY OF PERJURY ONE OF hiE FOLLOWING DECNRA110NS: �
¢ "�I have and will maintain a Certifinte ol Consent to Sett-Insure tor Warker's Compensation,as provided by CONSTRUCTION: ���
� Seclion 370D o1 the Labor Code,for Ihe pertormance al the wmk tor which this permil Is issuetl.
PLAN REVIEW:
> I have and will maintain Wwker's�ompensation Insu2nce,as requlred by Section 3700 0l the Labor Code,lor
Z the peAormance of the vrork fw which ihis permit is issued.My Worker's Compensatton Msurance Carrier and ELECTRIC:
a PolicyNumbe�rare: }� PLUMBING: ,�
� CARRIER ��]-TIAiT L Y'l/"✓..(;�
� POUCYNUMBFA MECHANICAL:
INSPECTION FEE:
� (T}flS SECTION NEED NOT BE COMPLETED IF THE PERMR IS FOR ONE HUNDRED DOLLAFiS(^y100)OR IESS�.
_ � ISSUANCE: '�/� Lf
o certify Ihat in the perlamance of the work fa wti�ch Ihis permit is issued,I shatl rot empby any person in arry my�rter sp as to Y�
� beoome s�bJect to ihe Workers Compe�tsatian Laws ol Califomia Md agree that if I shqdd becarne subject to ihe Worker's SM IP: / g
� Compensatim provisWns of Section 3700 of Ihe Lsba Code,I shall tatM+ilh compry wiN those provisionz. ENERGY P/C:
LL DATE: APPUCANC ENERGY PERMR:
� wARNING:Failure to secure worleers Compensation crnerage is uniawful,and shall subject an employer to criminal RETENTION FEE: ,,,L-�b
w penattles and civil lines up�o ooe hundred thousand dollars(5700,000),in atlditlon to the cost of t�e comperrsation,
o damages as provided tor in section 3708 ot the labor code,interest,and attomey's fees. PRE-ALT FEE:
a CONSTRUCTION LENDING AGENCY BSAF: �p�
w I hereby af(Irm under penalry o(perjury ihal Ihere is a Construction Lending Agenq fa ihe perlwmance ol Ne work lor
� which�his permit is issued(Sec.3097,Ci¢C.).
r. LENDER'S NAME
� LENDER'SADDRE55:
aI certify ihat I have read mis applipUon and state that ihe above infwmauon fs conecl I agree to compry with all ciry and TOTAL FEES
Z county ordinances and state laws relating to building consVuction,and hereby authodze representatives of Nis county to COMMENTS:
o enter upon the above-mentioned properry(or inspection purposes.
m �"'L(.� �F�'1�iYlt�� L, �i^kC.�b r.S' !wG.
a PERMRTEE NAME(PRINn �
�' �l�u �c�..�-c��i�� ��-�y ��/
�
� SIGNATURE OF PFAMITfEE DATE RECEIPT# / PA1D BY: '� VALIDATION: �
WHITE—Department Copy,YELLOW—Rnance Copy,PINK—Assessor Copy,GOLDENROD—Rle Copy,GREEN—ApplicanYs Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
. v e . • - • � � . � .
SETBACKI LETTER }`, , F ,�. �;.'� a^�- , TRACT AND LEDGER
FOOTINGSFORMS� � - ,;;�� - � � ' SWITCH GEAR
SL'AB" , ' " ' � " 7 '" ;:' COMMERCIAL HOOD
',� �:: ,- � T-BAR
'�UG:'PLUMBING>�` � �:,_ _„��
�UG;ELECTRICAL' � � ' `� ' - �_ INTERCEPTER
UFER GROUND�:; �� � �`� - ��� '� ��' `'- HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIClCESSPOOL
MAIN WATER�LINE . HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUfT
� �, i . Y �_,: : } a[1 �,
SHEAR WALLS EXfERIOR _ '.: r = ' r POOUSPA � ;, a� i �� '
SHEAR WALLS'�INTERIOR" `" :� ��`� � ' �� ' _`` � :ROUGN.PLU�MBING_ `"� ., �� ��� ����� � � r� - '� '
�FRAMINONENTING 4�'�- i ` � ��' " ' "��� �� RQUGH ELEGTRICAL ; s � - � � � ' �
ROUGFi°(VIECHANICAL � � -+ ` ' `' "+ ROUGH MEGHANICAL4 �� � �` �` c ; r` ''' "i'
�: ; . �� . �
" „ ; } ' ,
ROUGH ELECTRICAL W(,`)C( ..)' A � - , �` �
, F� 3 -
� °GAS TEST :� ' ' , ' ',� �F , ��,�.
�
ROUGH PLUMBING' � `- ,�` x P,RE GUNITE �x�: `'� `� '
INSULATION WALL POOL'PREDECK BONDING � ' � � ����-f �� ��
�, ; s .,� , ;
INSULATION CEIUNG P."rTRl1P ` � �` �`, - � `�,; ,;`' ' �� ` ° �i
DRYWALL FENCE/,;GATE/ALAfiM 7 -< �. �. �' a`'
LATH(PRE) ,FINAL POOL , ,�s: ., ,_; � .� 'v'�z -
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�T( )2N0( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC MEfER RELEASE WALL DRAIW SEAL
GAS METER RELEASE WALL FINAL _
SPECIAL INSPECTION RO FRAMING�PLAN�NNGF�PPROVAL + ' � � `� `
FINAL BUILDING . ��,`:l'-�; . ` `� �_` ROUGH FIRE APPROVAL `+'� � Y ` '
FINAC MECHANICAL ' _ �`' �r � FINAL FIRE DEPARTMENT ':i f � :' � � 'x �� r
}: � � F.INAL PCANNING ��
FINAL ELECTRICAL --� - `� ; , ��
'F.INAL PLUMBIN6 , EINAL ENGINEERING!PW �' � "' ` `rr
T.C.of OCCUPANCY_�", ` ?� � F1NAL CORAMUNIII'SERViCES� H'� '" �` r
CE�iT;of OCCUI'11NCY ; 3" , ,. �: k �' ` ' FINAI.HEALTH,DEPJ s � � �' s r �` { ,
FINAL-INOU5TRIAL WASTE` � J ��- =`' � ? 5 ,� : -
_ _ __ _ . ,.
COMMENTS: c���u �. no�e� a�.. c������rc `l��v��`}'�'