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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��`}'�'