HomeMy WebLinkAbout11-1305 ---_- - -_. ��,�� � ..�',�'� ,_.,.. CITY OF DIAMOND BAR �= : ( r J�f'j/15/IS 1 . '� DEPARTMENT OF COMMUNIT`l'&DEV�ELOPMENT SERVICES �� _.� �_ _ - 21810 Copley Drive,Diamond Bar,CA 91765 PRESS � (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �'�''', BUILDING PERMIT APPLICATION s JOB SITE ADDRESS APPLICATION DATE: P/C# i ISSUE DATE: �/�/�'Fi�J PERMIT# �I� ��G� z APN LOT TRACT � OWNER D TYPE CONST. OCC GROUP: J, ADDRE ZONING SETBACKS J CITY ZIP c�/��TEL(.7I�I') �- —DZ1�2 FRONT RW ❑ � APPLICANT � TEL. REAR ❑ � ' SIDE/SIDE STREET RW ❑ � ¢ CONTRACTOR SIDE ❑ � � ADDRESS PROPOSED USE ��tPJ�I�t�� � �� � CITY ZIP TEL. ���a�� �J+n, QC �j�n � ARCH/ENG/DESIGNER y � ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. I ¢� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNEH-BUILDEH DECLAflATION I z SFR/ADD/REM = I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the r s) � indicated below by the checkmark(s),I have placed nezt to the applicable item(s)[Section 7031, mess and Garage/CarpoR I '� Professions Code:Any city or county that requires a permit to conshuct,alter,imprave,de sh,or repair,any z structure,prior to its issuance,also reQuires the applicant for the permit to file a sign temerrt that he or she � Patio/Deck I i is Ilcensed pursuant to the�provisions of the Contractor's Sfate License Law(Chap Commencing with Section w I � 7000 oT Oivision 3 of the Busin and Professians Code]or that he or she is e t from licensure and the basis for LL Pool/Spa � nthe alleged exemption.Any violation Section 7031.5 by any applicant for a pe subjects the applicant to a civil penalty Z Re-Roof I of not more than five hundred dollars( 0�. Y � I� (�I,as owner of the property,or my employ with wages as th ' le compensation,will do(,all of or(�portions � Commercial y of the work,and the structure is notintended o ered fo e(Section 7044,Business and Professions Code:The m � Z Contractors'State License Law does not apply to an ow f property who,through employees'or personal effort,builds � or improves the pmperty,provided that the improv nts are �ntended or offered for sale.If however,the building or I � improvement is sold within one year of com n,the Owner-Builde �I have the burden of proving that it was not built jor improved for the purpose of sale.�. I '� (,I,as owner of the prope exclusively contradi�g with licensed Con rs to consWct the project(Section Z 7044,Business and Pr ions Code:The Contracmrs'State License Law does no ply to an owner of property who ValuatiOn: Adj.Afea: I n buildsorimpro ereon,andwhocontractsiortheprojectswithalicensedContractor rsuanttotheContractors'State QUANTITY DESCRIPTfON FEE I Y Licens, I � (�I am exempt from licensure under the Contrac[or's State License law tor the following on(s): � I �i 2 1 By my signature below I acknowledge that,except for my personal residence in which I must have 'ded for at least one w I � year prior to completion of the improvements covered by this permit,l cannot legally sell a strudure tha av uilt as an w I owner-builder if it has not been constructed in its entirety hy licensed contractors.I undersTand that a copy o licable � law,Section 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/www.leginfo.ca.gov/calaw.html, z I = DATE: SIGN: � — LICENSED CONTNACTOH'S DECLAFIATION � I a y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) I � of Division 3 of the Business and Professions Code,and my license is in tull force and ettect. J I n � � LICENSE CLASS: LIC.NO.: Q I � DATE: CONTRACTOR: = I U ¢ WOHKER'S COMPENSATION DECLAl1ATI0N � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS' � ����� � I have a 'll maintain a Certificate of Consent to Self-Insure for Wo r's Compensation,as provided by CONSTRUCTION: � Section 3700 o bor Code,for the pertormance of the work fo ich this permit is issued. p�,qN REVIEW: > I have and will maintain r's Compensation Insuance,a uired 6y Section 3700 of the Labor Code,for ELECTRIC: � the pertormance of the work fo 'ch this permit is issu . y Worker's Compensation Insu2nce Carrier and ¢ PolicyNum6erare: PLUMBING: � CARRIER MECHANICAL: +1 � POLICYNUMBER INSPECTION FEE: I /I�� � (THIS SECIION NEED NOT BE CA IF1HE PfAMfT I ONE HUNDRFD DOLLPRS($100)OR LESS). ISSUANCE: � I:ertify ihat in the performance of rk for which ihis permit is issued,I s ot employ any person in any manner so as to . , � become subject to me Wo mpensation Laws of Califomia.Md agree that hould 6ecome subject to the Worker"s SMIP: � Compensation pro'' oi Section 3700 of the Labor Code,I shall foNnvith comply with rovisions. ENERGY P/C: i DA7E: � APPLICAN7: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: y penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, i damages as pmvided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTION LENDING AGENCY BSAF: y I hereby affirm under penalty of perjury that the2 is a Construction Lending Agen�y for the pertormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � IENDER'S NAME: ,s LENDER'SADDRESS: � � i I certify that I have read this application and state that me above information is correct.I agree to comply with all city and TOTAL FEES ' 1 L/ � county ordinances and state laws relating to 6uildin consWction,and hereb authorize re resentatives of this coun to P.• ' z 9 Y P ry COMMENTS: � enter upon the above-mentioned property for inspection purposes. J � � 1]] a PERMITTEE NAME(PRINT) � 1 r � a-?Dy� PAID BY:� = SIGNAlURE OF PERMITTEE DATE RECEIPT# ��/ 7 VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF D�AMO,ND BAR '� '� IIVSPECTl��N P•ECORD s o � � s - � • � . . � . ;5ETB�ACtU LETTER' �°�° , ,� � ; � ti � �$ ' � TRACTAND LEDGER FOOTINGS-�ORMS �` ` � - _' `°�; �" ," `; �`�� � � �_ ._ �� � _ � SWITCH GEAR � , .. � .- �. � , � � h� - . �, � ,� =s�' �. �� � � ` � � fl '� COMMERCIAL HOOD „_e ,_ ,UG.PL`iJMBlNG,�:�. , � .,� �_��. -, � , � � � � � T-BAR ,UG.ELEGTRICAL� ,��. ' � �� � � , INTERCEPTER ,. �UFER��ROIlND , ��- €, ��� °-' � ��: = �` � , � ` ' ��r �� HOT MOPISHOWERPAN � SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT , , �� _ . �v� . , . _ _� SHE1�R°WALLS EX�TERIOR��' ' � °� "�`�` ' " .'. �' �; ` �� �- � '' POOUSPA ' `� � -� 6SHEi4RWALLS INTERIOR�' � � „ ; ; A '� ROUGH PLUMBING � � .� . �,. . _. � .. ��,�, � r, e � � � ,_ .� � FRA(t!IfNGNENTING` ,"� � � ,� �� .� �� n � � ���ROUGH�ELECTRICAL �� �� �� �� �� � ° � �� _ � � �' �' ' �� � �� � � � �,. „�� _� ���� � �_-. 3 , , y RO�,GH A4EGHANICAL.��,� � ��� :. � �. � �� � �� � � ROUGH MECHANICAL ' � � � � � �� ` °' ,ROUGH E�EG7RICAL W(:��}C�( i���� � �: ,� . x �� � ��. <. °: �GAS TEST ' � . , , � � RO�UGFI�LU�161NG�. ���� , ,��� ���: ,� � � � � � .� � �� ,. PRE GUNITE , _ � � � : INSULATION WALL POOL PRE DECK BONDING a. � � � ° INSl1LATI0N CEILING P-TRAP � DRYWALL FENCE 7 GATE/AI1aRM ` � " IATH(PRE) � FINAL F�OL � � � LATH EXTERIOR I WALLS: x � � LATH INTERIOR WALL F�OTING/STEEL GAS TEST WALL STEEL 1 sT( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE ; WALL DRAIN/SEAL GAS METER RELEASE WALL fINAL SP�CIAL INSPEGTION ! R0.FRAMING PLANNINGAPPROVAL � � � � � ° _ FINAl,:BUILDING��,..:�� _ � � , ..��. _ „ ;� . P � � � , , ROUGH=FIREAPPROVAL . 9 � �. ��, _ � �. , �- FINAL�MECHtCN1CAl� ,u�A.� ,� � ����� • � � �� �FiNAI FIRE DEPAHTMENT � � �" � � ° ... F1�1;4L�ELECTEtICAL ��� ., ��,-� � `� .. . �.;�: .& »�,�,�..� � � "� ��° FINAL PLANNiNG� � �` � �� ��. _.� .���e, . , - a . <� �_ FINltL�PLf1M61N�� � ° `�� �� �'"'�`�" � � � � � . �` � �FINAL�NGINEERING/PW � � ��., � � � � � -� �T,C,`of;OCCUPANCY"�� �� `, � � " �, ,. � • ° � � FiNAL GOMMUNITY 56RVIGES �• � � - � � � � � � ,� � � � CERT�of QCCUPANCY ,�, ��� � � � , a � � , FlNAL NEALTH DEPT. ` � � � � FINAk.INQUSTRIAL WASTE g COMMENTS: � ' _' ` `_�,`_ CITY OF DIAMOND BAR V/�P� �� l` 1 � DEPARTMENT OF COMMUN;TY&DEVELOPMENT SERVICES �/L6/�� � 21825 Copley Drive,Diamond Bar,CA 91765 ' � (909)839-7020 Fax(909)861-3ll7 Building Inspection Hotline(909)839-702 PRESS �'H�' BUILDING PERMIT APPLICATION J� FIRMLY QJOBSITE —/�,� ���J��/� �„ DATE NUMBER /I30J # ¢ ADDRESS �/"/�Z .�f� , L`-�I('�, /Q( APPLICATION PERMIT p/C � ISSUE j TYPE �'.` OCC /'� APN L T TRACT DATE � 3 / CONS . •� C/�Y/���p (lTe/ p OWNER �L�L. G�� �� o ADDRESS �— ZONIN SETBA KS Z CITY ZIP TEL. FRONT qyy p � APPLICANT TEL. REAR p QSIDE/SIDE STREET AW ❑ a� CONTRACTOR < '17�5 C- '(�, SIDE p ADDRE S 7-C�>( t � CITY Y . ZIP ��75'LTEL 'c -- PROPOSED USE i� oARCH/ENG/ � z DESIGNER w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBV AFFIRM UNDER PENALTV OF PE0.IURV 7HAT I AIA EXEMPT FROM THE CONTRAC70RS LI� Gefe9B/CBfpOft � W CENSELAWFORTHEFOLLOWINGREASON(SEC.7031.SBUSINESSAN�PROFESSIONSCODE:ANYCITYOq (n U COUNTyWH�CHRE�UIRESAPERMITTOCONSTRUCT,ALtER.IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- W NRE,PRIOR TO ITS ISSUANCE,AL50 RE�UIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck � STATEMENT THAT HE OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF 7HE CONTRAC70R5 LI- � � CENSE UW(CHAP7ER D(CAMMENCING WI7H SEC710N 7000)OF DIVISION 3 OF 7HE BUSINESS AND PRO- POOUSp2 . Q FESSIONS CODE)OR THAT HE OR SHE IS EXEMPT THEFEFROM AND THE BASIS FOR 7HEALLEGED E7CEMP• (� V 710N.ANV VIOLATION OF SECTION 7031.5 BV ANV APPLICAN7 FOR A PERMIT SUBJECTS 7HE APPLICANT TO Z R0-ROOI �, A CIVIL VENALTY OF NO7 MORE THAN FIVE HUNDRED DOLURS(SSao).): Z �I,ASOWNEROFTHEPROPERTV,ORMVEMPLOYEESWITHWAGESASTHEIq50LECOMPENSA710N, � Commercia� WILL DO THE WORK,AN�THE STRUCTURE IS NOT IN7ENDED OR OFfEREO FOR SALE(SEC.70/1,BUSI� J � NESS AND VROFESSIONS CADE:THE CANTRACTORS LICENSE LAW DOES NOT APPLV 70 AN OWNER OF � PROPERTY WHO BUILOS OR IMPROVES THEREON,AND VAiO DOES SUCH WORK HIMSELF OR HERSELF OR wTHROUGH HIS OR HER ONM EMPLOYEES,PROVIDED THA7 SUCH IMPROVEMEN75 ARE NOT INTENDED OR m Q OFFEREDWRSALEIF,HOWEVERTNEBUILDINGORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE� Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR = IMPROVE FOR THE PURPOSE OF SALE). W ❑I,ASOWNEROFTHEPROPERTV,AME%CLUSIVELYCONTRACTINGWITHLICENSEDCANTRACTORS � TO CANS7RUC7 7HE PR0.1EC7(SEC,7ou,BUSINESS AND PROFESSIONS CODE:7HE CONTRACTORS LI� V01U2t1Of1 ADJ.AREA W CENSEUWDOESNOTAPPLY70ANOWNEROFAPROPER7VWHOBUIIDSORIMPROVES7HEREON,AND � NM1IOCONTRACTSFORSUCHPROJECTSWITHACONTFiACTOR(5)LICENSEDPURSUANTTOTHECANT{UC- QUANTITY� DESCRIPTION FEE Y TORS LICENSE LAW.). � O I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q ?j U LL DATE OWNEF H Z U �¢ LICENSED CONTRACTORS DECLARATION w 2 I HEREBY AFFIRM UNDER PENALTV OF PERJURV THA71 AM IICENSED UNDER 7FOVISIONS OF CHAPTEH � � Y(COMMENCING WITH SECTION 7000)OF DIVISION 3 0F THE BUSINESS AND PROFESSIONS CODE,AND Z � ��� AIY UCENSE IS IN FULL FORCE AND EFFECT. m � LICENSE CLASS ^� LIC.NO.��v`"'/f'/ � V DATE �< � CONTRACTOCR�—� d . W � WOFiKERS'COMPENSATION rt LARATION Q � U � I HEREBY AFFIRM UNDER PENALTY OF PE0.IURV ONE OF THE FOLLOWING DECLARATIONS: Z � I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' _ Z COMPENSATION,AS PROVIOED BY SECTION 3700 OF THE LABOR CODE,FOR THE PERFORMANCE U Q OF THE WORK FOR VJFiICH THIS 7EFMIT IS ISSUED. � F �I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION Q3700 OF THE LABOR CODE,FOR THE PERFOpMANCE OF THE WORK FOR WHICH THIS PERMIT IS ��`_f�� ISSUE�.MV WORKE�S,$'_c�APENSATION INSURpNCE CARRIERAND POLICV NUMBERARE: CONSTRUCTION lP —� /tl' T" �/ j CARRIER �7-t�6Lt /i[�i+.,vl PLAN REVIEW QPOUCV NUMBER � ���� .����_ ELECTRIC � (iHISSECiqNNE�NDTBE�METEDOFhIEPERMfTISFORONEHUPDREDDOLLApS(5100)ORLESS} PLUMBING W Z 1 CERTIFY THAT IN THE PERFORMANCE OF THE VlOHN FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL C� SHALL NOT EMPLOY ANV PERSON IN ANY MANNER 50 AS TO BECOME SU&IECT TO THE N WORKERS'COMPENSATION LAWS OP CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE = SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR / /O CADE,I SHALL FORTHWITH COMPLV WITH TH PROVISIONS. ISSUANCE L 0 � p DATE:�� qPPLICANT: SMIP _ W J WARNING:FAILURE TO SECURE WORKERS'C SATION COV E IS LAWFUL,AND SHALL BE ENERGY P/C � J � SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES P TO ONE HUNDRED THOUSAND ENERGY PERMIT DOLURS(5100.000�.IN ADOITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN J SECTION 3708 OF THE LABOR CODE,WTEREST,AND ATTORNEYS FEES. �� w RETENTION FEE: O CONSTRUCTION LENDING AGENCY pqp_q�❑. � I HEREBYAFFIRM UNDER PENALTV OF PERJURY THATTHERE IS ACONSTRUCTION LENDING AGENCY B �/ ` n- FOR THE PERFORMANCE OF THE WORN FOP WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.�. Z W � LENDER'S NAME F— LENDER'SADDRESS � / � TOTAL FEES � I CERTIFV THAT I HAVE fiEAD THIS AP7LICATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. w I AGREE TO COMPLV WITH ALL CIN AND COUNTY ORDINANCES AND STATE LAWS REUTING TO BUILDING � � CANSTPUCTION,AND HEREBV AUTHORRE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE � ABOVE-MENTIONED Pq07ERTV FOR INSPECTION PURPOSES. Z COMMENTS � �A�+'�� �!-�N� J � m PE{iMI77EE NAME T) / � C/) `�� ^/ � SIGNATURE ITTEE DATE � RECPT.NO. PAID BY VALIDATION WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy ' . > •� , .. - . . "'� ' • , ,,. :• =CET� �[� �V�61��6�1� �,�R .- . , � • . `__. : o , `. , � . �. •. � •'° @�95����f1�0�6�1 �IE�O�� � �_� �. �:, P : r � _ r .. � . � � �GC��C�G+�,��� o� ' ° ',O �o o�� � ,L„r-u�- ,� . - .�_ �. "� ._ , . �x.:. .,at°. .,. �;�.-.y� . I SET BACK FLOOR JOIST FTGS/FORMS/STEEL g�l(( FHA REQMTS I ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE ��'a„(p u FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID H'T. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM FRAMINGNENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWERlTUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK . LANDSCAPE/IRRIG. SEEP PIT/L.L. �N SITE IMPS. GAS AIR TEST FINAL ZONING FINALCONST. >0 �—�� � FIRE DEPT. FINAL FINAL HEATING l HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY o . � �� � .,,� '��,, COMMEfVTS -- SEPTIC TANK SIZE SEEP PIT/U SIZE ��� '��►� �i�,�,� �,. � �e � ��� ��'� � ' .�s> ' 'w.r"�:;,��,= ;,,y��� �,; fia; ..��, ;r