HomeMy WebLinkAbout14-3968 ��, CITY OF DIAMOND BAR
} I I I i ' � DEPARTMENT OF COMMUNITY&DEVELOPM�NT SERVICES
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��I;;-: 21810 Copley Drivc,Diamond Bar,CA 91765 � PRESS
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, ,,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY
�1'9'"'�" BUILDING PERMITAPPLICATION
¢ JOB SITE ADDRESS APPLICATION DATE: �� 7� d'" f y P/Ck I
z APN LOT TRACT ISSUE DATE: `- 7^�� PERMITtt �L�- 6�
o OWNER �-�U (��� TYPE CONST. c�CCt��'C A � ���? CC GROUP: �I
N ADDRESS Z L �
� CITY �AWIOt» I�J�{� ZIP TEL. - � '37 ZONING SETBACKS
� APPLICANT TEL. 2(JI�7 ZS 7 FRONT RW ❑
o REAR ❑
a CONTR,4CTOR I��h�Q CO►�STQ V t�'l p V �;e U��L SIDE/SIDE STREET RW Q
o SIDE ❑
o� ADDRESS L�7 W � UL
oc GTY �uLllF�'GOv Z�p TEL.7� , `�'7(7L� PROPOSED USE
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o ARCH/ENG/DESIGNER
w
a ADDRESS
ri DWEL.UNITS k STORIES k BEDROOMS
� CITY ZIP TEL.
OwNER-BUItDEA DEp.ARATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
0 1 hereby attirm uMer penatty of perjury that I am exempl hom the Cantracta's State License Law lor the reason(s) SFR/ADD/REM
o Indicated below by the checkmark(s�,I have placed next to the applicable item(s)[Section 7037.5,Buslness and 9 �
Gara eJC rt
o Professions Cotle:My city or county that requires a permit to construct,alter,improve,demolish,m repair,any
w shuclure,prtw to i4s issuance,also requlres lhe applicant lor the pem�R to flle a signed sfatement that he or she � Pata/Deck
N Is licensed pursuant to the proHsions o1 the Contractor's State Llceme Law(Chapter 9)Commencing with Section w
� 7000 of DiWslon 3 of the Business and Protessioru Code]or that he or she is exempt hom Iicertsure and the basis fw � P���Spa
� the alleged ezemption.My vblation of Section 7031:5 by any applipnt ta a pertnit sup�ects the applicant to a civil penalty C7
� of rwt more than five hundretl dollars(3500). � Z Re-Roof
�
o (,I,as owner of the properry,or my employees with wages as ihelr sole campensation,will do(�all of or(J port(ons � Commercial
� ol the wwlc,and the structure fs not intended a ottered for sale(Seclbn 7044,Business and Professions Code:The m
� Contractnrs'State License Law does rwt appty to an ovmer of property who,through employees'or personal nttor[,builds
or improves the properry,prrnhled that ihe improvemerrts are not intendetl w ottered tor sale.fl however,the building or �
�� impmvement is sold within one year o1 completlon,ihe Owner-Bullder will have the burden of proving ttiat It was rrot buitt
w Improvetl for ihe purpose oi sale.).
o (�I,es owner of Ure property,am exclusNety contracting wfth Ilcensed Contractors to construct the proJect(SecHon
7044,Business an0 Professions Code:The CoMractors'State License Law dces rwt oppty to an awner of D�WQrtY Who Valuation: Adj.Area:
ybuildsorimprovesthereon,andwhocontrxtstortheproJectswithalicensetlContractorpursuan�rotneContractors'Srate QUANTITY DESCRIPTION FEE
x License Law.).
o (�I am exempt hom licensure under the Contractnr's State Ucense law for the lollowing reasort(5): �
� �
LL By my signature below I aclmowledge ihat,except tw my personal resldence fn which I mus[have resided lor at least me � � �-� � 1
o year prior to comqetlon oi the improvements covered by this permit,l cannot legalry selt a structure that I have built as an � �tl�� S �.
¢ owner-builder If It has irot been consWcted In ifs eNuery by licerrsed cantractors.l understarM ttiat a copy of the appliphte W
� law,Section 7044 ot ihe Business and Professlons Code is available upon request when ihls applicatlon is submitted or at
a the tollowin W 'e:http .leginto.ca.gov/calaw.html. co
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"-� DATE: I SIGN: m
O �
� uc�sen coNrnacron'S DECLARATION � 5�I�1L P�,,t��•.�wi g,V C
U I he2b a�rm uMer �I of n"
w Y pe ty perJury thal I am licensed untler provisions of Chapter 9(commencing with Sectiwi 7000) .
� of Division 3 of the Business antl Professions Code,and my I�e�e is In futl lorce and elfect.
� � — �
�
N LICENSF�LASS: Ll .NO.: z
Zo DATE: � - 1 CONTMCTOR: a w � �
a WORI�A'S COMPENSATION OECLARATION �
� I HFAEBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DEQJIRATIONS:
o I have arid will maintain a Certifipte ol Consent ro Self-tnsure ta Worker's Canpensation,as pmvided by CONSTRUCTION:
Sectinn 370D ot lhe La6or Code,tor Ihe pertormance of the work far which this permi�is issued, p�qN REVIEW�
� I have and will mainttin Worker's Compensatbn Insurance,as reqWretl by Settion 3700 of fhe Labor Code,fw ELECTRIC: f� v
Z ihe perlarmaxe of ihe work tor which this permit Is issued.My Worker's Compensation Insu2nce Carrier antl
¢ PoIi�yNumberare: PLUMBING: ��j�-
� CAARIER
MECHANICAL:
� POLICY NUMBER
INSPECTION FEE:
� (1}OS SECf10N NEED NOT�CQMPLEfEp fF 1}fr pERMR 5 F-0R ONE HU�RED DOLWSS�$1 p�OR LESS).
� I certify�hat in ihe perfmnance o(ihe wotk lor which Nis permit s FssueQ I shill not em ISSUANCE: ��.
o . PbY�YP�inanymannersoasto SMIP:
o becorne subject to the Nbrkerh Com ibr ol Califomla.Md agree Ihat if I slrould become subject in ihe Warker's
� ComP�a7�,�U oi Section 37 af N � d tth compty witn those wovisiora. ENERGY P/C:
�LL DATE: � LqpPUCa�rt � ENERGY PERMff:
� WARNING:Failure to secure Workers Compensatlon cmerage is unlawful,and shali sub�ect an employer to criminal ` n�
w penalties and civil fines up to one hundred Ihousand tlollars($100,000),in additlon to the cost of the compensation, RETENTION FEE: �� V�
o damages as provided ta in section 3708 0l the labor code,interest,and attomey's tees. PRE-ALT FEE:
a CONSTRUCTION LENDING AGENCY BSAF:
w I here�y affum under penalry of per�ury Ihat there is a ConsWclion Lending Agency fa the perlamance of the work lor �
� which this perml�is Issued(Sec.3097,CIv.CJ.
� LENDER'S NAME
� LENDER'SADORESS:
a I certify that I have read this application and state that the aDove informabon is conect I 2gree to compry with all city and TOTAL FEES
Z counry wdinances and siate laws relating to buiiding constructlon,and hereby authorize representatives of this county to COMMENTS:
p enter upon the above-menf properry fw i�pectlon purposes.
m 1 �.� t_
a M (PRl
� SIGNATURE OF PFAMfifEE DATE _I RECEIPT# '�Y!��/•� pAID BY:�J VALJDATION: !J-T.
WHRE—Department Copy,YELLOW—Finance Copy,PINK—Assessw Copy,GOIDENROD—Fle Copy,GREEN—ApplicanYs Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
. � � . � • - • � � o '
�SETBAGKC LETTER �'�, Y. :�" ` r .}": ': TRACT AND LEDGER
FOOTINGS.F•,ORMS , r - �';{ '',� " �r = :' SWITCH GEAR
SLAB;�`' .r. ��; t s , :� f.. ����� ,� � COMMERCIAL HOOD
UG::PLUMBING' , -', � _ � _ T-BAR
r. ,:�.,,
UG ELECTRICAL, �`'� ��'}'il' �,,!� �-"�;� INTERCEPTER
, ' , �` "r ": HOT MOP/SHOWERPAN
UFER�GROUND '' � . _ < � _ -
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECENED
SEWER CLEANOUT DEMOlITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ONOUIT
. H
R U
_ r;
SNEAR`WALLS=E�XTERIOR_ � ?, � " , POOUSPA� �� ' a�� ��'� ;
,.h� r � r ' ' ROUGH'PLUMBING� - � r �
SHEAR�WALLS.INTERIOR '� � �� ��� r � � �f � �
FRAMING,NEPITING �'� „ �� � �� - _ � �
, � - � ,�� ROUGH,ELECTRICAL�: � � � - �� ��- �
. .. ..� : . y � ..
ROUGfi MECHANICAL,�..;., ` ?�' ����'�` ' FiOUGH MECHANICAL �� w� � ; ' '`'-' � � n' =
ROUGH,ELECTRICAL W(,',=}C( ) �' - '�" ' GAS2TEST.,_ n� � t � }.
ROU�FI PLUMBING '�Y - �;�2,ta� , PEiE GUNITE � _ '�'1 - � ` �- r�t y �"
; , , , „ .°
:-.,. ., . _ > . , ..,. ,. , -
INSULATION WALL P_OOL PRE'�_DECK BONDING =� '�.s << �' � �� `= ��
P<-TRAP � ` � - _ �_
INSULATION CEILING s,�tr 4'`
ORYWALL 'FENCE!-GATE/AEARM ' '� r
IATH(PRE) FINAL POOL �` � �: �:s, + - � , ' .:' "„
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�T( )2ND( )LIFf
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIW SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION RO FRAMING PLANMNGAPPROVAI. � " `� , =-� 3 . � �
FINAL'BUILDING , � � � -. r' ` ' � •;" Y' '' '� ,: ROUGH FtRE ARPRQVAL - +:� '
4� �
FiNAL MEGHANICAL .��� �� � � � . �s ' � `" � � � FINAL�FIRE DEP�4RTMENT � ' ;, �°.
FINAL'ELECTRICAL E' y w ���; � r EINAL PL'ANtdING � - '� ' ; -� `�� r i�i 3 , +�
��'ti „� r ,� ,�i r � t,����� �F�INAL'ENGINEERING/PW �� ,�'
- �; � _ -
FINAL PLUMBING ''
;
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f ' 1 d
'' ' ` ' ,� '_ ,` � ,: '_. :`� � ;; `� fINAL'COMMUNITY SERVICES - , " k �=
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T.C:of OCCUPANCY_ �� � -� � � � �,
CERL of OCCUPANCY; :�,' .s. .z ,. -,r.F FINAL�HF�4LTH,DEPT , r r ° = ,} -� �
FINAL IP1DUStRIAL WAS'fE.-: ` '= ` �x:.-'":� `r' ' �.`�' �, {��"� k�
COMMENTS: