HomeMy WebLinkAbout14-4303 �`�;S',"''�..�___— C1TY Of'DIAMOND BAR � .
"'�f 1 I I i ' DEPARTIIENT OF COMMUNITY&DEVELOPMENT SERVICES
�;,� �lp�„i '_,�� ""��" 21810 Copley Drive,Diamond Bar,CA 91765 RESS ,
�, ,,,,�� (909)839-7020 �ax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 �� F�RMLY �
'''�"'=:� � BUILDING PERMIT APPLICATION
~ APPLICATION DATE: L1 1 ^ / / P/C#
� JOB SITE ADDRESS /y� �r �/� �,/ /ry �1
I a ISSUE DATE: 6 'J ��/�� PERMIT# �! ^y�v_I
i z APN LOT TRACT
o OWNER MA�� IwS�1Ca IYPE CONST. OCC GROUP:
y ADDRESS 23�33 CKdR�-A�E � ' ZONING SEfBACKS
y CITY�i �a�L ZIP�I �TEL. FRONT RW ❑
� APPLICANT TELq'SSE��'a I-I REAR ❑
Q CONTRACTOR NI�-L4�I S�C�VIC�S L^��`- SIDE/SIDESTREET RW ❑
SIDE ❑
oro ADDRESS 'L.O.3�a ARR�'' �11�GKIw�\'I
o� CITY� JCfLr� ZIP�TEL�I`�AZ-??.DZ PROPOSEDUSE
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o ARCH/ENG/DESIGNER
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o ADDRESS q DWEL.UNITS #STORIES #BEDROOMS
z CITY ZIP TEL.
� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
OWNEfl-BUILDEfl DECLAHATION
¢ 1 hereby aftirtn under penalty of perjury that I am exempt Irom the Contractnr's State license Law for the reason(5) SFR/ADD/REM
0
p indicated below by the checkmark(s�,1 have piaced next to the aDDlica6le item(s)[Section 7031.5,Business and Garage/Carport
w Professions Code:Any city ar county that requires a permit ta consUucR alter,improve,demolish,or repalr,any
zstructure,priar to ils issuance,also requires the apD��cant for the permit to file a signed statement ihat he or she � Patio/Deck
a is licensed pursuant ta the prorisions ot the CaMractor's State License Ww(Chapter 9)Commencing with Section w
� 7000 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for LL Pool/Spa
N the alleged exemption.Any violation of Section 7031.5 by any apD��cant tor a Dermit subjects the aDDlicant fi a civil penalty C7 . �
� of not more than five hundred dollars(5500). Q Re-Roof
o (]I,as owner of the property,or my employees with wages as their sole compensafion,will do(J all 01 or�1 poNons � Commercial
0 0l the work,and the structure is not intended or ottered for sale(Section 7044,Business and Professions Code:The m
z Contractors'Siate License Law does not apply to an owner of property who,thmugh employees'or personai ettort,builds _
w or improves the property,provided that ihe improvements are not irrtended or offered for sale.If however,ihe building or - - ��
� improvement is sold within one year oi comple6on,the Owner-Builder will have the burden of proving that it was not built �
p or improved for the purpose of sale.).
-
� U I,as owner ot the property,am exclusively contracting with licensed ConVactors to conshuct the project(Section �
z7044,.Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who Valuation: _
N builds or improves t�ereon,and who contracts for the projects wi[h a licensed Contractor pursuant to the Contraclors'State QUANTIIY � FEE
Y License Law.).
o U I am exempt(rom licensure under the ConUactor's State License law for the following reason(s): �
� ¢
LL By my signature below 1 acknowledge that,except for my personal residence in which I must have resided tor at least one W
o year prior to completion ni the improvements covered by this permit,l cannot legally sell a structure ihat I have built as an w
Qowner-builder if it has not been constmcted in its entirety by licensed wnhactors.I understand ihat a copy ot the applicable
� law,Section 7044 of t�e Business and Professions Code is available upon request when this application is submitled or at
X the tollowing Web site:httpNrmv.leginto.ca.govlcalaw.html. Z
o DATE: SIGN: � ,
�' LICENSED CONTRACTOR'S DECLAHATION �
� I hereby affirm untler penalry of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) �
w
m of Division 3 of the Business and Professions Code,and my license is in full farce and eflect. - J I � �
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� LICENSE C SS: C� Z-� LIC.N0: S� a� a 2��j 4"�
O DATE: �-s - i 4 CONTRACiOR: �,�,��„� _ �
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¢ . WOflNER'S COMPENSATION DECLARATION �
� 1 HEREBY AFFIRM UNDER PENAL7Y OF PERJURY ONE Of THE FOLLOWING DECLARATIONS:
oI have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION:
� Section 3700 ot the Labor Code,for the pertormance ot the work for which ihis permit is issued. p�,qN REVIEW:
� I have and will maintain Worker's Compensation Insurance,as repuiretl by Section 3700 of the Labor Code,for ELECTRIC:
� the pedortnance ot ihe work tor which this Dermit is issued.My Worker's Compensation Insurance Carrier antl
a Po�i�yNumberare: PLUMBING:
w CaRRIER OA� �� �� MECHANICAL �����/
� POLICYNUMBER_���23 �- � INSPECTION FEE:
(THIS SEC110N NEED NOT BE COMPLEfED IF 7HE PERMR LS FOR ONE HUNDRED DOLIARS(510�OR LESS). � a� ��
~ ISSUANCE: � •,� v i_
o I certiry thal in ihe peAormance M Oie vrork tor which ihis permit is issued,I shall not employ any person in any manner so as to
0
become subject to the Worker5 Compensation Laws of Calilornia.Mtl agree Ihat it I should become subjecl tn the Worker's SMIP:
J Compensalion��rwi�b�ns of Section 3700 ot the l��r Cale,Lshall loMwilh co�pl with t provisions. ENERGY P/C:
LL DATE: APPLICANT: �� y`�. � ENERGY PERMIT: /f
� WARNING:Failure to secure Worker's Compensation coverage is wlavAul,and shall an employer to criminal RETENTION FEE: � � .V
w penatties and civil fines up ro one hundred Nousand dollars($100,000),in addifion to the cosl of the compensation,
�- damages as provided tor in section 3708 ot the labor code,interest,and attomey's tees. PRE-ALT FEE:
0
a CONSTRUCTION LENDING AGENCY BSAF:
w 1 hereby alfirm under penalty of perjury that there is a Cons[ruction Lending Agency for the peAormance o1 the work for �
� which ihis permi�is issued(Sec.3097,Civ.C.�. �
� LENDER'S NAME
� LENDER'SADDRESS:
a I certiry ihat I have read this application and state ihat the above information is correct I agree to comply wi[h all ciry and TOTAL FEES
� counry ordinances and state laws relating tn building consWc6on,and hereby authorize representatives of this caunty to COMMENTS:
oenter upon the abave-mentioned properry for inspection purposes.
J
� �e M �
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a PERMI E E(PRI
N � -� - 14- lla'
�
= SI6NATURE M �ATE RECEIPT q_'�— PAID BY:� J F! VALIDATION:
H
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy
� CITY OF DIAMOND BAR
� INSPECTION RECORD , `
P
,
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� O � y s � • • � � � � � .
SETBACK/LETTER ; ::.. . ' - i . TRACTAND LEDGER
FOOTiNGS FORMS -� ' ." : :. _ � r .�'= :. .'. .` =.; SWITCH GEAR
SLAB�;, '` COMMERCIAL HOOD
'UG:PLUMBfNG ;: �' ."' ;: ' '` �^ � �=. z T-BAR ' .
UG.EtECTRICAL ' ' INTERCEPTER
UFER�GROUND �i __ . ' �' � `' ' HOT MOPISHOWERPAN �
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION �
ROOF SHEATHING ROOF DRAINS
fL00R SHEATHING ROUGH CONDUIT
_. _ . a
SHEAR;WALLS EXTERIOR. . ' . �, .:=� :; : •'? ` _�. PQOL/SPA`"� = � -; k ::° � _� ` �
,
SHEAR WALLS;iNTERIOR,., ' - - - ROUGH PLUMBIN�, ;_ _ :°,�,',� .-
FRAMWGNENTING „.'`::, � ' ROUGH ELEGTRICAL '�F - 1 ' �
,: , : . _
ROUGH MECHANICAL , � , , ;�; , ;;t ;� - ` .,, , -�, ROUGH'MECHANICAL;_ , :, �
ROUGH ELECTRICAL ;W(-')C( ).,;: _ "t S` GAS TEST '�� . ., ` xr
;_ _
ROUGHPLUMBING �;; ' . ; =� � '. � �� PREGUNITE;- `; " '�'
INSULATION WALI POOL PREDECK<BONDINGx '` `;�, S` r
INSUlATION CEI .�$� ,; P-TRAP - -
DRYWALL ��: FENCE/�GATE/At:�1RM '= ° ` �
LATH(PRE) . s � (�Q �1 ; FINAL POOLr , ;�: � ': _ -
LATH EXTERIOR ,._- WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1sr! 1'ZND� ����
i �
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL �
SPECIAL INSPECTION R0:FREIMWGPIANNINGAPPRQUAL t;.,
. _ . , -
FINAL$UILDING •_': ' .' _ �`•' -. ROUGH fIRE aPPROVAL. " ` ;
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FINAL��MECHANICAL„ `;:���� � � �� - ��
� � '`�� ,�z ��FINAUFIRE�DEPARTMEN,T,,,a; , . f :.
FINAG`ELECTRICAL ,. ;:; :; . :. ;' , :; �.;�, -° . - � FINALPLANNING :'<: . ' ' - -
FINALPLUMBING ',: � . FINAL ENGINEERINGI PW - - , � " �`� �:
T.C.of OCCUPANCY `- - FINAL COMMUNITY_$ERU(CES.
CERT:`of OCCUPANGY ;;, � � � " �� �. _
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�,���:. , ���� �, . :� . �� ,� „ >. .. .. ��� �:, FINAL HEALTH DEPT.� .. � n��:'�.
FINAL INDUSTRIAL WASTE�- ' 'k ` ' �
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