HomeMy WebLinkAbout14-4375 (8) t — -- I
-'��,,,��,'�'�,.�..� CITY OF DIAMOND BAR �
� I I { ' I DFPARTAIENT OF COMMUNITY&DEVELOPMENT SERVICES
��n�j n,- - 21810 Coplcy Drive,Dia�nond Bar,CA 91765 ESS
' ,,,,.�� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027
��'"'""� BU[LDING PERMITAPPLICATION FIRMLY
�= APPLICATION DATE: '� � � P/C#
� JOB SITE ADDRESS ISSUE DATE: it" '�`�7� �7 PERMIT# I—I" � /
z APN LOT TRACT —"—� ���
0
o OWNER NS TYPE CONST. OCC GROUP:
w
� ADDRESS �b7 O n-1
J CITY�IAMON� B�A;L ZI TEL.� ZONING SEfBACKS
� FRONT RW ❑
a APPLICANT �LYL TEL. S � REAR ❑
�
�1 �
� - SIDFJSIDE STREET RW ❑
Q CONTRACTOR Wi�✓�l►�S '�t M44�[� SIDE ❑
� g iL
� ADDRESS ^�� PROPOSED USE L1lL+� �OrL U1L� WLAI��
o CITY ���C'�1'Or+) ZIP v�TEL. — — �L� �� � I—
o ARCH/ENG/DESIGNER ^ (r�
w
z ADDRESS
0o ri DWEL.UNITS #STORIES #BEDROOMS ��
� CITY ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION
OWNEFI-BUILDER DECLAHATION
� I hereby amrm under penatty of perjury that I am enempt hom ihe Contractw's State License Law lor tlie reason(s) SFR/ADD/REM
� indicated betow by the checkmark�s�,I have placed nezt to the applicable item s SecUon 70315,Buslness and
o (1� Garage/Carpat
w Professions Code:My city or county that requires a permit to construct,alter,Improve,demolish,a repair,any
z strucNre,prior W ib issuance,also requires the applicaM for the Dermit to flle a signed statement Mat he or she � Patio/Deck
a Is Ikxnsed pursuant to Me provisions of ihe Co�rtraclors Sfate Ucense Law(Chapter 9)Commencing with Section w
� 7000 of Uivision 3 of the Business and Prolessio�a Cotle]or that he m she is ezemDt hom Ik;ensure and the basis for LL P���Pa
N the alleged exemption.Arty violation of Sectio�7031.5 by any applicant fw a permit subjects the apDlicani to a civil penalty Z Re-Roof
0 01 rwt mOf¢Uian�ive huntlretl tlollars(5500). Q
�]I,as owner ol Ne property,a my employees with wages as thefr sola compensation,will do(,all of or(J porUons � Commercial
� ol tlie work,and the strucNre is not intendetl or offered for sale(Sectlon 7044,Busfness and Professiwis Code:The m
� Contractors'State Llcense Law does imt appty ro an owner of property who,thmu�employees'or personal eflort,builds
w w improves the property,provided thal ihe improvemenis are rrot intended or offeretl lor sale.tl however,thc building or
� improvement is sold within one year o1 completion,the Owner-Bullder will have ihe burden of proving ihat it was not�uilt
por improved for ihe purpose of sale.). ` '
� I,as owner o1 the m e
zU p p rty,am exclusively conVacGng wiN Ifceiued Caniractors to construct the proJect(Section ValuatiOn:' � Adj.Afea:
7044,Business end Professions Code:The Coniractors'Stale License Law does rwt appty to an owner of property who
� builds a improves mereon,and who contrxts fm ihe projects with a licensetl Cantractor pursuant to me Comracmrs'State pUANTITY DESCRIPTION FEE
Y License Law.).
O U I am euempt hom licensure under the Contractor's State Lice�se law lor ihe Iollowing reason(s): �
� ¢
`i By my signature below I acknowledge that,ezcept for my personal residenco In which I must have resided for at least one � � -
o year prlor to completion of Ne improvemenfs covered by this pertnit,l cannot legally sell a structure ihat I have built as an � ,
� owner-builder If It has not been constructed In its entirery by licensed contractors.I unders4M that a copy of ihe applipble �
� law,Section 7044 of the Business and Professions Code is available upon request when this appliption is submitled ar a[
� ihe following Web stte:httµh»vw.leginfo.ca.gov/plaw.htrnl. Z
DATE: SIGN: m
O �
�' LICENSED CONTRACfOH'S DECIARATION � '
� I hereby affirm untler penalty of perJury ihal I am licensed under provisions ot Chapter 9(commencing wit�SecFron 7000) �
w
m of Division 3 of Ne Business and Prolessions Code,and my licertse is in tull force and effecl. J
y t10ENSE CLAS: �I 1 LIC.NO.: —1 O a�.O.Z.�� _
�� �/L � � a
o DATE: ' CONTRACTOR: {',rww+c�A)S � MON'�� _
� WORNER'S COMPENSATION DECIAflMION g
� I HEAEBY AFFlRM UNDER F'ENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS:
w p
oI have and will maintain a Certificate of Consent to Setl-Insure la Waker's Compensation,as provitled 6y CONSTRUCTION: ��7i _7
� Seclion 3700 of ihe Labor Code,for Ihe pertamance ot the work fw which this permit is issued. p�qN REVIEW:
> 1 have and will mainfain Worker's Compensatbn Insu2nce,as repWred by Secfion 3700 of the Labor Code,for ELECTRIC:
� ihe peAormance of ihe work tor which this permit is issued.My Wwker's Compensatlon Insurance Carrier antl
¢ Polic,yNumberare: PLUMBING:
� CaRRIER���1 '�'I��V� �'h�Q • MECHANICAL:
� POIJCYNUMBFR_N��IC.�DOSy �1^ O�+� INSPECTION FEE:
N (i}OS SC-CTION NffD N0T BE COMPLEfED IF THE PH1MfT IS FOA 6NE HUNDflED DOLLARS(510�OR LESS�.
� ISSUANCE:
0 I ceAi(y that in ihe peAormance ot ihe work for which Ihis permit's issuetl,I shall rot empby ury person in any manner so as to SM I P: Q�
o become subject to the Waker�s Comperxatbn Laws of Calitomia.Md agree�hat il I shaAd becarie s�bject to the Warker's l.3
� Compens�uon prov'sions ot Sec6on 3700 ot ihe Labor Cade,I shau tauwiith compy vrilh those provisias. EN ERGY P/C:
,J—y DATE: nrPUCarrr: ENERGY PERMIT:
� WARNING Failure ro secure Worker's CompensaGon coverage s unlawlW,and shall sWject an empbyer to criminal RETENTION FEE:
°� penatties and civil fines up to one hundred thousand dollars($100,000),in addilion to the cost ot ihe compensation, . , -
� damages as provided for in section 3708 of the labor codo,interest,and attomey's fees. PRE-ALT FEE:
0
d CONSTHUCTION LENDING AGENCY BSAF:
w I hereby alfirm under penalty of perjury�hat�here is a Construc�ion Lending Agert�y fm the perlormance o1 ihe work fm
3 which ihis permit is issued(Sec.3097,Civ.C.).
� LENDER'S NAME
� LENDER'SAD�RESS: / �
a I certify that I have read ihis aDPllrafion and state that the above information is cortecL I agree to compty with all city and TOTAL FEES
z counry ortlinances and state laws relating tn 6uilding conswction,and hereby aumorize representafires'of mis county ro COMMENTS:
9 enter upon the above-mentioned properry fa inspection pur
; 'T�LiZIL �'�
a E
�
N aD.f'91
� SIG RE OF PE pATE RECEIPT N PAID BY:�V LJDATION:
WHfTE—Depariment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fla Copy,GREEN—Applicant's Copy
CITY OF DIAMOND BAR ,___ ,,:'
INSPECTIOIV RECORD �'
o � � s - s � � - • -
,SETBQGK/LETTER, �, >_, „ ,�;�, �� TRACT AND IEDGER
F06TINGS FORMS k�,`: , ;5` ��; ., �` •.:' SWITCH GEAR
SLAB:�' - - 7 - COMMERCIAL HOOD
UG.PL'UMBING �. ` � ���' ' �' " ' `= T-BAR �
,UG.ELECTRICAL' - ' INTERCEPTER
`UFER��ROUND r�r 2�=�� � �';i ` . � ',�i; ��� HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
SHEAR WALLS EXTERIOR;%;, � � , - POOL/SPA;`; . - T �' _ �' ' -• <.'_:�a
SHEARWALLS INTERIOR.;' . ` e � ` ;;��, 'ROUGH PLUMBING. P; `, � ,:;,` ,•;;.u� ,�,:;. �f?y',,
�.= s�1e', ,� :`a`� - �ROUGtiELECTRiCAL�.� �.�-- �� .:<< _ `r�' ` .s_:�':�,�- '-�; �
FRAMINGNENTING _ _
ROUGH MECHANICAL,t. �=�'� _ <.�'- A ;::,: s. rs j' ;',r ROUGH M'ECHANICAL,:,, �' r :" �,.�, .�:,- _ ,t,..,i-„ , ;.:a. .. �.-�:, , F.,:.
ROUGH ELECTRIGAL W('"'l"C( )_ .,.' �� ''`r' GAS TEST '` "� y� °� t i,, ,.F::� "�
ROUGH'�PLUMBING - - '� ;"�� . PREGUNITE.', . . - , �,� ;,' _ -1� . G:='' -
INSULATION WAI.L Y , , POOL PRE;QECK BONDING �k,'' ` ��" ���`' " '`
� ��� ;af � �a� � � ��_ ,�
INSULATIONCEILING `P-TRAP., ;. `-�` ` :�% ,� �'�
DRYWALL FENCE,/GATE/A1.ARM ,:. .'_ '"r ;, .y - i ;' `
LATH(PRE) FINAL P00'L��` _ "� _ �>>. _ =�A' r,,-- -L -
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�T( )2"0( )LIFT
SCR,4TCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION R0;FRAMING�PU�JNING'APP,ROUAL ,' '` _- F` �'� � ' � �
x- ,
FINAL�BUILDING; � ->� '�-' 'ROUGH FIRE'APPROVAL ' �
FINAC MECHANIGAL .' ` `; ,� ..r , � '%'' `� FINAL FIRE:DEPARTMENT x..�;: ,� ' �: ,�� �
x �
FINAL'ELECTRICAL , , ' -`= FINALPL'AfdNIN6 ;'-� ' +� :.wv , -r� ';'
,� ' � �.,� x:;,.;
�,
, . ' �. r —
FINAC���PLUMBING .�.,� ' �,,��� � PlEERtNG/,P,W '�" ` � �� ':
� `�s, ���' FINAk ENGI, - -� _ ���
T.C:of"OCCUPANCY '�� - <. ''� , :'? `�, �FINAL COMMUNITY SER1110ESy �.- ' ` : °- `' '�-'
.�• _ -
CERT.;of OCCUPANCY ,,�; ,�,,';' ' �� -, 'FINAL HEALTH DEP.T.�, , :� r�' .. ::., a - � �
FINAL INDUSTHIAL;.INASTE� .=!� r� 1`•{x ' 'p �l'� �. .:`'T_�. ? � ,��
COMMENTS:
-- - -�� ------ ---- - ----- ---- -- -- -- - - -- ----- --- ---- --- - -- _ - - - - - - - - . _ _. _ _ i
,_ _
. �h . .
------------------�---- ----- - --- -- --
� , � - --- ;---- - ----- ,- - - ----- ----- ----- --- --;-- -- - -
. ,
--�-- -- �-- - ---- ------ -- - --- -- -- --- -- - - - ---,-- - -- -- --- - -
, J�C � � d o
-- -•-- -- - ---- -- -- - - - - - ._ -- - - - - - -- - ,X - -- _ __ v
'� ,. � �
-- --�-- --- --- �- - -- - � -- --- - - - - -- -- . _ _
- ; - -- - - - - -- - - - . _ o - - --- - -- O �- -_ __ , �� 3
x � ��.� � oQ �
-�---;-,-- ,_, .-- --,--- ------ ---���_-�- - - -- -� -� - - �. :-
----,-,-_-----_�-- -- .-- -_ - --_ -- --�- ---- -_ z -- --- . _ -- �► - _� -
------^-- - -- ---�- _ � � - --- --�-� � --- - -- -- --�, -�_� --
------ -- -- - -- ------ -- ---- -- -- ----- - -- - ---- -- - -�- ----- ----- -- - - --
� � �
----,- -;- --- ----, ---- --- - - ----- �,�---- ---
---------- t�- -------a ------._ ----- -- � - - --- ----------�-� - --
------- �`� ' ----- �- ------ = - - --- ----�_ -- -- --
�� -� � _�
------- o X -- � --- - — -_ --- --- -- — - ------- ------�=- �-. - - - -
------------�- - -�- -----�--------------- - ------ - ---.- -- - --
----- �— . _,_ � �------�---.��- - _��_T T -r-1�-----
——��----�---�—`-- -- ----—��-——-Tc�s� �, - —_�^—. _. ----- ---
—--— --—--�- ----- -_.}.-T. �-- ---- ---►i�,- - � - - - - -
— --�------- ----- --.� --- ----- -- - ---�� -,- ��T� - ---- -- ;
_� T'��''T
----—--.-- -- --- ---�,.=� -- --- - --- �- — -- ----; � - � o�--� -- � - - -
W
-�-�---- --- --��- ----------- .�- --- -- -- - �- -.- , �_�n- - - -- -- -
-T_-_------ '� -� � ---- -- - -� - -- -- --- � y
-_..r,--r---- - - - --- -
� �� --� - -- -
---�--------- ----- �- ---- ---- - -- - - - �-
-- -- --- - -- --
� - - - ---- --- -- -- -- - - - - -- -�
---�------- ---�----- ----------- - - -- - - - - - - ------- � - - - - - _
--- �
� -- - -- -- - -- --- --- - - -- � - - -- -
----- --�---�__--- ��- -- --- -- - -- ---�-- - -`-- -- - - - - - - -- - -- -
.
, - - - --
---------- - - `�--;�- � "- -- --- �- ------ -- -- -, -- -
---- - ---- --- - .. �� � - -.-- -- --- - �1--- -- - -�-
-, -Q �- -- - -- -- - - -- - - -- -- - --- --- -- - - - - - - --
-�---- - -�---- -- �x - ---- - -- - --- - - - - _
----�---�--- I -1�_ - -- - - - --- - - - - - - - -
---- - ------ -- - � T
- - -- -- - - -.
w - -- - - - �- . - - - - - -
- -- - - �
� ,
-�-----,---- -d0- --- --- - - -- -- --
--- - -- --- _ __- -
-- �---- ---- - --�-- --- -- -- -
- --- --- - -- �---- ---- --
�-.---- ----- --- -�-- --- _- -_ -- -- - -- '- -- ----- __-- -� - -- - ^- - . _ _ .._