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Home My WebLink About14-4512�- � . ,' �; `. ' � � �- ._..._... CITY OF DIAMOND BAR ' , ' '�''; ( i ; DEPARTMENT OF COMMUNITY&DEVELOPMENT 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 y� � � . � APPLICATION DATE: P/C# i JOB SITE ADDRESSY ISSUE DATE: ��/JD��'V�� PERMIT# I7 � 7f�� = APN LOT TRACT � OWNER TYPE CONST. �`��I �tu OCC GROUP: � � ADDRE`S � ZONING SETBACKS f, CITY ZIP�EL. a' 2� FRONT RW ❑ = APPLICANT TEL. REAR ❑ � /�� SIDE/SIDE STREET RW Q � CONTRACTOR �T� C.B'i'LS��rj1�,�7 /IV"L SIDE ❑ � ADDRESS • x CITY I TEL 2 _ PROPOSED USE `L\Or1 � i L , � ARCH/ENG/DESIGNER D �� z ADDRESS C . � � #DWEL.UNITS #STORIES #BEDROOMS z CITY -� J ZIP � TEL. d I � DESCRIPTION SQ.FC FACTOR PSF ADJ.AREANALUATION � � a OWNEH-BUILDEfl DECLAHATION 'r I hereby affirm under penalty of perjury that I am ezempt from the Contractor's State License Law for the reason(s) SFFUADD/REM i I L indicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and Garage/Carport � ProTessions Code:Any city or county that requires a permit to construct,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires 1he applicant for the permlt to file a signed sTatemeM that he or she � Patio/Deck I i Is licensed pursuant to the provisions of the Contractor's State License Law(Chapter 9)Cammencing with Section w � 70W of Division 3 of tlie Business and Professlons Code]or that he or she is ezempt from licensure and the basis for � Pool/Spa I I n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry C7 I ,s of not more than five hundred dollars($500). ZQ Re-Roof � U I,as owner of the property,ar my employees with wages as their sole compensation,will do(J all of or(,portions � Commercial I y of the work,and the structure is notintended or offered for sale(Section 7044,Business and Professions Code:The m I � Conhactors'STate License Law does not apply to an owner of property who,through employees'or personal ettort,builds I y or improves the property,provided that the improvements are not intended or offered for sale.lf however,the building ar I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built � or impmved for the purpase of sale.). � I '� I,as owner of the ro e am exclusivel contractin with licensed Contractors to construct the ro ect Seclion U p p�' Y 9 p � � Valuation: Ad Area: Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who 1• I � 'buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheContractors'State pUANTIIY DESCRIPTION FEE I Y License Law.�. � �jl am exempt from licensure under the Contractor's State License law for the lollowing reason(s): � I � � u � � I By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � I � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w I I owner-builder if it has not been constructed in its entirery by licensed contractors.I understand that a copy af the applicahle � � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I � � the following Web si http/vnvw.leginfo.ca.gov/calaw.html. ., ;��' "'— " c� � Z_ I = DATE: SIGN: �'��'� � m — LICENSED CONTflACTOH'S UECLAflATION � ` � ' 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 full torce and eftect. J I � Y1 a n LICENSE CLASS: f.'� LIC.NO.: ��O.� � � I z DATE:_�,9�� CONTRACTOR: � � I ¢ WOHI�H'S COMPENSATION DECLANATION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: I � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�,qN REVI EW: �� . a� i �I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for �. �� the performance of the work for which this permit is issu d.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumberare: � PLUMBING: � CARRIEA MECHANICAL: � PouCY NUMBER ' -- '� � INSPECTION FEE: � ' _ (THIS SECTION NEED NOT BE COMPLEfED IFTHE PHiMfT FOR ONE HUNDRm DOLLARS(5100)OR LESS�. ISSUANCE:_ p�� (�� I certify that in the perfortnance of the work for which this permd is issued,I shall nat employ any person in any manner so as lo � become subject to the Worker's Compensation Laws of Califomia.And agree mat if I should become subjed to the Worker's SMIP: JCompensation provisions of Section 3700 ot the labor Code,I shall forthwith comply with mose provisions. ENERGY P/C: i DATE: APPUCANT: ENERGY PERMIT: � WARNING:Failure tu secure Worker's Compensation coverage is unlawful,and shall subject an emplayer to criminal � bO ipenalties and civil fines up to one hundred thousand dollars($100,000),in addition to the wst of the compensation, RETENTION FEE:_ � damages as provided for in section 3708 of the labor code,interest,and attomey's tees. . PRE-ALT FEE: i CONSTflUCTION LENDING AGENCY BSAF: ' y I hereby affirm under penalty of perjury that the2 is a Construction Lending Agency for the peAormance of the work for = which this permit is issued(Sec.3097,Civ.C.�. � LENDER'S NAME: = LENDER'S ADORESS: TOTAL FEES Q i I certity that I have read this appliration and state that the above information is correct.l agree tu comply with all city and �', r ��{�_ � �0 a�,Q . Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this counTy to COMMENTS: � enter upon the ahove-mentioned property for inspection purposes. J � 'T] i � ' ¢ PERMITTEE NAME(PRINn .� / �o L � /v � � �+ = SIGNATURE OF PERMITfEE DATE RECEIPT# L� �� PAID BY: VALIDATION:__l�' WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy ,_ , � CITY OF DIAMOND BAR ' � - INSPECTION RECORD " t� r, � ` , ' ' .. . • � � � � • - � • , � . ao � SETBACK�°I_EfTER . 4 � � �. � �,. .. � _�, � ,�_� __ � � _, TRACTAND LEDGER , 'FOQTINGSyFORMS " ,�� °�: �. :. . .� � .� a � , SWITCH GEAR S(_qB�� °�� -��. ��_ � ��4� �,� � �' . .�. .�,..� COMMERCIAL HOOD ;11G`:FLilMBINGo�� ;', �°� � �� ;: �, .� s� � �:�. , , T-BAR ,1J��E6EC7H�GAl,� .��'�� ,,�� ,� � � INTERCEPTER UFER GROUND � �,' - �'��, ° � �e � �- �, �, HOT MOP/SHOWERPAN SEWER IATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPQRT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS � FLOOR SHEATHING ROUGH CON�UIT ' .�., , �' �- `� � W$ � � � POOUSPA � ' �5H�AR WALLS EXTERCOR �� " ` � � �, � . SHEARWALLSiNTERIOR , � � �, '` � �` '; � 'ROUGHPLUMBING , ;,. � e � � A :� _�. � �.., s � } FRAtdIIN�N�NTING� ,�� ;�� •-�� " � `. �'� „ " " '�ROUGH ELECTRICA� � � _ ; . , �: � � .�- � : �, ., ..: ROUGH(+ttEGHANICAL� "` � � " �� 'ROUGH MECHANIGAL � � � � _ r, . -� 'ROUGH ELECTRiCAL W( }�C(<�) � „ _� � , �, � '� � ` �� 'GAS TEST ° , � , � � -� - r . � � �RO.�1GH,,PLUM6lNG� ,_ � � � � � �� PRE�6UNITE� � � � INSULATION WALL POOL PRE DECK BONDING � INSULATION CEILING �P-T�P � � � ° � DRYWALL �f�ENCE l GATE/ALARM � � �' � LATN(PRE) FINAL POOL ° ` " LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1sT( )2Ye( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIALINSPECTION � RO.FRAMINGPIIWNINGAPPROUAL � � .: _ _ _ ,. _ .. €11�AL BUIIU(t�G �,°`� �,� � `� " .� ��t � �� _ � ROUGH FIRE APPROVAL FIN��MEGHANICAt � �� ` '�� ° � '� ej. � � FINAL FIRE DEPARTNiENT a � � _ m ,,��- FlN{iL ELEC� _ �,�` ' � . � TRICAL�.�� ,�� >, , _,_.,,, � e-, ,,;�''� ,�� FINAL�PLANNIN6 � w �.�. _� � � , _ � �FiNAL,PLUINBING; � � � � �" � `' �", ` � � FINAI:ENGINEERING/PW _ � ��:� ��- � � `°` "��' � �' � �' � � ��FINAL COMMUNITY SERVICES � � �7�G...of OCGUPANGY �°. �� ,� � � �.,�_,,,.� ._.. ,..��. .� -�;�� . w,�� , � �, . � FINAL HEALTH DEPL � CERT.ofOCG11PANCY _� - FINAL INDUSTRIAL WASTE � � �. COMMENTS: —_—.— --- -- --- � , � , . . , ' _-�+,''�':r',� CITY OF DIAMOND BAR � , ; `; C�i I I i ' if DEPARTMENT OF COMM(3NITY&DEV ELOPMENT SERVICES ��i�:, �' 21$10 Copiey Drive,Diamond 8ar,cA�j�� . PRESS � � {909)839-7Q20 Fax:{909}$61-3117 Building Inspectian Hotline(949)839-7427 F�R��.� c�„�.,,.,,,,.,;>, ��'�e"" BUILDING PERMIT APPLICATtON � � ' , APPLICATION DATE: '�/ s�a� �i�"�-. PJC# f'�_1 .�{-- 4�'a��'+ � .JOB SI7E ADDRESS �— �� y W ISSUE DATE:�1�1'�'�'�L_PERMIT# z APN LOT TRACT ' o nPE CaNST. OCC GROUP: i o OWNER� �Tb� �1 - � ADORESS � ZC7NING 5ETBACKS —' CITY ZIP TEL. i� � �TZ"I 7�� FRONT RW ❑ � . � APPLIGANT TEL. REAR ' � o � SIDE1StDE STREET RW C1 I Q CON7FiACTOR $��E � o� ADDRESS r PRt3POSEQ USE " � � �- o CITY IP � TEL. '�� / — , o ARCH/EN DESIGN R � • � � ��' G'� z ADDRESS � ' �1 pWEL.UNITS #STQRIES #BEDROOMS 0 �/ z C3TY ZIP. TE�. 1ts — �.3 Q owN€R-8UltDEA DEC�ARATION DESCRIPTION S(].FT. FACTOR PSF ADJ.AREANALUATION °C I hereby aMrm under penalry oi perjury that I am exempt hom the CqnhaCtoYs State L(cense Law fm ihe reason(s) Sf EM �� ,(= � � in�icate0 betaw by She checkmadc(s),i Dave R��ed neat fi the aDW��e item(s}[Section 70375,8usines5 a�M o GaragelCarport W Profeuions Code:Aoy ciry or counry that requires a permit M construct,alter,improve,demolish,or repalr,any , 0 z atructure,prinr ta its issuance,aisa rsqutres the applicaat far tize{�mrit to fite a signed statemcnt#hat he or she w PatiotDeck . � is licensed Dursuant to the pro�isions ot the CoMraclor's Sfate Licemse Law(Chapter 9)Commencing with Sectlon W , � 7�00 of Oivision 3 of the Business ami Professtans Cude]or ihat he a she is ezemDt trom ticensure and the basis for ti P��1Spa N the aileged exemption.Any violation of Section 7031.5 by any applicaM lor a Dermit subjects the appficant fi a civil penalty . � of not more than five hundred doti8rs{S5�}. Z Re-Rqot � o (�I,as ovmer oT the property,or my empioyees wilh wages as thelr sole compensation,will do O all of or(,)portions -� Commercial � of khe work,and the structure is not intended or oftered for saie(Sectlon 70dd,Business and Pratessions Code:The � � Cantrac[ors'State license Law does not apply to an owner af prnperiy wrio,through emplopees'or personal eBart,builds � w or improves tha property,provided ihat the�mprovements are not IMended or ofFered tw saie.B however,ihe buiiding or � improvament is soid within one year ot compteUoq tha�+rmet-Builder will Mave the burden of proving that if was�rot huitt � or improvetl fir the purpose o1 sale.). - � 0 U � {�t,as owner ei the prapesty,am exciusivety cnctractlng with iicensed Cantractots ta cnnstrvct tf�e pro}ect(Section Valuati4n: �"' Adj.AreO: 0 7044,Business and Prpiessipns Code:The Contractors'State Llaense Law daes not apply to an awnet of prpperty who z buiidsorimprovesthereon,andwhocontracisfortheprojectswitha8censedConiracSorpursuantiotheConhaciors'State Q�.IANTITY DE CRIPTION FEE � Y License Law.).�' . � o {}�am exempt from ticensure under llfe Canitacfir's State tiaense taw tof the 1altowMg reason(s}: � . � _ , Q LL By my signature beiow I acknowteAge that,except fa my personai residence in which I must have resided ior gt Ieast one � z year prior to completl4n�t 1he imprwaments wvereil by ihis permil,t qnnot legally seft a sWctttte that 4 have 4uilt as an -' . o `�' ¢ owner-bulltlerittthasnatbeenconstructedlnitseMiretybylicensedcontractors.iunderslandthatacopyottl�eappfipble � law,Seciien 7044 ot Ihe Business and Profess3ons Code!s availaEale upon repuest vfien this appliration is submitted or at � d the following Web sAe;htt�www.leginfo,ca.gov/calaw.htmf. z � � ca OATE: SI6N: � , � � LICENSED C4NTRACiDN'S DECIAHATION � � F. � � I hereby aflirm under penairy oi perjury that i am licensed under provisions oi Cfiapter 9(commencing witb Section 7000) � � w � of Division 3 nt ine Susiness amf Professians Code,and my licertse is in tuU forCe and etteot. � m a � U [� Q�� UCENSE CtASS: _UG.NO.: Q o DA7E: ��' ' CONTRACfOR: ' "�`„�) Z �,.(� W ¢ � � WOflt(ER'S COMPEHSAifON OECIAHATiON � � � i NERE6Y AFflRM U?JDER PENAtIY 4f PERJGRY 4HE Of T}fE f011OWlNG DECtARATiONS: �a ¢ I have antl wili maintaln a Cert�cate ot CAnsent to Self-Insure for Worker's Compensation,as pmvided hy C(7NS7RUCTION: '�'�+�.� • d'� � Sectian 3�00 ot the taDa Gode.far the periwmance o4 the wmk fm wtrich this permit is iss�ed. �PLAN REV�EW: �J �.. ?,� j I have and will maintain Worker's Compensation Insurance,as required by Seclipn 3700 M me Labor Code,fir ELECTRIC: f�� o ihe performance of the work trn which ihis permff is isS .,hty Worker's Compensatiqn insurance Cartier and - ¢ Palicy Number are: . ".,: ,�; ' P�UMBlNCi: � c� � CARRIEA � MECHANICAL: � w Z pot1GYNUMBER � INSPECT�ON FEE:. � ' � ' cs . ""' . ,. . � {iHIS SECfION NEE➢NQT BE COMR.E7ED IFTHE PERMJf IS ONE HUNDRED DOIWiS(S10Q)QR LESS}.� ISSUANGE:. � j •� � I cerliry thal in the perlomiance ol the work for which Ihis permR is issued,I shall rmt empWy any perscm in any manner so as to. . � ' " � � 6ecome sul�ect to ihe Waker's Compersat�t.aws ot Catitomia.And agree tnat if�stroum became subiect tn ttie Wrnseer's �SMIP: • . • p`� ' . • ' -/� � Compensation is' of Section 5700 of the I.abor Code,I�hall tprttm�com,p�with ihose provisiais. ENERGY P/C: �-1 • , q � . ' � LL DATE:� AFPIICJiFfT: '�-�'7��1.��, ENERGY PERM(T: � r'l'i.,+• '$� � WARNING: ailure o secure Workers CAmpensation coverage is unlawtul,and sha0 subject an employer to criminal RETENTION FEE:_ !Q�,.O W penatties��d civii fines up to one hundred tbousand doiiars(5100,000),in additlon to the caSt oi ihe comperr;ation, n- damages as provided for in.section 3709 of ihe lahor code,iMerest,and attrnney's tees. PRE-RLT FEE: a °C CON5TRUCTION LENOING AGENCY BSAF: �'�� d w 7 hereby a�rm under penaity M per�ury that ihere is a Construction tendng Agenq fm the pertorm2nce oi the work for = which ihis permit is issued(Sec.3U97,Civ.C.). � LENDER'S NAME: � IENDER'SADDflESS: f 1 � �S a I certify ihat I have read Shis apP4ication and state that the above inf�rmadon is conect.I agree ro eompty with a1t city and T�TAL FEES -4.']y� � counry ortlinances antl state Iaws relating N buiiding construction,and hereby autharize representatives ot this crounry ro COMMEN7S: oenfer upon the above-mentioned pmperiy for'nspection purEwses. ^ � J � _ `J�d� --y- / �y�. +�� PERMITTEE NAME(PRINTL • �� ---- I� /�l r� T� CrlG..�7��'�S �� . � � ,�.-�'"�-�----� __�t) 1 . � SIGNATURE OF PERMITTEE � DATE RECEIPT#_�,_„'"�,��__PAID BY: ✓ � � VAUQATlON: � WHITE—Departmen#Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—Fite Gopy,GREEN—ApplicanYs Copy � . • , � , ,, _ CITY OF a'IAlkllailVD B-AR ' � ,,''.`�. � INS�PECTION RECORD ' �� " � � � . s . . � � , . a . .:> �_ SETBEICKIQLETTER � ' "� ' 'k � ��`z" �F�''�'�� '��`t^ �t `�°��"�"riti 7�r � ' .+�+��`; TRACTANDLEDGER • _.. .,.,,,�..r.,,,, , <.�A Y�[�w'.......� �Sx.. sf.,p��t,� , y,��d � sr.. ....r,i ,.,,� .e„� ,ds„ FOOTINGS FORMS�;M� "�,�:��;,D'./� �±�..N,a=,'� .`�._k,.. `� x�;�;�`x�'�.��.'��z,.�': SWITCH GEAR � , .." N P ! :�3- h 1 ' Y^r \' � 14 .i� - . �' �� °� s'� �,�`°S�� '" �� "'` � 'rc��"��"�K��,P 4 �c COMMERCIAL HOOD .��8 ro_s�f ..�...f{�� r.,".'_.i...=�.iriE�.2�'r....x,x4A�i n.3".�c.ur, M,�.n..:t::r,Y�`�. .`'.+..)�.�!F.� i�''N,.eF^. t..,�f� �. ,UGs... . ... �x��tl��i�j i k��`��' ��x�,� �r .�-k��{mr�i2��t��4�`��Yy��r.�tr i .PLUMBlN�,w..�. W3,,��;, �_a:i�„ ,�5..._.a�,...;�e�;f�.�.,�z�,�.;� ��;t+,.r��>,�.x��;.�,o�., ,.2^,.?,t�c�� T-BAR UG:'ELECTRICAL i ti n��.,,4 � � Y s-r }�,� � Y;�,.G z 5 � 3�r a � ,, . .FM.< <,�x, '`:.o-�:�;�`3'�Y'�>�rrs�.'..'z°k�,�._'..rit?T �i!�'n� r� �tis;k��r INTERCEPTER UFEfi GRDUNR ' `t`.:�:.', F.',t �"�;.5 .�.1��V'f1"��'`�� `�N':�'A�+�.q>>,�,�R"I{°?'x d�,�'��rw s;i��A.��,4�t? HOT MOP/SHOWERPAN I SEWER LATERAL ' SEPTIC/CESSPOOL MAIN WATER LINE �� HERS REPORT RECENED SEWER CLEANOUT DEMOLITION •� ROOF SNEATHING ROOF DRAINS • FLOOR SHEATHING ROUGH CONDUIT :�.::>.�v . .� _.�,.r+w. � � ,..::�.! Rl 5P h .F 'k+ ' '!k'� A "! "::.:+ ..t�T'�C wii:�i. ��.��i '1�`�y��.�� :�.�t�x"4��?� 'FSR��.-'�'-/`r .r� � � �Y + .:... ,, � 1`� �� '�- -�; f� ., ..t��.{ '1�,..? ..� v.:Y'fr SHEAfl�WALLS..EXTEfiIOR _,ur.,�� ;Rt�ss�`�:�;�I+��;w;.�':a��a�r��,�a��.:�,�,u±a�'i�''+.•.:=�s�s.�m: :F'OOUSPA�.a',..`,�,:c�.l��";;t::kz�.,� w'��i:�,,{f,�``,�:J"�'�'�,��1��. ��<a,,..��,.s��,::.�t�x..��.:�; ..�::.,, :>„ � ._ �:;.Y �vU 1:��.�e�-tYlrNkrsl.'�k; "' .,r+5�. , �r,..,'.F .,�l�,i�T P. .�,.�.;: .-x'. vi r:_.�,�. r.. i .,^ t:::P. °�.-.�. � i��::.:; �: +� i� F� �;.. Nr �..,��j;. ito N °t t. v r s�°i ��4 J� �r�,�',' ,ROUGH PLUMBING��.�` `�' ,��.�r�v�°f�'� ,i+i`�'�f �r'�: � '�F �r �� *L�,, .i, wf�Arv�,��,�Q.� SHEAR WQLLS�;INTERID6 j u' 4 r a �„ �,r.:=:.��._.,,,,,r ._ _ ,...:.: _�.a»n�;,>.�n;�r, ..��..��.,,.,�;� �, r.,:::�t;u � ,4::, ,r t ,��, �. ....,.,. . , .....r.t4.m,.�r'��:. ] . .x.:,�.m.yr?..,..ki 7�.�.,.'�E.�i rrte}...t.�:�„r_cGvi�.�`..W ..._.... � ..,.., � � � ,..,:�:.. ..,. ,�-..., r.::;�i-r � eY 1 rc°tt; ?ti' {r '�Y` �.`'�, .t�;r�� r '' �4 �al'J-�'j4E� ,r �^.. ,. �::_�< �..:,i�ai" ,�y..`._t,s";� ✓� �n?i��- iTi34:�?�,.,r '�f.(``i� Yf '�' �3S�i ;FR/�IVIINGNENTING� �;3i,r � . ,• ,�.t �+� ,i �'��, ,,�M&,�n "� t� � ;,L; �ROUGH;ELEG��,TRICAL'��r , �' �'' s �,�+� r� r �l;�.r,� �r,� �",s�y ,'� „_.� .. ..... �.,,;.„�� .,.��e_�... .� �. ..'�.,,s,.� :�i�..-�.�d <_,.�h..:�?'�Ya. _ s_.t.�x�.f n�h.. ,. . . � ....� .:t�;�,�`��,'.'t'f k';ja?�.�',x, r.i. '�G_,�. �.�,�,::?3 ia - t�:a.rr a`3y�`�%� ;.'�'x �,�.<'�'s r �.{�;;r�ty,�+ t�.;� rr ¢; :(�j..i�-� <,,.'� �.r,�3�i*`�`7�f.:�:;�r4°v {k�-��h� �_+ h r�„� .� a i�;.`, ,� � � ROUGH MECHANICAL::��d. +�.��',.,,��v�fi� .. . . k�:.:hk ,�/ii.,�.� ��v��a�'.� �:�� " �Sk��.,� `..OU�iNiM�H/�Nlr;�sa�5s?t�.�;.r�S� * �:�..32?�'?�%..�,r f �..�.,_ _.L.,' ._x�,.1s.. �:,��a'..M�"r: ,�. ...,., `. . , ,. ,:,..i k / -�- '��' N .,.✓�' �, �Si",' �. "v a-� ��n 4�t _ ;,,. �•;..,.�y� , . . � . r. -; .. ,ROl1GH,ELECTRICAL W(� C-�� a' �. t�,. �.,� 4 , t �, �. ,r . GAS7EST` .�p;��r*x,Kr�,,��xr�; �,� ,5,f7�K,�,k,-1rn,�;,�:ti� � , ��„ r: EFz'r��'y . ...:,_....,,.. .... _1.,.�...,1��.,..i�.5. -N, �� -aT".�:: .n�+�.::�a/��,6�.�cti�f.`�Y ."u�,o;<I..Y:.�1! i..., , u.i,. .�,1r �;h._.t55.i.s4 „�.1�,..�9�ff.. ��1.!� ,r t.ir..: .7 .�i�,.,�. ,:1.;., �" �;�f� �x�-)..F�' trt r"' . r R�`�,;6ti� r4Ai4:v tr �_'�Jfk � f ..�. .. '^�*6'i�"5�{ +tx ^ G f,:.' 7 �.::A -:lt� � � r ��.�, „ ,. :,. ROLIGH PLUMBING,�_>„tn;,.,. ��: _ _F. . .,:, : .:,�x�yh.�__.,:�r4��, �, f�n..;�.�,n.,.� ,RH E�,! �;�' k. .f�{.,z.M :�,�r,.��:: ,..s,.�r:. ��.,.� .�.�,'Y �..,, ., . E GUNIT ,�'�; ,. . .F. ,,�. . , � _ �'., INSULATION WALL � 'POOL`PRE'DECK,BONDING Yz+�w7,�`,,�.�`u,R � ;y I.„ �r^x�Y � ,`;I ,. . `,t+. �, `'� " .{i�X�� ,r-�.d lLrvwip�r�'4�5'�' S �'�-��r'-4 bt��. r h � �� J r i �d ��-� ��-'' INSULATION CEILING ;P TRAP,�a ti, ,��},,3,f_;�3.��.n�,,,,r,,�r� y��a�.,,,..,' �k.� .� . 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FL�` y t �r:,h t r �e: �.s;�� t.��f+�.. M);".t�s„4,isF,..f �.ai � �'�,. ` t " -:��;i u� ..ki � �,1 �'��'-1:i d �:L� �1��{°� r a FIIVAL'MECFIANICAL��.;t _.r.,,,� i+<.� >.4 Hr ,�;4 � ,, � i q � FINAL FIRE DEPARTMENT,y r�r.��.;:<<�?;,��;,::�,� .y':�: ,�+i`,�..";�' .,*..s,,��F,t,Y;•r��:t ... ,.. .. ��:. ) } .:......Y.a.l.�.,�Y..� , 11.:'...:U�.t�..,�<n. ....... .:�.,. ..., .�:. ,. i5 "'.., i ,:� 7 �1'« 5 �..J T <��°� �.� �k��r=5i.- �� i:ir >,.::�.Grt r x.. ili :�fi�P a�- - 4 rt7 ri -! �l !��;. +..i �.r ¢ t'. Y. fi ,+ d 'f9i r i�� ''Y'xt��ilj4 ry i c Yv �j.: FINAL'EL�CTRICAL't. :; <. ,x. .�.,:r �5::. ., �y; ... i��.,;;�.,i. �"fi�..��:.;;i,..i�;< FI�IAL,PLA�INING?;:�� .�`4ti.,."4`,r.. ,_.,r;;`.'t^.n�4..�,��-�,* ,ar. i ;<�..s,.r��r�,�� :: ;.�. r�. � k ;,� �2, � -;�;,� ,�y �, _ ,�:;..::.._ �� ' IN , ["" 4�F�: r ?:;;:J� •,.,,,� a,r�a�:a,x��f�: r �i�"t',.G�k��'� +F�NAL'�ENGINEERINGIiPW�r..gt, � ; �r� r yr kt-� a,��R''�-. . �.�t s ,xo,;H± t,�4�r: : EINAL PLUMB. G, �.._.,,....,�ns. .,r� �.. ..... ,s..,...,;.. ,.. a,.._...,..,....r._AS'9_,_.;..._ _ ,�.._... _._.. _..... �._.�:�i.. :,,x,r �.�. t��t�v�� ,o.r,�,.,r��a�.�,.r.�:�,.r.r��{:.�ts ,.�, � ._ �, .i.y�.�..,._. �.sa�...�wv.r.n...�..... �.lv. Y ' l ��-: Y ,:ir"Av-ah : i.i+-� ... rrs�u r �an: F;�� +7 f 1 � � 'C .�i`� �'".� FINAL'COMMUNIT<1f SERVIGES f �i:=i � ` i,,�3+ix"t ; i.'�"�,� 4 "'�T,t�i��rr�¢: T C:-of UCCUPANCYt� ,�a � � ,,;, ��,��,,�� , t�r ,+ �r��.1 , �� 7i .��.,'� ;�nr .�. ; .g , iwp� �' x . ..� . ..,:e..� ,.�....,, � .. _'%!.,'��. :...�.i.` ..tr s�.e�.�*7..y�i;,,...r. _f �.: ......s..:.,,.._ ..,..... ,.�....... �.�a�.. ..,.#Vh _..tt...a9.t#y .k..�s;,d.l�:aruer�f£...,i'2.�*.h'...Lc�aa.. �,;.:,.,.: ..:-,.�.,. � .�.,...� � ,.�;i:Y t�¢r�.� r-i+i �x �.. :.r;;?. ^s,�kr��r,��: �.� �.,._;i..,. ....,.�..,; � ' . , �. �; � . .1 i� ,�-�.. , ; ,,:..,�K�r/�.r �t..�--:�.: '�"1�1�;,',��,f . C�'•br'��,f,�� . . j� .:. `<� _ !�'i.k,{:;?7}3's'�e,ti i..d��'.>x$,�? �_��j,d n"��;4y�%a ��i3,�\�" •�"�i'4 2,;: CERT,of,OGCUPAPlCY�,.7.�:9.�_a�.;r��,v.�.r�,�v�..,.r:�.;k,z;�?�r!,,,,fi� �f��t.��w�;�,��,�rf.,�C�x;;fi :fINALHEALTH,DEP�.T,(;3Y�.��,.,��+.�..,u�hf�K:�;-aY��. �,�,-�.�.��-;�?u'��.'_".�.�,�:�> „�r,.:kw;.�;�; .� " � � .F ��'i` ) '4kl}e f Y �1,+�T) ��Ss ! �:.tny �._ C .yT. FINAL INDUSTRIAL WASTEsxir�,�;?,.;'.N`.�.,.�� ..,,Er,�!.�». �`._��f�'u..a:��^� ..�t�...�ga�?�-.,.",..-� COMMEN�S: N � o ` -� � �-- �oar/� , c'' N r,� � �- — � `, ,: �,�c�c;�g�� <,.c CITY 4F' DIAMOND BAR �""`�� DEPARTMENT QF BUILDING AND SAFETY ��"'�"'��`�b��'��"'�� STRUGTURAL OBSERVAT#ON REPCIRT FORM � REPORT NO. 1 THIS REPORT INCLUDES ALL CONSTRUCTION WQRK THROUTH 10 DAY OF,23 ,2014 PROJECT ADDRESS: STRUCTRUAL OBSERVER STRUC.OBS.PHONE NO. 21�35 GLENBROOK DAVID LI i��)-�$$-'�� OWNER LIG.OR REGISTRATIQN NO. BUILDING PERMIT NO. C58075 LOCATION AND DATE OBSERVED STRUCTRUAL ELEMENTS AND THElR CONNECTIONS PORTfQNS QF BLDG. �i � PRESTRESSED CONCRETE SLABS ❑STEEL MOMENT-ORDINARY /.� ❑— �' ' ❑_ ❑— �'" ❑" ❑` ,,.�. __.. ❑" OBSERVED DEFIClENGIES: � �� – I DECLARE THAT THE FOLLOWING STATEMENTS ARE TRUE Tp THE BEST OF MY KNQWLEDGE ANC? BELIEF: t.i AM TNE REGISTEREQ ENGtNEER OR UGENSED ARCHITECT WHO HA8 RESPONSIBLE CHARGE FOR THE STRUCTURAI OBSERVATION 2.1,OR ANOTHER REGISTERED ENGlNEER QR LICENSED ARCHITECT WHO HAVE DESI6NATED AND IS UNDER MY RESPONSlBLE CHARGE,HAS PERFOftMED THE REQUlREQ SITE VISlTS AT EACH SlGNIFICANT CQNSTRUCTtON STAGE 70 VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH 7HE APPROVED PLANS ANd SPECIFICATIONS; ❑DEFICIENCIES CONTINUED 3.ALL DEFICIENCIES WHICH I DOCUMENTED HAVE BEEN CORRECTEO UN�ESS OTHERWISE INDICATEp ABOVE, Q�ATCACHED FQRM{B&S Zf>"I A} � 4.I UNDERSTAND THAT FINAL ACCEPTANCE OF THE STRUCTURAL SYSTEMS BY THE DEPARTMENT OF BULIDING ANp SA7ETY CANNOT OCCUR WITHOUT THE GORRECTION OF ALL OBSERVED DEFICIENCIES; 5.I AM RESPpNSIBLE FOR THE SUBMISSIQN OF THE ORIGINAL OF THIS REPORT TO THE DEPARTMENT OF BUILpING AND SAFETY, ��;tC��jl1A jq CIl'Y OF LOS ANC,ELES. � u��+ `F 6.I HAVE PRpVIDEp STRUCTURAL OBSERVATIpN AGCORDANCE WITH THE RE4UIREMENTS OF THE CITY OF LOS ANGELES. `��„��Q��NG<,/�G�� Q ,��,�� ^� � �' �, �'., �� a°r r., �`�,�,«� � � :�X��{�-�2��µ _ �� , � � �. � ,. �, �, � � � � �� p' �' � z �� ,�� ,�� ' � =�ti yH �rs� ' � '� � � � �� @ � � -� �\R' �SiGNEt�� `° �O� s� ; � 200 -� /�T ,�: �� ,�� - d �CA �� ,.r�, CN�G � �� '�Y�� t�AalalTji � Y � � ��_ � � :CtT`��, x �� § � '_9T��0 � � � '�,��v r�"°� � , � � s� � y� � , �£ � � !:�' ,. ��, M. -:�,.,��: �_� � � � :�� ,�� ' EXPIRE DATE:06/30/2008 � �� :�,«� � -� � � ' ��, � -�� WET�SiGNAT�UFtE�O�t REGiS"fEF�ED�C1U.(�OR�,STRWG�TC3�FtAL��NG,INEER�OR UC�NSED�RGH�TEG"�.�;�`; STAMP OF ENGINEER OR ARCHITECT STRUCTUf2A�C?BSERVATlON QOES NOT WAIVE ANY t�F THE REQUIREMENTS FOR BUILDING INSPECTIC}N BY AUTHC3RIZED EMPLOYEES OF THIS DEPARTMEN7 DISTRIBUTION:STRUCTURAL OBSERVER TO SEND ORIGINAL TO THE BUILDING INSPECTOR'S OFFICE,ATTACH THE FIRST COPY TO 7HE APPROVEp PLANS,AND KEEP SECOND COPY FOR STRUCTURAL OBSERVER'S RECORD AND DISTR�BUT�6NS.(88S 261 R.12/95) � �� , 1 � i , � , � � �" � .�. CIVIL ENGINEEF:ING � C � , LA$ MATERI[AL LABORATORY Department of Building and Safety City/County of: �uilding Permit No: j/r. � ��►z, SPECIAL INSPECTION REPORT Project Name and Address: �I �3� �r�6�o K.. p IZ-- oate: T��c�� , Client Name and Address: Time Arrived: �j�Q � 6� C.��tl S';� Time Departed: �1 l9 c� Time TraveL• Type of Inspection: ❑ Geotechnical Observation ❑ Masonry ❑ Fireproofing � Epoxy ❑ Batch Plant ❑ Reinforce Concrete ❑ Shotcrete ❑ Welding ❑ Others Description of Work Inspected: . �PQx��.��i�s•.o,v �; MI,o � � "' , � � Al `-z-- � ; •� 3 �� i, " ,fi �c��-r��t�--s�;6��' � '' �t��n �� r�c�l'�—��i�'►�,IA�c. t��n f�'S ��T(t�� 3�i1,��52 �o c�s G2c�,A- ,�i(Z �6t.Js�t ��-,—��P��s�,' �' S r I"1�S-o.,�s � ��gl� �� CERTIFICATE OF COMPLIANCE ,�GG 5�.�,y� ��p �� r' ?�1P:�3�� ti�� Po�,7a�3/D� Registered Deputy Inspector `�� { l� holder of Cer6ficate Number: states that the above work was inspected and it complies with the applicable provisions of the California Building Code. Signatu of Registered Deputy.Inspector Signature of Client Representative 2640 Walnut Ave. Unit "M" Tustin, CA 92780 Telephone: (800) 303-2365 Fax: (800) 755-4020 Visit us @ cemlabcorp.com � ' � `- .. ` � " _�-__:"�'`��, C1TY OF DIAMOND BAR ,�._= ; I c 'I I i ' ' DEPARTMENT OF COMMUNITY&DEVELOPM�NT SERVICES �`��t t�p„� �� <..� �� 21810 Copley Drive,Diamond Bar,CA 91765 pRE�� „ � (909)839-7020 �ax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ' `�'b"""'" BU.[LDING PERMIT APPLICATION � JOB SITE ADDRESS X �C��J L ,� APPLICATION DATE: 4I as /�� P/C# PR ��-34a q ', zo APN�l�'"��'"'DI� LOT��TRACT �3�.�� ISSUE DATE: �I �� I IL�pERMIT# P� ��-- �Jy'a�� o OWNER � _ TYPE CONST. OCC GROUP: w . � ADDRESS � RL�i'L . � CITY �� , ��_ZIP.`��TEL. ;7b � Z-�. � ZONING F ONTCKS RW ❑ � oAPPLICANT TEL. REAR ❑ } � SIDE/SIDE STREET RW ❑ o CONTRACTOR SIDE ❑ �o ADDRESS � CITY IP TEL r- � PROPOSED US O IG.. o - /fSl�Ei'_ ��I�.�SJ� `� .�,�["�'1 Q. o ARCH/ENG/DESIGN o ADDRESS f� � `�,� q DWEL.UNITS H STORIES #BE�ROOMS Q GI ZIP__��TEL. OGb`b��` 1.� � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATIUN OWNER-BUILDER DECLAflAiION o I hereby amrm under penalty of Derjury that I am exempt hom the Contractor's State License Law tor the reason(s) SFR/ADD/REM p indicated below by the checkmark(s),I have placed next to the aDD�ica6le item(s)[Section 7031.5,Besiness and GarageJCarport o Professions Code:Any city or county that requires a permit to consUuct,alter,improve,demolish,or repair,any w structure,prior io its issuance,also requires the applicam for the permit to file a signed statement that he or she � Patio/Deck � is licensed pursuant to the provisions af the Contrador's Sfate License Law(Chapter9)Commencing with Section W � 70D0 of Uivision 3 of the Business and Prolessions Codej or that he or she is exempt from Iicensure and the basis tor u. Pool/Spa � the alleged exempfion.Any violation of Sectlon 7031.5 by any apD��caM for a permd suDjects the applicant to a civil penaity � ot not more than tive hundred dollars(5500). Q Re-Roof o (�I,as owner of the property,or my employees with wages as their sole compensation,will do(_,)all of or(,partions � Commercial � of ihe work,and the struclure is not inten0ed or offered 1or sale(Sectlon 7044,Business and Protessions Code:The m w - � Contracmrs'State License Law does not apply to an owner of property who,through employees'or personal effort,builds Q�j�7�. � or improves the property,provided that the improvements are not intended or ottered tor sale.If however,the building or � improvement is sold within one year ot completion,the Owner-Builder wili have Ne burden M proving that it was not built p or imprmed for the purpose of sale.). � I,as owner o1 the ro e y g p � ( � u p p rty,am exclusivel contractin with licensed ConVactors to construct the ro'ect Section ValuatiOry(� � �r�� Ad Area: Z 7044,Business and Professions Code:The Contractors'Stale License Law does not apply ro an awner of property who � i L � buildsorimprovesmereon,andwhocontracisfortheprojectswithalicensedConhactorpursuanitotheContracrors'State QUANTIII' DE CRIPTION FEE Y License Law.). / '� o U�am exempt from licensure under the Contractnr's State License law for the followin9 reason(s): a �� r'.eees ZBy my signature below I acknowledge that,except for my personal residence in which I must have residetl for at least ane w � ' o year prior to completion oi the improvements covered by this pertnit,l cannot legally sell a shucture that I have built as an w a owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy otthe applicable � ¢ law,Section 7044 of the Business and Professions Code is available upon request when this apD��ion is submitted or at wthe following Web site:http7�wnv.leginio.ca.gov/calaw.html. Z o DATE: SIGN: � � LICENSED CONTHACTOfl'S UECLARATION � w I hereby aBirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � . m of Division 3 ot the Business and Professions Code,and my license is in full force and eflect. J � � n q � LICENSE C1AS : LIC.NO.: / � I z o ATE: 22 1 COMRACTOR: `''�� -1 = � WORI(Ep'S COMPENSATION DECIARATION ��--_ "' � � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONF OF THE FOLLOWING OECLARATIONS: oI have and will maintain a Cert�rate of Consent to Setl-Insure lor Worker's Compensation,as provided 6y CONSTRUCTION: a�S(e Sp � Seclian 3700 of the Labor Code,for the performance of the wurk far which this permit is issued. p�,qN REVIEW: O1�8•O�J > i have and will maintain WorkePs Compensation Insurance,as repuired by Section 3�00 0l the Labor Code,for Z ihe peAormance oi the work tor which this Dermit is issued. y WorkePs Compensation Insurance Carrier antl ELECTRIC: _ �,. (> � a PolicyNumberare: � PLUMBING: � CARRIER li - � X, POLiCVNUMBER -� _ � MECHANICAL: ' INSPECTION FEE: � (THIS SLC110N NEED NOT BE COMPLEfEOIF THE PERMfT IS R ONE fNNDRED DOLLpRS($100)OR LESS). ISSUANCE: `�p. 41}_ o I certify thal in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to o become subject to the Worker's Compensalion Laws ol California.Mtl agree ihat if I should b�r,orne subject to ihe Worker's SM IP: _ 1, a� J Compensation provisians o1 Section 3700 ot ihe Labor Code,I shall IalhwAh comply with those pmvisions. EN ERGY P/C: ,J-1 DATE: APPLICAN7: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation cmerage is unlawful,and shall subject an employer to criminal a,e � � w penatties and civil fines up to ane hundred Mousand dollars($100,000),in addi0on to the cost af the compensation, RETENTION FEE: o damages as provided for in section 3708 ot the labor code,interest,and attomey's fees. PRE-ALT FEE: � a CONSTRUCTIONLENDINGAGENCY BSAF: 1, � w I hereby aKrm under penalry o(perjury ihal there is a ConsVuction lending Agen�y 1or the peAormance of the work tor = whicb this permit is issued(Sec.3097,Civ.C.�. � LENDER'S NAME: � LENDER'SADDRESS: � d 1 certiy that 1 have read this application and state that ihe above intormadon is crortect I agree tu comply with all city and TOTAL FEES �18 ,03 � county ordinances and state laws relatlng N building consVuction,and hereby authorize representatives of tliis caunty to COMMENTS: z p enter upon the abave-mentia`d properry fal inspection purposes. / m �Vl a PERMfTTEE NAME(PRI�T) � ,tyG �q,.5 c S`� �� N � TI J � � ��T�� VALJDATION:� � SIGNATURE OF PERMITTEE � DATE RECEIPT# PAID BY: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR ' ' INSPECTION RECORD '"` � �� ' . � � , . � . . � � , . � - � SETBACK/f:EP'ER' - TRACTAND LEDGER FOOTINGSFORMS SWITCH GEAR g�pg - . COMMEflCIAL HOOD U6.PLUMBING '. . T-BAR UC�`ELECTRICAL' , �� "� =: �� , �� ` �:� INTERCEPTER UFER GROUND. ` . ,` HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SNEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR POOL/SPA I SHEARWALLS INTERIOR .. , •' ROUGH PLUMBING � '� '' � .� , . ROUGH;ELECTRICAL , �..: FRAMiNGNENTING ', : :.'. 'I: - �' •'� �" , , ROlii;ffh/�ECHANICAL '� :- ` ' . = ROUGH MECHANICAL ` � `- ; ;: . . ' ' . GAS TEST , ; . �• ,, R�UGH ELECFRICAL W(. )C( •.) . , -� .. . -. : . ROUGH PLUMBING `' : PRE GUNITE , ' , . iNSULATION WALL POO,L PRE�ECK BONDING INSULATION CEILING P-T�P DRYWALL FENCE/GATE/AIARM LATH(PRE) FINAL POOL - LAThI EXTERIOR ? /� WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE � WALL ORAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION � R0:FRAMINGPLANNINGAPPROUAL FINAL BJILDING ' t ` �, '�:�'� ROUGH FIREAPPROVAL ° FINAL MECHANICAL , � '-'��'� FINACFIRE DEPARTMENT .� < , FINAL ELECTRICAL ' . , �. . - FINAL PLANNING ` - FINAL PLUMBING • ` ' ; FINAL ENGINEERING/PW ' , � . T.G:of OCCURANCY ' ' � FINAL COMMUNITY SERUICES CERT.�af OCCUPANCY . ' ` � , FINAL HEALTH DEPT. , ` FINAL INDUSTRIAL WASTE COMMENTS: � 3,h ��v , ' � ,G ' � ''� � CITY OF DIAMOND BAR . , j' 1........... :��o.;.. ... .... . � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � # y 21810 Copley Drive,Diamond Bar,CA 91765 PRESS a (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �,��, ,> '�'�"' BUILDING PERMIT APPLICATION i JOB SITE ADDRESS APPLICATION DATE: P/C# I i • ISSUE DATE: �/�� OJ L/ PERMIT# f�-,�� z PN LOT TRA/CT � OWNER �.I�� "l � *A � \ TYPE CONST. OCC GROUP: � ADDRESS C� �N Tl D � R_ J ciTv D�►Y�a $��^IZ• ZIP �8� TEL ZONING SEfBACKS a FRONT RW ❑ = APPLICANT TEL. REAR ❑ � � D'7'J� SIDE/SIDE STREET RW ❑ Q ONTRACTOR y� SIDE � ADDRESS �S S ��NT�.`J��Y Y�SS. R � � � CITY��iJ-��2 Y�ZIP�TEL.�ZS �C� �� PROPOSED US U d ` I � ARCH/ENG/DESIGNER � = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. ¢ OwNEH-BUILDER DEClAF1A710N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � = I hereby affirm under penalty of perjury that I am exempt from the Contrador's State License Law for the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s),I have placed neM to the applicable item(s)[Section 7031.5,Busineu and Garage/Carport I � Pra}essians Code:My city or county that requires a permit to construct,alter,improve,demolish,or repair,any z struclure,prior to its issuance,also requires the applicant for the pertnit to file a signed stateme�rt that he or she � Patio/Deck I i is licensed pursuant to the provisions of the Contractor's State License Law(Chapter 9)Cammencing with Section w � 7000 of Division 3 of the Business and Professions Code]or that he or she is ezempt fmm licensu2 and the basis for � Pool/Spa I I' the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecis the applicant to a civil penalty C7 = of not more than five hundred dollars($500�. QZ Re-Roof I � (]I,as owner of the property,or my employees with wages as their sole compensation,will do(,all of or(�portions � Commercial I y of the work,and the structure is not intended or offered tor sale(Section 7044,Business and Professions Code:The m I Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-Builder will have the 6urden of proving that it was not built � or improved for the puryose of sale.). I � (,I,as owner of the property,am exclusively contracting with licensed Cont2clors to construct the project(Section Valuatio Ad Ar2a: Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who 1• I • n buildsorimprovesthereon,andwhocontractsfortheprojeclswithalicensedContractorpursuanttotheConhactors'State QUANTITY DESCRIPTION FEE , � Y License Law.). I � (�I am exempt from licensure under the Contractor's Sfate License law for the following reason(s): � � � I 1 By my signature below I acknowledge that,ezcept for my personal residence in which I must have resided for at least one � � year pnor to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w I owner-builder if it has not been constructed in its entireTy by licensed contractors.I understand that a copy of the applicable I � law,Section 7044 f the Busi ess and Professions Code is available upon request when this application is submitted or at I = DATfollowing We �Ite�ttD�� IQ SIGNca.gov/ralaw.html. � I m — LICENSEU CONTFIACTOH'S DECLAFIATION � � I a I y ereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � of Division 3 of the Business and Professions Code,and my license is in full force and eftect. � �y //� 7 � a I � LICENSE CLASS: �- ��•� LIC.NO.:�S�� "� Y� O/ z I Z DATE: CONTRACTOR: � I ¢ WOBI�H'S COMPENSATION DECLAMTION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ) � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided 6y CONSTRUCTION: _ /��-� � � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�qN REVIEW: � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for Z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PoIi�yNumberare: ./}- PLUMBING: � CARRIER � " �� F v r`-' � �I M EC HAN ICAL: � POLICY NUMBER_ DL�U� ` n INSPECTION FEE: _ (iHIS SECTION NEED NOT BE COMPLEfED IFhIE PFAMfT IS FOR ONE HUNDRFD DOLLARS($100)OR LESS�. ISSUANCE: = I certily that in the performance of the work for which this permit is issued,I shall not employ any person in any manner sa as in become subject to the Worker's Compensation Laws of Califomia.And agree that if I should become subject to the Worker's SMIP: `�"` L J Compensatio pmvjsi _ Section 3700 of the Labor Code,I shall forthwith comply with those provisions. ENERGY P/C: J TE:I � APPLICANT: i ENERGY PERMIT: ' � ARNING.Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal � Q� ipenalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, RETENTION FEE: � damages as provided 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 there is a Construction Lending Agency for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.�. /�� / �w — LENDER'S NAME: �f�+-1 i��—C/��-v�4 g� � 6� s LENDER'SADDRESS: ' i I certity that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES ��•�� Z county ordinances and state lavrs relating to building construction,and he2by authorize represenTatives of this county to COMMENTS: ' enter upon the above-m ntioned property for inspedion purposes. � � � �� N �.;�,�/�n ¢ PERMITTEE NAME(PRIM) � � :� t.v � �� = IGNA7URE OF PERMITfEE DATE RECEIPT#��j�� pq�p gy.V.YL /�'f VALIDATION: ' _ �-i�J--r--- WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMAND BAR - � �� INSPECTION RECORD �� - . !l"`-a' k ' � � � 1 • � � • . , � • � � m � � � � . TRACTAND LEDGER �SETBAGKl;LETTER: � �, , b. ..t � �� ,� � . „„ k .. _ rc,. � . � — FQQTINGS•�ORMS� , ``�� . �� ` � � �� SWITCH GEAR =SL�q6 ��# -�. �, �,� �. � � W y � � COMMERCIAL HOOD lJG``PLi1MBING�'�`�� £ � �,:,. � �> .�, � .. � ` T-BAR � r . a �� ,� a �� ,�� ,; „� � � �� . �UG.ELECTRIGAL .�„�,,,,, �� „�,µ. , � ., � � �� INTERCEPTER UFER�GROUND"�'��' �+ � � ' � �� °�� n � � � �� a� � HOT MOPISHOWERPAN SEWER IATERAL SEPTIC/CESSPOOL MAIN WATER LINE NERS REPORT RECEIVED SEWER CLEANOUT DEMOLITIQN ROQF SHEATHING ROOF DRAINS • i FLOOR SHEATHING ROUGH CONDUIT 'SMEAR WALLS F�iTER . , ,. ,�- _ � � � . � IOR . � � � � ��POOCYSPA � ` , � � - , � � e _ ; . ._ � ,, , �SNFIIRWAL�"�LS`INTERIOR�� `� - � � '� � � _ � � �� ROUGHPLUMBINC�, a , � ° `� :;_.�- . �.� ,. „ ,_ � ��: �, � � �x� � � _p � �� : ° _ FRAMING,�VENTING � ,, ;v „ „ � � ,;. , �� _ ; _ � ROUGH ELECTRICAL � -� � �� ° . � ��• � . 4 �: �� . � _ � � ROU�H NIEGWANfCAt ° � "� � � �� y= �� ROUGH MECHANICAL " � ` . _ � v , , ,.. � ,� �ROU�HE�ECTRICAL�JN� )C�{��.� . _ � � � ' ' GASTEST �� < . � � � . �ROUGH,PLUMBIN� �� ` � � �� r . PRE GUNITE � INSULATION WALL POOL PRE DECK BONDING � � _ INSULATION CEILING P-TRAP ° DRYVJALL FENGE/GATFIALARM e LATH(PRE) 'FINAL P'OOL � ° • LATH EXTERIOR // /•�/ WALLS: LATH INTERIOR � WALL FOOTING/STEEL GAS TEST WALL STEEL 1�{ )2N°( )LIFT SCRATCH COAT • 1t � ! WALL BOND BFAM ELEC i RIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE ; WALL FINAL SPECIAL INSPECTION ; fl0.FRAMING PLANNINGAPPROVAL ` ` �FINAI'�BUILUING,�� ,��, � � ` .-. =:1•,�'j " A � - , , �ROUGH FIREAPPROVAL . =EI►d�{1LeMECNANIGAL � � � .-: �� '�� .�, � FINAL FIRE DEPAATMENT � " ' z _ a n- , .�,� - �k � . . �, � -� � .,�. � ��_ �� " FINAL PLANNING EINAL.EC,ECTRICAL�,. _ ,.:_, � ` � - _ ?FINAL`PLUMBIN�� . ..�; ��-� ,. � � � � p � � FINAL ENGINEERING!PW �`"'°" � � � ,�:.� �� - � Y � � � � � A . FINAL COMMUNITY�SERVICES e �� . T.C,`wof OCCUPANCY °�� ' � � � � GERT,ofi�CCllPANG��.: � ; � � ` � � .� , � � � � ya,� . - = A�� y: ,�� v FINAL HEALTH DEPT. � ��FINAL�,INDUSTRIALWASTE , � . � � COMMENTS: �xr. :� .... :,...::��....,.. ,.... .,... .. _ — - — — — . — — — . . . � . _ ^�- � 1 �'7 4�'s, a�, .> � �-c��s�, p..�a,= �.� c, ,�. .� ', . .r^ti s.' .`�` ` 1 . . , ` �'$ . - . � }_ �'��` :4�� '� 5.�� Hr aE.}3.'�c� ` �d � & t ,. �rY•' . M �k t i��, A t� c. t. � �i . . . .. � : � . � "i . ) . � . . . � ; �`. 1 Kc� '�, �-.�.+� �y ��n �r ;��f�+yC+8'y�f ��.w �� d . , . �. � . . �` .�:i �-, ',3a�x �4 ��a-..r.'t*�Y�r 1 � #� ,.'u� Y C �� s��• i• �i,y;°� a,��t..� R.,• .� � .i�" �� .. . . . ..1� , . ..,. ;.Y�� - ,,. ,..;. .�...,_.:=.;,: � :Q� ..,�.�� k,�.�;f� �;� ,, ..��,'��g r��'b,� F., e. �� _� ,0� x .�: �* r f7:+��'• �, � � , �� F .,� ^.�. ` � j°y 't � � q�, • . � y �' n .1� . � r . �� ' �h�d t �yro�:��1sR,t�� b.y � � a.; (. ��. ;, � �� . �Ya� •a,p1. "�f � �.;4�� +.,�'^�,�gz -r.��x ��.A �� , Y�yt� �{' �! 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'+� � ' �r,`"iX, �r ��„''��" �7";:�� e'�`ir.�aa�:�a. i • � ./ � / ' ,� � � �• i 1 1 � I 1 � ----- __ ----. , • �,._ �-„=:• CITY OF DIAMOND BAR • �_�.�... . . . � " DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES - 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ,,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 �M�'��'�� BUILDING PERMIT APPLICATION FIRMLY i JQB SITE ADDRESS e � ' � APPLICATION DATE: 1�"J " �Q�G.{ P/C# � QQ�� i ISSUE DATE: PERMIT# z PN LOT RACT � OWNER t�e TYPE CONST. OCC GROUP: y J, ADDRE�S ` - O �P I�6D � CITY — ZIP / TE� Z— Z�NING SEfBACKS FRONT RW ❑ = APPLICANT � � TEL. — REAR ❑ � a CONTRACTOR D � SIDE/SIDE STREEf RW ❑ � SIDE ❑ � ADDRESS ► PROPOSED US � • � CITY , � � ZIP T L. �� ARCH/ENG/DESIG ER �1 Cr:S�f�( � = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. a OWNEp-BUILDEII OECLANATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREPJVALUATION � = I hereby affirm under penalty oi perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s�,I have placed next to the applicable item(s)[Sectlon 7031.5,Business and Garage/Carport �-' Professions Code:Any city or county tt�at requires a permit to construct,alter,improve,demolish,or repair,any � z strucL�re,prior to its issuance,also requires the applicairt for the permit to file a signed statement that he or she � Patio/De�ck I i is licensed pursuantto the provlslons of the Contractor's Sfate License Law(Chapter 9)Commencing with Section w � 7000 af Division 3 of the Business and Professions Cade]or that he or she is exempt from licensure and the basis for Pooi/Sp ' _ I n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty Z Re- oof I ,s of not more than five hundred dollars($500). � � U I,as owner of the property,or my employees with wages as iheir sole compensation,will do(,all of or(�portions � Commercial � I y of the work,and the strudure is not intended or ottered for sale(Section 7044,Business and Professions Code:The � I Z Contractors'Sfate License Law does not apply to an owner of property who,through employees'or personal effort,builds m � � or improves the property,provided that the improvements are not intended or offered for sale.It however,the building or I � improvement.is sold within one year af completion,the Owner-Builder will have the burden of proving that it was not built � or improved for the purpose of sale.�. '� 1,as owner of the ro e am exclusivel contractin with licensed Cont2ctors to construct the ro ect Section U P p�� Y 9 p � � Valuatio ��•' Ad Area: Z 7044,Business and Professions Code:The Conhactors'State License Law does not apply to an owner of property who 1� I n buildsorimprovesthereon,andwhocontractsforiheprojecLswithalicensedConhactorpursuanttotheConhactors'State UANTIIY DESCRIPTION FEE I Y License Law.). I � LJ I am exempt trom licensure under the Contractor's State License law for the following reason(s): � � •� I 1 By my signature below I acknowledge that,ezcept for my personal residence in which I must have resided for at least one c~i S I j year prior to completion of the improvements covered by this permit,l cannot legally sell a strudure That I have built as an w owner-builder if it has not been constructed in iTs entirety by licensed contractors.I understand that a copy of the applicable I � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I � the following Web site:http/vnvw.leginfo.ca.gov/calaw.htmL � � � z �� I . = DATE: SIGN: � — UCENSED CONTHACTOH'S OECL.AHATION � I a I ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000� � of Division 3 of the Business and Professions Code,and my license is in full force and eftect. J I p �f U � LICENSE CLASS: /Cf. �. LIC.NO.: �� /� � � ��. Z DATE: CONTRACTOR: ,�"'rl�Ptr��' / � i Q WOHI�H'S COMPENSATION DECLAHATION � I y I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: 7 I � Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. PLAN REVI EW: �1�'•v� � > �I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for r..y� �� Z the Dedormance of the work for which this permit is i ued.My Worker's Compensation Insurance Carner and ELECTRIC: _ � � ¢ Policy Numberare: PLUMBING: _ � (`r' � CARRIER ' MECHANICAL: � � POUCY NUMBER � � Z�/ INSPECTION FEE: � (THIS SECTION NEED NOT BE COMPLETED IF hIE PFAMfT IS FOfl ON HUNDRFD DOLLARS($100)OR LESS�. ^ �, � I ceAity that in the peAormance of the work for which this permd is issued,I shall not employ any person in any manner so as to ISSUANCE: � � become subject m the Worker's Compensation Laws of Califomia.Md agree that if I should become subjed m the Worker"s SMI P:_ �.('C� v JCompensation provisions of Sec�on 3700 of ihe Labor Code,I sh�l torthwith complyyvith t�ose provisions. ENERGY P/C: y DATE:_ APPLICANT: �-�—� �a��,r. ENERGY PERMIT: � � WARNING:Failure ta secure Worker's Compensation coverage is unlawful,and shall subject av n employer tp criminal � y penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, RETENTION FEE: , i damages as provided for in secUon 3708 of the labor code,interest,and attorneys tees. PRE-ALT FEE: �. � � � i CONSTAUCTION LENDING AGENCY BSAF: � /�� V = I hereby affirm under penalty of perjury that there is a Construction Lending Agen�y tor the performance of the work for � which this permit is issued(Sec.3097,Civ.C.�. LENDER'S NAME: = LENDER'SADDRESS: TOTAL FEES ��i� � � � �. I certify that I have read this application and state that the above information is wrrec[I agree to comply with all ciry and ,�J � �� Z counTy ordinances and state laws relating to building construction,and hereby authorize representatives of this counTy to COMMENTS: ' � enter upon the above-mentioned properry for inspection purposes. J •� � % , / 70 L� ¢ EE NAME(PRI��`J1 � /� r � C�� a� :n ! q � �� " = SIGNATURE OF PERMITTEE DATE RECEIPT# PAID BY: VALIDATION: I WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR � _� • INSPECTION RECORD ` ° � 0 , ' � ' ' � � � . � . �SETBACKi`LETTER ;�°�� ` � [ �� . � ' . (TRACTAND LEDGER FOOTINGS FORMS'�g, ,�,;; �" � SWITCH GEAR ;SLf1B�" � �' ,�> ��'�. � � COMMERCIALHOOD ��-,. ��,� , >, �� ,UG:PLU�BING :. ' "'�a ,:''��,".,�� ` _ a, ,�:E� T-BAR i� <,,,� - ;UG.ELECTHICAL ��m �°' ` INTERCEPTER ' _ _ _ _ _ ;11��R°G(�OUND �� : HOT MOPlSHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL IMAIN WATER uNE ! i HERS REPORT RECEIVE� SEWER CLEANOUT i DEMOLITION � ROQF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �SHEAR WALCS EXTERIOR POOUSPA I ,SH�AE��WALLS INTERIQR w� �`°�� ROUGH P�UMBING ) �'1� i� ° ;<�k, ,��. , � � N�; � ,_ �� •�p `A" ROUGH E�ECTRICAL ' � _� �. �,:� ERAM(NG�/�NTING�,�� `��".,� x, m:'�� .�;�. _ r , _ ° ,ROUGH�MECHANICAL ; � � ROUGH MECHANICAL '� ` ,ROUGH��ECTRICAL��W( )C i �' GAS TEST � ROUGH PLUMBING �-:_�. .� «; ��' �„.„. PRE GUNITE ' Z�tll� .-----_ ... _, �� INSULAi ION WALL POOL PRE'DECK BONDING '� INSULATION CEILING P-TRAP , DR1M�'ALL � FENCE/GATEI ALARM ; LATH(PREI _ FINAL•�R886- •: n��=, � �� ,.�T .. � � �� .��-� �� y'. LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEL � GAS TEST ' �_ WALL STEEL 1sT( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL ORAIN/SEAL GAS METER RELEASE � WALL FINAL SPECIAL INSPECTION �RO.FRAMWGFLANNINGAPPROVAL �� "�� °�� _ —' FINAt�BUiIDING ''_ �� ROUGHFIREAPPROVA� �FINAI MECHANICAL . , FINAL FIRE DEPARTMENT H� ��., , , F,INAL�ELECTRtCAI.�:� ` _ ;� �x': "'' �r„�P;' :� FINAL PLANNING �� '�; � - „- ' _ _ �� .. _ �° , _ _ ,. ,FINAL�PLUtNBING� �° ` x ' ��' � FINAL ENGINEERING/PW �' jT.C;of OCGUPANCY�' ��_ � FiNAL GOMMUNITY SERVICES ;CERT�o1�OCCURAMC'Y: � �: ;�. ;,,; ; �, 'FINALHEALTHDEPT. .��,.� - ._ „- _. , PINAL INDUSTRIAL WASTE �'�� COMMENTS: ,