HomeMy WebLinkAbout14-4854 _ --�_.�
- !�, „W.,.,,.�.,,,� CITY OF DIAMOND BAR �
, ' DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES �� ��O`��
1 � � 21810 Copley Drive,Diamond Bar,CA 91765 ��� PRESS
� �-�
�µ,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY
I ''�'' BUILDING PERNIIT APPLICATION
— APPLICATION DATE: P/C#
i JOB SITE ADORESS `I�d�J � PERMIT# � �` y �1 �—!
� i ISSUE DATE: jD/ • �
z APN �OT TRAGT
� OWNER � TYPE CONST. OCC GROUP:
� ADDRESS � ZONING SETBACKS
� C�-�y � ZIP TE . FRONT RW �
� APPLICANT TEL. REAR �
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� SIDE/SIDE STREET RW
Q CONTRACTQR (��—�r �G ���T SIDE �
� � � � �
� ADDRESS,�_r PROPOSED USE
= CITY��1�i.�"n�. ZIP�TE �- � �
1 ARCH/ENG/DESIGNER
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z ADDRESS #DWEL.UNITS #STORIES #BEDROOMS
�
Q C�Ty ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREA/VALUATION �
� OWNER-BUROHI DECLAHATION I
s I hereby atfirtn under penalty of perjury that I am exempt from the Contrador's Sfate License Law fa t�e 2ason(s) SFFi/ADD/REM
� �
� indirated below by the checkmark(s),I have placed ne�R to me apD����e Rem(s�[Sectlon 7031.5,Buslness and Garage/CarpoR �
� Professlarts Code:My city or caurHy that requlres a permlt to construct,atter,improve,demolish,or repair,any I
z strucNre,prior ro Its issuarxe,also requtres the appliqnt ta the pemilt fi flle a sigrred statement ihat he w she � Patio/Deck
nIs Ilcensed pursuairt W the provis(ons of the Caitractor's State Licen.ve Law(qiapter 9)Commencinp with Section w I
� 7000 ot Dlvlsion 3 M the Business and Prolesaloas Gode]or that he or she is exempt tmm IlCensure and the basis for � PooVSpa
n the alleged exemption.My dolaUon of Section 7031.5 by any applicant for a permit subjects the applicant to a cNll penalty Z Re-Roof �
� of not more than flve hundred dollars(5500).
s � I
� (,I,as awner of the properry,or my emDloyees with wages as their sole compensation,will do U all 01 or�1 portions ? Commerctal
� ot Me work,and the shucture Is not intended a oHered 1or sale(Saction 7044,Business and Protesslons Code:The m I
"-�� Conhactors'State Llcense law does not apply to an mvner of property who,through employees'or personal eftort,builds
i or improves ihe property,Provided that tne Improvements are not iMended or ottered for sale.If however,the building or I
g improvement Is sold within one year of completlon,the Owner-Bullder will have the hurden of proving that it was not buitt
� or Impraved for the purpose of sale.). �
'� (,I,as owner of the property,am exGusivety contractlng with licensed Contractars to construct the project(Sec4'on I
Z7044,Business and Professlons Code:Tiie ContractDrs'State License Law dces not apply to an owner of property who ValuatiOn: Adj.Aree:
n bulldsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheContractas'State QUANTITY DESCRIPTION FEE �
Y License Law.). . 'g�(Z,__
� (�I am e:empt hom licensure under the Contractor's State Ucense law for the tollowing reason(s): � I
�
1 By my slgnatnre below I ackrrowledge that,except for my persoaal residence in which{must have 2sided for at leasi one � � ��
Z year pdor to completlon of Me imprmements covere0 by this permit,l cannot legally sell a structure that I have bultt as an I
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owner-bullder if il has not been constructed in its e�rety by licensed contractors.l understand that a copy of ihe applicable
� law,Sec6on 7044 of the Business and Professlons Code Is available upon request when this application is submitted or at I
'i the following Web site'.httphwrx.leginfo.ca.gov/cataw.htrnl. z I
� DATE: SIGN: m
� � �
— LICENSED CONTlIACTOlI'S DECLAflATION �
a I
� I hereby affirm under penatty of per{ury that I am licensed under prmisions of Chapter 9(canmencing with Section 7000)
y
� of Divislon 3 of the Buslness and Professions Code,and my licen in full force and effect. �
a
� LICENSE C UC.NO
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� � I
� DAlE:� COMAACTOR:
Zd WOHI�Ft'S COM� ON 0 � - I
� I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FO I DECLARATION
�
¢ I have and wlll maintain a Certificate of Consent to Self-In re for Worker's 'mpensation,as Drovlded by CONSTFIUCTION:
� Sectlon 3700 of the Labor Code,for the performance of the work for which thls permit Is Issued.
7 PIJ�N REVIEW:
j I have and will malntaln Worker's Compensation Insurance,as required by Section 3700 ot the Labor Code,Tor ELECTRIC: �
� the performance of the work for which this permit is Issued.My Worker's Compensatlon Insurance Carrier and
7d" Pd��yNumberare: PLUMBING:
� CARRIER MECHANICAL:
y
Z POLICYNUMBER INSPECTION FEE:
n (IHIS SECTION NEED NOT BE GOI�LEiED IF7HE P6iMR IS FOR ONE HUNDR�DOLLARS($100)OR LESS�. ISSUANCE: `�-�?
= I certify that In the perfortnance of the work for whlch ths pertntt is isstied.l shall not emplv�any person In any manner so as m SM IP:
� becane subJect Oo tlie Workers Canpensation laws of Califomla.Md agree that rf I should becane subject to the�Worker's
J Compensation proNsions of Section 3700 of the Labor Code,I shall forthwith canply wRh tho5e prwlslons. ENERGY PJC:
J DATE: APPLICANT: ENERGY PERMIT:
L �f
� WARNING:Failure to secure worker's Compensatlon cove2ge is unlawful,and shall sub�ect an employer[o criminal RETENTION FEE: 0.• �
y penatties antl civil fines uD ro one hundred thousand dollars($100,000),i�additlon to the cost of the compensatlon,
i damages as provlded for in section 3708 of the labor code,interest,and attomey's Tees. PRE-ALT FEE:
�
i CONSTRUCTION LENOING AGENCY BSAF:
z I hereby aKrm under penalry of pehury that there Is a Construction lending Agenc.y fw Ne parformance of the wak for �
y
� which this permlt is issued(Sec.3097,Civ.C.).
LENDFA'S NAME:
Y LENDFA'SADDRESS: �
�i 1 ceNty thal I have read this appllcaUon and state that ma above irrformation Is cortecL I agree to compiy wlth all city and TOTAL FEES �
� crounty ottllnances and state laws relah�ng to building construction,and hereby authorize representatives of this county to COMMEN7S:
z
� enter upon the above-mentio property for inspection purposes.
�
�
n PERM NAME INn �
= SIGNAlUREOFPERM DA7E � RECEIPT# �'f 7 � PAIDBY:_�jl/���_VALIDATION:
WHfTE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—Applicant's Copy '
CITY OF '�IAiIi�OND BAR
INSPECTION RECORD �
, ! � , . � . � � . • • -
�SETBACKf l.ETTER�� ,���.��. ,��. .., , �'����� '. ��' `�:� "��ff�"` TRACT AND IEDGER
�.y :�`� ��� � ��s��� � ` '`���� � � SWITCH GEAR
�FOOTINGS FORMS ��Y � �� f'�_.�;��` ����.'':.�
;SLAB�� �:�r �4 � ,F .���� � ';" '± ���� t� � COMMERCiAL HOOD
� ����.� �h. ,�,�� �� �� � .�;� � „ �'" �� � �:: � � a� T-BAR
,UG PLUMBING � � � � � �.� � .
;UG�ELECTFIIGAL , `�� z�� �k � .� ,� ° � «�ws� INTERCEPTER
"�;� �� � `'`� HOT MOP/SHOWERPAN
.�v. -�-
;.
IUFERGROU,ND � _ �;� � ��'��°�-�.� �,R `�, .��__�. -���°�
SEWER LA7ERAL SEPTIC/CESSPODL
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROQF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CQNDUIT
4SHEAR WALLS EXTERIOR,�� � " �' ��- � '� POOLlSPA�� � �� "�� � � � � � � � f�
rSHEAR WA�I.S iNT,ERiOR„ �� � �" °�� �, �� , �� R�OUG PH Ll1MBiN6�, ��' �� -r �^. '... ����•�
� �'�'��a �.r " <� a�'` �,e� . . ,�p�"°°"�w .�, � �'" .
�FRAMINGNENTIhi6�' �� � `���.�F�"'� �` , ��� iRQUGH ELECTRICAL ,� .���" ��`�� � "��`� � �� � P� �
,�� �_ _ w� �
;ROUGH MEGHANICAL�� � '�' °'��_ ,�� ��°�.,� �� �`� 'ROUGH MECHAhlIGAI. � � � ,�� �.� �� �_���,� $ �°
iROUGIi ELEGTEiICAL W�)C(��)`., ��` ���� �, � �� ^`� �'� �'� .'� GASTEST� �� , � >:� "�` � � .a� � �� �'
ROUGH PIUMBING�, a� ��"' ,� . ��,� ��� ��` ,:�;�. � � ' �•" �� ' ' ���;,',� ��,�� � �,,�,�h. .�
� �•� m�, �,,,w � PRE GUNlTE� ,,� � �
INSULATION WALL P�f�L�PRE QECK�BONDING,;�„ „�°� ���;��y� � � ��"
INSULATION CEILING P����-� � °:� �� � ��� ��'�� �`� '��� �� � �"�
DRYWALL ;EEtVCE3/�GATE/At./ARM� r� ,�� `�' � �� k � �.� "�`�
. ,� � � � ^- e �n h..: s ��,� ��- � � ���
LATH(PR� F�t�AL POOL _ - �� ,� , ;��z, - -,�� .�� :�r �x�__ � :�._
LATH EXTERIOR WA��S�
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1 Sr( }2"0( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC MEfER RELEASE �` - � �- ' / ��� WALL DRAIN!SEAL �
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION �� ��� �� ���� ���� ���
HO FRAMHVG�MNGPPPROVAL ,� ,�,���� �� �� � '�
� � °�" � �� �,"',��"� ,�� � ROUGN FIRE APPROU:At.� : `� �'°� �4 ' �.�,��;�� �'�ft��
��.�_- � ��:� � �'' ���
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�F1NAt' B(11LOING ��„� ,� � , �� 3 `�;�,��� � . �
.E� k.$"�` ."" . �5 � .r i ���.. ���.
�flNtll MECHANiCAL � ��; � �a ' � � '� � �� FENA!F16E DEPAR7MENT����k � � �� � ' �� �
�`.INAL ELECTRICAL� "' �� ,, � ;,.� � �_ _�� � � -; �_;� �� � _ �� �FIWAL�Pt.RNNENG��� �*a� ' ��� �� �',�� �� � ...�f'�
F � �' � �
, _ � � �� ���t 3 � � . �
�FINAL PL'�UfVIBING�,..'`„� ���� ���' �'" � � "� �� FINAL ENGINEERItJG/�PW�" �� �a �� �� E �^ � 9 ���
� ��
$ � - . � ,
� �;" ; �y. . ��m K �*� �� `FI#�AL�COMINUNITY�.S�RVICES„� �" a�� ' -"�s ���: ��� ��='
�T C�of OCCUPANCY ' ;� a. � � � ���� �.�. �� � �� - � � ,� �
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',GEF�_T.Of OCCUPANCY�� '� . '�� ��� ��� ���'��'� „�.����,x �FIN11L HEALTH,DEPT � ,,F ���`��� . � ��"�� �r� ��°� � �.�
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,�i+�IAi�INDUSTRlAL IMASTE.�.., . __- ���'�_.�� .. �� ���s
COMMENTS: