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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 � s � SIDE/SIDE STREET RW Q CONTRACTQR (��—�r �G ���T SIDE � � � � � � � ADDRESS,�_r PROPOSED USE = CITY��1�i.�"n�. ZIP�TE �- � � 1 ARCH/ENG/DESIGNER � 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 = w 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 � � U � � 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�� ��.�_- � ��:� � �'' ��� �.,F �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. � � � ���� �.�. �� � �� - � � ,� � = - ',GEF�_T.Of OCCUPANCY�� '� . '�� ��� ��� ���'��'� „�.����,x �FIN11L HEALTH,DEPT � ,,F ���`��� . � ��"�� �r� ��°� � �.� � ������.�a, :. ?° _ �����a« ., ,�r � �;, � »�- .r� � ��'., n�� ��� ,�i+�IAi�INDUSTRlAL IMASTE.�.., . __- ���'�_.�� .. �� ���s COMMENTS: