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HomeMy WebLinkAbout14-5044 _-----_� ._ . sv�r .,,._.. ���r ...... . CITY OF DIAMOND BAR � ' I ( ; DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES " F p��� ���� ._� _ - ' 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 s JOB SITE ADDRESS APPLICATION DATE: P/C# i ISSUE DATE: � � I PERMIT# �y.�'dy� z APN LOT TRACT � OWNER i7c y:,vA�Dv D�J�A�',� TYPE CONST. OCC GROUP: � ADDRESS I�2J� M• P/iVT�1D�� �/�• ZONING SEfBACKS � CITY d/���N �'�� ZIP � � �EL. Pl�J� .PGI 'TP6L FRONT RW ❑ r APPLICANT �c`y�fIG.O� D/o/CNrlfEL. 9D'7 ��o� ''�`L REAR ❑ � SIDE/SIDE STREET RW ❑ n a CONTRACTOR SIDE ❑ � � ADDRESS PROPOSED USEt���G�r'�� G✓!ND/°.J c1�.9/�� J`/G ft� = cirv ziP TEL. ��fa R���-r��.v� , /,9�ZrY 1 ARCH/ENG/DESIGNER (/E/U��;/1 �(�/.Ui � � ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. ¢ DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION � Q OWNEN-BUILDEH DECLAflATION I s I SFR/ADD/REM = I �ereby affirm under penalTy of peryury that I am exempt from the Contrador's State License Law for the reason(s� � indicated below by the checkmark(s),I have placed ne#to the applicable item(s)[Section 7031.5,Business and Garage/Carport I Protessions Code:Any city or couMy that requires a permit tn construct,alter,improve,demolish,or repair,any I z; structure,prior to Its issuance,also reQuires the applicant far 1he pertnit to file a signed statement that he or she � Patio/Deck . i is licensed pursuant to the provisions of Vie Cantractor's SYate License Law(Chapter 9)Commencinp with Section w I � 7000 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa � � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecLs the applicant to a civil penalty Z Re-Roof I of ot more than five hundred dollars(5500). � � �I,as owner of the property,or my employees with wages as their sole compensation,will do(J all of or(J portions � Commercial I y i of the�work,and the strudure is not intended or oifered for sale(Section 7044,Business and Professions Code:The m Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds I y 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 burden of proving that it was not built � or improved for the purpose of sale.). I '� I,as owner of the property,am exclusively contrac[ing with licensed Cont2ctors to construct the project(Section � 044,Business and Professions Code:The Contracinrs'State License Law does not apply to an owner of property who Valuation: • Adj.Area: I Z buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContracturpursuanttotheContractors'State pUANTITY DESCRIPTION FEE � ;q I Y Lic se Law.�. I a j I am exempt from licensure under the Contractor's State License law tor the following reason(s): � I �j 2 1 By my signature below I acknowledge that,ezcept for my personal residence in which I must have resided for at least one w 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 I owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at ' I � the following eb sit�http/www.leginfo.ca.gov/calaw.html. � Z I 11 DAiE: � I SIGN: s' � i = I — LICENSED C CTOH'S DECLAPATION � a y I herehy attirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) I � of Division 3 ot the Business and Professions Code,and my license is in full force and effect. J I n � � LICENSE CLASS: L1C.NO.: Q I � DATE: CONTRACTOR: = I z w ¢ WOfll�fl'S COMPENSATION DECLAHATION � _ ._ . I , y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: f r'J I�. Y�XI� � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � Sectlon 3700 ot the Labor Code,for the performance of the work for which this permit is issued. p�.qN REVIEW: i I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: � the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ PoIi�yNumberare: PLUMBING: � CARRIER MECHANICAL: y � POLICYNUMBER INSPECTION FEE: n (IHIS SEC110N NEED NOT BE COMPLETED IFTHE PEAMfT IS F9R ONE HUNDRFD DOLLARS(3700)OR IESS�. 'r��• ISSUANCE: �J _Y 7 � I certiTy ihat in me performance of the work for which tfiis pertnit is issued,I shall not employ any person in any manner so as to ��� � become subject to the Worker's Compensation Lavrs of Califomia.Md agree mat rf I should become subject to the Worker's SMIP: � J Compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. ENERGY P/C: i DATE: APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: �r�D y penalties and civil fines up to one hundred thousand dollars(5100,000),in addition to the cos[oi the compensation, i damages as provided far in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: 7 = CONSTflUCTION LENDING AGENCY BSAF: I,d� i y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the pertormance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: � LENDER'SADDRESS: I i I certify that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES � county ordinances and state laws relatlng to building construction,and he2by authorize representatives of this county to COMMENTS: � enter upon the above-mentioned property for inspection purposes. • � �Y�.Ac.�� D/�k�tJ' ¢ PERMITTEE NAME(PRINn � `�''1�//� ,��/ �����/Z��'� /� .1 = SIGNAIUR�IPERMITfEE � DATE RECEIPT#��'7�O PAIDBY: J,Jr VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy . • . CITY OF DIAMOND BAR INSPECTION RECORD _' � -� �.._ .. • • � l • - • � � , . � . 56TBAGKi"tEf7ER ` " ` ` _ _ ��,� : ', : , �_�� __ �_� � . � TRACTAND LEDGER -- ��OTINGS FORMS� � �� � � - � � z � ' � `� " " " ' SWITCH GEAR a .� , , �Sl.A6' �„�.����� _� �� � � � � � � � COMMERCIAL HOOD �� � . - e � y �,r,� �� � � . � �° �: � _ . ,�1G�PLUMBIN6°��� � ��_���� , s � w � �. 5 ,� . T-BAR UC�,ELECTHICAL� - � � � s � r �� �� � ���* " � � INTERCEPTER r � �. , UfER GRQUNb�� _�� � . � � � '. . � g - � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAiN WATER LINE NERS REPORT RECEIVED SEWER CLEANOUT DEMOUTION RDOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ;SHFAR WALLS fXTER(�R- � � ', ; ,r e ; ` � •, � _ � POOUSPA� �� ," � � ` ` _ ._ ._ � a . �!-IEARWALL�1NTERIOR. - ° � � �� ' °� ° � ` � " � �ROUGH PLUMBING — � � � , � . d � � ¢ > -• � , _ gr k, � �. , - ; � �� � � t , � �� 4 Y � � � � � ROUGH ELECTRICAL' - �FRAMIN6/UENT[NG '� �� ,: �x � . w � m q _ ,. � .� . , � ROUGH�MECWANICAL ` � � ��' 1 �'I � ' ` , � � ROUGH MECHANICAL �°� � � ° �` � � � . s __ no — _ ; ROI�GH,ELECTRiCAL.W( �)C( }� ./ � � � � �GASTEST � , -� � �� , . F{OUGN P�UMBING � �„„ �� � � � ��PRE GUNITE � � ����. INSULATION 4NALL � POOL PRE DECK BONDING INSJLATION CEILING P-TRAP DRYWALL i FENGE/GATE/ALARM ° e ` LATH(PRE) � �FINAL POOL' � � � ° LATH EXTERIQR WALLS: IATH INTERIOR WALL FOOTING/STEEL 6AS TEST � WALL STEEL 1 sr� �ZNoi ���FT SCRATCH COAT WALL BOND BFAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.FFiAMINGPLANNINGAPPfiOVAL ° FINAL BUILDING§ y � �,��t`'j�-` " . HOUGH FIRE APPROVAL e FINAL MECHA.NICAL�, ,_ � - �. - � �. � a ^ _ � FINAL FIRE DEPARTMENT � . __, �IN1�L ELECTRICAL�':; �.. � � � �� � �` �.�,��� � , . . � , �. � , � �� � � a FINAL PLANNING �. � FINA�.PLUMBING � ��� �s� � �� �; � ' � ` '�' � � � � _ F1NAL ENGINEERINGJ PW � e „ �. �. � TC.of�OG,CUPANCY ;�,p� � � � �-�� : � � _ � � FINAL COMMUNITY SERVICES � ` � �� � �� a � � '� �.� � „ _ � > � C�F�T,oi 4CCUPIINCY' � : � � ' , � � , FINAL HEALTH DEPT, . _ , . _., FINAL INDUSTRIAL WASTE , � - COMMENTS: . . . ,� _ , � � � .:�- i i .r .-. ' ' 1 � . ��tT:riNn�iUfi/ . �a9� CITY OF DIAMOND BAR BUILDING&SAFETY➢IVISION � 21$70 Coptey Drive � DianxQnd Bar, Ct1 917�5 {909)839-7020 SMQK� �►ILAF2Nt AND CAR�QN �1Q�ICIXIC�E CERTIFICATItJN In order to help assure the life and safety within existing dwellings, the 2013 Califarnia Residentiai Code {GRC) Section R314 and R315, alang with the California Buiiding Code Section 420.5 and 42Q.6 requires existirtg dwellings have smolte alarms ar�d carbon monoxide alarms installed within the upper 12�' of the ceiling when a building permit is issued for, worked on or in a building that is valued at $1,000 or more. GeneraUy, the alarms are required to be hard-wired, have battery back up and be intercannected. Start'sng July 1, 2014 all smoke alarms including combination smoke alarms,that are solely battery powered shall contain a non-replaceable, non-removable battery that is capable of pawering the smoke alarm for at least 10 years. The alarms are required ta be installed in the follawing locations: •:- Smoke alarms in all sleeping raoms. •:� CO aEarms in all sleeping rooms where fuel burning app(iances are installed. •:- Sm�ke alarm and CQ alarm in hallways preceding sleeping rooms. ❖ Smoke ala�m and CO alarms on each dwel�ing level incl�ding basements and habitabls attic rooms. ', . � The smoke and CO alarms are required to comply with the above when requesting a final inspection. Please make sure an adult is present to allow the Inspector access to the home to verify compliance with the above . requirements. If no one will be available, you may opt to complete the Installation Certification below and leave it with the job card. INSTALLATtON CERTIFiCATION For the property located at (,�1� �3 �t�,,�1�-DT c�p�-tti;l� , I hereby certify that the required smoke alarms and carbon manoxide alarms have been installed as listed above. �,�'���',�-� �,�`f 1`.�A�LUO Dl a[G N+� � '` 2 � 'lS� Signature Print Name Date Re(ationship to project (please check one}: , LYJ Owner ❑ Agent for Owner ❑ Licensed Contractor � Agent far Licensed Contractor If°Licensed Contractor" or °Agent for Licensed Contractor" is checked, please camplete the following: Confractor Contractor's S#ate License Number