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Home My WebLink About14-5211 ...,�.,,.,.w. �'�. . _...._ CITY OF DIAMOND BAR �,;:��' ' \ �,13I�s I DEPARTMENT OF COMMUI�'"�TY&D�VELOPMENT SERVICES 'r � ' � •�� 21810 Copley Drive,Diamond Bar,CA 91765 4 � ' � PRESS ,,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � �''�'" BUILDING PERMIT APPLICATION FIRMLY � APPLICATION DATE: P/C# � JOB SITE ADDRESS ` ��/� z PN LOT TRACT ISSUEDATE: ��/eh��i/�y PERMIT# �y� ��II � OWNER G� C'� TYPE CONST. OCC GROUP: y � ADDR SS J CITY � ZIP L. ZONING SEfBACKS FRONT RW ❑ � APPLICANT TEL. REAR ❑ n SIDE/SIDE STREEf RW O � CONTRACTOR r W►�I.IJ SIDE ❑ � ADDRES �1 �O G r� �, � � PROPOSED USE 1r� I'�D� t" Qn AT� I � CITY �1 ZIP OO TEL. \/ - i .l� a � ARCH/ENG/DESIGNER � , � = ADDRESS #DWEL.UNITS� #STORIES� #BEDROOMS� � CITY ZIP TEL. � OWNEA-BUILDFA DECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � = I hereby affirm under penafty of perjury that I am exempt hom the Contractor's State LJcense Law fw the reason(s) SFR/ADD/REM � I - � � indicated below by the checkmark(s�,I have placed ne#to the applicable Item(s)[SecUon 7031.5,Business a� Garage/Carport I � Professla�s Code:My city or county that requires a permR to coretruct,atter,Improve,demolish,ar repair,any z structure,prlor to Its issuance,also repulres the applica�rt tor the pertnit to flle a signed sfatemerrt that he or she � Patlo/Deck � I i is Iicensed pursuarrt to the provisloim af the Contraclor's State Llcense Law(Chapter 9)Commencing wNh Secllon w � 7000 of Dlvlslon 3 of the Buslness and Prolesslons Code]or that he or she Is exempt irom licensu2 and the basis for � PooVSpa � I n the alleged exemption.My vlolation of Section 7031.5 by any applicant for a permR sub�ecis me applicant to a dvil penalty C7 I n of not more ihan flve hundred dollars($500). 2 R�Roof I� (�1,as owner of the property,or my employees with wages as their sole compensation,wlll do(,all of or�)portions � Commercial � of the wark,and the structure Is rrot Intended or ottered for sale(Sectlon 7644,Business and Professions Code:The � I ' � m � Contractors'State License Law does not apply to an owner of propedy who,through employees'or personal effort,builds i or Improves the property,pmvided that the improvements are not Intended or offered for sale.If however,ihe building or I � improvement is sold wtthin one year of completion,the Owner-Bullder will have the burden of proving that tt was not bullt � or improved for the purpase of sale.�. � I � I,as owner ot the ro y g p � ( U p perty,am exclusivel corrtractln with licensed Contractors to consWct the ro ect Section � � 7644,Business and Professions Code:The Contractors'State License Law dces not apply to an owner of property who Veluatio Adj.Area: � Z buildsorimprovesmereon,andwhocontracLsfortheproJectswithalicensedContradorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE � Y lJcense Law.). I � U I am exempt hom licensure under the ConUactar's State Ucense law for the following reason(s): � I � By my signaNre below I acknowledge that,except tor my personal residence in which I must have resided for at least one � I z w � year prior to completion of the Improvements covered his permit,l cannot legalty sell a shucture that I have bultt as an � I owner-builder if tt has not been constructed in its en ty y licensed contradors.I rstand t a copy of the applicable W � law,Sectlon 7044 ot the Business and Prof 'o Cod ilable upon re n this plicatlon is submftted or at � the following eb site:http/y�ww.legirrfo.ra. cal c� I � DA7E: �� SIGN: � I — LIC D CONTHACTOfl'S DECL.AHATION � � I a y I hereby affirm under penalty of perjury that I am licensed under provislons of Chapter 9(commencing with Section 7000) � of Divislon 3 of the Buslness and Professlons Code,and my license is in full force and effect. J � � � zd I ;� LICENSE CLASS: LIC.NO.: � DATE: CONTRACTOR: � I WORI�A'S COMVENSATION DECLAflATION � I y I HEAEBYAfFIRM UNDER PENALTY OF PERJURY ONE OF THE F9LLOWING DECLARATIONS: n � I have and will maintain a CerUfcate of Consent to Self-Insure for Worker's Compensatlon,as provided by CONSTRUCTION: ,1� OJ�f- = Sectlon 3700 ot ihe Labor Code,tor the pertormance of the work Por which mis permit is issued. p�qN REVIEN/: > I have and will maiMain Worker's Compensation Insu2nce,as required by Section 3700 of the Labor Code,for Z ihe performanca of the work for which thls permR is issued.My Worker's Compensatlon Insurance Carrlar and ELECTRIC: ¢ PolicyNumberare: PLUMBING: � CARRIER MECHANICAL: � POLJCY NUMBER INSPECTION FEE: n (THIS SECTION NEED NOT BE COA�LEfED IFhiE PHiMR IS FOR ONE FNNDR�DOLLARS($10�OR LESSy. ISSUANCE: ��.�'�J � I certily tliat In the peAortnance of the wak for whlch this permit is issued,I shall not employ any person in any manrcer so as to ` r � become sublect to the Workers CompensaUon lavrs of Callfomla.Md agree ihat if I should becane subJect m the Waker's SMI P: a � Compensation provisbns oi Sectlon 3700 of the Labor Code,I shall formwith compy with mose pwisions. ENERGY P/C: J DATE: APPLICANT: ENERGY PERMIT: i � WARNING:Failure to secure Worker's Compensation cove2ge is unlawful,and shall subject an empbyer to criminal y penalties and civil flnes up to ane hundred thousand dollars($100,000),In addition to the cost of Ne compensatlon, REfENTION FEE: ,p'� = damages as pmvlded for in section 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTfiUCTION LENDING AGENCY BSAF:_ %,��_ y I hereby affirm under penalty of perjury ihat there is a Construction Lending Agen�y for the pertortnance of the vrork for - � whlch this permit is issued(Sec.3097,Civ.C.). � LENDFA'S NAME: = LENDER'SADDRESS: i 1 ce ry that I have read this appliqtion and state that the above information Is correct.I agree tu compry wtth all city and TOTAL FEES Z nty ordinances and sfate laws relating to building conshuctlon,and hereby authorize representatives of this county to COMMENTS: � nte onthe above-mentloned ertyfori spectlon purposes. \ � � ¢ PEHM INf) � :n � = SIG DA RECEIPT# � � PAID BY:� I I VALIDATION: � WHffE—Department Copy,YELLOW—Finance Copy,PINK—Assessw Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR - . . INSPECTI�N RE�.ORD . � � , a - • � e � � - ;�SETBACIV�LETTER�.s� ', �, ..,,�., ��°'��.��c ��;�� ,�� TRACT AND LEDGER FOOTINGS FOFiIV1S��'��~ °&�� ,s�� . .�� `�g�� SWITCH GEAR � �' ��'" � ,, ',.� " �.��"` ��"�`'��'�� COMMEFiCIAL HOOD ,SLt�18�� ,,�.,� ��, � � T-BAR �UG PLUMBINGQ:� �," �� '��< , ,UG.ELECTRICAL._ ,�� '" � .�� .��, � � �� INTERCEPTER UFER�GROUND��..,,.�� .;. . ��'. _ �:� m ��'�� , HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CE5SP00� � MAIN WATER LINE HERS REPORT RECEIVED � � SEWER CLEANOUT � ' DEMOLITION ROOF SHEATHING � ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS,EXTERIQR� k�� -�� ,�` .� � F?OOVSPA�� "�� " '��`'.: ��"�� SHEAE?WAILS IN?EFiIQR', ,°"�� f�:„�� '�` ' r �°' �' �ROIlGH PLUMB{N��,�� f � �� , ��-' FRAMItdGNEtdTING a ��. ,�a �R�`��'� '�� ^,h� ROUGti.ELECTR{CAL�� w� � ^��;��'��°� ��. .�;�� „»� � :� ��€.:� .�s.� � L Y� �. . � �` s ��"�`�� s�'�'"�� '"F''`� s,.��: F�� '� ROUf H MECHANf�At�� '�� £ � �� , �° RDUGH MEEHANICAL � � � ��kti . �,� � �� $ . _. � �� '� .. , � i�,4..:, °i� �. '�S�z'��o-° "�'-�,� ,.er �� w �" ��,�,�.�", u �"_: .. „< � . T _.> �. - _ ;ROUGH ELECTRICAL�W{�)�C(�) �� "W',��'� � ,�� . �GASTEST� ;� � ` �'�� °� �,�; ,.� �� ;� ' � ��, �; r r�s � � tPR��GUNITEa�� ,�^` ,, ��.z�"�`�� a �-�� .,i �� "� <_ _ ROUGH�PLUMBlNG�� ,.,�.��-, ;:;� ...�a��.�U� . �, � - _ � _ ��z� �„� INSULATION WALL gP�00L PREE�pECK BOMDING ': ��`� .��.� �� `'"�;��.� ��. INSULATION CEILING P;TR4P ,,,, ��`�'� '��°��"� � �` ��"� �� , DRYWALL �NCEl,GATE/AL�ARM�,�,��« �� " � � �� LATH(PRE) �FINAL'POOL�� ,"��,��`' � �� . �� .��"�`,��- ,.�� IATH EXTERIOR WA�� LATH INTERIOR WALL FOOTING(STEEL GAS TEST WALL STEEL 1�`( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION � RO�ANI�I�GPLAI�ININGQPPRt�VAC� ��° x� �� '� ��.�� . °� �� , , �^�� ROUGN FIRE APPROVAI � �"� � �� . FINA�_BUILDING � ' �, �� ^� � � � � � � � ° � � �� _� �� _� r�� ; ,� ,� ��._�� `� .�� xFINAL�FIRE�DEPARTMENT��,�, �`, � � ��,,.� � z�.�� x�� FINAL MECHA(�ICAL �,�� _,. ° �� , � - �� -�-, '� �'�� ;��°�� ' r�� `EINAL PIANNING�� ,,-w,. � � ��.y �;"`.�� FIN11L ELECTRICAL� �� . �, �, ° FINAI PLUMBING � ` �" �� ; � �-,�;, �w � �� . �� ; � -�: � � � ��x�',��.�� , ,�� FTNAL�EN61NEEfiINGI�PW, �� _ .��_°� � eT:C�Of�OCCtlPI1NCY��"�`� �� '��:� :�°��° FINAt,COMMUh11TX"SERVICES y� �'` k�' �� `�� ;CEtiT.of•.OIxUPANCY��s�� y��;,��`° '�� "��' ��,"�,� ��INAL��HEALTH LtER1' �� ' �.� �� . M �,_ �.. � . _.�� _� ,_ - FtNAL�iNDUSTRIAI��'.WASTE�`��;�;�., x.�� .h� .�,�' ';: `�� ° ��.�� ,�� COMMENTS: / � �. �� '�'�. C1TY OF DIAMOND BAR � � 9 I � � � DEPARTMENT OF COMMUR�TY&LEVELOPM�NT SERVICES � , � ��II� � PRESS � ��,� 21810 Copley Drive,Diamond Bar,CA 91765 � �', �„ ,,.�� (909)839-7020 Fax: (909)861-3117 Building Inspection Hotline(909)839-7027 ' '�'�A"� BUILDING YERMIT APPLICATION FIRMLY ¢ JOB SITE ADDRESS X I : ( � (� L � APPLICATION DATE: �I e��I I�, P/CH z APN LOT TRA T ISSUE DATE: ,�a�J ��} PERMIT# 'P'GZ \�i—� '4'��I 7. 0 o OWNER L� L-� � TYPE CONST. OCC GROUP: w N ADDRESS C�� ,� .� ZONING SETBACKS � CITY , ZIP T L�Gi��,�� FRONT RW ❑ oAPPLICANT TEL. REAR ❑ v� � SIDE/SIDE STREET RW ❑ Q CONTRACTOR ' � ' SIDE ❑ o ADDRESS - � PROPOSED USE � �I' o CITY ��'(� ZIP ' TEL. o ARCH/ENG/DESIGNER \ w o ADDRESS �!DWEL.UNITS�_ #STORIES�� k BEDFi00MS z CITY ZIP TEL. � DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION OWNESi-BUILDEA DECLMATION o I hereby attirm uMer penalry of perjury Mat I am ezempl fram the Contractor's State Liceme Law lor the reason�s) SFR/ADD/REM p Intlicated below by Me checkmarlys),I have placed neM to the aDPliqble item(s)[Secfion 70315,Business and Garage/Carport o Protessions Code:My city a county that requires a ce�it M co�lruct,alter,tmprove,demolish,or repalr,any z strucNre,Drior to its issuance,also requires the applicant tor the permit to Ble a sig�d stalemenl thal he or she � Patio/Deck � fs licensed pursuant to the provlslons of lhe Contractor's Sfate Licertsa Ww(Chapter 9)Commencing with Section W � 7000 of Division 3 of tha Business and Professlons Code]or ihat hs or she is exempt hom Ilcensure antl the basis tor � P�I/Spa � the alleged ezempfion.My violation ol Section 7031.5 by any applicant fa a permfl sub�ects Ne appltqnt to a civil perqlty Z Re-Roof � of not more than five huntlretl dollars($500). o � o (�I,as owner of the property,or my employees with wages as the(r sole compensallon,wlll do O all of or O portlorts —� Commercial � of the work,and the struchue is not IntenAetl or ofteretl for sale(Section 7044,Business and Professions Code:The � � Contractnrs'State License Law dces nat appry M an owner oi property who,through¢mpbyees'or personal eflort,builds m w or Improves ihe property,provided ihat the improvements are not intended or offared Por sale.If however,ihe bullding or � improvement Is soltl within one year of completion,the O�mer-Builder will have Ne burden of proving ihat It was nat huilt � por improved for ihe pur(pse of sale.). o U I,25 OWfIB!Of thC f0 � p pertg am exclusNery contractlng with Ilcensed Cantractors to cansWct the project(Section Valuati0 Ad Area: 0 044,Business arM Professions Code:The CoMractars'Sble License Law does not appty to an awner of property who I� Z builds or improves Ihereon,and who contrxts fw the projects with e licehsed Contractor pursuant to the Contractors'State � QUANTITY DESCRIPTION FEE Y Lfcense Law.). o (�I am exempt hom Iicensure under the ConiractoPs State License law ior tha foilow(ng reason(s): � - � � ' "—' By my signature below I acknowledge that,except for my personal re5idence in which I must have resided for at least one � o year prlor to compleUon oi tAe improvemenCs covered by this permit,l cannot legalry sell a struclure that I have buitt as an w �— owner-builder it It has not been catstructed in its entve by IlcenseA contractors.i �e nd tlia copy ot the applicable � Ww,Section 7044 of the Business and Professlons is available upon requ €n this ap xatlon Is submitletl or at X Ne following Web site:httpJwvnv.leginfo.ca.gov w = o �ATE: 2 �' SIGN: � F LICEN C CTOA'S DECLARATION � wI hereb aftirm untler � y penalty ot perjury that I am licensed untler provisians of Chapter 9(commer�cing with Section 7000) ' � ol Division 3 of the Business and Professions Code,and my licertse is in fWl force and eflecL � � � N LJCENSE CLASS: LIC.NO.: Z . Z DATE: CONTRqCTOR: � Q WORKEp'S COMPENSATION DECWiATION g � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ao I have and win mafntain a CerliOcate ol Consent to Sett-Insure tor Worker's Compensation,as providee by CONSTRUCTION: ��6j �Q�l � Secllon 370D of Ihe LaDor Code,tor Ihe pertormance af Ne work for whicA thfs permit is issued. p�qN REVIEW' � I have aiM will maintain Worker's Compensdtion liuurance,as repuired by Sectian 3700 of Me Labor Code,tor Z the per(amance ot tha wak tor which this Dermit is issued.My Worker's Compeivatlon liuurance Carrier antl ELECTRIC: a Polic.yNumberare: PLUMBING: � CARRIEA MECHANICAL: w � POLICY NUMBER , INSPECTION FEE: � (T}AS SEC�ON NEED NOT BE COMPLEfF.D IF THE PEAMfT IS FOR ONE HUNDREO DpLLARS�$1 D�OR LESS). � ISSUANCE: 3S• S"� I o I certity that in me performance ot the wwk for which Ihis permit 6 issuetl,I slcrll not empby eny person in any rt�anner so as to , �� o beame subject to Ihe Hbrker's Conrye�isatbn Larrs of Celilomia.Md agree that If I s�ioulU become suqect ro the Wmker's SMIP: � � CompensaGm warisions of Secl{on 3700 o1 the Lebor Code,1 stian torlhwith compry wilh those prov'isions. ENERGY P/C: � DATE^ APPIICANTyr � 'l ENERGY PERMIT: � WARNING:Failure to secure Workers Campensation coverage is unlawlul,and shall subjecl an employer to criminal RETENTION FEE: a Q�Q w penatties and civil fines up to one hundred thousand dollars(E700,000),in adtli0on to the cost of the comperaatian, o damages as provided tor In sectlon 3708 of ine labor code,interest,and attomey's tees. PRE-ALT FEE: a CONSTRUCTIONLENDINGAGENCY BSAF: \. QQ w I hereby atfirm under penaly of per�ury thal there is a Construction Lending Agen�y fw the perlormance af the work for � = which this permit Is Lssuetl(Sec.3097,Clv.C.). � LENDER'S NAME � LENDEA'SADDRESS: nw. t certiry that I have read this appliptlon and state that the above infwmafion Is cortect I agree N campty with all ciry antl TOTAL FEES , S,� --1� z counry ordinances antl state laws retating ro builoinq construction,and hereby authorize representztires ot mis counry to COMMENTS: 9 enter u the above-menfioned property for inspectim pu m � �,�l�� , N PERM � � IG E OF PE fTTEE DATE ' RECEIPT p a�3 4y- p,q�D BY: ��o'�.S VALIDATION:�_ -.r,.- WHITE—DepaMment Copy,YELLOW—Fnance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—ApplicanYs Copy CtTY OF DIAMOND BAR INSPECTION �REC�?RD • � � • . . � � . � • - SETBACKI�LETT�ER , '�� .��` `� � _ �'' `� '�� TRACTAND LEDGER �FOOTfNGS FORMS, ,� i'F � =�{ �'t,r , _. _ ` SWffCH GEAR SLAB,T; �� r �� xz�.r`',. � - COMMERCIALHOOD � UG:PLUMBING;; ` �,: � � � ;` c` > T-BAR ;UG.ELECTRICAL: �` a�� `� � INTERCEPTER UFER GROUND.;� �� . ' ',, ,��_ _ - 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. ' _ `' i", �'' '`' - POOL/SPA- t • , _ ` � ; � , - �SHEAR:dVALLS��IN�'ERIOR=;�� _ _ .ROUGH PLUMBING _ , - 5 . ` F �� F - v, . ; �" } ` ` �<<�� •RQUGH ELE,GTFICAL . - r'd �� - ' FRAMINGNENTING� - � ,�� .�� T ,_ �- �� ,. ; _ ; , ,., ROUG1i MECHANICAL ' ? +'��, �;� �;% r� $ �� =` r �FIOUGN MECHANICAL` s = � '': r _ r -ah � l� ' ROUGH-ELECTRICAL' Vil('-�:).C( ) ' - - _ ' �' GASTEST =` -' � `� n` }� s „ ,. . , 'ROUGH'PLUMBING'� '� 4" PRE GUNITE' = a L � �j ,�. �*'. .� . � u _. . . .; , ,s _ v , . INSULATION WALL PQ,OL PRE DECK BONDING � ' `` �-r � r; �`��u � "' � � - � �� 5 INSULATION GEILING P=�TRAP �:��, ��` , ' '`� DRYWALL FE►JCE/,56ATE/ALAfiiN " � ' � ° , °� a' G:: LATH(PRE) " ;FINAL POOL' _ ` ` Y „`fi �,, LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALI STEEL 1�( )2ND( )LIFf SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL ORAIW SEAL GAS METER RELEASE WALL fINAL SPECIALINSPECTION RO.FRAMINGPLAN�JINGAPPROVAL ,f :`F,'` `� ; i +':; ~ � '�"r r `� � � �_ �� , z �� FINAL:BUILDING �` � �5 '� . =f ROUGH FIREAP,PROVAL ; '`` � ' , ., ,� � 1 `'�- s� t � FINAL FIRE;�DEPARiMENT� '� ;' �; �, �� `� •FINAL MECHANICAL � _ ;FINAL ELECIRIGQL�; , `'�� : ,°',' �`;,� �, .,,�; , , .': FINAL PLAMNING ` ,. ` � ,, � � � _ FINAL PLUMBING ' : � �:x �� , FINAL ENGINEERING/PW i: '` , ' ..�:: �� ' `� =`' � LC.'�of OCCUPANCY ,,: , ` FINAL�COMMUNITY,:SERVICES ` ,� � CERT';ofOCCUPANCY ,,-: ,:.�,'`� �' FINA'LH,EAI:TH°DEPT. �':� ` a �' 4> y . � .;. ..� � ° � _ _, -_ ., , . . , . . 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