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Home My WebLink About12-1063 (6) -- - � -_ r.,. - • �,_, � CITY OF DIAMOPTD BAR �1�� , .�� ^`,-�� DEPARTMENT OF CO1�II�IUNI'I'Y&DEVELOPMENT SERVICES , i ' 21810 Copley Drive,Diamond Bar,CA 917b5 � PRESS (909)839-7020 Fax(909)861-3117 Building Inspection Notline(909)839-7027 ��°� BUII.DING PERIVIIT APPLICATION FIRMLY � JOBSITE j nI� APPUCATION � Z_ PERMIT�Z-/�j� P/C��/O�� Q ADDAE55 !�y S ��KD l�GUA�O �r DATE � NUMBE # �� ISSUE TYPE �r/1 OCC � APN �� b � TRACT �S�DyI� DATE CONST. �� GROUP I r°Cj OWNER U N �T?Z� A'1✓ `L ADDRESS ��7 � A'L!� �'�A Z�2 ZONING SETBACKS Z CITY ZYA'MaNO �/� ZIP TEL. FRONT RW ❑ � REAR O � o APPUCANT T��• SIDE/SIDE STREET RW ❑ _ ¢ SIDE ❑ NTRACTOR /� Q ADDRESS PROPOSED USE Q CITY ZIP TEL w ARCH/ENG/ z DESIGNER ' NO.DWEL. NO. NO. a ADDRE 5 UNITS STORIES BEDROOMS � CITY ZIP _� TEL. ��3f>>f'�' � DES TION SQ.FT FACTOR PSF ADJ.AREANALUATION cr� � OWNER-BUILDER DECtARATiON SF D EM � O 1 H£REBV AFFlRM UNDER PEfU1TY OF PERIUM THAT I AA1 EXEM7S FR04 THE CONTMCTORS L4 peragelCarport W CENSEU�WFORTIEFOLLOWINOREASON(SEC.7a3/.6BU5WE55ANDPROFE5S10N5CO0EAM'Cl7YOR � . (n . U COUNTYWHIGiREOUIRESAPEAMR7000N5TAUC�.AITERUAPROVE.DEMOLISM.ORREPNRANYS7FlUG IW Pat[olDeck � . . Z NRE.7R10R To RS i55UANCE.�LSO AEWIRES THE MPIICAM FpR SUCH PEAMIT TO FlLE A&ONED �� 57ATE4EM THAT HE OR SHE IS LICENSED PURSUANT TO THE PqOVI510N5 OF.THE-CONTMCTORS LL CENSE UW(qUPTER Y{COMMENCWO WI'M1r SECf10N 7000)Of DIVl510N]OF TME BUSINE59 ANO PR6 u' POOUSPB � FESS70NSCOO�ORTHATHEORSHEISE%EMPT7HEREFROMAND7HEBASISFORTMEN.LEOEOE%EMP- � � � V7qN,ANVVpLATIONOFSECTION7o31.58YANYMPLIGNTFOHAPERMITSU&IECTSTHEAPPLICANTTO Z Rg-Raof � ACIVIL VEN/�LTV OF NOT MORE THAN FIYE MUN�RED WI.IARS(f50D1.): " J 0 ❑I,ASOWNEROFTHEPROPER7Y.ORAIYEMPLOVEE9NTT71WAQE9ASTHEIRSOIECOMPENSA7qN, O �merclal� � Z ' WILL DO THE WORK�ND THE BTRUCNHE IS NOT INTQI�ED oR OFFEAEO f-0R 9ALE(9EC.�7ou,BU51- J . � NESS AND FROFESS�ONS CODE:T7E CONTMC70RS UCENSE UW DOES NOT AVPLY 70 AN OWNER OF � PROPEHTYNRiOBU�LO30RiMPROVESTiEREON,MIDWFIODOESSUCNWOAKHIMSELFORHERSELFOR m Q t}IROUC.IiHI50RMERONMEAIVLOYEES,VROVIOEDTHATSUC111MPROVEMENTSMENOTUffENDm�R W OFFEREDFORSALEIF.HOWEVER7F�EBU4D7NOOfiIMPROVEMEMIS50LDWfiFiWONEYEAHOFCOAIPLE- � 710N,THE OWNEA�HUILDER WILL HAVE T1E BURDEN OF PROVWO THA7 HE OR SHE DID NO7 BUIID OR ' Z UAPROVE FOR THE PURP0.SE OF ShLE). - ' � _ ❑I,A40MMEROFTHEPROPEHTY.AAIE%ClUSNELYCONTN�CTiNOW1THlJCENSEDCOPfTFiACTOf75 � . w O AO,IAREA� � TO COHSTRUCT THE PR0.IECT(9EC.7oN.BUSINESS AND PROfE55�ONS CODE:7HE CONTMCTORS LI- V8IU0[IOfI � CENSEUWDOE9NOiAPPLYTOANOIM�EROFAVROPEA7Y'NMOBUIlD80RIA1PROVESTHEflEON.AND , . .. WNOCOHTAACTSiOP6UCHPR0.1ECT5WlT}IACONTRACtOR(S7UCEN&EDPURSUAMTDTIECONTiUG QUANTITV DESCRIPTION FEE � � TOiLaUCENSELAW.). O ❑I AM EXEAIPT UNDER SEC. �B.a P.C.FOR TIUS REASON ��t� ! � � LL OATE � OWNER �1— Z W f , � UCENSED CONTRACTORS DECLARATION � J� � � � � I HEREBY AFFlRM UNDER PENALTV OF PERR1FiV TiAT IAM LICENSED UNDER PqOVI510NS Of CHAPTER � d a(COMA1ENCotti WtTM SECTION 7oVo)OF ONISION 1 OF THE BUSWESS ANO PROFESStONS COOE,M1D Z X 1/`/UCENSE 191N iULL GORCEAND EFFECL m � Ltl � � UCENSE C LIC.NO.: � J v / . � • V DATE CONTRACTOR a . .. . W Q � WORKERS'COMPENSATION DECIARATION 1�'I C ' � � U � � N 1 HEREBY AFFIRM UNOER PEN/LLTV OF PERIURY ONE OF THE FOLLOW WO OECLAMTIONS: � / 2Q O /�S��(2�I HAVE AND�WILL MAINTAIN A CERi1FICA7E Oi CONSENT 70 SELHNSURE FOR WORKEHS' 2 Q // COMPENSATfON,AS PflOVIDm BY SECTION 3700 Of THE LABOA COOE,FOfi THE PERFORMANCE w' OF 7HE WORK FOR NM17N�1 h118 PERM�71S ISSUED. � � 1 HAVE AND WILL M/JMAW�WORKERS'COMPENSATION INSURANCE,AS REa1WED BV SECTION Q �370D OF THE LABOR CODE,FOR THE�ERFOHMANCE�OF THE WOPo(FOR WHICH TM�S VERNiT�3 � !O J�•O t"� �SSUFp,My NrpflxEAS GOu�Qi511TtON iNSUHANCE CARAIER A1JD POUCY NUAIBEHME: CONSTRUCTION�� - jCARRIER s PLAN FEVIEW 3 0 POLICV�NUI.�BER?� J I - � ELECTRIC.. � S�O . 3� o �sEcna�r�r+oreeoonatFr�oF7rEaEarnrrswaor+Er�ra�oatusls�oWoa�ssl PLUMBING �a� ' V� w 1 CERtIFY THAT W hiE PERFONAANCE OG hiE WORK FOR WMC1i THIS 7EHMR IS ISSUEO.1 MECHANICAL �� ' \-` Z (,�} 511�11.NOT EMPLOY ANY PERSON W ANV NlJJNER SOAS TO BECOME SU&IECT 70 THE • � WORKERS'CAMPFNSATION U1W5 OF GLIFOPNI/�AND AlifyEE hUT IF I 5 o eecoME �INSPECTION FEE� �.�"� SUBJECTTOTHEWORKERS'COMPENSATI�IP O 5 S ION97 OFTHEU�BOP ISSUANCE �\v ` - �� COOE.I SHALL FOfITFiVJIiH COAIP�Y WITH RO S (,, pDATE: � /�/ /L APPLICANT: .SMIP � . . T • ��O J ENERGY PiC . WARNIN(i:FAIWREtOSEWREWORKERS'COMPENSATIONCOVERAGEISUNU AND.SHALLBE � SU&IECT AN EMPLOYER TO CRINWAL PENPLTIES ANO CIVIL FlNES UP TOONE HUNDRED THOUSAND ENERGY PERMIT �� DOILAFlS(f f 00.000).W ADD1T1(N11 TO TNE COST OF COMPENSATIDN.DAM110E5 AS FHOVIDED FOA IN � SECTqN 370!OF 7NE LABOR CODE.P7TERE3T,ANDAiTOiiNEYS FEES. � ' ' �� ' � � RETENTION FEE: . w CONSTRUCTION LENDING AGENCY � PRE-ALT FEE: � a. . . , . . � - � � I HEREBV AFiIHM UNDER VENAL7Y OF PERNRY iHAT THERE IS ACONSTRUCTION LENDMO AOENCY Q'S�� '� n- �FOR THE PERFORMANCE OF TME WOFK FOR WHICN 7HI3 PERMfT IS ISSUED(SEC:�W7,CIV.C.1. ' . Z ` W �Z LENDER'S NAME i F= LENDER'SAODRESS . (� � ' �� 'ICEiiTIFVTHATIHAVEREADTHISAPPLICATIDNAND3TATETHATTHE�BOVEPlf-0RMATION�SCORRECT. TOTAL FEES /�1C � I� 1��• 10 � W IAGREETOCOMPLYN7THALLC�TVANDCOUNTVOROWANCESANUSTATElAWSRELATNOTOBUILOIN(i � � V � COttSTRUCTIOti,NJD HEREBV AUiHOWZE REPRESEN��7NE5 OF THIS COUNN TO Et(�ER UPON IriE ' ZABOVE-MEMIONED PROPERTY FOR INSPECTION PURPOSE& ' COMMENTS ' � � . J � ¢ PERMI E(v � � - . . . . . �, X � �J 5 E DATE RECPT..NO. PAID BY VALIDATION � WHITE—DepaAment Copy�,YELLOW—Finence CaPy.PINK—Assessor CopY.GOLDENROD—Flle Copy;GREEN—ApplkanCa Copy � -' �, ;. COTY OF DIAMOND BAR �=��-�� IMSPECTION RECORD s ��. � s , n ..N� .. � �� l . .: .p , �.. �Jd:. �... .� . � �.q�. X " � �.'� � � � v � � SET BACK (, fL00R JOIST FTGSlFORMS/STEEL � � FHA REQMTS _ ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SL,48 GRADE FIREPLACE FDUNDATION TEMP POWER fIREPLACE BOND BEAM WATER SERVICE MID HT.BOND BEAM ROOF SHEATHIfJG 8 FT.BOND BEAM FRAMINGNE#�91 1 FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING l�,�p BENCHING ROUGH ELE�TRIC �, ROUGH GRADING ROUGH PLUMBING �• (� FINISH GRAOING SHOWER/TUB TEST � PQOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. �RYWALL NAILING �� DEDICATIONS SEVdER FINAL ENG. _ SEP11C TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIRTEST � FINAL ZONING FINAL CQNST. 9= ''I,• FIRE DEPT.FINAL FINAL HEATING '` HEA�TH DEPT.FINAL FINAL ELECTRIC OEV.FEES PAID FINAL PLUMBING ENERGY �'j FIhAL PLANING 0� �O � FWAL ENGINEERING � �-�.k r ;'' ` ' �� s ��' ��,1�� z - COMMENTS ��__��-t -��-�� Yr..a C' G!� a 1 ��N 4 !i � � 0 SEPTICTANKSIZE SEEP PIT/U SIZE 1% � ; . ... `. ,� �� Attachment A � Form for Non-Franchise Haulers for Construction and Demolition Requirements Company and Project Info: Name of licensed demolition contractor hauler or self hauling company � �(/� D �� { ' � y �� Address of Company hs 7 �- �� ,�}'I/� City��.t�f� • Zip Code �/7�� Phone Number �b Z— �'9�b� �L� Address and Name of Project Site � ' J�Z S� �?�Go c��ea p� � Type of recycleable material or waste material to be transported for this project � Report Information: I Please submit this information prior to final building inspection. � A report reflecting the following information: I • The estimated volume or weight of construction and demolition debris,listed for each material; • The estimated volume or weight of construction and demolition debris that can be diverted listed for each material; • The estimated volume or weight of construction and demolition debris that will be landfilled as waste; and � Identification of the vendor or facility that will collect or receive the construction or demolition debris. AB 939 Fee Payment: Pay AB939 fee of$6.00 per bin and$40 per roll off for all non-franchise hauler containers Type of Container number of container . Paid date(o�ce use only) (revenue code CD Waste) , Agreement and Signature: - . T'he properiy owner agrees to submit documentation to demonstrate compliance with the 50%diversion requirement for construction debris and shall indemnify and hold harmless the City for damage and liability, including any financial liability, fines and penalties,associated with using a non-City . franchised hauler and failing to sati'sfy diversion requirements. Prope O S' a P ' t Name Date .� -��/z elf Hauler Signa Prin ame Date Last updated March 14,2008 � 909839-7020, � 90�1861-3117(fax) .. �, � Department of . o Building - Community and �gwt° � ' De'velopment Services 21825 E.Copley Drive � Diamond Bar,,CA 91765-4178 SPEClAL INSPECTION REPO�T O D15CREPANCY CONFORMANCE All discxepanaes shall be brought to the immediate atten6on of the If work conforms to approved design and code requirements,submit this Contractor for coRec6on. If coRections are not made in a dmely reporEto Build'�ng Departrnentand oopies to Contractor,Engineer/Architect manner,this report shall be used as a discrepancy notice.Submit the of reoord and Owner no later �an the business day following the original to Building Departrnent and copies to Contractor, condusion of the speaal inspection.Fo�inspections greater than 5 days � EngineerlArchitec of record and Owrier. dura5on,submit a conformance report at least once every week This is a: Progress Report ❑Final Report Report No.:�C01 I S?-o1� Page No: -)"- of � ' Ptoject Address: I �. Al� ��S�12D �2 • �tz�M �n� �D,� " Pertnit Number. Owner. Ar�titectlEngineer of Record: Con r. I � � Z - 1 0 �v3 �• . �oSTz iJ��k��z? 6 L�.'Gvr1. ��o Full Name o!Special InspeGer: City Registration Number. Compa�y: Phorte Number, ` ��N�, � q�.; �« �Dsoso 5 0 ,n. ,� � �k . C��4)2aq- q � � Type of Inspection: ' ❑ Reinforced Concrete ❑ Reinfd Gypsum Concrete ❑ Structural Welding O Excava6on and Fills ❑Speaat RC Moment Frame D Insulating Concrete Fill �High Strength Bo16�g O Piling, Piers and Caissons O Prestress)Post-tension RC O Bolts in Concrete/Masonry ❑�pray-Applied Fire Proofing O Smoke Control ❑ Shotcrete/Gunite O Struduraf Masonry� LI!Other��x�( ��/L, =DD �� Time Time .—T . Date Arrived Departed Description and Locatlon of Work Inspected - .�`��13�- I =oa1 ► c�r�� ''� . �R�- zaa.�r, t�Ol�� , �Y� . : � ` a � � 2� D � x � �+ n t� 3 Z v zgo � �a.�: � s�w�_ ��. ti, ., „ ,�E 4)..� ► t'L. �o . .-----.-, . Remarks: � ��{� 1 �� t B . `� - _ • _ o VL �- D. 3 La ,e h1 I IiEREBY DECLARE THAT THE FOLLOWING IS TRUE TO THE BEST OF MY KNOWLEQGE: 1. I AM, OR MY COMPANY IS, RETAINED BY THE OWNER OR BY THE ARCHITECT/ENGINEER OF RECORD TO PROVIDE SPECIAL tNSPECTION FOR THE WORK COVERED IN THIS REPORT. 2. I HAVE PERFORMED THE REQUIRED INSPECTION DURING THE T1ME PERIOD AS STATED ABOVE. 3. THE WORK COVERED IN THIS REPORT IS IN CONFORMANCE TO THE APPROVED PLANS, SPECIFICATIONS AND APPLICABLE WORKMANSHIP PROVISIONS OF THE CODE,DCCEPT AS INDICATED OTHERWISE. �1 — � —�d �2 . . Signature Date J � . !� � . ; CITY OF DIAMOND BAR Community and Development Services Department i 21810 E.Copley Drive•Diamond Bar,CA 91765 - Building Inspection Request Hotline "�,�g80., (909)839-7027 Building � Planning . Engineering (909)839-7020 (909)839-7030 (909)839-7040 CORRECTION O ICE PERMIT NO. ��Z'�'" ��DATE: � Z� � am. TIME: p.m, CONTRACTOR/ OWNER BUILDER ADDRESS(Project Site) ' � L - Vro . ..� � — � - � � �- ♦ 6 pd b Q s L✓�-dl� , t�'._ � �.. " G � � �,,, c„� , �1-� ti`-1 L� �'! � ,. L�Q- 1 _ . _ i W ` j�� l-+—�� '�P ❑PLEASE CONTACT THE UNDERSIGNED ❑PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTIOIV ❑REINSPECTION FEE REQUIRED ❑PLEASE MAKE CORRECTIONS AND PROCEED WITH WORK INSPECTOR: (print name) SIGNATURE OF INSPECTOR: �- . � �: CITY OF DIAMOND BAR Community and Development Services Department 21810 E.Copley Drive•Diamond Bar,CA 91765 �� Building Inspection Request Hotline ,u.�e�� (909)839-7027 Building Planning . Engineering 09)839-7020 (909)839-7030 (909)839-7040 CORRECTION NOT CE PERMIT NO�Z' DATB; � �� TIME: p,,,. CONTRACTOR/ OWNER BUILDER ADDRESS(Project S�+P? � �Z �' '�-8 ��''�� `� �, ' tT �.L .J ` � - %l G.1e4/_l /u�p,m� wa,. �r�, 3 cs /3_ T— -.—�� -- - - � `�Q J' M � �:� � _�.�� /� c�c r �� - � �- �t/ir �i� - ❑PLEASE CONTACT THE UNDERSIGNED ❑PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION ' ❑REINSPECTION FEE REQUIRED ❑PLEASE MAKE COR�S AND PROCEED WITH WORK INSPECTOR: (print name) SIGNATURE OF INSPECTOR: ; - ' CITY OF DIAMOND BAR � Community and Development Services Department 21810 E.Copley Drive•Diamond Bar,CA 91765 x - BuiVding Inspection Request Hotline <r„��o„� (909)839-7027 Building . Planning . Engineering (909)839-7020 (909)839-7030 (909)839-7Q40 CORRECTION NOTICE a.m. PERMITNO. �?=��2� DATE: � TIME: p.m. CONTRACTOR/ OWNER BUILDER ADDRESS(Project Site) • � —� � � �d 1 DV1 �jM v� � � � �~ a ` ( i v � '�Mti � �� ❑PLEASE CONTACT THE UNDERSIGNED ❑PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION ❑REINSPECTION FEE REQUIRED ❑PLEASE MAKE CORRECTIONS AND PROCEED WITN WORK INSPECTOR: (printnazne) SIGNATURE OF INSPECTOR: