The URL can be used to link to this page

Home My WebLink About14-4288� �'z"�� C1TY OF DIAMOND BAR � �•��._ E I I { ' DEPARTMENT OF COMMUN[TY& DEVELOYMENT SERVICES �pq;� =�`� " 21810 Copley Drivc,Diamond Bar,ca►yi��s PRESS � (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � FIRMLY • . �'�"°"." BUILDING PERMIT APPLICATION ¢ JOB SITE ADDRESS � / Q � ,-L� APPLICATION DATE: �r��,�t P/C# d ' ISSUE DATE: �.�D��G�y PERMIT# ��— L��-Ad z APN LOT TRACT 0 o OWNER TYPE CONST. OCC GROUP: w � ADDRESS ^�� CITY �• Q�` ZIP ��, � ZONING SEfBACKS FRONT RW ❑ oAPPLICANT TEL. REAR ❑ Q CONTRACTO � SIDE/SIDE STREET RW ❑ 0 SIDE ❑ W ADDRESS 1 PROPOSED USE � CITY ZIP TEL 0 o ARCH/ENG/DESIGNER �„ w � o ADDRESS 7t DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION owNm-euaoen oecu�rtanox � � I hereby afllrtn under penairy of perjury that I am exempt from the Contractor's State License Law Mr the reason(s) SFR/ADD/REM pirMicated hetow by the checkmark(s),I have placed ne�1 to the aDD��ble item(s)[Section 7031.5,Buslness and w Professlons Code:M ci or coun that r Wres a Garage/Carport o y ty ty eq permit to construct,aller,improve,demolish,or repatr,any Lz struclure,prior to its issuance,also requires iha applicant for the permlt to flle a sfgned statement that he or sAe � Patio/Deck a is licensed pursuant to ihe provisions of the Contractor's State LJcertse Law(Chapter 9)Commencing wiN Sectfon W � 7(100 of Division 3 of the Business and Protesslons Cade]or that he w she is exemDt hom Iicensure and the basis for LL P�USpa � N the alleged ezemption.Any violatian of Section 7031.5 by any aDDlicant for a pertnd subJects the apDlicant to a civil penalry � N of rrot more than five hurMred tlollars(5500). Z Re-Root ¢ o (J I,as awner ol the property,or my employees wIN wages as thelr sole compensation,will do()all ot or()poNons � Commercial � ot the work,and me structure is not intendad or ottered for sale(Sectlon 7044,Business and Professions Code:The � � Contractws'State License Law dces not e I ro an ovmer ol ro m � pD Y p pertY vfio,through emp�oyees'or personal ettort,builds u�7 or improves the property,prmided that ihe Improvemenfs am not intended or oflered for sale.tt however,the building or � improvement Is sold witbin one year of comp�etion,the Owner-Builder vdll have Ne burden ol proWng U�at it was irot bWtt por imprwed for the purpose of sale.J. � I,as owner o1 the ro � � U P PehY��Gusively contractlng with Iicensed Contractors to canstnict the proJect(Section 0 7694,8usiness and Professions Co[le:The Coniractors'State Llcense Law dces not aDPN��o`++�er of pmperty wtro ValuatiOn: Adj.FVea: z builds or improves thereon,and who conUacts for the projects with a Ilcer�se�tl Cantractw pursuant to the ConVactors'Slate N QUANTITY DESCRIPTION FEE I Y License Law.). o U�am exempt hom lice�uure under the Coniracinr's State License law Por the following reason(s): � � 3 Q �—` By my signature below I acknowledge that,ezcept for my personal residence in which I must have resided fw at least one w z year prior to completion of Ihe fmprwements covered by this permit,l caruiot legally sell a structure that I have buitt as an o ,;, i=. owner-builder if it has rrot been constructed in iLc entirery by licensed contractors.I undersfand mat a copy of the applipble � � law,Section 7044 ot the Business and Pro(essiats Code is avallable upon request when this applicalion is submitled or at X tlTa following Web site:httpJ�wnv.leginfo.ca.gov/calaw.htrnl. _ o �ATE: SIGN: � � � LICENSED COMHALTOfl'S DECIARATION � ,� I hereb affirm untler � y penalty ot perjury that I am liceraed untler provisiw�s of Chapter 9(commencing with Sectiwi 7000) � ot Division 3 0l the Business and Protessions Code,and my Iicense is in full iwce a eflect J _ -�_ �� LICENSE CLASS: LIC.NO.: za o DATE: ��7'P\a • CONTRAC70R:_l � _ � J��+� WORNQI'S COMPENSA�f01�pN "' � � I HEREBY AFFlRM UNDER PENALTY OF PERJURY ONE OF 1HE FOLLOWING DECLARATtONS: ow � I have and will maintain a Cerificale ol Consent to SeK-Insure lar Waker's Compensation,as proWded by CONSTRUCTION: � ��•� � Sec6an 3700 ot the Labor Code,for the pertormance of the wak for which thls permit is issued. p�qN REVI EW: > I have a�will maintain Worker's Compensatlon tiuurance,as repuired by Section 3700 of the labor Code,for Z the performance of ihe work for which this permif is issued.My Worker's Compensafipn liuurance farrier antl ELECTRIC: ¢ PdicyNumberar�� PLUMBING: � CARRIEA MECHANICAL: � POLICY Nl1MBER � INSPECTION FEE: � (T}flS SECfION NEED NOT BE COMPLETED IFTHE pERMR t5 FOR ONE HUNDR�OOLLARS($10�OR IESSJ. � �,. � � ISSUANCE: o I certify tlnt in the perfamvxe o(ihe work fa which�his pertnit's'ssued,I sha0 not empby erry person in any manner so as to o becorne subjed to Ne Workers Compensauon Laws o1 Califomia.Md agree Ihat If I shouW become subject fi ihe Workels SMIP: /� � - J Compensauon provisforrs ot Section 3700 ot the Labor Cotle,l shaA IorUiwith cmnpry with ihose provisiau. ENERGY P/C: 'i �A� ��' ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawfW,arM 5hail subJect an employer to criminal RETENTION FEE: ,�� w penatties and clvil fines up ta one hundred thousand dollars(5700,000),In addition to the cost of ihe compertsation, o damages as pro»ded for in section 3708 ot me labor code,irrterest,antl attomey's fees. PRE-ALT FEE: a CONSTHUCTION LENDING AGENCY BSAF: J I�� w I hereby affirm under penalty ot perjury Nal there is a ConsWcUon Lending Agency fw Ihe peAamance ol the work Im = which this permft is issued(Sec.3097,Gv.C.�. � LENDER'S NAME � LENDER'SADDRESS: J- . a I certify that I have read this applicaGon and state ttiat the above information is correcL I agree tn cwnpry wiN all ciry antl TOTAL FEES Z counry wdinances antl siate laws reiating ro building construction,and hereby authorize represent�tives of this county to COMMENTS: p enter upon the above- boned prope for in ection purposes. J m V a PEflMfTTEE ME(PRI � N l VALIDATION: � � SIGNATURE OF PE E pATE RECEIPT# �D �PA1D BY:✓� � ' WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—ApplicanYs Copy � CITY OF DIAMOND BAR INSPECTION RECORD , . � o . • s - s � . • • - SETBACK/LETTER,� ` � �' �< TRACTAND LEDGER FOOTINGS FORMS ' - � ,�;., - :: SWITCH GEAR S�qg , � , ' �� COMMERCIAL HOOD � _ ��UG.�PLUMBING�� '' t '�: 5 ;�: ` �_� :s T-BAR • UG.ELECTRICAL;,� , ,. '`� � ' ' � ' _ �i., ': INTERCEPTER UFER GROUND a-_ F�` �.,"° � `�., ,� �` `i '�:� ;, HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DR,41NS FLOOR SHEATHING ROUGH CONDUIT _ " , POOL/SPA�,;- '., � ` ;�_ t - ` '��; SHEAR WALLS EXfERIOR. � ' ` ' SHEAR WALLS:INTERIOR - '� " `. ROUGH PLUMBING. :: �,�. , �.,' -�` ' `�� '}� FRAMINGNENiING [' ` '� _ ` == � �ROUGH`EL"ECTRICAL� � ;� '-� �'� , f � ' t y ROUGH MECHANICAL � ; i ;'� r s ',x �� ROUGH MEGHFINICAL,�, � r� � i � � = r�'ti � � ,ROUGH ELECTfiICAL'�VJ( ').0(�,)- 2� i `�" W, '" , " ' �GASTEST � � ` '� � r' `�� ' ' '" r =�� , , . � s��, ROUGH PLUMBING � � _ �� , _ � PRE GUNITE ` ��! �` >`� ; � ..x�".. _ � INSULATION WALL :ROOL PRE DECK BONDING � � _ `� }� . INSUlAT10N CEIUNG ;P:.TRl�P .� . ,- �T � - - - 5 -' ''� DRYWALL FENCE/�GATEJ ALARM � _, ��'; " '�' � � LATN(PRE) � �FINAL POOL ,, - a� �, _ j�£ - _ LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2ND( )LIFf SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL ORAIN/SEAL GAS METER RELEASE WALL FINAL SPECIALINSPECTION ROFRAMINGPLANNINGAPPROVAL' , ' �' � * � fINAL�BUILDING,,. ' �� .,Z��'l '-� _ � ' �ROUGH�FIRE APPROVAL , � �: � �- '� � �� _ fINAL MECHANICAL :' ' ` ;` ,`. �'; t`; FINAL FIRE DEPARTMENT ',-Y, � , � FINAL ELECTRICAL " =:'�.. '�.� .�n ` . :,�, ..'{ ;-. ' � .,;`,: �-', -FINAL PLANNING a ` � ; '. ,:; . F �� FINAC`PLUMBI(�!G r r � : � a'''' `` `'' FINAI:ENGINEERING/PW �� "�'l' �' � _ � ,� , . � .. � ,� T.C.of OCCUPANCY �' - ' � � ' FiNAL�COMMUNI'fY_SERVIGES - , ,`- ' � - . . .. .. . �.. � ., _� ,�. .;�, �.,' - > ; ..' F ' _ CERT.`of OCCUPANCY . � ;',- ., FINAL HFALTN DEPT , ° ; . . , 'FINAL�INDUSTRIAL.WASTE�r' �� ' � '"' �" _` � COMMENTS: