HomeMy WebLinkAbout13-1720 4i, CITY OF DIAMOND BAR � � �/
� i I I I I � DEPARTMENT OF COMMUNITY&DEVELOPM�NT SERVICES Q
�� �jlll��:�=`� ' 21810 Copley Drivc,Diamond Bar,CA 91765 SS �
,,,,�� (9(�I)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY
` �"'"""_ BUILD[NG PERMIT APPLICATION
wJOB SITE ADDRESS �W N • �`�'''�y�'� �� APPLICATION DATE: �� �—�j P/C# � —7
z APN LOT TRACT ISSUE DATE: !'JG 7�I� pERMIT# /� I !�Q
� �L'�� OCC GROUP:
w OWNER � � TYPE CONST.
� ADDRESS ^ � '�
CITY ��C;..w.-Sj � IP EL. ZONING SEfBACKS
Q � FRONT RW ❑
o APPLICANT TEL. REAR
N � �, ❑
Q CONTRACTOR SIDE/SIDE STREET RW ❑
o �^ SIDE ❑
c� ADDRESS 2 `Y �` PROPOSED USE
¢ CITY lJ�^"e1�Q ZIP�TEL. � �2 '^
0
o ARCH/ENG/DESIGNER
w
o ADDRESS
ri DWEL.UNITS �1 STORIES k BEDROOMS
� CITY ZIP TEL.
ownm-em�nea oecurnanoN DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
o I hereby amrm u�er penatty ot Derjury that I am e�cempt hom the Conhactor's State license Law fw the reason(s) SFR/ADD/FEM
p indicated bebw by the checkmark(s).I have placed next to the apDlrca6le item(s)[Secllon 7031.5,Buslness and Garage/Carport '
o Professions Code:My aty m county that requires a permit to construct,alter,improva,demolisA,a repair,any
w strucNre,prior to ib fssuanc&atw requires ihe applicant for Me pumit to Ble a signed s[atement that ha or she � Patio/Deck
n. is Ocensed Dursuard to the D�ovisions of the CoMractor's Sfate Llcense Law(Chapter 9)Commencing with Sectfon W �
� 7000 of Dtvisian 3 af the Business anA Professlons Cade]w that he or she is ezemD�hom licensure and the basis fw LL P�VSpa
N Ne alleged ezemption.My violation of Section 7031.5 by any applicant 1ar a pertnit sub�ects the aDPlicant to a civil penalty C7
N of not more than five huntlretl dollars(5500). Z Re-Roof
�
o U 1,as owner of the property,a my employees with wages as ihelr sole comperaatlon,will do(�all of wO portions � Commerclal
� of the work,ar�d ihe structure is not Intende0 a oflered tor sale(Sec�on 7044,Buslness end Professlans Code:The �
� Cantractnrs'State LicenSe Law does not a to an ovmer of r e vfio,ihrou h em lo es'or m
Z PP�' P oP nY 9 P YQ Personal ettort,builds
w a improves the property,provided that the improvemenLs are not intended or ottered for sale.If howevu,ihe building or
� improvemeN is soM withln one year of completlon,the Owner-Builder will have the burden of proving�ha[it was not�uilt
oa improved fw the purpose of sale.).
� U I,as owner of the property,am exdusively conVactlng with Ilcensed Contractors to construct the project(Section
0 7044,Business and Prolessions Code:rne Contractors'Sbte License Law does not appty to an awner ot prooerlY wlro Valuation: Adj.Area:
Z builtls w imprwes t�ereon,and wno contracts fa ihe projecls with a licensed Contractor pursuant to the Contracrors'Stata QUANTITY DESCRIPTION FEE
�
Y License Law.).
p (�I am exempt from Iicensure under the Coniractor's Sta�e License law fa ihe(ollowing reason(s): �
�i ¢
�—` By my signature below I acknowledge tliat,ezcept fm my personal residence in which I must have resided for at least one �
o year prior to compledon of tha Imprwements wvered by mis pertnit,l cannot legally sell a structure that I have buitt as an W
r owner-builder if It has rrot been consWcted in its enfuety by licensed contractors.I understantl ihat a copy ol the applicable
� law.Section 7044 of the Business and Professions Code Is available upon request when this application is suhmitled w al S n. �Dl.. .�,��•
a � v.�.rtir .
X the following Web site:httpNnvw.leginfo.ca.gov/qlaw.htrnl. Z
o DATE: SIGN: �
~ LICENSED COMHACTDH'S UECWIATION �
H a
w I hereby aFfirm under penalty of pehury that I am licensed under provisions of Chapter 9(commencing with Seclion 7IX70) �
m ol Division 3 of the Business antl Prafessions Code,and my licerse is tn tull force and effect.
f� �(('� V �` '�('� (.� c�.
� LICENSE C —\ '��+ LIC.NO.: —\� �! —1 a
0 oa�: 2'l � corrrru on: ¢S�T-Pi�- }�2m 0 �
� woe�n�s coMr�snnoN oecwianorr �
� I HEREBY AFFlRM 11NDER PENAL7Y OF PFAJURY ONE OF THE FOLLOWUJG DECl/VRATIONS:
o I have and will maintain a CertKpte ol ConSent in Sett-Insure Iw Worker's CompensaUon,as provided 6y CONSTRUCTION:
� Section 37�ol ihe Lahar Code,for the perfrnmance ol the work for whlCh this permit is issued. ' p�p,N REVIEW:
� I have aM will maimain Worker's Compensatim Insurance,as repWred by Section 3700 of the labor Code,tor �
Z the perfortnance ol the work 1or which this DermH is issued.My Worker`s Compensatfon Insura�e Carrier antl ELECTRIC:
¢ PoIi�yNumberare: ( P�UMBING: �
� CARAIER �� h`2.r� �N:JT�+ ' 1 MECHANICAL:
� POUCYNUMBER � — INSPECTION FEE:
� (TH5 SECTION NffD NOT BE CAMR.EfED IFT1ff PEFAIR IS FpR ONE HUNDRED�OLLARS($1ppJ OR LFSS�. ISSUANCE: _
o I certiy tliat N the perform3nce of the�wrk fa which Ihfs permit is Lssued,I slall nol empby arry person in any manner so as to
0 6ecorne subject In Ihe waker's ComPe�satlan laws o1 Calilomia Md agree Ihat kl become subject to me worker's SMIP:
� Compe��,�f Seclion 3700 of Ihe Cade.l shall torlM+illi co ' Uwse Provisiorrs. ENERGY P/C:
J �AlE: PLIClWi: •�1
`� ENERGY PERMIT:
� WARNING.FaiWre t secure Workers Campensatlon coverage is unlawlul,and shail subJect an employer ro cnminal
w penatties and civil fines uD to one hundred thousand dollars($100,000J,in additian to ihe cost of the compertsation, REfENTION FEE:
o darnages as provitled tw in section 3708 ot Na labor code,interest,and attomey's tees. PRE-ALT FEE:
a CONSTAUCTION LENDING AGENCY BSAF:
w I hereby affum urMer penalry of perjury that there is a Construction Lending Agency tor the pertormance ol the work for �
= which this permft is issued(Sec.3097,Clv.C.).
� LENDER'S NAME
� LENDER'S ADDRESS:
a I certiry that I have read this applfcation and state that ihe above informatlon fs correcL I agree to compy wim all ciry and TOTAL FEE$ �� �
Z county wdinances and state laws relating m bull0ing construction,antl hereby authorize representaUves af this counry ro COMMENTS:
p enter upon the above-mentioned property tor inspection purpases.
_ "1'A _.
m ��A� �
a PERMfTTEE NA (PRINn
�
N
F SIGNATURE OF PEAMITfEE DATE RECEIP PA1D BV: VALIDATION:
WHITE—Department Copy,YELLOW—Finance Copy,PINK—l�ssessor Copy,GOLDENROD—Fle Copy,GREEN—ApplicanYs Copy
CITY OF DIAMOND BAR,;. r ,
• INSPECTION RECORD �
. � o . • a - • s � � '
SEtBACK/LETTER ' �.::� Y .:r;,f r.. ;t ` �- TRACTAND LEDGER
FOOTINGSFORMS, ,,s� - � �'?: r=``F , ::= j ' '' '' SWffCHGEAR
SIAB�� . ` � -��� ;;�� ���. a��`� }.:`�`, -- � COMMERCIALHOOD
UG:PLUMBING - �:r ' ' - T-BAR
:UG;ELECTRICAL�, , �� ' _ + ''' ' ` � .-� INTERCEPTER
UFER_GROUND,`' ''°� ; '�`.`i� Y'• � � ,' _'' HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHFATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
FZ 5; l � { .
SHEAR WALLS EXi'ERIOR� v �� rd t ��;j '' " � � � � '; �, * POOUSPA��� ' : ° � � z� rF
� `� �� ROUGH PL'UMBIN6 :� � � � `�_ � �� � � � � �
SHEAR WALLS tNTETiIOR?'L,� �� ' r" • � F - ' `
��� ,:� , + - •, .Ei�OUGH ELECTRICAt;;� J r �`�L r,��� � �, � �o-.� n, .. , ,.f
FRAMINGNENTING ��, ���� x' _ � a .� ' '� ; � '
. 4 �}f� -d.�
ROUGH MECHANICAL� a?' "�'' ��` 'r r���• ' �`��� �`r ROUGH'MECHANICAL 3 f r � , � � � � `�� ,, � � `�
, .. i _ ' ,� t �'t, :u -
ROUGH ELECTRICAL W ;, C/ ; ,
I ��.� lY� �-'F� t y Y., 44J., s . f .CL G��EST�F � �_°' .�' � t ;� ,� ;
r J.J r- 5' 1
� f � � �� ��,t r k,�,� � �PRE GUNITE ,, � 5 , , � � �. �°i > ��
ROUGH,PLUMBING . ,.: �z �. •:� � ��' <. ,x�. . _:... a� .,_�:. . .:��: ,� � �
�f r
INSULATION WALL FODL P,RE,DECK BONDING `� ,s ' �i �-� ��:;�3 'w t ' -
INSULATION CEIUNG 'P'�P � � ` � � � '�
DRYWALL F,ENCE/GFITEJ ALAfiM �';� Y � ` ` ` �
,
LATH(PRE) .FINALPOOL `;�� * .��-r t � :,' ��',^-= �, -
LATH EXTERIOR WALLS:
LATH INTERIOR WALI FOOTIN6lSTEEL
GAS TEST WALL STEEL 1ST( )2�( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIW SEAL
GAS METER RELEASE WALL FINAL
. _i 1 �_f =.I 5 .
SPECIAL INSPECTION ;fi0_FiiAMIN6PL{INIJjNGAPPROVAL �1 � �` �
FINAL:BUILDI�NG � � � � - ''�' �' " ROUGH�FIREAPPROVAL �' ` � � - ='
FINAL MECHANICAL�-; r � ' �: '� M �� .� : _NAL FIRE DEPdRTMEWT ` �
,F� i �" , i
FiNAL ELECTRICAL E �� , ` 5 � f�„ ' ^ s'� FINAL PLANNING'; � ,� r , ;�� �}�- �'
;FINAL PLUMBING 'c ' �., s :. - ' `FINAL ENGINEER{NG/pW ;' ' ' ' `' '� ; � ' µ' � '�`
T.C:of OCCUPANCY fi . j, �- .3 ;.? �� r• FINAL'COMPAUNiTY SERViCES �-;: ,� ?,- i= � , '� 5 >
CERL of OCCUPANCY�; r� ,,. ;`, � - ,r '�� EINAL HEALTH DEP.T ��. > ` ` y �
r. , � _� � �, .< �: t . :
�L
��FINAL 1N�DUStRIAL WASTE=��'' �`" � �� � ���� �_ �
� _ � ..� . _�,
� : ... .,_, . . ,.
. _
COMMENTS: � '
�, .
So �
� c r ►