The URL can be used to link to this page

Home My WebLink About15-0948 __, i ,x"',: , CITY OF DIAMOND BAR �D��JIS �, ;i DEPARTMENT OF COMMUNITY 8��'vi,V'�LOPMENT SERVICES -�'- =�� 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS , ;�;, (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 FIRMLY '''88"' BUILDING PERMIT APPLICATION yJOB SITE ADDRESS�}OTO�S 6�T�{��• APPLICATION DATE: .3 �J P/C# 1 ISSUE DATE: /�d;�� PERMIT# / "0 � = APN LOT TRACT , � OWNER l�'�i TYPE CONST. OCC GROUP: � ADDRESS �� d�l'/�1 . . ZONING SEfBACKS n CITY I�iG�n►�n�ol f�rr ZIP r� TEL.�t�� '3�5�� FRONT RW ❑ ¢ APPLICANT TEL. REAR � � SIDE/SIDE STREEf RW ❑ " �'l/�'�Gtr7liA ��17'PG� iilG�fV'3 .�ITC. Q CONTRACTOR SIDE � � ADDRESS � ' � PROPOSED USE � �T�' �'7 r arv �vm �� ZIP q/3Gy TEL. ��"�S-7�SS � � ARCH/ENG/DESIGNER � ADDRESS #DWEL.UNITS #STORIES #BEDROOMS ¢ CITY ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNEH-BUILOEH OECIAHATION 's I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � I� indicated below by the checkmark(s),I have placed ne�t to the applicable item(s)[Section 7031.5,Business and Garage/Carport L Professions Code:Any city or county That requires a permlt to construct,alter,improve,demolish,or repair,any z structure,prior to IL5 issuance,also requires the applicant fir the permit to file a signed statemeirt U�at he or she � Patio/Deck I i is licensed pursuant to the provisions of the Contractar's State License Law(Chapter 9)Commencing with Section w I � 7000 0l Divisian 3 of the Business and Professlons Cade]or that he or she is ezempt from licensure and the 6asis for � Pool/Spa � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry C7 I '� of not more than five hundred dollars($500). Z Re-Roof Y � I� (�I,as owner of the property,or my employees with wages as their sole compensation,will do(,all of or(J portions � Commercial � of the work,and the s[rudure is not intended or oftered for sale(Section 7044,Business and Professions Code:The � I zContractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds m � or improves the,pmperty,provided that the improvements are not intended or offered for sale.If however,the building or � � 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 oi the property,am ezclusively contracting with licensed Contractnrs to construct the project(Section � 044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who V8luatiOn: C Adj.AreO: Z buildsorimprovesthereon,andwhocontractsfortheprojecCswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE � Y License Law.). J I � (,I am ezempt from licensure under the ConVac[or's State License law for the following reason(s): � , _ . I � � � 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w I z year prior to completion of the improvements covered by this permit,l cannot legally sell a structure 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 / U� I K the following Web site:http/v�vw.leginfo.ca.gov/calaw.html. m ,e - � '-� DATE: SIGN: � I � LICENSED CONTFIACTOH'S DECLAHATION � � I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � y � of Division 3 of the Business and Professions Code,and my license is in full force and effect. I � J � LICENSE C S: LIC.NO.:� � Q I � DATE: CONTRACTOR: =�/ �/1/ w I ¢ WOHI�fl'S COMPENSATION DECUIRATION � I � I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: . �/ L � I have and will maintain a Certificate of Consent to Self-Insure far Worker's Compensation,as provided 6y CONSTRUCTION: �� Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�.,qN REVIEW: ��• Z/ � �I have and will mainTain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: � the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ PolicyNumberare PLUMBING: � 1- � CAHRIER 7� ��/I1� MECHANICAL: �� POLICYNUMBER �(7e��y' ��I INSPECTIONFEE: � (1}iIS SECTION NEED NOT BE CAMPLEfED IFhIE PEAMR IS FOR ONE HUNDRm DOLLARS($100)OR LESS�. ISSUANCE: � �i � I certify that in the performance of the work for which this permft is issued,I shall not employ any person in any manner so as to e.,o1r � become subjed m the Worker's Compensation Laws of Califomia.Md agree that if I should become subject m the Worker's SMIP: :J l6 JCompensation provisions of Section 3700 of ine Labor Code,I shall forthwith comply with ihose provisions. ENERGY P/C: � DATE: APPLICANT: 1 ENERGY PERMIT: /►� � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: �IiV y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the cost of the compensation, i damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � �{ = CONSTHUCTION LENDING AGENCY BSAF: �!� i Z I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for y � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: � LENDER'SADDRESS: i I certfy that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEE$ ��t n � � county ordinances and state laws relatin to buildin construction,and hereby authorize re resentatives of this coun to � z 9 9 P h' COMMENTS: � enter upon the above-mentioned property for inspection purposes. � .I'�f ��imu/^ ¢ PERMITTEE NAME(PRINn " w.✓ • a3 /� � y x SIGNATURE DF PE DATE RECEIPT# _ O PAID BY:;/�(�VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy I CITY O� DIAMOND BAR IIVSPECTi�R;.-RE�CORQ � � � � ° � � � � � j s � SETB�AGKt'LEfTER .�� TRACTANO LEDGER FOOFlNGS�FORMS SWITCH GEAR SIAS -.r�- - COMMERCIAL HOOD .� s. -�„ _ _ UG�;FL'UMBIhtG � _ T-BAR 17G'.�ELEGTRIGAL INTERCEPTER _�.F _ _ UFERaGROUND HOT MOPISHOWERPAN SEWER IATERAL �SEPTICiCESSPOQL MAIN WATER LINE HERS REPORT RECEIUED SEWER CLEANOUT DEMOLITION RQOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CQNDUIT SHEAR WALL,S EXTERIOR , POOUSPA ��< , _ _ _ SNE�i��WA[.L�iNTERIOR I ROUGH'PLUMBING mm Net".� .u... �:.. ...... .. ... ... . .. . . ......... . . FRAMENGN€NTING�, �°�'� �� `� � ROUGNELECTRICAL � ROt�GH MECHANICAL _, � ��ROUGH MECHANICAL _v,.,� __ _ _ RQUGH E�EC?RICAC W� )C i T �`'� GAS T�Si r�� ,. ��.,. � __ _ ROUGH�PLUMBING. � � '� PRE GUNITE INSU(laTION WALL POOI:�PRE DEGK BONDING � , _ INSULA?ION CEILING P-TRAP. .;. _ _ DRYWALL ,FENCE 1 G`ATf!ALARM' � � LATH(PRE) ��EINAL POOL � � � �� --- — ., LATH EXTERIOR WALLS: LATH INTERIOR / � WALL FOOTING/STEEL GAS TEST __ WALL STEEL 1S'{ )2"D( )LIFT SGRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN!SEAL GAS METER RELEASE WALL FINAL SFECIAIINSRECTION , � RO.FRAMINGPLEWNINGAPPfi0U�1L _.,� __ FIN,�BU(LDIM1IG - �� /r� ' ' �ROUGH EIRE APPROVAL 7, y �INAL�MECHANICAL � � FINAE.FIRE DEPARTMENT FlNAL'ELECTRICAL FINAL PLANNING FINAL�U��IBING . '� '�� Z' �FINAL ENGINEERINGJ PW � _ _ TC:of OGCUPAWCY � FINAL COMMUNITY SERYICES GER7�of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: Sff�[r/�/� �,P/J �h �r �y ��, - � d-�l3 c��c . o'�I3 G��: j�L � �� I 0�13 C�'C � ��k Y� zz�o8 �� . ��. t s-�9 �J � d '� Qs/o�Jrs �► ��,y�, - � p�m»� . �� ;�fr��w� � �r�, K.�� 7�� , a 3 . `�~ fi L`f01e''t,.. . "� f/�l//4rky_ - ��'' �� :i.."-`t•, td �;� �L� �rd�g � D' ��s� ��Q��'�N ��a�o�� -�� ,�.��,��,� � , _ ��A ��,�� ,� �+ �'ov , Q�� '�yy TU a ` N,�s�. � �►�SF 4� �� dtp�� S�41 � ,� �°R�tc ��"$ �r��,.�,^��°��e,yr��orBF � R G�uFST��`eF o '�rH��p�y �� ' A Q y�� ,� ' �� .�C�)�,n,�j �°_9�''��ta�- C�,}�vtlet �L�� 'r�'1 � �� ch�rn�. ,��h1�1,G�P1{�,�. � F�'rh. �o � �,1 �,��r� ��%�"� �� p ...0�rlr� �/�1��`�- ��I�� n ��-�� ./�.��s��r, � ,��r�' r�'1�. � 1'�'CS��l�hf f G2- 5�ii�"1��s - /�lo �7'�rr�'`/✓,��/� �h�� r��C�7� ��. �'I^,�'I?� �iG'ifrl r.t-;�,��-� �- �f� f�` ��,� c.rc. � �� v ; �13 c�c ��`� �� 3 C�'C ` ' -•�� k Y� � - � i �k - ~ v;�, �; I��h�' �r�,� . k;� � , �►��►� � . `� Noj;: f/!�//�R�/ G'�r�+/e � h . r: � 4� y�, �;��.9pfm`� �° ��„°� . -�� _ �(�)�m y�zcl C�)�vilet� a°9�''"�"ia+- ,R,�cj��rn�. C�) ��/��m � � �' r��lE� � �n. ,, .�� s�g f�t r � :l, ��1�r� �'l�%�", �1� ..�'a�t�� ..��l� � - �1��f� ��=l�f ��t ��.�� ./c��n. r� �''��r� ��. . 1 �c��d 1�h�r a. s�.i�'�i�s �n �� t�� '��n� ��`rm�r��,��r�f ��9�7�'S