The URL can be used to link to this page

Home My WebLink About16-0599 • - CITY OF D[AMOND BAR � I ^ ( i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ;= 21810 Copley Drive,Diamond Bar,CA 91765 PRESS (909)839-7020 Fax:(909)861-3117 Building[nspection Hotline(909)839-7027 F�RMLY � ��s4� BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarca.gov °; APPLICATION DATE: � P/C# I a JOB SITE ADDRESS � ISSUE DATE: �7� � PERMIT#: �((/ ✓O� z � APN LOT TRACT ' o - � OWNER 1 Y S TYPE CONST. OCC GROUP: � � ADDRESS 2. �n - ¢ CI ZIP TEL.�� Scope of Work �.11 �d Q,1M1P '��IYI� 011��d p� a APPLICANT��1,',C.�_,�,,/ �Q Yl0 TEL. •I• �O'� �� l �—� o CONTRACTOR �(/WT� �1�5 �J�1 � ADDRESS��4� C�1'Ylv 1• #DWEL.UNITS #STOFiIES #BEDROOMS o CITY�(lrit�.�� ZIP�Z�/TEL.],I=��' I�� o ARCH/ENG/ z DESIGNER DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � SFR/ADD/REM o ADDRESS ¢ Garage/Carport m CITY ZIP TEL. � Q OWNEH-BUILDEH OECLAHATION w Patio/Deck � I hereby affirm untler penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) � PooVSpa o indicated below by the checkmark(s),I have placetl nezt to the applicable item(s)[Section 7031.5,Business and Z Re-Roof w Professions Code:My city or caunty that requires a permit tn conshuc;alter,improre,demolish,or repair,any � a structure,prior to its issuance,also requires Me applicartt for the permR to file a signed statement tliat he or she � Commercial N is licensed pursuant to the provisions of the Contractor's State License Law(Chapfer 9)Commencing with Secfion � N 7000 of Division 3 of the Business and Professions Cade]or that he or she is exempt from licensure antl the basis for m � the allegetl exemp6on.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty 0 of not more than five hundred dollars($500). e �J I,as owner of the property,ar my employees with wages as their sole compensation,will da(J all of or(�portions Z of the work,and the s[ructure is not intentled or offered for sale(Section 7044,Business and Professions Code:The Va/uatiOn: Adj.Area: w Contractors'State License Law does not apDly to an owner of property who,through employees'or personal effort,builds p� or improves the property,provided that the improvements are not intendetl or offered for sale.It however,the buiming or QUANTITY DESCRIPTION FEE 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 af sale.). ¢ ZI,as owner ot the ro e � U p p rty,am exclusively conVacting with licensed Contractors to construct the project(Section ¢ � 7044,Business antl Professions Code:The Contractors'Shate License Law does not apply to an owner of property who � — builds or improves thereon,and who contracis for the projects with a licensed Contrac[or pursuant to the Contractors'STate � Y w o License law.). LLU I am exempt from licensure under the Contrac[or's State License law for the foilowing reason(s): � z z m � By my signalure below I acknowledge that,except for my personal residence in which I must have resitled tor at least one � � year prior to completion of the improvemenfs covered by this permit,l cannot legally sell a structure that I have built as an a X owner-builder if it has not been consWcted in its entirety by licensed contractors.I untlerstand that a copy of ihe w applicable law,Section 7044 of the Business and Professions Code is available upon request when this application is � o submitted or at the following Web site:http/www.leginfo.ca.gov/calaw.html. � �j LICENSED CONTHACTOH'S DECLABATION � mI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � N of Division 3 of the Business and Professions Code,and my license is in full force and effect. N LICENSECLASS: �"IO ��OS�-1 o s� LIC.NO.: Z DA1E:�_�(� CONTRACTOR�_('��1�9 CONSTRUCTION: a PLAN REVIEW: p WOHKEH'S COMPENSATION DECLAHATION ¢ I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ELECTRIC: �� fir �, o I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by PLUMBING: � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. MECHANICAL: p �I have and will mainTain Worker's Compensation Insurance,as required by Section 3700 of the Labor Cotle,for Q the perfortnance of the work for which mis permit is issued.My Worker's Compensation Insurance Carrier and INSPECTION FEE: o Policy Number are: Z CARRIER s c;+al ISSUANCE: �:1/� N POLICYNUMBER CW 1� O SMIP: � (iHIS SECTION NEED NOT BE COMPLETED IFTHE PERMR IS FOR ONE HUNDRED DOLLARS($100)OR LESS). ENERGY P/C: p I certify that in the pertormance of ihe work for which ihis pertnit is issued,I shall not employ any person in any manner so a ro ENERGY PERMIT: o become suhject ro Ne Workers Compensatlon Laws of Cal'rfomia.Md agree that if I should become subject to me Worker's J Compensation provisions of Section 3700 of ihe labor CoAe,I shall forihwith comply with those rovisions. RETENTION FEE: p7�� DATE:�ieAppLICANT: PRE-ALT FEE: � WARNING:Failure to secure Worker's Compensation coveraqe is unlawful,and shall subject an employer to criminal gASF: � penalties and civil fines up to one hundred thousand dollars($100,000),in atldition to the cost of the compensation, p damages as provitled far in section 3708 of the labor code,interest,and attorney's fees. PLOT PLAN: � CONSTAUCTION LENDING AGENCT ZONING CLEARANCE: = I hereby affirm under penalty of perjury that there is a Construction Lending Agency for The performance of the work for . � which this permit is issued(Sec.3097,Civ.C.). H LENDER'S NAME: � LENDER'SADDRESS: TOTAL FEES ��l� w ��, � I certify that I have read this application and state that the above information is correct.I agree to comply with all city and Z county ortlinances and state laws relaling to building construction,and hereby authorize representatives of this county to COMMENTS: p enter upon the above-mentioned property for inspection purposes. m � � P MITfEE WUNE(P I � P/C: PAID BY: VALIDATION: N y Z� � RECEIPT# . PAID B . VALIDATION: F SIGNATURE OF PERMITrEE DATE WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy � ��/��/� ' CITY OF DIAMOND BAR �� , � �� INSPECTION kECC�RD .� • � � • - • � � . • . SETBACK/LETTER TRACT AND LEDGER • FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG.PLUMBING T-BAR UG.ELECTRICAL 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 POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( )C( ) GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P-T�P DRYWALL FENCE/GATE/ALARM LATH(PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1Sr� �2ND� �LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE � / WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.F�iAMING PLANNING APPROVAL FINAL BUILDING 3 ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/PW T.C.of OCCUPANCY FINAL COMMUNITY SERVICES CERT.of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: //I� ,�! ,� S '� _ � �. � i ; 1 O � � , � y . i �1 !� �`'``�_./ ; �g � r4 � �' ��'�� ^�. � �� `� . /.-"'"..'/"" ;.,.,,y� .,,,^."'.._.' . � �� ` ��, , � g,��, , � � �'�o :,1`t ;:�;� �:, ( , '�Q � ��` '>'' � � �� 1 �� - ,� � �, � , �n,� � ��,�cQ s �� , . ,. . � �� . � ,, .. -� � .� � . . �. � -