HomeMy WebLinkAbout14-5153 �� C1TY OF DIAMOND SAR
I ; I� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �
- •� 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS
�, ���„ (909)839-7020 Fax:(909)861-3117 Building Inspection HoUine(909)839-�027 FIRMLY
iBUILDING PERMIT APPLICATION
/ (LV�� � �� APPLICATION DATE: P/C#
� i Jp6 SITE ADDRESS � � ISSUE DATE: ��/ / cW, / PERMIT# ��7 �/y � I
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I = APN—��7�LOT TRACT
� OWNER !"�w�'�w �� � P \ TYPE CONST. OCC GROUP:
y � v.e f - r- ^
� ADDRE ZONING SEfBACKS
J CITY ZIP TEL. �Z� I FRONT RW ❑
� APPLICANT ' EL. � � REAR �
� ^ _ ua 1 SIDE/SIDE STREEf RW �
n /�► '' (i� � lY�v SIDE �—
Q CONTRACTOR
� ADDRESS '� ��~ � PROPOSED USE Q ��'
x CITY�I�-)/�''G'?—ZIP���EL. �' ~ 'r�e%�JV� , "
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� ARCH/ENG/DESIGNER
z ADDRESS #DWEL.UNITS #STORIES #BEDROOMS
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� CITY ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREA/VALUATION I
� OWNER-BUILOfA OECLARATION SFFUADD/REM I
= I hereby attirm under penafry of perjury that I am exempt hom the Corrtracta's Slate License Law for the reason(s)
� Indlcated bebw by the checkmark(s),I havo placed next fi the applicable item(s�[Sectlon 7ff.i1•5,8usiness aad 9 P I
= Gara e/Car ort
�-' Prolessla�s Cade:Any ciry a co�mty that reqWres a permit to construct,atter,improve,demollsh,a repalr,any
z strucdue,prior M fts Issuance,also requlres the applicaM tw the permfi to flle a signed statement thal t�e or she w Patio/Deck I�
� Is Ilcenaed pursuarrt fi ttie provislons of the Contractar's State Lice�e Law(Chapt�r 9)Commencl�w�tA Sectlan � pooUSpa � I
7000 ot Dfvisfo�3 of the Buslness and Prolessiais Code]or that he or she is ezempt from licensure and the basis fa
� I� the alleged ezemptlon.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof �
n of not more than five hundred dollars(5500).
s � Commerclal I
� (,I,as owner of Me property,or my employees with wages as meir sole compensation,wlll da(,ell of or(,portions �
� of the work,and the structure Is not intended or offered lor sale�Sectlon 7644,Business and Professions Code:The m I
"-�� Contractors'State License law dces not apply to an owner of property who,through employees'or personal eftort,builds
i or improves the property,Provided that the Improvemertts are not Intended or oNered fir sale.M�owever,the building or ' I
� Improvement is sold within one year of completion,Me Owner-Builder will have the burden of proving that it was not bultt I
jor improved for Ne purpose of sale.).
(J I,as owner of the property,am exclusivety contracting wtth IlcenseU ContracWrs to consWct ffie pro�ect(Section ValUatiOn: Adj.AfeB: �
Z7044,Buslness and Professlons Code:The COMracinrs'State License Law does not apply to an,ey�ner of property who
n buildsorimprovestherean,andwhoconhactsforthepro�ecLswithalicensedContractorpursuantl6T�kConhactors'Stata QUAN7ITY DESCRIPTION FEE
Y Ucense Law.). �
j (,I am azempt irom Ilcensure under the Contrac[or's State Llcense law tor the tollowing reason(s): � I
� �
1 By my signature beiow I acknowtedge that,except for my personal residence In whlch I mus[have reslded for at least one � �
Z year pdor to completion of the Improvements covered by this permit,l cannot legally sell a structure that I have built as an � I
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owner-buiider If it has not been consiructed in its antirety by Iicensed coniradors.I understand that a copy af the aDD��cab�e I
� law,Sectlon 7044 of the Business and Professions Code is available upon request when this application Is submitted or at �
i the tolbwing Web site�.htm/wvw.legi�to.ca.gw/calaw.htrnl. z . I
� DATE:_ SIGN: m . `
� � I
— UCENSED CONTflACTOH'S DECLAHATION =
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� I he2by afFlrtn under penalry of per�ury that I am Iicensed undar prwrislons ot Chapter 9(commencing wlth Section 7000�
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� of DNision 3 of the Business and Protessions Code,and my license Is In(ull force and ettect. �
� �,� �. � � � �
n LICENSE CLASS: C.NO.: �
� DATE: ��_ '�,_j��s��. COPfTRACTOR: w �
'�� � �"� WOHI�fl'S COMPHJSATION EC ION I
� I HEREBY AFFIRM UNDFA PENALTY OF PERJURY ONE OF THE FOLLOWING DECLAR4710NS:
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¢ �have and wiil maintafn a Certificate of Consent to Self-Insure for Worlcer's Compensation,as provided by CONSTRUCTION: �
� Section 3700 of the labor Code,far the performance of the work for which this permlt is issued.
PLAN REVIEW:
� I have and wlll malrnain Worker's Compensatlon Insurance,as requlred by SecAon 3700 of ine LaOor Code,for ELECTRIC:
� the perfo�mance af the work for whl�is permtt Is Issued.My�s Compensation nsurance Carrler and
Zd POIIcyNumberare: PLUMBING:
� �,qp�Eq ��� MECHANICAL•
y
Z PouCYNUMSER INSPECTION FEE:
� (�
n (THIS SECiION NEED NOT BE COMPIETED IFhiE fT IS F ONE HU_ DOLLNiS($10�OR LESS7. ISSUANCE: �GJ—y�
= I certily that in the pertortnance ot the vrak for which thls pertnit is�sued,I shall not employ any persan In any manner so as m SMIP: ��a�
� become subject to the Workets Comperaation laws of Califomia Md agree that tt I should hecome suaect m the Waker's
J Cqmpensation provisions of Sectia�3700 of the Labor Code.I shall tartlrmth canply with tla,m provisions. ENERGY P/C:
J DAtE: APPUCrwT: ENERGY PERMIT:
� �� WARNIN6:FtiWre to secure Worker's Compensation coverage is uniawful,and shali subjecf an employer to cdminal RETENTION FEE: a'��
y penalUes and civil flnes up W one hundred thousand dollars(3100,000),in addidon to the cost of the compensation,
i damages as provided for in section 3708 of the labor code,Interest,antl attomeys fees. PRE-ALT FEE:
� �/�o
i , coNsrnucnaN�+oiNc aceicv BSAF:
Z I hereby affirm under penalty of perjury that there is a Construcdon Lending Agen�y for the performance of the work tor
� whlch this permtt is issued(Sec.3097,Civ.C.�.
LENDER'S NAME:
= LENDEA'SADDRESS: _
i I certiry that I have read thls applicatlon and state that the above Information Is cortect.I agree to comply wtth all city and TOTAL FEES
1
� county ordinances an0 state laws relaUng to building constructlan,and hereby authorize reDresontatives of this county to COMMENTS:
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� enter e above- entioned propertyforinspection urposes.
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¢ PFy E( I
n L�
n DATE RECEIPT k� PAID BY: � VALIDA710N: ��
= SIG FE OF PFA .
WHITE—Department Copy,YELLOW—Flnance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—Applicant's Copy
CITY OF DIAM4ND BAR
INSPECTIOiV RECfJRD
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£SETBfiCIV LETTER� � m ���.�°�°��. `;-- � ��� � ..� - `` ��,��� 1RACTAND LEDGER
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FOOTItJGS FORMS `" � � � � � ���-
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UG'.PLUMBING"���.�����'�:._ ' � �.������"� �.v�a � � T-6AR
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;UFER Gfi0t1ND °�� ��,. .,,,�« � ����,� �'.�����`'��°���`"''�� �.:,; �� HOT MOP/SHOWERPAN
SEWER LATERAI SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED .
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CQNDUIT
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SHEARWALLS INTERIOR���4. ���; � , , � � �" ��°�' �
FRAMINGLVENT�NG ����,�� .�,�,� �h'`r� � ,.sE. � ; ,,b-� ,ROU�H ECEGTFiiCAt�� ��� �' ,� � � �'� �;���=�;�,�����
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INSULATION WALL ROOI PRE'DECK.BONDING��, ,�� „ ' � �� � �� s � ��� � �' � e=.��h.��
INSUlATION CEILING � -� �
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FENCE i GATE/AL:ARM �^, �`����" �'�` � � ��"
DRYWALL p '
LATH(PRE� 'FINAL�POOL��";�����'� .�� ��,g.� � � �'°��
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOQTING/STEEL
GAS TEST WALL STEEL 1�T( )2"Q( )LIFT
SCRATCH COAT WALL BOND BFAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
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SPECIAL INSRECTION RO�FRAM�IGPLANNINGAP�120VAL � � , � �, �
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F1NAIr BUILDING ,��_: �� �� '° .� �'��: ���� � t� ROUGH FI,RE APPROVAL ,. � �� �� � � � - � � ��
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Flt+lAL MECHANICAL,�y; � �, � ��_�� � ��
EINIIL�EL`ECTRICAL'�� � � ���a � � �� „�.., ., '` ,� � iEINAC PLlINEdtNG .�' � ��� �a '� �.�� �' � �"
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COMMENTS: "