Loading...
HomeMy WebLinkAbout14-4147 :�:''�_ CITY OF DIAMOND BAR " " � � � DEPARTMENT OF COMMUNITY&DEVELOPMCNT SERVICES � �lIII �;�- 21810 Coplcy Drivc,Diamond Bar,CA 91765 PRESS � � Y u,,,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ���'�"'��� � BUILDINGPERMITAPPLICATION � /,�+ � p� � �� APPLICATION DATE: � �� P/Ctt � JOB SITE ADDRESS 5�'��(�' a�77 � 'f7 � w --7 �/ (,/ z APN LOT TRACT ISSUE DATE: L'— I� �t�D f / PERMIT# `�^�` ��7 oOWNER RN TYPE CONST. OCC GROUP: � ADDRESS � � � CITY � , ZIP TEL. ZONING F ONTCKS RW ❑ d APPLICANT� � TEL. ? � O^ � REAR ¢ � 0 a CONTRACTOR SIDE/SIDE STREEf RW ❑ o SIDE ❑ � ADDRESS PROPOSED USE � �7/� �Q /�G1 � CITY ZIP TEL. • 0 o ARCH/ENG/DESIGNER w o ADDRESS ti DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION OWNER-BUILDFA DECLAflAT10N o I herehy aflirm under penalty ot perjury tha�I am exempt hom ihe Contractor's State License Law fw the reason(s) SFFUADD/REM p fntlicatetl helow by the checkmark(s),I have placed ne#to the aDW�ble item(s)[Seclion 7031.5,Buslness and GarageJCarport o Professions Code:Any city m county that requires a permit to construct,aller,improve,demolish,w reDair,any z struclure,prior to fts issuance,also requires ihe applicant lor ihe permit to file a sfgned stalement that he or she � Patio/Deck � is licensed pursuant to the provislons of the Cantractors Sfate License Law(Chapter 9)Commencing w(ih Sectlon w � 7000 of DWlsion 3 of the Business antl Prafesslons Code]or that he or she is exempt hom Ilcensure and the basis for � PooVSpa � N Me alleged exemption.My vidatbn of Section 7031.5 by any applicant fw a permit subjects Ne apDlicant ro a civil per�atty C7 N o�not mae�han five hundred dollars(5500). Z Re-Roof ¢ o (,I,as owner oi Ne property,or my employees wlth wages az thelr sole compensation,will tlo(�all of or(�portions � Commercial , � ot the work,and ihfl strucNro Is not Intended a ottered for sale(Section 7044,Business and Proles5bns Code:The � . � Contractnrs'State License Law does not a m �ly to an owner al property vAio,ihraugh employees'or personal effort,huilds w or imprmes the property,pmvided that ihe improvemenis are not intended or offered tor sale.II however,ihe building or � improvement Is sold within one year ol completlon,Ne Owner-Builtler will have the burden of proving tt�at it was irot bultt pa imprwed for the purpose of sale.�. U � (�I,es owner of the pmper[y,am exclusivety contracGng with Ilcensed ConVactors lo construct Ne proJecl(Sectbn 0 7044,Business and Professi0ns Code:The Coniractors'Slate License law does rwt appty to an awner W property w�o ValUation: Adj.Afea: z builtls a improves Nereon,and who conhacts for ihe projecls wilh a licensed Contracta Dursuant to the Contractors'Stale QUANTIIY DESCRIPTI ON FEE � Y License Law.). o U I am exempt hom licensure under ihe Coniractor's State License law for the tollowing reason(s): � � ¢ ''i By my signature below I acknowledge that,except tor my personal reside�e in which I must have resided for at least one � o year prWr to comptetlon of the improvemenLs covered by this permit,l canrrot legalty sell a structure that 1 have buill as an w Q owner-bull0er if it has not been constructed in its entirery by Iicensed contractors.I undersFand ttia[a copy of ihe apDlicable � law,Section 7044 0l the 8usiness and Professions Code is availabi n request whe�this application is submitled w at X mn roirov,�ny w s : Ieglnta.ca. v/calaw. _ o DATE � SIGN:� � � LICENSED CONTAACTOH'S UECLARATION � a w I hereby aKrm under penalty oi perjury that I am lice�ed under provisioris oi Chapter 9(commencing wlth Section 7000) � of Division 3 of ihe Business and Protessions Code,and my Ilcense is in full force and eflect. � w � UCENSE CLASS: LIC.NO.: a z DATE: CONTfiACTOR: � Q WORNER'S COMPENSATION DECLAqATION g � I HEREBY AFFIRM UNOER PENALTY OF PERJURY ONE Of THE FOLLOWING DECLARATIONS: o I have and will maintain a Cert�cate of Consent to Sett-Insure fm Worker's Compensation,as provided by CONSTRUCTION: � Sectlon 3700 ot the Labw Code,far Ihe pertormance ot the work tor which this permft is issued. p�qN REVIEW: � I have and will mainfain Worker's Comoensation Insurance,as requiretl 6y Section 3700 0l the Labor Code,tw �- O Z the peAormance of the work for which this permit Is issued.My Worker's Compensatlon Insura�e Carrier and ELECTRIC: ¢ PoIi�yNumberare: PLUMBING: � ��� MECHANICAL: w � POl1CY NUMBEA INSPECTION FEE: � (T}9S SECfION NffD NOT BE COMPLEfE�IFTHE PEAA�tfT IS FpFi ONE HUNDRED DOLLMS($1D0)OR LESS�. � ISSUANCE: 3.f`\`d""� o I cerlHy that in the perform�nce of the Hvrk for which Ihis permit is issuetl,I shall rrot employ arry person e�any manner so as to o becortie subject tn the worker5 Compe�uaGon Laws of Califomia.Md agree lhat II I shadtl become subjecl m the Worker's SMIP: � Cmnperaa pr ,or Sectiai 37pp m tne Labor o, sha�l�o i�h compry wilh those provisiars. ENERGY P/C: LL DATE��,���apvuCaKr:X � ��� ENERGY PERMIT: � WARNING: aiWre to secure Worker's Campen�sdtmn cmerage is uNawtul,and shall subject an employer to criminal D o� RETENTION FEE: w penattles and civil fines up to one hundred thousand dollars($100,000),in additlon b the cost of the crompensaUon, — 6� o damages a;provided tar In sectlon 3706 01 the labor code,Interest,and attomey's tees. PRE-ALT FEE: d CONSTRUCTION LENDING AGENCY BSAF: w I hereby affirm under penalty oi per�ury that ihere is a Cor�sUuction Lending Agency ta Ihe perlorn�ance ol Ne work for = which ihis permit{s issued(Sec.3097,Clv.CJ. � r LENDER'S NAME � LENDER'SADDRESS: — — �7 a I certify Uat I have read this application and state that the above informafion is cortecL I agree to compty with all city and TOTAL FEES � counry wdinances and state laws relating ro building consvucuon,and hereby author¢e representatives ol mis counry ro COMMENTS: z o enter upo�a�tioned�tw inspection purposes. J m �\ a •�,/Rrn�EtaAt�H� � SIG�NATl1RE0�PERMfrfFE �� �pp /� /� RECEIPTN �11/a'.I�� PAIDBY: � �"VJ VAL.IDATION: � WHITE—Department Copy,YEILOW—Finence Copy,PINK—Assessor Copy,GOLAENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAt�JiOPVC� �AR INSPECTION RECORD s � � • - • s � • ' SEfBQ�K/LETTER � `� { '�` � " `F '� TRACT AND LEDGER } ;,: FOO7INGS F,ORMS . .,.;,`_` '� i ^�,;� - ` SWITCH GEAR S�yg��� _ ; ' ' � :' � r�; '�a���� �'; COMMERCIAL HOOD �: UG.PLUMBING�,-: . - `"=- r<�.�. � T-BAR UG.ELECTRICAL 'f � `< ` ;� ; ' ; '��;�`�'3 INTERCEPTER UFER�GROUND;���; . ���, < < :'� ' � � `�` ,"�;� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT , � 7�, - ° - ' t'� � SHEAfiWALLS'EXTERIOR; ' _ ". ROOLlSPA.- '_ - _ � � �� x v ;, 'ROU,GH�PLUlVIBINGF,= � -: 3 ' SHEAR WALCS INTERIOR;; " �. _ - FRAMINGNENTING �, ii. _ �' _ .u:' : �r RQUGH ELECTRICAL: ' " '�`` ' - ' � t.� ! K .ti i ' ROUGM MECHANICAL '.'= � � �� � �� ;� � '.� r 7 „� r� ����` ROUGH MEGHEWICAG � � '3 r ROUGIi ELECTRICAL W(,'.)C( ) L � = �"":f; �''�; GA51TEST''.=� '? `� , -� " � �� � � � ROUCH PLUMBING x • ^ � � �� � ° _�, ; , � , , REtE GUNITE ,i � � , INSULATION WALL POOL`PRE DECK BONDING�_;'� ' �' ``� , � �° ��,r� ` l .� } f _ - INSULATION CEILING P'TRt1P � t�-__°'� � '- '� '� s� � � � ` DRYWALL �FfEJCEI GATE/`AfAAM +� :; � � � '`� : �'�'�,,�'� ,� � �', �� •�� LATH(PR� FI,NAL POOL r,...', , - -1 '" _ � " - LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 15T( )2"0( )LIFf SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE 7 % i� WALL DRAIN/SEAL GAS METER RELEASE WAIL FINAL SPECIALINSPECTION RO FRAMINGPI�WMNGAPPROVAL = - - ~ � �� - FINAL BUILQING -'{� ' a -_ '.ROUGH.FIREAPPROVAL ' ' �' r 1 "' FINAL'MECHANICAL " ���. �� . 5 `� ti r , -` ` , 'FINAL FIRE UEPARTMENT t�� t � - FINAL ELECIRICAL.-�,''' ,?Fd�'T �'7/I ��`' ',.� F.INAL PLANNING,�'. ,� k .7; h 3 l� EINAL'PLUMBING ` � ''` � ' ' FINAL ENGINEERING/PW ' �:� r �-, - ,_ . ,� ' , �� � � � r�, .��. , , . r_;� �, i�� .. :f 4 �.`� ;FINAL COMMUNIT.Y SERVICES = �a� � —. � , � .. �, ,T.C.:of OCCUPANCY :;. . � �. �. ' t,;, � CERT;�of'OCCUPANCY;;,. ,,, ,�.; ,�;_s;: ,> - . FINALHEALTHDEP,T ; r = "? FINAL INDUS7RIAL�WASTE�=' ` `r � r , ti ;• '� , ;. COMMENTS: