HomeMy WebLinkAbout14-4381 n ca. m e�
,,�;�`-`'N�,��I C1TY OF DIAMOND BAR
� ( I f� � DEPARTMENT OF COMNIUNITY&DEVELOPM�NT SERVICES �(��p�p VS �
�°�p��',�,"--��' �' 21810 Copley Drivc,Diamond Bar,CA 917Cr5 �� PRES
,,,,� (909)839-7020 I?ax:(909)861-3117 Ruilding[nspection Hotline(909)839-7027 FIRMLY
���'�H"'. BUILDING PERMl'T APPLICATION �
¢ JOB SITE ADDRESS � l� ��'���`'' APPLICATION DATE: �S � P/C#
ISSUE DATE: PERMIT# 1`I~ �1
z APN LOT TRACT
w OWNER e 1 dU-A�S ��� �— n'PE CONST. OCC GROUP:
N ADDRESS ZONING SEfBACKS
N C��-y Z�p TEL. - FRONT RW �
a APPLICANT 7EL. REAR �
o SIDE/SIDE STREEf RW �
N � � O
Q CONTRACTOR SIDE
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o� ADpRE S PROPOSED USE �
o C� ZI���TEL. ' � ppO e. � .�
LL `f
o ARCH/ENG/DESIGNER I
z ADDRESS kBEDROOMS
o if DWEL.UNITS #STORIES .
Q CITY ZIP TEL. pESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
a� OWNEP-BUIIDffl DECIARATION
¢ I hereby amrm under penalty of O�Nry�at I am exempt hom Me Cantractor's State License Law fm the reasonls) SFWADD/FEM
� irMicated 6elow�the checkmark(s),I have placed next to the aDWicable ilem(s)�Section 70315,Buslnass and
o Garage/Carport
w Professions Cade:Any city m county that requires a permlt to construct,aller,improve,demolish,w repair,any
zstructure,D�or to ils Issuance,also reqWres the applicant for Ihe Dermit to file a signed statement thal he m she w Patio/Deck
a Is Ilcensed Dursuant to the pravisfons of the Contractor's SWte License Law(Chapter 9)�mmencing with Sectlon W
� 7000 0l Uivision 3 of the Business and Professlom CodeJ or that he w she is exemD�1*om licensure and ihe basis lor � P���Spa
� Cry
� the alleged exemDhon.My violation of Section 7031.5 by eny applipnt lor a pennit su6�ects the applicant ro a civit penalty R o f
� ot not more than five hundretl tlollars(E5o0�. —
o (,I,as owner ol the propeRy,or my emDloyees wlth wages as iholr sole compensatlon,will do U all of or(„)porUans mercial
0 of ihe work,and me strucNre Is not intertded or ottered lor sale(Seclion 7044.Business and Professbns Code:The �
m
� Cantractws'State License Law dces rwt appty to an owner ol property who,through empbyees'or personal etfort,huilds
w or imprmes the properry,P��ded lhat the fmprwemertLs are not intended w ottered for sale.II however,the building or
� imprwement is sold within one year of completlon.Ne Owner-Bulltler will have the burden ol proving that it was rrot Ouilt
� w imprwed for the purpose o1 sale.).
0
V U I,as owner ol the pmDeRri�exGusively conVacting wilh Ilcensed Contractors to conshuct the project(Seclion
0 70qq,Business and Professlons Code:The Contractas'Stale License Law does not apply to an awner of property who Valuation: Adj.fVea:
Z buildswimprovesthereon,andwhocbntractslmtheprojeclswlNnikensedContractorDursuanttolheContrxtnrs'Sfate QUANT{TY DESCRIPTlON FEE
�
Y License Law.).
o u 1 am exempi hom ticensure under the ConVactor's State Llcense law lor Ihe loilowing reason�s): �
3 a
LL By my signature below I aclmowledge ihat,except for my personai residence in whic�I musi have resided ior at Ieast ooe �
z year prior to completim of the improvements cmered�y this permil.l cannot legally sell a sWcture that I have buitt as an ,��,
0
¢ owner-builder if it has rat been consUucted in its entuety by licensed contractas.I wtlerslaM Nat a copy ot Ne appliqhle
� law,Seclian 704A ol the Business and Protessions Code is availabla upon request when this applica0on is submitled ar at
� the following Web stte:http/wvnv.leginto.ca.gov/calaw.htrnl. z
�ATE: SIGN: �
� LICENSED CONTRACTOH'S OECLAHATION �
U
w I hereby affirm unAer perelry ot perjury it�al I am I'rcensed under provisions of Chapler 9(commenting wilh SeCtion 7900)
� of Division 3 01 the Business and Protessions Code,and my Ikense is in Full force and ettect.
_ ��z�� �
`n . . Q-I'1-�- uc.No.:
�„ uc�se cuiss:_ ,r`
o DAiE: � ' - CONTMCTOR:����_�GL^F IY�k� _
w
d� WORKEH'S COMPENSATION OECIARATION �
� I HEAEBY AFFIRM UNDER PENALIY OF PEAJURY ONE OF hIE FOLLOWING DECLARAiIONS:
w � u� 3. Z3
¢ I havo ar�d will maintain a Cert�cale oi Consent to Setl-Insure lor Wo�ker's Compensation,as provided hy CONSTRUCTION: c
� Seclbn 3700 of the Labor Code,for Ne perfamance ol the work for whlch this permR is issued. PLAN REVIEW:
7 11�
� YI� I have aiM will mairttain Worker's ComDensa�ion Insurance,as repuired by Seclion 3700 of the Labor Code,(or EIECTRIC:
o —P�the peAormance ot t�e work for which this Dertnrt is�ssued.My Worker's CAmpensatfon Insu2nce Cartier and
¢ PWicyNumberare: A ��/� ' r PLUMBING:
� CARRIER_21�K1� � 1�W�c-�LL-.I���s- MECHANICAI:
� � POLIC�NUI�FG �wv �G;C��_� INSPECTION FEE: G�
� (T}95 SECiION NEED NDT BE COMPLEfED IFITIE PERt+In lS FOR ONE MINDRED DOLLAAS(310�OR LESS). ISSUANCE: �`�.Q�/
0 1 cerGry that in the pertorm�nce ot tl�e vmrk ta which lhis pertnit is issued.I sh�➢�rot employ arry person in�ny rt�nner so u b SM I P: 2-•�7'"'
o becane sub�ect ro tt�e 4lbrkerS Comperualion Laws of Califania.MU agrae Ihat�t I shoukl hecame subject to tlre Worker's .
� CAmpe�ation prrnisians ot Section 3700 of tne U+bor Code.l sha01 ,�comqY��t P�. ENERGY P/C:
� DATE •I�APPLICANT: �l s�s�7 « —�— ENERGY PERMIT:
� WARNING:FaiNre to secure worker's CompensaGon coverage is unlawful,and shall subject an employer to criminal REfENTION FEE: Z^��
� penatUes and clvll(�nes up to one hundred thousand tlollars(E10b,000),In atltlition to the cost of tha comDensation,
w PRE-ALT FEE:
a dama8��Wo'+�tled fa in soction 3708 0l the labor code,interest,antl attomey's fees.
� CUNSTRUCTION LENDING AGENCY BSAF: ,� ( . O D
w I hereby affirm under penalry ot per�ury thal there is a Construction Lending Agency fw the Derlomiance ol the work Im '
= whicn this permil is issuetl�Sec.3097,Civ.C.).
� LENDER'S NAME
� LENDER'SAD�RESS:
a I cedity ihat I have read Nis aDPlication and slate Nat ihe above informatlon is conecL 1 agree to compty vntli alI city and TOTAL FEES y� ' 6 b
� crounry wdinances arw state laws rclating ro building constructlon,arrd hereby auttrorize representatives ot this counry to COMM ENTS:
Z enter upon the above-mentloned properry for Inspection purposes.
�
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� � E� �n •I - t� �j�/�
� SIGNATURE P ITTEE OAlE RECEIPT H LA.�C7 O� PAID BY: �1" VAIIDATION: C� __
WHITE—Depariment Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—ApplicanYs Copy
CITY OF DIAMOND BAR
INSPECTION RECORD
, � e , . e . . � � . - • -
SETBACK/LETTER- ' ` �:� TRACT AND LEDGER
FOOTINGS FORMS' - _ �i:; ,, r'`'�" _ : SWITCH GEAR
S�B;" { '' ; COMMERCIAL HOOD
�UG PLUMBING '.; . ,, �.�,'' � ' � ` � � T-BAR
UG ELEGTRICAL; , ` ' '� ,""�� , a' ; INTERCEPTER
UFER GROUND`'. , . `x s;_` �''�� � � �• '"�;.- HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECENED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT ,
� ,: r� ,: :, : 'POOUSPA_''; - 's � > r `;
SHEAR WALLS EXTERIOR `
r � ROUGH PLUMBiNG L � � '
SHEAR WALLS INTERIOR, _ � _ " �
- �_
FfiAMINGNENTING ^ ,° r '`�• y ;�.,n _ _ ` - :ROUGH ELECTRICAL � n �+ �
ROUC�iH MECHANICAL� '' � '� a � Y � ; �r,;� � r � �� � ROUGH MEGHFINICAL'��' F ; � '� ' � � k�n �t � ` '< <i
ROUGFI�ELECTRICAL W(: ')C( ) - s{� n�i�a , =� � ti, t,. �AS TEST ,��� � X„ ,�l ��c{� � 4 �''� ;� , ,� -
ROUGH�PLUMBINGr �. _ � _ - RRE�GUNITE _ �,v�� ` '`'�`' ` ` `�
INSULATION WALL POOL PRE'DEGK BONDING� �i ;:�� £ k S= �'
; M_
INSULATION CEIUNG �P'�P �' �� � ' Y '
> �, = ti y�
DRYWALL FENCE!�ATEI ALARM , ., _ •r` ' � . -
LATH(PRE) FINAL POOL- r • h '� , C�, `'''`
LATH EXTERIOR WALIS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST - WALL STEEL 1�( )2ND( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL ORAIW SEAL
GA5 METER RELEASE WALL FINAL
SPECIAL INSPECTION �RO FRAMI_NG PLptJ�NGAP(�tOGAL � '`' �� ; �
`= � _` ':` ::' ' ROUGH.f,IREAPPROVAL ' `� '�s-
FINAL BUILDING `'=`'� '' '!� .f .f; f r
FINAL MECHANICAL. ;<: `'' FINAL FIRE DEPARTMENT s` � f � -
FINAL ELECTRICAL �: ; " '' , ��'` - � : ,FINAL'PLANNING '%� ` � , � _
�FINAL PLUMBING :, �'� ,s �;:;� � r � GI�PW�`;r �ti r „ �* �� a F��:
FINAL ENGINEERIN� � ' `
� L � a �. ��
; ,: `
�T.C.of OCCUPANCY ".,;� � `�`���� � °�.�_�, � �' FINAL'COMMUNIT1f SERVIG,ES ��; - ��" '� � � � ;
' FINAL HE/ILTH DEPT ,,f, J
CERT,of OCCUPANCY'. - '
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FINAL JNDU5TRIAL:WASTE,:� " �5 --
COMMENTS: