The URL can be used to link to this page

Home My WebLink About14-5072 - �� '�...... CITY OF DIAMOND BAR � _...._ , .. �,__ DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES "� =�' 21810 Copley Drive,Diamond Bar,CA 91765 `� PRESS � (909)839-7020 Faae:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY `'��°� BUILDING PERMIT APPLICATION � 'Zv ? �Q�/ f e' �.�/` APPLICATION DATE: �l�� 7 P/C# , y JOB SITE ADDRESS 3t— / L, �j �n i ISSUE DATE: �l�� 7 PERMIT# �7� J D 7� z APN LOT TRACT � . � OWNER TYPE CONST. OCC GROUP: J CTMREy�Sr� �IP � yS�E � fj ' ZONING SEfBACKS �J FRONT RW ❑ Y APPLICANT " TEL. REAR ❑ � �+ ¢ CONTRACTOR L K SIDE/SIDE STREEf RW ❑ � SIDE ❑ � ADDR �� PROPOSED USE x CITY U'1 IP�_TEL. 7�� '� �2` � ARCH/ENG/DESIGNER y = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. ' DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION OWNEH-BUdDEN DECLAFIATION I = I hereby affirm under penalty of perjury that I am ezempt from the Contractor's State License Law for the reason(s) SFFVADD/REM I � Indlcated below by the checkmark(s�,I have placed nezt to the applicable ttem(s)[Sectlon 7031.5,Business and �' Professlans Code:M Garage/Carport � y cfty w county that reqWres a parmtt to coi�.vWct,atter,Improve,demollsh,a repair,a�ry z sWchire,Prlar to fls Issuance,also requlres the applicarrt for the permit to 81e a slgned statemeirt that ha w she � Petio/Deck I i Is Ilcensed pursuant W the provisions of the Contractw's State Licensa Law(Chapter 9)Commencing wlth Sectlon w n7(100 of OlNslon 3 af the Buslness and Professlons Code]or that he or she Is exempt fmm licensure and the basis for � PooVSpa � the alleged exemptlon.My violation of Section 7031.5 by any applicant for a permft sub�ects the applicant to a civil penalty C7 I of not more than five hundred dollars($500). 2 Re-Roof I � (�I,as owner of the property,or my employees with wages as their sole compensatlon,will do U�I of or(,portlons � Commercial y of the work,and the sWcture is not intended or oRered fw sale(Section 7044,Buslness and Professlons Code:The � , m Z Conhactors'State Llcensa Law does not appty to an owner of properry who,through employees'or personal effort,builds y w improves the pmperty,provlded that the improvements are not irrtended or offered for sale.lf however,the building or I � Improvement is sold within one year of completlon,the Owner-Builder will have the burden of proving that tt was not 6ullt � or improved fw the purpose of sale.). `� U I,as owner of the property,am exclusively contracting with licensed Corttractors to construct the pmJect(Section Z 7044,Business and Professlons Code:The ConUactors'Slate LlcenSe Law does not appty to an owner ot property who ValuatiOn: Adj.Ar92: I � buildsorlmprovesthereon,andwhocontractsfortheprojectswtthalicensedCantractorpursuarrttotheContracmrs'State QUANTITY DESCRIPTION FEE � Y Llcense Law.�. � (�I am exempt ham Iicensure under the Contractor's State LJcense law for the following reason(s): � « 1 By my slgnaNre below I acknowledge that,except for my personal residence in which I must have resided for at least one � I = year pnor to completion of the ImprovemeMs covered by this permR,l cannot legalry sell a structure that I have built as an w 2 owner-bullder If tt has not 6een consWcted In tts entlrery by Ilcensed contractors.I understand that a copy of the applica6le I Y law,Section 7044 of the Business and Professbns Code is avallable upon request when this applicatlon is submitted a at � the following Web site:http/www.leginfo.ca.gm/calaw.htrnl. � = DAlE: SIGN: � I — LICENSED CONTAACT011'S OECLApATION � I ' I hereb affirm under p 9 � � y panalty of perJury that I am licensed under rrnislons of Chapter 9(commencin with Section 7000 I � of Division 3 of the Buslness and Professions Code,and my license is in full force and ettect I � LICENSE CLASS: l� �� LIC.NO.: O�7��Z'' � � � � I a DATE: CONTRACTOR: � . , I WORI�H'S COMPENSATION DECLAHATION � I y I HER�$YAFFIRM UNDER PENALTY OF PERJURY ONE OF THE f-0LLOWING DECLAAATIONS: � _��I have and will mainhaln a Certifipte of Consent to Self-Insure tor Worker's Compensation,as provided by CONSTRUCTION: � ' Section 3700 of the Labw Code,fw the performance of the work tor which this permtt Is Issued. PLAN REVI EW: � I have and wlll mair�tain Wwker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrler and ELECTRIC: zd PoII�yNumberare: PLUMBING: � CARRIER MECHANICAL: y Z POLICY NUMBER '� INSPECTION FEE: n (T}iIS SECIION NEED NOT BE WMR.EfED IFhIE P6�MfT IS F9R ONE HUNDRED DOLLAAS($100)OH LESS�. ISSUANCE: F'_ f� � I certify that in the pertormance of ihe vrorlc for whlch this pertnit is issued,I shall not employ any person in any manner so as to Lbeoome sub�ect m the Workers Cwnpensation Laws of Califomia.Md agree that rf I should becorne subject m the WaNer's SMIP: � Compensati of Sectlon 3700 ot Code I shall ' canpty those prwlsbns. ENERGY P/C: i DA7E:� APPLIGINT:�� ' �Q C��([ �' ENERGY PERMIT: � WARNW��Fail e to sewre Worker's Compen tlon coverage Is unlawFul,and shall subject an employer W cnminal d�. Gn-' r penalties and clvll fnes up to one hundred thousand dollars($100,000),in addltlon fi the cast of the compensatlon, RETENTION FEE: � damages as providetl tor in sectlon 3708 ot the labor code,interest,and attomey's tees. PRE-ALT FEE: i CONSTHUCTION LENDING AGFHCY BSAF: = I hereby affirm under penalty of perjury that there is a Constructlon Lending Agen�y for the pertormance of the work for � which this permlt Is issued(Sec.3097,Civ.C.). LENDER'S NAME: = LENDER'SADDRESS: i I certify that I have read this application and state that me above Information fs correct.I agree to wmpty with all city and TOTAL FEES ., `� Z county ordinances and state laws relatlng to building consWctlon,and here6v.authorize representafives of this counry to COMMENTS: Y � enter upon the above-mentioned pmperty for inspectlon purposes.� J Q{� et,c� _ � ¢ PERMfTTEE NAME(PRI :n :A = SIGNA7URE OF PERMITTEE DATE RECEIPT ri��p PAID BY: a��, VALIDATION: WHITE—Department Copy,YELLOW—Flnance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD e e � • - • r � • • . � �� 7RACTAND LEDGER � a. ySETBACK/LET'TER � ,` ""° ��s .�-k° �� r� .=��'��;�'��.�...�, FOOTINGS�FO(iMS y�"� .�' ��`�'�;�� .: .,�� SWITCH GEAR ,„�^�-:"� dR� k..� ��k �� SL/�IB.��, ,��3��,a�; - �,�� E��. �� ;� . ��a�, ' COMMERCIAL HOOD ',UG:'PtIIMBING`� �� ,; � t..:�; � � , ;� a T-BAR ;UG.ECEC7RICAL� �'� "��`�� ,�� , � ��'� �� .�� INTERCEPTER � ` � � ��°� �''�"`�� ^�°�� HOT MOPISHOWERPAN ;U�ER.GROUND'��,�r �. �� .� xi � ��E��,�, SEWER LATERAI SEPTfC/CESSPOOL MAIN WATER LINE HERS REPdRT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLdOR SHEATHING ROUGH CONDUIT ;SHEAR�WALLS EXTERIO,R'� �'�� ;,#��`� a �;_ �,�, P00l:lSPA'' �� e ��g'r:�� ` �`" �� ,�. � � � ,-,� �,� :� �� , � � �� ` 'SHEAR WALLS�NTERIOR�«� �,� �� ' RQUGH pLUMBiNG�� '�� ,. � � �e �FRAMINGNENTING "��'��'��'!�:�,�s,�""��'�� a` �� ' ,��4,, � , ,ROUGHELECTRICEIL��%�"��=�� ' � ,:��. ��:� � ,� � � � � ;.� �; ��'�,�� #� ROUGH MECHANICAL ��:� �� .� �" .;" ��•``;�� `:": ROUGH MECFI;4NICAL� �� 4} , � ��" �� _ _ � �, � � �� ROIJGH ELECTRICAL..IN(`, }�C�( ).�.��.��"`�`�� "�� " ',� �GAS�TEST�'� ��.��" � ,�� ` ��.,, � ,� . �.:.: � �* ,,�r �''' �»� �,� ,� �� , �* �^ i � .�� e:�,��fln��, � � � ��-�� ,�� <: � �, 6�� ;-�, � F�tE GUNI?E � � � � �� ,.., �� HOU�H PLUMBtNG ��`"�,.�� ,�* � ��w,. . .,. . ,� �� _k � .� �� _ ,� . � INSULATION WALL xP00L PRE,DECK'64NDING�; � .� ,� �''� �_ �� " ��".T. ��`��"�� ' if?'`TRAP �� ,�_-`"�� ,_.�°; �« �` �� ;�� INSULATION CEIUNG ` DRYWALL �FENCE/G¢TE!ALARM��; a �'� � �:�; � �,�� ,�� .;� `�ffi : LATH(PRE) FINAl�POOL� �� " � �� c��y �� ;�� ..�.�.��a��"��` ,�r , � . �.�' �� s' �, LATH EXTERIOR WAlLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST � WALL STEEL 1sr� �2no� �� SCRATCH COAT WALL BOND BEAM ELECTRIC MEfER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL RO:FRANlQVGPLANNIN6AP{?ROV��'�v>�: ��; �,� ��:': � ��A�� SPECIAL INSPECTION � � , � � �� _ � �ROUGH�FIRE�PiPPHOVAL��'�.� �,„� �.� ` � � � �� .• -� � ,�� _� �,�• � .�� FINt1l BUILDING��;�., �� .�� ' � .�� . ,� � � - �� FINALMECHANICI� �� '; � �:,"� �� "��`��° ,EINA_L`�FIREDEPARYMENt,� � � �, �"''' � _��"� �� F# � � �� . a e^:s-� � °°: �r�r�.-. � , � .. :�'"' ��` `�-r "�" � � � 4�' �ta��'= a` �3��s ._, . FINAL EIECTFiICAL�.�� "�� >� � �� €��` �� ..;� °� ;F�INAl..RtANNtNG � .�`� �� ,� �tt �, �' .� �FINAL�PLUMBING�� 4�,_�"��;�;: �_��:; � �u. � �.., �'�.�,:.'��_�� FINAL�ENGINEERING/�P�+t�� ,�� ,�: � ��a � �� ; � � ' � �� T,C o OCCUPANCY ,M�� " � ,�� .� ` �FINAE�COMMUNITI'SERVICES .,� �, 3'��,�' � � ,CERT,of OCCUPA�ICY��r�,,� � �`:.��4 �"�'°�� .� � vFiNAI HFJILTN DEPT � �� ' �,��.�� :��:��`�$� " _ ._� . _o h � ". _ - .�:�� aw � �, ��,� ,., . __ , �FINAL'INDUS'FRIA�WASTE:: - �" ��a�= �,��,. �� ..�� -�.�� COMMENTS: