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HomeMy WebLinkAbout14-4959 =..'*; ,„ CITY OF DIAMOND BAR ��g I�� ......._: . � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICE5 � �- " : 21810 Copley Drive,Diamond Bar,cA 9i�6s P R E S S �F ^ ,,� . (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � FIRMLY ' '''��'' � BUILDING PERMIT APPLICATION � � ��� i � ��� � ��� •�� APPLICATION DATE:�� r�� ', P/C# i Jp8 SITE ADDRESS � ~J 4J ISSUE DATE:��"=�~ / 4 1 3` r PERMIT# �'y" / J z APN �OT TRACT � OWNER � "fLd d TYPE CONST. OCC GROUP: L - n ADD SS �"��.�� �� r ZONING SETBACKS � CITY h.C,��J� ��JgLTE .2- ��c�-4/ay4 FRONT RW ❑ s APPLICANT TEL. REAR � � � SIDE/SIDE STREET RW Q CONTRACTOR(,�a,a.�—SESC���� C����� SIDE �- � ADDRESS I 3�45 ���E�p1 � 'S� PROPOSED U � I = cir�-orotJ 3 �4 ziP�JTEL9�� ��O'1- ZbU9 , 3 � � r t�,�v � cs � � ARCH/ENG/DESIGNER = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNFA-BUILUEH DECUIRATION SFR/ADD/REM I = I hereby a�irm under penalty of perJury that I am exempt hom the Cor�hactor's State License Law for the reason(s) , = indicaied below b the checkmark s,I have laced ne�A to the licable kem s SectSon 7031.5,Business and � y �) p aPD (1 L Garage/Carport L Profassiona Cotle:IUry cHy or county that reqWres a permit to wnstruct,after,Improve,demollsh,or repalr,any � z strucWre,prior M iTs iesuance,also requires tlie appllcaM for the permR to flle a slgned statemeni that he a she cn PatiolDeck I i Is Ilcensed pursuaM to the prodslons of the Contracta's State License Law(Chapter 9)Cammencing with Sectlon w I � 70(W ot Dfvfalon 3 ot tl�e Business and Profassfo�Coda]or that he or she Is exempt hom Ilcensure and the basis for ti Poot/Spa n the alleged ezemp6on.My wolatlon of Sectlon 7031.5 by any applicant for a permit suhJecLs the applicant W a civil penalty Z Re-Roof I 'n of not more than five hundred dollars($500). � (J I,as owner M the property,or my employees with wages as their sale campensation,will do U all ot or(�portions j Commerclal I � of the work,and the sWcture Is not intended or oftered for sale(Section 7044,Buslness and Pmfessions Code:The m I J Contractors'Stahe lJcense Law does not apply to an owner of praperty who,through employees'or personal effort,bullds y or improves the property,Provided that the Improvements are not intended or otfered for sale.If however,t�e building or I � Improvement is sold within one year of completlon,the Owner-Builder will have the hurden of proving that It was not built � or Improved for the purpose of sale.). � '� (J I,as owner af the properry,am exclushrely contractlng with licensed Contractors ta consWct the proJect(Section I Z 7044,Business and Professions Code:The Conhactors'State Llcense Law tices not apply to an owner of property who Valuati � Adj.ArB2: � bulldsorlmprmesthereon,andwhocorttracbforthepmjecrswimaucensedConhactorpursuanttotheContractors State QUAtJTITY DESCRIPTION FEE � Y Llcense Law.). I r (,I am exempt hom licensure under Ne Corttractor's State License law tor the Pollowing reason(s): � � I 2 1 By my signature bebw I acknovAedge that,except fw my personal residence In which I must have resided for at least one � I Z year prior to completion of the improvements covered by this permtt,l cannot legally sell a structure that I have bultt as an „� I � owner-builder if it has not been consiruc[ed in its entirety by licensed contractors.I un0ersiand that a copy of ihe applicable � law,Section 7044 of the Business and Protessions Code Is available upon request when Mls applicatlon Is submitted or at � i the foliovnng Web site:httplwvnv.legirAo.ca.gw/cataw.htrnl. z I � DATE:_ SIGN: m � I � � UCENSED CONTPACTOH'S DECLAIiATION � � {hereby afflrm under penalty of per{ury that I am Iicensed under prwlsions of Chapter 9(commencing wlth Sectlon 7000) I y � of Division 3 of the Buslness and Professlons Cade,and my license is In full force and effed. � � � I � IJCENSE CLASS: G��O ��.No.� �i l01 9 3°i � �Z DATE: CONTRACTOR:_ c=.� I ¢ WOpl�fl'S COMPENSATION OECLAflATION � I � I HFAEBY AFFIRM UNDER PENALT!OF PERJURY ONE OF 7HE F-0LLOWING DECLARATIONS: � � �/q,�� � I have and will maintain a Certificate of Consent to Setl-Insure for Worker's Compensation,as provide0 by CONSTRUCTION: Section 3700 of the Labor Code,for the pertormance of the work for which this permtt is issued. p�p,N REVI EW: 7� � �I have and wlll maintain Worker's Compensation Insurance,as requlred by Sectlon 3700 of the Labor Code,for ELECTRIC: r7•� � the pertormance of the work for whlch this permit is tssued.My Worker's Compensatlon Insurance CaRier and Z¢ Po�icyNumber e: �'_^ PLUMBING: � CARRIER � �1TV 1.���L'..y��S MECHANICAL: Z POLICY NUMBER - �b � I��O �'� � INSPECTION FEE: :� �/ n (fHIS SECTION NEED NOT BE COMPLEIED IFhiE PE�MR IS FOR ONE HUNDR�DOWWS($100)OR lESS�. ISSUANCE: /�`�D� � I certity titat in the perfamance ot the work for which ths permR is issued,I shall rwt employ arry person In any manner so as to SM�P: ,r N�'� � 6ecane subject to the Nbrker's Canpensation Lavrs of Califomla.Md agree that if I should become subJect Oo the Waker� � Compensa n provis ns of Section 3700 of ihe labor Code,I shall rthwith compty with pmv�sron ENERGY P/C: y DATE:'IO ��IAPPUCANT: �,I�—�%il���� � � ENERGYPERMIT: � WARNING:Failure to secure Worker's Compensation cove2ge is unlawful,and shall subject an employer to criminal RETENTION FEE: �•� y penatties and civil fines up N ona hundred thousand dollars($100,0001,In addition to the cost of the canpensatlon, i damages as provided far In section 3708 ot Ne labor code,interest,and attomey's h�es. PRE-ALT FEE: � y s CQNSTpUCTION LEIJOING AGENCY BSAF: �`L-0 i y I hereby affirm under penalty of parjury thffi there is a Construction Lending Agen�y for the periormance of the work for = which tt»is permit is issued(Sec.3097,Civ.C.1. � LENDER'S NAME � I ,� LENDER'SADDRESS: i I certiry that I have read this application and state that the above Intamation Is conect.I agree to comply with atl city and TOTAL FEES ���,�� � canty ordinances and state laws relatlng to 6uilding constructlon,and hereby authorize representatives of this county to COMM ENTS: � enter upon the ab�ve-mentloned property for insD cUon pu s. ( � '���� - �.a%� . ¢ P EENAME(PRI � �� 1 .�d n n RECEIPT#._.�,_1��� PAID BY: VALIDATION: = SI NATURE OF E OATE WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR IIVSPECTION RECORD • � � • - s � , • • - 35ETBACK/�LET7ER''� � � "' F ���� �'��"" TRACTAND LEDGER �FOOTINGS FORMS "� � � ���'��°�' ��'"��:�,°.� �* '�"�` � SWITCH GEAR SLAB�`� ""� �`� �` " �,��������'��� � � ,� ¢ ` COMMERCIAL HdOD a�,��. _3 ...-3&�.� 9��.�+L..�.m`G3J i` �� :�� �� ��, �.,�, �.� °'',� �'�*, a�����r: ,UG:PLUMBING��� �,.�.���,r.���a_.�,, ��"' �.,�� , .���. �� T-BAR UG:ELECTRICA;L ` ,"�� ��"��"� ��.�%'���::���'.�"� INTERCEPTER `� g� � �' �,� � ����;�'�����,������..�a HOT MOP/SHOWERPAN UFER�GROUND. , ��:������ , SEWER LATERAL SEPTIC/CESSPODL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONQUIT SNEARWALLS,IXTERIQR� �. � �� ��°���"''� ' � �°�: � �FOOUSPAu�� "� �� �%�� "'�� �° � ` � SHEIiR`WALLS'ItJ1ERi0R� � 5°° � < " �'� ��������� ��OUGH PL!lMB1NG�� °-° '����������� ������� �� :� :�, �, ����� �� � a� ; �� ., �, ; °� ,������_�� �� �.3 � K�� RROUGH�ELECTRICAL� "��`� � � �"�'', , , 4 �� ��� � ��' FRAMiNGIVENT{NG��� �=n�- ,, � , � �,��� �� ,� � �� :� � ,��- � ��. ROUGH.ME,CHANICAC ������'��$ 'a� �'� ��' ': �� �� � ���`� �(iOUGIiaNIECHRNIC,,,AI� ���� `��� ��� "������ �� � � � � ��',� ���' .����`�� � �����`;"�. �ROI'JGH EtECTRiCpL W(�����,� ,a � �a,����� �� �.� ���`�� C�S�fE�T� � �� ;"� ,�� "� �� ,��. � �' � ROUGH PLUMBING ` � � � �y �.' � ' � � �PRE C�UNITE���a�� �, � � ,�.,,� ,�.��� �� ���� �'� ��`;. ,�.�F n,.�` . ��m�� ;�r: .�.�a,� � �"�,�'� -r � � INSULATION WALL POOL�PRE�;DECK BONDING �� � �e� � �v� x�� � ��- -'��_ ���� INSULATION CEILING P TRAP�"'��� � ���� � ��������°����9.� .,� '����R' DRYWALL �FENCE�I4,GATE/AIARM, � � ' � "`� �t °,� ��' � �� �.� , � � � � �� LATH(PRE) ��M� `b ���� ,_�, ������ ,,���°��� �FINaL.,P(}OL � � ; LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( }2NQ( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTIdN :HO,f�1NG PLA(VIVING`tiAPPRQVAL� �= �� '��;��� ���"u ��W��x',����u� � . � �s , , �-����,�. ��- � �� �`'..�;;� � ;ROUGHaFIRE APPROVAt����,� � n���� �� `� �,������ ;�� EINAL BUI�DING�� � ���,� � � �` � ; � � `, �u�{�;,.. <. , �,��, � ��: � �:� FINAI MECHANICAL��;� �'� ��� � 3 �"�� �` . .�° .>�� �° .:'� � ���° � fFtNAL.FiR�DEPARTMENT,,.. �����,�'��� ��=��� �P� ��� FINAL ELEG'TRICAL�Y'"� �`����. � `° � '� ,; � � `��� . -,� .n .�INAk PLANNING�,���"��,� � � � � � � �� �,����p, � �.�- ��-� � �FINAL�PLUMBING, ,�k�,�'..:�����,_ .��� �.�����'���`� *���� �FtNAL�ENGiNEERINGI PW._�;�� '�� `��� � ��. ���'������� �'� �T.C.,ofkOCCUPANCY'� ��'� � ��`���� �� �;� "��°`� ��,� ;FINAL COMMllNITY�SERVICES� ��� a��� � � � �� �`� � u CEti"f.,of�OCCUPAPiCY��, , �.; �����..�..�,�`��,�;��g����������„ � 'FtNAI HEALTH DEPT�`"������ ��r " � � � �'':�����,��� � °. '.EINAL ItdDUSTRI,AL�WASTE��.,�„.�.��,� �'� �- �r'��' ��� � s�����'�:�' COMMENTS: