HomeMy WebLinkAbout14-4959 =..'*; ,„ CITY OF DIAMOND BAR ��g I��
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� � 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:
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n ADD SS �"��.�� �� r ZONING SETBACKS
� CITY h.C,��J� ��JgLTE .2- ��c�-4/ay4 FRONT RW ❑
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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
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� 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
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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: