HomeMy WebLinkAbout14-5240 _ `� _ i
-�'"— CITY OF DIAMOND BAR � (O1�
� I � I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��10
,_., �
�•�'" �� 21810 Copley Drive,Diamond Bar,CA 91765
PRESS
,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027
�'�'��� BUILDINGPERMITAPPLICATION FIRMLY
� � j- ' APPLICATION DATE: P/C# I
y J08 SITE ADDRESS ���J� YV`/����L�- ��, L' �./ /+� �/
z LOT TR,4CT ISSUE DATE:��I 7��Q� ! PERMIT# f y J �7�_
�
y OWNER �/ TYPE CONST. OCC GROUP:
n ADDRESS 3 E� ,I N D�`d�=� R
J CITY �L�j ZIP ' � �s TEL.S-�n� E !�i�`I��'�{''� ZONING SETBACKS I
� APPLICANT ' �l �.7109 TEL. t-� FRONT RW ❑
= REAR ❑
�n �bL� J�"��A'�-� �C/�4.�� • SIDE/SIDE STREEf RW ❑
CONTRACTOR ^ SIDE ❑
� ADDRESS �� � �'� r� �S,a � 4, �r
iCITY'CI�P��:vN�� C'(k'- ZIP Z�TEL. '�'�'�� Z.fl� Z b �� PROPOSED US����I� C �Q �M� LF/ //J I
� ARCH/ENG/DESIGNER a� ����
y
= ADDRESS
� #DWEL.UNITS #STORIES #BEDROOMS
zd CITY ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION �
� OWNEA-BUILDFA DECLAAATION
= ereby afFlrm under penalty of perjury that I am exempt from the Conhactor's State License Law tw the reason(s) SFFt/ADD/REM
L' Indicated below by the checkmark(s�,I have placed next to the applicahle ttem(s)[Sactlon 7031.5,Business and Garage/Carport I
� Pro(essions Code:Any cNy a couMy Mat requires a permit to co�truct,alter,Improve,demolish,or repalr,arry
z struc�re,prlor to Its Issuance,also requlres the applicant fa the permR to flle a slBned sWtemerrt that he a she � patio/Deck I
iIs Iicensed pursuarrt to the provisians of the CoMractor's State License Law(Chaptar 9)Comme�irig with Sectlon w I
� 7000 01 Dlvlsfon 3 of the Busl�and Pralessla�s Code]or that he or she Is exempt from licensure and the basls for � PooVSpa
� the alleged exemption.My vblatlon of Sectlon 7031.5 by any applicant for a permlt subjects the applicant to a civil penalry C7 I
of not more than flve hundred dollars($500�. Z Re-Roof
� U I,az owner of the property,or my employees with wages as their sole compensation,wlli do U all of or(,portions � Commerclal I
y of the work,and the structure is not IMended or offered for sale(Sectlon 7044,Business and Professions Code:The �
Z Contractors'State License law dces not apply to an owner oi property who,through empbyees'or personal effort,builds m
y a improves the pmperty,provlded that the ImprovemertLs are not Intended or offered for sale.If however,the 6uilding or I
� improvement Is sold within one year of completlon,tha Owner-Builder will have the burden of proving that it was not 6uitt
� orimprovedforthe purpose ofsale.�. I
:..�
(1 I,es owner of the property,am exclusively contracting with licensed Contractnrs to construct the project(SecUon
Z 7044,Business and Professions Code:The ConVactors'State License Law does not apply to an owner of property who ValuatiOn: Adj.A�eB: I
� buildsorimprovesthereon,andwhocontraclsforthepmJeciswRhalicensedContractnrpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I
Y License Law.�. �! �(. ��� C� I
� O I am exempt from licensure untler the Contrac[or's State License law fir the tollowing reason(sg �«G'��' «•-/�
� " e � !;-R � �
1 By my slgnature below I acknowledge that,ezcept for my personal residence in which I must have resided for at least one � I
� year pdor to completion of the improvements crnered by this permtt,l cannot legally sell a shucture Nat I have built as an w
owner-builder if tt has not been consWcted In Its entirety by licensed crontractors.I understand that a copy of the applicahle I
� law,Sec6on 7044 of the Business and Professions Code is a e u n request when this application Is submitted or at �
i Ne following W site: www.leglnfo.ca.gov/calaw.htrnL co I
� DATE: ��2.. I SIGN: � I
�
— LICENSED CONTqACT 'S DE ION � I
y I hereby atflrm under penalty of perjury that I am licensed under provisions of C r 9(commencing with Sec[ion 7000) �
? of Divlslon 3 of the Buslness antl Professions Code,and my license is in full force and ettect. I
n � I
n LICENSE CLASS: LIC.NO.: � �
�Z DATE: CONTAACTOR: �
¢ WOHI�H'S COMPENSATION DECLAHATION "'' I
� I
y I HFAEBY AFHRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARAl10NS: .
� I have and wlll maintaln a CertiFlcate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION:
Sectlon 3700 of the Labor Code,for the peRormance oF the work for which this permR Is Issued. 4
PLAN REVIEW:
> I have and will malrrtaln Worker's Compensation Insurance,as required by Sectlon 3700 of the Labor Code,for ELECTRIC: ,,,C'?.
� the pertormance of the work for which this pertnit is issued.My Worker's Compensatlon Insurance Carrier and
=d PoIi�yNumberare: PLUMBING:
� CARRIER MECHANICAL:
y
Z POLICY NUMBER
� INSPECTION FEE:
� (THIS SECTION NffD NOT BE COMPLETED IF1HE PFAMfT IS FOR ONE HUNDR�DOLLAAS('$100�OR LESS). ISSUANCE: r" r'�
= I certily that In the pertamar�ce of the wak for which this permit is issued,I shall not employ any person in any manner so as to
� becane sub�ect ro the Nbrker's Comperrsation Laws of Califomia Md agree that if I shald bec;ome subject tn the Worker's SMIP:
� Compensation provisions of Section 3700 ot the I.abor Code,I shall IorttrMth compy wltti mose pruvisions. ENERGY P/C:
J DATE: App���qN7:
L ENERGY PERMIT:
= WARNING:Fallure to secure Worker's Compensatlon croverage is unlawful,and shall subject an employer to crlminal REfENTION FEE: r�/���f
y penalties and civil fines up to one hundred thousand dollars($100,000),in addttlon lo the cost of the canpensation, / V
= damages as provlded for in sectlon 3708 of the labor code,interest,and attomey's tees. PRE-ALT FEE:
i CONSTflUCTION LENDING AC�NCY BSAF:
= I hereby aKrm under penalry of perjury that there is a Construction Lending Agency fir the pertormance ot the work for
� whlch this permit is issued(Sec.3097,Civ.C.).
LENDER'S NAME:
= LENDEA'SADDRESS:
i I certify that I have read this appliratlon and state that the above irrtormation is correct.I agree to compry wtth all city and TOTAL FEES � )�
i
= county ordinances and state laws relaUng to bullding consWctlon,and hereby authorize represerrtatives of this county ro COMMENTS:
J enter upon the above-mentioned property for inspection purposes.
�
n
¢ PERMIITEE NAME(PRINn
�
A
= SIGNAlURE OF PERMfT'fEE DATE RECEIPT#��,��_ PAID BY:_C�{�.� VALIDATION:
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy
CITY OF DIAMOND BAR
INSPECTION REC�RD ,:_,
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e � � � � o � � • '
tS�TBi�GKI LETfEFi' ��:'�, �" ':�,�a,���� "�ti �.�� �� ' TRAGTAND LEDGER �
4 ; ' "' .. � � �� ,.� a��: 4'� SWITCH GEAR
FOOTINGS FOBMS �� �� i.
� � COMMERCIAL HOOD
�5�����'.����.�� ,� '��«���,.�' a�.W ,.� .f�`'� .:,�, � �a
,�
!U6�P.lUMBING� � �� � � .�� �� ;,��.�, � �a9f�� ��- n� T-BAR
;UG�ELEGTHICAI.� ��'' `��' �" ��^�a�. -°� ��°.�`��4� INTERCEPTER
,UFEFi G80UND'^� `� �� ��,�'�'; �..,as,,,�� 7'��-��' � ��°:� HOT MOP/SHOWERPAN
SEWER LATERAI SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEfVED
SEWER CLEANOUT DEMOLITION
RQdF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
�.. � �� � :�:�'���F� P001.'%$PA; � �-��� �� �;���..�� ��, :� ��;.� �,„
SHEAR WALLS EXTERIOR � �"� M
�� 4
3�-� v, � ��„ ���;��� ¢ ��� � � r,�' � ROUGH PLUMBlNG ,A� �,�° �,.,;�� � � � ��� � �' �
SHFAI�WALLSiNT�ERtOR���+ a�d ���_ �, � � � .., � � r.�,,,,��,��r� ��„ ,���� �
� �- � ... � �� � �,,, ����� ������.�` ROUGH ELECTRICAL� �E�. � ra `� �. � .�
:
FR�IMINGNEN�"{NG �x� � ,� �`" � , � � � � � ,
� � � � � �" �� '_.�` � „ � �, �
�ROUGH=MECHANICAL'�� �"� �'� ��� ,�� ''�������' �'� RQU6H MECHA�lICAI ����,�, � '�
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� � � �s� � � � � '
ROUGH ELEGTRICAL�N1(°)C(r) .. � �� �� � a. �, GAS TEST� � �'.� p�.`�� "��� ���`� �� � `�����`°�`�,<"�-
iROl1GFI;PLUMBING �a.'' � :k� aa��`�� �� ��:�� � � PRE GUNI7E�`° � ' �� :���'y �+a °� '.. .,,���`� � �
`POOL PRE;DECK BONDING��� ,., . � ����"�;� ����` � � �
INSUTATION WALL � � "`�
INSULATION CEILING ,P FRAP �� ��,."_ ,,,�� � ��,� �� ,>� ,��� � "��
, � � �, ��
DRYWALL ,�FE�+1GE/C�ATF�ALARM� �'��, r��. � ..� �� �� �`�
LATH(PRE)
FINAL POOL ����` �"��,, `;� , .,:�� -�
LATH EXTERIOR �A���
IATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1 ST{ )2D1°( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAI �
RO�FRAINNIG PLANNIhi6 t1PPR0UA1���"�� ` ` �`��� ��„� "
SPECIAL INSPECTION '`�� � �' � � �`� ��
�«
��r , ,.,_� � .,;� ��,.� ' � a � Rt�UGH FIRE APPR�OVAL��� � ���. �'4��;�`r � ,_����� M � �
FINAL BUILDING ��-� � ; � "' �� � �:�� " �'%�"� .
� � €� f �' �` �`" "� �- ``� � �� .� � `" � ;:' ° �" '������
�INAL�MECHqDIICAL�,,,m, ..,a, ��� � ��, r, �s' � `FINAL FIRE DEPARTMENT ��� �'�
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� �, , � s ��-�s .�. � �= FINALPLANNING:`�" ,�.�m°� � -r � <�,� � ,�;�y�;` t�>„` :,�
FINAL ELECTH{CAL .w � ,,� � � ���� �� _ � � �
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� � � ��« , � , � � �� �' °FtNAL�ENGINEERtNG/�PW�: �� `� � .' � � � ��` � �'
FINAL PLUMBING ' .� ,.� , � ��,����, u�,� ,�,«�� �.< � �. n
�• w Q� �..,�° �. � ���` -� �� %°< �,-�
T,C.Of�GCUPANCY�� �� �� _� � �,�' � �°� ��� �` `F1NAL'COMMUNITY�SERVIGES � ' � �" _� ��� � � ` r �
�� � ;�,�� " =,�,�� � �a; � " � FINAL�HEALTH DEP7`�� �� � ��m�,� �` �� •�� ��'
�a�� �
CE[iT.of OCCllPAHCY � ��°�� �< m.�s� " �- �s�=.f� ��� „ �
:FINAL,tNDUS7RIAL WASTE,� ��"s�� �° � _���`� a � .�''
COMMENTS: