HomeMy WebLinkAbout14-2941 '.�.�5,�__
_�.. C1TY OF DIAMOND BAR
�, I . /I I i T'c7� DEPARTD9ENT OF C011MUNITY&DEVELOPMENT SERVICES �
�4��j;�; 21510 Copley Drivc,Diamond Bar,CA 91765 PRESS
' u �L� Y (909)839-7020 �ax:(409)861-31'17 Building Inspection Hotline(909)839-7027 FIRMLY
' <;��,�„�,.>•>
"�d' . BUILDING PERMI'T APPLICATION I
� �� � � a C
� APPLICATION DATE• P/C#
w JOB SITE ADDRESS �� � �� ISSUE DATE: � � �� PERMIT#�� '�� �
d �
z APN LO TRACT J �, G
o TYPE CONST. �-�•/ OCC GROUP: �
o OWNER ,
w
N AD . S ZONING SEfBACKS
� CITY �C'W ZiP � TE . - FRONT RW �
¢ APPLICANT TEL. R�R �
o SIDE/SIDE STREET RW ❑
¢ CONTRACTOR a `f% SIDE �
o �
c� ADDR S �� J PROPOSED USE ��
¢ CITY ZIP TEL
0
" ARCH/ENG/DESIGNER
n
z ADDRESS #t DWE�.UNITS #STORIES t�BEDROOMS
0
a C�7y ZIP TEL. DESCRIPTION SQ.FT FACTOR PSF ADJ.AREANALUATION
� OWNER-BUILDEA DECLANATION
°C I hereby affirm under penatty of perjury thafl am axempl from the Contracta's State License Law for the reason(s) SFR/ADD/REM
� inAicated below Dy the checkmark�s),I have placed next to the apDlicable item(s)[�Ibn 7031.5,Buslness and
o Garage/Carport
"' Professions Code:My city a county that requires a permit to coretruct,alter,improve,demolish,or repair,any
iZ strucNre,prior W its Issuance,alw requlres the applicant fa Ihe permlt to file a signed statement ihat he or Ure W Patio/Deck
a is licensed Dursuant to ihe provisions of the COMraclor's SWte Llcertse Law(Chapter 9)Commencing with Seclion w
N 7000 of Division 3 of 1ne Business and Prolesslons Code]or that he or she is exempt hom licensure and the basis(or � P�USpa
� �
N Ihe alleged exemption.Any violation ol Section 7031.5 by any applicant for a permfl su0jects the applicant to a civil perolty Z Re-Root
� of not more ihan five hundred tlollars(5500). p
o (,I,as owner of the property,m my emptoyees with wages as Nelr sole compensetion,will do(�all of or(,)poNons -� Commercial
0 of the work,aiM the strucLire is not iNerWed a oflered tor sale(Section 7044,Busness and Profe;sbns Codn:The �
m
� Cantractors'State license Law tloes nat appty to an owner ot proparty wlw,thraugh employees'w personal ettort,�uilds
w a improves the Droperty,pmvided that the fmprmemenLs are not intended or offeretl for sale.If howevur,the building or
� improvement is sold within one year ol cornpleUon,ihe�wner-BWltler wlll have the burden of proving that It was not hultt
� or improved fa ihe purpose of sale.).
0
r (�I,as owner ot the v�PehY���dusNely conVacting with Ilcensed Contractors to construct the prqect(SecGon Valuation: Adj.Area:
0 7044,Business a�Professions Cale:The Coniractors'State License Law tloes rwt appty tn an owner of property wtq
� buildsorimprrneslhereon,ar�dwf�oconVactsfwlheD�ojeclswilhalicensedContractorpursuanttotheConVxtors'Slale QUANTITY DESCRIPTION FEE
cn
Y License Law.).
o U�am exemp�hom Ilcensure under the ConVactor's Sta�e Llcense Ww tor ihe followinp reason(s): �
� � ¢
"—' By my signature below I acWwwledge that,except for my personal residence In which I must have resided ta at least one �
Z year prior to completlm oi tho improvemenis covered�y this permil.l cannot Iegally sell a strucNre that I have buill as an ,�
0
� amer-builder il It has rot been consiructetl In its entirery by licensed contractors.I undersfand that a copy of the aDPlicaDla
� law,Section 7044 ot ihe Business and Professiau Code is avallaD�a upon reQuest when this application is submitted or at �,. �
wthe iMlovnng Web site:httpJwww.leginfo.ca.gov/calaw.htmL m L�
DATE: SIGN: �
� LICENSFD CONTRACTOfl'S DECLAHATION �
U
w I hereby aflirm under pe�tty ot perJury Itial I am I'�censed untler provisiau ot Chapter 9�commencing with Sedion 700D)
� ot Dlvison 3 0l the Business antl Prafessions Code,and my license is in full lorce and eflect. �
m �
� �
� � z
N CENSf C1ASS: LIC.NO.: Q .
o ATE: �I CONTRACTOR: w
zd WOflKER'S �
� I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARA710NS:
w
¢ I havo and will maintaln a Certi�cate of Consent to Sell-Insure lor Worker's Compensation,as provided by CONSTRUCTION:
� SecUon 3700 of the Labw Cade,for Ne Oerformance of ine work for which this permit is issuetl.
� PLAN REVIEW:
j '�I have and will maintain Worker's Compensatfon Insurance,as repuired 6y Sectio�3700 0l the Labor Cada,for ELECTRIC:
o the pedorma�e of the wo�k for which this permit is Issued.My Worker's CompensaUon Insurance Carrier and
¢ PolicyNumberare: �]� �/ ' PLUMBING:
� CARp{Eµ (I) fC J �—l� . MECHANICAL:
Z POLIGYNUMBFA INSPECTION FEE:
c�
� (T}i1S SECTION NEED NOT BE COM%ETEU IF'1}�PEf7AR IS FOR ONE HUNDRED DOLIARS($10�OR LESS). ISSUANCE:
oI cerlify that in ihe performvr.e ot the v,m1c fa which this permit is issued ro1 emdoY azry pe+sa�i er so as to SM I P:
0 6ecorne Subjecl to tlie Worker's Compe��liai L�ws ol Calif ee that II I shoulcl b�ect to the Waker's
� Compen on rmns s Sec:tiai 3700 0l the ta , onnrmh cmnpN`m ��. ENERGY P/C:
LL DA ' �� /� /+v�uCtwT: ENERGY PERMIT:
� WARNING:FaiNre to secure workers pensa6on cwera ul,and shall sub�ect an employe��ro'cnminal REfENTION FEE: �DO
w penallies and civil hnes up to one ndred thou 100,000),in[�dd'Nan t of lhe compensation, �
d damages as prwided tor in section 37 aha cod merest,and a ees. PRE-ALT FEE:
d CONSTitUCT10N DING AGENCY BSAF:
w I hereby aKrm under penalty of per�ury that there is a Construciion Lending Agen�y lor Ne performance ol the vrork lor
= which this permit is issuetl(Sec.3097,Civ.CJ.
�
� LENDFA'S NAME
� LENDER'SADDRESS: /��
TOTAL FEES
a I ceNry that I have read Nis application and state Nat Ne above informatlon is correct.I agree[o comply vnth all city and �9
� crounry ortlinances and siate laws relating to 6uilding construction,and hereby authorize represenlatives oi this caunty to COMMENTS:
Z enter upon Ihe abo e-m ned properry tor ins��r'�cgp
�
J
�
m
¢ PEHM(iTEE ��
�
N RECEIPT k PAID BY: VALIDATION:
= A Q ITTEE DATE
�
WHITE—Department Copy,YELLOW—Rnance Copy,PINK—Pssessor Copy,GOLDENROD—File Copy,GREEN—Appiicant's Copy
CITY OF DIAMOYVD BAR
� INSPECTION RECORD
• � . • - s � , • '
,SETBACKI�LETTER "���. ��'.��� ` _ +"� TRACT AND LEDGER
FOOTINGS`F,O.RMS �s�'-: '� � f .��' - > SWITCH GEAR
S�qg. , * ' - COMMERCIAL HOOD
,
`UG.PLOMBING� ; ' ` - ` ' ' `' ' T-BAR
UG:ELECTRICAL'` ` �'�� N��t"� ' ti"' " INTERCEPTER
UFER 6ROUND ` ` ' - ' HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECENED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
SNEARWALCS°EXTERfOR , ` � '� POOU,SPA� i � � �' �' �, � ';�
SHEAR WALL'S INTERIOR : • - ' ' ROUGH�PLUMBING.� �';� - � '. '1 �3�
FRAMING/VENTING ° ' ' ' ' x y ROUGH ELECTRICAL : £ r l�� � _ " ' � +;
� �_ d'' � � ri'I � N� L 3 s: r1..
ROUGH MECHANICAL. �a+ ,• � �:' c , �. � � ROUGH�MECHANICAL���, �� � , r < r <<
� ` ` s 3�� �� `GAS TEST �, ��: s ��T � � E� �K�:
ROUGH ELECTRICAL W( -��)C(�) `= - ='�` _ � � �_ ' " �
, �._. -, �. ," _ __ PRE GUNITE. '�' r ' �. '`; ,t ,. c , r4, ` j
ROUGH:PLUMBING �.=;' � -r - �
INSULATION WALL r �`
POOL PRE DECK BONDING t t � r ��f � '
�: { r
INSULATION CEILING P=TRAP., .°� :'; � ' a t ' ' ` '' ' � `�"'�
FENCE/:GATE/Ai1\RM '� ` � �
�.. + 1 � i ���p r � -� .'t_
DRYWALL °
LATH(PRE� FINAL'POOL' � : _� �`�� ,' , ,t.'� - . ,;`
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1 sr! 1'LND! 'LIFT
� r �
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE. WALL DRAINI SEAL
GAS METER RELEASE WALL fINAL
SPECIAL INSPECTION R0.FRAMING PLANNINGAPPROVAL - ,�;' 7 :.' _ � �
;FINAL BUILDING ''` ,;:,, �_ � ROUGH FIREAPPROVAL � ;'z c� - �'
+- `: ,�,, ' �� ,� �:
FINAL MECHANICAL .. .�` �� _ FINAL•FIRE DEPARTMENT -- �T' ' '' �`
FINALELECTRICAL, `�,1� L' - ,FINALPLANNING. ,.; ;. -- ' ` _ �f�`
FINAL'PLUMBING ' .. . � �-:J �'P ' FINAL ENGINEERING/PW '`r � . ` �` '
T.C.`ofOCCUPANCY ' � ` ;�'" ` ': � r -,�°` ' '°' � ,FINALCOMMUNITYiSERUICES �t5 7: r * '�a
CERT.of OCCUPANCY � ` � - � ;_ � �`� FINAC HEA'LTH DEPT ` Y ` f x` ` ��
� .,==:
.: ,_ ., -
. , . �.,. .. . .
_. . ,. .... � ,_ �::� ti rV5 S ,' a - �y }�.
FINAL INDUSTRIAL WASTE__;" - :� �. .,; �.�.}.. , . .-. .--
_ __
COMMENTS:�1��' sr-`��.w.:
'�.