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Home My WebLink About14-4758� � . �-�"��...:,.:_.,.,.., CITY OF DIAMOND BAR 1�I1 6 ��v� ': � DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES � • * 21810 Copley Drive,Diamond Bar,CA 91765 PRESS � @� (909)839-7020 Faat:(909)861-3117 Building Inspection HoHine(909)839-7027 � FIRMLY � ��'�""" BUILDING PERMIT APPLICATION g '� � p APPLICATION DATE: �� '!f I y P/C# i JOB SITE ADDRESS ISSUE DATE: �/ 3� �0`U�� PERMIT# I"7� -7 � z APN L TRAC yOWNER ....'"�� T Q, L� 1 TYPE CONST. OCC GROUP: � ADDRESS J CITY ZIP T Z�NING SEfBACKS � FRONT RW ❑ = APPLICANT TEL. REAR ❑ _ � �f. SIDFJSIDE STREEf RW ❑ � CONTRACT R C SIDE ❑ � ADDRE S � PROPOSED USE x CITY ZI � T � � = ARCH/ENG/DESIGNER y = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS dz CITY ZIP TEL. I � OWNEN-BUILOEfl DECUIHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION j I hereby affirm under penalty of perjury that I am ezempt from the Contractor's State Llcense Law for the reason(s) SFR/ADD/REM � � Indlcated below by the checkmark(s),I have placed next ta the applicable Item(s)[Sectlon 7031.5,Business antl Garage/Carport � Professiore Cade:My cfty or cauMy that requlres a pertnR to construct,alter,Improve,demollsh,or repair,any z structure,prlor to iffi issuance,also requlres tice applicairt for tha pertntt lo flle a sigrced sfatemeirt Nat he or she � Patio/Deck I i Is Ilcensed pursuaM to the provlslons a1Me COMrector's State Llcense Law(Chapter 9)Cammencing wNh SecNon w � 7000 of Dlvisian 3 of the Businass and Professians Cade]or that he or she Is exempt from licensure and the basis for � PooVSpa I � the alleged ezemptlon.My vidation of Section 7031.5 by any applicant for a permlt sub�ecis ihe applicant to a clvil penatty C7 I sof not more than five hundred dollars($500). ZQ Re-Roof � � (�I,as owner of the property,or my employees with vmges as their sole compensatlon,will do(J all of or(�portions � Commercial I I y of the work,and the shudure Is not irrtended or offered for sale(Sectlon 7044,Business and Pmfessions Code:The m . I I Z Contractors'State LJcense Law daes not apply to an owner of property who,through employees'or persanal eftort,builds y or Improves the property,provlded that the Improvements are not Intended or oRered for sale.B however,the bullding or I � Imprmement is sold wlthin one year ot completlon,the Owner-Builder will have the burden of proving that It was not built � or Improved for the puryose of sale.). I � I,as owner of the r e am exclusivel contractin wtth Iicensed Cont2ctors to construct Me ro ec[Sectlon U P oP�ht Y 9 P 1 ( = 7044,Business and Professlons Code:The Contracmrs'State License Law doas not apply to an owner of property who Valuation: Adj.Area: n bulldsorimprovesthereon,andwhocontractsfortheproJeclswithalicensedContractorpursuarrttotheContractors'State QUANTIIY DESCRIPTION FEE I Y License Law.�. � U I am exempt from licensure under the Contmc[or's State Llcense law for the tollowing reason(s): � I 1 By my signature below I ecknowledge that,ezcept for my personal residence in which I must have resided for at least one � � Z year pdor fi completlon of the Improvements wvered by this permit,l rannot legalry sell a structure that I have bultt as an � owner-bullder if R has not been consWcted in its er�tlrety by licensed contractors.I understand that a copy of the appllpble w I � law,Section 7044 of the Business and Professions Code is avallable upon request when this applicatlon Is submitted or at � I � the folbwing Web site:http/www.leginio.ca.gov/calaw.html. _ — I = DATE: SIGN: � LICENSED CONTHACTOH'S OECLAHATION � I y I hereby aifirm under penalry of perjury that I am licensed under provisions of Chapter 9(commencing wtth Section 7000) � � ' I � of DlNslon 3 of the Business and Professions Cade,and my license is In II e an�tte � � .I � ' ;� LICENSE CLASS: - LJC.NO.: � I = OATE, �' CONTRACTOR: = I � U � WOHl�i'S COMPENSATION DECLAHATION � I � I HFAEBY AfHRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS � L _ � 1 have and will maintain a Certiflcate of ConseM to Sett-Insure for Worker's Compensatlan,as provided by CONSTRUCTION: I Section 3700 of the Labor Code,for the perfom�ance ot the work for which this permit Is Issued. p�qN REVI EW: � _`,L I have and will malntain Worker's Compensatlon Insurance,as required by Section 3700 of the Labor Code,fa � ihe performance of the work for which this permlt is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ^ �� a Polit,yNum�are: = PLUMBING: ,.�� Z CAFRIER � MECHANICAL: � POLICYNUMBFA INSPECTION FEE: n (THIS SECf10N T BE CO THE R IS R HUNDR�DOLLAAS($100)OR LESS�. ISSUANCE: k � (�''� = I certify tlrat in ihe performance of ihe wak for which thls permit is'ssued,I shall not employ any person In any manner so as to SMI P: � become subject to the Workers Cwnpensation Laws of Califomia And agree mat if I shwld becorrie subject to the Worker5 � Canpe sation visions Sectlon 3700 oF the Labor Code,I shall tortlrvaith compy wlth thos �j EN ERGY P/C: i DA LICANT: ENERGY PERMIT: � WAR NG:Fallure to cure Worker's Compensatlon coverage Is unla I,a shall employer to criminal ipenaltles and civll flnes up ro one hundred thousand dollars($100,0OO�,Jn addition to the cost of the compensation, RETENTION FEE: � darnages as pmvided tor In section 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTIiUCTION LENDING AGENCY BSAF: 3- O� = I hereby affirm under Denalty of perjury that there is a Construction Lending Agency fir the pertormance of the work for � which this permit is issued(Sec.3097,Civ.C.�. = LEND R'SADD ESS: -� /�� i I certify that I have read this appliption and state that the abrne information is conect.I agree to comply with all city and TOTAL FEES Z courity ordinances and state laws relating to bullding consWction,and hereby authorize represerrtatives of this courrty fi COMMENTS: � enter upon the above-mentloned properry for' ctlon purposes. � e b a PERMITTEE NAME(PR _�� n � = SIGNAlUHE OF PERMITIEE DAlE ' RECEIPT#.��,� PAID BY:�v�� VALIDATION: � .� ;.}' WHITE—Department Copy,YELLOW—Flnance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD . � , . • . - � � j � - ,SETBACIU LETTER �'�'�` ��a � >�� >�°� � '� ' ��' TRAGT AND LEDGER FOOFINGS FORMS � � �� `� � �� ` �� r> - .,� _ _R��-ej�. ,__, ; � ";��;�� SWITCH GEAR �� Er��„;� . � ,;��B COMMERCIAL HOOD � ��.� b. � , � ., ,- U�.PL�JMBING;� � .n� ��:��`��°��.. �� :x�;� � T-BAR� � UG.ELECTRICAL � ��`� 3��""�'.��' ��"� � _�tl""' �� INTERCEPTER UFER�GFtQIlND°�� ; � �� '��€k, HOT MOP/SHOWERPAN ` BEWER IATERAL � f e � SEPTIC/CESSPOOL MAIN WA?ER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROQF SHEATHING ROOF DRAINS FLOQR SHEATHING ROUGH CONDUIT , ...a�-- � � ` -�m` - ��k�;.`* ��r . .:. ,r�� - - ---�- �s <,; i ' 'I'� �" ' SHE4R WALLS EXTERIOR" � "` _ �.�.�' �� ,��.,� �� ?POOUSPA� :� ; � ":� �� _:�� . �. s. .� _ ,.. � �- „,� � ��, - �� 1, : � � ;SHEAR WALLS INTER10fi "��_ ; „.�. h. • RQUGH PLUMBING �_: �� 9 �,' '� � �°� u� �r ' �'' � _� � ��_ . , __ , � � -,�, � �x . . ��""..�� e. � � FRAMINGNENTING �' �� f �� ,``_ �; ,Rb�1GH E,LECTRiCAL=�.� _�, � : ��.�: e<a` � , ,�� ROUGH MECHANICAI ;�;�"� �� `"'��,� � � - ��- .ROUGH�MEGHANIGAC, ,. °` ��` ,�,� � ` a� . , � _ .�� .W� . � - � 'ROUGk1 ELECTRICAL W(�;��{.1 � ' ��`�;,�" �� GAS TESTt��` � � :� ��"�� E , ` �" �� ,,�� .� _��s �r.�,, �._ _ , K..�,- � , � � tu RO,UGIi-PLUMBiNG , o o :"�� ° ,�;.�� „, . " ��: �PRE GUNfTE `"` � �3��' �� ; �°„,�q. s INSULATION WALL �� 'POOL?RE DECK BONDING�� r ..��p LL� � ,�, - INSULATION CEILING � �� fP==TR�P�. �d "��' � 's�.��'�� ..'�� , �� .'� a�«�a��_ �FENCE�'!'RGATE(�AL�AflM�� a�� DRYUVALL ° LATH(PRE) FINAL PC��L �,,..,��,Rr; '�, „�9��. � ' �� `,� �- ,, LATH EXTERIOR �WALLS: LATH INTERIOR WALL FOQTING/STEEL GAS TEST WALL STEEL 1 Sr� }2No� �� SCRATCH COAT WALL BOND BEAM ELECTRIC fl4ETER RELEASE WALL DRAIN/SEAL GAS METER RELEASE ' WALL FINAL SPECIAL INSPECTION - 'RO FRAM�G P,L�WNINGAPPROVAL � '�� , : �� -��°�. _ - � , �: ;�- ��: :�.� � _ ��, _ _ _ � ,� � - � � ,� FIN{kL BUILDIN6 ��' �� "� �� ;__ �Q GH FIRE APPROVAL,� - �� __ A�� ;._.d- , _ m� �� ° � a , .� FtNAE.�FIRE_DEPARTMENT9 .�_ � . � � > ��NAI:MECHANICAt _ . � � � � � �� : ��- _ �,� � _ �� - FINAL ELECTRICt1L �� x � '�°"`�� '�� FINAL�`PLANNING v � g= �� &�" �"�� s �� F1NA�NGIfi}EERING/dP1N 6�' ' � �' ,�� " �� `� � FINAL PLUMBING �r:x � "� �.. � �� ,'� � y7 C.Of OCCUPANCY � �`� � ��. �.��z��'�� ,FINAL,t;OMMllNI"fY�SERVICES ;:� �� .�� `� �� , �� ,` � Py_� , - � �� CERT:po10CCUPMICY�� , � � ,,:.f .,� `'� ' .,�'3�. �� FINA�`N�AL7H�DEPT�,�� '� -�� }. ,.� `� `� ��"�� ,.. ,��_„ ° ' �._ -��,�.�.� �'�� ,A„�,� �� . � __ � � �,= ' � � � � �+��"� ,��,""�� L.? =FINAC,tNDttS7RlAL 1NA57E. , . .'� _:�� .��. . COMMENTS: