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Home My WebLink AboutPR17-14646CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-702 FiFIRMLY BUILDING PET2MI'T'APPLICATION NN.CF ofdiamondbarcom buildin ty g(kdiamgndbarca.gov JOB SITE ADDRESS r G i ' ; ) r" APN LOT TRACT ' OWNER I ADDRESS A T.. CITY i dta,;ZIP TEL'y APPLICANT TEL. CONTRACTOR C- L = _S Cz ' ADDRESS {:::i:: , ; •� xv- �" f% CITY w ^' ZIP :,TEL_ ARCH/EN DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) Indicated below by the chackmark(s), I have placed next 10 the applicable items) (Section 7031,5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair, any structure, prier to its issuance, also requires the applicant for the permit to fife a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he orshe is exempt from licensure and the basis for the alleged exemption. Any violation of Seclion 7031.5 by any appkcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). U €, nsowner of the property, or myemployees with wages as their sale compensation, will do (, all of of U portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Cade: The Contractors' State License Lav does not apply to an owner of property who, through employees' or personal effort, bullds or improves the property, provided that the improvements are not intended or offered for sale. If however, the building or Improvement Is sold within one year of completion, the Owner -Bulkier will have the burden of proving that ttwaer not built or Improved for the purpose of Sala). () €, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professlons Code: The Contractors' State License Law does not apply to an owner of property who builds or Improvesihereon, and who contractsforthe projecisvrith a licensed Contractorpursuaatto the Contractors' State License Law.). U I am exempt from Ilconsure under the Contractor's State License law for the fallowing reason(s): Date: Slgn: By my signature below I acknowledge that, except for my personal residence In which I must have resided for at feast one year prior to completion of the Improvements covered by this permlt,l cannot legally sell a structure that I have built as an owner-buifder if it has not been constructed In Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Gads Is available upon request when this application Is submitted or at the following Web site: hUpAwvw.legintaca.gov/calaw.html. LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. FCENSE CLASS: . I, LEC. NO.: P. BATE:� i, fi"' -« ! CONTRACTOR: c' C. t <=rte'<:.,•' -.i ' a�. 'T',t /:/�'`. r? r WORKER'S COMPENSATION DECLARATION I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to Salt -insure for Worker's Compensation, as provided by Section 3700 of the Labur Gode, for the performance of the workfor which lhfs parmlt Is Issuad. I have and vAll maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Pailcy Number are: YCARRIER `` , 1 4 /` POLICYNUMBER' - �T (THIS SECTION NEED NOT BE COMPLETED IF THE PERWTIS FOR ONE HUNDRED DOLLARS $100 OR LESS). I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to became subject to the Worker's Compensation Lases of California. And agree that If I should become subject to the Worker's Compensation provisions of Section 3700 of the Labor Curie, l shall forhvith comply with those provisions. DATE: APPLICANT: WARNING: Failure to secure Worker's Compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of the compensation, damages as provided for In section 3708 of the labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for which this permit Is issued (Sec. 3097, Civ. C.). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and state that the above Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned propertyfor inspection purposes. PERMITTEE NAME (PRINT};, IGNATURE Of PERMITTEE -� ` DATE � =: ��,, o� r ,• ,x r APPLICATION DATE: 8I a 8 I \`1 ISSUE DATE: PERMIT# : TYPE CONST. P/C# FXR.—\`7 — 1 � 14— OCC GROUP: Scope of Work # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREANALUATION SFRIADD/REM Garage/Carport Patio/Deck LU LL Pool/Spa Z_ Re -Hoof Commercial 7 Valuation: Adj. Area: QUANTITY DESCRIPTION FEE ca V co m J 4�. J U CONSTRUCTION: PLAN REVIEW: ELECTRIC: Lo SS PLUMBING; MECHANICAL: INSPECTION FEE: ISSUANCE: A-3, SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: _ t� BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: P/C: PAID BY: VALIDATION: RECEIPT # 32 3 PAID BY: \1Si7 LLVALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy CITY OF DIAMOND BAR INSPECTION RECORD SETBACK/ LETTER7 71�RACT D LEDGER FDOTINGS FORMS EAR SLAB COMMERCIAL HOOD UG. PLUMBING T -BAR UG. ELECTRICAL INTERCEPTER LIFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CFSSPOOL MAIN WATER LINE. HERS REPORT RECEIVED SEWER CLEANOUT ROOF SHEATHING DEMOLITION ROOF DRAINS FLOOR SHEATHING SHEAR WALLS EXTERIOR ROUGH CONDUIT POOLISPA SHEAR WALLS INTERIOR FRAMINGNENTING ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C ( ROUGH PLUMBING GAS TEST PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P -TRAP DRYWALL - FENCE/ GATE/ ALARM - LATH (PRE) FINAL POOL LATH E)CFERIOR WALLS: LATH INTERIORWALL FOOTING/STEEL ._..____.... _.... GAS TEST _..._......... ..._.................... ...... � WALL STEEL 1$7( ) 2P1°( ) LIFT _... SCRATCH COAT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION R0. FRAMING PLANNING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLUMBING FINAL PLANNING FINAL ENGINEERING/ PW T.G. of OCCUPANCYFINAL COMMUNITY SERVICES CERT, of OCCUPANCY FINAL HEALTH DEPT. _ FINAL INDUSTRIAL WASTE COMMENTS: