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Home My WebLink AboutPR17-11749.� CITY OF DLAMOND BAIL DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 t (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building[ JOB SITE ADDRESS `" Al LOT_ OWNER_' ADDRES'S d CITY n taZIP s APPLICANT CONTRACTOR ADDRESS CITY i ZIP ADDRESS CITY ZIP APPLICATION DA 11 ISSUE DATE:_ TRACT TYPE CONST S f PRESS FIRMLY #: — } OCC GROUP: Scope of Work Ti {{ ! y t i�a" �.e� +"�°�'t' I< # DWEL. UNITS #STORIES #BEDROOMS DWNER-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 checkmark(s), , have placed next to the applicable item(s) [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair, any structure, prior to its Issuance, also requires the applicant for the permit to the 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 at the Business and Professions Code] or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). U I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U podions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code, The Contractors' State License Law does not applyto an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not Intended or offered for sale. If however, the building or Impmvemeat Is said within one year of completion, the Owner-Bcilder will have the burden of proving that It was not bullt or improved for the purpose of sale,}: (-) i, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to err owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). (U I am exempt from licensure under the Contractor's State License law for the fallowing reason(s): 0 z H O 0 w J C3 rL z LU h cc cc LU C7 Z m C/o on H! H By my signature below I acknowledge that, except for my personal residence In which I most have resided for at least one year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that i have built as an owner-bullder 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 Code is available upon request when this application Is submitted or at the following Web site: httplwww.leginto.ce.govlcalaw.html: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty ;per'btt 1 am licensed under provisions of Chapter 9 {commencing with Section 7000) of Division `vth , ns Code, and my license is in full force and effect. (CENSE CLASS: . NODATE: NTRACTOR: WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by Section 3700 otthe Labor Code, for the performance of the work for which title permit Is Issued. I have and will maintain Worker's Compensation Insurance, as required by Section 3700 ofthe Labor Code, for the performance ofthe work for 41ch this permit [a issued. My Worker's Compensation insurance Carrier and Policy Number are: CARRIER ` POLICY NUMBER (THIS SECTION NEED NOT RE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR LESS] I cedifythat In the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so M to become subject to the Worker's Compensation Laws of Oalifornla: And agree that if I should become subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall tDrlhwlth comply with these provisions, DATE: APPLICANT: WARNING: Fallure 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 (S100,000). 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-meniianed property for inspection purposes. PERMITT E SIGNA PERMITTEE DA E DESCRIPTION SQ. FT. FACTOR PSF ADJ. ARLA/VALUATION SFR/ADD/REM Garage/Carport Patio/Deck Pool/Spa Re -Roof Commercial valuation: Adj. Area: BASF: QUANTITY DESCRIPTION FEE J 4 U U w w q T 1 8 PLUMBING: z co MECHANICAL: a INSPECTION FEE: U z ` w BASF: i CONSTRUCTION: PLAN REVIEW: 8 ELECTRIC: TOTAL FEES COMMENTS: q T 1 8 PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: ` Si ENERGY P/C. ENERGY PERMIT: RETENTION FEE: ORF -AIT FEE' BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: q T 1 8 PIC: VALIDATION / RECEIPT A PAID BY: ^�n(cj+ " VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK —Assessor Copy SETBACK/ LETTER FOOTINGS FORMS SLAB UG. PLUMBING UG. ELECTRICAL UFER GROUND ,:SEWER LATERAL —.. MAIN WATFR LINE SF_WER CLEANOUT ROOF SHEATHING FI OOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMING/VENTING ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C O ROUGH PLUMBAG INSULATION WALL INSULATION CFILING DRYWALL LATH (PRE) LATH F=XTERIOR LATH INTERIOR GAS -1 CST SCRATCH COAT FLECIWC [METER RFL_EASE GAS METER RELEASE: SPECIAL INSPECTION _ FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING T.C. of OCCUPANCY CEHTa of OCCUPANCY TRACT AND LL:DGER SWITCH GEAR COMMERCIAL HOOD T -RAR IMTF IGEPTEII HOT MOP/SHOWERPAN SEP_%/CESalOOL HERS REPORT RECEIVED -�; — DEMO1.iTION —_ — 'ROOF DRAINS ROUGII CONDUIT POO L/SPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P -TRAP FENCE / GATE/ ALARM FINAL POOL WALLS: WALL FOOTING/STEEL _ WALL STEEL IST( ) 2N°( )1_IFT WALL BOND BEAM — WALLDRAINI SEAL WALL ANAI. Rd FEWINGF'LANNINGAPPROVAL ROUGH FIRE APPROVAL Ae FINAL FIRE DEPARTMENT FINAL PLANNING FINAL Eh1GIEERtNGI PW FINAL COMMUNITY SERVICES FINAL. HEALTH DEPT, FINAL INDUSTRIAL WASTE