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Home My WebLink AboutPR17-11753s z G 0 J UJ x 0 CID 0 ro s 0 0 z 0 0 z m O a 0 z P_ crl CC qCD c� LU P. 4 Q{�a�`�IJ�1' YCD O a LU tR 0 J CM z 0 LL z c� u� -n" CITY OF DIAMOND BAR DEPARTMENT OF COMMUNI'T'Y & DEVELOPMENT SERVICES - 21810 Copley Drive, Diamond Bar, CA 91765 ;` PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027. i BUILDING PERMIT APPLICATION www.cityofdiamondbar.com buildingCtliama dbat-ca.gov FIRMLY JOB SITE ADDRESS APN LOT TRACT OWNER N Ar -,41 i r S; ()�s f ADDRESS CITY ZIP TEL. �! APPLICANT46-E „_ lr4&ai TEL. 4n9- qT5 CONTRACTOR ADDRESS CITY ZIP TEL. ARCH/ENG/ 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 checkmark(s), I have placed next to 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, prior to its issuance, also requires the applicant for the permit to file 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 7090 of Division 3 of the Business and Professions Cade] 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 five hundred dollars ($500). Ls owner of the property, or my employees with wages as their sole compensation, will d all of or (_) portions work, and the structure is not intended or ofiered for sale (Section 7044, Business a iessicns Cade: The Contractors' Slate License Law does not apply 10 an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the Improvements are not intended or cfiered for sale. 11 however, the building or improvement Is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built ol; i proved for the purpose of sale.). ,psowner of the property, am exclusively contracting with licensed Contractors to construct the project (Section ,u44, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds orunpmvestiveon, and who contractsfortheprojects wlfh licensed Contractor pursuanttothoConiractors'State License Law.). __.. U I am exempt iry � licensu ur r the Contractor's State L e`. e for the fallowing reason(s): DateR.$ Sign: y By my signature below I acknowledge that, exceptior my pnal encs in which I must have resided for at least one year prior to completion of the improvements Covered by This p it,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 appllcable law, Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the following Web she: http/wvvw,loginio.ca.gov/calavv.html. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Olvlslon 3 of the Business and Professions Code, and my license is in full force and effect. LICENSE CLASS: LIC. NO.: EXP. DATE: CONTRACTOR: 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 of the Labor Code, far the performance of the work her which this permit Is Issued. I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the worktor which this permit is issued My Worker's Compensation Insurance Carrier and Policy Number are: CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS S1 D0 OR LESS}. I certify that in the performance of the workior which this permit is issued, I shall not employ any person in any mannerso asto become subject to the Worker's Compensation Laws of California. And agree that If I should became subject 10 the Worker's Compensation Prov€cions of Section 3700 of the Labor Code, I shall forthwith 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 tees 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 (Sea. 3097, Civ. C.), LENDER'S NAME: LENDER'S ADDRESS' I certify that I have read this application and slate 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 authofize representatives of this county to enter upon the above -men d property for inspection purposes. cn -T_. �g``�3" 7 : c 1� � - -� ggg PERMI [ itt rvamt tri=^i'" a 1 - SIGNATURE OFPERMII I' #= DATE y € a I s APPLICATION DATE: f? --'7- I ISSUE DATE: S11 PERMIT# TYPE CONST.PV .5;U *IZ OCC GROUP: Scope of Work �, No ii cavi,,; 4,1 -,,-,,v Y Av # DWEL. UNITS # STORIES_ # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREANALUATION SFR/ADD/REM Garage/Carport Lo Patio/Deck W LL Pool/Spa ZRe -Roof =F Commercial itl Valuations: aan Adj. Area: QUANTITY DESCRIPTION FEE 4 v w w m a 4u' z x U CONSTRUCTION: p PLAN REVIEW: 0 ELECTRIC: 1 -3 {a ; PLUMBING: MECHANICAL.: INSPECTION FEE: ISSUANCE:_ SMIP: X ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BASF: C? PLOT PLAN: ZONING CLEARANCE: TOTAL FEES r COMMENTS: PIC: PAID BY: - VALIDATION: P® RECEIPT # '4 PAID BY: ® -s" ! 'g ''g 'f ' - VALIDATION: WHITE— Department Copy, YELLOW —Finance Copy, PINK—Assessor Copy CITE OF DIAMOND INSPECTION SI TBAM LETTLH TRACT AND LLI)GER FOOTINGS FORMS SWITCH GEAR SLABCOMMERCIAL IIOOD ............ . UL). PLUMBING T -BAR UG. ELECTRICAL INTERCEPTER UFFR GROUND HOT MOPISHOWL.fIPAN ......... - ..--- SEWFR LATFRAI SEPTICICFSSPOOI MAIN WATER LINE HERS REPORT FIFGFIVED SEWER CLEANOUT It All DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUT SHEAR WALLS EX# LHIOI? POOL/SPA SHEAR WALLS INTERIOR ROUGH PLUMBING ._ -_. _ . ..... FRAM€NGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL. ROUGH ELECTRICAL W( } C () GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK, BONDING INSULATION CEILING P. -TRAP -- .. - DRYWALL FENCE / GATE/ ALARM LATH (PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTINGISTEf I.. GAS TEST WALL STEEL ) sT( ) 2riu( }LIFT SCHA I CI I COAL WALE. BOND BEA I [.:LF(; I RIC ML i LR RELEASE WALL. OHAINI SEAL GAS MI IFR HI-LLASE �RO. ALL. FINAL - - - SPF(',IAL INSPI..(; HON FRAMING PLANNING APPROVAL -- FINAL BUILDING ' ROUGH FIRE APPROVAL FINAL (MECHANICAL FINAL FIRE DEPARTMENT FINAL ELEC.1. FINAL PLUMBING FINAL ENGINEERING/ PW T.C. of OCCUPANCY FINAL COMMUNITY SERVICES. CERT, of OCCUPANCY FINAL HEALTH DEPT, FINAL INDUSTRIAL WASTE