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Home My WebLink AboutPR17-19444CITY OF DIAMOND BAR i' I e r DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91763 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY raa+ BUILDING PERMIT APPLICATION vvww.cityofdiamondbar.eom building@diamondbarea.gov JOB SITL ADDRESS + � �✓ APN LOT TRACT OWNERc7 6L III �A ADDRESS CITY Z!P q 1TEL.0 APPLICANT TE CONTRACTOR L ADDRESS ' i CITY ZIP TEL 2 ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reasons) lncloated below by the checkmark(s), I 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 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 7000 of Division 3 of 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 applicantler a permit subjects the app€Icant to a civil penally of not more than five hundred dollars ($500). {) I, as owner of the property, or my employees with wages as their sole compensation, will do C-) all of or{_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code, The Contractors' Slate License Law does not apply to an owner of property who, through employees' ar personal effort, builds 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 it was not built or improved for the purpose of sale,). is I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sectlon 7044, Business and Professions Cade: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contractsforthe projects with a licensed Contractor pursuant tothe Contractors' State License Law.). {j I am exempt from licensure under the Contractor's State License law for the following reasons Date: Sign. By my signature below I acknowledge that, except for my personal residence In which I must have resided for at least one year prior to completion of the improvements covered by this permit,) cannot legally sell a structure that I have built as an owner -builder 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 Professlors Code Is available upon request when this applicatun is submitted or at the following Web site: htbAAvw.leglnfo ca.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 Professlors Code, and my license Is In full force and effect. LICENSE CLASS: v LIC. NO.: 1 EXP. DATE: CONTRACTOR: WORISER'S COMPENS TION 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 for which this permit ke issued I have and will maintain Worker's Compersatlon Insurance, as required by Section 3700 of the Labor Code, for the performance ofthe workfor which this permit is Issued. My Worker's Compensatlon Insurancs Carrier and Policy Numher are: CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR LESS). 1 certifythat in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California, And agree that If I should become subject to the Worker's Compensation cions of Section 3700 of tthd Labor de, I s all forthwith comply with those provisions, DATEJ� APPLICANT, �V WARNING: Failure to secure Worker's Compensatlon 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 tho performance of the work for which this permit is issued (Sec, 3007, 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 construct€on, and hereby aufhorize representatives of this county to enter upon the above-mZtIdroperty for Inspection purposes. LrJC" PERMITTEE NAME {PRI SIGNATURE OF PERMITTEE DATE APPLICATION DATE: 10/�P/C# ISSUE DATE: W3 A PERMIT# P R� � t � 4' TYPE CONST. OCC GROUP' Scope cf Work S Jr # DWEL- UNITS # STORIES l 124 Z # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport rn Lu Patio/Deck Lu W Pcol/Spa ZRe -Roof Commercial m Valuatlonf: Adj. Area: QUANTITY DESCRIPTION FEE a r U a= r U W J c� z m J a J Q Ug_ d x V CONSTRUCTION: PLAN REVIEW: ELECTRIC: . PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: , SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL PEES COMMENTS: - P/C: PAID BY: RECEIPT # PAID BY: �� VALIDATION: VALIDATION: WHITE— Department Copy, YELLOW — Finance Copy, PINK— Assessor Copy F SLIBAWLETTER TRACT AND 1.11)GLfl FOOTINGS FORMS SWITCH GEAR COMMOICIAL. HOOD .. _... , _.._..... SLAB UG. PLUMBING T -BAR UG. ELECTRICAL IN I LECL.P l Ell IIOT MOPISHOWFRPAN SFI'TI(:/CL S'SPOOI HERS IiLPORT RLCFJVFI) D( MOI ITION ROUT DRAINS HOUGI I CONDUIT POOL/SPA ROUGH PLUMBING ROUGH ELECTRICAL HOUGH MECHANICAL GAg TEST PRE GUNITE .. POOL PRL DECK BONDING I ERRE' - ....... .. - ----------- - UFER GROUND _ SEWER LATERAL MAIN WATER LINE - _ - ... SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTEREOli SHEAR WALLS INTERIOR FRAMING/VENTiNG ROUGH MECHANICAL ROUGH ELECTRICAL W( } C (, ROUGH PLUMBING _... d ......... ...... ........_ ---- . .. ......... - ... INSULATION WAI L. INSULATION CFI[ ING _..... DRYWALL. LATH (PRF) LATH FXTFRIOR LATA INIFRIOH GAS TI`>I SCRAICIi COAT _ FE -NGF / GATE/ ALARM FINAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL 1s-( ) 210( ) LIFT WALL BOND BEAM LL.ECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0. FRAMING PLANNING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL 1A FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/ PW T.C, of OCCUPANCY FINAL COMMUNITY SERVICES CERT, of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL.WASTE