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Home My WebLink AboutPR17-158430 F— H U W W 5 to 0 M a LU W H Q C] 0 z co cr3 ........ ..... .. CITY OF DIAMOND BAR a i ° e ' $ DEFARTMENT OF COMMUNITY & DEVELOPMENT SERVICES Ism 21810 Copley Drive, Diamond Bar, CA 91765 € PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarea.gov JOB SITE ADDRESS 2 ' ` "luno ndv 1y Al LOT TRACT OWNER a.vr •% r i ADDRESS Q4k1Q,!A1Q&Ci tbL✓ CITY ye ZIP TEL. APPLICANT TEL. CONTRACTOR o c.— .�i��✓ • �� ADDRESS 2-7— {3 C G+O L f -or! -ZIP &_J c3 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 reasons) indicated below by the chockmark(s), I have placed next to the applicable Iterl [Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, after, Improve, demolish, or rapall 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 €lconsure and the basis for the alleged eKemetlon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty of not more than five hundred dollars ($bcu). (J I, as owner of the property, or my employees with wages as dheir sole compensation, will do CJ aft of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Cade: The Contractors' State License Law does not apply to 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 improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or improved for the purpose of sale,), (rJ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7944, 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 projeclswilh a licensed Contractor pursuanttothe Contractors' Slate License Law.). CJ I am exempt from licensure under the Contractor's State License law for the following reason(sj: 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 nermll,l cannot legally sell a structure chat 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 Profosslons Code Is available upon request when this application is submitted or at the following Web site: htlplwww.leglnfo ca govlcalaw.hlmL LICENSED CDNTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am llcerfnd under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the �B.uslresss and Professions Code, and mylicenseIs In full force and effect. LICENSECLASS: c�.3 9 LIC.NO.: AV Y 7 5a.?Ccm3 EXP. DATE: ¢ Cp.c.A WORKER'S COMPENSATION DECLARATION E HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE HOLLOWING DECLARATIONS; I have and will maintain a Certificate of Consent to Self -Insure for Wnrker's Compensation, as provided by Section 37DO of the Labor Code, for the Performance of the work for which this permit is issued. I have and will maintain Worker's Compensation insurance, as required by Section 3790 of the Labor Code, for the performance of the work for which this Permit is Issued. My Worker's Compensation Insurance Carrier and Policy Number are CARRIER POLICY NUMBER ( HIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR LESS). I certfy that In the performance of the work for which this permit is Issued, I shall not employ any person In any manner so roto become subject to the Worker's Compensation Laws of California. And agree drat if 1 should become subject to the Worker's Compensation provisions of Section 3700 of the Labor Coda, I shall forthwith complywhin those provisions. DATE: APPLICANT: WARNING Failure to secure Worker's Compensation coverage Is unlawful, and shall subject an employer to criminal Penalties and civil finos up to one hundred thousand dollars ($100,000}, In ail to the cast of the compensation, damages as provided for In section 3708 of the Iahor coda, 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 Panel is issued (Sec. 3087, 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 bailding construction, and hereby authorize representatives of this county to enter uI he above -me Red grnpcorspection purposes. -<. i PE EE N ME (PRI �y EE DATEZ u to APPLICATION DATE: /&! 1 ?- P/C# ISSUE DATEPERMIT# TYPE CONST. OCG GROUP: Scope of Work 7;f # DWEL. UNITS /g a_ 45 # STORIES # BEDROOMS DESCRIPTION SQ, FT. FACTOR PSF ADJ. AREA/VALUATION SFFVADD/REM Garage/Carport w Patlo/Deck L-1 W Po a Z y *-v Q LJ Commercial 5 C2 lfaluatlo .�Z_ 0040 Adj. Area: QUANTITY DESCRIPTION FEE J v r U W w CD m J d J z x CONSTRUCTION: PLAN REVIEW: 2A , ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE:." SMIP: �• �]� ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FILL: BASF: f PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: s . P/C: RECEIPT# PAID BY: r VALIDATION: d PAID BY: �. � q VALIDATION: LQ WHITE — Department Copy, YELLOW — Finance Copy, PINK— Assessor Copy SETBACK/ LEI IEE? FOOTINGS FCRMS SLAB UG. PLUMBING UG ELECTRICAL UFER GROUND SFWE R I ATF4RAL MAIN WATER LINE SF.WF'R CLEANOUT ROOT SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGNENTING 1301.1GH MECHANICAL ROUGH ELECTRICAL W( } C ( ) ROUGH PLUMBING INSULATION WALL NSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER REI -EASE GAS ME 1 1111FL.EASE SPE:(1AL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING TLof OCCUPANCY CERT. of OCCUPANCY I"RACT AND LEDGER SWITCII GEAR COMMERCIAL HOOD 1 -RAH INILRCEPTER HOT MOP/SHOWERPAN SLP rlr.iEL�sswITDL HERS REPOFi I FJFCEIVED _.... .......... _ -- - DUMOI .ITION of ROOL DRAINS de ROUGII CONIA111' POOL/SPA ROU{aH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE ... ........ ..........._------ POOL PRE DECK BONDING P -TRAP .... ....... ...... .. ............. FENCE / GATE/ AI -ARM FINAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL 1sT( ) ?N°{ } I IFF WALL BOND BEAM WALL DRAIN/ SEAL — WALL FINAL r VROUGH --,-.RNA,LFIME RO FRAMING PLANNNG APPROVAL FIRE APPROVAL FINAL PLANNING FINAL ENGINEERING/ PW ...._..... ...... --- - FINAL COMMUNITY SERVICES ....... ......... - - - -- -- FINAL HEALTH DEPT. FINAL NVOUSTRIAL WASTE