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Home My WebLink AboutPR17-11246K F L t CITY OF DIAMOND BAR � I " DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS CX7 9 � A-91. APNI L T TRACT OWNER w ADDRES$i e CITY IP gj3l TEL. Z -I APPLICANT TEL. CONTRACTOR _ ADDRESS 2i I 3 CITY ZIP -qf9q I TEL. ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from tire Contractor's Stats License Law for the reason(s) indicated below by the checlonn 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, after, improve, demolish, or repair, any structure, prior to its Issuance, also requires the applicant for the permiito 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 Pmfessions Cartel or that he of 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). U I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' 51at , License Law does not apply to an owner of property who, through employees' or personal effort, bunds or Improves the property, provided that the improvements are not intended or offered for sale. If however, the building or improvement Is sold within ane year of CDMPlatlon, the Owner -Builder will have the burden of proving that it was not built or Improved for the purpose of sale.). O1, 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 an 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.). I I am exempt from licensure under the Contractor's State License law for the following reason(s): Date: Sign: By my signature below I acknowledge that, exceptfor my personal residence in which I must 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 -bulkier if it has not been constructed In Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 at the Business and Professions Code Is available upon request when this application is submitted or atthe following Web site: httplwwwJeginfo,ca.gavlcalaw.html. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter U (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce and effect LICENSE CLASS: L C. NO.: o Z 2C EXP. DATE: .> CONTRACTOR: WORKER'S COMPENSATION DECLARATION I HE FIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIOK& 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, for the performance of the workfor which this permit Is Issued I have and wit maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work torwhich this permit is Issued. My Worker's Compensation insurance Carrier and Policy Number are: i CARRIER r POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR LESS), > I certifythat in the performance of the workfor which this permit is issued, sit employ any person in any manner so as to become subject to the Worker's Compensation Laws of California. And agr t t If i should become subject 10 the Worker's CompW�tiorovbas eF Section 3700 of the Labor Cod rthwh mply with those provisions.APPLICANT: Nsecure Worker's Co ersation cov is unlawful, and object an employer to criminal 7 penalties and clvll fines up to one hundred theusan ($100,000}, In It to the cost of the compensation, i damages as provided for In section 3798 of the lab ads, interest, and aft s fees CONSTRUCTION LENDING AGENCY s [ hereby affirm under penally of perjury that there Is a Construction Lending Agency for the performance of the work for which this permit Is Issued (Sec. 3087, ON. C.), LENDER'S NAME: LENDER'S ADDRES& J - I certify that I have read this application and state that the above information Is correct. I agree to comply with all ally and county ordinances and state laws relating 10 bullding construction, and hereby authorize representatives of this county to enter upon the aboveMctioned property for inspection rpos s. i. c PERMITTEE NAME (PRIN 7/ - SIGNA F PER E DATE I Y CATION DATE: R/3/1 + P/C# P pu +- I124l0 ISSUE DATE: / �`� -PER MIT# : F \ -1 TYPE CONST.((�� OCC GROUP: Scope of Work 041-cus k Lt # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFWADD/REM Garage/Carport m Lu Patio/Deck Lu U_ Pool/spa zRe -Roof 0 Commercial to to 1Valwatfon: Adj. Area: QUANTITY DESCRIPTION FEE 4 U w w .� O er z m a U_ U CONSTRUCTION: CPtAN REVIEW: ELECTRIC: J - PLUMBING: MECHANICAL: INSPECTION FEE: J ISSUANCE:- SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: 4 PRE -ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: P/C: PAIL) BY: VALIDATION: RECEIPT # 3(_c) PAID BY' VALIDATION: WHITE— Department Copy, YELLOW — Finance Copy, PINK—Assessor Copy CITE OF DiAMOND INSPECTION C 5ET"BACK/ LETTER '7. _ I RA AND LEDGER SWIICFf GEAR COMMERCIAL HOOD FOOTINGSFORMS .. ... ..-.. SLAB UG PfiIMF3ING UG ELECTRICAL __... I-13Alt INIE-XEPTER HOT MOP/SHdWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOI iTON ROOI BRAINS ROUCI I CONDUIT UFER GROUND SEWER LATFRAL MAIN WATER L INL SEWER CLEANOUT ROOF SHEATI IING FLOOR SHEATHING SHEAR WALLS EXI ERIOR POOL/ SPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGIVENTING GH ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL GAS TEST _ HOUGH ELECTRICAL W( ) C { ) ROUGH PLUMBING PRE GUNITE POOL PRE DECK BONDING P -TRAP INSULATION WALL INSULATION CEILING DRYWALL I ATH (PRE) I ATFI EXTERIOR FENCE / GATE/ ALARM FINAL POOL. WALLS: WALL FOOTING/STEEL WALLSTLLI l'r( )2ND( )LIFT WALL BOND BLAMi WALL DRAIN/ SLAL WALL FINAL RO. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT LATH INTERIOR GAS IFST SCRAICH COAT ELEC 11IK. METER RELEASE GAS ME i LIi RELEASE SPECIAL INSP CTION FINAL BULLDING FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING FINAL PLANNING FINAL ENGINEERING/ PW T.C. of OCCUPANCY FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. CERT. of OCCUPANCY COMMENT& FINAL INDUSTRIAL W E