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Home My WebLink AboutPR17-9103LU G J 7 0 z C LU cn T,�. , CITY OF DIAMOND BAR 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 '9eQ BUILDING PERMITAPPLICATIONwww.cityofdiamondbar.com building@diamondbarea.gov JOB SITE ADDRESS f All ('11l- APN OT TRACT OWNER ADDRESS_ ewi ,'1 eq h - CITY L`i7iulf6A VIZIP TEL. ii APPLICANT r44i- e TEL.'lj i6W_ 70 td d . CONTRACTOR _�,J cvl 5:0&J -Z •e ADDRESS 67'5-2_ -iiI -,l , CITY ARCH/ENG/ DESIGNER eta ��Y j ADDRESS L 5�, CITY (fA- ZIPO TEL. ► 7 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) Indlcated below by the chockmark(s), I have placed next to the applicable item(s) 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 7000 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), U I, as owner of the property, or my employees with wages as their sole compensation, will do U ail 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' 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.). U 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 an owner of property who builds or Improves theraen, and who contracts far the projects with a licensed Contractor pursuant to the Contractors' State License Law.) L) I am exempt from licensure under the Contractor's State License law for the following reason(s); Date: Sign: By my signature toiow, 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 pafn it,l cannot legally sell a structure that I have bullt 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 Professions Code is available upon request when this application is submitted or ett the following Web site: http/www,leginto.ca.gov/calaw.html LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that; am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full forc eand effect. LICENSE CLASS: C-10 LIC. NO.: EXP. DATE: CONTRACTOR: WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and wil€ maintain a Certificate of Consent to Solf-Insure for Worker's Compensation, as provided by Section 3700 of the Labor Code, far the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as required by Section 3700 ofthe Labor Cade, for the performance of the work for which this permit is issued, My Worker's Compensation Insurance Carrier and Policy Number ares{. CARRIER fl +cr_ POLICY NUMBER . 0,44 -r -7 -12 -if. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMFF 15 FOR ONE HUNDRED DOLLARS $100 OR LESS). I certify that €n the performance of the workfur which this permitis 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 Shedd become subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, DATE: APPLICANT: WARNING, Failure to secure Worker's Compensation ccvarage is unlawful, and shall subject an employer to criminal penalties and civil tines up to one hundred thousand dollars ($100,000), in addition to the cost of the compensation, damages as provided for In sectlon 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-mentlone property for Inspection purposes, PERMITTEE NAM >r/� SIGNATURE orlEpmil DATE a APPLICATION DATE:_ ��w �I _ P/C# P R 1-4 ^q 16 ISSUE DATE: ` 1 PERMIT# : 1 TYPE CONST. OCC GROUP: �h Scope of Work S , 't✓ .y c" ' ]]yyam� lg� Wwo -P 04AJ T14- # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport rn ua Patio/Deck ua LL Pocl/Spa ZRe -Roof OJ Commercial Z) M Val[paEfon: I?� Adj. Area: QUANTITY DESCRIPTION FEE c�3 U w m J a U z a x V CONSTRUCTION: PLAN REVIEW: 8.8 ELECTRIC: �5 Il® PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: 7 Si N 1-17 ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES q0 I Il COMMENTS: PIC: PAID FIY; " VALIDATION: RECEIPT # °r'� ., ' PAID BY: VALIDATION: WHITE —Department Copy, YFLICW — Finance Copy, PINK—Assessor Copy I SETBACK/ LETTER __........ FOGTINGS FORMS SLAB (JG. PLUMBING CITY OF DIAMOND INSPECTION C 1 RACT AND LEDGER SWI ICII G, FAR COMMERCIAL HOOD I BAR IN I LlIV[PFER HOT MOP/SHOWFRPAN SFPFIC/CESSPOOL HERS REPORT RECEIVED DLMOLITION ROOF DRAINS _..... __.. _ _.... .- UG, ELECTRICAL _. UFFR GROUND SI WER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIORPOOL/SPA _ ..... ................. SHEAR WALLS INTERIOR __ ROUGH PLUMBING ERAMING/VENTINGROUGH ELECTRICAL ...- -.. _.._ _.... - ROUGH MECHANICAL - ROUGH ELECT RICAL WO C O ROUGH PLUMBING INSULATION WAI I_ [INSULATION GFII_ING DRYWALL. LATH (PRF) LATH FXTFRIOR LATH INTFMOR GAS TLS I" SOF IA1011 COAT _ . ...._ - ....... ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P -TRAP FENCE I GATE/ ALARM FINAL POOL WALLS: WALL FOOTING/STFF.I WALL STEEL 1sT( ) juo( ) LIFT WALL BOND BEAM ELECTRIC METER RELLASE WALL DRAIN/ SEAL GAS METER RELEASE: WALL FINAL SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL ra FINAL PLUMBING T.C, of OCCUPANCY CER1 of OCCUPANCY RO. FRAMING PLANNING ROUGH FIRE APPROVAL FINAL r.iRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PPV FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE