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Home My WebLink AboutPR17-15969r CITY OF DIAMONDBAR _ DEPARTMENT OF COM iitil~ 'Y ' & L.EVELOFMENT SERVICES ^^~ �21S10 Cople ' Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building `ysg BUILDING PERMIT APPLICATION Inspection HOline (909) 839-7027 PRESS www 2717 buildin FIRMLY i g@diamondbarca.gov JOB 517€ADDRESS v) APPLICATION DATE• APN LOT OWNER ADDRESS CITY ` F i APPLICANT IP ��TEL. TEL, w- 1 ISSUE DATE: q PERMfT# TYPE CONST. Scope Of Work P/C# y R17— OCC 17—OCC GROUP: ZIP TEL. o ARCH/ENG/ UNITS #STORIES # BEDROOMS o DESIGNER �— o ADDRESS CITY DESCRIPTION SQ. FT. FACTOR PSF SFR/ADD/REivt ADJ. AREA VALUATION ZIP TEL' OWNER -Bull DECLARATION Garage/Carport o I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law far the reasons) o Indicated below by the chsclunark(s), I have placed next to k w Pool/ the applicable items} [Section 7037,5, Business and z Professions Code: Any city or county that requires a permit to construct, Sher, improve, demo ' or repair, LU structure, prior to Its issuance, also requires the CLL 4 pa z Re -Roof any applicant for the permit in fife a signed statement that he or she 10 7( licensed pursuant toe B provisions of the Contractor's State Lieerrse Law (Chapter 9) Commencing 7000 of Division 3 of the Business O Commercial V' with Secffon and professions Code) or that he or she Is exempt from licensure and the basis far the alleged exempfion. Any viola burOfSection7031Zbyani m 0 forapermitsubjectstheappllcantteacfyilpenalty CD of not mare than five hundred dollars 0500). of of f, as owner of the property, or my employees with wages as their sole compensation, wi11 do U all of or ( J porf10 S Structure is notor er for LL Contractors,5#ate License Law does appy to an owneed sale ho thro ough employeesSs n arIJ ppersonlalneffort, bolds of property w or improves the property, provided that the improvements fort, builds Valuation: are not Intended or offered for sats. If however, the U improvement is sold within one year of completion, the Owner -Builder or Adh AYES: wll have the burden of proving that it was not bupt ti or Improved for the purpose of sale,), QUANTITY DESCRIPTION 7044, z L} I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section Business and Professions Cade; The Contractors' State License Law J V FEE or does not apply to an owner of property who OY LiceseLow.)ovesthereon,andwhocontractsfortheproJectswllhaiicensedContractorpursuanttotheContractors'State License Law.}. ~ � LL L) i am exempt from licensure under the Contractor's State License law for the following w z Date: reason(s}; Sign: cm By my signature below i acknowiedge that, exceptfor m Year cc y personal rosidenoe in which i must have resided for at least one completion of the improvements covered by this z r-bulio permit,l cannot legally sell a structure that I have built as an a, owner -builder If it has not been constructed In its entirety by licensed contractors. I understand appiicable law. Section 7044 J that a copy of the of the Business and Professions Code is r iable upon submitted or at the following Web site: hitp/www,ieginfo.ca.gov/calaw.html. request when this appilcatlon Is U J U U -1LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of a perjury that I am 11COPsek under provisions of Chapter 9 (commencing with Section 7000) Df Division 3 of the Business and Pmfesslons Cade, and my license is in w full force and effect oLICENSE CLASS; %.�LIC, NO,: C g C z EXP. DATE; CONTRACTOR: � — R WORKER'S COMPENSATION DECLARATION CONSTRUCTION: I HERERYAFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS; a PLAN REVIEW: 1 have and will maintain a Certificateof Consent to Self -Insure for Worker's Compensation, as Section 3700 of the Labor Code, far ELECTRIC: provided by the performance of the work far which this permit Is issued. I have and will maintain Worker's Compensa&an PLUMBING: Insurance, as required by SeCtion 3700 of tire Labor Code, for the Performance of the work for which this permit Is issued. My Worker's MEGHANICAL; n o Policy Number are: Compensation Insurance Carrier and LU CARRIERCM IN FEE: U5 POLICY NUMBER l- (fitlS SECTION NEEP NOT BE COMPLEi'ED IFTHE ONUND IS FOR E HRED DOLLARS $10Q OR LESS). 0 1 certify that In the performance Si of fire work for which this peunitis issued, I shall not employ any person In any manner so as to JM become subject fa the Worker's Compensation Laws of Carnia. And agree chat it I should became subject lifoCompensation provisions of Section 3700 ENERGY P/C; ENERGY PERMIT: to the Worker's of the Labor Code, I shall forthwith comply with Those provisions, pATB;��APPLICANT: RETENTION FEE: Lij -J WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil tines up to one hundred thousand doiiars PRE -ALT FEE: ` 0100,000), in addition to the cast of the compensation, cD damages as provided for in section 3708 of the labor code, interest, and attorney's fees. BASF: zrt CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of PLOT PLAN: perJury that there is a Construction Lending Agency for the parformance of the work for � which this permit is issued (Sec. 3097, Cly. C.). ZONING CLEARANCE: �-- LENDER'S NAME: LENDER'S certify that have read this oppilation and state that the above information is correct. t agree to comply with at city and LI z county ordinances and state laws relating to bulking corstru(tcn, and hereby authorize representatives ofthis county to anter upon the above-mentioned property for inspection purposes. PERMITTEE NAME o - PAIDEY:SIGNATURE OF PERMITTEE � VALIDATION:,DA7E 3-6 m PAID BY: VALIDATION: WHITE— Department Copy, YELLOW — Finance Copy, PINK— Assessor Copy CITY OF DIAMOND R INSPECTIONREroPD --------------------------------------------------------------------------------- --- 5ETBAGKISWHCN (BEAR_ _____ FOOTINGS FORMS_ ___._ __�.__-_ -___.__-_____._-- COMMERGIALHO(iD__- --.-- ---_-_--- SLAB _ _ __ __.-.._.-_..----.-. T -BAR ------- INTERCEPTER - - - - - - - - - - - - ---- -�- _U_G. ELE_CTI LIqAL. _ - _-- __-�._ - --- _ -- - _. -- HOT MOP/ShOWERPAN _ _ --- - - --- - --- UFEROUND - _ _ RG --- - --- - - --- --- SEPTIC/CESSPO01�-_-__ -_-___ _-_-_-------�__- SV-__--_- -_-------------------- HERS RI.PORTRECEIVED— MAIN _WATERLINL= ------ -----------------_-_- pE_M_OLITION_-------------------- S[---WERGLEANi)UT -_-_-_---------- ROOF DRAINS __---_--___---------------�_ ROOFSHEATHING __---_ ------ ROI. IGH CONDUIT_ FI.00R SHEATHING _--_ _. _.__._ ________ _ Fi3�LiSPA__._ SHEAR WALLS EXTERIOR___. _.--- --- _ ___-.__--- ____- _ ROUGH_PLU_MBtNG SHEAR WALLS INTERIOR__ _ _. --_._ -.- _ _ - - ROUGH ELECTRICAL _-- FRAMINGlVENTING_ __-- _-_-- ROUGH MECHANICAL_ - ROUGH MECHANICAL_ _._. ---- CAS TEST_ _ :.__ _------- - ROUGH Et' -E(' 7 R[CAL W( )C( PLUMBING- �_ - PRE GUNITE POOL PRE DECK BONDING _ __.-- -- - BOUGH _- ------ .-��- `, -- INSULATIONWALL ___- -�1 - -- INSULATION CEILING-__---------- - - - - - --_-_` FENCEIGATEI.&ARM_-_ __�___ -- --� _`FINAL DRYWALI_____________-- -----_-_- ------ POOL________._._- LATH_WA_LLS: _------- -------------- LATHE-)(TERIOR - --.-.------------------- W_A_LL_F_OOTiNG/STEEL__-_ LATH INTERIOR _____-_ -.____ _______ WALL STEEL IS°( GAS TEST _._,___.-_-_- ___.___ _____--- _.__.____ __ WALLE30ND43EAM _____ ______ _____- - SCRAICH_COATf_______ ELECTRIC MFlER RELEASE _ -_- _._.___._ _.. _ _-_-_-_-_-- WALL RN_AL -__------ GAS METER RELFASE_ _-- ---- ----- R0. FRAMING PLANNING APPROVAL SPFCIAI-tNS ION-_-.-- _. _ - - - - - - - ---- ROUG.HFIREAPPROVAL _FINAL -PEG. BUILDING _-._. ._ _. ._-_ --. .-, --- -- _ - FINAL FIRE DEPARTMENTFINAL MECHANICAL, -_-_ ._. _ _ - - --_--FINAL FINAL PL_ANNINS- _ ___-�( FINAL ELECTRICAL ENGINEERNGT--- ----__ _-______ FINAL PL � -_�__F_-_-_ NT�SE _-___ --- - - - T,C, of OCUPANCY _._ FINAL HEALTH DEPT. C T. ofOCCUPANG _---- ----------------------- FINAL INDUSTRIALV+JAS7E_-.----_---_----- ---------------------------------------------------------------------------------