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Home My WebLink AboutPR17-18430�1�I0i'D ZBAIi 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 BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarea.gov JOB S€TE ADDRESS';'• �! APN LOT TRACT OWNER` Al C}TYQk1,►r-0-,l &3ka— ZI TEL._ APPLICANT l�i,{ r @'s"� TEL. CONTRACTOR ADDRESS CITY ZIP TEL. ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWRER-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 cireckmark(s), I have placed next to the appllcable items) [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, atter, 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 exempli licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjectsthe appiicantte a civil penalty of not more than five hundred dollars ($500). U I, as owner ofthe 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' 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 thereon, and who contracts iorthe projectswlih a licensed Contractor pursuanttothe Contractors' Slate License Law.). L) I am exempt from 'censure under the Contractor's State License law for the following reason(s): Date: $Ign: 1,a By my signature below I acknowledge that, except for my personal residence In which I most have resided for at least one year prior to completion at the improvements covered by this permlt,l cannot legally sell a structure that I have built as an owner-bullder 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 at to following Web site: httplwww,leginfo.ca.govlcalaw.html. LICENSED CONTRACTOR'S DECLARATION I 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 Professions Code, and my license Is In full force and effect. LICENSE CLASS: LIC. NO.: EXP. DATE: CONTRACTOR: WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to Sell -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as requlred by Section 3700 ofthe Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Numter are: CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOL7 S $100 OR LESS), I certify that In the parformance of the workfof which this permit Is issued, I shall not employ any person in any manner so as to became subject to the Worker's Compensation Laws of California. And agree that If I should become subject to the Worker's Compensation provlsions of Section 3700 of the Lahor Cade, I shall forthwith comply with those provlscris. DATE: APPLICANT: WARNING: Failure to secure Worker's Compensation coverage is unlawful, and Shan subject an employer to criminal peva€ties and civil fines up to one hundred thousand dollars {$100,000), in addition to the cost of the murpensaiion, damages as provided for in section 3708 ofthe labor code, Interest, and attomey'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 Ni LENDER'S ADDRESS: I certify that I have read this application and state that the above Informatlon 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-mentloned property for inspection purposes. `PERMITTEE NAME (PRINT) IGNAS TUBE OF PERMITTEE DAA APPLICATION DATE: ® P/C# .� ISSUE DATE: —PERMIT# : M 1-1 — r TYPE CONST. OCC GROUP: Scope of Work ea "C # DWEL,. UNITS # STORIES A'i -a # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Carage/Carport 07 Lo Patio/Deck LU LL Pool/Spa ZRe -Roof � Commercial 5 M Valuation: Adj. Area: QUANTITY DESCRIPTION FEE U cc U W J m J o_ J 4 U Z G x U CONSTRUCTION: PLAN REVIEW: o ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SNI IP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: -. P/C: PAID BY: VALIDATION: RECEIPT # PAID BY: 9a IR VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy SETBACK/ LETTER FOOTINGS FORMS SLAB UG. PLUMBfNG UG. ELECTRICAL LIFER GROUND SEWER LATERAL MA[N WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMING/VENTING ROUGH MECHANICAL ROUGH ELECTRICAL W( ) G' ( ) ROUGH PLUMBING INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAD ELECTRIC MF'I Lk RELEASE GAS ME FFR RE:LI ASL — .._..... _.... _ . _... SPECIAL.. INSPEC1ION _ FINAL BUILDING .........._ FINAL. MECHANICAL FINAL.. ELECTRICAL FINAL PLUMBING T.C, of OCCUPANCY CENT. of OCCUPANCY COMMENTS: CITY OF DIAMOND INSPECTION C TRACT AND LEDGER SWITCH GEAR COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTICICFSSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOUSPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P -TRAP FENCE / GATE/ ALARM FINAL POOL WA€.L& WALL FOOTING/STEEL WALL STEEL lsr{ ) 2r�D( ) LIFT WALL $OND BEAM WALL DRAINI SEAL WALL FINAL R0. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL WEALTH DEPT. FINAL INDUSTRIAL WASTE