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Home My WebLink AboutPR17-20154CITY 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@diknondbarea gox JOS SITE ADDRESS tl Wi 16 P—,o APN LCT TRACT OWNER R1 , p ADDRESSI, '" 3'_ �fti Mil ",J� . CITY UJ,-\�_T ZIPI il fi i� TEL. APPLICANT 5 ATZ — VJA%:-( ill TEL. t161. 464-41 1 CONTRACTOR i, VIZI ADDRESS13 611) CV, CITY CVyy"� tS -D ZlPq nlrr TEL. 1161 ARCH/El DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated below by the checkmark(s), I have placed next to the applicable itcm(s) [Section 7031.5, Business and Professions Code: Any city or county that requires a permit in canstruct, 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 Nle provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] orthat he or she is exempt from Ilcwsure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). L-? I, as owner of the property, or my employees with wages as their sole compensation, will do (-) all of or (_) 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 said within one year of completion, the Owner-Bullder will baro the burden of proving that if was not built or improved torthe purpose of sale,), U i, as owner of the properly, 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}, U I am exemptfram licensure underthe Contractor's State License law for the following reason(s): 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 permlt,I cannot legally sell a structure that 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 Professions Code is avallabie upon request when this application is submitted or at the following Web site: httplwww.Inginfo.ca.gov/ca€aw.htmi, LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provislons 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 CLAgSS: L' 10 LIC. NO.: � ., AAOI G EXP. DATE: b �?�� CONTRACTOR: WORKER'S COMPENSATION DECLARATION I HE Y AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to Seif-Insure for Worker's Compensation, as provided by Section 3700 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 3700 of the Labor Code, for the performance of the work for which this permit is issued, My Worker's Compensation Insurance Carrier and Fancy Number are CARRIER POLICY NUMBER (THSSECTION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR LESS), I certify that in the performance of the workfor which this permit is issued, i shalt not employ any person In any mannered as to I subjectto the Workers Compensation Laws of California. And agree that If I should become subject to the Worker's Compensation provlslons of Section 3700 attire Labor Code, I shall forthwith comply with those provisions. DATE: APPLICANT: WARNING: Fallure to secure Worker's Compensation coverage is unlawful, and shall subject an ompleyer to criminal penalties and civil fines up to one hundred thousand dollars ($100,Ce0), in addition to the cost of the compensation, damages as provided for in section 3708 of the labor code, interest, and attorney's fees CONSTRUCTION LENDING AGENCY I hereby afflrm under penalty of perjury that thers is a Construction Lending Agency for the performance of the work for which this permit Is Issued (Sec. 3697, ON C.). LEN DER'S NAME: LENDER'S ADDRESS: I certify that I have read this applicafi and state that the above information is correct i agree to comply with all city and county orcl ances and state laws ti g to building construction, and hereby authorize representatives of this county to enter upo the abov -m honed pe for inspection purposes:; PE I E NAMF (PRI SIGNATI OF PERMITTEE DATE APPLICATION DATE ISSUE DATE: TYPE CONST. P/C# d. PERMIT# OCC GROUP: Scope of Work # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUAT{ON SFR/ADD/REM Garage/Carport Patio/Deck W LL PooVSpa ZRe -Roof 0 Commercial m valuation: 1 -es Ad}. Area: QUANTITY DESCRIPTION FEE qy U tr U LLi w m a U Z c_7 CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE= -ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: a 76) PlC: RECEIPT # AID BY: PAID BY: VALIDATION: VALIDATION: WHITE—Department Copy, YELLOW —Finance Copy, PINK—Assessor Copy CITY OF DIAMOND BAR INSPECTION RECORD SETBACK1 LE ITER FOOTINGS FOHMS SLAB UG. PLUMBING UG. ELEC7RCAL UFEH GROUND SEWFHIATERAL MAIN MATER LINE SI::WFR CLEANCUT RUOf SHEATHING FI OOR SHEATHING _ SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FIIAMINGNENTING ROUGH MECHANICAL HOUGH ELECTRICAL W( ) C DOUGH PLUMBING M INSULATION WALL INSULATION CEILING D RYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR u, GAS TEST SCRATCFI f,0AI _ ELECTRIC METER RELEASE % .%✓ %��//% GAS MELJ3 HEI_EASE SPI ( IAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING T.C. of OCCUPANCY CERT. d OCCUPA CY COMMENTS: TRACT AND LEDGER SWITCH GEAR COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL 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 WALLS: WALL FOOTINGISTFFI WALL STEEL 'I ) ?r`( } LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT - - FINAL PLANNING FINAL ENGWEERING1 PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL TASTE