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Home My WebLink AboutPR17-18573CITY OF DIAMOND BAR I I i DEPAR'T'MENT OF COMMUNIn Y & IJ V }-,!�OPMENT SERVICES 2181.0 Copley Drive, Diamond Bar, CA )1765 PRESS (909) 839-7020 Fax: (909) 861-3117. Bvili]I Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION v"mcityofdiamondbar.com building@diantondbarca•gov JOB SITE ADDRESS v lar , M ` I Ln APN LOT TRACT OWNER ADD SS fME 11 L A CITY 71 TEL. APPLICANT TEL. CONTRACTOR - t ADDRESt Vb Al c' C€ :v ZIPS ` TEL_. ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated below by the chackmark(s}, I have placed next to the applicable Item(s) [Section 7031.5, Business and Professions Code: Any City of county that requires a permit to construct, alter, Improve, demolish, of repair, any structure, prior to its issuance, also requires the applicant for the permitto Nie 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 exemptfram Ilconsure 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 (5500). {_) I, as owner of the properly, 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 propery who; through employees' or personal eflort, builds or Improves the property, provided that the improvements are not intended or offered for sale. It however, the building or Improvement is sold within one year of completion, the Owner-Ru€)der will have the burden of proving that it was not built or Improved far the purpose of sale.). L) f, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law.). (-)1 am exempt from licensure under the Contractor's State License law for the following reason(s): Date: Signe By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year pylar to completion of the Improvements covered by this permit,) cannot legally sell a structure that I have built as an owner-bulider 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 Cade is available upon request when this application is submitted or at the following Web site: httplwwwAginfo,ca.gov/cafaw.html. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter s (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce ant effec 034 LICENSE CLASS: LIC. NO.: FXP DAT CONTRACTOR: WORKER'S CDNIKNSATIM EC RATI I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS. I have and will maintain a Certlficata of Consent N Self -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 oflhe Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Prrl CARRIER Number a e'. et � � C I i CARRIER POLICY NUMBER r - (THIS SECTION NEED NOT BE CO PLETEO IF THE PERMFL IS FOR ONE HUNDRED DOLLARS 5100 OR LESS) E certify that In the performance of the work for which this permit is 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 should 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 coverage 1s unlawful, and shall subject an employer 10 criminal penaitles and civil fines up to one hundred thousand dollars (5100,000), in addition to the cost of the compensation, damages as provided for in section 3705 at the labor code, interest, and attorney`s tees. 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 ofthis county to enter a on the e -mento) d property tor'nspectian purposes 5 AT F O RMITP E APPLICATION DATE 9! �f P/C# ISSUE DATE: 1 Z+/18 PERMIT# : PR I•57�i TYPE CONST. OCC GROUP: Scope of Work # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport LO Patio/Deck LU EL P001/Spa ZRe -Hoof Commercial CD Valuation: Adj. Area: QUANTITY DESCRIPTION FEE V U w z in - a � h v z a z U CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMTP: ENERGY PIC: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: dS• 2CO BAS F: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: , P/C: PAID BY: VALIDATION: RECEIPT # U11 PAID BY: °� k VALIDATION LC WHITE — Deparfinent Copy, YELLOW — Finance Copy, PINK —Assessor Copy CITY OF DIAMOND BAR INSPECT110M, RFCORD SETBACK/ LETTER .................. . FOO HNGS FORMS SLAB UG. PLUM13fNG UG, ELECTRICAL UFF 3 GROUND SFWF_I3 LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGIVENTING ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C ( ) ROUGH PLUMBING INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE, SPECIAL INSPECTION FINAL. BUILDING FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING T.C. of OCCUPANCY CIE T of 0CCUPAN CY COMMENTS: TRACT AND I11)( R SWI TCI I GEAR COMMLRC IAL HOOD F -BAR INI[RCFlliHI HO f MOWSHOWF[WAN 5FPT1C/C.FSSP00I HERS RHPORT REC LIVED DE MOUTION — ROOF DRAINS ROUGI I CONDUIT POOL/SPA - ROUGH PLUMBING ROUGH ELECTRICAL __ ..... ...... ... .... _ ROUGH MECHANICAL GAS TEST PRE GUNITE -- ........ . POOL PRE DECK BONDING P -TRAP FENCE / GATE/ ALARM FINAL POOL WALLS: WALL FOOTINGISTEEL WALL STEEL 1ST( )2ND( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE