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Home My WebLink AboutPR17-7475 (9)orrr a z 0 0 LUVe CC 0 n DUVIONID BAR CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DtVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 ' FIRMLY PRESS BUILDINGPERMITAPPLICATION www.cityofdiamondbar.com building@dialnondbatica.gov JOB SITE ADDRESS 'SSf =_cigL 1 APN C6 ' li �C LOT TRACT OWNER k n � /CJ�_ LL y ADDRESS ZO L�' CM S r 4' I CITY h L/ r LO- ZIP 91 q TEL. q r -0 APPLICANT id 1 ant /it r TEL. 7- 1 3 eY F Ll S CONTRACTOR (1' 6--1 ?b(' / � Lj ADDRESS M C11 CITY Co rf no, C_Ce.. ZIP � —0 TII D q ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. 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) Indicated below by the checkmark(s), I have placed next 10 the applicable items) [Section 7031.5, Business and Professions Code: Any cfty 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 taw (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] 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 fa a civil penalty of not more than five hundred dollars ($500). 11, as owner of the 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 Cade: Tho Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds of improves the property, provided that the improvements are not Intended or offered for said. If however, the building or Improvement is sold wifhin one year of completlon, the Owner -Builder will have the burden of proving that it was not both or improved for the purpose of saki,), la I, as owner of the property, am explosively 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 forlhe 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 below I acknowledge that, except for my personal residence In which I must have resided for at least one year prier to completion of the Improvements covered by this permiLl 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 available upon request when this application N submitted or at the following Web site: httplwww.leginfocagovlcalaw.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 Prcfesslcns Cade, and my license is In listlistforce and effect. LICENSECI (. `U 6 LIC. NO,: gCl' 0 ?d C1 EXP. DATE:. CONTNACTOR: �fr1C,r )- fnC(9C-it 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 Seli-insure for Worker's Compensation, as provided by Section 3700 of the Labor Code, for the performance of the workfor 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 ofthe work for which this permit Is Issued. My Worker's Compensation Insurance Carrier and Policy Number are: CARRIER b et)r— Fri 0r IC�r POLICY NUMBER _ G k)q C IU tL' (THIS SECffON NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR LESS), I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so a, to become subject to the Worker's Compensation Laws of California. And agree that if I should become subject to the Workers Compensation provisions of Section 3700 of the Labor Code, i shall forthwlth comply All those provisions. DATE: APPLICANT: WARNING: Failure to secure Worker's Compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand dollars ($$100,000), 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 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-mentioned property for inspection purposes. __P; 1,c) _ S tett t:hc PERMITTEE NAME (PRINTF_ f ¢� �� f ! SIGNATURE OF PERMITTEE DATE' APPLICATION DATE:® 7 P/C# ISSUE DATE: �F 011 It-1—PERIe NS TYPE CONST. OCC GROUP: —1 Scope of Work C76 io,r S- C �-C N) _5_ SM/L.,t� Mwo d n C-hC # DWEL. UNITS # STORIES # BEDROOMS DL DESCRIPTION 50. FT. FACTOR PSF ADJ. AREA/VALUATION SFR7All)l Garage/Carport Patio/Deck LL � Pool/Spa ZRe -Roof O Commercial m Valuation. Aclj. Area: QUANTITY DESCRIPTION FEE U v u� w co z m a z 4 x v CONSTRUCTION: PLAN REVIEW: ELECTRIC: — PLUMBING: ' MECHANICAL: INSPECTION FEE: ISSUANCE: SMTP: a �n ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: L - BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: PIC PID BY: VALIDATION: RFCPAID BY: �I I VALIDATION: WHITE — Department Copy, YELLOW -- Finance Copy, PINK— Assessor Copy SETBACK/ LETTERTRACT AND LEDGER __ - FINAL FIRE DEPARTMENT __... FOOTINGS FORMS -- _... ........ .... ... SWITCH GEAR SLAB F1 AAL ENO INEERING/ PW ......... COMMERCIAL HOOD UG. PLUMBING FINAL HEALTH DEPT. T -BAR _.. UG. ELECTRICAL INTERCEPTER UFEA GROUND SEWER LATEHAL MAIN WATER LINEHERS SEWER ClIAN OUT ROOF SHEATHING FLOOR SHEATHING HOT MOP/SHOWEHPAN SEPTIC/CESSPOOL REPORT RF(;FIVFD ...._ - - DEMOLITION ROOF DRAINS ROUGH CONDUIT POOL/SPA SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C () ROUGH PL[ MBING INSULATION WALL INSULATION CEILINGP-TRAP - - ..... DRYWALL LATH (PRE) ROUGH MECHANICAL GAS TEST PRE GUNITE POOL. PRE DECK BONDING FENCE / GATF/ ALARM FINAL. POO WALLS: WALL FOOTING/STEEL WAI I STF,EL 1sr( ) 2"°( ) LIFT WALL 13OND BEAM ._....... IAtII EXTERIOR I All I INTERIOR GAS FEST SCRATCH COAT ELECTRIC METER HE LEASE WALL DRAIN/ SEAL GAS METER REL FASFi WAIL FINAL SPECIAL INSPECI ION RO. FRAMING PLANNING APPROVAL. FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL_ FINAL FIRE DEPARTMENT -- FINAL ELECTRICAL �°� � ._ . FINAL PLANNING FINAL PLUMBING F1 AAL ENO INEERING/ PW T.C. of OCCUPANCY FINAL COMMUNITY SERVICES CERT: Gf OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE