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HomeMy WebLinkAboutPR17-0441..... .. WuCITY OF DIAMOND BAR _ pr 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 „'9Rg BUILDING PERMIT APPLICATION www.city0diamondbar.com buildin2(a�diamondbarca.l CD N U 4.{ m Lo rn V) n 6 LLc LM C1 M Q z CJ co JOB SITE ADDRESS APN LOT TRACT OWNER�4s .. ADDRESS CITY ZIP TEL. APPLICANT ~ -'r' S CL_ ' TEL. CONTRACTORS E`C-% ADDRESS f __�A-A#dl'Ly CITY ZIP TEL. A, ARCH/FNG/ 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(sj indicated below by the checkmark(s), I have placed next to the applicable Items) [Section 7031.5, Easiness and Professions Code: Any city or county that requires a permit to construct, after, Improve, demolish, or repair, any structure, prior to its issuance, also requires the applicant for the permit to fife 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 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 to a civil penalty of not more than five hundred dollars ($560}, (_) I, as owner of the property, or my employees with wages as their sole compensation, will do O 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 sold within one year of completion, the Owner-Bullder will have the burden of proving that it was nut built or Improved for the purpose of sale.). L) 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 to or Improves thereon, and who contractsforill projects with a licensed Contractor pursuant to the Contractors` State License Law,), U I am exemptfrom licensure under the Contractor's State License law for the following reason(s): Date: Sion: r By my signature below I acknowledge that, exceptfor my personal residence In which I must have resided for at least one year prior to completion of the improvements covered by this permit,) 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 the following Web site: httplwww.leglnfo.ca.gav/CRlaw.html. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am Cleansed under provisions of Chapter 9 (commencing with Sectloa 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. LICENSE CLASS: LIG. NO.: 7 3 EXP, DATE; CONTFACTCR, WORKER'S COMPENSATION DEC TION I HEREBY AFFIRM LENDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will malntaln a Certificate of Consent to Salt -Insure far 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 3709 ofthe Labor Cade, for the performance ofthe work for which this permit is issued. My Worker's Compensation Insurance Carrier and PoIPoy Number are: CARRIER POLICY NUMBER f7HIS SECTION NEED NOT BE COMPiETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS S100 OR LESS), I urt;fy 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: Fal€urs to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines 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 Landing Agency for the performance of the work for which this permit Is Issued (Sec, 5097, Civ. C.J. LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and slate 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. PERMITTEE NAME (PRI /04 Zt1 SIGNA E 07 PERMITTEE DATE APPLICATION DATE: ,, 312-11 12-117- P/C# — PRI ryg- 0 d ISSUE DATE: 9 T PERI iJT F TYPE CONST. OCC GROUP: Scope of Work RS E" fes'' ?Ay-*� 1 # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD RE 36.6 Garage/Carport L Patio/Deck LJ L- Pool/Spa ZRe -Roof Commercial m Valuation:rcr '+ Adj. Area: QUANTITY DESCRIPTION FEE U LL3 w cg a_ VIA U_ z x U CONSTRUCTION:x- PLAN REVIEW: ELECTRIC: 6q . 36r PLUMBING: 1 &2,1 Z MECHANICAL:, R 9 ifs INSPECTION FEE: ISSUANCE:,' SMIP: .50 ENERGY P/C: ENERGY PERMIT: RETENTION FEE: 00 PRE -ALT FEE: BASF: . 00 PLOT PLAN: ZONING CLEARANCE: �• TOTALFEES .97- COMMENTS: o r stayieJ w10 P/C: PAID BY: VALIDATION: RECEIPT# 86 PAID BY: 8! 6"VALIDATION: Pte• WHITE— Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy d SETBACK/ LETTER TRACT AND LEDGER _ - __. FOOTINGS FORMS SWITCH GEAR _ SLAB COMMERCIAL HOOD UG. PLUMBING T -BAR UG. ELECTRICAL INTERCEPTER LIFER GROUND HOT MOP/SHOWERPAN SEWER LA FRAI_ MAIN WATT.R I IN[': SEWiai (;J ANOUI RCOF `)IIFATI IING FL.00H SIIFAIRNG SEPTICICFSPOOL. HERS RFPORT f(F' L1VI:D DFMOI FFION ROOF DRAINS ROU(aH CONDUIT POOL/SPA _._.__. ... ROUGH PLUMBING ROUGH ELECTRICAL SHEAR WALLS EXTERIOR ........ _.. ......... _. SHEAR WALLS fN FERIOR FRAMINGNENTING - _m �._ _ IF ROUGH MECHANICAL __..-._ -_ - _- ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P TRAP FFNCF 1 GATFI ALARM FINAL. POOL BALLS: .. WAIT f�DOTINGISTTFI I . STF F I_ I„r( ) 2"( ) I_.IF F WAIT. LiOND BLANI ROUGH ELECTRICAL W( ) C O ........"." ROUGH PLUMBING -.._- IN,'1111 ATION WALL INSMI ATION CEILING DRYWALL �4' r' ! I ATH (PRE) s LATH EXTERIOR _ // LATH INTERIOR !.._.._._ �.. .. �-- GAS TESTWAI ------------... _ .... __..- SCRATCH COAT ' ' ELECTRIC MFTFR RELEASE .... WALL DRAIN/ SEAL CAS MII_:IF:R RELEASE WALL FINAL SPECIAL INSPECTION RO. FRAMING PLANNING APPROVAL FINAL BUILDING i ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING ................ FINAL PLUMBING -- -' FINAL ENGINEERING/ PW - T.C, of OCCUPANCY FINAL COMMUNITY SERVICES CERT, of OCCUPANCY FINAL HEALTH DEPS'. FINAL INDUSTRIAL WASTE