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Home My WebLink AboutPR17-1191641 ' .- _._ CITY OF DIAMOND BAR „ i 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 �� BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@dihmnndbarca.gov JOB SITE ADDRESS -11 z z A( APNT TRACT /tar , 7 OWNERS �9 f2 P' ADDRESS 11 CITY 7-€P 7iEL. � APPLICANT / i '- �� l "✓ STEL. CONTRACTOR t-1,0 `/ Cve-e k4,- ADDRES CIN ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I hereby afflrm under penally of perjury that I am exempt from the Contractor's Stale License Law for the reason(s) Indicated below by the checkmark(s}, I have placed next io the applicable Items) [Section 7031.5, Business and Professlons Code: Any city 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 pursuantto the provisions of the Contractor's State Lloonse Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she Is exempt from Ilconsure and the basis for the alleged exemptlon, Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a clvh 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 I all of or I portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Cade: The Contractors' State License Law does not apply to an owner of Properly 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 are year of completion, the Owner -Builder will have the burden of proving that I 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 for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). U I am exempt from Ilcensure under the Contractor's State License law for the following reasuri Date: —Sign: 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 ofthe Improvements covered by this permIl l 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 is submitted or at the following Web aIle: http/www.leglnfo.ca.gcv/calaw.himl LICENSED CONTRACTGR'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 Professlons Code, and my hcemsa Is In full "force and effect. LICENSE CiA90 M'" LIC. NO.: EXP. DATE: f "`- ONTRACTOR:-/'�._C�` T WORKER'S COMPENSATION 6ECIARATIDN I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to 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 of the Labor Code, for She performance of the work for which this permit Is issued. My Worker's Compensation Insurance Carrier and Policy Number a g f ti CARRIER" POLICY NUMBER {THIS SECTION NEE OT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS $1W OR LESS(. I certlfy that In the performance of the worktorwhlch 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 CaliPornla. And agree that If I should become subject to the Worker's Compensation provlsPons of Section 3700 of the Labor Cade, I shall forthwlUi comply with those provisions. DATE: APPLICANT: WARNING, Failure to secure Worker's Compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civh 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 afflrm under penalty of perjury that there Is a Construction Lending Agency for the performance of the work for which this permlt 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 stale laws relatln k budding construction, and hereby authorize representatives oftlas county to enter upon the above-mentloped prop 5x,lnspeciion purposes. p PERMITTEE NAME P -&3VATURE OF PERMITTEE DATE APPLICATION DATE: 916 17 PIC`#� PP, 17 - [ [q 16 ISSUE DATE: E PERMIT# : C' I T TYPE CONST. OCC GROUP: Scope of Work # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SO, FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport LL Patio/Deck LL LL Pool/Spa ZRe -Roof n Commercial m Valuation: Adj. Area: QUANTITY DESCRIPTION FEE U rr U w w co r YE o aJ. 1 a v z x c -y CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: 212, �ce0 MECHANICAL: INSPECTION FEE: ISSUANCE: t SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: C3i- BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL_ FEES COMMENTS: I PIC: PAID BY: �`'� ## VALIDATION: -3,f RECEIPT # _n.d- PAID BY: 8 �i VALIDATION: f..— WHITE— Department Copy, YELLOW — Finance Copy, PINK—Assessor Copy SETBACK/ LETTER FOOTINGS FORMS SLAB UG. PLUMBING UG. ELECTRICAL UFFR GROUND SI-WFR LATERAL FAIN WATER LINE SEWER CLEANOUT HOOF 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 FXTI: RIOR LATH INTFRIOR GAS TEST SCRATCH COAT EL_LCIRIC METER RELEASE GA5 ML FELT RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING T.G. of OCCUPANCY CERT, of OCCUPANCY COMMENTS:- ............ Elf "Lin, TRA CTAN0 L[-DGLR SWITCH GEAR COMMERCIAL. HOOT T -BAR INTERCEPT IH HOT MOP/SHOW!'RPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOLISPA ROUGH PLUMBING DOUGH ELECTRICAL HOUGH MECHANICAL GAS i IST PRE GUNITE - POOL PRF DECK BONDING P -I LIAP ............ . FENCE 1 GATF/ALARM FINAL POOL WALLS: WALI. FOOTING/STEEL T WALL STEEL 1sT( ) ZID( ) LIFT WALL BOND BEAM WALL DRAIN/ SIAL WALL FINAL .............. RD. FRAMING PLANNING APPROVAL BOUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY ....... _. _._.. FINAL HEALTH REPT. FINAL INDUSTRIAL WASTE