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Home My WebLink AboutPR17-15069.... ..... .. . .... ............ . . .......... -- --------- CITY OF DIAMOND BAR DEPARTMENT OF CONINXNITY & 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 PER -NUT APPLICATION www.eityoffliamondbar.com bvil dinggrIliamondbarca.gov I JOB SITE ADDHESS aGWh APIN LOT TRACT OWNER -Tov)A I I i hl- t./i 4hv- VAAE I - ADDRESS CITY "Ill J�_Yje� ZIF�AU�_L_Tl APPLICANT CONTRACTOR Ti ADDRESS CiTY jlZIPS �I.%;I"'TEL ARCH/El DESiGNE ADDRESS CITY ZIP - Ti OWNER•BILIILDER DECLARATION I hereby ai under penal of perjury chat I am exempt from the Contractor's State License Law for the reason(s) indicated below by the ehoiAkmark(s), I have placed next to the applicable items) [Section 7031.5, Business and Professions Codes Any city or county that requires a permit to construct, alter, improve, demolish, or rel 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 in the provisions at the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Coda] or that he or she is exempt from 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 net more than five hundred dollars (S500). O1, as owner of the property, or my employees with wages as their solo compensation, will do L) all of or (JI portions of the work, and the structure Is not Intended or offered for sale (Section 7044, RUS11"OsS 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, prDvlded 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 -Builder will have the burden of proving tat it was not built or improved for the purpose of sale.). 11, as owner of the property, am exclusively contracting vvRh licensed Contractors to construct the project (Section 7044. Business and Professions Code; The Contractors' State License Law does net apply to an owner of property who builds or improves thereon, and who contracts forthe projects with 3 licensed Contractor pursuartlo the Contractors' State License Law.). (-) t am exempt from III under the Contractor's State License law for the following reason(s): Data: Sign: By my signatirm i acknowledge that, 6ACBRt Or My personal 1`98idenas 17 which I must have resided lot at least one year prier to COMPICti0i'l Otto Improvements covered by this permit,l carrot legally sell a structure that I have bullt 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 1044 of the Business and Professions Code 18 available upon request when this application Is submitted or at the foilowing Web site: httplwww.leglrfo.ca.govicalaw.htr6 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing will Sentlon 7000) of Division 3 of the Business and Professions Code, and my license is in full fame and effect. LICENSE CLASS: LIC. NO.: C':f -1 ; q 't EXP, DATE: l.� CONTRACTOR )J ' ) — WORKER'S COMPIENSATIld'NDEGILARATION 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 ihave 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 I is issued. My Worker's Compensation Insurance Carrier and Policy Number ara:. CARRIER POLICY NUMBER JHS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR LESS). I certify that in to performance of the work for which this permit Is issued, I shall not ornplay any person In any mariner so as to tocame subject to the Worker's Compensation Laws cf California. And agree that'd I should become subject to the Worker Compensation proiledcris of Section 3700 of the Labor Code, i shall forthwith comply with those provisions DATE:— APPLICANT: WARNING. Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties anit civil fries up to one hundred thousand dollars (SIOO,000), in addition to this cost of the compensation, dl 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.J. 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 di and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-7aritioned groperty foT Inspection purposes. PERMITTEE NAME (PRI SIGNATURE OF PERM171i DATE APPLICATION DATE: ISSUE DATE: Ell I f PERI TYPE CONST. PRI 50 0 OCC GROUP: Scope of Work v� # I UNITS # STORIES ��l !zol All EDROOMSJ DESCRIPTION SQ. I FACTOR PSIE ADJ. ARLANALUATION SERI 9 Garage/Carport L0 Patio/Deck LL! LL Pool/Spa 0 Re -Roof Commercial on vaivatfiron: GSR Adj. Area: QUANTITY DESCRIPTION FEE 6 R, 1 - Its 4l CONSTRUCTION: PLAN REVIEW: 2_5 it, 9 0 (D..0 ELECTRIC: "7. &8 PLUMBING: ,5- G MECHANICAL: 112_311�_ INSPECTION FEE: ISSUANCE: SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BASF: PLOT PLAN: ZONING CLEARAI TOTAL FEES COMMENTS: 9oto q, P/C: PAID BY: VALIDATION: RFCFIPT# PAID BY: VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINI— Assessor Copy SETBACK/ LETTER TRACT AND LEDGER E..ECIHIC ML:TER RELEASE FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG. PLUMBING [-BAR UG. ELECTRICAL FINAL BUILDING INTERCEPTER -- LIFER GROUND FINAL MECHANICAL HOT MOPISHOWERPAN SEWER LATERAL SFPII(:I(,ESSPOOL HERS REPORT RECEIVED DFMOI IT'ION ROX BRAINS ROUGII CONDUIT POOL/SPA MAIN WATER LINE Sl WEFT CLEANOUT ROOF SLIT XmING FLOOR SHEAFHING ....... SHEAR WALLS EXTERIOR SHEAR WALLS INIERIOR ... FRAMING/VENTING 1 ROUGH MECHANICAL_ ROUGH ELECTRICAL W{ } C ( ) ROUGH PLUMBING INSULATION WALL FINAL PLUMBING . __ . ................ ... ........ ROUGH PLUMBING � ' 1 ROUGH ELECTRICAL. CERT. of OCCUPANCY ��— ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING INSULATION CFTING P -TRAP DRYWALL LATH (PRE) ��-- FENCE /GATE/ALARM FINAL POOL LATH EXTERIOR LATH INTERIOR ° ...... WALLS: ALL FOOTING/STEEL WALL STEEL 1sT( )2 RD( )LIFT GAS TEST SCRATCH COAT E..ECIHIC ML:TER RELEASE GAG ME FIR REI.FASE `;PEDAL INSPIF(;nON FINAL BUILDING FINAL MECHANICAL "7 FINAL ELECTRICAL FINAL PLUMBING . __ . ................ ... ........ T.C. of OCCUPANCY CERT. of OCCUPANCY WALL BOND BEAM FINAL FIDE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMIMLINITY SERVICES FINAL HEALTH DEPT. (FINAL INDUSTRIAL WASTE