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Home My WebLink AboutPR17-26774CITY OF DIAMOND BAR 0 I I I DEPARTMENT OF COMMILTMIR i UVELOPMENT SERVICES l ' 2181.0 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION www.cityol'diamondhar.com building@diamondbarca.gov JOB S17E ADDRESS ;� f S-2, APN pp77 LOT TRACT OWNER i10 rr ixl ; Le4 ADDRESS a 5 0 d, - CITY ZIP TEL.10y,,. -q"K 7&_ 5 APPLICANT ' d :5 i "C-'11 �r� TEL CONTRACTOR r ADDRESS («✓. r7nr P✓- CITY PN le�n�g �f r . f. ZIP '7136/ TEL 8 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 reasons) Indicated below by the checkmark{s1, I have placed next to the applicable items} [Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve, demolish, or repair, any structure, prior to its issuance, also requires the appllcantfor the permit to file a signed statementthat he or she Is licensed pursuantto the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Cade] or that he or she is exempt from Ileensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any app€icantfor a permit subjects the appllcantio a civil penalty of not more than five hundred dollars ($500) U 1, as owner all property, or my employees with wages as their sole compensation, wilt do (a all of er U 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 empioyees' or personal effort, builds or improves the property, provided that the improvements are not Intended or offered for safe. If however, the building or Improvement Is sold within one year of completion, the Owner-Bulldor will have the burden of proving that it was not built or Improved for the purpose of sale.), (–) I, as owner o1 the property, am excluslveiy 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.). ( ) I am exempt from Ilcensara 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 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: http/wm,]BglnfC.0a.gDV/00law.htM[. 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 professions Code, and my license Is in full force and effect. LICENSE CLASS' �' LIC, NO.: E)(P, DATE: CONTRACTOR: WORKER'S COMPENSATION DECLARATION { 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 tabor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Campensatlon Insurance, as required by Section 3700 o1 the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are: CARRIER S6 POLICY NUMBER Pil�U THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FGR ONE HUNDRED DOLLARS $100 OR LESS) I certifythat In the performance ofthe work for which this permit is issued, I shall not employ any person in any manner sc � to became suhject 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 forlhwtth 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 civil fines up to one hundred thousand dollars ($100,0001, in addition to the cost of the compensation, , damages as provided for in section 3706 of the labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY i 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, Clv. C.). LENDER'S NAME. LENDER'S ADDRESS: i 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 call to building construction, and hereby authorize representatives of this county to i enter upon the above-mentioned property for inspection purposes. i 4 rpt �Et PEAMITT E NAME {PRINT) o SIGNATURE OF PERMITTEE DATE APPLICATION DATE: k I.+ 11"N P/C# ISSUE DATE: l; 4-- W1 PERMIT# : , vi — (0-1-1 TYPE CONST. OCC GROUP: Scope of Work ief � • A.sM2 ' 6w -a-1 .�- 7` z`' � r G e~� /`%,t .S'O ti DWEL. UNITS # STORIES 6 75/ - Curso, �..t #BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. ARLANALUATION SFR/ADD/REM Garage/Carport �j Patio/Deck uL LL PooVS a Z Commercial c0 Vallurartian: Adj. Area: QUANTITY DESCRIPTION FEE J U U w w to a Co J rZ a v z x ca CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMIP: 49 ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: t BASF: . PLOT PLAN: ZONING CLEARANCE: y9 TOTAL FEES COMMENTS: P/C: PAID BY'. VALIDATION: RECEIPT # PAID BY: VAL]DATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK --Assessor Copy CITE OF DIAMOND BAR I I .,, f, INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR I ATN !NTFRIOR GAS T[SI SCRAIC',II COAT LLLCIRIG METER RELEASE CTAS ME -1 ER RELEASE ,Y.)F( IAL. INSPECTION F=INAL BUILDING _FINAL MECHANICAL FINAL ELECTRICAL. FINAL PLUMBING T.C. of OCCUPANCY CERT. of OCCUPANCY COMMENTS,-_ TRACT AND LEI)GER SWI1CI1 (NEAR COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHOWFFRPAN SEPTICICESSPOOL HERS REPORT REC;f IVFD - DEMOLITION ROOF DRA[NS ROUGH CONDUIT POOUSPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POCL PRE DECK BONDING P-113AP FENCE 1 GATE./ ALARM - FINAL. POOL ......... WALLS: WALL FOOTING/STEEL WALL STEEL 15T( } 1ri°( ) i_IFII WALL BOND BEAM WALL DRAIN/ SEA[..- WALL EAL WALL FINAL - RO. FRAMING PLANNING APPROVAL I ROUGH FIRE.APPR€1VAL. FINAL. EIRE DEPARTMENT _ ....... _.... FINAL. PLA KING FINAL ENGMEEMNG1 PVI! FINAL COMMUNITY SERVICES FINAL. HEALTH DEPT. ____..... ..- . .�__ _..___.. FINAL. INOUSTRIAL. WASTE7. SETBACK/ LETTER ......... . ........... FOOTINGS FORMS SLAB UG. PLUMBING UG. ELECTRICAL LIFER GROUND 1.411.ry(r .... SEWER LATF[IAI MAIN WATER [ INE SEWf R CI.LANOUT ROOF 5lIFATHING FLUOR Si]F:ATHING a .l SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR - ._ FRAMING/VENTING ....... ROUGH MECHANICAL INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR I ATN !NTFRIOR GAS T[SI SCRAIC',II COAT LLLCIRIG METER RELEASE CTAS ME -1 ER RELEASE ,Y.)F( IAL. INSPECTION F=INAL BUILDING _FINAL MECHANICAL FINAL ELECTRICAL. FINAL PLUMBING T.C. of OCCUPANCY CERT. of OCCUPANCY COMMENTS,-_ TRACT AND LEI)GER SWI1CI1 (NEAR COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHOWFFRPAN SEPTICICESSPOOL HERS REPORT REC;f IVFD - DEMOLITION ROOF DRA[NS ROUGH CONDUIT POOUSPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POCL PRE DECK BONDING P-113AP FENCE 1 GATE./ ALARM - FINAL. POOL ......... WALLS: WALL FOOTING/STEEL WALL STEEL 15T( } 1ri°( ) i_IFII WALL BOND BEAM WALL DRAIN/ SEA[..- WALL EAL WALL FINAL - RO. FRAMING PLANNING APPROVAL I ROUGH FIRE.APPR€1VAL. FINAL. EIRE DEPARTMENT _ ....... _.... FINAL. PLA KING FINAL ENGMEEMNG1 PVI! FINAL COMMUNITY SERVICES FINAL. HEALTH DEPT. ____..... ..- . .�__ _..___.. FINAL. INOUSTRIAL. WASTE7.