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Home My WebLink AboutPR17-26930DIiL��QlI'D:'$;tlPi Yrs CITY OF DIAMOND BAR 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 BUILDING PERMIT APPLICATION www.cityofdiamoudbar.com building@diamondbarea.gov JOB SITE ADDRESS 1 :,6't3 16Li Al LOT TRACT OWNER 511415 1 5i 466f1W M _ -- ADDRESS PJT-t -fail O -11i LA CITYJ>414 dMY� — ZIP 'I 17,6C TELI 5�� APPLICANT ®YLin -L- Ti CONTRACTOR 'C �CO-- ADDRESS 1 6 U" L l 26K CITY C)nA,j ZI at TEL _- _L ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TFL. 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(sj, I have placed next to the applicable items) ]Sect[on 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, atter, 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 Law (Chapter 9) Commencing with Section 7000 of Div€s€on 3 of the Business and Professions Code] orthat he or she is axemptfrom licensure and the basis for the alleged exemption. Anyviolatien of Section 7031.5 by any applicantfor a permit subjects the applicantto a civil penalty of not more than five hundred dollars {$500}, U I, as owner of the property, or my employees with wages as their sole compensation, will do O a€I of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Buslness 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 improvemants 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 not built or improved for the purpose of sale.). CJ I, as owner of the property, am exclusively contracting with licensed Contractors 10 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply bo an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law.). (j I am exemptfrom licensure under the Contractor's State License law for the following reason(s): Cate: Sign: By my signature below I acknowledge that, exceptfor my personal residence In whloh I must have resided for at least one year prier to completion ofthe improvements covered by this permif,l cannot legally sell a structure that I have built as an owner -bulkier 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 fullowing Web site: hHp/www legorio.ca.govlcalaw.himl LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commending with Seaton 7000) of Division 3 ofthe Business and Professions Code, and my licensee its In full force and effect LICENSE CLASS: l 10 LIC. NO.: 9 0 0 L EXP. DATE: I CONTRACTOR: lf It L 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 Self-Insurs for Worker's Campensatlon, 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 Compensatlon Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whlch this permit Is Issued, My Worker's Compensation Insurance Carrier and Policy Number are: CARRIER �or 7 P T POLICY Nu5E_LdECe11 3 3 (THIS SECTION VIED NOT EE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS $100 OR LESS). certify that in the performance attire work for which this permit Is Issued, I shall not employ any person in any manner sc m to become subject to the Worker's Compensation Laws of California. And agree that if I should become subject to the Worker's Comp ad n r II sof Section 3700 0 or Code hall fo h comply with those provisions, DATE: P APPLICANT: ,._,, _, WARNING: Failure to secure Worker's Compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil tines 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 (Sea 3097, ON. 0). LENDER'S NAME: LENDER'S ADDRESS: I certify Tal I have read this application and state thatthe above information is correct. I agree to comply with all city and county ordinances and state laws relating to building constructlon, and hereby authodze representatives of this county to enter upon the above-mens€oned property for inspection purposes. A . b PERMI E PAIN tl `� SIGNATURE 0 RMITTEE DATE APPLICATION DATE: 1 7 P/1C^#� �^� ISSUE DATE: AID-- _� PERMIT# : E 1 ''t SCS' TYPE CONST. JIF L E II 4' Vic,` OCC GROUP: Scope of Work _7,vvb A -ill 6a � �V GAYA6-r- F t, I M5bA _F, ii5S . # DWEL. UNITS # STORIES 7L, # BEDROOMS .,... -_3 .............__ DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport w Patio/Deck w LL Pool/Spa ZRe -Raaf 0 Commercial m Valuation: 070 li Adj. Area: QUANTITY DESCRIPTION FEE a H U W w c.a z m a yU_ Q x U CONSTRUCTION: PLAN REVIEW: ELECTRIC: ` C® PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEL: BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL Z=EES 0 COMMENTS: P/C: PAID BY: VALIDATION: FECEIPT# % i� PAID BY: -� VALIDATION. WHITE — Department Copy, YELLOW — Finance Copy, PINK— Assessor Copy SETBACK/ LETTER FOOTINGS FORMS SLAB UG. PLUMBING -- ....... ... ...... ....... --- UG ELECTRICAL IIFFR GROUND SFWFR I ATFRAI MAIN WAVER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMING/VENTING ROUGH MECHANICAL ROUGH ELECTRICAL W( ) G ( ) ROUGH PLUMBING INSULATION WALL [NSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT _ ELECTRIC METER RELEASE GAS METER RLLE:ASE SPECIAL. INSPFC IION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL. f' FINAL PLUMBING T.C. of (OCCUPANCY cEnt of OCCUPANCY OMME T : IRAC iAND LEDGER SWIICH GEAR I OMML:RCIAL 11000 -- IN I_F IiCFP [Eli HOi MOP/SHOWFHPAN fiFPTICII FSSP001 HERS RFPORT RLCEIUF.D DEMOLITION ROOF DRAINS ROUGH CONDUIT POOUSPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P -TRAP FENCE/ GATE/ ALARM FINAL POOL WALLS: WALL FOOTINGISTEEL WALL STEEL 1'T( ) 2"0( j LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNING APPROVAL ROU ..... FIRE APPROVAL - -- FINIAL FIRE DEPARTMENT FINAL. PLANNING FINAL ENGINEERING/ PW FINAL. COMMUNITY SERVICES .. ................. FINAL HEALTH DEPT, FINAL INDUSTRIAL. WASTE