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Home My WebLink AboutPR17-24057DMONDIAR 122 1 CI'T'Y 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 F I R M LY BUILDING PERMIT APPLICATION www.clityofdiamondbar.com building@diamondbarca.gov JOB SITE ADDRESS 4 APN LOT TRACT ADDRESS CONTRACTOR ADDRESS31 Iier CIT -w TEPik c,._. 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 reason(s) Indicated below by the checkmark(s}, I have placed next to the applicable ItemieJ [Section 7031,5, Business 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 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 Division 3 of the Business and Professions Codej or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicantto a civil penalty of not more than five hundred dollars ($500), Ca 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (-) portions of the work, and the structure is not intended of offered for sale (Suction 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp€eyees' or personal effort, builds or improves the property, provided ihat the improvements are not intended or offered for sale. If however, the building or improvement is sold with€n one year of completion, the Dwner-Builder will have the burdar of proving chat It was not built or improved for the purpose of sale.). {_,J 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for to projects With a licensed Contractor pursuantto the Contractors' State License Law,). U I am exempt from licensure under the Contractor's State License law for the following reason(s): 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 of the improvements covered by this permit,) 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 site: http/wwvv.leglnfc.ua.gov/ca€ow.htmi. LICENSED CONTRACTOR'S DECLARATION I herelty affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Df Division 3 of the Business and Professions Code, ,my licensee is in full force and effect. '" LICENSE CLAS . LIC. NO.: �% f sei XP.DATE: CDNTAACTOR C S 6 c'„sz,, �111 � a WORKER'S COMPENSATION DECLARATION HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have end w1h maintain a Certificate of Consent to Self Insure for Worker's Compensation, as provided by Section 3700 of the Labor Cade, for the performance of the workfor which this permit is issued. I have and will mairr in Worker's Compensation Insurance, as required by Sectlon 3700 of 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 POLICY NUMBER (f HIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR DNF HUNDRED DOLLARS $100 OR LESS), I certify that in the performance of the workfor which this permit Is issued, I shall rat employ any person in any manner so as to became subject to the Worker's Compensation Laws of California. And agree that If I should become subject to the Worker's Compaps fl or sio_ ns of Section 370 bcr Col bshaA i thwlth comply with those previsions. DAT r APPLICANT: WARNING: Failure to secure Worker's Cbmpensation coverage Is unlawful, and shall subject an employer minal penalties and civil fines up to one hundred thousand dollars (8100,000), 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 (Sec. 3097, Clv. C.). LENDER'S NAME: LENDER'S ADDRESS: I certify that 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 bulld€ng construction, and hereby aurth*n representatives of this county to enter upon the above-mentioned property for Inspection purposes. r ,'..a �' •gym, � P 5 's P EENAMR+P t 7 SE NATURE Ot PERPri DATE APPLICATION DATE: lil,® a i PIC# �®— ISSUE DATE—Iii' ItO ` —PERM Ii : _ E71 " TYPE CONST. OCC GROUP: Scope of Work # DWLL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR ASF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport LLJ Patio/Deck ul �J_ Pool/Spa ZRe -Roof Commercial 7 valuation: Adj. Area: QUANTITY DESCRIPTION FEE a U r— U 4J w a. J a J 4 U Z x v CONSTRUCTION: PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMTP: v ENERGY PIC: ENERGY PERMIT: HETLNTION FEL: PRE -ALT FEE: Cru BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: P/C: PAID BY: VALIDATION: RECEIPT PAID EN.�S_15AW2 VALIDATION'. WHITE —Department Copy, YELLOW —Finance Copy, PINK —Assessor Copy SETBACK/ LETTER TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG. PLUMBING T-BAR UG. ELECTRICAL INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEINER LATERAL - MAIN WATER IJNF SEWER CII ANOU'I ROOI SHrAflIING FI OORSHFATHING SHEAR WALLS EX'I LRIOR SHEAF WALLS IN] ERIOR FRAMING/VEN (IN{:a ROUGH MECHANICAL ....... ROUGH ELECTRICAL W( ) C ( } /TOUGH PLUMBING INSUI ATION WALL -------- - SEPTIC/CESSPOOL ... HERS REPORT RFCEIVED {)CMO/ (TION ROOF DRAINS ROUGH LONf)UII POOL/SPA ROUGH PLUMBING ROUGH ELLC IRICAL RM)GH MECHANICAL GAS TEST PREGUNITE POOL PRE DECK BONDING _— _. _ ........_. INSI.II..ATION CEILING P-TRAP FENCE / GATE/ ALARM ............... .... ........... ... ._...._...__...,...... DRYWALL LATH (PRE) FINAL POOL LATH EXTERIOR MALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr( ) 2"°( ) LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO. FRAMING PLANNING APPROVAL ........-_...-- FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING ...................... . FINAL PLUMBING QN n W FINAL €NGIN€ERIMG/ PW.. T.C. of OCCUPANCY FINAL COMMUNITY SERVICES CERT. of OCCUIPANICY FINAL. HEALTH DEPT. FINAL INDUSTRIAL WASTE COMM i� S: