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Home My WebLink AboutPR17-6481DIAHOA'D'BAR 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.cityofdiamondbar.com building a diamondbarea.gov JOB SITE ADDRESS APNLOT TRACT OWNEk-P .ta4( ADDRESS GITY ZIP 9171 CTE APPLICANT TEL. CONTRACTOR �'� r Al ii fS F , CITY ( it ZIP TE ARCH/LNG/ DESIGNER ADDRESS CITY ZIP TEl OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Cordractor'5 State License Law for the reason{s) indicated below by the checkmark(s}, i have placed next to the applicable item{s} [Section 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 Stale License Law (Chapter Dy Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she is exempt from Ilcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the appllcantfo a civil penalty of not more than five hundred dollars ($500). () €, as owner of the property, or my employees with wages as their sole compensation, will do ( j all of or 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 employees' or personal effort, builds or Improves the property, provided that the improvements are not Intended or offered for sale. It however, the building or improvement Is sold within ane year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose Df 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 pursuanttothe Contractors' State License Law.). [ } 1 am exempt from licensure under the Contractor's State License law for the following reasons By my signature below I acknowledge that, exceptfor my personal residence In which I most have resided for at leasi one year prior to completion of the improvements covered by this pereri cannot legally sell a structure that I have built as - owner builder 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: Ktp/www.leginfo-ca-gov/calaw.htrnl- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, an my license is in full force an afoot. r LICENS r UC. NO.: DATE: CONTRACTOR: WORill i'5 CO PENSATION in I HERFRYAFFIPM UNDER PENALTY OF PERJURY ONE DFTHE FOLLDWING DECLARATIONS: have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by cotton 3700 of the Labor Code, for the performance of the work for which this permit is Issued. e and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for hich this permit' issued. My Worker's Comgensatien Insurance Carrier and Policy Number are: CAMICK POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1 W} OR LESS). I certify that in the performance of the work for which this tis! ssue I sin not employ any person in any manner so as to become subject to the Worker's Compensation Laws a' rota A agr that if I should become subject to the Worker's Compoyn,� on 'sions of Section 370 e L I shall comply with those provisions. DATEYi� APPLI WARM :Failure to secure W rker ompensaf covJJ ge is un[aw(ul, and shall subject an employer to criminal penalties and 601 fines up t o unfired thousand ddllars [$100,000}, in ar ltion to the cost of fine compensation, damages as provided for in sec on 3708 of the labor code, interest, and atfomey's fees. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty, of perjury that there is a Constmctlon Lending Agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this appl€catim and state that the above information Is correct. l agree to comply with all city and county ordinances and slate laws relating to building construction, and hereby authorize representatives of this county to enter upon the ove-mentienedPro pa inspectlonpurposes, PERMITTEE NAME NTj SIGNAIFY011TEErDATE APPLICATION DATE: r ISSUL DATE: X67 2S I1--'TPERMIT#: TYPE CONST. 11 PIC# 1� k�\a, VI — 4:14'Z1 OCC GROUP: Scope of Work t n - s it DWEL. UNITS If STORIES 4 BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREAIVALUATION SFR/ADDIREM Garage/Carport of) W Patio/Deck W LL Pool/Spa Re -Roof OJ Commercial m Valeaati®n: Adj. Area: QUANTITY DESCRIPTION FEE U U LL J m J o. U 2 Q x V CONSTRUCTION: PLAN REVIEW: LLLCTRIC: PLUMBING: it • a MECHANICAL: INSPECTION FEE: ISSUANCE: ZP4- SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: C;;iQ BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: Sk P/C: PAIIDBY: VALIDATION: s � RECEIPT A �`iPAID BY: �� VALIDATION: w Y1 WHITE— Department Copy, YELLOW Finance Copy, PiFIK— Assessor Copy CITY OF DIAMOND BA. INSPECTION RECORI SF:.TRACK/ LETTER -- FOOTINGS FORMS � S_LAii _ UG. PLUMBING UG, ELECTRICAL - UFER GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING -- - FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMING/VENTING� ROUGH MECHANICAL ROUGH ELECTRICAL W( } C ROUGH PLUMBING /r /j� _ _ // �� ! JT_..s/... _ 1f INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR .. LATH INTERIORw«/I GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL r FINAL PLUMBING °' l L T.C. of OCCUPANCY � DEBT. at OCCUPANCY COMM ENTS- .y .`' J �� - Fr �:-fir � �'` :.�-Y" �� ✓� `�`'�', ��-�- ,, I l:�irl�,111 rl4q rIelq:1 SWITCH GEAR COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDIAT POOLISPA ROUGH PLUMBING ROUGH ELECTRICAL_ ROUGH MECHANICAL GAS TEST . PRE GUNITE _._..__._ ___. _..._.. __.... ..... ..__._. POOL PRE DECK BONDING P -TRAP ............... FENCE I GATE/ ALARM .._.._.... _ _ FINAL. POOL WALLS: WALL FOOTIN(VI TEFL WAL L STF. WALL BOP — _- WALL DRQ ow, WALL FINE R0. FRAMIN p -- ROUGH FIE I s FINAL FIRE '- FIALPLAT :.,A4 FINAL ENGi FINAL COM, FINAL HEAL