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Home My WebLink AboutPR17-187430 DIED}IOND BAR` -NII 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@diamondbarea.gov 117 JOB SITE ADDRESS Al LOT TRACT OWNER i ADDRESS r"t'765j') MfiZE� -Z � CITY � WCJ( s � ( *04?1I 1771 L- l �3 0d 9j APPLICANT [Ube fiq-Jikfta &TEL. CONTRACTOR III r ADDRESSc CIN ZIP'S -STEL. 2 ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL, OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from fhe Contractor's Stale License Law for the reasons) indicated below by the checkmark(e), 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, alter, 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 pursuantto the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she is exempt from licensure and the basis for the alleged exemption. Any vialatkon of Section 7031.5 by any applicant for a permitsubjects the applicantto a civil penalty of not more than five hundred dollars 0500), 11, I, as owner of the property, or my employees with wages as ihelr sole compensation, will do `] all of or U portions of the work, and the structure Is not intended or offered far sale (Section 7044, Business and Professions Code The Contractors' State License Law does not apply to an owner of property who, through employees' cr personal effort, bullds or Improves the property, provided 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 -Bulkier will have the burden of proving that it was not built or improved for the purpose of sale.). (J I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does one apply to u owner of property who builds or improves thereon, and who contracts for the 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 prkorto completion of the Improvements covered by this permlt,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 caotraciors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Proiessions Cade is available upon request when this application is submitted or attire following Web site: httpAvww.leginio.ca.gov/calaw.htrnl. LICENSED CONTRACTOR'S DECLARATION f hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commenting with Section 7000) of Division 3 of the Business End Professions Code, and my license its in full force and effect. LICENSECLA55: EXP. DATE:ONTRACTOR: WORKER'S COM NSATION DECLARATION II NFAEBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and wit€ rnalntain 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, I have 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 permit is issued. My Worker's Compensation Insurance Carrier and PolicyNumberare: CARRIERt"�Pt`r-� POLICY NUMBER 3 A a, (THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT 15 FOR ONE HUNDRED DOLLARS 5100 OR LESS). I certify that In the performance of the work for which this permit is issued, I shall not employ any person In any manner so us to become subject to the Workers Campensation Laws of Califamia. And agree that if I should become subject to to Workers Compensation provisions o1 Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DATE: APPLICANT: WARM% Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal ponaltlas and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of fhe compensation, damages as provided for in section 3708 of lila 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 perni is issued (Seo. 3097, Civ, C.). LENDER'S NAME: LE DER'S ADDRESS. ertify that I have read this application and state that the above information is correct. I agree to comply with all city and aunty ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. PERMITT E (PRiN SI FIt DATE APPLICATION DATE: ® PIC#�� E ISSUE DATE: PERM Ii T n J TYPE CONST. OCC GROUP: Scope of Work �'T�l� f �UD�� CZ aW 010677 # DWEL. UNITS # STORIES / r # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREANALUATION SFPJADD/REM �Zr Garage/Carport w Pertlo/Deck Cut LL Pool/Spa ZRe -Roof Commercial 5 m Valuation Adj. Area: QUANTITY DESCRIPTION FEE w al 3 rs J � � 0 L) LC„QNSTRUCTION: rp /PL 1N REVIEW: ! s ELECTRIC: + PLUMBING: --,,7,2-4 MECHANICAL: Z2 ) INSPECTION FEE: ISSUANCE: q5_51) + SIMI SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: P/C: PAID BY: RECEIPT # VT0 PAID BY:16� VALIDATION: j� VALIDATIONr F O WHITE Department Copy, YELLOW — Finance Copy, PINK— Assessor Copy CITE OF DIAMOND2. INSPECTION E SETBACK/LETTER FOOTfNGS FORMS SLAB UG. PLUMBING UG. ELECTRICAL. - LIFER GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGNENTING ROUGH MECHANICAL RDU(xH ELLCTRICAL W( ) C . ........ ....... _ - ROUGH PLUMBLNG INSUI A'f €ON WAI I f INSIP ATION CFIL ING ! DRYWALL ra LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT _ ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING T.C. of OCCUPANCY CERT. of OCCUPANCY COMMENTS: TRACT AND I_EDGL:R SWITCH GEAR COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL ITERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOLISPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P-1 RAP — ..... ..... . FENCE / GATE/ ALARM FINAL POOL — WALLS... WAI_I FOOTING/STEEL WAI.I ST! E[ 'IST( ) 2wo( } LIFT ................... WALL BOND HE:AM WALL 1)I3AIN/ SIAL ............. WALL FINAL HO. FIMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE - —