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Home My WebLink AboutPR18-0731W CL LIJ 0 LL Im LTJ CD n In 2z LU CD U) cc 0 C) o t L LJ LU LJ CD 0 LL CL C) CL 2z LU LTJ CL J M V � F_ CITY OF DIAMOND BAR DEPARTMENT OF COMMIT DEVELOPNMNT SERVICE }218 10 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline ne (909) 839-7027 BUILDING PERNUT APPLICATION mi . ityo f am n db a r. o m building@diamondbarea.gov ' r JOB SITE ADDRESS APN LTi TRACT OWNER ADDRESSAY9`;r { CITE 21k ZIP qu Zlep TEL. 8.7, 3.r 7j,25 APPLICANT J TEL, 1�75� r? � �..? 7 CONTRACTOR -SPI ADDRESS A; IT ZIP�?/,&ZTEL. F 7 7 Z, RCH/ENG r DESIGNER � I ADDRESS CITY ZIP TEL. - - - ------ ----- --- 01 NER-BUILDER DECLARATION I hereby affirm uadef penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) IndIcated below by the check ark((), I have placed next to the appllcab#e lteM(s) Iseot[Dn 7031,6, Business and Professions Code' Any city or county that requires a permit to construct, abr, improve, demolish, or repair, any atruntura, Prior to Its issuance, also requires the a pplioant for the permit to fife a signed statement that he or she WA.xl a rsed pursuant to the provfstoas of the contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Codel or that he or she Is exempt from Ilcensure and the basis for #�e alleged exemption, Any vlolaUon of Section 7031,5 by any appl#cant for a pefmit subjects the applicant to a civ#1 penalty of not more than five l andrad dollars (500). IBJ I, as ow nor -of the property} or my employees with wages as their sole coni pansation, wi It do U all of or U portlans of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Dole: The Contractors' State License Law does not apply to ars owner -of property Mor through employees' or personal effort, builds or improves the property provided that the #rnp vemeuts are not intended or offered for sale. If howevef, the gilding or Improve ment Is sold within one year of ompletion, the Owner -Sunder wi11 have the bofden of proving that ft Was not hu1ft or Improved for the purpose of sale.). (_) 1, as owner of the propel, am exclusively contracting with Ilcensed Contractors to construct the project (ectlon 7044, Rosi ss and Professions Cade: The Contractors' State License Law does rpat apply to an owner of property who builds or Improves themoni and who contracts for the projects with a licensed Contractor pursuant to the Contractors' ate License Law.). I oro exempt from licensure wider the Ccntraotor's Mato l#cense law for the following reason(s)-. Date: Sipa: By my signatum 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 Irnprove rnents covered by this permit,# cannot legally sell a structure that # have bunt as an r r-buildsr If It has not been constructed In Its entire by Ilcens d ntr tors. I undefstand 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: hftp/wwwaleg]nfo.ca,g:ov/calaw.htmi LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lice used under provisions of Chapter 9 (com me ncl ng with Section 7000) of Dlv#aton 3 of the Business and Prof esslons Code, and my Ilcense Is In fulI force and affect. �? / 7r LICENSE CLASS: _ d�" �� LIG. NO.: EXP. DATE6 — 3C --9'.)L2 ::aL-4 a:: ZJZi,_JLa a +` f { WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY CF PERJ URY ON E OF THP FOLLMNG DECLARATIONS: I have and will maIntain a Cer#i#icate of Consent to Self-lnsure for Worker's Gompensa#ion, as pmvtded by Section 3700 of ft Labor GoO, for the perform-ance of the work for which this permit Is Issued. I have and will maintain o e is Compensation Insurance, as required by Sectlon 3700 of the tabor Code, for the peftmance of the work for ugh Ich this permit Is Issued. MyWorker's Compensation insurance Carrier and Molloy Number are; CARRIER POI_#Dy NUMBED (THS SECTIM NEED NOT RF COMPLETED IF THE PERMIT is FOR ONE HWDRED DOLLARS $100 OR LESS). I cer* that In the perforce of ffie work for whIch FIs permit Is fssued, I shall not employ any pecan In any manner so as to become subject to the Worker's Gompemtlon laws of Ca#fo:a. And agree that If I shoutd become suet to the Worker's Compensation provislom of Section 370G of the la# ` Bode, I small for v&h comply Wth fore provl ons. CATF' ! ��PPLICANT: ARNfNG: Failure to secure Worker's Dump nsation coverage is unlawful, and shall subject ars employer to criminal penalties and civil fines up to ogre hundred thousand doflars ($100,000), in addition to the cost of the compensation, damages as pmvided fuT in siscticn 3708 of the labor code, interest, and aftorney's fees. C OMMUCTION LENDING AGENCY # hereby affirm under panalty at perjury that there Is a Constmotlon Lending Ageuoy for the performance of the work for which this permit is Issced (See. 3097F DiVL C). LENDER'S NAME. ` LEN DEIN' C ADDRESS: 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 ofdlnances and state taws relating to boli ft comtruc#ion, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. PER E NAME(i1t I) 8 CICHATE OF PERMITTEE DATE f ., PRESS FIRMLY APPLICATION DATE: "2Q P/C# ISSUE BATE: PERMIT##0 -7 TYRE CONST. OCC GROUP: Scope of Work - k M # D EL. UNITS #STORIES # BEDROOMS DESCRIPTION: Q. FT. FACTOR P F ADJ. AREA/VALUATION F• R/O D/REM Garage/Carport Patio/ Deck Ldi , LL P001 spa Row roof Commercial dl.Area.........................................._............... - -- - F—QUANTITY DESCRIPTION FES J LU od 5� J LU CONSTRUCTION: PLAN REVIEW: ELECTRIC. PLUMBING: .. � MECHANICAL INSPECTION FEE: ISSUANCE: SISI I P: ENERGY P/: ENERGY PERMIT: ----------- RETENTION FEE. PRE -ALT FEE: BASE: PLOT PLAN: ZONING CLEARANCE: TOTAL PEES � COMMENTS: P/C: PAID BY: VALIDATION., REG EI PT #I` PAID BY, VALIDATION: Vn WHITE — Department Copy, YELLOW — Finance Copy, PIN — Assessor Copy CITY OF DIAMOND BAR INSPECTION RECORD SETBACK/LETTER -- --- ------- TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR COMMERCIAL HOOD T -BAR INTERCEPTER SLAB PLUMBING . ELECTRICAL NFER GROUND HOT MOP/ HOWERPAIS SEWER LATERA. SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED E1 ER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING SHEAR MALLS EXTERIOR ROUGH CONDUIT PLOP SHEAR WALLS INTERIOR ROUGH PLUMBING -FRAMINGNENTING ROUGH ELECTRICAL SOUGH MECHANICAL [ROUGH MECHANICAL ROUGH ELECTRICAL )C( GAS TEST PRE GUNITE FOOL RE DECK BONDING- ONIiII R -TRAP ROUGH PLUMBING- INSULATION WALL LATI N CEILING INSULATION DRYWALL FENCE / GATE/ ALARM NAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL 1 T ND( )LIFT LATH (PRE)EI LATIN EXTERIOR LATIN INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE R E DIAL INSPECTION WALL BOND BEAM MALL DRAIN/ SEAL "BALL FINAL RO. FLING PINING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL EIA. MECHANICAL. FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING �� -�-��* �� FOAL ENGINEERING/ PW T.C. f OCCUPANCY ��=:::..::::-::_y FINAL OMIT SERVICES ERT., of OCCUPANCY FINAL A LTH D E PTL Fl MAL INDUSTRIAL WASTE COMMENTS: