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Home My WebLink AboutPR 18-33717 �- • ��'`�.'� ___ C1TY OF DIAMOND BAR y m' I , I I i .� DF.PARTATENT OF COMMI�NITY&DEVELOPMENT SERVICES � i��ly � ., ��' 21810 Copley Dri��e,Diamond Bar,CA 91765 PRESS �> ^�'. ��;' (9U9)839-7020 Fax:(909)861-3117 Building[nspection Hotline(909)839-7027 FIRMLY � ''"""'" Bl!ILDINC PERM1IITAPPLICATION www.cityofdiamondbar.com building✓diamo�dbarca.go�� iC� �,,j /� C /�'� APPLICATION DATE: �P/ It a JOB SITE ADDRESS 1 "1� �c7 �--�^� '`�� I�`�� I �/--�7—��-`�" �' ' / Z ISSUE DATE: 7 � PERMIT#: o APN LOT TRACT � � � OWNER C� S TYPE CONST. OCC GROUP: � ADDRESS � CITY _ ZIP TEL. �� 1 Sco of Work o APPUCANT � t i TEL. `l('�3t 0 3 �1// � � o CONTRACTOR ,R E'¢� n� ;� m ADDRESS ( � 3 Z� ��ll Y u t (A �f 4f Z�� #DWEL.UNITS #STORIES N BEDROOMS � CITY�v liny� ZIP t y� TEL. 0 " ARCH/ENG/ z DESIGNER DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION o ADDRESS SFR/ADD/REM z m CITY 21P TEL. Garage�Carport � OMMEN-BUADtlI DECLARATION w Patio/Deck � I hereby afllrm wider penalty ol perjary that i am exempt hom the Contractor's State�Ikeiue law for ihe reasoMs) LL P�d/Spa � indicatetl helow by the checkmarWs�,I have placed next to the apD�icaWe item�s)[Sectlon 7031.5,Business anA � z PrNasions Code:My city or couMy thal requ'sea�permil to co�truet,aller,improve,EemaNsh,a repair,airyr ? Re-Roo( a s6ucturo,priw W its iscusnee,also requirec tlie appli�ant tor ihe parmit W fib a signed statemerrt Mat Iw or sM � Commercial � is kce�ed pursua�rt ro Me povisianc d the Comracbr's State Lfunu law(C�a�pter�Cammmcing with SecGon 7� � 70011�Division�of the Busneas ard Prafasiana Code]or that he a sne is ezempt hom licensure and the basis for � ttie alleged exemptlon.My vblation o(Section 7031.5 by airy applicarrt fw a permit subjects the applicant to a civil penalry °C of rat more than five hundred dollars($500). 0 (.a (�I,as owner of ine property,or my emWoyees with waqes as meir sok compensatlan,witl Ao(�a&ot w(�Dortions Va1ua'lion: Ad Area: ZZ M Ne work and the structure is mt irRendeO or offered for sale(Sectbn 7044,Bustness and Protessions CoOe:The 1• w COM2ctors'State License Law does not apON m an rnvner of property wlw,thragh empbyees'a persaial effort,builAs � a improves tlie property,provided tnat ttie ImprovemeMs are not irrtended or ottereo tw sale.tt however,ine DulWing or QUANTITY DESCRIPTION FEE p �mprovemerrt is sold within one year of completion,the Ovmer-Builder w18 have the burden of proving thal it was rai buitt � .�#.improved for Ne purpose of sale.). � � o ,(J I,as owner of the property,am exdutivey coMwctiny with IicenseU Co�rtractars to cansVud tlie DroJect(Sectlon � � 7�:{4,Business arW Professions Code:The Cantractors'State License Law dces rwt apdY to an owner o1 propeRy who � pY �6uilds ot improves Mereon,antl wla contracts tor Ne projects wiN a Iicense0 Cortfractor Dursuant to Ne Contractors'State W �A j I LlcenSe Law.). ; �+ U I am exempt hom liansure unCer the Contractor's Stste License law kr Ma fdlowing reasan�s): � - Qr.. LL z � z Date: Sign: m � By my signature bebw I ackrouAedge ihat,except for my personal residence in which I musl�ave residetl for at least me � 1 _ 4� year prior to canpletbn of Ne improvemarit5 mvered by this permit,l cannot kgaNy sell a structure ihat I have built as an � a oumer-buiWer'rf it has not been constructed in iL5 entirety Oy licensed caRractas.I understand ihat a oopy of the W apD�icable law,Secllon 7044 ot the 8usiness and Protessions Code Is availade upon request wlien Nis appNcatbn Is � o suhmitted or at the tolbwing Web site:htlplwww.legir�o.ra.gov/calaw.Mml. � v L�ENSED CONTIIACTOfl'S DECLARATION � I here6y affirm under penatty of perjury tliat I am ficensed under provisbre ot Chapter 9�oommencing wlth Sectlon 7W0) u+ � af Divisqn 3 of the Business and Professions Code,and my license is in fuq face an0 effect. � � (� `��) � LICENSE CLASS: LIC.NO.: `�� 7s;'i�� o —I_�� CONSTRUCTION: Z OATE EJ(P.: CONTRACTOR: � ¢ PIAN REVIEW: p WORI�RS COMPENSA N CLARATqN � I HEREBY AfFIRM UNDEA PENALIY OF PEfUURY ONE OF THE FOLLOWING DECLAMTIONS: ELECTRIC: oI I�ave and wiA maint2in a CeNficate ot Consent to Sett-Insure br INorker's ComDeivation,as pravidetl by PLUMBING: � � J Section 3700 of the Labor Code,lw the pertortnance of tlie wak fa widc�this permit is issued. � MECHANICAL: �I heve end will maintaln Worker's Campensatlon Insurance,as requked by Sectlon 3700 ot the Labor Code,fa Q Ne pertormance of the work fa w�d�mis Dermtt is issued.My Waker's Compensatron Insurar�ce Cartier and I NS P ECTION FEE: PolicyNumherar: o �^�` ISSUANCE: i �� z CAf1RIEP C. �(� � � L i � POUCYNUNRFR ��,��_�j�� S �1 SMIP: � S Rws sEclqri r�n rior e�con�r�F n+E�aMrr�s roa or�ruHo��oauns a�001 oa�Ss7• EN ERGY P/C: p I certify tha[in the pertamanrs oi me wak for which ttiis permit is issued,I shaR r�empby arry person in any manner so as to EN ERGY PERMIT: o Oecome s�ect to the WakeYs Compensation Laws of Caittania.Antl agee tliat il I should become s�ject to the Wwker'S � Canpensatiai provisbns of Secibn 3700 0l the labor Code,I shaN foAhwith mrtgy u�im tfbse Dradsbns. RETENTION FEE: J LL DATE: MPLICANT: PRE-ALT FEE: � WARNNJG:FaIWro to secure Worker's CanpensaUon wverage is uNawfW,an0 sha11 su6Ject an empbyer b criminal B�F: w Penatties and ciWl fines u0 to one hundretl llausand doliars($100,000),in aAdition to the cost of t�e compensatbq � Oamages as provided for in sedion 3708 of the labar code,irnerest,ane ananey's fees. PLOT PLAN: 0 a CONSrnUCTiotl LENDIxG AGENCY ZONING CLEARANCE: w I hereby a(firm under penalty of perjury Nat there is a Gonslmction Lending Agency for the peRamance of tt�e work for 3 which tltis permtt is issuea(Sec.3097,Civ.C.). r_ LENOER'S NAME: /� � LENDER'SADDRESS: TOTALFEES ,�a�'v � � � I certify that I have read this applicatlon arW state that the above informatlon is carect.I agree to compry wlth all Gry and COMMENTS: � counry ordinances arb state laws relating to building constmetlon,antl here6y auUwrize reDresentatives of this county to z o errter n Ne above-merrtlonetl property fa inspectbn purposes. J � m '� P/C: PAID BY: VALIDATION: ¢ PERMf17EE NAME(PRIN� � `,� i `� w RECEIPT M PAID BY��VALIDATION: = SIGNAil1HE OF PERMfTTEE D E f— WHITE—Department Copy,YEILOW—Finance Copy,PINK—Assassor Copy . - - - -- - - - - �,r` �i CITY OF DIAMOND BAR INSPECTION RECORD • � , � - • . � • - SETBACK/LETTER TRACT AND LEDGER FOOTWGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG.PLUMB�NG T-BAR UG.ELECTRICAL INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERA� SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SNEAR WALLS EXTERIOR POOI/SPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROU�H MECHANICAL ROUGH ELECTRICAL W( )C{ ) GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P-TRAP DRYWALL FENCE/GATE/ALARM LATH(PRE) FINAL POOL � LATH EXTERIOR WALLS: ' LATH INTERIOR WALL FOOTING/STEEL ' GAS TEST WALL STEEL 1"( )2N°( )LIFT � SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALI DRAIN/SEAL i 6AS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNING APPROVAL FINAL BUILDIN6 ROUGH FIRE APPROVAL FINAL MECHANICAI v FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/PW T.C.of OCCUPANCY FINAL COMMUNITY SERVICES CERT.of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE • COMMENTS: