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Home My WebLink AboutPR 16-0490 (3)� ./�"��,._. CITY OF DIAMOND BAR , I I i ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �` � 21810 Copley Drive,Diamond Bar,CA 9U65 PRESS � (909)839-7020 Fax:(909)861-3117 Building[nspection Hotline(909)839-7027 F�RMLY � ''"'' BUILD[NG PERMITAPPLIC TION www.cityofdiamondbar.com building@diamondbarca.gov � APPLICATION DATE: P/C# � ? a JOB SITE ADDRESS J i> P�- \ / Z ISSUE DATE:d�� D/ PERMIT#:� �� -D �� APN LOT TRACT 0 � OWNER TYPE CONST. OCC GROUP: � ADDRESS (0 1 a a CITY� M�,K� '� o F c,r�l�j�TEL. ! Scope of Work APPLICANT U i v�c rs d S_ TEL. �� a CONTRACTOR �1.�� 0 � ADDRESS ' �� " � #DWEL.UNITS #STORIES #BEDROOMS o CITY��L/�:'�.� lI►2-� ZIP TEL. � " ARCH/ENG/ z DESIGNER DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREA/VALUATION ZADDRESS SFR/ADD/REM m CITY ZIP TEL. Garege/Carport a � Patio/Deck O OWNER-BUILDEN DECLAHATION w o I hereby affirm under penalry of perjury that I am exempt from the Conhactor's State License Law for the reason(s� � Pool/Spa o indicated below by the checkmark(s�,I have placed ne#to the applicable item(s)[Section 7031.5,Business and Z Re-Roof w Professions Code:My city or county that requires a permit ta consVuct,atter,improve,demolish,or repair,any � a sWcture,prior to its issuance,also requires the applicant for the permR to file a signed statement that he or she � Commercial � is licensed pursuant to the provisions of the Contractor's State License Law(Chapter 9)Cammencing with Section � N 7000 of Division 3 of the Business and Professions Cade]or that he or she is exempt from licensure and the basis for m � the alleged exemption.Any violation of Sectlon 7031.5 by any applicant for a permit subjects the applicant to a civil penalry ¢ of not more than five hundred tlollars($500). 0 � U I,as owner of the property,or my employees with wages as their sole compensation,will do U all of or(�portions Z of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Ve/U9ti0/t. Adj.Area: w Contractors'State License Law does not appry to an owner of property who,through employees'or personal effort,builtls � or improves the property,provided that the improvements are not intentled or offered for sale.If however,the building or QUANTITY DESCRIPTION FEE pimprovement is soltl within one year of completion,the OwnerBuiider will have the burtlen of proving that it was not built � or improvetl for the purpose of sale.�. a Zu I,as owner ot the property,am exclusively contracting wiih licensed Contradors to construct the project(Sedion ¢ � 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner o(property who � builds or improves thereon,and who contrads for the projects with a licensetl Contractor pursuant to the Conhactors'State � o Lice�se Law.). w � U I am exempt from licensure under the Contractor's State License law for the following reason(s): � (�L. �. � n Z r � � � By my signature below I acknowledge that,except for my personal residence in which I must have resitletl for at least one � a year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an a � a owner-builder if it has not been constructetl in its entirety by licensetl contractors.I understand that a copy of the w applicable law,Section 7044 of the Business and Professions Cotle is available upon request when this application is � p submittetl or at the following Web site:http/www.leginfo.ca.gov/calaw.html. � z V LICENSED CONTRACTOR'S DECLARATION = mI hereby affirm under penalry of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � � of Division 3 of the Business and Professions Code,and my license is in full force antl effect. � � LICENSE C S: LIC.NO.: o ��y�� CONSTRUCTION: a DATE �% CONTRACTOR: - - pLAN REVIEW: p WORNER'S C PENSATION DECLANATION H I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ELECTRIC: o I have and will maintain a Certificate of ConseM to Self-Insure for Worker's Compensation,as provided by PLUMBING: �r•64 * � ��.�({ Q Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. o �I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of ine Labor Cotle,for MECHANICAL: Q the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and INSPECTION FEE: o Policy Number are: ,. ISSUANCE: , �� z CARRIER � POLICYNUMBER SMIP: N F (THIS SECiION NEED NOT BE COMPIETED IF THE PERMfT IS FOR ONE HUNDRED DOLLARS($100)OR LESS�. ENERGY P/C: = I ce' mat in the rformance of the work for which mis rmit is issued,I shall not em lo an y ENERGY PERMIT: p Nfy pe pe p y y person in an manner so�to p �become subject to the Waker's Compensation Laws of Cal'rfomia.Md agree that'rf I should become subject to the Worker's /1 J Compensati provisi ns of Section 3700 of the Labor Code,I shall/forthwith comply wi�}'�hose provisions. RETENTION FEE: �-UO � DATe APPUCANT: �J i v� f+r� 'i �>>t� PRE-ALT FEE: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal w penalties and civil fines up to one hundred thousand dollars($100,000�,in atltlition to the cost of the compensation, BASF: p damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PLOT PLAN: d CONSTflUCT10N LENDING AGENCY ZONING CLEARANCE: w 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,Ci�.C.�. � H LENDER'S NAME: � LENDER'S ADDRESS: TOTAL FEES ��.g� w a I certity that I have reatl this application and state that the above information is correct.I agree to comply with all city and �f. coun ordinances and state laws relatin to buildin construction,and hereb authorize re resentatives of this coun to COMMENTS: z �' 9 9 Y P h p enter upon the above-mentioned property for inspection p poses. /1� � m � P� a PER fITEE P P�C: PAID BY: VALIDATION: � � RECEIPT M a O PAID BY: � VALIDATION: F SIGNAlUR OF PERMITTEE DATE � � ` WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy CITY OF DIA��IOMD BAR > INSPECTION RE�ORD � • � � • • - • � � • - SETBACK/LETTER �'ITRACT AND LEDGER FOOTINGS FORMS SWITCN GEAR SLAB COMMERCIAL HOOD UG.PLUMBING T-BAR UG.ELECTRICAL INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERtOR POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( )CO 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 1sT� �2uo� �� SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DR,41N/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT —_ _— FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/PW T.C.of OCCUPANCY fiNAl COMMUNITY SERVICES CERT.of OCCUPANCY F�NAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: