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Home My WebLink About15-19070 8 0 i a 0 0 z 0 n 0 O 2 CI rn s z f A4 2 N 0 a rs wC5 7 1 a t at CITYDIAMOND BAR DEPART ENT OF COMMUNITY& VELOPMENT SERVICES f 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 cityofdiamondbarcom budding@diamondbarca.gov JOBSITEADDRESS 3133 OkF, /1 CAuYoAJ 02-12- APN LOT TRACT OWNER OU1IA WOvIF. iCl ADDRESS 1 S2 CITU iLL(.�)x ZIP gITEL��T�3 �� APPLICANT TEL CONTRACTOR dna) ADDRESS CITY ZIP TEL ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL OWNER -BUILDER DECLARATION I hereby affirm Vber penalty of perryry that I an exempt hom the Contractor's Sleet Licence, law for the reason(s) Irtlb W bebn M BIB N,eckm9M1f9) I have decaal next to BIB amlkeble IaNe) raction 7mld Buda and Pmisserpra Cab Ara dll m ming UI91 rapes®a Metal la CmtlhuLl, aNR, IrrOrara. axmWN, BI repals any mrmm apr�bNe�,ebo ralUn tinerwWsrr MeL permMBMatlgMdBbbrMrAtwfMmrive ss masseddow 3 t title pmr®n al tie CorNxb'e Ebb Lia®l1M (Vern nro)CmaMnmrpsthe ses:hm d Onam 3 at tie Bmosa®ertl lMn 7031 5 Coda) or that M ar elle b exempt from aPPIIcWend the basis w Ion of alleged exemption five uMy ndyed dall of$50G) 70315 by mY pppliwtIV apermll subjects MeappllcanlMecivil penalty V net mdm tllen Ave hundred dollars (&500) U I, a owserof the properly, mmy empbyme MM wages a9 than onto compensator, w11 doU ell of mU part,, of On wink, and Me structure is int Inlatlai V offered for sale (Swoon 7044, Bidress and ProbalmV Cade The fameNro'Sbeb L�� laxdoasnmappfy thimowreral PoMM Who IhNghemptoreei'MPS.. l(fled bullas pr Imprma U prppery, Wm Nat the bnprpvemants are int bnbm" pr Vlmed b sale II hoverer, the buiding a Impmvamemts® wlNinmeyearof=pletlon Me Om-BuiWvdllheve NebuMnofpraitg mlllwesnotbutll or Improved lar the purpose of sale) U t, as owner of the propend, Am exclusively conhactng wM hcma nd Corm,rae to mnmect the project (Section 7044 Business and Prolessbm Code The CmMwbs' Stata license lax does net apply M an oxmer of Property pubo V Mpro,�terson and who rmrbacts dor Ne projects wllha ltmmetl CmtamV punamtbthe Comrades' Stag llm®lax j Ulm exanpt lmm Ikemwa man tie CmbacmYs Side license taw fort a blbwml reesOn(e) By my signature below I acknowledge that, except IV my personal r®Idece In Mich I must have resided IV at liked we year prior M completion of the Improvements covered by this xwmILI caund legally Nil a structure Nal I have bust as an farm, bolder It It hes net been constructed In Ib enba y by licensed conlow is I understand Nal a copy V the applkabte bear, Sectw 7044 of the &abeam and Prolamines Cade Is ova double upon realest when ads applbatlm Is mbmned V at Bre WloMng Web ate mtptY Ieglmo ca IPv/alaw hard UCnJgO CONTRACTOR'S DECLARATION I t,eby affirm under Mndly of perjury that I em Itcoreen under pradNons of Chapter 9 (c,omeMng MIN Seam 7000) of DMsIm 3 of the Business and Prolessipre Cotler ,and my ll�nens�e-Iss In full force "affect LICENSE CLASS 5 UC NO CONTRACTOR YoNNER's RAVON e DECIARAnON I IRII®Y AFFSM UNDER PENALTY OF PERM ONE OF THE FOLLOWING OEOARARONS I have and MAI maintain a Cerhfiral0 of Content M Sat-Inswe dor Worker 9 Compensation of provided by Secdw 370D of the tabor Cade, for the periamance of the work for Mhdh this pem,N Is all I have and Wil maintain Worker's Compensation heurance, sur reguirsd by Section 3700 of the labor Code IV the performance W Me wink IV witch NN permit V Valued My Worker a Compaaatm Insurance Cam, and Poky Numberere CARRIER POLICY NUMBER �(L 10 ��.ollei mis wcT)oN NEED NOT OF DDM F THE f9tWT is FOR ONE miliEFED Ix1UMS 61001 OR LEm I certify to a the performance of the Mak Mwhm this p,mt I Lssked I "I nor employ any petEm In my manner en as to become mhgat to ire Wake's Compensation laws of Wfomh And saw Nat If I Mid became sVjVI to ire Workefs fmi VSeVbn 370004 ,hell MJ�WAtly�ply wM dl®pmvaiaa DAAPRIWIT /i/ff'' // `` W b eeaure Worker's Can mvereM d m ul oral shell aAAect an erapdyer b cilmrrW Neither, and civil flMs up to me hunORd Mead dalars (5100 ODD) N addition t0 to mrd o1 Me mmp,mton damages an graded for In section 3708 of the labor coda Interest and ata mey's lees CONSTRUCTION LEADING AGENCY I hereby eNrm und, pereltY of perjury that Mere 19 a Constmmm Landing Agency dor Me performance of IM wart for which MIs Mrmt Is Issued (Set 3097 Cl, C) LENDER S NAME LENDER S ADDRESS I Comfy tial I lave rental MIs apphMmn and stale tllat the above informtion Is mnml. I agree t0 comply Who, an my and Muddy adarces and sate leWa slating M building constr aan, and hereby sAhmae ro msentstIves of MIS courts td enter upon t a above mentioned property IA Nspectlm Murpoeea SIGNATURE ERMIREE DATE f APPLICATION DATE P/C# PAIS-- lyo7 ISSUE DATE 1//J/ 16 PERMIT# �J TYPE CONST T.L OCC GROUP Q00p Scope of Work If DWEL UNITS # STORIES 6 ` # BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREANALUATION SFILADO/REM Garage/Carport w Patio/Deck w LL Pool/Spa Z Re -Roof 9 Canmercrel m Vatuat/on Add Ares DESCRIPTION QUANTITYL4'7#--r FEE i7 II ? N a f G 9 7 S -mss 2 f d _ r f CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE PRE -ALT FEE BASF PLOT PLAN ZONING CLEARANCE TOTAL FEES COMMF�c�SO�rrS /`4. u PIC PAIDBY RECEIPT# PAID BY VALIDATION VALIDATION WHITE— Depenmmt Copy, YELLOW —Rnwl Copy PINK —Asseswr Copy -/"tas,r/✓r/Wl� CITY OF DIAMOND BAR INSPECTION RECORD I INSPECTION DATE INSPECTOR aaaa� INSPECTION DATE INSPECTOR SETBACK/ LETTER TRACT AND TRACT POMSEARARBERrIALHOODPLUMBING U T -BAR US ELECTRICAL IT C INTERCEPTER DEER GROUND HOT MOP/SHOWERPAN SEWER LATERAL W OOL SEPTICICESSPOOL MAIN WATER LINE Has REPORT RECEIVED HERS SEWER CLEANOUT N ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT .1 !SHEAR WALLS EXTERIOR USP POOLISPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( )C( GASTEST ROUGH PLUMBING PRE GUNITE POOL PRE DECK BONDING INSULATION WALL INSULATION CEILING P -TRAP DRYWALL FENCE/ GATEl ALARM LATH {PRE) FINAL POOL LATH EXTERIOR WALLS LATH INTERIOR WALL FOOTINGISTEEL WALL STEEL I"( )?*( )LIFT CA TEST WALL BOND BEAM SCRATCH COAT ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL RO FRAMING PLANNING APPROVAL SPECIAL INSPECTION FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE OEPARTMENT FINAL ELECTRICAL FINAL PUNNING FINAL ENGINEERING/ PIN FINAL PLUMBING FINAL COMMUNITY SERVICES T C of OCCUPANCY FINAL HEALTH DEM (FINAL INDUSTRIAL COMMENTS