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Home My WebLink AboutPR2018-6307 (3)LVIUINII li�if M s )::�)Id4-t CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Sur, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING yPERMIT APPLICATION www.cityofdiamondbarcom building@diamondbarca.gov JOB SITE ADDRESS 1 01D NN APN LOT_ ❑ TRACT `23 t&2{ OWNER ADDRESS �►� CITY prop ZIP TEL. APPLICANT C 11b� tAg M TEL. CONTRACTOR t114�7� ADDRESS CITY ZIP TEL. ARCH/ENG/ DESIGNER�kAjifk_ j*j&1rj _ ADDRESS t Feamiz— crry ZIP TEL. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the reasons) Indicated below by the checkmark(s). I have placed next to the applcable ilem(s) [Sefton 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 }lie s stoned SLYmment that he or she is licensed purstran WStine preidslons of the CuntractlsrsS rWLIDense-Law {f,'tlapter$10mmanelnff WfffiSearm 70M of Division 3 of the Buslufts &W Protessfuns Code] or that he or she is exempt from licensure and the basis for She alleged exemption. Any *Laos of Seceon 7031.5 by any applicant for a permit subjects me applicant to acivil penalty of not more then five hundred dollars [$5001. U I, as owner of the property, or my employees with wages as thelr We comperlsaon, will do (_) all of or I-) porUoals of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who. through employees' or personal effort, bill Ids or improves the properly, provided that the improvements are not Intended or offered for sale. If however, the buliding or improvement is sold within one year of completion, the Ownef-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 Ncansed Contractors to eorrsbW the project (Section 7044, Buslness and Professions Code: The Contractors' State uomse Law does not apply to an owner of property who bullas or Improves thereon, and who contracts for the pfujecls with a licensed Contractor pursuant to me Contractors' State Llanse Law.). {� I am exempt m li Haar er me Contractor's slate u for me lobo g reason(s): Date: rt Sign: By my signature below I acknowledge that, excepl for my personal r nce m which I must have reslded for 9least one year prior to completion of the improvements covered by this permiLl cannot legally sell a struoture that I have built as an owner-buhder N it has not been constructed In its entirely by licensed ouracus, l understand that a Copy of me applicable law, Section 7044 of the Business and Professions Code I5 available upon request when this application Is submitted or at the following Web site: Lil�1+'+i'i+'r.Iegimfl.Cd.govlcalaw.hlml. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury mat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dkvisi0n 3 of the Business and ProteSsions Code, and my Ilcenee Is in fug force and effect. LICENSE CLASS: LIC- NO.: EXP- DATE: CONTRACTOA: WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FDLLDLAANG DECLARATIONS: I have and will maintain a Certificate of Consent to Self -Insure for worker's Compensation, as provided by Section 3700 of the Labor Code, for the parfonnanos otthe work for which tNs permit ks 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 lorr which this permit Is issued -key Workers Compensation Insurance Carrier end Policy Number are; CARRIER POLICY NUMGFA frW SECTIQN NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLAAS $100 OR LESS). I certify that In the performance of he work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensatkn Laws ifomla. Arid agree that If I should become subject to the Worker's Compensatio s Section 3700 of the Lah e. I shat rth comply wbh triose provlsions- DATE• LL" % APPLICANT; WARNING: Failure to secure worker's Campensa n coverage is unlawful, and shall subjed an employer to criminal penaltles and civil tines up to one hundred thou W dollars (5100,000), in addition to me cost of the Compensation, damages as provided for in section 3708 of the Labor code, interest, and attorney's fees - CONSTRUCTION LENDING AGENCY I hereby affirm under penally of perjury that there is a Construction Lending Agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.)_ LEN DEB'S NAME: LENDER'S ADDRESS I certify that I have read this application and state that Ire above Information is correct. I agree to comply with all city and County ordinances and state laws relating to building con rtrectlon, and hereby authorize representatives of this county to enter upon theabove-mentioned property for inspection purposes - C - PERMITTEE NAM NATURE EE DATE APPLICATION DATE: �" S ltg, PIC#me —IDan-1 ISSUE DATE: �_ �� PERMIT# ; PQ 1% - LQ3a� TYPE CONST. `• OCC GROUP: Soope of Work trill t 0301-1104 ■ alf-N O AT AMP- DF Fkb 0 DWEL UNITS If STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADDIREM GaragelCarport WPati k �� Q dfl.• �� Q a u- Pool/Spa z Re -Roof Commercial m �:0 Yaluaialan: t C Adj. Area: QUANTITY DESCRIPTION FEE S +r tihrgon i 2- I Va u F - i' flqq <w_h u PAO rrr o lL v CONSTRUCTION; PLAN REVIEW: ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: I Q� SMIP: t • S b ENERGY P/C.- IC:ENERGY PERMIT: ENERGY RETENTION FEE: r3�+ • �"7' S PRE -ALT FEE: BASF: I L� PLOT PLAN: ZONING CLEARANCE: TOTAL_ FEES �-i �J A-1 COMMENTS: PIC: PAID BY: Illu ` rye VALIDATION: RECEIPT # �� Q PAID BY: M aOI VALIDATION: WH ITE — Department Copy, YELLOW — Flnance Copy, P I N K — Assessor Copy CITY OF DIAMOND BAR INSPECTION RECORD INSPECTION DATE INSPECTOR SETBACrii LETTER FOOTINGS FORMS SLAB UG. PLUMBINGf`3r"1d - UG. ELECTRICAL .( $ LIFER GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ac ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGIVENTING ROUGH MECHANICAL (� ROUGH ELECTRICAL W( ) C ( y .. •- i ROUGH PLUMBING INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR T -2C) LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL _ _ s' '/4 FINAL PLUMBING T.C. of OCCUPANCY CERT. of OCCUPANCY COMMENTS: INSPECTION DATE INSPECTOR TRACT AND LEDGER SWITCH GEAR COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTICICESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOL/SPA ROUGH PLUMBING ROUGH ELECTRICAL R ;,ru nnGrunn�rrn� iESi PRE GUNITE POOL PRE DECK BONDING P -TRAP FENCE 1 GATE/ ALARM FINAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL 1`T( ) 2'`( ) LIFT WALL BOND BEAM WALL BRAIN/ SEAL WALL FINAL RD. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMIM UNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE