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Home My WebLink AboutPR15-2492S CITY OF DIAMOND BAR' DLUIONDIRAR r DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 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.cityofdiamondbancom building@diamondbarca.gov diamondbarca.gov JOB SITE ADDRESS—Je22cl Ogor 8 ✓ 0rW l APN LOT TRACT OWNER ADDRESS 4 �PIr CITY �G °►r ZIP �5 TEL. APPLICANT TEL. CONTRACTOR ADDRESS CITY ZIP TEL.. ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law far the reason(s) indicated belay by the checkmark(s), I have placed next 10 the applicable Item(s) [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair, any shucture, prior to its issuance, also requires the applicant for the permit to file a signed statement that lie or she Is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Cade] or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). U 1, as ownerof the property, or my employees with wages as their sale compensation, will do( -)all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contactors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If however, the building or improvement is sold within one year of completion, [he fawner-Rullder will have the burden of proving that ttwas not built or improved for the pufpose of sale:). O I, as owner of the property, am exclusively contacting with licensed Contractors to construct the project (Section 1044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, almlwh contracts for the projects with a licensed Contactor pursuant to the Contractors' State License Law-). s r I'amoxe Nett �4",ek e &0rdctor's State License law for the following reasan(s): �. 2 -x y my sfgna 'Ue w wedge th ,except far my personal residence in which I must have resided for at least one year prior 10 completion of the improveme covered by this permit,[ cannot legally sell a structure that I have built as an owner -builder if it has not been constructed In its entirely by licensed contractors. I understand that a copy of the applicable law, Secton 7044 of the Business and Professions Code Is available upon request when this application is submitted or at the following Web site: httplwww.leginfo.ca.govlcalaw.html. - LICENSED GONTBAGTOR'S DECLARATION I hereby affirm under penalty 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 lull farce and effect. LICENSE CLASS: L€G. NO.: DATE: CONTRACTOR: WORKER'S COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING 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 performance of the work forwhlch this permit is 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 for which Us permit Is Issued. My Worker's Compensation Insurance Carder and Policy Number are: CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE KWIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS). I certify that in the perfonmanceof the workforwthich thispermttfs Issypd l rag t employ any person in any mannerso m to become subject lathe Worker's Compensation Laws of Cal' old become subject to the Worker's compensation pro%rWonsySection 3700of�h laYe;, as iilnwtii.' mplyvdth those provisions. DATEX-APPLICANT.. WARNING: Failure to secure Worker's Pen v€rage un wful, a halt act an employer to criminal penalties and civil tress up=teundre oosand dollars ($100, , n add to the cast of the compensation, damages as provided for In section 3108 of the labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 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, Civ. C.). LENDER'S NAME: LENDER'S ADDRESS: I certify that 1 have read this application and state that the above information Is cto comply with all city and county ordinances and state laws relating to building construction, and �7-mNflz,-,`7_ T. enfativesgT this county to enter upon above -mentioned property for tivnpurp� f „ �r I. ,mom � �.. M $I TITRE Q PERM DATE } APPLICATION DATE: .f�„�, P/C# ISSUE DATE: VS 1 \S PERMIT# VNQ VS P 4-2- TYPE CONST. J OCC GROUP: Scope of Work 1�E `A) # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREANALUATION SFiIJADD7iaEfvt Garage/Carport w Patiomeck w iL PcollSpa ZRe -Hoof of Commercial ED i TICr� Valuation: Adj. Area: QUANTITY DESCRIPTION FEE U_ U w m rL U_ U ' CONSTRUCTION: .' t% PLAN REVIEW: 2,1 ! ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FE€: ISSUANCE:�� SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE:� PRE-ALTFEE:� �rci BASF: I • C PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: _ P1C: dA PAID] BY: 7 "//�� VALIDATION: RECEIPTS � PAID BY: 34tQ VALIDATION:_ WRITE--- Department Copy, YFLLOW --- Finance Copy, PINK —Assessor Copy CITY OF . ;t; { R INSPECTION RECORD SETBACK/ LETTER FOOTINGS FORMS SLAB UG. PLUMBING UG. ELECTRICAL LIFER SEWER LATERAL_ MAIN WATER LINE_�._._.__W_. SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGNENTING _ ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C ( ) ROUGH PLUMBING INSULATION WALL INSULATION CEILING _..____..._._....._.............. .... ......... ..... ...___ DRYWALL LATH (PRE) LATH fXTERIOH LATH INTERIOR GAS TEST ......... SCRATCH COAT ELECTRIC METER RELEASE -� GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING T.C. of OCCUPANCY CERT. of OCCUPANCY COMMENTS; Fl?,.% 4 TRACT AND LEDGER SWITCH GEAR _ COMMERCIAL HOOD T-BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL. HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOL/SPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P-TRAP _..__. FENCE / GATE/ ALARM ............. ._._m FINAL POOL WALLS: WALL_ FOOTING/STEEL WALL STEEL V( ) 2"°( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL 130. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT .......... _._..... _ FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE