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Home My WebLink About1155 DIAMOND BAR BL (31) � � _ ��'.:. CITY OF DIAMOND BAR .,. ,_.. ��Ji�� i_ � DEPARTMENT OF COMMUNITY&�,A . Fr nPMENT SERVICES � �" 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ;� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ��''�8'�" BUILDING PERMIT APPLICATION i JOB SITE ADDRESS I�� " D�MD� �" •�r� APPLICATION DATE: ZCJ P/C# I.l � r�� i ISSUE DATE: /D'�� PERMIT# �/�lc�/v/o z APN LOT TRACT 7� � OWNER TYPE CONST. T.L "� OCC GROUP: CD/Y/11 � ADDRESS QCITY ZIP TE f2 ZONING F O TCKS Rw ❑ = APPLICANT � TE I REAR ❑ n � SIDE/SIDE STREET RW ❑ � CONTRACTO SIDE ❑ � ADDRESS PROPOSED USE �C�I��SS I��i L �'�,1� �A = CITY n ZIP /� TEL. /� _ ��'��• � � ARCH/ENG/DESIGNER I�.t _ V L � ��lJ z ADDRESS #BEDROOMS � #DWEL.UNITS � #STORIES � za CITY ZIP TEL. I � OWNEH-BUILDEH OECLANATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION r I hereby affrm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s),I have placed nezt to the applicable item(s)[Section 7031.5,Business and I � Garage/Carport Prolessions Cade:Any city or county that requires a permit to construct,alter,Improve,demolish,ar repair,any z structure,priar ta iTs issuance,also requires the applicant for the pertnit to file a signed statement that he or she � Patio/Deck I i is licensed pursuantto the provisions of the Conhactor's State License Law(Chapter 9)Commencing with Section w � 7000 of Divislon 3 af the Bus(ness and Professions Code�or that he or she is exempt fmm licensure and the basis for � Pool/Spa I � the alleged exemption.Any violation of Sedion 7037.5 by any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof I = of not more than five hundred dollars($500). � � (J I,as owner of the property,or my employees with wages as their sole compensation,will do(J all of or(,partions � Commercial � I �O I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'State License Law does not apply m an owner of properry who,through employees'or personal effort,builds � or improves the pmperty,provided that the improvements are not intended or offered for sale.If however,the building or � � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built I p or improved for the purpose of sale.�. I :� (J 1,as owner ot the property,am exclusively�contrac[ing with licensed ContracWrs to construct the project(Section Vdluation: Ad Area: T z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of properry who 1� I � buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheContracrors'State QUANTITY DESCRIPTION FEE I License Law.). I � (�I am exempt tmm licensure under the Contrac[or's State License law for ihe fallowing reason(s): � . I � ¢ . 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w . �. L'� � I � year prior to completion of the improvements covered by this permit,l cannot legally sell a strudure that I have built as an � owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable w � I � law,Section 7044 of the Business and Professions Code is available upon reques[when this application is submitted or at I X the following Web site:http/www.leginfo.ca.gov/calaw.html. Z � � DATE: SIGN: � I — LICENSED CONTHACTOfl'S DECLABATION � I a . � I hereby affirm under penalry of perjury that I am licensed under provisions of Chapier 9(commencing with Section 7000) y�) ' I � of Division 3 of the Business and Professions Code,and my license is in full firce and eifect. I �( � � �LICENSE CLAS � LIC.NO.: `"T� � Z a �' I Z OATE: A�'� CONTRACTOR: ,Y�W LlC _(^j� � I ¢ WOHI�H'S COMPENSATI�DECUIHATION . � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF 7HE FOLLOWING DECLARATIONS: y 7 q�j I � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: /► - Jd p�� Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�qN REVIEW: �7 . �V ' > �_I have and will maintain Worker's Compensation Insu2nce,as required by Section 3700 of the Labor Code,tor � S 1v � the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: � ¢ PolicyNumberare: /� � 1 PLUMBING: /p�v�rj y CARRIER Gi�C✓�J�. �W� � MECHANICAL: V/iG�� POLICYNUMBER � b�3 b z- � �, INSPECTION FEE: � � (THIS SECTION NEED NOT BE CAMPLEfED IFTHE PFAMfT IS FOR ONE HUNDRFD DOLLPAS(5100)OR LESS). ISSUANCE:_ �,S�j � I certily that in tl�e performance of ine work for which this pertnit is issued,I shall not emplay any person in any manner so as to , � become su6ject to the Worker's Compensation Laws af Califomia.Md agree that'rf I should become subject to the Worker's SMIP: /� � JCompensation provisions of Section 3700 of the Labor Code,I shall forthvdth comply with those provisions. ENERGY P/C: � ! K J DATE: APPLICANT: ��G� 1 ENERGY PERMIT: p � WARNING Failure to secure Worker's Compensation cove2ge is unlavrful,and shall subject an employer to criminal RETENTION FEE:_ j,�� y penalties and civil fines up to one hundred thousand dollars($100,000),in additlon m the cost of the compensation, . = damages as provided for in section 3708 of the la6or cade,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTION LENDING AGENCY BSAF: y/J(� y I he2by aftirm under penalty of perjury that there is a Construdion Lending Agency for the pertormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: � LENDER'SADDRESS: � s i I certi(y that I have read this appliration and state that ihe above information is correct.I agree to comply with all city and TOTAL FEES ��y /��l�.E (! �(J Z county ordinances and state laws relating to building construdion,and hereby authorize representatives of this county to COMMENTS: � enter upon the above-mentioned property for inspection purposes. � 1-�5 t�3 ��+' �F-t i-►J� ¢ PERMITTEE NAME(PRINn � ��. � � = SIGNATURE OF PERMITfEE DATE RECEIPT# �7 G�:3� PAID BY: VALIDATION: � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fite Copy,GREEN—ApplicanYs Copy � 1 CITY OF DIA11lI��V�D BAR INSPE�T Q�N� RECORD . . . e � , . � . . � � , � . �SETBACK/LETTER ' ��., � �.� ,, �- � TRACTAND LEDGER � �' v� .�, .�� _, �� -�� ,�ODTINGS FORMS� _ ,,; _� . �� — , � � �� SWITCH GEAR � :cJ� "'� =`� � t«:'-:r�' � ;�5<; .._:,,�a;�s' :.;. �„...._.�* ...,�* y«. ...,,� .� . �' COMMERCIAL HOOD , I 'UG.,PLUMBIN� " _1_ �,- � �, z T-BAR ' (; �- q� �'S i >�,�., __ _ .: . UG.�ELECTRI�AL �� "" � � INTERCEPTER ;UF,ER GAOUN� °�� ;� �r��" °�.� �. �� ' �� '� ,HOT MOP/SHOW�RPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN 4"JATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ' RQOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDIIIT SHEAFt WALLS�EXTERIORE�, ; �� p� ;, ,.�� POOUSPA , ,w ~� �' .„� �; � I �SHEAR WALLS iNTERIOR"� ROUGH PLUMBING , ,,. .o. � � �FRAMIt�GNENTING-`�`�'`� � -� � ��`� `� ��° � ' ROUGH ELECTRICAL� -�; ` _ _ (�OUGH�MECNANICAL _ ,, �e �,� �� = ROUGH MECNANICAL m�• �:. � �ROUGH ELECTRiCAL��W(�}�C( � 6A � � - S TEST �' PRE GUNITE ROUGH PL[1h71BING� h �'� r," � � � INSULATION WALL � POOL PRE DECK BONDING . ,�. INSULATION CEILING ` P-TRAP DRYWALL 1�. .�,� FENCE!GATFJ AI�1RM `N —�— - LATN(PRE) ; FINAL POOL — — ------- _ LATH EXTERIOR � WALLS: LATH IN i ERIOR WALL FOOTING/STEEL GAS TEST � WALL STEEL 1 sr� �2r+o� )LIFT 5CRATCH COAT � WALL BOND BEAM ELECTRIC METER RELEASE � WALL DRAIN/SEAL — - --�— GAS METER RELEASE � WALL FINAL SPECIAL INSPECTION � RO.FRAMINGPLANNINGAPPROVAL '' � FINALBUILDING , . ..�, . (;, .� ;,;. g ROUGHFIREAPPROUAL .�„ q�_ ` � ��- _......._.— FINAL MECHAN{CAL� �� FINAL FIRE DEPARTMENT ��I�kALE�.ECT�RICAL '`� �,f, �,i°_�_ � � � �� FINALPLANNING � .�. :� � , � ,FINAL PLUMBING �,- ,, � � FINAL ENGINEERING/PW : ,.� T:C.of t3GCU�� . a, � _ a > , ��NCY'� - ��.� .`�°� � _ ,� FINAL GOIJIMUNITY SERVICES . CERT9,of�OCCIlPtiPiCY� :;°� �'� ,� � � FINAL HEALTN DEPT.� ��- � � � -�� : �_. ,�,�„ FINAL INDUSTRIAL WASTE �_ COMMENTS: