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Home My WebLink About14-3976: -- _ ___ _ _ 4i,.,_ �CITY OF DIAMOND BAR i I I IF i ' DEPARTMENT OF COMMUNITY&DEVELOPM�NT SGRVICES � ��;;�,-,=!—� 21810 Copley Drive,Diamond Bar,cA v»fis PRESS ,,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY � ��'v�''. BUILDING PERMIT APPLICATION � APPLICATION DATE:�� O— � � P/Clt w JOB SITE ADDR�SS �� S �.0 ��' �Z- U /' ISSUE DATE: �`�^ �1 PERMIT# �� 7 Q z APN LOT TRACT 1 o OWNER �bl.a�A-RD S �e1c�s TYPE CONST. �If�� P�U�O • OCC GROUP: � ADDRESS �33� � T�-�� Q ZONING SEfBACKS N CITY A 12r ZIP ��G TEL._l�'g6� 5'� FRONT RW ❑ a APPLICANT H�rD �r+ b5C TEL{pZ(o 4�-13�'�3 REAR R o t SIDE/SIDE STREEf RW Cl Q CONTRACTOR ��n � So SIDE � oro ADDRESS y��.��, SIS in p��CL� S'1' PROPOSED USE � CITY �� ICJI��Ip ZIP �,-�'i 73ZTEL �Z6 '-F4_34833 0 `L ARCH/ENG/DESIGNER 0 o ADDRESS ti DWEL.UNITS #STORIES #BEDROOMS aC�-ry ZIP TEL. � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION owr+m-em�o�+oecwianoN � I herebY atlirtn under penatty of perjury ihat I am ezempt trom lhe Contracta's State License Law for the reason(s) SFFUADD/REM 0 o Intlicatetl bebw by the checkmark(s),I have placed next to the aDWicable item(s)fSectian T031.5,Business and Garage/Carport w Professiwis Code:Any city or county ihat reqWres a permit to consUuct,alter,improve,demolish,a repair,any z structure,pdor to its issuance,also requires ihe applica�tor the petmit to fife a slgned stafemenl that he or she cA PaiiolDeck a Is licensed pursuant to the proWsions of the Contrector's Sfate Licertse Law(Chapter 9)Commencing with Sectlon w � 7U06 ot Oivision 3 ot the Business and Protesslons Code}or that he or st�e is exemD�hom Iicensure antl the basis tor � P�VSpa � N the alleged ezempfion.My violalion ot Secdon 7031.5 by any applicant lor a permit sub�ects the apDlicant to a civil penalty . � Z R�Roof ot not more than Gve huntlretl dollars(5500). p o (.J I,as owner oi the properry,or my employees with wages as ihelr sole compensatlon,will do(.J all 01 a()portions � Commercial � of the worlc,and the struc[ure is not iniendetl or offered tor sale(SecUon 704d,Business and Profession5 Code:The � � m � Contracturs'State License Law dces rwt appty to an avmer of property who,thraugh empbyees'w personal ettorf,builds w or improves tha property,provided thai ihe imprmemerRs are noi intendetl or offeretl tor sale.If however,Ihe buitding or � Improvement is soltl within one year of completlon,Ne Owner-Builder will have the hurden of proving ttiat it was rrot buitt pa improved for the purpose oi sale.). � I,as owner af the �o Y 9 1 ( � U p perty,arn exGusivel contractln with licensed Conlractors to conshuct Ne pro ect Section Valuation: Adj.Area: 0 7pqq,Business and Prolessions Cale:The CoMractors'Stata Lkense Law dces not appty to an owner of Droperty who z bulmsaimprovesthereai,andwhocontractstortheprojectswimallcensedContractaDursuantrotheContractors'State �UANTITY DESCRIPTION FEE cn Y License Law.). o U I am raempt hom Iicemure under the ConiractoYs State LJcense law for Ne loltawing reason(s): � r=5 � � "—' By my signature below I acknowledge that,except tor my personal resldence In which l must have resided ta at least one w Z year prlor to completlon of the imprwements covered by this permit,l canrrot legalty sell a structure that I have buill as an �;, / /�r 0 Qowner-builder it it has not been constructed in its entirety by ticensad contractws,l undecstar�d that a copy ot the avPlicxhle � law,Section 7044 0�ihe Business and Professlons Coda Is available upon request when thls applicatlon is submitled ar a[ . �(y � ly,�-Lthl,ai a Ne tollowtng Web stte:http/www.leginto.ca.gavlcalaw.html. z . wo7 OATE; SIGN: � � LICENSEO CONTRACTOH'S DEqARATION � � � a � I hereby affirm under penalty of perJury that I am licensed under provisiwis of Chapter 9(commenci�with Section 7000) w � of Division 3 of the Business and Professions Code.and my licertse is in tull brce and eflect. � � '� 3�0. t�`Z_ LIC.NO.:_ y CENSE CNSS: _ o ATE:�v��S��! CONTRAC70R: f3A�h�� - — � d --�-- WOH!(ER'S COMPENSATION DECLARATION � � 1 HFAEBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLON7NG DECLARATIONS: a f have and will matntain a Cert�cate ot Consent ro SeN-Insure for Worker's Compensation,as provided by CONSTRUCTION: � $ection 3700 of the La�or Code,tor the perfwmance of the work fw which this permit is issued. p�qN REVIEW� � �1 � I have and will maintain WorkePs ComDensatbn�nsurance,as required by Section 3700 ot Ne LaGor Code,tm ELECTRIC: -� /�� me pertormance ot the wwk ta which this permit Is issued.My Worker's Compensation I�urance Carrier anA ¢ Polic.yNumberare: y� � ,/ PLUMBING: ' "'�-y�' �� CARRIER ��-I T�^(/l MECHANICAL• w � X POLICY NUMBER ��S��"`'I' � INSPECTION FEE: ' 1, � �(RflS SECIION NFED NOT BE COMPI.ETED IF'i}�P8A7fT IS WA OME MINDRFD DOlU+F15�$100j OR LE55). ISSUANCE: 7��7 0 1 certify that in the OeAormance oi the xvrk la which Ihis permit is issued.I shafl rmt empby arry P��y�Mer so as to SMIP: t�ecpme subject to Ne Worker�Compensation Laws of Califania.Md agree that il I sfquld becorrre subject t�the Worker's � Compensalfon provisfons of SecUm 3700�° /�r Cale,�shan dNYv� compN wilh those u��. • ENERGY P/C: _ -' DAiE: 7- -/ AaPUCarrr:/ //� ��.-*-/ -�+� ENERGY PERMIT: � � WAANING:Fallure to secure Worker's mpemadon is unlawty,�n shal subject an employer to criminat RETENTION FEE: "�"'dd W penatties and civil fines up to one hundred ihousand dollars($100,000�addlUon to tha cost of the compensation, � damages as provided ta in sectlon 3708 of the fabor code,interest,and attomey's fees PRE-AtT FEE: 0 d CONSTRUCTION LENDING AGENCY BSAF: � I hereby affirm under penalry of per]ury that there is a Construction Lending Agen�y lor Ne peAortnance of the work for S which lhis permlt is issued(Sec.3097,Clv.C.�. � LENDER'S NAME �� LENDEA'S ADDRESS: a I cedity Nat I have read Nis application and state that Ne above informaUan is coRecL I agree ro compry wieh all city and TOTAL FEES � counry wtlinances and state laws relating ro buildirg construction,and hereby auttrorize representatives of ihis county ro COMMENTS: Z enter upon the above-meationed pmperty tor inspection purposes. ' � J m R� d PERMfTTEE E(RINn � `l �� - PAID BY:��7.L VALIDATION:�_ z SIGNAT E OF PE !Tf DAiE` RECEIPT Ii ' � WHiTE— ep�tirN§nt Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—Flle Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR � INSPECTION RECORD , � � , . � . . � � . • - SETBACK%LETTER � ' '� { ' ' ' �'j�+ ' � TRACT AND LEDGER FOOTINGS FORMS j '�:, =� _ - - �:' ,'; SWITCH GEAR - " ��` � `�` `: COMMERCIAL HOOD 'SCAB r{ � UG.'P[UMBING_�-�� .�°: ��-� �� , '-_ �`� �, T-BAR "� s INTERCEPTER UG.ELECTRICAL`, ` �i ` _ ' � s UFER'GROUND;�'' � 1 ;''- ;;" t�- _ ' , �;';, ` HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DR,41NS FLOOR SHEATHING ROUGH CONDUfT SHEARWAI:LSEXTERIOR'. �'r i a - �POOUSPA�` ,: �� ' '' ' ° �ROUGH FLUMBING �� r� �` ' �E ` °'�° SNEAR WALLS iNTERIOR r < ` ,, FRAMINGNENTIN6 '� � ,`4� ' 1 f �` ` '" `ROUGH ELECTRICAL= � Y � �� ,� � ROUGt1 MECHANICAL i ,f` , ,:' ' K �' �+ x yaz t ROUGH MECHANICAL � '" Rs, � �'. t t � a�r �`� �i ; - ` , a.. �; Q P r fl� n ROUGH ELECTRICAL W(;`)C( )'' ' �- 'GAS TEST'';: � ?._ � �r � ROUGH PLUMBING ,' - "= PRE GUNITE ; -� �" �� ' ' � ' : _ � � ' INSULATION WALL POOL PRE�OECK BONDIN6��." L,' `� { '+�t INSULATION CEILING P"=Tp,qp ry;; ` w �`y, J :'J r� DRYWA�L FENCE/�GATE/ALARM ;'; � f`: � 3 � � � - � �� , ,;. ,��. FINALPOQ� +.;�;; ,_ ;=: r,- i ni.:T;� Y �� N,� LATH(PRE� � - LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL isT! 1 2NDt )LIFT � , SCRATGH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GA5 METER RELEASE ' WALL FINAL � f�� SPECIAL INSPECTION RO FRAMING PLANNINGAPPRQVAL ; � ' °-t � L'- ' 4 � �ry� � t; FINAL BUI'LDING .�_ `` 'ROUGH FIRE APPROVAL' � " �s ;� � ' .:_ ': �_ ` � • .> � _.. FINAL MECHANICAL..+.'�, , '`, ` � " =� '• � ��` _ � _ , ' : ; fINAL FIRE DEPARTMENT 'r , . F ,t h ` � � �` �I A I'� � Y �� FINAL ELECTRICAL - z � , } � � _ FINAL PI:AfdNING,� . ; a v �' ° ,�, FINAL PLUMBING � �' r J. ; �yi FINAL ENGINEERING/PW `-' '' ' '�` 1 ' � �'� T.C:of OCCUPANCY f `" — FINAL COMMUNITX SERVI6ES = � �� y CERT of'OGCUPANCY:, . .;� ' .,�: ,. :r „ ,.�;:. �..," :; , - ` �4: FINAL HEi4LTH DEPT ' i � FINAL--1NDUSTRIAL WASTE`;> ,F � .�� h�� ,, ._ '= ' ��• --'i, -`�x �: r �� ` �7 � . ! - - COMMENTS: r •'� ` � :�� r _ ,�.. ' � . ,� +�1, � 1 �v rb . � � � ',+'i � � � � �ZZ L . � � f �, ��.t , � .