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Home My WebLink About1165 CLEAR CREEK CANYON DR (2) .. �,: ��p�'�� <�;.��=; C1TY OF DIAMOND BAR ,..",, j I I I { � DEPARTMENT OF COA7MUNITY&DEVELOPMCNT SERVICES � -- -_� pj„�:- � " 21810 Coplcy Drivc,Diamond Bar,CA 91765 PRtSS �,�� ,,,,� (909)839-7020 Fax:(909)861-3177 B�ilding Inspection Hotline(909)839-7027 F�RM�.Y "'�K"'. . BUILDING PERMIT APPLICATION r- �(�� n��. n f�� /�� 2• APPLICATION DATE: �� \� P/C# 'Pt�. �3- \'ti'�o w JOB SITE ADDRESS �� ' �� (�a ��3 PERMIT# 'C�R �� ,� a ISSUE DATE: z APN ��,L,OT TRAC7 o OWNER�_�G�(,�^ TYPE CONST. OCC GFOUP: y ADDRESS � � � C ZONING SEfBACKS � CITY ZIP�L'1�rEL. FRONT �W � � APPLICANT TEL. REAR � o �' '` SIDE/SIDE STREET RW ❑ a CONTRACTOR X �� T�x C��S� • SIDE ' � oro ADDR^ESS �- �µ O PROPOSED US } �' rr CITY` ��O - _- ZIP TEL. �I�Z�O�766I .� {tj�lry� [ �1t�'�'1�ti/ � �y1 C �� l o ARCH/ENG/DESIGNER �"�� - - a ADDRESS�� "'s � #DWEL.UNITS #STORIES #BEDROOMS � CITY��r� ZIP lD TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AFiEANALUATION OWNFA-BUILDEH DECLAFIATION /, � � 1 hereby aflirm urMer penalry of Derjury Ihat t am exempl from the Contractor's State license taw tm the reasonls) SFR/ADD EM �.. 4 0 o indicated below by the checkmark(s�,1 have placed neM to the applicable item(s)[Section 70315,Business and Garage/Carport w Pratessions Code:Any city ar county that requires a ce�mit ro coaswct,alter,improve,demoll5h,w repair,any zstructure,prior to Its issuance,also reqWres the applkant fa Me pertnit to file a signed statement that he m she w Patio/Deck � k licensed Dursuant to the Orovisfons of the Contractor's State L1ce�e Law(Chapter9l Commencing wlfh Section LL p�US a � 70D0 of Divfsion 3 of the Business and Professions Code]or that he or she is ezemDt from licensure ana tlie basis for P N the alleged exem0�pn.My viWafion of Section 7031.5 by any applicant for a permit subiecfs the appliqnt to a civil penatty z Re-Roof � ol not more than frve hundred dollars(5500). O o (�I,as owner of the property,or my empfoyees with wages as thelr sole compensatloo,will do U��ot or U W�� Commercial � 0 of the work,and the strucNre is not interMed a oftered for sale(Section 7044,Business and Professions Code:The � m � Contractors'State llcense Law dces rmt appty to an owner ot property wha,through empbyees'm personaf eftort,builds Co�1VG�• � 5 w w improves llte pmperry,provitled that iha Improvements are no[intended w offered tor sale.If however,the building or �� S �� v •:, . � ImprovemeM Is sofd within oc�e year ot comptetion,the OwnerBuOder will have the burden ot proving that il was crot buitt por imprmed for the purpose of sale.�. � � (.,)I,as owner of ihe properry,am ra�clusively conVacting wllh Ifcensed ConVaciors to construct the prqecl iSeciion 0 7044,Business and Professions Code:The CoMractors'Sta1e License Law does not appry to an owner of property who Valuation. g Adj.A�ea: Z builds or imprmes lhereon,and who conuacLc ior ihe projec�s with a licerised Cmitracia pursuant ro the Coniractors'Siate OUANTIIY DESCRIPTION FEE cr� Y ucense Law.). � o U�am exempt hom Ilcensu2 under the ConUactor's State License law lor ihe toilowing reason(s): � '� � � � � �—` By my signature below I acknowledge that,except for my personal residence In which I must have residetl iw ai least one w Z year prlor to completlon of Ne improvements covered by th's permit,l cannot legally sell a structure that I have built as an w , , � . , 0 Q owner-bull0er if it has not been consWcted In its entirety by licensed contraciws.I underskrM ttiat a copy ol the applicabte cC ��'+.��ion 7044 of ttie Business and Professions Code is available upon request when Ihis application is submltletl or at �tstY1/l, � the tallmving Web site:httpAvww.leginfo.ca.gov/calaw.htrnl. z DATf: SIGN: � � LICENSED CONTfiACTOH'S DECWIATION - � F— �- , � I hereby a�rm under penatty o1 perjury ihat I am lice�sed under provisions of Chapter 9(commencing with Section 7000) �� w ' � of Division 3 01 the Business and Professions Code,and my license is in full torce and effecL �y�i..v� m L��/�{ c� � LICENSE CLASS: LIC.NO.: `Y-�+�� z . o� DATE:_��I��Z� COMRACTOR: D/'D�X � S � zd' WDHNER'S COMP iSAiION DECLARATION � I HFAEBY AFRRM UNDER PENAL7Y OF PEAJURY ONE OF hIE FOLLOWING DECLARhTIONS: `�� . � �, ¢ I have arM will malntain a Cert�cate of Consent to Setl-Insure ta Worker's Compensation,as pmvided by CONSTRUCTION: �� SecUon 3700 uf the Labor Code,tuc 1he pertarmance ol ihe vrork tor which this permil is issued. p�qN REVi EW: �� I have and will mainfain WalcePs Compensation Insurance,as requiretl by Sectiun 3700 0l the Labor Code,fw ELECTRIC: S�" Q� o me performance ot ihe work tor which this permit is fssued.My Worker's CompensaUon Insurance Carrier and S q - t�S ¢ PolicyNumberare: � �/ � PLUMBING: .S� MECHANICAL• S�• �'g � CARRIFA � I W� t'_I"•••• w z X POLJCY NUMBEA � / S�7'7 INSPECTION FEE: c� � (T}15 SECTION NEED N0T BE COMPI.EIED IFTFfr PERMR IS FOR ONE HUNDRED OOLIAf1S($1D%OR LESS�. ISSUANCE: `4a ' �$ � I certify tlial in tlie pertortnance of ttce work la which this pertnil is issued,I sliafl nW empbY anY Derson in arry manner so as ro SM I P: �b � become subjecl lo the Waker's Compeivalion Laws of Califomia.Md agree tha�if I sha�kl bcr.ort�e subject to tl�e Worker's � Compeisatim prw'sta�s ot Section 3700 0�the Labor Cade,�shatl tauiwiUi comply wiui those provislons. ENERGY P/C: � _' DATE: APPLICAN7: ENERGY PERMIT: � J WARNING Failure ro secure Worker's Compensation coverage is unlawlul,and shalt subject an emptoyer to cdminal RETENTION FEE: �'• �� w penatties and cNil fines up to one hundred thousand doltars($100,000),in atldNon to the cast ot the campe�sation, � damages as provided(or In section 3708 ot me labor coda,interest,and attomey's tees. PRE-ALT FEE: � CONSTHUCTION LENDING AGENCY BSAF: �• bd z I hereAy affrcm under penalry of perlury�hat there is a Constructbn Lending Agenq fw the pedomiance of ihe work lor w = which this permit is Issued(Sec.3097,Civ.C.). � LENDER'S NAME � LENDER'SADDRESS: a I certify ihat I have read fhis applicatlon and state ihat the above in(ormation is wrtect I agree ro compty with all dry and TOTAL FEES '""��, , O� � county wdinances ar�d shate laws relating to 6uilding consVuction,antl hereby autharize representatives of this wunry to COMMENTS: � enter upon the above-mentloned O�operly fa inspectbn purposes. 0 m ,� Td�h� Nl�asl-�� ¢ PERMfTTEE X GV Z G 1 � SZ q = IGNANRE ITTFE DATE RECEIPT ii ,•,�� 9_ PAID BY: ,0,q VAL1DATION:� F W HITE—DepaAment Copy.YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—Fle Copy,GREEN—ApplicanYs Copy 1 1� CITY OF DIAMOND BAR ' • . I(VSPECTION RECORD s � � • - o s � • ' SE�BAGK/LETTER�`Ft >- ��s� `;' r � �.� ' � � `'��`" TRACTAND LEDGER � T � SWfTCH GEAR FOOTINGS FORMS, � �'' ,�,. ` s `` , � �Y SLAB ,�� i ��;:'w, �`�` ` ` ;'� ' ;` r �;� �' r ` COMMERGAL HOOD � . ; :, . UG:FCUMBfNG ��'' � ' °` � � ;; � 's ' � T-BAR UG:ELECTRICAC�J, � r t�� _. _ '?� �� d �=� INTERCEPTER UFER,GROt1ND �,_ ` ,�'4 . '�y � 't :'� . `, '-' �� z ' HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENEd SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS`EXTERIOR:- � - _'v PUOL/SPA, � s�:= ��{ '� ` `r��Y��' h�� SWEARiWALLS INTERIOR � � i�' �'' � " ' �� n . �` � x 4�s3> F1 , , RdUGH PLUMBING x � y,, � ti„G. � .�,P. r ,;•�� '��: k RQUCaH ELECTRICAL s'x s �rF� � � �' ,,,1,� ;�� " � ,'',.� RAMI� NTING f �, -� /� _ ( - � - � F� r , � ; � �'�, ROUGH��MECHANICAL /��` ' RDUGH MECHANICAL�- �.� � ��` ` 2�� s _ � '�.�">' � �`� �� « � !: a ri ! �' ,, �,.�'a �, ROUGH�ELECTRICAL W( ):C( ) Y� > '< s r ,a�, �GA.STEST�-"i: � , �� k�•��'� � "�'- b� :; y ,� � � � ' flOUGFI PLUMBING � '� 4 � `�A �� ;:r PIiE GUNITE' l , ..; � �� '�" :� � �� = � ,� � . �� _;:, �� : . , . _•��,. . ,. .��,. .rt �_ � i i� .�.�r�rt r INSULATION WALL 3 PQOL PRE DECK BONDING � �. � t.� ��-n � �'; i ' �-�� r"� ��` � , INSUWTION CEILING P-TRAP �r '-s � ��f '`: � �` ' ��- }a � �� ` � �"� �� FENCE/GATE/ALARM , � �'�, -r a �' � " �, = �� DRYWALL �; . : ;, w m LATH(PR� �FINAL PQOL�� .��i i.n �� ,� ' i �•, �``- s,:� LATH EXTERIOR WALLS: LATH INTERIOR ' WALL FOOTING/STEEL (iAS TEST WAIL STEEL 15T( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL ORAIN/SEAL GA5 METER RELEASE WALL FINAL ., SPECIAL INSPECTION ;RO`FRAMING PLANNINGAPPROVAL j � � '— � ` � � �z`� ' � � ` FINAL'BUILDING �_ ..' ;; '�. ; ` � RQUGH FIRE pPPROVAL�;' _; � � �' � ''�r' i''' _ �' i 4 4 :r �..r ' ` Z 7 r �r" � FINAC'MECMANICAL,, _ FINAL FIRE DEPARiMENT�4<- ` r i� ' � r •,,_ " °� - >� r E ,J FINAL PLMINING `° � ` � `r J � +� �� 3 � • FINAL;ELECTRICAL : r � `' 'r ` «a t:t +h k '� ' TF ^ �y+ 7. .� ! FT i- 1 h . F4 t'M1N t�� L �h R fINAC PLUMBING , ; � y � � , ,FINAL ENGINEERING/PW 'T.C:Of.00CUPANCY ' � � ' r �� a � � �� F�NAL COMMUNITY;SERVICES> > E �_�� F �' : � , � r �.,� �. ` . . CERT:of OCCUPANCI(,_;x ' �>:.; r,. ;;�' ��„�,._;�J FINAL HEALTH DEPT, '' 4 �� ' ` x� .� .. �. -� , ,,:�: . ' EINAL-,INDUSTRIAL;VIfASTE_.� .-_.;:�' <. :' .'c t� �`�, _=��'" ` ` ' COMMENTS: