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Home My WebLink About15-1409nod d ri CITY OF DIAMOND BAR DEPARTMENT OF COM UNITY & VELOPMENT SERVICES 21810 Copley Dave, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861.3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION JOB SITE ADDRESS 1 NAMOMD APN LOT--------- TRACT OWNER ADDRESS CITY +�, ZIP TEL APPLICANT_ rtco TEL CONTRACTOR ADDRESS I bQ lqAfL O%A- CiTY CCRO1MA ZIP �~ ARCHtENWOESIGNER ADDRESS CITY ZIP TEL awkwumm DEPd.AItAT" I hereby afh7n under par4ity of pajory that I am exempt from the Contractor's State Ucerse law for the ma$D*) LndnareF bdDw by the d=kmarlk(s) I to ve glacod rad to the applicable lSalr at )SKBern ?MIS, Business arrd Noteatom Colo Any city of bcunny oat requirex a tanmit to mosbuet aft, kMrWft dsnullalt, or repah, orq strnchae, prior to its Issuance, also requires the appliciest nor oa permit to Ole a BWW sfatwreent thst he at eta Is-, ptssuant Ile the pevislons or the Carts e =0 tdaerae Law (Chapter 91 Cmersnclop w tM SwW err Division 3 or tta and Protessilom Cade] or Utat boar she is exempt tram Aearamm AM the td M fa Me alleged ewroon Any viplare on of Section 70315 by arty appiicak it a permit subject the applicant to a civil Panay of nv; mars than fire hundred der 4m IS5001 L j I es owner al the property per my omploye0s with Waw a$their sob mmpensatlar.rdll4MU of of a U portions of the work, anal the struttav a not ImKxW or offered ibr We >'$ecaan 7044. S>srm and Mbealars Code The Cattractnm' $late Ucenee law does W apply fo an owrterd noerty afro through ampbyses' ar personal elYat, buddy or Improves the property groomed OW the knprevemerrts am nal intended or o tarad for a& d h vvew the bulding or unsvmemers Is 04 wdhm one year d minpletlon the Owner Bolder w#i have the burden of prov Iry #0 4 was rot bale or krpmved for the purpose of 60 ) C) I as owner of the property, am sWusraely motracting with lipdsed Camri"m to construct the pmjW raccoon 7044 Business and Profasewaw C09 IN Conlowlers' Stata License law does not apply tD an owner of Pop" who brdds cr wno; s lbarson wad wdhauarsftacd kv Coa protects veth a I Cartsad tbmracior qurauerd ib the Cwftwkvs State Uxme Law) U I am mmist from llconaurs under the Costractors Shaba License lorr for the foWrrbhg reesmW By mVtWaWre bolowr I aknawledgstout except for rV personal mo4enm in which i mast have resided fix at la allow year prior to monplebml of Doe Improvements moored by this parmd I cannot leg" sell a stri turo that I have bulb cur an awrw buW if it has not been corift t id In Pa antnsfi by licensed cantractors i untoe+stared Brats tApy of that law Sectipn 7044 at the Sualnaas arrd Prefftens Code isavairable upon.vpAstwtsn this ap#€cation is sub nftd or at the fal4wilog Web the 14ki won Wr►e ca govksia w rdml DATE SIGN LICENSED C0011TAACT'aR'S DECLARATION I hereby affirm under Txerdgf at parlury that i am licaTsed urvo ' prarlsleru at Chair r 9 fearnm ring with $eCbon 7000) of Division 3 at" IkOness end Professions Coda, aid my kansa is In full force and affect —74 IICENSc=�_� L NO %NrrmcraR INGRItER'SCOUpeENSA T)ON I K.R r AFFIRM UNDER PF}Wn OF PERJURY ONE OF THE FO LbNING DECL.WTIONS I hang and will rnaGxasr a Csvbfzle of Consent to Sal Insure for yW Wes Compensation, tl prow led by 3700 or,.,* Labor Code, lor the performance at der wok rw which this permit Is Mid have and Will mat nbu n Worku s Cprnpawbon Insurance an retprred by Soudan 37M d Uhe LAW Cade for the pertomnar a of the work her wtw l; this permit is Issued iNeftes Compensation Insurance Carrier and NkyNumber re #� e /. DER W �%"�,_ YYYVVV POLICY Num; R �' a (rH$SEUMNhOUNOT BE OMWED FTHE PERWT15FOR ONE R DDOuats(StOr$ORLESS) I Deft old in the llGEmratC9a the "klrwt�trffr9perma riseir0ovanypeadnalara/rraxrBraoasLk �d III bar Yorkers Conpsrsadors taws d that it I starr8 became SAM to the Workors rt. j,Won3700ofhim I Ci►-plyvtLfhtasefaorl8arta I>f.H'.AfJr W:ARNhqnGWARNh G . 2;0! MkOr's C,an r001`40 It unlawtul and OW SUb) ct an employer to crMflail penalties and &I fps up to one hundred thou" doleem (Slim 000) in acdRw to *he oast of the compensation damages as prov1dotl ku In section 3700 of One law code, interest and attorney s Ises CANP11011�TION LENDpsO AUNCY trereby affirm xAu penalty at poljury that there Is a Co nstmoban Landing Agerry far the pertarmace of the work rw which this permit is hssted ISa 3007 Chv C I LENDER S NAME ------------------ LENDER S ADDRESS r Canty do t have read this aprda®dM and state that the Awe informabon is wrrmt I agree to comply with all sty and ardnances and sailiff lawns r9athwp to buddlog m nahuctian, and heeby authorize repre6entatives of d" county to ender span the above-mantbned srctacaN for Inspection pur poses PERWTTEE NM1(PRINT) 5igIATt9tE OF PERM DATE PRESS FIRMLY APPLICATION DATE )6 Pic#�i ISSUE DATE �C a // PERMITtt D D TYPE CONST OCC GROUP ZONING SETBACKS FRONT RW L] REAR ❑ SIDEISIDE STREET RW ❑ SIDE PROPOSED USE L L UR! 26725 # DWEL UNITS # STORIES # BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREAMALUATION ! SFWADWREM Garage/Carport ' Patloi sick Powspa Z Fro -Foot Conenpr W at I vallmito t Adj Area i QUANTITY DESCRIPTION FEE ca I I CONSTRUCTION ' t PLAN REVIEW r ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE r _ PRE-ALT FEE BSAFr -------- i I TOTAL FEES 170 R V— COMMENTS J! i RECEIPT e _4WIL-- PAID ffYtg <��-� VALIDATION I /L""/ - WHITE — Department Copy, YELLOW — Finance Copy, — Awsessor Copy GOLDENROD — Frto Copy GREEN -- cand'8 Copy CITY OF DIAMOND BAR INSPECTION RECORD UG PLUMBING UG. ELECTRICAL UFER GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR 1 SHEAR WALLS INTERIOR FRAMING/VENTING ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C } ROUGH PLUMBING JLATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH fERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL. FINAL ELECTRICAL T 7&2r FINAL PLUMBING TC. of OCCUPANCY of OCCUPANCY { COMMENTS leup,&m 0 TRACT AND LEDGER ®, f. SWITCH GEAR COMMERCIAL HOOD T-BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOUSPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE DECK BONDING P-TRAP FENCE / GATE/ ALARM FINAL POOL WALLS WALL FOOTING/STEEL WALL STEEL 1 ST( ) 2N9( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO FRAMING PLANNINGAPPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT FINAL INDUSTRIAL WASTE