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Home My WebLink About1180 DIAMOND BAR BL (3) .�/� ( .. ,.,...�;��.,,.,,,,.,._r CITY OF DIAMOND BAR � ...,...... �:� . I ;; 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 �''�"'� BUILDINGPERMITAPPLICATION � I�$p s. �I APPLICATION DATE: � �� P/C# ��" �yP 9 y JOB SITE ADDRESS L�►�0� �' /� = APN LOT TRACT ISSUE DATE: � I�/�DI��PERMIT# �P�� ( � OWNER TYPE CONST. OCC GROUP: J CDDRESS ZIP TEL. ZONING SEfBACKS � Y APPLICANT �Ff'C TEL.��u � Z�/, FRONT RW ❑ � REAR ❑ n nC �. 5 SIDE/SIDE STREEf RW ❑ Q CONTRACTOR �`''�kJ p` SIDE ❑ � ADDRESS I I b1� 17I��'W�� = CITY �NI} Z�P � � �/ �6' 2.G� PROPOSED USE ��i�Pr�►�u-`/ ��uM c� � � ARCH/ENG/DESIGNER = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. ¢ OWNEB-BUILDEH DECLAMTION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � = I hereby attirm under penalty of perjury that I am exempt from the Conhactor's State License Law for the reason(s) SFR/ADD/REM I I � indicated below by the checkmark(s),I have placed ne�R to the applicable item(s)[Sectlon 7031.5,Business and Garage/Carport � Professions Code:Any city or county that requires a permit to construct,alter,improve,demolish,or repair,any z struclure,prior to its issuance,also requires the applicant for the pertnit to file a signed sfatement that he or she � Patio/Deck I i is licensed pursuaM to the provisions of the Contradar's STate License Law(Chapter 9)Commencing with Section w � 7000 of Division 3 of the Business and Professians Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I n the alleged ezemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 Tof not more than five hundred dollars($500). ZQ Re-Roof I � O I,as owner of the property,or my employees with wages as their sale campensation,will do(�all of or U portions � Commercial I y o1 the work,and the structure is not intended or ottered Por sale(Section 7044,Business and Professions Code:The � I Z Contractors'State License Law does not apply to an owner of praperty who,through employees'or personal effort,builds m � or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built jor improved for the purpose of sale.�. I � U I,as owner of the ro e p p rty,am exclusively cont2cting with licensed Contractors to consWct the project(Section Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who Valuation: ��C� Adj.Area: j n 6uildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheContractors'State QU NTIIY DESCRIPTION FEE I Y License Law.). � (�I am exempt fmm licensure under the Cont2dor's State License law(or the following reason(s): � I �' ¢ I ZBy my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � I , � year prior to completion of the improvements covered by this permit,l cannot legally sell a s[ructure that I have built as an w I I owner-builder if it has not been construded in its entirety by licensed contractors.I understand that a wpy of the applicable � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I �� % the following Web site:http/www.leginfo.ca.gov/calaw.html. � z I = DAlE: SIGN: � — LICENSED CONTpACTOfl'S DEClAF1ATI0N � I a I� 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 full firce and eNect. J I nj LICENSE CLAS � LIC.NO� �iL'�'� � I Z DATE: I CONTRACTOR: � I a WOHI�H'S COMPENSA TION � I y I HEREBY AFFIRM UNDER PENALTY OF.PERJURY ONE OF THE FOLLOWING DECLARAl10NS: � I have and will maintain a Certificate ot Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: �� + a� ¢ Se 'n 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�qN REVI EW: _ ��,�� > I have and will maintain Worker's Compensation Insurance,as required by Section 3700 oi the Labor Code,for � the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ Policy Numberar� �^ _ / ,l/� �,/� - PLUMBING: � CARRIER I W QI��'f�— YV � M EC HAN ICAL: � POLICYNUMBER � � �3 �i �'Ob, INSPECTION FEE: � (THIS SECTION NEED NOT BE COMPLETED IFTHE PEAMR IS FOR ONE HUNDRFD DOLLAflS($100)OR LESS�. !I�I U ISSUANCE: = I certify that in the performance of the work for which this permi' shall not employ any person in any manner so as tn � � hecome subject to the Worker's Compensation laws of d ree that'rf I should become subject m the Worker's SMIP: j� f � Compen tio�provi ian of�eGtion 3700 of the La ,I wim comPiy wim mose pruvisions. EN ERGY P/C: � J DATE: PPLICANT: i ENERGY PERMIT: � WARNING:Failure to secure Worker's Compen ' coverage is unlawful,and shall subject an employer to criminal � y penalties and civil fines up to one hundred thousand dollars($100,000),in atldition to the cost of the compensation, RETENTION FEE:_ ` �6� 1 damages as pmvided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTION LENDING AGENCY BSAF: � DO y I hereby aKrm under penalry of perjury that there is a Construction Lending Agency for the pertormance of the work for = which this permit is issued(Sec.3097,Civ.C.�. � LENDER'S NAME: � = LENDER'SADDRESS: I i I certi(y that I have read this application and state that ihe above information is correct.I agree to comply with all city and TOTAL FEES R` )�(�j•r/(� � county ordinances and state lavrs relating to building construction,and hereby authorize represenTatives of this county to COMMENTS: �V �r v 'i�, z � enter upon the above-mentioned property for inspection purposes. J ��) b /ti� vV/� ¢ PERMITTEE NAME(PRINn n = SIGNATURE OF PERMIiTE DATE RECEIPT tk��__ pAID BY:��I � VALIDATION: I / WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR 1 INSPECTIOfV RECORD �, � . `°� . � � , • d • • � � , . � . '5ETBACK,LEiTER; � ;� �� TRACTAND LEDGER FOOTINGS��ORMS ; �� ° '� �°�% = ' ' SWITCH GEAR ( ;SLAB ;_ .;;,. ' �:- . GOMMERCIAL HOOD ' � � . UG��PLUM8ING ,�� "�"� -�` � � T-BAR ,UG,ELECTRICAL � � � � � INTERCEPTER �,.. � ' '�� - UF�R GROl1Nb °" , ' `��;° � `�� '�,� � ° . � HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPODL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SNEATHING ROUGH CONDUIT �„u _ W . ;SHEAR WA�l�S EXTERIOR ; _��.. ,,�, � , ;;. . 'POOUSPA ,m�, , , �. �, �, �. _ __ _ ,. 'SHEAR WALLS INTERIOR�� ROUGH PLUMBING �F�1�MINGf1lENTING,;�•� � �°" � _�; -ar;<,�; _�' '��ROUGH•Et�CTRiGAL �� .��> �„ � � �' � -. �� : � , ,��e� �� u, _ ,� � . „� � �_ � x ROU s� �„., :o.�, � �� ._ _ _ 6H NiECHANICAL ,� � ROUGH MECHANICAL RQIJGH ELEGTRIGA�..W(��)�"G f 1 .` ' �,' ;, � 'GASIEST d. ` �: �. r:�� ___ _ ._ _ , ROUGH PLUMBING' . � PRE GUNlTE __. _ INSULATION WALL POOL PRE DECKBONDING �z, �e INSULATION CEILING P-TRAP � � QRYNlALL � _ FENCE/GATE/AIARM LATH(PREI FINAL PdOI LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTINGiSTEEL GAS TEST WALL STEEL 1 s( )2NQ( )LIFT _ SCRATCH COAT � WALL BONO BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RQ.FRAMING PIANNINGAPi�ibVAL �� .,, ,� .. _ 3 .__ � � � �. ; , _ FCt�AL BU(iDING�_ �� E �"� �� ROUGH FIRE APPROUAL FINAL MECHANiCAL ;�� FINAL FIRE DEPARTMENT _ n „� � �� , ,�,„: ,,„�, . . � E� . �INAL`ELEC`FRIGAL�� - � �� FINAL PL�tiNNiNCr �� ° °� �� a � � _ FINAL PLUMBING�� . x_ :� �� ,�; FINAL ENGINEERING/PW � �=�g . _a,:..,.� ,.... �, .. ... u.,�� -��. ."' "' ,t�,... ... , . .. . . �T�C:of OCCUPANCY �- �� , � FINAL COM�flUNITY SERV(CES � � "� GE,�iT.of QtxUPANCY � '�� FINAL HEALTH DEPT. � � I FINAL��IIVDUSTRI`Ill WASTE `�'�� ` COMMENTS: Qi GG D