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Home My WebLink About14-5005 ,.� •—' ��;�,,�_.„., CITY OF DIAMdND BAR � �� i DEPABTMENT OF C(?MMUNITY&DEV�Lt?PMENT SERYICES <��" 2181Q Copley Drive,Diamond Bar,CA 91765 PRESS ,�> (909)839-7020 Fax:(909)861-3117 Building Inspection Hottine(909)839-702'7 FIRMLY � '�'�+"' BIIILDING PERMIT APPLICATION � APPLICATION DATE; P/C# s JOB SVTE RDDRESS � ISSUE DA7E:_[�FL..Z�._C�� PERMIT#��_.— � APfJ �(?T RAG7 � OWNER R TYPE CONST. OCC GROUP: � ACIDRE � r ZQNING SETBACKS 1 ��7y ZMp TE FRqNT RW ❑ � APPUCAN TEL. REAR �— � SIDE/SIDE STREET RN1 Cl— Q CQNTFtAGTOR � +� SIDE � � RDDRE I '� v PROPOSEp USE = CITY �..t ZIP TEI �J�� ARCH/ENG/DESIGNER � ApDFiESS #QWEL.UNITS #STORIES #BEDROCIMS � ��Ty ZIP TE�. DESCRIPTION $Q.FT. FACTOR PSF ADJ.AREA/VALUATION � � OYMNEN-BUILOER DECLAAATION I = I hereby affirm under penalty of perjury that I am ezempt from the Contractor's State License Law for the reason(s) SFR{ADO/RfM � Indlcated Delaw by the checkmark(s},i hare p�acetl ne#ta th¢appiicabte item(s}[Sect3on 7035.5,Bust�ss and � = GarageJGarport �-' Professions Cude:My city or couMy that requlres a permtt tu construct,atter,Improve,demolish,or repalr,any 1 z aWeWre,prlar to Its issuancs,aiso requf�ss the appilca�for the permU to 8te a signm!statement that ire or she � PatiolDeck i � Is Iloensed pursuaM to the provi&lons of the Camractor"s State llcense Law(ChepEer 9)Commencing with Section w ( � TW6 ot 6ivtsiun 3 flf tfae&+siness and Prot�ssians Gode]or that he ar sha is ezempt from Hcensure and the basis for u. PooUSpa � the alleged ezemption.My violatlon of Section 7031.5 by any applicant fpr a parmit subJects the applicant to a civil penalry ( n oi nat mare than five hundred dai7ars{$500). Z Re-Roof z � I� (,�I,es owner qf Me property,or my employees wRh waqes es their wle compensatlon,will do�j all of or(._J portlons � Commeraial _ � of the work,and the sWcture is not intended or oHered for sale{$ectian 70AA,Busi�ess and Prafessiais Cafe:Tha � I '-�� Conhactors'State License Law dqes not apply to an owner pf property who,khrough employees'or personal ettort,builds m y or ImRrwes the property,pravtdad that the impravements are oot trrtended or otfered for sale.tF trowever,the buNtling or I � improvement IS sold wlthln one year of completlon,the OvmervBuilder will have the 4uNen of proving that it was not buitt � or improved for the purpose of saie,}. � � '� (�I,as owner ot ttie pmperty,am exeluslvely eonhacting wiih Ilcansed Contraotors to cronstruct the project{Sectlon f Z 70d4,Business and Professions Gode:The Coniractprs'State License Law does not appty to an owner of property who Valuakion: Adj.ArBa: n buildsorlmprovasthereon,andwhoconVactsEorNepro)ecLswtthalicensedContractorpursuanttotheGontractors'State QLIANTITY DESGRIPTION FEE ( ucanse I.aw.). I � �}1 am exempt trom iicensure under the ConUactoYs State�cense taw tor the folimving reason{s): � � �' _ � ( 1 By my stgnaNre below!acknawieUge that,except for my porsonai resldence in which i must have resided fa ai least one i Z year prlor to completion of Me improvemeMs covered by this permtt,l cannot legalty sell a structure that I have bullt as an '� ( � owner-bulfdar if it t�as not been constructed In tts e�irety by licensed cflntractors.i vndersland that a copy at fhe appiirz6le � law,Sectlqn 7044 of the Bu&iness and Professlans Code Is availa6la upon request when this application is submitted or at � i � i the foilowing Wab site:httpfwww.laginfo.ca.gwtca(aw.htrni. z � DATE: SIGN: m � r � � IJCENSED CONTNACTON'S DECLABAT�ON � � J !hereby atfirm�nder penatty ot perjury that i arn ticensed untler provtstotts ot Chapter 9{commencing with Sectfon 70QQ} � y � of Division 3 of the Buslness and Prof ions Cade,and my license is In full force and eRect`, � � n /'� I .._LIC.NO.: _ ;n LICENSE CLASS:____S_..— �� '�d y � OATE u�_��- fiANt'RACTOR: „�J•. cTS I zd WOR1�1'S COMPENSATION DECLAAA21�°�� # � I HEREBYAFFIRM UNDEH PENALTY QF PERJURY ONE OFTHE FOLLpWING DECLARATIONS: � y ¢ i have and wtit maiMain a GertificaYe of Consent to Seif-insure for Worker's Compensation,as provided by GC}NBTRUCTION: � Sectlan 3700 of the Labor Code,fw ihe performance of the work inr which this permtt is issued. p�qN REVIEW: J � _�i have and wili mairrtaln Worker's Compensation Insurance,as required dy Secdan 3�00 of tbe Laiwr Code,for ELECTRIC: � the pertom7ance ot the work for whlah this permR is Issued.My Worker's Compe�sation Insurance Cartier and a PolicyNumb re: , PLUMBING: � CPRRIfR -� � � � �'� MECHANICAL: ry� � POLICYNUMBER �Y��f�y�� WSPECTIQNFEE: �.,/ •f� � (MIS SEC710N NEED N(ff BE COMPt.EtED iF'iHE PBi~M(f iS`Ot�HUNDRED 60t.t1rRS($16�OR LESS}. ISSUANCE: � I ceRily V+at In the pertormance of the worlc fw which this permit is issuad,I shall rwt employ any perwn in any mannar so as to � become subject to the Worker's Canpensation Laws of Califomia NM agree that N I shouid I�ecarie sub�ect tn theWakers SMIP: � y CortapensaUon provisbns af Sectlon 37D0 M ihe Labor Cade,I shall forthwitli comply with tlrose praisions. ENERGY P/G: � DATE: MPUCANL ENERGY PERMIT: � WARNtNG:Faftare to secura Worker's Compensatton coverage is un7awtui,and shaii subject an empioyer to criminal RE'fENTION FEE: �-�� y penalties and oivil fnes up ta one hundred thousand dollars(5100,000�,In addidon m the cost of the compensation. i damages as provided far in sactlan 3708 of the lahor cada,interest,and attnmay's fees. PRE-A�T FEE: i GONSTRUGTION LENDING AGFliCY BSAF: y I hereby afflrtn under penalty of perjury mat there is a Constructlon Lending Agency Por the peAormance of the vrork fir � which this pertnit is issued{Sec.3697,Gv.C.}. LENDER'S NAME: . = LENOER'S ADDFESS: -- i !certlly that 1 have read this aRP�ication and siaio ihat the abwe lntwmatlan fs correct.t agree to comply with ali city and TOTAL FEES d,,,�p'1�,,.�,,, � courrty wdinances and state laws relaUng to bullding sonstruc[ion,and hereby authorize representatives oi this counry to COMMENTS: = enteruponthe above-mentioned praperiyforinspection s. � �y `. ¢ PEAMfIl'EE NAME(PRIbfI) -!'" � .� n , � RECEIP7k PAIbBY:;��_�_�� VALIDA710N: = SIGNA7URE�F PERMITTEE � ' WHITE—DopaRment Copy,YEILOW—Finance Copy,PINK—Assessor Copy,GOIDENRQD—Fiie Copy,GREEN—AppiicanYs Copy ` GITY OF DiAMON[3 BAR _ • . .. � '��- ' INSPECTIQN RECORD � , `� ; . 1t � , � . , � � j � + \I ;SETBACKJ,-l.ETTER:�x � � � �; � : � �� .� ��.� �_ _ _ . �wA.w .=v.,�� <�.� �.� �_.� ��d��_ � � �RACT AND LEDGER FOQTIN,GS,FORMS„ ,� �<� �. a� -� ��_ : „r, . �' � �e � SW(TCN GEAR � �� COfl�iN1ERCIAE HOOD E : � � � 5 �SLA$. � �� •��,.�.. �;,� � .�� "��'�� ;41G�PLUMBING.., ,:,,, ....�..,��..��\� .,�`� ��:� '�� :�;:. T-8AR �n� _ UG:�ELECTR(CAL�� :'. _ ,.,, . �� :; �x .�� -�� :��•�� .�>z � �t�. Ku ` ,,,� �.. ,.. ��'� � � lNTEftC€P�ER � �UFER GR4UlVQ,; , � � � �'�.�'�°�' .��,'��' _��''-��°�= HOT MOPISHOWERPAN �.,� � � SEWER LATERAL SEPTIC/CESSPDOL MAIN WATER LINE H6RS REPORT RECEIVED SEWER CLEANOUT DEMQlITION ROOF SNEATHING RQdF DRAINS FLOOR SHEATNiNG ROUGH CONOUIT SHEA;R�WALLS EXTERI4Fi� �� '��"`�, � � '� � �. �..; P�OLYSPA � ��.��."�„�,� „� .� �}�", ,�; �� . � m. � „ SHFAR VctA�'"LLS'lNTERIt?R � .`� � , � � ��"�' �,��,� � � � A�;, �, � �� .'��' RC1U�H PLUMSING�� , � � �� ,� � � � :ERRMlNGNENTlNGfv.�_ �>�` � � � , � , , ; ,�- �„� � �`� ;�� ,,,�. .�,. �`?�� '� � �< �. �.� � RO�GN=ECECTRIGAL��-*� �� ,�` , � ° - -, . ,. „`.; ��4„�a- .,. ^^,:�: � ` ' .. - € aa.�3��: ,< ROU6H:MECHANICAI � .� � �� ' " � ,� _�. � .;�� ROUGWrMECHANICAI.��„��„��,�� `,y, �� '� �'� `� �� , �'' � ,� RQ.UGH ELECTRIGA'L�"W( )C{��) �; _� ��`��} ��. ';, �,.�,��''„� GASTEST� �� ,,��.,` ��,� �, � ��'�� ~� ROIiGN�PLUPABiNG�. ,9 � �.: �, ��` � � * � � �� '�� PRE�GUNITE��"� � �`�a� ��;,� �� .,�. �:��. ��.�� '�' INSUtATION WALL POOL�PFiE DE�KreBONDING�.� �.��, ��,.. W�,� `' ` r �� .w. �r�, , ., _ � a ; INSUlATi�N CEII.(NG F TtiAR� ��,��;;��_", '` � .� �� .�.,�, � ,� £, ,� � � DFiYVdACL FEN��:I�GATEl,�ALA�iM ��r� � ��`�� a��=,._��a�. �.« LATN{PRE) �FINAI�,Pt}QL �'. a� �"� �.�`;� .x� � �""`'�� s�:�� ix;,,,� , .� �. �_�, . � . . _. , _ _ tATH EXTERI4R �O �.�{ WALLS: LATH INTERIOR WALL FQOTING(STEEL GAS TEST WALL STEEL 1�T( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM EIECTRIC METER RELEASE WAIL DRAiN/SEAL •GAS NiETER RELEASE WALt FINAt SPECIALiNSPECTIdN R0,`FRAMIN�Pt.ANNIF�J�#APPRt}ilAL �;�� A-. `� `�� `��m� ; " FitVAL'BUILt?ING�� , � �� r �� ;RC?UGt#?�tREAPPRGiUAl.p� � � � . � �' �� .�.�a:�a��s�< <s.� �.z�t -� �° ��.:�� F�� a-�� .� � � �� ,� aFiNkL MECf3ANICAI:��., �-��..��k� «� ��„�-�h� '� �� sF1iVAL FIRE`QEt'ARTMENT�'� ��`' ��` ' � •. ' :� .� � �' � ��'� � �EINAL ELECTRlC4L � � �� :��..�:�� '�'�� " E � ��,��f� FlIVRL'�PLANNING� �� :�_�.. '��`;�"�`� ` � �'�� *�� ;EINAL PLUMBINGID,°�'�� ?' /! ,I'�'' .�' �� /2i�':!j�-•'`��^' �' �"� �FINAL ENGINEERINGl�P1N�� , �� "�� w �� '°' �.��,� �r.,�; iL>G of OCCIiPAN�Y�� . ,�:� .�«'�.� `"� �,��` ��. � : . � ~ � , � ,�'��< ,� .� ��; ��.F,�_... �a,;�, �,r FINAL.COMMUtdITY SERVICES � �;�ER7:of'OCCUPANCYr� :��,�r�' =,;��„, �� a � ��'`��,�� `� FINAL'HFALTH DEPT�.�� " � ,��`��' ��"^ � ��%��` _ _ � . a � : FiNALRIND,USTRii1L�WASTE,,�� " �� "� �"� , �'"~�� ,�" � �� COMMENTS: (