The URL can be used to link to this page

Home My WebLink AboutPR16-852-' CITY OF DIAMOND BARr� I l 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 BUILDING PERMIT APPLICATION www.cityofdiamondbar.com , building@diamondbarca.gov JOB SITE ADDRESS 4y APN LOT TRACT OWNER ADDRESS L CITY TEL. % APPLICANT 1 • _ T L. CONTRACTOR ADDRESS S+ C CITY ZIP $_%,rLD- TEL. ARC DESI ER ADDRESS CITY ZIP TE OWNE -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated below by the checkmark(s), I have placed next to the applicable item(s) [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair, any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 70DO of Division 3 of the Business and Professions Code] or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). (U I, as owner of the property, or my employees with wages as their sole compensation, will do LJ all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). ' U I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). (U I am exempt from licensure under the Contractor's State License law for the following reason(s): By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit,) cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the following Web site: http/www.loginto.ca.gov/calaw.html. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of theBusinessand Professions Code, and my license is in full force and effect. LICENSE,C�SS:`(✓/"' "� LIC.NO.: 2 "'/ DATE: 4 I f _ I C CONTRACTOR: t •/ [, j1PJ/ , iq WORKER'S COMPENSATION DECUIRATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of he work for which this permit is issu . My Worker's Compensation Insurance Carrier and POlicy Num a �y -' I CARRIER "`(,�M dl l POLICYNUMBER yb (THIS SECTION NEED NOT BE COMPLETED IF THE PE R IS FOR ONE HUNDRED DOLLARS ($100) OR LESS). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become so 'ect to the Worker's Compensation laws of Cal'dom'a. And og a tat it I should become subject to the Wo ker's Compe sa n visions of Section 3700 f he hall e w hlr those provisi DATE. APPLICANT: WARNI : Fai re to secure Worker's Co ensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of the compensation, damages as provided for in section 3708 of the labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 1 hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to ant eabove-mentioned p party for inspe.0oa purposes. •.. V •2l ' P RMI I SIGNTTUREOFPERMITTEE DAT APPLICATION DATE: � % G ISSUE DATE: 1p Ile PERMIT# : TYPE CONST. P/C# A."A It. eQ \lam — OCC GROUP: Scope of Workc%o 37- uty `Z;gse'l-/-y�,.- # DWEL. UNITS # STORIES 3z i�j Ce # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport w Patio/Deck w LL Pool/Spa ZRe -Roof Commercial m Valuation: 33 Adj. Area: QUANTITY DESCRIPTION FEE cc W J W CM Z m J a Z_U Q x U W CONSTRUCTION: PLAN REVIEW:_ ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE-ALT FEE: 36 _ CO BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES COMMENTS: P/C: PAID BY: VALIDATION: RECEIPT # 4R S IS PAID BY: a—�cF-� VALIDATION: fro WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy 010JAW4 CITY,%F DIAMOND BAR INSPECTION RECORD D, OR -INSPECTION SETBACK/ LETTER FOOTINGS FORMS SLAB UG. PLUMBING UG. ELECTRICAL LIFER, GROUND SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR FRAMINGNENTING ROUGH MECHANICAL ROUGH ELECTRICAL W( ) C ( ) ROUGH PLUMBING INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING T.C. of OCCUPANCY CERT. of OCCUPANCY INSPECTIONDATE INSPECTOR TRACT AND LEDGER 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 1ST( ) 2ND( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: nOt QCceV tO (, @U K 14icer LDld wGfp,� bond f/�J'� %- CITY OF DIAMOND BAR 21810 Copley Dr. IIIw1 Diamond Bar. CA 91765 BUILDING & SAFETY DIVISION (909)839-7020 STOP WORK ORDER ?� CORRECTION NOTICE ADDRESS: j y2 .� 9 _jY/ tnh 5 I E rl A BUILDING CODE ENFORCEMENT OFFICER INSPECTED THE PROPERTY AND FOUND THE FOLLOWING VIOLATION(S): f Permits required California Building Code Section 105.1 Diamond Bar Municipal Code Section 15.00.120 Pool Barrier Violation California Building Code Section 3109.4.1 Diamond Bar Municipal Code Section 15.00.320 (11) Planning Approval Required (909) 839-7030 Other: le C npO'd tv Vd1 ri Ic ✓ ce 'o,- 17,-Vi r0i1l You must contact the Building & Safety Division within business days to address this notice. Failure to correct Code violations may result in the issuance of fines not less than $100 per violation. (DBMC 1.04.010) Please contact the Building & Safety Division if you have any questions. DATE ISSUED: f a L )-01 6 INSPECTOR:t SIGNATURE OF INSPECTOR: