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Home My WebLink AboutPR15-8170 Z n Y Z "- CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES KM 21810 Copley Drive, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027FIRMLY BUILDING PERMIT APPLICATION (V JOB SITE ADDRESS L6 2?--) l APN �-�- LOT TRACT OWNER VAU % ADDRESS 2 CITY r%I�—ZIP TEL. APPLICANT S TEL. �d CONTRACTOR L/ SIC=" F n ' ADDR//��ESS,,,T'�-D 2— 4. CITYIJt- MST ZIP 2�TEL.�q 5 1 b LIS- L11- L11-ARCH/ENG/DESIGNER ADDRESS CITY ZIP TEL. OWNER -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 7000 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 (S500). (_) I, as owner of the property, or my employees with wages as their sole compensation, will do () all of or () 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.). (_) 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.df property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). (_) 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,l cannot legally seu 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,leginfo.ca.gov/calaw.html. DATE: SIGN: 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 the Business and Professions Code, and my license is in full force and effect. ICENSE C�4�CO . ATE: NTRACTOR: WORKER'S C�21�DIATIO�N' - IHEREBY 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 the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are: FOOD �/ CARRIER c. (�' POLICY NUMBER q Q27 1 12— (THIS Z(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 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 subject to the Worker's Compensation Laws of California. And agree that if I should become subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DATE: APPLICANT: WARNING: Failure to secure Worker's Compensation 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 I 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 ces d state laws relating to building construction, and hereby authorize representatives of this county to ent pon the abo -mentioned grope r inspection purposes. ER E A Q�yl �G/ v 0 EE A u APPLICATION DATE: 41 %O � s P/C# ISSUE DATE: �- C7 1S PERMIT# F'%Z6\-117 TYPE CONST. OCC GROUP: `ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ PROPOSED USE # DWEL. UNITS # STORIES If BEDROOMS DESCRIPTION SQ. FT FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport W Lu Patio/Deck LL Pool/Spa ZRe -Roof DO Commercial DO Valuation: Adj. Area: QUANTITY DESCRIPTION FEE iz � r I U J r -f, '-A70e.. tTC,ti UA4MJD LOAd U40 9r r rQ, m S ]n1t I AC 11� �'�'t'�J�� C►S y}Q.. r � 6&3t Ff gf_�+? t 6 (LEPLAC r 4 CONSTRUCTION: PLAN REVIEW: ELECTRIC: S -l. i50 PLUMBING: %S • \ lX� MECHANICAL: INSPECTION FEE: ISSUANCE: 'l \ • \4 SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE:_ PRE -ALT FEE: BSAF: TOTAL FEES COMMENTS: RECEIPT# o�Tt L10 PAID BY: J�—1 ;;k'pg VALIDATION: � WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy ;L> Vtll UG PLUMBING ' -UG'- TRIEA'11',""' ,UFEA GAUI4D,, SEWER LATERAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FOCCURANCY ,0000 00c f'nK ANA C:Kl-rC• CITY OF DIAMOND BAR INSPECTION RECORD TRACT AND LEDGER SWITCH GEAR i A COMMERCIAL HOOD T -BAR -71 INTERCEPTER k"A HOT MOP/SHOWERPAN SEPTIC/ CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT .. ........................ . ... ... j ROUGH lwb, X" ROUGH Ell"CTIR!Ck ['ROUGH MECHANICAL T, GAS TEST b�,A it [PRE GUNIiE POOL PRE,DECK BONDING P -TRAP FENCE / GATE/JALARM `FINAL POOL "r' WALLS: WALL FOOTINGiSTEEL WALL STEEL 1-( 2ND( LIFT WALL BOND BEAM VVALL DRAIN/ SEAL WALL FINAL 2 -RO. FRAMING PLANNING APPROVAL, .w mI ROUGH FIRE APPROVAL FINAL. FIRE DEPARTMENT FINAL PLANNING _4 JFlklCl:ENGINEERING/ PW F'l NZCO M M 6h ITY S ERVI CiiT7� "M-40, FINAL,HEALTWDEPT, CITU' OF D1j�MOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION JOB SITE ADDRESS 3 2- APN LOT . TRACT OWNER ADDRESS 2 'e- w q CITY Q944 -/—ZIP 9 TEL.�L APPLICANT CONTRACTOR ADDRESS '''Z,,�0 3'y 2 1 QTMt;r, 6 C, C- r CITY LA" �02�� ZIAZ O TEL. CI i%S �b y'S�Ff ARCH/ENG/DESIGNER ADDRESS CITY ZIP TEL. OWNER -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 7000 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 1, as owner of the property, or my employees with wages as their sole compensation, will do (J all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Cade: 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.). (J 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,l 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.leginfo.ca.gov/calaw.html. DATE: SIGN: 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 the Business and Professions Code, and my license is in full force and effect. LICENSE CLASS: C. NO.: Z 3 DATE: l LCONTRACTO If WORKER' M 12gC % M I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: and will maintain a Certificate of Consent to Self -Insure for Worker's Compensation, as provided by edion 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are: �� f U A D CARRIER POLICY NUMBER y0 Zi 9 / Z (THIS SECTION NEED NOT BE COMPLETED IFTHE PERMIT 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 subject to the Worker's Compensation Laws of CaRfomia.A01* that if I should become subject to the Worker's Compensati�p visit of Section 3700 0 ' 6e,is I o compl rE�iose provisions. DATE: t 9 APPLICAN WARNING: Failure o secure Worke mpen overage 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 I 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 t I ve read this application and state.that the above information is correct. I agree to comply with all city and icounordinane laws relating to building construction, and hereby authorize representatives cf this county to ioned prop �e tion purp ses. -1 DATE PRESS FIRMLY APPLICATION DATE: 1- -Y fi O i PUP t 'D I' 72 ISSUE DATE: J !Y a� jNP PERMIT# I J 04T TYPE CONST. OCC GROUP: ZONING SETBACKS FRONT RW—CL— W❑REAR REAR❑ SIDE/SIDE STREET RW ❑ SIDE EL - PRO OSED PROPOSED USE Tn (� i t l # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport c/) w Patio/Deck LL Pool/Spa ZRe -Roof D w Commercial m fi ate Qu7Wa�L'/t � Valuation: a"fr Adj. Area: QUANTITY DESCRIPTION FEE a U 2 U w w CD m ii U U CONSTRUCTION: 7J. Y^ k PLAN REVIEW: 9 r ELECTRIC: PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE:, SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: — % 0 • u PRE -ALT FEE: BSAF: I . TOTAL FEE / g (� COMMENTS: r L✓ /' ��/?aI ✓ag fi- RECEIPT # –/ PAID BY: J VALIDATION: _ WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy CiTY OF DIAMOND 14 BAR 7N INSPECTION RECORD 4 m S(TOAM LETTER TRACT AND LEDGER F&dt�INGS FORMS SWITCH GEAR SLABt COMMERCIAL HOOD r„,UGPLUMBING7 T-BAR IJG"h'9diR16AL INTERCEPTER LIFER GROUND HOT MOP/SHOWERPAN .. .. ......... ............... ............... SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE T- HERS REPORT RECEIVED SEWER CLEANOUT 1 DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHINGI ROUGH CONDUIT SHEAR WALLS EXTERIOR ----,� POOL/SPA ........... SEAR WALLS I N'TOIOR "W”, PLUMBIN- ,RbudH,MECHAN16AL . . . . . . . . . . . 7RA-0 "'ROUGH E L E . . . .. .................. . ............... . ROUGH MECHANICAL_,. ROUGH ELECTRICAL W(' GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P -TRAP DRYWALL FENCE / GATE/ LATH (PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE I WALL FOOTING/ TEEL WALL STEEL 1 j 2"'( )LIFT WALL BOND BEAM WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION IRO, FRAMING R,&ING APPROVAL .FINAL BUILDING, .FINAL MECHANICAL ROUGH FIRE APPR*L, FINAL FIRE DEPARTMENT FINAL,ELECTRICAL FINAL PLANNING ;-�i,'- iou raimucES–i46101AI COMMENTS: f W AlAXF /-l-, 7�7 7 ;ESS.. 11 . - j _�-)A "i A i -r'4 ELECTRIC SUB'PANEL f ��M)U- ELECT�TOR, FIREPLACE, FOUNTAIN POMP AND LIGHTS. GAS TO BBQ FIRE PIT AND FIREPLACE FROM. HOUSE. UTILITY 71 _ I ' r .- r •'.- � I I fj� LAW - k LAWN LAWN I _ ® !` DEEP POOL I• a 610/( I , DEEF I`I -.. . r P ---, v. I' v*j'OQ QO------ - -- - - (C 11 v •. II I , ® / fl , ;7 d 1 �\ L J — — — r� � �� /,� l ci.:5.� f - s q � is / �� • �' . // i ir --- -- --- 0 0 0 _-�' \� f _ LAW 00 0 06 o 000--o-_ O� - oo 0 L AkAl N ,WN 410" DEEP POOL 6,0„ DEEP EE_ P cinI CID) o o �i o[Ed o'� 1 0 r� t., 11, Z�l 10 FT�i r 13 fl I- vl��_ so- agocjl_s GAS FROM POOL E( TO FIRE BOWLS. EXISTING POOL EQU )M POOL EQUIPMENT BOWLS. POOL EQUIPMENT. TO FOUNTAIN LIGHTS. JNS LOCATIONS 3 PANEL AT POOL 41 ttoLj oz -f Mvo�,--- .,:� IS I/ L4 1 0 - iJ e )— W WoLIIE'rv k V..11 - ------ ------ 4. Shall m Eng" eenng, an(j Bicig. e_ rc S,2fotv ( -its. - 4uji-emer 'flo 'C)ct"plo ..I 11 01'IdlOr -rl�3 foj- ,v Tm� hl - q Orliling I Dil, Division, on fjj�� ioll, as J -nod d rll;,.,@ .. e, U I -,,n;;,g I to 'ful-le rc 1)(Ii,io ns not,�.,),, and Ined in coofo.rrnallc( [ PAGE [_ co 14* Lc) li CID V— cp cr) x I I C) Le) co LucnV - d) 25 co) < z0 LL uj Lu N N