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Home My WebLink About15-0828 \ ��,,., CITY OF DIAMOND BAR `' ��G �Q n�5��C�l'I'� � - � ` DEPARTMENT OF COMMUNITY&DEVEI.OPMENT SERVICES '= � 21810 Copley Drive,Diamond Bar,CA 91765 , �� PRESS ,,; (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7 FIRMLY `"�°�� BUILDING PERMIT APPLICATION � (' APPLICATION DATE: � O P/C# � y JOB SITE ADDRESS Z�Z O Z A t"A/Y��O Ln• ISSUE DATE: 7 /J/ �/ PERMIT# �f � �d �� z APN LOT TRACT � OWNER_ _��nq Nu�IF��F' TYPECONST. OCCGROUP: ;L ADDRESS Z 202 n�a o I�n• � CITY�i]mon� �i0.(' ZIP q1��TEL. 904 O-G '1 ZONING F ONACKS RW ❑ = APPLICANT o �` TEL. - S� REAR ❑ -rn �+_ /� � /� SIDE/SIDE STREET RW ❑ , ¢ CONTRACTOR lJ�iSS��v ItOCT7y�� SIDE ❑ � ADDRESS �3d Z 1 �-4��14n� P�• > PROPOSED USE � r S• 'p � • I �tl = crn�S�nk Sor:�ss ziPS`c �o TEL. l�SZZ� 44`i-S�17 �. 1 ARCH/ENG/DESIGNER �'`' ��'� u` '� , �� C,bcr�iass y �T y SG��n.It. � ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. Q OWNFA-BUILOEN OECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � = I hereby affirm under penalry of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s�,I have placed next to the applica6le item(s)[Section 7031.5,Business and i y Garage/Carport Profeuions Code:My city ar county that requires a permit to construct,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires the appllcant for the pertnit ta file a signed sfatement that he or she � Patio/Deck I � � is licensed pursuant to the provisians of the Contractor's Sfate License Law(Chapter 9)Cammencing with Section W � 7000 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for LL. Pool/Spa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecis the applicant to a civil penalty C7 I � 2 Re-Roof 2 a�� = of not more than five hundred dollars($500). Q � (�I,as owner of the property,or my employees with wages as their sole compensation,will do O all of or(�portions � Commercial I I y of the work,and the struc[ure is not intended or offered for sale(Section 7044,Business and Professions Code:The � I � Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds m � or improves the property,provided that the improvements are not intended or oRered 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 huilt jor improved for the purpose of sale.�. i � (J I,as owner of the property,am exclusively contracting with licensed Contractors to construct the project(Section Valuation: �10 O l') Ad Area: � Z 7044,Business and Professions Code:The Contractors'State License taw does not apply to an owner of property who ! 1• � buildsorimprovesthereon,andwhocontract5fortheprojecLswithalicensedCont2ctorpursuantTqtheContractors'State QUANTITY DESCRIPTION FEE I License Law.). I � ()I am exempt from licensure under the Cont2c[or's State License law tor the following reazon(s): � I x 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least ane c~.� I z year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an � � w I owner-builder if it has not been constructed in its entirety 6y 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 I � the following Web site:http/www.leginfo.ca.gov/calaw.html. Z � DATE: SIGN: � I — LICENSED CONTflACTOfl'S DECLAHATION � � � a I ' I hereby aftirm under penalry of peryury 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 effed. J I � LICENSE C S: � � LIC.NO.: 1 I O Z I � DATE: CONTRACTOR: CFj S S 4 C�.�/ �Oc� r{ � ' Q w WOHKEfl'S COMPENSATION DECLAPATION � y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � I have and will maintain a Certificate of Consent ta Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: �y� �� Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�qN REVIEW: � �I have and will mainlain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ Polic,yNumberare: PLUMBING: y CARRIER��feSt 7y.5 - MECHANICAL: i � POLICY NUMBER 3_ioac 6E I�f C- I�( � INSPECTION FEE: n (THIS SECiION NEED NOT BE COMPLETED IF THE PFRMR IS FOR ONE HUNDRFD DOLLPAS($100)OR IESS). � �' I ISSUANCE: � I certify that in the performance of the work tor Kiiich this permR is issued,I shall not employ any person in any manner so as to � �-T � become subject to the Worker's Compensation Lavrs ot Califomia.Md agree that rf I should become subject to the Worker's SMIP: � Compensation provisions of Sectlon 3700 of the Labor Code,I shall forthwitl�canply with those provisions. ENERGY P/C: J y DATE: APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation cove2ge is unlawful,and shall subject an employer to criminal • n� � y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the cost of the compensation, RETENTION FEE: « = damages as provided for in section 3708 of the labor code,interest,and attorneys fees. PRE-ALT FEE: i CONSTpUCTION LENDING AGENCY BSAF: �� D�J = I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the pertormance of the work for v � which this permit is issued(Sec.3097,Civ.C.�. — LENDER'S NAME: Y LENDER'SADDRESS: I i I certty that I have read this application and state that the a6ove information is correct.I agree to comply with all city and TOTAL FEES �/+i/ !�1 � I q7rl/ Z counTy ordinances and state laws relating to building construction,and hereby authorize representatives of this counTy to COMMENTS: � enter upon the above-mentioned property tor inspection purpases. J � 9 ¢ PER EE AM�INn /s I " 6� = SI RE OF PERMITfEE DATE AECEIPT N •�-�J��_ PqID BY:__��__VALIDATION: z WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF,�tlAl►�IOND BAR INSPEC:TION RECORD �� , - � � � • • - • • � � . � . SETBACIV LETTER TRACTAND LEDGER FOQTINGS FORMS SWITCH GEAR � !S(.Ag COMMERCIAL HOOD 'UG.'PLUMBING T-BAR 19C�.ELECTRICAL INTERCEPTER 'UEER GROUND ° HOT MOPlSHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING / ROOF DRAINS � FLOOR SHEATHING ' r�..I � ''� ROUGH CQNDUIT I 'SHEAR WALLS EXTERIOR POOUSPA �SHEARWALLS INTERIOR ROUGH PLUMBING �FRAMING/VENTING � � � ROUGH ELECTRICAL 'ROUGH MECHANICAL ROUGH MECHANICAL �ROlI6H ELECTRICAL W( )C( 1�� GAS TEST RbU6H PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P�T�P DRYWALL _ _ FENCE I GATE/AL4RM LATH(PRE) _____ FINAL POOL LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 ST( )2Ne( )L1FT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METFR RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNINGAPPROUEIL • FINAi.BUILDING � � ROUGH FIRE APPROVAL �FINAL MECHAN(CAL FINAL FIRE DEPARTMENT �FINAL ELECTRIGAL � � FINAL PLANNING �FINAL PLUMBING FINAL ENGINEERING/PW tT.G��.of OCGUPANCY � � FINAL GOMNIUNITY SER1110ES �GEItT of OCGUPANCY :. FINAL NEJ�LTH DEPT. fINAL INDUSTRIAL WASTE COMMENTS: