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Home My WebLink About13-01599 ,�_ �'S �• J . C1TY OF DIAMOND BAR � � I :.,�,� • i I I I i ' DEPARTMENT OF COMMUNITY&DEVELOPMGNT SERVICES O �r��p�„�,; �.,,� " 21810 Copley Dri��c,lliamond Bar,CA 9176� PRESS ;� � � 909 839-7020 Fax: (909 861-3T17 Buildin Ins �ction Hotline 909 839-7027 ��' � > > g P' � � FIRMLY `�•JN^'� BUILDING PER�11T APPLICATION � APPLICATION DATE: �- � P/Ck��D��Q� u JOBSITEADDRESS�'.�77 �avan.�v HC�L,N'rS �4- �- � ISSUE DATE: ZZ �RMIT# l� - o�5 q q o APN LOT TRACT o OWNER YAV C. �dr lq IYPE CONST. OCC GROUP: N ADDRESS 2�� A ZA^�+� I�E I!,�JtJ h}L N CITY �(j ZIP /7 S" TEL. `7b`( S76' ZONING �ONTCKS RW ❑ oAPPLICANT �I,CLMZ-sia �"AGQ�cS TEL. `�S/ 1d� �6� REAR ❑ } SIDEISIDE STREEf RW ❑ o CONTRACTOR S��A/ZM�.X � ADDRESS �O�ll� lZ*� 1 r SIDE ❑ oc CITY 12�..a/Z-S /D e ZIp �-So7 TEL. 9SJ 300 p`j(,� PROPOSED USE o ARCH/ENG/DESIGNER � O e� � � w o ADDRESS H DWEL.UNITS #STORIES k BEDROOMS z CITY ZIP TEL. m DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION a OWNEH-BUILDER DECLAflATION � I hereby amrm under penalry oi perjury that I am exempt irom the Contractor's State License Law for the reason�s) SFR/ADD/REM 0 p intlicated below by the checkmark�s),1 have placed next b the applicable item(s)[Section 7031.5,Business and Garage/Carport "� Professions Code:Any city ar county that requires a permit to consVuct,alter,improve,demolish,or repair,any z SWcture,prior to ils issuance,also requires the applicant for the permit to file a signed statement ihat he or she � Patio/Deck a is licensed pursuanl to the provisions of the Contractor's Sfate License law(Chapter 9)Commencing with Section W � 7000 of Uivision 3 of ihe Business and Prolessions Code]or that he or she is exempt from licensure and the basis for LL Pool/Spa � the alleged exemption.Any violation of Section 7031.5 by any app�icant for a permit subjecis the aDD�icant to a civil penalty Z Re-Roof � ol not more than five hundretl dollars($500). 0 � U I,as owner of the property,or my employees with wages as their sole compensation,will do()all of or(1 portions � Commercial � of the work,and ihe structure is not intended or oftered 1or sale(Section 7044,Business and Professions Code:The m � Contractnrs'State License Law does not appty to an owner of property vfio,through employees'or personal effort,builds � or improves the D�operty,Drovided ihat the improvements are not intended or offered lor sale.It however,the building or � impmvement is sold within one year o1 completion,Ne Owner-Builder will have the burden of proving that it was not built p or improved for the purpose of sale.�. V I,as owner af the ra e 0 U p p rty,am exclusively contractlng with licensed ConVactors to conshuct the project(Section Valuation: Ad Area: 7044,Business and Professions Code:T�e Coniraciors'State License Law does not appty to an owner of properry who �� z builds or improves lhereon,and who contracts tor ihe ro ects with a licensed Contractor pursuant to the Coniracrors'State cn P i QUANTITY DESCRIPTION FEE License Law.). o u I am exempt from licensure under the ConVactor's State License law for the following reason(s): Q � /N v�,�Y L l2.. � � / AC a�Sco�•�6�.'7' zUy my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w � o year prior to comple8on of the improvemenls covered by ihis pertnit,l cannot legally sell a strucNre that I have buill as an w ¢ owner-builder i(it has not been constructed in it5 entirety by licensed contractors.I understand Nat a wpy ol Ne applipble � law,Section 7044 of the Business and Professions Code is availabie upon request when this application is submitted or at X Ihe following Web site:http/www.leginfo.ca.gav/calaw.htmL � z � �ATE: SIGN: � � LICENSED COHTRACTOfl'S DECLARATION � w I hereby aftirm under penalty ot perjury that I am licensed under provisions ot Chapter 9(commencing with Section 7000) m of Oivision 3 ot the Business and Prolessions Code,and my license is in full force and effect. J ` ¢ N LICENSE CLASS: / LIC.NO.: �7 2—�y Q o DATE: ��7� CONTRACTOR:� �% �T_ � � WORI(EH'S COMPENS N�ECLAH ON � � I HEREBY AFFIRM UNDER PENALTV OF PERJURV ONE OF THE FOLLOWING DECLARATIONS: oI have and will maintain a Cert�cate of Consent to Self-Insure for Workefs Compensation,as provided by CONSTRUCTION: � S�� Seclion 3700 0l the Labor Code,for Ihe pertormance of the work tor which this permit is issuetl. p�qN REVIEW: > � I have and will maint2in Worker's Compensation Insurance,as required 6y Section 3700 of the labor Code,for � the pedormance ot the work for which ihis permit is issued.My Worker's Compensation Insurance Cartier antl ELECTRIC: S,Q� z a Poli�yNumberare: PLUMBING: � CARRIEn I�E�e.2AL MECHANICAL: � POLICY NUMBEA 7 I']2 6,S 3 sf INSPECTION FEE: N (RiIS SECfION NEED NOT BE COMPLETED IF THE PERMR IS FOR ONE HUNDRED DOLLARS(Sl W)OR LESS). r= ISSUANCE: �d t D� o I ced'Ay that in the pertortnance M ihe work lor which Nis permit is issued,I sl�all not employ any person in any manner so as to SM I P: ��Z.� o become subjed to t�e WorkerS Compensation Laws ol Califomia.Md agree ihat if I shwld become subjecl ro Ne Worker's J Compen/satio provisions of Section 3700 ot the Labor Cale,I shall forlhwilh com�ply wi '°°'sions. ENERGY P/C: J DATE: 6 t APPUCkNT:��l� // � ENERGY PERMIT: � � wARNIN :Failure to secure Worker's Comperrsation erage is unl I,antl shall ect an employer ro criminal REfENTION FEE: 'Z„O�Q� w penatties and civil lines up to one hundred thousand dollars(3100,000),in a0tlition to Ne cosl of the compensation, a damages as prwided for in section 3708 of the labor code,interest,and attomey's tees. PRE-ALT FEE: 0 a CONSTRUCTION LENDING AGENCY BSAF: 1<V O w I hereby atfirm under Denalry ot Derjury tt�at there is a Construction Lending Agency for the peAormance ol the work for 3 which ihis permit is issued�Sec.3097,Civ.CJ. � LENDER'S NAME: � LENDER'SAD�RESS: a I certify that I have read this application and state that[he above information is cortecL I agree[o comply with all ciry antl TOTAL FEES �O�� Z county ordinances and state laws retating tn building construction.and hereby authorize representatives of this county to COMMENTS: —p enter upon the above-mentioned propeAy tor inspection purposes. m h�4M ZA�-� J A<-c��.f a P,ERMITTEE NAME�PRINn � �' =�� zz, l3 ` � = SIGNA RE OF PERMITTE DATE RECEIPT k � PAID BY: v VALIDATION: � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy - . �� CITV OF DIAMOND BAR L ItVSPECTION RECORD � , � o , �� . . s � , . � . -SETBACK/�LETTER�; . � �.� TRACTAND LEDGER FDOT►NGS`FORMS ;`.,.. ' :; .. : ';; .., ' ; ; . ,�.�,` SWITCH GEAR S�,qg� - COMMERCIAL HOOD 'UG.PLUMBING�.:-.: . - - _ T-BAR UG:ELECTRICAL,� , , ; . ' ."` INTERCEPTER UFER��GROUND'�:;� �; ,�.' '' �,'��A. ;�,� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE NERS REPORT RECEIVED SEWER CLEANOUT DEMOUTION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEARWALCS:EXTERIOR " ' ' J'; . _.`; �;` ' 'FOOLlSPA:'� ' ;` :; , _ - � : " �- � , , . ; - SHEAR WALLS.INTERIOR -..:� ,: .`: - ` �� = ".' ROUGH PLUMBING FRAMiN6NENTING �'� �.;� "; ;ROUGH ELECTRICAC° ; ?. '... ' ROUGH MECHANICAL �,,, �_ +�... � •ROUGN MEGHANICAL ,, $ �'' ` ' - _ ROUGH:,ELECTRICAL W(';`)C( .) :; , - �GAS TEST ,„_ _ ` ROUGH PLUMBING - PRE"GUNITE, - . - :. . . .; � . _ _ _ � : , .� � � � INSULATION WALL POOL PRE��DECK BONDING,. �:; �,� �'� � '. „ � �� = INSULATION CEILING 'P,;TRAP ;:Fa.,� ` � `� DRYWALL FENCE/.GATEJALARM . � �� LATH(PRE) F.INAL POOL . _ �: �' , .,5.;:.. LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1sT� �2No� �� SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL 6AS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PtANNINGAPPROVAL ;. ;,' ,T,.,.;; . ;4 FINAL BUILDING , :.' . . , .l ( ',` . . ROUGH FIREAPPRO.VAL 'f� fi" ��vA�MECHANICAL: �� '' '' �"`" fINAL-FIRE DEPARTMENT :`=` _ - " FINAL�ELEGTRICAL : - [3 : FINAL PL'AfdNING `` - x:'.., . - FINAL PLUMBING ''' � FINAL`ENGINEERING/PW �`r ��' ` '` ,�t , -,, , , . : " T.C.of OCCUPANCY `' . � ` : .. ` . - :`� FINAL COMMUNITY SERVICES ` �: CERT.of OCCUPANCY -. ,. := "• � ": , ; • -�` FINAL HEALTH DEPT �-: : °' , '' FINAL`INDUSTRIAL-WASTE '` ; �'' � COMMENTS: L