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Home My WebLink About14-4871� - r!�'��_ .,........�....., CITY OF DIAMOND BAR � !� DEPARTMENT OF COMMUNITY&DF.VELOPMENT SERVICES c 21810 Copley Drive,Diamond Bar,CA 91765 �" PRESS i �; (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY `�'�""�� BUILDING PERMIT APPLICATION APPLICATION DATE: �U/'�'O�1��'� P/C# = JOB SITE ADDRESS Q u —7 z APN LOT TRACT ISSUE DATE: I �PERMIT# I Y� /� / � LOWNER��O(�'(1e� TYPE CONST. OCC GROUP: � ADDRESS�\y ZF� �C�G�� ^ �� CITY� ZIP�_�']f�TEL. ZONING F ONACKS RW ❑ ¢ APPLICANT��Q TEL REAR ❑ � � SIDE/SIDE STREEf RW ❑ ¢ CONTRACTOR SIDE ❑ � ADDRESS /��3 y C�—.,�G� r PROPOSE USE ' \ \(1 = cirv�,,Sh�Z-�-��i- zi IoOSTEL.S�Z_ L�y'Ie—�44h ,� S � ARCH/ENG/DESIGNER �\_I� � ` � = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEN-BUILDEH DECLAHATION '= I hereby affirm under penalTy of perjury that I am ezempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � � indicated below by the checkmark(s�,I have placed nert to the applicable item(s)[Section 7037.5,Business and Garage/Carport I Profeulons Code:Any cITy or county that requires a permit to construct,alter,improve,demolish,ar repair,any z structure,prior to its issuance,also requl2s the applicant for the pertnit to file a signed statement that he or she � Patio/Deck I i is licensed pursuant to the provisions of the CanVactor's State License Law(Chapler 9)Cammencing with Section W n7000 of Dlvision 3 of the Business and Professions Code]or that he or she is ezempt from licensure and the 6asis for � Pool/Spa I � the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof I r of not more than five hundred dollars(5500�. p � O I,as owner oi the property,or my employees with wages as their sole compensation,will do(,all of or(�portions � Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I Z 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 I � 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 . � (J I,as owner of the property,am exclusively contracting with licensed Contmctors to construct the project(Section Z 7044,Business and Protessions Code:The Contractors'State License Law does not apply to an owner of property who Valuation: Adj.Area: I n buildsorimprovesthereon,andwhocontractsforlheprojectswithalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I License Law.). � (_)I am exempt from licensure under the Contractor's State License law for the fallowing reason(s): � I ` U �� I � � c� I 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w. I = year prior to completion of the improvements covered by this permit,l cannot legally sell a strudure that I have built as an w owner-builder if it has not been constructed in its entirery by licensed contractors.I understand that a copy of the applicable � ' I � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at � , I X the following Web site:http/vnvw.leginfo.ca.gov/calaw.html. �' _ I z = DATE: SIGN: � LICENSED CONTHACTOH'S OECLAHATION � I a y 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 Pro}essions Code,and my license is in full torce and effect. J I ynj LICENSE CLASS:�� _ 0.: `�1��l �O� z I a I Z DATE:ID�I,� 1L.� CONTRACTO � a WOHKEH'S COMP NSATION DECLARATION � I � I HEREBY AFFIRM UNDER PENAL7Y OF PERJURY ONE 0 THE FOLLOWING DECLARATIONS: L � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: +� � Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. PLAN REVIEW: � 7 r.7 � � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for n Z the peAormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: �r�,��` ¢ PolicyNumberare: (� PLUMBING: � CARRIER�, �� \�'1��_��e �(.�S CL� MECHANICAL: Z POLICY NUMBER��]��L�I��'�7 INSPECTION FEE: ' � (THIS SCCTION NEED NOT BE CAMPLEfED IFTHE PFAMfT IS FOR ONE HUNDRED DOLLARS($100)OR LESS). �SSUANCE: •_��J = I cer61y ihat in the performance ot the work far which ihis permit is issued,I shall not employ any person in any manner so as to � become subjec[to ihe Worker's Compensatlon Lavrs of California.Md agree mat if I should become subject to the Worker's SM IP: �+ Compensation pmvisions of Sedion 3700 0!the labor Code,I shall forthwim comply with those provisions. ENERGY P/C: J i DA7E: APPLICANT: ENERGY PERMIT: /y � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: �d•DY y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the cost of the compensation, 1 damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTflUCTION LENDING AGENCY BSAF: y I hereby affirm under penally of perjury that there is a Construdion Lending Agency for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.�. LENDER'S NAME:�� r LENDER'SADDRESS: i I ceRi that I have read this a lication and state that ihe above information is correct.I a ree to com I with all ci and TOTAL FEES � �{ /� ' �S' PP 9 P Y h' 7 �7�J�, O� Z county ordinances and state laws relating to building construction,antl hereby authorize representatives of this county to COMMENTS: � enter upon the above-mentioned property for inspection purposes. � � ��h� 1��-O\��'� ¢ ITT AME(PRINn ' 1 � � /J T _ n _ , _ :n �/ = IGN E OF PERMITfEE DATE RECEIPT# �-I PAID BY:V � VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOiVD BAR IIVSPECTIC)N RECORD • . � y • � . s � e � s � w ,� _ - . ��.�� :�� .,..,t . � � : 45ETBACKt_�ETT�R�� , - --- � 'TI�ACTAND LEDGER � �� 3FOOTINGS fORMS x',�, ;� :;�„,, �� ,��. ` ,�. �� ;SWITCH GEAR �,.. SLAB� ,�;;�; �� ..,�., � � '' '� � �� F�,��,' ;COMMERCIAL HOOD ` U'G.��F'LUt�BING� �' � ,,��' '��a ;T-BAR � � , .� 9= � �> x �,�t ;��°� � _ �INTERCEPTER UG.ELECTRICAL �•b�Y,., � i ;UPER,GROUND��p ,�,��„�' r�� HOT MOPISHOWERPAN SEWER LA7ERAL � ;SEPTIC/CESSPOOL ___ ' _ MAIN WATER LINE ' �HERS REPORT RECEIVED � SEWER ClEANOUT ; 'DEMOLITION ROOF SHEATHING ;ROOF DRAINS _ 4 ___ _� FLOOR SHEATHING ROUGH CQNDUIT SHEAR,WALLS EXTERIOR � �,�, ,b 8 ��. -��8�`� �z ':,��..,':` & �__ P^; �- � � aR.�� „��n. � � �' ;POOLISPA �.�� . _ �� - ��. . .� ,SHF,Aft WACLS,�iNT�Ri4R' �'� �;� - � 'v��„ �� €;RQUGH,P,L(1f+lIBING� �"��g —� x � ' N � `" ` � ��" ` d �FRAMINGIVENT'IN�. �� . � a�� OUGH,ELEC7RICAL� �.F�"„�., �_ � -- �_ � _z��--�.. .,� �: �� iR0U6H.MECHANICAL ; '�. ~` �' �' °�-�'`'� ��a ;ROUGHMECHANIGAL�-_, "'�� , ��: ��-_- �:;�' ��t�, , - RQUGNsELECTRICAL�W(' }.0( 1 ` <, . :.�,,, ��'�,:" : �� . .��7 i GASTEST ,�,��;� , � s°� � �� ;a �� ' � � �ROUGH PLUMBING� � ��'�� <'` `°� 'I?RE'GUht[TE ��' a�" °" ' v�"'�� ` �~ „�� %� ��_ � �ar. �x w ,A-> A� ze�.' ''.. � � . '�.. � nnu .r.': . . '- . ___ .. .. � . , � u. INSULATION WALL �� - � �� •�: ,�P�OLPRE�DECK�BONDII�G: ��' � ��' a , _�_ �.s�`°�� s ''��_ . INSULATIONCEIUNG � =FTRAP�':,, ,h5, "`,.��. _:.:., a� ��' �� ;tlw �,.�=�, ;. �; ..�«.��: DRYWALL j �FENCE�I GATFl.At11RM� �:;r.�,�'""�� `� �'a� ------- ---- --- - LATH(PREi �-- ;FINAL�POQL_ � �' �� -�'� '� �� :r. - �m x E:� LATH EXTERIOR I, ;WALLS: LATH INTERIOR ____ j WALL FOOTING/STEEL __ _ GAS TEST ___ � WALL STEEL 1 s'( )2Ne( )LIFT SCRATCH COAT ; `WALL BOND BEAM EIECTRIC METER RELEASE i j WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION �=RO�FRANtING PLANNINGAP�OVAL „��;�f0�,., � � , � � _ _ _ � =_�3.. _ ,�, ,� ��.� � � FINAL BUILDING �.�, :� #,'�� . � , �, i�ROUGH FIRE APPROUAL.��;,:, �" = �� . -_� �= ��. FINAL_NIECHANICAL.` ;�;��.�. `� _� � °"`�,,, ,,�:'� ,-':E' °,' ;,�� E f(NAt FIR�DEPARTMENT�� . �.�,��,.�� °�a� r, �;a��yq L,,,� �� „��. ,� , _ _. ;."�. . �� , �FINALzEi:ECTRICAL6�' , ��'N, , Q��1��'��1`�� ` �tr'!l�`��. � ,F NA�PLANNING s� �''� � � �� 35 �= - , ___. - �, , _. � - _ _ ;FINAL PLUN161NG ��° ��..;r< ��: � � �- , '� FINAL ENGiW6ER1�16!PW».�,�� - �- ,.��... z� -��:^`� � : � � "��€� , �� , �,. - �� _ _ ,, � � ;LG�.of OC,CURANCY�;�., , � ��'�� =`9:� � €_FINAL COt�IMUNITY�SERYICES ` ` . ,F��,;< ��. .,� � - u�..�,;,., �,. .a�,� ��, � � �._ CERT�of,OGCUPANCY. ` �`'� �' �' �,,. M �� _ '�i:, ;'�� j FIPIAL HEALTH�DEP�T�� <' ,, r�, ' e , �,�, , �. v �m, ;�INAI INDUSTRlAL WASTEQ;�, � ,��-� �� ,��, �+ �� COMMENTS: