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Home My WebLink About15-0708 -_`*:., ._ -- , CITY OF DIAMOND BAR -r �' ! (` ; DEPARTMENT OF COMMUNTTY&DFVELOPMENT SERVICES �..�4� �/� � � s 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 � � g3 ��TL �� J APPLICATION DATE: P/C# x JOB SITE ADDRESS W p► n i ISSUE DATE: ��1 C/��d PERMIT# � .r '�O�I6 � = APN L T TRACT --� � OWNER TYPE CONST. OCC GROUP: n ADDRESS 2- J ZONING SEfBACKS ¢ CITY TEL. FRONT RW ❑ = APPLICANT TEL. - REAR ❑ � � �/ SIDE/SIDE STREET RW ❑ ¢ CONTRACTOR �'�/D�� LL S�,2v�r� [°�n SIDE ❑ � ADDRESS D Z r / PROPOSED USE = CITY __Cr�TEL. i I � ARCH/ENG/D IGNER � = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION � OWNEfl-BUILUEfl DECLAflATION = I hereby affirm under penalty 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 nezt to the applicable item(s)[Section 7031.5,Business and I Garage/Carport � Professions Code:Any city or county that requires a permit to construct,alter,improve,demolish,or repair,any � z struclure,prior to its issuance,also requires the applicarrt for the permit to file a signed statement tliat he or she � Patio/Deck I � is licensed pursuant to Ne provisions of Vie Contractor's STate License Law(Chapter 9)Commencing with Section w � 7(100 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 n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applirant to a civil penalty C7 = of not more than five hundred dollars($500). ZQ Re-Roof I � ()I,as owner of the property,or my employees with wages as Neir sole compensation,will do(J all of or(J portions � Commercial I y of the work,and the struc[ure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I � 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 � (,I,as owner of the property,am exclusively cont2cting with licensed Contractors to construct the project(Section Z 7044,Business and Professions Code:The Contracmrs'State License Law does not apply to an owner of property who Valuation: Adj.Area: � � buildsorimprovesthereon,andwhocontractsforlheprojectswithalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I License Law.). I � (,I am exempt from licensure under the Contractor's State License law for the following reason(s): � I � � 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � 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 6een constructed in its entirety by licensed contradors.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/www.leginfo.ca.gov/calaw.html. � z I = DATE: SIGN: � — LICENSED CONTHACTOfl'S DECLARATION � I a ( � 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 effed. a , ^l I � �l(/ � LICENSE CLASS:� � ��.No.:_ 3�9 3 7 az ! I Z DATE: J�1��L 1 f r CANTRACTOR: c=i I Q ' %b�� WOfl1�H'S COMPENSATION DECUIHATION "' � � � y I HEREBY 7�FFIRM UNDER PENAL7Y 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 CONSTRUCTION: �- ¢ Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�,e,N REVIEW: � ✓ I have and will mainhain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for z the pertormance ot the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: � PoIi�yNumberare:R I f _ `�� . PLUMBING: ' ,� CARRIER /v D MECHANICAL: /yOr/y � POLICYNUMBER ��) �� Z INSPECTION FEE: � (THIS SEC110N NEED NOT BE CAMPLEfED IF7HE PERMfT IS FOR ONE HUNDRFD DOLLARS($100)OR LESS�. �' ISSUANCE: � � I cer6fy mat in the peRormance ot the work for which this permd is issued,I shall not employ any person in any manner so as to � become subjed to the Worker's Compensation Laws of Califor'.Md ag2 at Rf I should become subjec[tn the Worker's SM IP: L Comp on p vi ons af Section 3700 of ihe Labor Cod all forth ' omply with se provisions. ENERGY P/C: J J DAT ' � APPLICANT: � ENERGY PERMIT: � WARNI G:Failu ecure Worker's Compe ion ge is unl ul, d shall subject an employer to criminal �l re r► y penalties and civil tines up to one hundred housand dollars($100, 0),' addition to the cost of the compensation, RETENTION FEE: = damages as provided for in section 3708 of the labor code,interest,a orney's fees. PRE-ALT FEE: i CONSTIIUCTION LENDING AGENCY BSAF: y I hereby affirm under penalty of perjury that the2 is a Construction Lending Agen�y tor the pertormance of the work far = which this permit is issued(Sec.3097,Civ.C.). � • LENDER'S NAME: z LENDER'SADDRESS: i I certity that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES �� '.�� county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: z I � enter upon the a6ove-mentioned pr perty for inspection purposes. J � �� 111 a PERMITTEE NAME(PRINT) � � � l = SIGNATURE OF PERMITfEE DATE RECEIPT# "� �°�'J� PAID BY:^ J� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMUND BAR INSPECTIQ,N RECORD e � � y • � � � � � y � a � s >a,,.o,�e.. . , ,... „- � ;5ETBACK/LETTER � �� TRAGTAND LEDGER �� .�� .�,_�, � 'FOOTINGS�ORMS ` � " � �� SWITCH GEAR � � �< . _� v��. �: � s, a � �� rt� ,� � , COMMERCIAL HOOD ,gL�Ag � . � �„ __ U�.�PLUMBING� � � '� �" � � � �� ,� � _ T-BAR `UG"��ELECTftICAL �'°� "� ` � � ' °�� INTERCEPTER ,UFER GROUND "'��°'� � � � ' � �' � �� ` �� HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION i ROOF SHEATHING ROOF DRAINS FLddR SHEATHING ROUGH CONDUIT �ti�ARiWALLS EXTERIOR �� °� ° � �� POOUSPA `� �� "� � I SH�AR�WALLS-INTEi�IOR- � � - � � �� ROUGH PLUMBING � � - �, -� ._ . _. �, �� y ,FRAMINGJI�ENTING� _ ��• � �; �� • � � ROUGH ELEGTRIGAL � � � ' � � � � � RO��GH�ME�HANICAL�� ROUGHMECHANICAL � � � ° � RQUGH ELECTRICA� W( )3C{ �} � � �� GAS TEST � � 'RQ�GH,PLUMBWG; .� ; � � � � ��• � � PFiE GUNITE - INSULATION WALL POOL PRE dECK BONDING ° � INSUlATION CEIUNG P-T�P DRYWALL FENCE/GATEJ ALARM LATH(PRE) F1NAL POOL � IATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2N0( )LIFT SCRATCH COAT WALL BOND BEAM E�ECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNINGAPPROVAL _ .. _ ._ _s .,, . _ FINAL BUILDING � � ROUGH FIRE APPROVAL �� _ _ r _ FINAL MECHANICAt � � FINAL FIRE DEPARTMENT , � �,;-- _ �,� , - .„�. � � � � � . ;FINAL F1.EGTR(CAL � ° FINAL PLANNING Q, �., �FINAL PLUMBING� � �� . . FINAL ENGINEERINGI PW -. . _ �o.�.e�; ,_ _. 7 C'of�OCCUPANCY �. � �� FINAL COMMUNITY SERVtCES � GE _ . � � �_� ,.�n � � RT.of OCCUPANCY :_ � � � � FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: