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Home My WebLink About14-4618 . � — -----� �,;�......._ CITY OF DIAMOND BAR s �� Q�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� ";- -:`"" 21810 Copley Drive,Biamond Bar,CA 91765 � PRESS �;,,,,�W,,,,�. (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 �'�"' - BUILDING PERMIT APPLICATION FIIRMLY t,� �p., ' �1 i `�i s JOBSITEADDRESS �"1� V� S O�-�/Q� APPLICATIONDATE: P/Cti � APN LOT ACT ISSUE DATE: PERMIT# 7— y�/ y OWNER �Y'1 TYPE CONST. OCC GROUP: J ADDRESSw �i !� '�� ZONING SETBACKS n CITY �1 MW/�� ZIP GI� TEL. O � r APPLICANT V,Pi✓',C �„�,g� TEL. I '�Gti�S"Z FRONT RW ❑ � REAR p � SIDE/SIDE STREEf Ryy p ¢ CONTRACTOR W Y1 C�� SIDE � � ADDRESS��rZ��SL� �1'1 �I�.Y �L(Y� r CITY_(�- ZIP�TEL( t`�l � X� �p�') PROPOSED USE � �—�---� = ARCH/ENG/DESIGNER � z ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. Q OWNEH-BUILDEHDECLAflAiION DESCRIPTION SO.FT. FACTOR PSF ADJ.AREA/VALUATION � r I hereby affirm untler penalty of perjury that I am exempt from the Contrador's State License Law for the reason(s) SFR/ADD/REM I � � indicated below by the checkmark(s�,I have placed ne�A to the applicable item(s)[Sec[ion 7031.5,Business and Garage/Carport I � Protesslans Code:Any city or county Uiat requires a permit to conshuct,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires the applicant for the pertnit to file a signed statement that he or she I _u w Patio/Deck n is licensed pursuant to the provlsions of the CanUactor's State License Law(Chapter 9)Commencing with Section w I � 7000 of Division 3 ot the Buslneu and Protessians Code]or that he or she is exempt from licensure and the basis for � Pool/Spa � theallegedezemption.AnyviolationofSection7031.5byanyapplicantforapermitsubjecl5theapplicanttoacivilpenalry C7 I n of not more than five hundred dollars($500�. Z Re-Roof � I,as owner of ihe ro e or my emplo ees with wa es as Meir sole com ensation,will do � I U 7 p rtR Y 9 p (�all af ar(,portions ? Commercial � of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The � m I � Contractors'Staie License Law does noi appty to an owner of property who,fhrough employees'or personal ettoR,builds � or improves the property,provided that the improvements are not intendea or offered for sale.If however,the building or I � improvement is sotd within one year af complefion,the Owner-Builder will have the burden of proving that it was not built or improved for the puryose of sale.�. I J (,I,as owner of the property,am ezclusivety cant2cting with licensed Contractors to construct the project(Section I z 7044,Business antl Professions Code:The Contractors'State License Law does not apply to an owner of property who V8luatiOn: Adj.Area: � builds or improves thereon,and who contracts for the projecis with a licensed Contractor pursuant to the Contractors'S�te QUANTITY DESCRIPTION FEE I Y License Law.). � U I am exempt from licensure under the Contractor's STate License law for the following reason(s): � I i ¢ I By my signature below I acknowledge that,ezcept for my personal residence in which I must have resided for at least one � � j year pnor to completion o}the improvements covered by this permit,l cannot legally sell a strudure that I have huilt as an W owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy otthe applicable I � law,Section 7044 ot the Business and Professions Code is available upon request when this application is submitted or at i7 — , � I X the following Web site:http/www.leginto.ca.gov/calaw.html. � �L L DATE: SIGN: m + _� I LICENSED CONTRACTOq'S DECLARpTION � y I hereby af(irm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) a I ? of Division 3 of the Business and Professions Code,and my license is in full force and effect. I � U I n LICENSE CLASS: L LI .NO.:_�� Z 2 DATE: � � CONTRACTOR: � I ¢ WOHKEH'S COMPEN 10 DECLAMTION g I � I HEREE3Y AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: L � I have and will maintain a Certificate ot Consent to Selt-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�qN REVI EW: � �I have and will maintain Worker's Compensation Insurance,as requiretl 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: � Q Poli�yNumberarQ PLUMBING: _ (7 (�7�I y CARRIER_��-,chvnc�r � - ^ ' MECHANICAL: z POUCYNUMBER C�"� `� — WSPECTION FEE: '� (IHIS SECf10N NEED NOT BE COMPLEfE01FhiE PFAMR IS fOR ONE HUNDRED DOLLARS(3700)OR LESS). � `S 7 = I certify ihat in the performance of the work for which this pertnit is issue,I shall rrot emplay any person in any manner so as fo �SSUANC E: � become subjed tn e Worker's Compensation Laws of i mia. ree ihat if I shoultl become subject to the Worker's SMIP: J Cqmpertsa'n prp i c0on 3700 ot Ne Labar , all(o th compty with those provisions. ENERG Y PIC: _'� DATE: II ��pLICANT: 1 ENERGY PERMIT. � WARNING: ilure secure Worker's Compensation ca ge is unlawful,and shall subject an employer to criminal z RETENTION FEE:_ Z�W y penalties and civil fines up to one hundred thousand dollars($100,000),in addition tp the cost of fhe compensation, ? damages as pmvided 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 penalty of perjury that the2 is a Construction Lending Agen�y for the performance of the work for � 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 7^ Z wunty ordinances and state laws relating ta building construction,and he2by authonze 2presen[afives at this counry to COMMENTS: J enter upon t`he/�bove-mentioned property for inspedion purposes. � V �-�- � ',��I� � ¢ PERMITTEE NAM RI i_� I SIGNAlURE OF PER DATE RECEIPT# �� y PAID BY:✓` � �7 _VALIDATION: WHITE—DepaRment Copy,YELLOW—Fina�ce Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR + ' INSPECTlOtV R.ECt�RD ' � • � • • - � • � � e � o SETBACKI LETTER ��'� �� ;',�� - � e�� :�� TRAC7AN0 LEDGER I 3� ,,, ---- -------- - —._—....._..-- --_� �44TI_IVC�S�FORMSx� �,, -`= �� ` �� SWITCH GEAR � ��,s� .s�� `"-_�.- ":;�� COMMERCIAL HOOD UG:PLUMBING �� : �= ��N 'x ^�' T-B�R _ , � �4 _ e a ilG."EL"ECTRICAL �;` � �� ,� .:� : �'�z��`: _ _ � �.�':� INTERCEPTER ;UPER GROUND� >. ,� � �;::, �� ' - -�� ,_,�� . � ,��.�° HOT MOPISHOWERPAN � SEWER LATERAL SEPTIC;CESSPOOL MAIN WATER LINE i HERS REPORT RECEIVED SEWER CLEANOUT DEMOLiTION ROQF SHEATHING ROOF DRAINS FLOOR SMEATHING --�—__-- ROUGH CONDUIT � �� 3SHFJIR�WALLS�EXTERIOR � �' �`� E "�' � �PDOLI,SPA ' �' � .,sr^� �" � '� � �`�� , �. 5hEi4R VJALLS INTERIOR w� <t'r��„ %_��• ��s�;. �,��' �� EiflUGH"�PL!lM61NG:,�, °� �p�.�;;,,.. `�� FRAMING/VENTING =„�;� �� . � �` � �ryn�� . ,�:� � �,,� -� . RdUGH ELECTRICAL=, x iRQUGH MECHANICAL �; t3 i � Y �j �t" fflOUGH Pv1ECHANICAL` ' ` ' � � � : � 3- �� ROUGhI ELECTRICAL-�W( )�t ) � $� �,�.� �m� �.�� G�ASTEST�:� �� , _��'w ,�,�� d �� ,�A }°� ROU�GIi PLUMBING �:.��,� �; >a 6�, � �� _ "t, �jE�G � __�� ;: .__ .;-: .< ; `R U��ITE� �� . �.. , � INSULATION WALL POOL PRE�t7ECK BONDING ,�,;." � > ��,�, _€�� „'� INSUI.ATION CEILING ��`�}qp �„ %� ��''� "�� _ ��; DRYWALL FENGE/GATEI RIARM�"'� w '.�;,� .,,.. :.�,..: �,� „ � .-� ,' ��.� LATH(PRE) � �FINAL POOL y '�,�,a� � fl� ;�" ��,��- ;� LATH EXTERIOR i WALLS: LATH INTERIOR � WALL FOOTING/STEEL GAS TEST � WALL STEEL 1 S-j )2NQ( )LfFT SCRATCH COAT � WALL BONQ BEAM ELECTRIC METER RELEASE � WALL QRAIN(SEAL GAS METER RELEASE WALL F(NAL SPECIAL INSPECTIbN Rf�,�r�iA�M'�E'IANNINGAPPROVAL� '�'� � � �� r�, ��IfVAL 9UILOING�� ;� � � ` �� r � � 'tiQU�H FIR£AP�PROVAL�� ,�� ''�'� �� ' � �E.,,; � , ��'' �INAC�MECHANICAL_ _�_ �� '� ' -` ` �� _ �� FtNAL�FIR�DEPARTMENT _, � �,,� � � � �� ^ � _ ° �,�� .: ,�,. _ �-�� _ : �.� � .. ��r r� "�,�� : FItJAL ELECTRICAL ; :: i:;�� ' �;��"" ��„y b . � �-- � �INAL`;PLA`�NNiNG�a. _ � .� � �� ...x. � ; � �. . _ — , F�INAL PLUMBING �' f` �-�;• �� . � � NAL ENGINEERING!PW `��. �� _ � - '' � :� � a��_ � - _ _: �T�C.of OCCUPANCY ,'�° . ° ' ` {, _ -� �< �� PINAL�GQM�9UNITY SERVICES� �d � � - `� �� , e �,9 �CERT.of UCCUPAidCY�� ,� `.. `:. ._;.� a:;�� _.....�� FiNAL NEALTHBDEPt:��. e �M r;'��*� �,�.�� ..&�,3�`.��`�' .��',�k� ��>�� .,� �FINA!lNDUSTRlAL�1NASTE�`�;� � �,.� . �� ` '�� COMMENTS: