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Home My WebLink About14-5232 (8) ' �,.� �` �_,,,._ CITY OF DIAMOND BA�2 � � . . , `� �_,��,�i,,.�; DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES F'ri`9/i,�� " PRESS � - 21810 Copley Drive,Diamond Bar,CA 91765 `,,,;., , (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 `�'�¢'"� BUILDING PERMIT APPLICATION FIRMLY i JOB SITE ADDRESS I S�"'S (a 1 u L I< h � ti✓ K p r APPLICATION DATE: P/C# i ISSUE DATE: `�/�/U'`�/�� PERMIT# �� z APN LOT TRACT � O�NNER Tit�"�E 3 u�h er TYPE CONST. OCC GROUP: � � ADDRESS ZONING SEfBACKS � CITY ZIP TEL. � � `� Z r�I FRONT RW ❑ jAPPLICANT O l S [+� t/ TEL.�I`I 3�0 3 �I l� REAR ❑ Q CONTRACTORG 1\P�� 'i D P� L� SIDE/SIDE STREET RW ❑ � ADDRESS � "! �1-b lI '1 U/G � �y�(U( SIDE ❑ s CITY fi�i v�,v� u Zlp��TEL. D I � 3 `I�- Z-Q Z7 PROPOSED USE � � ARCH/ENG/DESIGNER � = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. a OwNEH-BUILDEH DECLAtiATION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � '= I hereby affirm under penalry of perjury that I am exempt trom the Contrador's State License Law for the reason(s) SFR/ADD/REM I I � indicated below by the checkmark(s�,I have placed neM to the applicable item(s)(Section 7031.5,Business and Garage/Carport � Protessions Code:Any city or county that requires a permit ro construd,alter,improve,demolish,or repalr,any I � struc[ure,Prior to i1s issuance,also requires ttie applicant for the permit to file a signed statement that he or she � Patio/Deck� z. is licensed pursuant tn the provislons of the Co�actar's Sfate License Law(Chapffir 9)Commencing with Section W � 7000 of Divlsion 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty C7 Tof not more than five hundred dollars($500�. ZQ Re-Roof I � U I,as owner of the property,or my employees with wages as iheir sole compensation,will do(J all of or(J portions � Commercial I y of the work,and the strudure is not intended or offered tor 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 ro e p p rty,am ezclusively contracting with licensed Contractors to construct the projec[(Section V2luation: Ad Area: Z 7044,Business and Professions Code:The Conhactors'State License Law does not apply to an owner of property who 1� � n buildsorimprovesthereon,andwhocontractsfortheprojeclswithalicensedContractorpursuanttotheConVactors'State QUANTITY DESCRIPTION FEE I Y License Law.). j L)I am exempt trom licensure under the Contrador's State License law for the following reasan(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 pnor 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 by 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 ' v�. )e I X the following Web site:http/www.leginfo.ca.gov/calaw.html. Z ' I ? DATE: SIGN: � L J / LICENSED CONTflACTOH'S OECLAIIATION � .� � 'F Lx��(iye..) I a I y I hereby affirm under penalry 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 effect. � LICENSE CLASS: �� b `� L1C.NO.: 1� / O ( 2 Z I � DATE: (�Z/L�I�"I CONTRACTOR:_��, OQ �L � I Z w I ¢ WOHl�B'S COMPENSATIO DECLAHATION g I ,� I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: I � �Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�.,qN REVIEW: > I have and will mainTain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for Z the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: a PoIi�yNumberare:�p S `O PLUMBING: J r� �D � CARRIER C MECHANICAL: � PouCYNUMBER I✓ l,/C,'3 ( O �� (� $ INSPECTION FEE: � _ (THIS SECiION NEED NOT BE CAMPLEfED IFTHE PFAMR IS FOR ONE HUNDRFD DOWWS($100)OR LESS). ISSUANCE: �►^ r � I certiTy that in the perlormance of the work for which this permd is issued,I shall not employ any person in any manner so as to �d J� 6ecome subject m the Worker's Compensation Lavrs of Califomia.And ag2e tl�at rf I should become subject to the Worker's SM�P: I J Compensation provisions af Section 3700 of the Labor Code,I shall forthwith compty with those provisions. ENERGY P/C: y DATE: 2/�L APPLICANL /� IL..'� ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal � �R 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 pmvided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTpUCTION LENDING AGENCY BSAF: � = I he2by affirm under penalty of perjury that there is a Conffiruction Lending Agency for the pertormance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: s LENDER'SADDRESS: i i I cerfity that I have read this application and state that me above information is correct.I agree to comply with all ciry and TOTAL FEES `A 1 . � � '7..L =� county ordinances and state lavrs relating to building construction,and he2by authorize representatives of this county to COM MENTS: z � enter upon the above-mentioned property tor inspection purposes. � �`"c�+� (Cin VSL (�� r� ¢ PERMITTEE NAME(PRINn I '-' ,� _..�------Zf� Z� Z- / ! `� � = SIGNA PERMITfEE DATE RECEIPT# I PAID BY:,/ �yr n VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy �r� CI1!'Y, QF, DIAMUiVD E3AR • ► INSPECTIOfV RECORD � • � i s . � � • � ` • � . SETBAGK/L-ETfER - � '�. � °�� "�r � °� � > �� " `� � TRAGTAND LEDGER ,�< " � -. �� ,� � , ' '. _ - �0�1'INGS FORMS ; :�, �'�`�' �� ,, ,� � ,� � , , � .� � SWITCH GEAR 'SLqB � �� .�< �b� �_ � � x � '� � �° COMMERCIAL HOOD , � � ` � •� � � � � ,UG;'��,PLi1MBING ;�� > ` �`� `� �``�� `� ' T-BAR � � � �� LlG.�ELECTR(CAL��• .� �. ; �. �� .� ��. * � � - � � INTERCEPTER �UFER 6ROUND � �'�^ � � � � „, � � ., �. �,�� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOI MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROQF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �FIEAR WALLS�F�iTE�iIQR �� - � � � � � � POOUSPA � � � ' � � SH�R�.WAL�S�INTERIOR � _ f , .. �. � .� .. e� g � I�OUGH PLUMBING - � P.� ,FE;AMINGNENTWG � .�� ., 3 � � � � � � n � � ROUGH ELECTRICAL � ' ' �ROUGH=MECtiANIGAL' �` _ � " � `'" " � ` � �' ' � � ROUGH MECHANICAL � ROUGH ELECTRIC�AL W( ,)C-( �) {, ; .� � � � � GAS TEST 9 ROUGH=PLUMBING � � � a9 2�3 ti"'4 ' � � , � ; PRE GUNITE INSULATION WALL POOL PRE DECK BONDING - y • INSULATION CEILING P-TRAP DRYWALL FENCE/GATE/ALARM LATH(PREI FINAL PQOL ° LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sT( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELGCTRIC METER RELF�ISE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.FRAMING'PLANNINGAPPROVEII ` _ � , PINAL BUfLDIN6 �'. � : � � , ' � � . ROUGH FIRE APPROVAL �_ .: _ , � �FINAI MECHAl�ICAL��,, � �� - a � � . � � FINAL FIRE DEPARTMENT FINAL ELEC�R(CAL x�"-� �� '"� '� � � �` � � � � ; ' �FINAI PLANNING � � � f111AL.PlUM�ING� � � � � �l .j,�%:4; �,� � ir.� � �� FINAI ENGINEERIN�I PW � � ' , , � = , - � �.��: �:— � �� 7:C:of�dCCUPANGY ;. �` ��„ �� '� �� ' ' FINpL COMMUNITY SERYICES , �� ., , CERT.of OCCUPANCY� � ' �, �..� � � , � FINAL HEALTH QEPT. FINAL INDUSTRIAL WASTE COMMENTS: