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Home My WebLink About14-5224 i ��'-� CITY OF DIAMOND BAR � ; I i� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ,�_ ' � — 21810 Copley Drive,Diamond Bar,CA 91765 P�ESS ,�) (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY '�"°" BUILDING PERMIT APPLICATION I g � APPLICATION DATE: P/C# x JOB SITE ADDRESS v36�S �D6�J� C�F�SC.��c �L. l, �/�/ z N LOT TRACT ISSUE DATE: ��`/��C(oiy PERMIT# r�_�.�'�"�I � � OWNER C.� TYPE CONST. OCC GROUP: � ADDRESS n � ' ZONING SETBACKS l, CITY�(��l I3A�ZIP q(�(uSTEL. 1F FRONT RW ❑ - a APP CAN TS TEL. "�✓ REAR ❑ s n �Jl,� SIDE/SIDE STREET RW ❑ � NTRACTOR �Li ��/'�{�,J'L/�'V�i�� 1/�G% ' SIDE ❑ � ADDR�E��StS jS�LSa2f}- ]hI'/�'l��Zp!'KIi�i7�� Ft.i'� ��I��a pROPOSED USE rL = CITY t7�7^�/"'�Y��}-�ZIP 9/7� TEL.r6�,�3!'�•-�'7�c� � ARCH/ENG/DESIGNER y z ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS za CITY ZIP TEL. I � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDER DECLAHATION z I hereby affirm under penalry of perjury that I am exempt irom 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 Garage/Carport I '-� Professions Code:Any city or county that requires a permit lo construct,alter,improve,demolish,or repalr,any � � z structure,prior to its issuance,also requires the applicant for Me permit tu file a signed sTatement that he or she � Patio/Deck I i is licensed pursuairt to the provisians of the Corttractor's State License Law(Chapler 9)Commencing with Section W � 70W of Dlvision 3 of the Business and Professions Code]or that he or she is exempt trom licensure and the basis for � Pool/Spa � � the alleged exemption.My violation of Sectian 7031.5 by any applicant for a permit suhjects the applicant to a civil penalty C7 I Tof not more than five hundred dollars($500). QZ Re-Roof � (�I,as owner of the property,or my employees with wages as their sole compensation,will do(J all of or(J 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,6uilds � 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 Mat it was not built � or improved for the purpase ot sale.). I � (�I,as awner of the property,am exclusively cont2cting with licensed Cont2ctors to construct the project(Section V8luatiOn: Ad Afea: �Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who 1• � � buildsorimprovesthereon,andwhocontractsforlheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE � License law.). J � (J I am exempt from licensure under the Coniractor's State License law for the following reason(s): } I � � zBy 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 completlon of the improvements covered by this permit,l cannot legally sell a sfructure that I have built as an w owner-builder if it has not been constructed in its entirety 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 � the following Web site:http/w�wi.leginfo.ca.gov/calaw.html. Z � DATE: SIGN: � I — LICENSED CONTFIACTOH'S DECLARATION � I a y ereby affirm under penalty of perjury that I am licensed under pmvisions of Chapter 9(commencing with Section 7000) � � of Division 3 of the Business and Professions Code,and my license is in full turce and effect. J I y�j LICENSE CLASS: �%-�� LIC.NO.: ��"r�b z I � DATE: /.�-'�! ' �4-CONTRACTOR:13'�,C'.�[;j��'��%5��SYtiIC � � I ¢ WOHI�H'S COMPENSATION DECLAflATION � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE Of 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 performance 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 � me pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ,� r� z ¢ PolicyNumberare: �i- PLUMBING: Z CARRIER ��L,�'�I�' �t��!l�i'� MECHANICAL ;� POLICYNUMBER ��L✓ ��. ( -7- WSPECTION FEE: � 'n (THIS SECTION NEFD NOT BE CAMPLETED IFhIE PFAMR IS FOR ONE HUNDRFD DOLLARS($100)OR LESS). ISSUANCE: �f-,r� I = I certify ihat in me performance of the work for which this pertnit is issued,I shall not emplay any person in any manner so as fi SM I P: � become subjed to the Worker's Compensation Laws of Califomia.Md agree that'rf I should become subject tn the Worker's � Compensa5on provisions of Section 3700 of ihe Labor Code all forthwim compty with those ions. ENERGY P/C: J DATE{�7=h'� �C�APPLiCANL_� �t /"� ENERGY PERMIT: i � WARNING Failure to seare Worker's Compensation coverage is unlawful,and shall subject an employer to criminal �p^ y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition m the cost of the compensation, RETENTION FEE: �� 1 damages as provided for in section 3708 ot the labor code,interest,and attorneys fees. PRE-ALT FEE: � i CONSTBUCTION LENDING AGENCY BSAF. = I hereby attirm under penally of perjury that there is a Construction Lending Agency for the performance of the work for I � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: Y LENDER'SADDRESS: i I certify that I have read this appliration and state that the above information is correct.I agree to comply with all city and TOTAL FEES �� z county ordinances and state lavrs relating to building construction,and hereby authorize 2presenTatives of this county to COMM ENTS: � enter upon the above-mentioned property for inspection purposes. J � � �c�i✓ l�C�yr/� ¢ PERMITTEE NA Nn > = GNS�O�MI17 E ~ �TE��/O , /�� RECEIPT# �P�� PAIDBY: �J VALIDATION•,.:` I WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy � CITY OF DIAMOND BAR �;�� INSPECTIUN RECORD . � � , o � . . � � , . � . SETBACK/LETTER;�" � � ��'_� '�� , - TRACTAND LEDGER i FO�DTfNGS�ORMS, �, , � � < ,w x� � ° . � —� � ' SWITCH GEAR a�. < aP�, . , SI.�B � �� `� � °��f #.� � � . � � COMMERCIAL HOOD ..�,�. 'UG..�PLUMBING • , , , � ,� ° � � T-BAR ,UG�:ELECTRIGAL� � �' - �_��, , ;,s�� ; � , � ; � INTERCEPTER 'UF� ��"�� HOT MOPISHOWERPAN ER GROUND. ;��,�� , �F SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE NERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATNING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SH�AR�INALLSmEXTERIQR '_ " � " ` ' POOUSPA ' � ` „ ' � ° ` �� `' . � � ��_ . � � - � �� , , . , , � � a _ , -m . ;SHE4R WALLS�INTERIQ��„_�.�� - � �� . ROUGH PLUMBING . , . . � r . � � �� a � , . r ,� . �,�� _ �f�1h�INGNENTING _ � - �= � -�� ° ROUGH ELECTRICAL . � � �� ,� � 'ROUGH.MECHANIC�t� ��' � � � � � � � ROUGH MECHANICAL � _ - _ _ �ROUGH ELECTRICAL W( a}C�(�)� � � � r � �� 6ASTEST =a . : ROUGH�PLUMBING ��e �� ` � ' ;° °; " PRE GUNITE � ' ' � � � � INSULATION WALL POOL PRE dECK BONDING INSULA?ION CEILING I P-TRAP � � _ � �- DRYWALL FENCE!GATE/ALARM ' LATH(PRE) FINAL PQOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 S�( }2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAINI SEAL . GAS METER RELEASE WALL FINAL SPEGIAL INSPECTION R0.FRAMIN�PLANNWGAPPROVAL FINAL.BUILUING��' ;�" �� ° �x� : � ROU6H EIRE APPROVAL "FIN�1L MECNANiCAL �� '��• : . ; � �, . � �FINAL FIRE DEPARThAENT .;� T - fiNAL ELECTRICAL ' ��` �.►� f � �a � ; : : � • �FINAL PLANNING � � � ' .� �.�� . f ��- � FINAL'PLUMB�NG :';� T �.� . _ � ��- . - � � �� . _ �FINAL ENGINEERING/PW � ' � ��, , , . TC�,of�QC�i�FANCY a'� ` � �•�� s � �� FiNAL COMMUNITY SERVICES � ..a � �ERT.oi�0[;CtiPANCY�; �� -� � , � � - - z .�..„ � FINAL HEALTH DEP-T. _ ,_ . . , FINAL INDU5TRtAl WASTE ` ° ' COMMENTS: