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Home My WebLink About15-1430 _.,�''� CITY OF DIAMOND BAR I �,. � �._. _3 I _i s� � ( 1 I ; DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � = ^f 21810 Copley Drive,Diamond Bar,CA 91765 PRESS I K (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 ^ 'a'J �''��'" BUILDINGPERMITAPPLICATION FIRMLY s JOB SITE ADDRESS �zO �X�"Ci !_ I' �1/�ClY�IQIC� �� (,/� APPLICATION DATE: �/6 S �P/C#_I S- I��O � ISSUE DATE: 7/��_PERMIT# I�- I7Q�� z APN LOT TRACT �- � OWNER �J�i�N ( u O TYPE CONST. OCC GROUP: n ADDRESS �Z� 3oxcove l�l. `! ruvnovld ✓ C� Cl� 7�05 n CITY �4�1G� �G✓ ziP Ri76s TEL. 7�Y b�{�o 3.S �I ZONING F ONTCKS RW ❑ Y APPLICANT C✓1�5�/Gr1 QflOYI'V TEL.IS�y 3S� Z� � REAR ❑ � � �IGIUS SIDE/SIDESTREET RW ❑ Q CONTRACTOR SIDE ❑ � ADDRE S � Z�SS li�,nof+G v-. �# � 7i � �i = CITY��W��e ZIP y2�3 TE�. c-�'yy a�r z2 �� PROPOSEDUSE Gb 1/�1LrIN V `�J 5 e� /�vlo 1-(vtut,� �l �� . �hve��e�✓' �o, � ARCH/ENG/DESIGNER /JCJ�1C� U1�4lY�O�G �� z ADDRESS 35 5 5. SZO �' ZZ 5 -T � � #DWEL.UNITS #STORIES #BEDROOMS z CITY��hd�� ZIP U l TEL. �� 5� � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ¢ OWNEA-BUILDEH DECLMATION = I hereby affrm under penalty of perjury that I am exempt from the Contrador's STate License Law for the reason(s) SFR/ADD/REM � indicated below b the checkmark s I have laced nezt to the a licable item s Section 7031.5,Business and I � Y (�� P PP (�� Garage/Carport Prolessions Code:Any city ar couMy that requires a permit to construc[,alter,improve,demolish,ar repair,any z struclure,prior to Its Issuance,also requires the applicartt for the permit to file a signed sfatement that he or she � Patio/Deck I i is lice�sed pursuant to the provislons of the Contractor's Sfate License Law(ChapLer 9)Commencing with Section w j 7000 of Division 3 of tl�e Business and Professians Code]or that he or she is exempt from licensure and the basis for LL Pool/Spa I � the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicantto a civil penalty Z Re-Roof ,� of not more than five hundred dollars($500�. � I � U I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or(�portions � Commercial I y oi the work,and the structure is not intended or offered for sale(Section 7044,Business and Protessions 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 ottered 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 am exclusivel cont2ctin with licensed Cont2ctors to construct the ro ect Section U P P rtY� Y 9 � � � Valuation: � Ad Area: Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner oi property who 1� I � buildsorimprovesthereon,andwhocontractsforihepmjectswithalicensedContradorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I License Law.�. I � (�I am exempt from licensure under the Contractor's State License law for the following 2ason(s): � 2 I �' 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-huilder if it has not been constructed in its enti2ty 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/ralaw.html. '� z I = DATE: SIGN: � — LICENSED CONTHACTOH'S UECL.AHATION � I a I' 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 effect. J I _ / �'3�3�6 � n LICENSE CLASS: � [D LIC.NO.: z �I � ¢ � Z DATE: CONTRACTOR: l �_ _ � I w a WOflIffA'S COMPENSATION DECLAMTION g . y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: . ��a �� 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 ^ � the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: r J z ,- ¢ PoIi�yNumberare: �^ PLUMBING: y CARRIER._�,i p�e�S V)S �[J MECHANICAL: � POUCYNUMeER ;SO C•(� � INSPECTION FEE: r'_ (IHIS SECTION NEED NOT BE COMPLEfED IFTHE PERMfT IS FOR ONE HUNDRm DOLLARS($100)OR LESS). ISSUANCE: '�.�1� = I certity that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to beame subject tn the Worker's Compensation Laws of California.Md agree should become su6ject to the Worker's SM IP: r� r � Compensatio pmvi'ons of Sectlon 3700 af the Labor Cod hall fo those provisions. ENERGY P/C:_ J DA7E:�I�,�APPLICANT: � —"�� I 1 ENERGY PERMIT: � WARNING Failure to secure Worker's Compensation coverage is unlavrful,and shall subject an employer to criminal RETENTION FEE:__ L�� I y penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, ? damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTflUCTION LENDING AGENCY BSAF: �,,,,m y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the perfurmance of the work for = which this permit is issued(Sec.3097,Civ.C.�. � LENDER'S NAME: = LENDER'SADDRESS: TOTAL FEES 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 ��,3� � ��'y I county ordinances and state laws relating to building construction,and hereby authorize represenTatives af this county to ? CO M M ENTS: J enter up e aboye-mentioned property for inspection purposes. � y�S�`��GVI O Yi0 ¢ PERMI NAME(P � � � � = SIGNATURE OF PERMITfEE �� DATE� /� RECEIPT#��'1� /� pAID BY: �J VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTIOI'v REC�RD . � e , . � . . � � , . e . °SETBACK%LETTER�'�� a. , ' � �� TRACTAND LEDGER FOQI`IN�S FpRlNS�`;�° '�s� .� � � � � SWITCH GEAR � �SLAB ��a�� "�� `' � �` � COMMERCIAL HOOD �_,� . � . � . . �UG.:PLUMBING��, � � � � � � � � � � � T-BAR g . :. .� .� , . UG�ELECTflIGAL; � �_ �.�� INTERCEPTER � U��R GftOUN�_ � ; ;„�� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE NERS REPORT RECEIVED SEWER CLEANOUT I DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT . ; � ; ,� SHEAR�WALL�F_X'EERIOR �� "' " " ' � POOUSPA � � v ° � � . , - . R . � n , _ ;SHEAR WALLS INTERIOR = � s �� . � P ` ° ' ROUGH PLUMBING � � � , � � � � _ ,. <., , : . _ _ _ : � FR�IMINGIVENT(NG ' � P � _ > � ROUGH ECECTRICAL � ` ' ° � " � � � � ' �� _ __ �ROl1GH ME�HAt�i�AL,� � „ � � � � , � a , : � � • ROUGH MECHANICAL � � _ �° �ROUGN ELECTRICAL��W(�)'C( � � , � '� :° � ' C�AS TEST r a __. ROWG�I PLUMBING�� - �� ` ' ` PRE 6UNITE � INSULATION WALL POOL PRE DECK BONDING . INSULATION CEILING P-T�P � DRYWALL FENCE/GATFJ ALARM LATH(PRE) __ __ FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sT( )2Ne( )LIFT ' SCRATCH COAT ' WALL BOND BFAM ELECTRIC METER RELEASE ; WALL DRAIN!SEAL GAS PJIETER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PtANNIN6APPR0VAL FIM11L BUILDIhiG �`� � �s• , � , -_ ' '�a � ' � - . ROU6H FIRE APPROVAL �PINAL MECt�ANICAL� � ' , `� �° �'; �� : FINAL FIRE bEPARTMENT _ , ro_. ; : z - 'F,INAL ELEC�RICAL � �� z�� a � FINAt PLANNINCr � , _, � # � , w _ � ��- _ . , , ,FI[�(AL PLI�M,BIN�� .� ; � -� �� FtNAL ENGINEERINGI PW �1',C;of OCCUPANCY �''�� '� � �� ` � � � �� FINA4 GOMMUNITY SERVICES 4� .. _ .. ,F . . . > ;CERT;of OCCUPAPICY � ` �,� � � ' :` : � �: � � �k , �FINAL HEALTH DEPT. � � FINAL INDUSTRIAL WASTE � � COMMENTS: