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Home My WebLink About16-0496 ��Mv� � ._.�� CITY OF DIAMOND BAR 'i �� ` I I I i � DEPARTMENT OF COMMUNII c=&DE�ELOPMENT SERVICES - � . p,' - 21810 Copley Driye,Diamond Bar,cn 9»6s PRESS ,,,,��.� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY � BUILD[NG PERMITAPPLICATION www.cityofdiamondbar.com building@diamondbarca.gov � I a JOB SITE ADDRESS ��J' �O�C�V� P 1 • APPLICATION DATE: �Ti�ZZ - t G9 P/C# PY�1�o- �'�v Z ISSUE DATE:�� (f/ �D�9(D � APN LOT TRACT � PERMIT#: 0 —�� OWNER Q�iC�LtiV GQu i�..i-t]4 TYPE CONST. OCC GROUP: _� ADDRESS � � cn , w _t l�G,t- � � � CITY IP � TEL. Scope of Work 1��i+ 1�� vt.l.L+-t�1�� a9'�a'✓�, o APPLICANT ' w TEL. (o�ZCo-'i��I•.1'U/� } •� �� fJGlw�.�y' . �. C�Z L[�Ll�� i.�it.�) o¢ CONTRACTOR '- 'V G�' �Z��u � ADDRESS /Y9�� > ��F � #DWEL.UNITS #STORIES #BEDROOMS o CITY�g_(-►^ _ZIP��+-�TE�.�Z(p-��'+�• S�1� o ARCH/ENG/ � z DESIGNER DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ZADDRESS SFR/ADD/REM ' ¢ Garage/Carport m CITY ZIP TEL. ¢ Patio/Deck � � OWNEfl-BUILDER DECLAflATION w oI hereby affirm untler penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) LL Pool/Spa w intlicated below by the checkmark(s�,1 have placed next to the applicable item(s)[Section 7037.5,Business and � •� z Professions Cotle:My city or caunty thffi requires a permit to construct,alter,improve,demolish,or repair,any Q Re-Root a structure,prior M its issuance,also requires the applicant for the permit to file a signed statement that he or she � Commercial � � is licensed pursuant to the provisians of the Contractor's State License Law(Chapter 9)Commencing with Section � N 7000 of Division 3 of the Business antl Professians Code]or that he or she is exempt from licensure and ihe basis for m � N the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant ro a civil penalry - 0 of not more than five hundred tlollars($500�. , � (J I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of ar(J portions Z of the work,and the structure is not intendetl or offered(or sale(Section 7044,Business and Professions Code:The V8/u�tiO�f: UU Adj.Area: w Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the property,providetl that the improvements are not intendetl or offered for sale.If however,the building or QUANTITY DESCRIPTION FEE p improvement is soltl 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.). � � Z (J I,as owner of the property,am exclusively contracting with licensed Contractors to construct the project(Section Q N 7044,Business and Professions Code:The Con[ractors'State License Law does not appty to an owner of property who � � Y builds or improves thereon,and who contracts for Ne projects with a licensetl Contractor pursuant to lhe Contractors'State � o License Law.). `+' LL ()I am exempt hom licensure under the Contractor's State License law for the following reason(s): � z z m � By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an a X owner-builder if it has not been constructetl in its entirety by licensed contractors.I understand that a copy of the - w applicable law,Section 7044 of the Business antl Professions Cotle is available upon request when this application is � o submittetl or at the following Web site:http/www.leginfo.ca.gov/calaw.html. � �j LICENSED CONTflACTON'S DECLAfiATION � mI hereby a�rm under penalry of perjury that I am licensed untler provisions of Chapter 9(commencing with Section 7000) � N of Division 3 of the Business antl Professions Code,and my license is in full force and effect. , `� �.— ��l `� �9 t � LICENSE CLASS: G'�� LIC.NO.: d CONSTRUCTION: Q OATE: ��z_�I I� CONTRACTOR: Sfj �• � � 'P' 0 WOHKER'SCOMPENSATIONOECLAFIAT N PLAN REVIEW: ��I, S S QI HEREBY AFFIRM UNDER PENALIY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ELECTRIC: � o I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provitled by PLUMBING: �0� � � a Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. MECHANICAL: p /'�t I have and will maintain Worker's Compensation Insurance,as requiretl by Section 3700 of Ne Labor Code,for . a the pedormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and INSPECTION FEE: Policy Number are: A � � CARNIER_7iU'1r/�i-��- �t�B�Vi�t;0u.� ISSUANCE: N POLICYNUMBER L�L(1 t ZGC{� SMIP: , 9 � (�HIS SECTION NEED NOT BE COMPLEIED IF iHE PERMR IS FOfl ONE HUNDRED DOI.LARS($100)OR LESS). ENERGY P/C: �p I certlfy that in ihe performance of Ne work for which this permit is issue41 shall not employ any person in any manner so a to ENERGY PERMIT: o become subject to the Worker's Compensation Laws of Califomia.Md agree that ii�l shoultl become subject to the Worker's J Compensation provisions of Section 3700 of the Labor e,I shall forthwith comply with those provisions. RETENTI ON FEE: � ��• � DATE:Z ZZ'T L APPLICANT: �ttiT7 PRE-ALT FEE: � WARNING:Fail�re to secure Worker's Co pensation coveiage is unlawful,and shall subject an employer to criminal gqSF: � �� penalties and civil(ines up to one hundred thousand dollars($100,000),in addition to the cost of th e c om p e n s a t i o n, p damages as provided for in section 3708 ot the labor code,interest,and attorney's fees. PLOT PLAN: a CONSTRUCTION LENOING AGENCY ZONING CLEARANCE: = I hereby affirm under penalty of perjury that there is a Construction Lentling Agency for the pertormance of the work tor � which this permit is issuetl(Sec.3097,Civ.C.�. C LENDER'S NAME: wLENDER'S ADDRf:SS: TOTAL FEES 1�- 5 V ��J��p � a I certify that I have read fhis application and state that the above information is cortecL I agree to comply with all city antl Z county ordinances antl state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: p enter upon the above-mentioned property for inspection purposes. m �� P/C:�$ O�� PAID BY: ��T�I �11 S VALIDATION: � a PERMfTlEE E(PR n � ti '�^� �-ZZ^� RECEIPT#�� PA � � . .� ALIDATION:-'//�- � SIGNATU F PERMIITEE DATE WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy �� CiTY UF �IAMO}NYD I�AR INS�P"EC'�'IOR! R,�COi�C} . � � , � � � i i � � ! SETBACK/LETTER TRACT AND LEDUER FOOTINGS FqRMS SWITCN&EAR S�g CQtvfMERC1At NOOD U6.PLUMBIN6 T-BAR UG.ELECTRlGAL ENTERCEPTER UFER GRQUND H4T MOP/SNOWERPAN SEWER IATERAL SEPTIG/CESSPpQL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLpOR SHEATHING RQUGH CpN4UIT SHEAR WAL�S EXTERlOR POOUSPA SNEAR WALLS INTERIOR ROUGN PLUMBING FRAMING(VENTING RQUGH ELECTRlGAL R4UGN MEGHANICAL ROUGH MECHANICAI� ROUGH ELECTRICAL W( )CO GAS TEST ROUGH PLUMBING PRE GUNITE • INSULATION WALL POOL PRE DECK BONDING (NSULATION CE�LWG P-TRAP ��A« �ENCE J GATEJ ALARM LATH(PRE} FINAL P041 LATH EXTERIOR ' J I WALLS: LATH INTERIOR WALL FQQTINGISTEEL GAS TEST WALL STEEL 1sT� ��No� �� SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FfNAL SPECIAL CNSPEGTION R0.FRAMING PLANNING APPROVAL FINAt BUILDING ROUGH FIRE APPROVAL. � FtNAL MECNA@i1CAL FINAL FIRE DEPARTMENT FINAL ELECTR(GAL FENAL PLANNIN6 fiNAL PIUMBING FINAL ENGINEERING!PW ;� 7.C.of pCCUPANCY FINAL COMMUNITY SERUICES CERT.of OCCUPMICY FINAL HEALTH DEPT. ' FINAL INDUSTRIAL WASTE � CO M NTS: /