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Home My WebLink About15-0219 •l _..�'Y �. CITY OF DIAMOND BAR ;' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . _ �, _ �"- — 21810 Copley Drive,Diamond Bar,CA 91765 PRESS :;j (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ''�R"" BUILDING PERMIT APPLICATION � / APPLICATION DATE: � ��/�� P/C# ��^Dd �Q s JOB SITE ADDRESS �3 � 3 /' �4.h �tq, �/ z APN b7I 7-D I�LOT�Z�TRACT ISSUE DATE: 'y�`�7 �f� PERMIT# �.I�` �� • � / � OWNER J�I a�7',� if.Ntasfo� I�z/' �ie e J`�v�C TYPE CONST. OCC GROUP: � ADDRESS �ZO�O Wl di�1 S'�' ��., ' ��ZO .� CITY�/`✓i�^+- ZIPr�7 �TEL. ZONING F ONACKS RW ❑ = APPLICANTS(J71.�-i1I7�. TS�/T TE ��l0� 3�Z�y 6 Z L REAR ❑ � /` • j_yes� /��Lr,'�C4��r r SIDE/SIDE STREET RW ❑ � CONTRACTOR P4U�`T�C w C.- SIDE ❑ � ADDRE`SS C� �. � •� u = CITY.�LK ��%'r+aS ZIP `/773 TEL. 70�I�� 7�Z PROPOSEDUSE I 'Cj- 'f�' 14v1 p�t4 li/1 1F{� E'- cLH 7�c /} 1 ARCH/ENG/DESIGNER ON�1 �Sf '1•1 C�1�Ov � � � �/ p �ew . CJp� rad gu:��u�- �.� z ADDRESS{,2, 6 7 S_S L/i�t Nt- 0 4� �1�4,Y `�oc/i� �t �C` ��-' z CITY�/t� /'t S�7 ZIP�2G�a TEL.C�y�J�Oh--76 y� #DWEL.UNITS #STORIES #BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEH-BUILDER DECLAHATION s I hereby affirm under penalty of perjury Mat I am exempt from the Contractor's STate License Law for the reason(s) SFFVADD/REM I � L� indicated below by the checkmark(s�,I have placed next to the applirable item(s)[Section 7031.5,Business and I Garage/Carport � Professlons Code:Any city or county that requires a permit to construc[,alter,improve,demalish,or repair,any � z shuclure,prior ta it5 issuance,also requires the applicant tor the permit to file a signed statement that he ar she � Patio/Deck I i is licensed pursuant to the provisions olthe Contractor's State License Law(Chapter 9)Commencing with Section w � 7000 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I n the alleged exemption.Any violation of Section 7031.5 6y any applicant for a permit subjects the applicant to a civil penalty C7 s of not more than five hundred dollars($500). QZ Re-Roof I � U I,as owner of the property,or my employees with wages as iheir soie compensation,will do()all of or(,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,builds � � or improves the property,provided that the improvements are not intended or oftered for sale.If however,the building or � 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 contractin with licensed Contractors to construct the ro ect Section U P p�� Y 9 p � ( Valuation: �� Adj.Area � Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who � buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheConVactors'State QUANTITY DESCRIPTION FEE I Y License Law.). I � ()I am exempt from licensure under the Contrac[or's STate License law for the following 2ason(s): � I � � 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at leas[one w I � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w — owner-builder if it has not been constructed in its entirety by licensed contractors.l undersiand 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 , X the following Web site:http/www.leginfo.ca.gov/calaw.hVnl. '� I z = DATE: SIGN: � LICENSED CONTHACTOH'S DECLAflATION � I a I ' I hereby attirm 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 ettect. J I �j LICENSE CLASS C 7�� f� 'w LIC.NO.: � 6 7 z I � DATE:y'�Zy�k`��CONTRACTOR: /'�ufi �L� _ ' ¢ WONI�H'S COMP�CLAHA ION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE POLLOWING DECLARATIONS: 1 � I � I have and will maintain a Certificate of Consent to Self-Insure for Worker's CompensaUon,as provided by CONSTRUCTION:!/� 7'V�� Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�qN REVI EW: /`S O�J > �I have and will maintain Worker's Compensation Insurance,as required 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: ��(�•��^ ¢ PolicyNumberare: y� (_ PLUMBING: ,�, CARRIER__Q �.O /C e ✓Y/l/� MECHANICAL: � POLICYNUMBER C ' SL;.S�� INSPECTION FEE: n (iHIS SECf10N NEED NOT BE CAMPLEfED IFhIE PFRMIT IS fOR ONE HUNDRED DOLLARS($100)OR LESS). ' ISSUANCE: , L = I certify that in the pertormance of fhe work for which this permit is issued,I shall not employ any person in any manner so as fi ^ becrome subject to the Worker's Compensation Laws of Califomia.Md agree that rf I should become subject to the Worker's SM IP: r� JCompensa�on provisions of Section 3700 of the Labor Code,I shall forthwith comply with those prpvisions. ENERGY P/C: J DATE:�-2 y J�APPLICANL ,�i-r�f./�1 ENERGY PERMIT: i � WARNING:Failure to secure Worker's Compensation coverage is unla ul,and shall subject an employer to criminal RETENTION FEE: ��r y penalties and civil fines up to one hundred thousand dollars(5100,000),in addition tn the cost of the compensation, � damages as provided for in section 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTRUCTION LENDING AGENCY BSAF: !�__�� I y I he2by affirm under penalty of perjury that there is a Construction 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 certi/y that I have read this appliration and state that the above information is correct.I agree to comply with all city and TOTAL FEES � �,�� /f�f�r�y Z counTy ordinances and state lavrs relating to building construction,and hereby authorize representatives of this counry to COMMENTS: � o � enter upon the above-mentinned property for inspection purposes. J 'j�/� {�/ 1� _��rCC •! �VY!�r ¢ PERMITT E AM RI � 1► � � � _�'_ `�`�',��...�lz._-_ y-Z�-2�/S`- J .� = SIGNA OF PT9R�ERMITTEE DATE RECEIPT# � L�� PAID BY:�VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy L CITY OF DIAM4ND BAR 1. INSPECTION RECORD ' � , , . eo e � e , . � . SETBAGK/LETTER ��° � � � s � � � ` ' ' '° � � ' ' " TRACT AND LEDGER ��OOTINGS FORMS , � ° " ' ' � " � SWITCH GEAR 'SLAB; � "°�� ' " � � � _ � � � � COMMERCIAL HOOD �-T-., = � , " � �,. .� �� __ ,UG.�LUM61f�G � �.��a��_ „ � ��:. a : ., , � _ . _ T-BAR _ 'UG.ELECTF{�CAL� �� _ q_ _ ,,_;,�; , ; q , � >; ` °' " � INTERCEPTER �UFER GFiOUND ;t� � ;, � ' .` ;°�a = " `� �� . HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL j MAIN WATER LINE HERS REPORT RECEIVED � SEWER CLEANOUT DEMOLITION i ROOF SHEATHING ROOF DRAINS ; FLOOR SHEATHING ROUGH CONDUIT � , __ , �,�re �� z , - ;SHEAR WACLS EX7ERIO�t" ` - ��;��; ..« '� � � _: ` POOC/SPA � . , : � a 9_ , . _ , , _ ,�. . , . __ St{�A,R WAL�S lNTERIbR � � �� k e�°�� .�"��' _ �' _, _ ` � � ROUGH FLOIVIBING a . � . FRAAAINGNENTING�� , � , " . ; °�„° �`: ` ; , : ' : ROUGH ELECTRICAL� � ; �. , . RO�JC�N MECHAPJIGAL �x � � � �� RQUGH MECNANICAL ° ` ' " ' � tp�� - . r ��2_, re , _ � -- � , �RO�1GN ELECjRfCP;��;V4�( }�( � , �� m= a � , -- � � GAS TEST � , �RQUGH PL`�OMBING' -.--_s , � ��°� �� . � PRE GUNITE� . _ . .. . _ INSULATION WALL POOL PRE DECK BONDING � INSULATION CEILING P-TRAP DRYWALL FENCE!GATE!ALARM IATH(PREi FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �ZNe� )LIFT SCRATCH COAT WALL BOND BEAM ELEC?RIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.FRAMING PLAIININGAPPROVAL � <.a_ � .�, . . �.. , _„ _ � FIt�AI gUILDING' K� � �� )� Y f = _ � � � ROUGH fIRE APPROVAL � �, . , _ — _ FINE1LfMECHANiCAL ' FINAL FIRE DEPARThAENT • - _ - FINAL�ELECTRICAL � _ :. � : j' ' _ - m ,� ,,., �� .FINAI PLANidING , . �� ; ' � . e . '�INtll.�PLUMBiNG�..�'��" `'" �_:;, :' ��' �� FINAI ENGINEERING/PW � ' r7;G:of OGCU�FANCY� �"- �; ��;'_ ,� . �e � � _ � FINAL COMMUNITY SERVICES � , <�.. . � ��_�„ , _ � _� . - GEF�T ofaOCCllPAP1�Y ��e� �� ° . , ° • , � �,�, FINAL HEALTH DEPL �, ° . . � FINAL INOUSTRIAL WASTE � �� ° ° �a�� ` � COMMENTS: �