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Home My WebLink About14-5272 =�''r--� ....____ CITY OF DIAMOND BAR I I I ' :: DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY '�"�R"' BUILDING PERMIT APPLICATION yJOB SITE ADDRESS��I � /✓ �YI� APPLICATION DATE: P/C# 1 ISSUE DATE: 1��O,/ �I 7 PERMIT# �'7 f� 7 f7� z APN L T TRACT � OWNER �"� TYPE CONST. OCC GROUP: n ADDRE � aCITY i�s.� C'!�i ZIP TEL. ZONING F ONT KS RW ❑ s APPLICANT TEL. REAR ❑ n a SIDE/SIDE STREET RW ❑ a CONTRACTOR � � 1 L.L--C�./ SIDE ❑ I p ADDRESS Z-C� �� 1-- - PROPOSED USE = CITY -S � ZIP O,'�i TEL. '�- Z a( � ARCH/ENG/DESIG ER � = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS II ¢ CITY ZIP TEL. � DESCRIPTION SQ.Ff. FACTOF PSF ADJ.AREANALUATION OWNEH-BUILDEH DECLAHATION z I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I �� I indicated below by the checkmark(s�,I have placed next to the applicable item(s)[Section 7031.5,Business and Garage/Carport Prohsslons Code:Any ciTy or county that requires a permit Tn construct,alter,improve,demolish,or repair,any z structure,prior ta Its issuance,also requires ttie applicant for the pertnit to file a signed statement that he or she � Patio/Deck I i is licensed pursuant to the pravisions of the 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 � the alleged exemption.Any violation of Sedion 7037.5 by any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof = of not more than fve hundred dollars(3500�. � I � U I,as owner oi the property,or my employees with wages as tt�eir sole compensation,will do(,all of or O portions -� Commercial I '� y of the work,and the structure is not intended or oftered 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 ettort,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 ot completion,the Owner-Builder will have the burden of proving that it was not built � or improved for the puryose of sale.). I � L)I,as owner of the property,am exclusively cont2cting with licensed Contractors to construct the project(Section Valuation: Adj.AI'ea: I Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who � buildsorimprovesthereon,andwhocontraclsfortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y license Law.). I � (J I am exempt from licensure under the Contractor's State License law for the(allowing reason(s): a I � U 2 1 By 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 completion of the improvements covered by this permit,l cannot legally sell a strudure that I have built as an w owner-builder if it has not been constructed in its entirety by licensed contradors.I understand that a copy of the applicable � � law,Section 7044 of the 8usiness and Professions Code is available upon request when this application is submitted or at I � the following Web site:http/www.leginfo.ca.gov/calaw.html. Z ( � DATE: SIGN: � — LICENSED CONTHACTOH'S DECLANATION � I a I y 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. I � G�?t� `��'//�� n LICENSE CLASS: LIC.NO.: zQ I � DATE: CONTRACTOR: = I U ¢ WOHI�H'S COMPENSATION OECLANATION � I � I HEREBY AFFIRM UNDER PENAL7Y OF PERJURY ONE OF THE fOLLOWING DECLARATIONS: y � I have and will maintain a CeRificate 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 pertnit is issued. p�qN REVIEW: > I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: � the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and n ¢ Policy Numberare: PLUMBING: �h l�.�('� ,�, CARRIER ��] �I`ZY7 MECHANICAL: � POLICY NUMBER �'7� —7 C�� c� INSPECTION FEE: n (THIS SECfION NEED NOT BE CAMPLEfED IFTHE PfAMfT IS FOR ONE HUNDRFD DOLLARS($100)OR LESS). ISSUANCE: � = I certify tt�at in ihe performance of ine work for which this permd is issued,I shall not employ any person in any manner so as to � become subject to the Worker's Compensation Laws of Califomia.Md agree that it I should become subject tn the Worker's SM IP: J Compensation provisions of Sectlon 3700 of the Labor Code,I shall forthwith comply with those pmvisions. ENERGY P/C: i DATE: APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlavrful,and shall subject an employer to criminal RETENTION FEE: �.� y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the cost of the compensation, v i damages as pmvided tor in section 3708 of the lahor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTflUCTION LENDING AGENCY BSAF: y I hereby affirm under penally of perjury that there is a Conshuction Lending Agen�y for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: = LENDER'SADDRESS: i I certify that I have read this application and state that ihe above information is correct.I agree to comply with all city and TOTAL FEES �n�`��'1 � V / Z county ordinances and state laws relating to building construdion,and here6y authorize representatives of this counly to COMMENTS: � enter upon the - ro e for ins ' urpose o --� La/LFk� ti'Z.�I,�,�7�1 G/�� n PERMI EE NAM n — iZ a./�f = SIGNA EOF'� RM11TfEE DAT RECEIPT#��__ PAID BY:�� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIi1MUND BAR INSPECTIQN RECQRD . � , , . � . . � � , . � . SETBAGIV LETTER� �� '� �r�+� TftACT AN�LEDGER ___ � �, _-,�,�. �.. � �_ . ,� _ �� E �r, � FOOTI"" �� ", � � .,�, f SWITCH GEAR ' NGS FORMS� �..:..` �� ,� ,�,�..,,,.�..��- , ��>��a�.•� SlAB`.' ; � - '�� COMMER�IAL HOOD �`��., `'� ��`�°� ��t�.__ ,. ��, � ��-_ � �' UG:�PLUMBING �� t.= � ��, ��,� � �� T-BAR _� „ � � INTERCEPTER ,UG:ELECTRICAL,,„ �'��- �'�'��-� ��"` �� , < ,4 , - � �� .: _ ,_ _ �_� _ � _ � � �, ,,e� � �, __ , UFfiR�GROUNp, — �� »�Z, _ �_ �� -.�, E HOT Pvi0Pl5H0�NERPAN ; SEU'JER LATERAL � i SEPTICr"CESSPOOL ' MAIN WATER LINE ' �HERS REPORT RECEIVED SENJER CLEANOUT ,DEMO�ITION Y ROOF SHEATHING � ;ROOF DRAINS FLQOR SHEATHING ROUGH CONDUIT � 'SHEAR�WALLS EXTERIOR °��`,� `� ��„ ' ''POOVSPA�,� ,�" � �� 4 _��.. SNEAR�NALL�S�I,NTERIOR ��,..�& �a�` �„�'��:;� `° �� RQUGH PL€1AABING.,!„��'y��`� ��;�� ,�� . ,�„� FFiAMINGN,E,NTING "��. �.-�.�. 5 r,,� i FtOUGH EE�EC7HIG�AL y� �-�`��_ �°`„��, A� �� `� ROUGH MECHANICAL`�� s -,��., ��, ,� �ROU�GH;MECNANICAL ��., = N'��'�� ROUGH ELEC;TRIGAL.taW{ )C� ).�."� � �,��. ��_ a.. ,�,,,�„„ iGAS TEST'; ��'�� °'" , a_��.�-� . �.. ROl1GH�l.�l1MBING� ,t°. "�' ��;'� ��.'�� ` �e. i�E Gk1NlTE '��`, � e�. ��..„�. -�;e� b� _� , � � �. ��_ �.. : .� . � INSULATION INALL � � �FQQL PR DECK„BONDING� ��";�`�a��, ��. '�� ; 1N5ULATION CEILING i�p�TRAP `�` � � �„'.��e�,, 5��..� �auR<: �' DRYWALL i `FENGE 1 GATFJ A�LARM `�� `�� ' �,�, �'� LATH(PREI ---- -- ��FIN,ALzPOQl. � W�� `` .�`�`� "�� ' -- LATH EXTERIOR WALLS: IATH IN?ERIOR I WALL FO�TiNG/STEEL GAS TEST j WALL STEEL 1S�( 12N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE � 1h'ALL�RAIN/SEAL GAS METER RELEASE �WALL FINAL SPECIAL INSPECTION RO�FRAMING,PIANNINGAPPt�DVAL �',,.��.',. , k �� ° �"'a '- � '� ., �.�;,� _ � . a-�:p� —� _ � d .�,,��„u� n = � _ �� ' �...,� �'. - �` ��'� ` ROU�H FI��AFP�dUAL.. �lNAL BUILDING„- '��Z�.i 7� i•a a� � �� . �.._„ � � �� ' `� • ,��„ °� � . - ��_ - --_ _,. � - ,FINAL�MECHANICAL �> � . _ � °�, s , _. �� aN�tL F1E3E DEPA�tTMENT � ``�� _ �"°`�� x,�`� �'" � � _ �s<._ '_. .�.—. _ . , __ _...r,��. ..��..: € y��y�Fxir�� . ' xRSAi�.,�r. fINAL�ELEG7RtCAL' � �� ,� _= w ,� �FINAE RL'l�Nt�i�16 � �� a� � _ �:� �� '��, `�� . , , ;� � __, b ,. FINAL�PLUMBINGs' ' ,Rg �_ � .t`�1�- „� �=- �FINAL�ENGlNEERING/PW� " ' $; , � � - :<� . __ � � ,�� _ � � , _�„� � �� _: , � T C,�of OCCUPANCY ,� � � ��x. -�` � �,F�INAL_-GUM�UNITY.SERVICES�� ° � � � _� ; ,r-�� - ;CERT of 1)CCUPANCY � ��c ;� � ��.� !,FINAL_HFALTH DEPT� ` ��£ � , �,� �� _ _ �,_ ��_�� • a �_.'� ,�FItJt1L INDUSTRIA�L�WASTE'� : � : ~ �.� �. ��. COMMENTS: