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Home My WebLink About14-5064' _:....�!ro:.. CITY OF DIAMOND BAR � ( � � 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 \`'�""� BUILDING PERMIT APPLICATION s JOB SITE ADDRESS �� -� �✓1- �� I J/V APPLICATION DATE: P/C# i ISSUE DATE:�I/�/ PU`7 PERMIT# �% "� r�� 7 z APN T TRACT �� OWNER , �+t�1� TYPE CONST. OCC GROUP: � � ADDRESS _ C� �'tK � aCITY I � l� ZIP EL. ZONING F ONACKS RW ❑ Y APPLICANT TEL. REAR ❑ � �� SIDE/SIDE STREET RW O Q CONTRACTOR / � �r�/�_ SIDE ❑ � ADDRESS� 7'�Z� ��LV LL �� . V d�, ZIP��v�EL. �(l�L��2�Ls Z�' I�I� PROPOSED USE = CITY (! � ' ARCH/ENG/DESIGNER i = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEH-BUILDEfl DECLAHATION = I hereby affirm under penalty of perjury that I am ezempt from the ContractoYs State License Law for the reason(s) SFR/ADD/REM ( � indicated below by the checkmark(s),I have placed nezt to the applicable item(s)[Sectian 7031.5,Business and Garage/Carport I �-' Professions Code:Any city or counry that requires a permit to construct,alter,improve,demolish,or repair,any � Iz structure,prior to its issuance,also requires the applicant for the pertnit to file a signed statement that he ar she � Patio/Deck i is licensed pursuant to the pravisions of the Carttrac[or's State License Law(Chap�er 9)Commencing wiVi Section w � 7000 of Division 3 of the Business and Prafessions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecLs the applicant to a civil penalry C7 I = of not more than five hundred dollars(5500�. ZQ Re-Roof � (J I,as owner of the property,or my employees with wages as their sole 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 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 that it was not built � or improved for the purpose of sale.). I � (,I,as owner af the property,am exclusively contracting with licensed Contractors to construct the projec[(Section Valuation: Ad Area: Z 7044,Business and Professions Code:The Conhactors'State License Law does not apply to an owner of property who 1� � � buildsorimprovesthereon,andwhocontraclsforlheprojectswithalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I Y License Law.). I � (,I am exempt from licensure under the Contrador's State License law lor the following reason(s): a � " I � 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 cannat legally sell a sUucture that I have built as an w owner-builder if it has not been constructed in its entirety by licensed cont2ctors.I undersTand that a copy of the applica6le I � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I i the fullowing Web site:http/www.leginfo.ca.gov/calaw.html. � I z j DATE: SIGN: � I — LICENSED CONTHACTOfl'S DECLAHATION � a I y I hereby affirm under penalty of perjury that I am licensed under provisions oi Chapter 9(wmmencing with Section 7000) � of Division 3 of the Business and Professions Code,and my license is in full force and eRect. I n LICENSE C S �� .No.: q�// 9� a I � DATE: ( CANTRACTOR: = I c� ¢ WOHI�H'S COMPENSATION OECLANATION g I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE Of THE FOLLOWING DECLARATIONS: � � 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 ELECTRIC: � the Derformance of the work for which this permit is issued.My Worker'S Compensation Insurance Carrier and z ¢ PolicyNumberare:� PLUMBING: __ ��.�1 y CARRIER �IA��O��-� MECHANICAL: � � POUCYNUMeER �'J I�JF�C7 Cr Z�R INSPECTION FEE: ^ n (THIS SEGTION NEED NOT BE CAMPLEfED IFTHE PFRMfT IS FOR ONE HUNDRFD DOLLARS($100)OR LESS�. ISSUANCE: �.r�✓ = I certify ihat in the perfortnance of the work for which ihis pertnit is issued,I shall not employ any person in any manner so as tn � become su6ject to the Worker's Compensabon laws of Califomia.Md agree that if I should become su6jed to the Waker's SMIP: L Compensation provisions of SecBon 3700 of ihe Labor Code,I shall farihwith compty with those provisions. ENERGY P/C: J i DATE: APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: .1,�� y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition W the cost of the compensation, 1 damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: I � i CONSTflUCTION LENDING AGENCY BSAF: y I hereby affirm under penalry ai perjury that there is a Construction Lending Agency for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: r LENDER'SADDRESS: i I certify that I have read this application and state that the a6ove information is cortect.I agree to comply with all city and TOTAL FEES 11 py`�� `l a b e Z counTy ordinances and state lavrs relating to building construction,and hereby authorize representatives of this county to COMMENTS: � enter up n the above-mentioned property for inspection purposes. J n I...J ►'L�C � PERMITTEE N �� 3 � n = SIGNATOHE OF' RNIIITEE DAT RECEIPT# �`��_ PAID BY:�f�Q��VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY {JF DIAMOiVD BAR INSPECTION RECORD � e � • � - • o e � . � o __ .�,�.fl -' -;- SETBACKI;�EfTER �", "' ' $.. `,-."a :�� „��`°�`� � TRACTANO LEDGER i � `°�, , �� ,, � '��'� �SWITCH GEAR �OOT.,INGS FORMS� �'� ��#�. ._ ;.. " .�.. p : n;a�:.., ,y�+��_ � ��g,� �� : `� " : �, „��. ;�„ - ,� COMMERCIAL HOOD UG.PLUMBINf�µ4 �''� `� ��' "� �� T-BAR ,� UG,:ELEGTRICAL ��` �� K , r ,F�, ��,��_=- '� INTERCEPTER _ UFER�GROUh1D`; �� ;t _ � ' � " �� . ."'e�_ ��> �'�W ��-�::� HOT MOPlSHOWERPAN I i SEWER LATERAL �SEPTIC/CESSPODL MAIN WATER LINE I HERS REPORT RECEIVED SEWER CLEANOUT ( I DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONQUIT SHEAR WAL�S EXTERIOR` � � � :�%� � `� �� ' POOUSPA��r ' '�E.' ,�� 'M,��.,�...�.�a. °��` StiEAR WALLS�INTER10Fi� ��„,��, �,��. . ` �` ROUGH P�UMBING� J'� � "�� `� u,. .� ° _:,. FRAMINGNENTING�r , � °A ��' I �.. ��„ �,� �a;;, r RQl1GN ELECTRICAI.,,A, ,� ��t;��.s u�' g� ��R; � -: �.. ,, . � �,_.: . ROU�H�MECHANfCAL ";� ��, �� .,�;','��,, � _ ROUGH MECHANICAL�,�,��",,, ,; , �� ROUGFI�ELEGTRICAC W(,�)C t °1 � .:'� 4 ,��x a,r�. ��.:., GAS,T,EST ' tid°�E: 3��°�,� �, _ �.,�:. s ,� „�� T - . �,� e _ E ��:, ��'�a,:..,L �� .PRE GUNITE"� �� RQl1GH,PlUMBiNG. `�:.��,'��:j�� i"sl� .��. �. � � � �� . WSULATION WALL � POOL�Pf�E�DECK BONDING ,� � � � � � ' ,., � ,,,,, INSUlATION CEILING � ;'P:-TRAP � � „,��:. ��.�� Y �' %`� � .�.��a, � DRYWALL i•FENGE,/.GATE/ALARNt ''� �" ��.','»�� `' LATH(PREI '•FINAI>POOL��u'' �� ' �, ��.� _ LATH EXTERIOR i ;WALLS: ' LATH INTERIOR � 'WALL FQOTING/STEEL GAS TEST ' °WALL STEEL 1 s'( )2Ne( )LIFT � SCRATCH COAT �WALL BOND BEAM ELECTRIC METER RELEASE � i WALI DRAIN(SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION �fiQ�FRAMINGRLANNINGAPPROVAL�, °��;�, , r, _ ��,,,, � - � 3, r FI,NA��BUILDING �� : �� , ��4 R�UGH Fit?EAPPROI/AL , �a��':;' ?-;��.,`?� FINAL�MECHANICAL„��. �� -��;;, ��; ""'`, �FINA�I.FIRE,DEPARiMENT ��'.. L �'y��,�N��... �' ��' �FINAI�ELEGTRICAI �, . a `� ` P � p� ,, �,i� �INAL PL`ANtUiNG '��°�� a EIN1�L PLUMBING ,�� ' � '� �'' .��.�_- `' FIt�AL ENGINEERINGI P ��x�� «�;�' � � � � ,,,� �� ,�� -,-. . � �_--- ; - i',C�t�fOGGUPANCY � _ � - __�� FINAI.�COMEVIUN(i`Y�SERYICE�S �a�� -s ��, , � � � _ � � �' ' - , � � � , y .s-��. ,�,� , �.�. . �.„ .. _ �. .� ,�-�. �, �� CEEiT.of�OtxUPRNGY�� '°�a 3y� �� `�__._.. ��,�`�;�,,,'', .,�,�..,;.. -_-�� ,,, FINAE HEALTH DEPT � � ��,: � �' �' � �=_ .._, ,�� ' �FIPJAE tNDUSTRIAL,WASTE�� ,,., �". .; �.�� COMMENTS: