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Home My WebLink About14-4988 „,,W,._�-'-°t'�.........___, CITY OF DIAMOND BAR � � ,� t� ' � ;' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES (� � �� - .. `�I�'� PRESS � . 21810 Copley Drive,Diamond Bar,CA 91765 � .�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �'�'�”"� BUILDING PERMIT APPLICATION ' s JOB SITE ADDRESS �OZ V 1 � APPLICATION DATE: P/C# i ISSUE DATE: /V"" �I' �y PERMIT# r%" ��tS6 � APN LOT TRACT � OWNER TYPE CONST. OCC GROUP: I J CDDRESDS 1 r�/ZIP TEL. ((�I� �' Z�NING SEfBACKS :n FRONT RW ❑ = APPLICANT �S TEL. 1I�-��tl- IlQ REAR ❑ � �r, y, SIDE/SIDE STREET RW ❑ � CONTRACTOR P 1 O� eSIV rCI"1 t LV1�y �C SIDE ❑ � ADDRESS � I �\ = CITY ZIPya�oyTEL. �II`i-S�y- �[ODO PROPOSEDUSE � e �V� VQ '! V Y S. � ARCH/ENG/DESIGNER C '�X S J f (�S L = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS ¢ CITY ZIP TEL. I � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OWNEH-BUILDEH DECLAfiATION a SFR/ADD/REM Y I here6y affirm under penalty of perjury that I am exempt from the Confrador's State License Law for the reason(s) I � indicated below by the checkmark(s�,I have placed next to the applicable item(s)[Sectlon 7031.5,Business and I � Garage/Carport Prafessions Code:Any city or county that requires a permit to consVud,alter,imprave,demolish,or repatr,any � structure,prior to its issuance,also requires the applicant for the permit to file a signed sfatemeirt that he ar she � Patio/Deck I i is licensed pursuairt to the pravisions of the Contractor's State License Law(Chapter 9)Commencing witli Section w � 7000 of Divisian 3 of the 8usiness and Profeuions Code]or that he or she is ezempt from licensure and the basis for � Pool/Spa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof I = of not more than five hundred dollars($500). � � (J I,as owner of the property,or my employees with wages as iheir sole compensation,will do(�all ot or(�portions � Commercial I y ot the work,and the structure is not intended or offered Por 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 of the ro e am exclusivel contmctin with licensed Contractors to construct the ro ect Section U p P�' y 9 P � ( Valuation: Adj.Area: I Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who � buildsorimprovesthereon,andwhocontractsfortheprojecLswithalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I ,� Ucense Law.). I � �1 I am exempt trom licensure under the Contrac[or's State License law tor the following reason(s): a I � Q 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 Z 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 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 � the fallowing Web site:http/www.leginfo.ca.gov/calaw.html. Z I DATE: SIGN: C° � I — � LICENSED CONTHACTOH'S OECLAflATION � d y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) I � of Division 3 of the Business and Professions Code,and my license is in full force and effed. � nj LICENSE CLASS: � �Y LIC.N0. ��1 S�'l � Q I Z DATE: `l� �il �y CONTRACTOR: I a� �5�� n n = I a WOHI�H'S COMPENSATION DECLAMTION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: /� � I have and will mainhin a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION:_ �If•Q� � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�qN REVI EW: � > �I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: � the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ PolicyNumberare: 1, PLUMBING: y CARRIER C�Ur��O�� MECHANICAL: Z POLICY NUMBER Z LO F�.."1 � INSPECTION FEE: n (MIS SECTION NEED NOT BE COMPLETED IFTHE PFRMR IS FOR ONE HUNDRED DOLLARS($100)OR LESS). ISSUANCE: ,�.��7 = I certify 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 � become subject to the Worker's Compensation Laws of Califomia.Md agree that if I should become subject to the Worker's SMIP: � Compensation provisions of Section 3700 of the Labor Code,I shall forthwith 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: a-•0 y penalties and civil fines up to one hundred thousand dollars($100,000�,in adtlition to the cost of the compensation, 1 damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTAUCTION LENDING AGENCY BSAF: y I hereby atfirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: = LENDER'SADDRESS: TOTAL FEES � i I certify that I have read this application and state that the above information is wrrect.I agree to comply with all city and 7f� � counly ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: z � enter upon the above-mentioned property for inspection purposes. J � � ¢ PERMITTEE NAME(PRItJn :n �= SIGNAlURE OF PERMITfEE DATE RECEIPT# �I � PAID BY:jI ��VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD ' . � � , . � . . � , , o � . ,SE76�CK1 LETT�ER� . � �� '�, ��.� a�z �'�� "' � ` TRACTANO LEDGER ; FOOTINGS FO MS ��;��., N�' �° „�,� <„ �� .wa;�a� St"JITCH GEAR —I ,SLA6: �b� � " „�_�,��L, � ;� ,COMMERCIAL HOOD i ,UG PLUMBING_ '��. :� Y �� ""�,�`` T-BAR i UG.oELECTRIGAL,, �;,,,��'� N"��y ��„3,�q'i ,� 3 E ,"��.,, 'INTERGEPTER ; ,UFER„GROUND' �"�s�,:;.. � ,;,a, ��. �� HOT MOP/SNOWERPAN i: SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE ___ HERS REPQRT RECEIVED � SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAI�dS FLOOR SHEATHING j f ROUGH CONDUIT � `SHEAR.WALLS;EXTERIOR'� `� �,;�� _:�„ POOUSPAa",�� `"� �-:��o-��" � _ . _ ._. . , `,SNEARWALLS`INTERIOR^ �� = �_ � �' � �� „ ;� � ,,,,, _,_, � "` � `: F � � _ � .,��,� , a. .��. �ROUGH PlU�IBiNC� r ,�.,,�',.�,o_ .� f � e� �:�s �. _... _ � �FRAMINGNENTING �, � �r � ;a;� e rt�`; ROi1GH ELECTFiiCAL' - �,$* `��' �_ � � '„ °�'� a, _ � - �_ :_�.�p. , . � �_� �ROU�N MECHANICAL: �r P �� a, �� . ,�,�� R�}UGN�MECHANICAL�„; ��q, ��,��'�`', ,.r; "' d�� "�"�# ', � � `�„. � - �, ,�� d��s�° �� a� �a�__ �� 3ROUGH ELECTFI'ICAL Wt�K}C i 1 �" � :��:� ,�. ~� 'GpS�TEST�� x . '��- `� k�.�r,:W.; r ROUGH PLUMBING. ;,�,:� = '�� ''��' �PRE Gl11VIT€ �� "� � .�. „ : n ,a;��.:.b,� �,,, ;�_ �.��,,, a � �� .. .. . �� . xa E �. � � _� ,,,, w.��` '�'�,_ �� INSULATION WALL PEfOL-'RRE aECK�BOhlDING` ' �� , , �� _� INSULATION CEILING , R TRAP"��=- ��K ?�� ',��- u ��'`��. y„ ��.. DRYWALL F�JUCE�I�C�TEIALRRM,� " � °"-� ;�� '�� r �� a �:� �� ,� IATH(PRE) ,FINALri?OOL;�. : ��' • ,'�`r� � My.,�� «�..r�! LATH EXTERIOR WALLS: LATH INTERIOR VVALL FOQTINGiSTEEL ; 6AS TEST WALL STEEL 1 S'( }2'�°( )LIFT i - --� SCRATCN COAT WALL BOND BFAM : ELECTRIC METER RELEASE WAIL DRAIN(SEAL ' GAS METER RELEASE � WALL FINAL ' SPECIALINSPECTION xRO.FFi�MAM(NGPLANNIN�APPROVAIa '..�..ak'�� _� ,�� ,,,;:' . "�"' �� ., ��°�� ;� �: � � :��...-�„�-- - � - �FIN;4L BUILDING�, �` s��, �: �, 'ROUGN FIREAPPR4UAL " F��:., ..- . ��,:. ,�g�.t. •,` � ,��; � FINAL�MECHAIVIC�AL ��°- m�;�- `r�,:;W `��,;�,� �,A>'��.' g w L �; �� t'��INAL FIRE�DEPIIRTMENi' ��_, �� ,� � ' ,,,�,. FINAIeELECTRtGAL ' :,a ,. .;:��,' � FINAL PLA�IfVING � �,�� r'r_�� -'; ,��1 t,,`�5� ;FINAL PIUMBING, "�, +, �%/ .�i, � ' � FINAL ENGINEERINfiI PW�`� ��" `�. �� , � _,�. �a - �� jT.C.of OCCUPt1N6Y ��; '_ '� Fl�lAl CON1i�UNITY SERVIC6S p �� "�� ,��°`� .:�� :� � � CERT."�--of OCCUPANCY �', �$ �., '�� '°`°� ` i AL�HEALTH QEPI'�� " �4�� • � . _ � �.�: „ ., _ _�, ,._ F��f ,,,;� _ ,.. _��:. �. tit �, �y,�Y��,a�a �, . - �FiNAL tNDUSTRiAl WA$TE ' �:. ',�, " �3��;� " � & '�,, COMMENTS: