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Home My WebLink About15-1077 _. �!'" �..�.. CITY OF DIAMOND BAR � I ��: DEPARTMENT OF COMMUNITY&D _, � ENT SERVICES c i, — ' 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ;,, �,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 '��"� � BoiLnnvcrERMiTArrLicaTiorr FIRMLY g " �` /� APPLICATION DATE: P/C# I i JOB SITE ADDRESS �� " � ISSUE DATE:�/'�' 7'� d'��J PERMIT# I�� I D � � � APN—��LO�T -T CT � OWNER �7/T L i KG�Z�' I_�� TYPE CONST. OCC GROUP: � ADDRESS ZONING SETBACKS � CITY Z EL. � y I �' � FRONT RW ❑ = APPLICANT� • TEL. REAR ❑ � n �� _/ ;• j SIDE/SIDE STREEf RW ❑ � � CONTRACTOR �7�'ti� SIDE I ❑ � ADDRESS � � � , PROPOSED USE J/ � i� = ci� " .r✓�'` ��Tf z1 t `7 � - - _ � ARCH/ENG/DESI ER = ADDRESS #DWEL.UNITS #STORIES_�� #BEDROOMS z CITY ZIP TEL. ¢ DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION I OWNEH-BUILDEH DECLAHATION = I hereby affirm under penalty oi perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s),I have placed ne�R to the applicable item(s)[Section 7031.5,Business and Garage/Carport I � Professlons Code:Any clty or couirty that requires a permit to construct,alter,fmprove,demolish,or repair,any I � structure,prlor to itc issuance,also 2quires the applicant for the pertnit to file a signed statemeM that he or she � Patio/Deck i is licensed pursuantto ihe provisions of the Conhactor's State License Law(Chapter 9)Commencing with Section W � 7000 of Division 3 01 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty <7 = of not more than five hundred dollars($500). ZQ Re-Roof I � U I,as owner of the property,or my employees with wages as their sole compensation,will do(,all of or(,partions � Commercial I y of the work,and the shucture is not intended or offered for sale(Section 7044,Business and Professions Code:The � Z Contractors'State License Law does not apply to an owner of properry who,through employees'or personal eftort,builds m I y or improves the property,provided that the improvements are not intentled or ottered 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 property,am exclusively cont2cting with licensed Contractors M construct the project(Section Valuat' � Ad Area: Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who 1� I � buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY • DESCRIPTION FEE I Y License law.�. I � (�I am ezempt from licensure under the Contmctor's State License law Por the following reason(s): � I � � 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one c~.� 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 Iowner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted ar at I � the following Web site:httphwvw.leginfo.ca.gov/calaw.html. Z I ? DATE: SIGN: � — LICENSED CONTpACTON'S DECLAflATION � I a I ' 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. J I �� !y� �,y` a LICENSE CLAS . / ��/C� LIC.NO.:�� l�C'.�.3 a � i � DATE: CONTRACTOR: �=. _ � ¢ � i WOHI�H'S COMPENSATION DECLAHATI y I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � � I have and will mainTain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � ! � on 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�,qN REVIEW: 9 � I have and will mainhin 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 Cartier and ELECTRIC: ¢ PblicyNumberare: �..�� PLUMBING: CARRIER �lI t Z —o � �� '��' MECHANICAL: ;� POLICYNUMBER � � INSPECTION FEE: '� (THIS SEC110N NEED NOT BE CAMPLEfED IFTHE PFAMfT IS FOR ONE HUNDRFD DOLLARS($100)OR LESS). ISSUANCE: '�1•� = I certity that in the performance of the work for which this pertnit is issued,I shall not employ any person in any manner so as to �� become subjed fi th Worker's Compensation Laws of Califomia.Md agree that A I should become subjed to the Worker's SM IP: �,./ � Compensatio^rovi'ns ection 3700 of ihe Labor 'drso ply with those provisions. ENERGY P/C: tl J 1 DA7E: nPauCANT: ENERGY PERMIT: � WARNIN .Failu e to secure Worker's Compen n�coverage is una u,an s a subject an employer to criminal � n'� y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the cost of the compensation, RETENTION FEE: �_ = damages as pmvided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTlIUCTION LENDING AGENCY � BSAF: ��()('� = I hereby affirm under penalty of perjury that the2 is a Construc[ion Lending Agency for the performance of the work for � � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: x LENDER'SADDRESS: i I certi(y that I have read this application and state that the a6ove information is correct.I agree to comply with all cily and TOTAL FEES !-�/!4` /�� I v V V �� county ordinances and sfate laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: enter upon t above-mentioned property for inspectio urpos J ' � y._- � � � _ � ¢ PERMI �E NAME(PRINn r� n n � ,/ = SIGNAIURE OF PER DA RECEIPT# �7 � � I PA�D BY: VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY " UND BAR - � INSP RECORD . � o , . � . . � � , . � . SETBAGKi LETTER �; ; a�".; `° � � � � �� TRACTAND LEDuER 'F001'(NGS F4RMS� � ,,;.� �� z� � �� SWITCH GEAR SLAB ��'� ;�. �'�� " �� , , �� 9� � ` � ` ; " COMMERCIAL HOOD � UG�,<. „�., � '.�PLUMBIt�G�,.� � �� ' �� '� ��` � T-BAR ,UG:ELEGTRIGAL��°� �°� ''a � „,� �.$�� ` INTERCEPTER UFER GROUND��". �� _'�� ` : � �� f ' HOT MOPlSHOWERPAN SEWER IATERAL SEPTIC/CESSPOOL MAIPJ�NATER LINE HERS REPORT RECEIVED SEW[R CLEANOUT DEMOLITION ROQF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CQNDUIT �.�R _ ___ `SHEAR VI�AL�S EXTERIOR �� . ` ` � P00�./SPA � � � _ _ � �SH�AR WAL�S INTERIOR .: , - � � � � ` ROUGtf PLUMBI�� , _ � � . . A. a N� � � ' , , . �� - _ . _ - � � . _ �RRMINC�IVENT(NG,a � � ��' �� -� � �� - ROUGN ELECTRICAL � � � � � ROIJGH:MEGHAMCAL�� , _ � � � _-_ _ - �,� , . x ° ROUGH MECHANICAL ROUGH=ELECTRICAL W , � � . � � . ( )C(*��C � � . � GAS TEST a . e- � � . ROUGH-PLt1MBING k.�°: „ � ;�� ; ;. � � : � , � �PRE GUNITE � � INSULATION WALL POOL PRE QECK BONDING ° ` : ' INSULATION CEILING P-TRAP DRYWALL FENCE/GATE!ALARM � �° • � � � IATH(PRE) FINAL POOL ° LATH EXTERIOR WALLS: LA7H INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 ST( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM E�ECTRIC METER RELEASE ' WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSFECTION R0.FRAMING PLAAJNINGAPPROVAI. ' _. .,�,�.ro , _ _ � FIMAL BUILDING r _ ;� _ �__ �� `a�� ROUGH FIRE APPROVAL � ` � ` � �� , � �� ' �� ` flNAL'FIRE DEPARTMENT _ � � � Fdt�AALMECHi4NICAL" :� �., ', r�� s � °� �� Fit�t1�EI.�C�TRICA� � &��`�� _ �I _ _ _ � � � ; � FINAL�PLANNING � � .. ��. � �� _ _ ,FINAL PLUMBING �r . ` ' ` � �� "�� . �� ; �� , ' " ` ` . �� FINAL ENGINEERING/PW � � . , �T:C.of`OGCUPANCY.__�_ ��'` � , �� s.„ `�� a 4 � � � FINAL COMMUNITY SERVICES� �� .�. _ w , , , `GE�T of BGCUPAMCY ��" � �� FINAL NEALTH DEPT. � � � FINAL INOUSTRIAL WASTE. ' � � - � � ti � � COMMENTS: