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Home My WebLink About14-5079 _ "_�— `'� w�J'/� `�Q�+Ob(�@ M Q/� � W...�o'''� ... CITY OF DIAMOND BAR a� � I W �I DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES ' 21810 Copley Drive,Diamond Bar,CA 91765 PRESS , �,�,�„� (909)839-7020 Faac:(909)861-3117 Building Inspection Hotline(909)839-7027 � FIRMLY BUILDING PERMIT APPLICATION � g �� s APPLICATION DATE: � P/C# I x JOB SITE ADDRESS C. � D a �� l�, '/ L, ^ z APN LOT TRACT ISSUE DATE: �I y// /'/�IJ/T PERMIT# �`7� �D / q � i y OWNER TYPE CONST. OCC GROUP: I n ADDRESS � J CITY D� ZIP_�I�1lJ TEL. �' �L�� ZONING F ONTCKS Rw ❑ � APPLICANT TEL. REAR ❑ ¢ CONTRACTOR OV j SIDE/SIDESTREEf RW ❑ � SIDE ❑ � ADDRE R"�N PROPOSED USE ��vP � I/j'�� .�� CITY 1✓d ZIP TEL. �,�JJ- � �f � ARCH/ENG/DESIGNER ,? � /Nrr.dl( OS� �nD/A�r(' b'R�QL//��_ = ADDRESS #DWEL.UNITS�_ #STORIES�_ #BEDROOMS � z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREfWALUATION � OWNEA-BURDEII DECLAHATION = I hereby atfirm under penalty of perjury ihat I am exempt from the Contractor's State License Law for the reason(s) SFFUADD/REM d�� I � indicated below by the checkmark(s),I have placed ne#to the applicable Item(s)[Sectlon 7031.5,Buslness antl � Professiais Cade:My ciry m cowity that requires a permtt lo construct,alter,improve,demolish,a repalr,any Garage/Carport I z structure,prlor ro its Issuance,also requlres llre applicairt for the permR to flle a signed statemerrt that he w she � Patio/Deck n Is Iicensed pursuant M the provlslo�s of the Contractor's State License Law(Chapter 9)Commencl�with Sectlon W � 7000 of Dlvlsion 3 of the Businese a�Professions Code]or that he or she Is exempt from Ilcensure and the basis for � PooVSpa � the alleged exemption.My vlolatlon of Section 7031.5 by any applicant for a permtt subjects the applicant to a civll penalty C7 'n of not more than flve hundred dollars($500). Z R�Roof T � I � U I,as owner ot the property,or my employees with wages as their sole compensation,will do(�all of or()poNons j Commerclal . y of the worlc,and the struclure is not intended or oftered for sale(Section 704d,Business and Professions Code:The m I � Contractors'Stale License Law does not apply to an owner of property who,thmugh employees'or personal eBort,bullds i or Imprwes the property,prmided ihat the Imprmemenls are not intended or ottered for sale.B however,the building or I � improvement Is sold within one year of completion,Ne Owner-Bullder will have the burden of prwing that it was not buitt � or Improved for the puryose of sale.). I (J I,as owner of the property,am exclusively contmctlng with licensed Contractors to construct the project(Sectlon Valuation: Ad Z 7044,Business and Professlons Code:The Conhactors'State Llcense Law does not apply to an owner of property who j.Area: I � buildswimprovesthereon,andwhocontractsforiheprojectswtthallcensedCormacrorpursuantrotheContractors'State OUANTITY DESCRIPTION FEE I Y ucense Law.). 3 (�I am exempt hom Iicensure under Me Contractor's State License law for the rollowing reason(s): � I 1 By my signature below I acknowledge that,ezcept for my personal residence In which I must have reslded for at least one = year D�or to completlon of the improvements cwered by this pertntt,l cannot legalty sell a structure Nat I have bultt as an w I owner-builder if it has not been consWded In its erttirety by Ilcensed wntractors.l understand that a copy of the applicable I � law,Section 7044 of the Business and Professions Code is avallable upon request when this application Is submitted or at � the following Web site:http/www.leginfo.ca.gw/calaw.htrnl. � z � DATE: SIGN: � — LICENSED CONTFIACTOH'S DECLAAATION � y I hereby afFlrm under penalty of perJury that I am Iicensed under provisions of Chapter 9(commencing wdh Section 7000) � � � of Oivision 3 of fhe Business and Professions Code,and my Ilcense is In I?rce and eff J I " �' 3� �.No.: �� " � � „ uc�se cuvss: � I � DATE: — ' CONTRACTOR: � . � WOflIffA'S COMPENSATION DE TION � i � I H�AFFIRM UNDER PENALTY OF PERJURY ONE OF THE F-0LLOWING DECLARA710NS: �L 1�9�>,� I have and wlll maintaln a Certiflcate 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 wlll maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � the perlormance ot the work for which this permit is issued.My Worker's Compensatlon Insurance Carrier and ELECTRIC: =d PoIIcyNumberare: ��,w� � PLUMBING: y CARRIER l.0 n��Ai-7e--� MECHANICAL: � POLICYNUMBER 9O3 9��! - / INSPECTION FEE: n (THIS SECTION NEED NOT BE COM%_EfED IF1HE PH?MR IS FOR ONE HUNDRED DOWWS($100)OR LESS�. ISSUANCE: 3.J��f'� � I certify that In the pertwmance of the work for vfi�h mis permtt Is lssued,I shall rrot employ any person In any manner so as to �` ,a'� � become subJect to the Worker's Compensatlon Laws of Califomia.Md agree ttiat If I shald become subJect tn the Worker's SMIP: � Compensation provisions of Section 3700 ot the Labor CPde,I�ytorihwith canpy with ttrose prwisions. ENERGY P/C: i DATE:,�/7- �' APPLICANL_� L�� ENERGY PERMIT: = WARNING:Failure to secure Workers Compansation coverage is unlawful,and shall sub�ect an emplayer to criminal RETENTION FEE: �rj� y penaltles and chdl fines up to one hundred ttrousand dWlars($100,000),in addition tn the cost of the compensatlon, = damages as pmNded for in sectlon 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTFIUCTION LENDING AGENCY BSAF: ` (Jrd = I hereby afFlrm under penalty of per�ury that there is a Conshuctlon Lending Agency for the pertormance of the work for � whlch this permtt Is issued(Sec.3097,Civ.C.). LENDER'S NAME: = LENDER'SADDRESS: i I certlry that I have read this applicatlon and state that the ahove Information Is crorrect.I agree W compry with all city and TOTAL FEES � county ordinances and sfate laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: z � enter upon the above-mentloned property fo ' pection purposes. J �/ 7 /�- � L � ¢ PERMITTEE NAME I � �'/- 17- � = SIGNATURE OF PERMI E DATE RECEIPT# �D PAID BY: �✓,j`Yo 3� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—AppllcanYs Copy CITY OF DIAMOND BAR INSPECTION RECt�RD � � . � � e � � • ' � �`� �� „,k.a-. .�°°�"� �� -�� TRACTAND LEDGER SETBACK/:LETTER ._ � �� - SWITCH GEAR FODTIfd�S°.FORMS ^�',,�� .4�� -��: � _� � -�� _ � —T, �� x� �� S��}�p "�` COMMERCIAL HOOD I:/'1V,R�" •R. . F� ,,.�y�sa..�. v.�� _ ms� UG�PLUMBING:� _ �. �`'�� `�,�.� �� T-BAR ,�� . a., �..s �F. �, UG EL:EGTF�lCt1L�•° '.;�> ��µ#"`�� ; �*`� ,",�; INTERCEPTER �=— �`° � °,:.. '�. � ._ _ �`�� ,�g� HOT MOP/SHOWERPAN UFER�GROUND�� K•- �� SEWER LATERAL SEPTIC/CE5SP00� MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT a re. ,�� _ ,.r . �� , �,� �� Ot�SP � a:� �� : y SHEA[�WALLS�EXTERIOR'�� 'a�� ,�. �� A��'�a�� ;SHEAR�VP1AlL'S�INTERIQfi��«,� ` � �'�°„�� "�� ° ROUGH PLUMBiNG ��"°�'�� , �� . '�'� � � � e.� � �� ,ROUGH�ELECTRICAL'= €,�'�� a�� n�� -��; ��4� �� FRAMING/VENTlNG .�r .� � � ��e , ��d � _ --� � �. � u� ROUGN MEGHANICAL��=', - ��`�,�� ROUGH MECNAh11CAl ��°�a�� :� t�� `� `'��` �°�� ,x �� ' ��'.� � �� . eE . ,�.` �z� �«. . R��}GH�ELECTRICAL�.W�')C(� )�'��'�� 9� ��a�� r��,`� �GAS�TESf'� � ��' ��' � � �� ROklGH PLUMBING��a4� ,.�.��'�?.,��z.� �° �� a.�� z ��, PRE�Gt1AllTE�� °� .� � . �,��`a��.�� . „ ,�,:,a..� . ;� � .� _� �_. . ° INSULATION WALL ,P(lUL�PRE�DECK BONDIN6 � �� " �� INSULATION CEILING �'��' �� _�� °- �� . ° �� ;� �, �� .�� DRYWALL sF��10E�l#GATEf AEARM � �'�"�� 4 �� ° �� `�' � ,�.: LATH(PRE7 �ItdAL.P{?fIL _��" ,�r��t �3 re a M a��,.. . ��',��± , ��..�� _`� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRP,IN/SEAL GAS METER RElEASE WALL FINAL SPECIAL INSPECTION `RCI.F!',AMNlGPLANNINGAP.Ff30VAtx �r��;`�6 "" � �" ,�� . '"� �s�"��°��' ��IVHE�OV'��IVU 4� �d� g�� %�� R'M� �.� L6 `��* ` S'�-'� � ..r �� ` p,d� ' $ � R 'fi: a� � HOUGN FIRE APPRt�1AL ,�� ° � .�� INAI MECHANICAI,�� ,�4» =, Y ""� ° �� ,;� ��'�� FtNAt'�.FIRE EPARTMENT,��R �" w�"'�"� °� � � � �� , "� EINAL�ELECTRICAL� _��' �� <�� ,.�� „`�� FINAL PtAN{U(tdG x`,4.r ,t � ��.��° � � " �`�" �- ��" FIKAt PLt1MBING ` � " � �°��: '_� ,� �� ,� �� .FENA��ENGlNEEiiING/PW m� � '`"� �` .�'` � � � �� T.0 of OCCUPANCY:� � ,� '� � �' �� '�r s��"�.�_ '�� ` �F�NAI�OMMIINIT1f SERVIC�S��"�� x°� °��,- ��f � � _ � - � �' , �, ,.. �� `�� .� L HEALTH�dEPT �� ; t « , : � .w ,: �. _.- , CEItT_.of`dGCUPAPICY ;"' " �.>' { � FENA � . � _ � �Ft�1ALINDUSTRIALWASTE��,�� -�',,�e � ..E�e �,. '�� '" � COMMENTS: _ , ,