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Home My WebLink About14-4205 �^''o - pnag�/henr� 5i, C1TY OP'DIAMOND BAR � ;� I I I i ' DEPARTMENT OF COMMUNITY&D�VELOPM�NT SERVICES '�`' i � � 2181U Copley Drive,Diamond Bar,CA 91765 E�� Vill� '-e-� � �' � ✓ „ � (909)839-7020 Fax:(909)861-3T17 Building Inspection Hotline(909)839-7027 � F�RMLY � � �`�"'"°�- � BUILDING PERJ�IIT APPLICATION a�c JOB SITE ADDRESS �� ' -" ��l APPLICATION DATE: � P/Clt �� a � ISSUE DATE: � �� PERMIT# �� z APN LOT TRACT � 0 o OWNER '��f��,�',,� ��=� TYPE CONST. OCC GROUP: � ADDRESS �/� r- N CITY Cl?tiNMfrniL �">Cr� ZIP " TEL ZONING F ONTCKS RW ❑ ¢ APPLICANT TEL. REAR ❑ ¢ 0 � SIDE/SIDE STREET RW ❑ a CONTRACTOR 3 SIDE ❑ o� ADDRES �\in�PnJ�v�ecQ�r � � ��SS� pROPOSED USE o ciTv ziPG1�uS TEL.��Ij�� 'l�,L�I 'it o ARCH/ENG/DESIGNER � w Q ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. m DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION a OWNER-BUILDFA DECLAFIATION � I hereby aflirm under penalty of peryury that I am exempt trom the Contractor's State License Law for the reason�s) SPR/ADD/REM w� indicated below by the checkmark�s�,I have placed ne#to the aDP��cable item(s)[Section 7031.5,Business and Garage/Carport o Professions Code:Any city or county that requires a permit to construct,aller,improve,demolish,or repair,any z struclure,prior to ils issuance,also requires the applicanl for the pertnit to file a signed statement that he or she � Patio/Deck a is licensed pursuant to the provisions of the ConVactor's State License Law(Chapter 9)Commencing with Section W � 7D00 ot Division 3 of ihe Business and Professions Code]or that he or she is exempt hom licensure and the basis tor LL Pool/Spa N the alleged ezemption.Any violation of SecNon 7031.5 by any applicant for a Dermit subjects the aDD��m 1�a civil penalty C7 � of not more than live huntlred dollars(3500). Q Re-Roof o (,I,as owner of the property,or my employees with wages as Neir sole compensation,will do(�all of or U portions � Commercial � of the work,and ihe strucNre is not intended or oftered Por sale(Sedion 7044,Business and Professions Code:The m � ConVactors'State License Law does not apply ro an owner ot property who,thraugh employees'or personal ettort,builds � or improves the pmperty,provided that the impmvements are not intended or offered for sale.It however,the building or � impmvement is sold within one year oi completion,the Owner-Builder will have the burden of proving that it was not built p or improved(or the purpose of sale.). U � U I,as owner ot ihe property,am exdusivety contracUng with licensed CartVactors to cansimct the project(Sec[ion ValuatiOn: Ad Area: z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who �• � builds or improves lhereon,and who contracts for the projects wim a licensed Contraclor pursuant to the Contracrors'State QUANTITY DESCRIPTION FEE Y License Law.). o (�I am exempt from licensu2 under the ConVactor's Stale License law 1or the following reason(5): � � � ZBy my signature below I acknowledge that,except tor my personal residence in which I must have resided for at least one W _ � � year prior to completion of the improvemenLs wvered by this permit,l cannot legally sell a structure that I have built as an ,� a owner-builder if it has nol been constructed in ifs entirery by licensed contraclors.I undetstantl that a copy ot the applicable � law,Section 7044 of ihe Bosiness and Pmfessions Code is available upon reduest when this apD�ication is submitted or at X Ne following Web site:http/www.leginto.ca.gov/calaw.html. � z o DATE: SIGN: � F UCENSED CONTflACTOfl'S DECLAHATION � w I hereby affirm untler penalty ot perjury that i am licensed under provisions ot Chapter 9(commencing with Section 7000) m of Division 3 ot the Business and Professions Code,and my license is in full farce and eNect. J � LICENSE CLASS: C�' J—1 LIC.NO.: a o DATE:�S_- t� CONTRACT � . . � � WOR 'K�Ft�OMEE TION UECIARAiION � � I HEAEBY AfFIRM UNDER PENAL7Y OF PERJIIRY ONE OF THE FOLLOWING DECLARATIONS: �y/y oI have and will maintain a Certificate of Consent to Self-Insure for Workefs Compensation,as provided by CONSTRUCTION: I6'l' � Section 3700 of ihe Labor Code,tor the pedormance ol the work for which this permii is issued. p�/{N REVIEW: � _�I have and will maintain Worker'S Compensation Insurance,as requiretl by Section 3700 W the Labor Code,tor ELECTRIC: � the pedormance of the work for which this pertnd is issued.My WorkePs Compensation Insurance Carrier and ¢ PolicyNumberare:� (�� \ � y-- � -' PLUMBING: � CARRIER �/TCJ�.I"G �[�jl MECHANICAL: � POUCYNUMeER \��' . y� INSPECTION FEE: � (TFIIS SECfION NEED NDT 8E COMPLEfED IF iHE PERMIT IS FOR ONE HUNDRED DOLLARS�$100)OR LESS). ISSUANCE: �i�,r7 o I ceAify that in ihe pertormance oi the work for which Ihis permit is issueA,I shall not employ any person in any manner so as to 0 become subject to the Worker's Compensation Laws of fali(wnia.Md agree ihat if I should become subjecl to the Worker's SM IP: _ J Compe�nsation 1pm,v,isb.n,�s of Section 3700 oi �tabor•'°� hall7onlnv IILoa�ply wim ihose provisions. ENERGY P/C: LL DATE: .LJ/JI�S—I'1 APPLICA�_ - ENERGY PERMIT: T�^ � WARNING:Faiiure to secure Worker'� ensation coverage is uniawful,and shall subject an employer to criminal RETENTION FEE: �.�Q� ,_°C,., penatties and civil fines uD to one hundred thousand dollars($100,000�,in addition to the cost oi the compensation, n- damages az provided tor in section 3708 of the labor code,interes[,and attomey's fees. PRE-ALT FEE: 0 a CONSTRUCTION LENDING AGENCY BSAF: �'D� w I hereby atfirm under penalry of perjury that there is a Construction Lending Agen�y for ihe pedormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � � LENDER'S NAME: � LENDER'SADDRESS: � a I certify that I have read this application and state that the above information is correct.I agree[o compty with all city and TOTAL FEES . county ordinances and state laws relatlng to building consVoctlon,antl hereby authorize representatives M this caunry to z COMMENTS: o enter upon the above-mentioned properry for inspection purposes. _ �,J�.C,,� (��pcti a PERMITTEE NAME(PRINn , �"_ N N —I ` f �/ � E DATE RECEIPT q �/D��/_ PAID BY: � /_� VALIDATION:�� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD � A � � ° e � � � , � � � � SETBACK/LETTER - TRACT AND LEDGER FOOTINGS FORMS . SWITCH GEAR . ,. SLAB : ;. . -: ; - _ .,' COMMERCIAL HOOD :UG.;PLUMBING : ' _ - T-BAR UG..ELECTRICAC ' + .: INTERCEPTER UFER GROUND '°' � .'. � ,. `' HOT MOP/SHOWERPAN . . _ _, _ _ ._ SEWER LATERAL SEPTIC/CESSPQOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING '1 ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR � , -,': r ` . : ;. - .- POOL/SPA ;` .� - � : , SHEAR WALLS�INTERIOR� � � ROUGH PLUMBING �'> - - �� FRAMINGNENTING . . .' .`` ,:. ' :, ; , ROUGH ELECTRICAL _ . ',:` _ '-�;F, � _.. : ._ _ , . ROUGH MECNANICAL • �`. ' ` _ • .. < ' . _ � : , ,,,.. _ :-;. ROUGH MEGHANICAL _ �,�. ,;; , ' .*�_, .: , - 4i0UG.H ELECTRICAL W( )C(`J ;� ` ": -: . , - , GAS TEST ::'S = - ; , : , , . ,.; PRE GUNITE � - �: . ` . ,'` ,, '_ ._:'; - .;i - ROUGH PLUMBING: ; � ' = - � , , . �: .. . , .. .. . - INSULATION WALL POOL PRE,DECK BONDING,, =` =•' � ` ' � i F .k.: INSULATION CEIUNG P=T�P� �.�; . �%�: . - � DRYWALL FENCE l GATF1 ALAR,M. ' ' � ` �. LATH(PRE) `FINAL POOL - �� LATH EXTERIOR WALLS: LATN INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1st( )2"0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN!SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION � �R.O.FRAMING PLANNINGAPPRWAL <,` .. . : -� � - � : FINAL BUILDIN6 �'- � '� : ' ` ' "ROUGH FIREAPPROUAL .. . ' `: ` _ , ,� _ �.,` FINAL MECHANICAL , ` -- , ... .: : ; ::. ,;.� ":. FINAL FIRE DEPARTMENT` '=' _.. � '. _ �< ,= � . ; , . ,,.- FINAC:ELECTRICAL• .` :' ` ' :" '; F,INAL PLANNING. ; , FINAL.PLUMBING = ' " :' . '- • - '� ' 'FINAL ENGINEERING/,PW _ �` j y s �` ` - :.T.C:Of OCCUPANCY - FINAL COMMUNITY SERYIGES = .,r:,' �CERT.�ofOCCUPANCY,. - ��FINALHEALTH.DEPT. . , - ,. ,�':�. ,� ,_ ,_ FINAL INDUSTRIAL WASTE `;:_ ' ` � - '' COMMENTS: � � �� a�,� ��sx� ,� � ��,n�,0 �� C�N �� l �y �