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Home My WebLink About14-5086 ��\ �--"'"�� CITY OF DIAMOND BAR � �' Z I3�' � � I' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � . , _ � G_........ . �" � 21810 Copley Drive,Diamond Bar,CA 91765 ( PRESS i ,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FORMLY '�'�"''� BUILDING PERMIT APPLICATION � APPLICATION DATE: �� I �� 1 P/C# L JOB SITE ADDRESS .Z t't02- �.�G� b10�'^'�. �j'{ z APN LOT TRACT ISSUE DATE: II�I��/I�I PERMIT# �"/— �Q��— � OWNER ��Lf TYPE CONST. OCC GROUP: n ADDRESS �3kCZ �`�. �`��^ 7'+'. n CITY ��"^�A � �"l ZIP ��bS TEL.� � d`�� °►L 3 I ZONING F ONTCKS RW ❑ � APPLICANT �J J�G� C�il.v O TEL. �I� S�`s ��- �/ REAR ❑ n � � SIDE/SIDE STREEf RW ❑ Q CONTRACTOR y��^N Su�R. SIDE � ADDRESS �C�)� U��l �Qa"i� AV'P ' � = CITY v4nn 1�1 J�oj ZIP��Qy TEL. ��v(o ��'Y��Z �/ PROPOSED USE �►�`�ry��0.'t�0'►� G.L �•y kw ��- Sc�f (7✓ s sT�...- � s�.� � �,r-�.e�� . � ARCH/ENG/DESIGNER o v�,y-�Zd C Ctu.t n•• .q.�t��t y i�c�+.� � 7Qd/�— j ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. ¢ oWNEH-BUILDEH DECIAMTION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION � = I hereby aRirm under penalty of perjury that I am ezempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I �� I indicated helow by the checkmark(s),I have placed neM to the applicable item(s)[Section 7031.5,Business and Garage/Carport � Professions Code:Any ciTy or caunty that requires a permit to construct,alter,improve,demolish,or repair,any � structure,prior to its Issuance,also requires the applicant for the permit to file a signed statement that he or she � Patio/Deck I i is Iicensed pursuant to the provisions of the Contractor's State License Law(Chapter 9)Commencing with Sedion W I � 7000 of Ulvislon 3 of the Business and Professlons Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicanT to a civil penalty C7 � � Z Re-Roof s of not more than five hundred dollars(5500). � I � (,I,as owner of the property,or my employees with wages as their sole compensation,will do(,all of or()portions � Commercial I y oi the work,and the structure is not intended or oftered 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 oftered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-8uilder will have the 6urden of proving that it was not built � or improved for the puryose of sale.�. I � (J I,as owner of the property,am exclusively contracting with licensed Contracrors to construct the project(Section Valuation� � O. T Ad Area: Z 7044,Business and Professions Code:The Contracmrs'STate License Law does not apply to an owner of property who 1• I � buildsorimprovesthereon,andwhocontractsiortheprojeclswithalicensedContracrorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). ' � (,I am exempt from licensure under the Contractor's State License law tor the following reasan(s): � Q 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 � 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 entirety 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 following Web site:http/www.leginio.ca.gov/calaw.html. � ( z = DATE: SIGN: � LICENSED CONTfiACTOH'S DECLAHATION � I a I � I here6y attirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � of Division 3 of the Business and Protessions Code,and my license is in full force and effect. J I � ¢ � '�/c-�J 5� ZR bs � ;� LJCENSE CLASS: L1C.NO.: az I z DATE: ��u Q7) I� CONTRACTOR: ��Vf'4 J �j.>t�'rt it (;�h � I ¢ WOflKEfl'S COMPENSATION DECLANATION g I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � �1 � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: ��d•.�/' T � Sedion 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 oi the Labor Code,tor � the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: �j,�]T� z ¢ PolicyNumberare: PLUMBING: �� CARRIER 71�t''.1� ��+�. �n�� 1—.•�r--cl Z M EC HAN I CAL' � POUCY NUMBER ��.� �j� INSPECTION FEE: � (THIS SECTION NEED NOT BE CAMPLEfE�IFTHE PFAMfT IS F9R ONE HUNDRED DOLI.ARS($100)OR LESS). ' ISSUANCE: JIi��/ � I certify that in the performance of the work for which this permR is issued,I shall not employ any person in any manner so as to 7 � become subject to the Worker's Compensation laws of Califomia.Md agree that if I should become subject m the Worker's SMI P: J �.�� L Compen tion pmwsions of Section 3700 of the bor Code,I shall fo with comply with those provisions. EN ERGY P/C: i DATE:t1 � I AppLICANT: �OQ(i� �l�/J ENERGYPERMIT: /�/� � WARNING:Failure to secure Worker's Compensation coverage is unlavrful,and shall subject an employer to criminal RETENTION FEE: �/�/��{ y penalties and civil tines up to one hundred thousand dollars($100,OW�,in addition m the cost oi the compensation, � damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i ' CONSTHUCTION LENDING AGENCY BSAF: �...D'(� y I hereby affirm under penalty ot perjury that there is a Construction Lending Agen�y for the pertormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: = LENDER'SADDRESS: i I cerfity that I have read this application and state that the a6ove information is correct.I agree to comply with all ciry and TOTAL FEES �+��„/�, ��1 I lf� Z county ordinances and state laws relating to building construction,and hereby authorize representatives ot this county to COMMENTS: `j � enter upon the above-mentioned property for inspection purposes. J � �� G� �� ¢ PERMITTEE NAM�<, /, �/ 1( �1�� I u � � ��d —� :n = SIGNATURE OF P MITTEE DATE RECEIPT# �� PAID BY: � VALIDATION: WHITE—Department Copy,YE�LOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF D1�11�11�D"gD BAR INSPECT�ON REC�FtD �- � , � � � • � , j � • �ETB�GK(LE;Tp7ER� `� �:'' �-,:x�,' M, � �� °�� ; �TRACT ANQ LEDGE�i --- I � FO(?TING�FOR(ViS��: �� ' ' �.. i SNffTCH 6EAR ��-: � �� y �� `"��__ �� 'CONlMERC(AE�HOOD � UG.F�I:U�BING,'�, ��' �� ` iT-BAR ----- — � �i�� ;`',� �� r----- UG ELECTfia C L�r -��„ �� u ' �� INTERGEPTER ___ UF�R GR011(UDrr ,_�,/" - ��;�.,; "� ' :� ;HOT MOP/SHQWERPAN �, aF SEWER LATERAL j ;SEf'TIC��ESSPOOL __� , •r _�_. __. � �.__ �—_.._.....---- MAIN WATER LINE � � ____ € HERS REPORT RECEIVED __� SEWER CLEANOUT � E QEMOLITION RqOF 5HEA?HING j ` ;ROOF QRAINS _ __ i FLOOR SNEATHING I 's, �ROUGH CONDUIT I �_ �_. . � _ -- _ . SHEA�WA�S�EX,TE�ilOi�'. � , � . ��,��, ''� - � � �� - _ � �,P,UflLlSRA`� '�r`�;��. �� '_� ,��'�� " 9�` .�E � �� HEARWALLS�INTERI{lR� ��,�� „„M �� -�` �x� <'`tiE}UGHPLUMBING' ��,� �5'', � � �� ' FR,fiMINGNEFJT NG �E` � ; � � �ROUGH ELE�TR9GAL' ��g �.�� ' ,�,, r,��,� � r- . � � � , RCIUGH MECHANiCAL ''�,; � a_ . ., �'.�«'�, H�MEGN 3� � �° - !ROUG A�I�AI. �ROUGH ELE�,TRICAL Wt".:).�-��tN' i.. �R,,;E �GA51"�5T.�� L�.."„ ��,. �. , `rz� �=,�a�,'�„a �� '�: � � K�a� " � ._ ��m,� �"=' ;�- �"�� "�'� I j FRE G�1NI'EE .�, �r�� i��a ROU�H,PL�M+IBI,N��A; �� .�A„ �r.:, , '�, - a ��9,,.,• � _ INSULATION WALL ` E P�(}L�PRE'DECK BQ1�lDING�„ �� INSUlATION CEILING � ' �"P��'T��'.�,•, �� Ew[^. -3T ,�,¢ f°��d�� DRYWALL ! ' °FEtdCE t GpT��AtJ�RM ° �� °' � °' ' �. LATH(PREI —_------~— ------ � t FINAL P�OOI.«,� --- � �`��— ` -- LATH�EXTERIOR � WA�� LATH iN7ERI0R i j WALL FOOTWG;STEEL � j GAS TEST� � �-W—ALL S—TEEL 1S-( i 2"�( i LIFT � � ; SCRATCH COAT ; : �4NALL BQND BEAM _.._ —._....__._..._..._._r-- i ELEC?RIC METER RELEASE � i Vl'ALL DRAINI SEAL _ _ _ I _---- ^uAS METER RELEASE WALL�INAL ! --- _....__ SPEGAL INSPECTION � R(?;�f3Ai�.�ING_�'ll�Nl�lhl�AF�i'f��U,� �,�, �E�� ,;,,;,�A.�P��=_. � �� '�� e;r� �.�� _� � � 3� �� FINAL�BUILDING .� �,� i,E�Q�l�iH'FIRE APPR€�1tAi. �L dW„�;��,,,,�,� . � .. �n , �s} .. :�� Fii'� T�� ;�� FINAL MECNANICAL�� - � �„ ��r � ��F[NAL FIRE DEPAW w,._EiV . .,�,��__.. FIN�A'L�ELEC7RIGAL��,,;^, *'�`' 'Z, 2 � ��' ''i .FINAL PLANNI�IG �__ ��' , "`' aa '�..i. ,a '�.a.« a FIN�AL,RLUM t�G ��:, .r� a �-- ta, ��5 � � + `�� sFIN11LENGIN�ERINGI�P'W__ „��,� '-� ��"�"'�� .,R.� � �.... _.__ �+a _.: ...., ' ,,.'', ,:- ,` , «. .�.::- � �T C af OCCUPANCY �� d t� � �� °Fi�JAL Gi�MMUNIi'Y��SER1tICES � � � � � �� ' � G£RT�af�O�CiIPANCY .�� F- � � � � _ — �wo.«u.w �. . °.�_ un. EE � �^ » u� ',, a;4�' r. , � .__„ �� '^ �� _ �,��,�„ , � _. - ,' � ,�r�''r � r INAL�FIF.A�.TH[}�P"1'. � ,�� = W� ��,� �� .. . ,� 'FINAL�I9VQUSTRiAL WASTE � s � ;�; '' COMMENTS: