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Home My WebLink About14-1723� �_ .� -'� C1TY OF DIAMOND BAR "�� ,� I � � � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES t {pp;,� ��—� " 21810 Copley Drive,Diamond Bar,CA 917fi� PRESS , ,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ""'"°� BUILDING PERMIT APPLICATION � t� APPUCAT70N DATE: �7 �/7 P/CN /`�' ¢ JOB SITE ADDRESS • � • �/ � ISSUE DATE: 2— S�� PERMITtt lY �� zo APN LOT TRACT ��g� -�� o OWNER L V TYPE CONST. _�r%Lf/�'�IL. �IX OCC GROUP: � ADDRESS " �" • • � J CIlY D•�G� ZIP � �OSTEL. -� ZONING F ONTCKS RW ❑ ¢ Q APPLICANT . TEL.' - REAR ❑ 0 Y ,()_� � �'7 � SIDE/SIDE STREET RW ❑ a CONTRACTOR �c..rt.Y t�Q� ��1 �C� ' SIDE ❑ - o� ADDRESS�S C: . !'�'t'(�O V�% I�1''��\ � oc CITY P�Z u5 0%� . PROPOSED USE o ZI��uL.TEL. o ARCH/ENG/DESIGNER w o ADDRESS fi�DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. ¢ own�-euanen oEcwinnor+ DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION o I hereby aflirm under penatty ol Derjury that I am enempt Irom the Contractor's State License Law for the reason(s)� SFR/ADD/REM p intlicated below by the checkmark�s�,I have ptaced ne�R to the aDW��ble item(s)�Section 70315,Business and Garage/Carport o Pratessions Code:My city ar county Nat requires a Dermit to construct,alter,improve,demolish,or repair,any w structure,prior to iLs Issuance,also reqWres the applipnt for the Dermil lo fiie a slgned statement that he or she � Patio/Deck a is licensed pursuant to ihe provistons of ihe Contractor's Sfate License Law(Chapter 9)Cammencing witl�Section w � 7D00 of Dlvision 3 of ihe Buslness antl Prolessio�Code]or that he or she is ezempt hom Ilcertsure and the basis for LL P�VSpa � the alleged exemptian.My violatbn of Section 7031.5 by any applicant for a permit subjecls the apDlicant to a civil penaity C� � of not rtrore than five huntlreA tlollars($500). Z Re-Roof ¢ � �]I,as owner of the property,w my emptoyees wlth wages as iheir sole compertsation,will do(�all 01 a�]portiorts � Commercial � 01 the worlc,and the struCNre is not intended or ottered for sale�Sectbn I044,Business arM Professims Code:The � � Contractnrs'State Llcense Law dces not a ro an owner ol r e who,throu h em o m Z PPN P W nY 9 W Yees'ar Porsanal ettor[,builds w or improves the properry,Drovided that the imprmemen4 are rwt intended or oftoretl Por sale.If however,ihe building w � improvement Is sold within one year af completlon,Ne Owner-Builder will have the burden of proving ihat i[was irot buitt pw improved fa the purpose of sale.). � I,as owner ot the ro F U P PertY�arn exdusivety coniracUng wlih Ilcensed ConVactors to cnnsWct the proJecl(Sec6on ValuatiOn: Ad Afea: 0 7044,Business and Pmfessions Cotle:The Contractors'Stale License Law tices rrot appty tn an ovmer ot properry who 6 z buildsaimprovesmereon,andwhoconUactstortheprojectswithalicensedContraclorpursuanttotheContrxmrs'Shate pUANTIIY DESCRIPTION FEE � Y License Law.). p (�I am ra�empt from Iicensure under the ConVactnr's State Llcense law for�he following reason(s): � 3 ¢ `—` By my signature below I acknowleUge that,except fa my personal resfdence fn whicn I must have resided fa at least one c~.� w o year prior to completion of the imprwements covered by this pertnit,l cannot legally sell a strucWre that I have bulit as an -� w a owner-bulitler il it has rwt been constnicted in i4 entirety by Iicensed contractors.I understaml that a copy of the applip0te ¢ law,Section 7044 of ihe Business and Professions Code is available upon request when Ihis appllption is submitted ar al X the following Web site:htlpJwvrw.leginfo.ca.gov/plaw.hhnl. Z � �'-� DATE: SIGN: � I ��'r �n � � �O = LICENSED COMHACTOfl'S DECLARATION � U �- W I hereby aftlrtn untler penalty ot perjury that I am licensed under pmvisions ot Chapter 9(commencing with Secfion 7000) m of Division 3 of ihe Business antl Prolessions Code,and my licer5e Is In full force and efteCt. y LICEN CLASS: L/�+W 1�1�. L1C.NO.: � � ' � � ' a � DATE: �� "'1 CONTRACTOR: � WORNFN'S COMPENS N DEC � � I HEAEBY AFFIRM UNDER PENALTY OF PERJURY ONE OF iHE FOLLOWING�ECLNWTIONS: a I have and will maintain a Certifipte of Consent to Sefl-Insure lor Worker's Compensation,as provitled hy CONSTRUCTION: � � SeCGon 3700 0l the Labor Cade,for the peRwmance o(the work tor which this permil Is issued. PLAN REVIEW: > 1 have and will m�intain Worker's Compensation Insurance,as repuired by Section 3700 of the Labor Code,fw ELECTRIC: Z the perfwmance ot the work tor which this permit is issued.My Worker's Compensatlon huurance Carrier antl a PoliqNumberare: 1 PLUMBING: ZS � ��— � ��v� ` � MECHANICAL: �� POUCYNUMBER V�L��•�y� u�� •(]1 INSPECTIONFEE: � (T}flS SECTION NEED NOT BE COMPIFfED IFi}ff PERMR 6 FpR ONE HUNORED DOLLARS($1(10)OR LfSS). ISSUANCE: �� oI certify Ihat in the perfortnance oi the work for vAtich Ihis permit Is issued,I st�all rot empby anY person fn any mynner 5o aS to o bewme subject ro t�e WorkerS Compen.sallon Laws ol Calilomia.Md agree thal if I shaAd become subject fu the Waker's SMIP: � Compensalion prwisiorrs ot SeCUon 37D0 of Ihe pa Code.l shall lo ' .c mply wilh those provi5iqs. ENERGY P/C: J DATE: "S�� APPLICANi: �-"'_. " ENERGY PERMIT: > WARNING:Failure to secure Waker's Campensa n covGrage un avR ,and shali subjed an ployer to criminal w penattles and Gvil fines�p to ma hundred thousand tlolf� 700,000�,fn atldiGon to the cost ol the compensation, REfENTION FEE: o damages as prwmed for in sectfon 3708 ot me labor code,interest,and attomeqs fees. PRE-ALT FEE: � a CONSiRUCTION LENDING AGENCY BSAF: w I hereDy affirm unAer penalry of perJury thal there is a Construction Lendirre Agency for t�e perlormance af ihe work for = which this permit is issued(Sec.3097,Civ.C.). � � LENDFA'S NAME � LENDER'S ADORESS: a I certity that I have read this applicatlon and state that the above InformaBon is conect.I agree to campty vdth all city and TOTAL FEE$ . ��[> , Z counry adinances and state laws relating m building consvucbon,and hereby aumorize representatives ot this county ro COM MENTS: T/ p enter upon the above-mentioned properry for inspection purposes. J � m � /� Q PERMfTTEE NAME( � � �, - 2-.s- G r SIGNATURE OF PERMITfEE DA7E RECEIPT# / PAID BY:--T2�7.R�VALIDATION: ' WHITE—Department Copy,YELLOW—Flnance Copy,PINK—hssessor Copy,GOLDENqOD—Fle Copy,GREEN—ApplicanYs Copy CITY OF DIAMOFVD BAR , '' INSPECTION RECORD . � � . • - • � � • ' ,SETBAGKI:LET[ER., J��?. �. r'� � ^.�:�- , = � �-;"�' TRACT AND LEDGER F0071NGS FORMS�., '.�>� ~� • ,�' . �"' :�:K ' _h,'� �s_�'�- r: ,°��- SWITCH GEAR SL'AB�' �� '� �� '` �� s,k,.;''';�:�; COMMERCIAL HOOD f r 3. UG:,PLUMBING.� R � � << <,.,�, "> '��,�.r r = � Y` T-BAR UG.ELECTRICAL',, � _=' ;r ' `Y :' f r.�:�'`,�<�= INTERCEPTER 11 '=M-.: UFER��GROUN��'�'i ,,�a'�_, ��;��c �.=�_�,, _��t � � ��:^-.i: HOT MOP/SHOWERPAN SEWER tATERAL SEPTIC/CESSPOOL MAIN WATER L�NE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SNEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT , r- � r? � - z n�`� �' � � x E v � - - r " � r: SHEAR'�WALLS EXT�RIOR"� ^`� ' ' =: + �,Sa� �� ,� f � ;� POOUSPA=' � ,�,�•" � r � � , . SHEAR��WALLS INTERIOR =< < ` 6. � ` � � ' "`�� M' RQUGH PLUMBING ��`� "� "}; ��= �� 'FR,4MINGNENTING, � Y ` � __ '' _" "�' �__ ROUGH ELEGTRtCAL- � �'�"�� • , .'� '�, � ' ''�_ � i. t ; r i .s,f G ��, .- jT ., T c x .g, ' � �. � = w�� i r �-�r 7 c:�, r •�' -`. ROUGW MECHANICAL �., r. ,� i�� i i �>S r �t , RQUGH MECHANICAL , � s _ r:- � �� 4 . if z , r '1 e S a Lop m . . i� 1z- ROUGH ELECTRICAL W(-)C( ) ,� � �� ` � ' � '-� ` � � ' GAS TESTJ ; � � ' � = 'a� '� ° ROUG{i PLUMBING�,� - � '` � r" : �j � PFiE GUNITE'' �, ;.' ;� r T ��y��3�SY�� r, y , INSULATION WALL P00'L''PRE;pEGK BONDING v,�,; �_:�� t,� � x�:u � ?� `��"�' � .._ m J��rr -�� 3�� 1 � ` �_�` y�{ �_ INSULATION CEILING P-�P = '' r= „ ' j f � DRYWALL �FENCE I GATEi ALARM <��;.�.;� ti � �' - '�a '' ��" �`�'�'f �� `��, � "�� , LATH(PRE) ,FIPIAL'E'OOL � �.;;;_^� �- ' � � " -��f�'�,.s�� 1�= LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2N0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN!SEAL GA5 METER RELEASE WALL FINAL � , ,.,- , s .�s ,� , � �� ,, � � � SPECIAL INSPECTION RO fiiAMING PLANNINGAPPROUAL , � FINAL'BUILDIN('i'1 �- ' ��' �+ ; r} " ��; `'� ` z � ','°" ROUGH,FIREAPP„ROVALs�1 �'- ` � � :� �' �'� �'�'� .,�r . ��;� �., ,Y ,,+;; , ��fa ��;" �r; FINAL FIRE DEPARTMENT� a a i, `_ s ,`"` ��a 'FINAL�MECHANICAL ' -1 _ = � �: �" - �l ' F ` FINAL PLANNINGi , ` �"� � �`' ' FtNALELECTRiCAL � ��'; s ' ' "� ��` ' � � � '�� ' � � ' � FINAL ENGIRlEERI_NG/PW - _, �^ �x�_ � � � u^' , � '��'�� . , FINAL'PLUMBING, ; _.�.. �. „ �z, . _, _�.� . .-�,��.r.� <_�_�, .,,,; „ � LC.of OCCUPANCY� � ;�;. *`` - s{z,;;° `:�' �FINAL CO�MMUNITY�SERVICES a - - � - � , ' ^ I 3 J CERT.of'OCCUPAPICY;z�, -- "' � ,a,-x` .�... . ,. ; r �FINAL HEALTH.DEPT ,�2�:>, x '-"� a< � K� r � ,�, � � .,..�. � a -;. e �,s� �, : � �FIfdAL'IN,DUSTRIAG'�WASTE`,;`!' .`�. _. �� .��'.�E1_, .�_*'`t'�`,'., .' �. COMMENTS: