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Home My WebLink About14-4000 �..�;'�w�-s-_r� C1TY Or DIAMOND BAR ' ! I ' 'I � I i ' `' DEPARTMENT OF COMMUNITY&DEVE:LOPMGNT SERVICES """ � � ;��' - ' 21810 Copley Drive,Diamond Bar,CA 91765 ��{,,,,, PRESS �� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 ;'�" . .,., ,,."�:> -. ;� FIRMLY ��`"%K"' BUILD[NG PERMITAPPLICATION � JOB SITE ADDRESS / Z L� C APPLICATION DATE: �_�y— � �_�P/Ctl � a ISSUE DATE: �`��-�N PERMIT# / 7 7//V� z APN LOT TRACT o OWNER V1� IYPE CONST. OCC GROUP: w � ADDRESS ZONING SETBACKS N CITY ZIP TEL. FRONT RW ❑ ¢ APPLICANT Z- TEL. �7^J� r�I/S J REAR ❑ � � ^� SIDE/SIDE STREET RW ❑ Q CONTRACTOR �/ I/ I�zZI� CGY`� s I ` SIDE ❑ oro ADDRESS •� �Z �. � CITY C ZI rJZ�I TEL. �� 7 � � PROPOSED USE C o ARCH/ENG/DESIGN R �_ z ADDRESS � o H DWEL.UNITS #STORIES #BEDROOMS ¢ CITY �- ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION a OWNER-BUILDEH DECLAHATION � I hereby aflirm under penalty of perjury Nat I am exempt trom ihe Conlractor's State License Law for the reason(s) SPR/ADD/REM 0 p indicated below by the checkmark(s),I have placed ne�to the aDD��cahle item(s)[Section 7031.5,Business and Garage/Carport '-'� Professions Code:Any city or county that requires a permit to consVuct,alter,improve,demolish,or repair,any z struclure,Drior to its issuance,also requires the applicant tor the permit to file a signed statement that he or she t4 Patio/Deck d is licensed pursuant to the pravisions ot the ConVactor's Sfate License Law(Chapter 9)Commencing with Seclion w � 7000 of Division 3 of ihe Business and Prolessions Code]or that he or she is exempt hom licensure and the basis tor � PooVSpa N the alleged ezemption.Any violation M Section 7031.5 by any applicant for a Dermit subjects the apDlicant to a civil penalty � y Z Re-Roof of not more than five huntlred dollars($500). p o U I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or(,portions � Commercial � ot the work,and the strucNre is not intended or ottered for sale(Section 7044,Business and Professions Code:The � � Contractors'State License Law does not apply to an nwner of property who,through employees'or personai effort,build5 m � or improves ihe property,provided that lhe improvements are not intended or ottered for sale.If however,the building or � improvement is sotd within one year of complelion,the Owner-Builder will have the burden of proving ihat it was not built p or improved for the purpose o1 sale.). V U I,as owner o1 the property,am exclusively conVacling with licensed Contractors W consWct the project(SecGon 0 7044,Business and Prolessions Code:The Contractors'Stale License Law does not appty to an owner of properry who Valuation: � Adj.Area: z buildsorimprovesthereon,andwhocontractsiortheprojectswithalicensedContractorpursuanttotheConVacrors'State QUANTIIY DESCRIPTION FEE � Y License Law.). o U�am exempt from licensure under the ConVactor's State License law tor the lollowinq reason(s): � � � LL By my signature below I acknowledge that,except for my personal residence in which I must have resided tor at least one W Z year prior to completion of the improvements covered by this permit,l cannot legally selt a shucNre Nat I have built as an W 0 Q owner-builder if it has not been constmcted in its entirery by licensed contractors.I understand that a copy of the applicahle � law,Section 7044 0l the Business and Professions Code is available upon request when this application is submitted or at X the following Web site:httplwww.leginlo.ca.govlcalaw.html. Z w DATE: SIGN: CO � � LICENSED CONTRACTOfl'S DECLARATION � U w I hereby aflirm under penalty of perjury that 1 am licensed untler provisions of Chapter 9(commencing with Section 7000) m o1 Division 3 of lhe Business and Professions Code,and my license is in tull brce and eftect. � � �l-� a � ^ U � UCENSE CLASS: � LIC.NO.: �� z a o DATE:� CONTRACTOR: � ¢ WORKEfl'S COMPENSATION DECLARATION � � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ��q ¢ I have and will maintain a Certificale oi Consent to Self-Insure lor Worker's Compensation,as provided 6y CONSTRUCTION: � Seclion 3700 of Ihe Labor Code,for Ihe pertormance at 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 of the Labor Code,lor ELECTRIC: o the pedormance of lhe work for which this Dertnit is issued.My Worker's ComDensation Insurance Carrier and � ¢ Poli�y Numbe�e�� r-^ PLUMBING: � CARRIER ��'V'�--� MECHANICAL: Z POLICY NUMBER �� 9�„ � INSPECTION FEE: � (THIS SECfION NEED NOT BE COMPLETED IFTHE PERMIT IS FOR ONE HUNDRED DOLLARS($tOD)OR LESS�. ISSUANCE: �� I ceAAy lhat in�he DeAormance M ihe work for which ihis it is issued,I lu�ill n employ any person in any manner so as to 1 r 1 Q � 6!;wme subject to IDe WakerS Compensation la o Aomia. ree if I shwld 6ecome subjed to ihe Worker's SMIP: � Compensation pr is (Sec6on 3700 01 ihe Code,l sha �vifF ply wilh ihose provisions. ENERGY P/C: J DATE:y�aPPUGwT: ENERGY PERMIT: LL � wARNING:Fai ure to secure Workers Ca pensalion coverage is u� ,and shall suhject an employer to criminal REfENTION FEE: �Q w penalties and civil lines up to one hundred thousand dollars($100, 0,in addiGon to lhe cost oi the compensation, o damages as provided for in section 3)OB of ihe Iabor code,interest, d attomey's fees. PRE-ALT FEE: a CONSiRUCTION LENDING AGENCY BSAF: �'o-D Z I hereby affirm unAer penalry of perjury ihat there is a Construction Lending Agency for the peAormance ol the work far w = which this permit is issued(Sec.3097,Civ.C.�. � LEN�ER'S NAME � "� � LENDER'SAD�RESS: y.0f a I certify that I have read this application and state ffiat ihe above informaGon is correct I agree ro comply vnth all city and TOTAL FEES � � counry ordinances and st�te laws relafing ro building constmction,and hereby authorize representatives ot this county to COMMENTS: Z enterupo th ove-mentioned pra e forinspecti purpases. 0 J r � � m ¢ PERMITfE (PRINn � � RECEIPT q `� � PAID BY:�VALIDATION: = SIGN RE 0 PERMI DATE ` � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD � . � � , � . . s s � - • - SETBAGK/LETTER �� TRACT AND LEDGER FOOTINGS FORMS - _ SWITCH GEAR SLAB : COMMERCIAL HOOD UG:PLUMBING:° _ ' T-BAR UG.'ELECTRICAL' - ; INTERCEPTER UFER�GROUND '� , �:'s � '�'� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SNEATHING ROUGH CONDUIT �SHEAR.WALLS EXTERIOR `. ` `� � �' PUOUSPA,; - x> SHEAR WALLS INTERIOR ; t.;. _ . ; RQUGH,PLUMBING sr �,', N '' .°�_ ° ' =- . FRAMINGNENTING .y� ; ,; = k., . ':� ,:`3 ;ROUGH'ELECTRICAL :� . `' . ,,, '= . -�;; - ROUGH MECHANICAL : ti ,�.. � ROUGH MEGHANICAI; ,. 3 : : .� a. , _ _ ;. . . .. - - :� ,_ �: � �ROUGH ELECTRICAL.W( ).�l,.) :; • ;_ GAS TEST". -.. -r . R ` " ,;: , •: .:; - ROUGH'PLUMBING ' '` .., - ` . ;. �_ � ;' PREGUNITE` `',` ` - INSULATION WALL .P006 PRE.DECK BONDING -:.` � �-, ,�, ; , � , �, ,, , j; INSULATION CEILING 'P,:;TRAP �. �`�� `- - ' ' DRYWALL `FENCEI�GATE/ALARM _ �c - LATH(PRE) FINA�POQL�- , , LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE � WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPEGALINSPECTION RQ,FRAMlNG';Pl1UVNINGAPPROVAL ., , '. `; ', ``- � FINAL BUILDING' , ROUGH fIRE:AFPROVAL • FINAL MECHANICAL ... �; ' - - FINAL FIRE DEFARTMENT - - �= FINAL'�ELECTRICAL � � � ` - - �. FINAL PLAPiNING . ��:, FINAL PLUMBING ;, x, ' "� FINAL'ENGINEER{NG/`PW ,, " " ,y ,,,,: '-" - T,C.of OCCUPANCY ` FINAL COMMUNITY SERU(CES' . '.„ , 4,{ ; CERL of OCCUPANCY' ' - < < ; FINAL HEALTH DEPT:�, - FINAUNDUSTRIAL WASTE ' - COMMENTS: �v`�+�o V� o�C � C�rv A ��Q�h l� 1�