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Home My WebLink About14-2865 �"v':-�.�_ C1TY OI'DIAMOND BAR I � � � �� ;; DEPARTi1�lENT OF COMMUNITY&DEVELONMGNT SERVICES " '�� Ill��i'<< 21810 Copley Drive,Diamond Bar,CA 9176� pRE�� , �` �� 909 839-7020 Fax:(909 86"I-3T17 Buildi�� Ins �chon Hotline 909 839-7027 .<,�,��.,u.,�,,> � > > � p�• � � > FIRMLY '""" BUILDING PERMIT APPLICATION � JOB SITE ADDRESS �� `— APPLICATION DATE: �7'"1Z� P/C# a ISSUE DATE: "'�L PERMIT# I� ��65� z APN LOT TRACT o OWNER TYPE CONST. OCC GROUP: w N ADDRESS ZONING SETBACKS � CITY ZIP EL — FRONT RW ❑ a APPUCANT ' TEL. RE,o,R ❑ � � i y � SIDFJSIDE STREET RW ❑ Q CONTRACTOR 'r � SIDE ❑ � ADDRESS PROPOSED USE o� CITY ZIP TEL. 0 " ARCHlENG/DESIGNER � 0 L r w Q ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OWNEH-BUILDFA DECLAflATION � 1 hereby amrtn under penalty of peryury Nat I am exempt trom the Contractor's State License Law for tl�e reason(s) SFR/ADD/REM 0 p intlicated below by the checkmark(s),I have placed next to the aDD�ica6le item�s)[Section 7031.5,Business and Garage/Carport � p Professions Code:Any city or county that requires a permit to canstruc4 alter,improve,demolish,or reDair,any z structure,prior to its issuance,also requires the applicant for the permit to file a signed statement tl�at he or she � PatiolDeck a is licensed pursuant to the provisions of ihe Contraclor's State License Law(Chapter9)Commencing with Section w � 7000 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa N the alle9ed exemption.Any violation ot Section 7031.5 by any apDlicant for a Dermit subjects the aDP�icant to a civil penalty C7 � of not more than five huntlred dollars(5500). Zo Re-Roof o (,]I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or(,portions � Commercial � ol the work,and ihe sWcNre is not intended or attered for sale(Section 7044,Business and Rofessions Code:The m Z Contracturs'State License Law does not apply to an ovmer of property who,through employees'or personal ettort,builds w or improves tYie property,provided that the improvements are not intended or oftered 1or sale.if however,the building or � improvement is sold within one year of compietion,Ne Owner-Builder wiil have Ne burden of proving tl�a[it was not built � por impmved for Ne purpose of sale.). � i, V (�I,as owner o(llie proper[y,am exclusively contractlng with licensed CanVactors to consWct the project(Section z7044,Business and Professions Code:The Contractors'Sbte License Law does not apply to an owner ot properry who Valuation: Adj.Area: N buildsorimprovestnereon,andwhoconVactsiortheprojectswithalicensedCantractorpursuantrotheContractors'State QUANTITY DESCRIPTION FEE Y Ucense Law.). o U I am exempt irom licensure under the ConVactor's State License law 1or the following reason(5): � I � s "—' By my signature below I acknowledge mat,except for my personal residence in which I must have resided lor at least one W Z year prior to completion of the improvements covered by this permit,l cannot legally sell a shucNre that I have built as an w 0 ¢ owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of ihe applipble � law,Section 7044 of ihe Business and Professions Code is available upan request when tl�is application is submitted or at X the following Web site:httplwww.leginfo.ca.govlcalaw.hhnl. Z � �ATE: SIGN: � I � LICENSED CONTRACTOB'S DECLAHATION � w I hereby affirm under penalty ot perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � � m of Division 3 of the Business and Professions Code,and my license is in tull force and eft/e�ct.� J y LICENSE CLASS: C^ ,� LIC.NO.:��• J '� a o DATE: CONTRACTOR: _ � WORKFA'S COMPENSATI g � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ^� , oI have and will maintain a Certificate of Consent to Self-Insure tor Worker's Compensation,as provided by CONSTRUCTION: L � Section 3700 of Ihe Labor Code,for Ihe peAormance ot ihe work tor whiCh Uiis permit is issued. p�qN REVIEW: > I have and will maintain Worker's Compensation Insurance,as requiretl by Section 3700 0l the Labor Code,for ELECTRIC: ' � the peAarmance ot the work tar which this permit is issued.My Worker's Compensation insurance Carrier antl a PoIi�yNumberare: � ,� � PLUMBING: � CARRIER �� Ot-11 `�1 MECHANICAL: � POUCY NUMBER INSPECTION FEE: � (T}iIS SECTION NEED NOT BE COMPLEfED IP THE PERMR IS FOR ONE HUNDRED DOLIARS($100)OR LESSJ. � ISSUANCE: S. o I certify tliat in the pedormance of the work for which this permit is issued,I shai�not employ any person in any manner so as to SM I P: � o bemme subjeci to the Worker`s Compensalion Lavus o1 C�ifornia.Md agree Ihat if I shoultl bec:ome subject to ihe Worker's J Compensalion prwisions of Seclion 3700 of ihe Lahor Code,I shall IorNwith comply wiU ihose provisions. EN ERGY P/C: LL DATE: APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to crimi�al RETENTION FEE: w penalties and civil fines uD to one hund20 thousand dollars($100,000),in addi5on to the cosl oi the compensation, � d damages as provided tor in section 3708 ot the labor code,interest,and attomey's fees. PRE-ALT FEE: 0 a CONSTRUCTION LENDING AGENCY BSAF: a 0� w I hereby affirm under penalty of perjury ihat there is a ConsUuction Lending Agency lor ihe pedormance of ihe work for � which this permil is issued(Sec.3097,Civ.C.�. �. LENDER'S NAME � LENDER'SADDRESS: a I certify ihat I have read this application and state ihat the above iniormation is correct I agree[o comply with all ciry and TOTAL FEES `J�r,�� '� �G� � county ortlinances and state laws relating to building consUuction,antl hereby authorize representatives ot this counry to '� z enterupontheabov- entioned ro e farins ection ur ses. COMMENTS: o P P rtY P P Po m � ��GJ� a PE�t ITTEE ME(PRI �'�` ��_l� � �s�� = SIGNATURE OF PER DATE RECEIPT q PAID BY: VALIDATION: � I � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR lNSPECTIOfV RECORD ' � � , . � . . � m , . 0 . SETBACK/LETTER; . = TRACTAND LEDGER � .:- , FOOTINGS FORMS. - = SWITCH GEAR 'SLAB - - COMMERCIAL HOOD UG.P,LUMBING;; .� ' T-BAR UG.ELECTRICAL' , INTERCEPTER �UEER��GROUND:: ��,: • '' r�' _ � '�� . . ..��..; � t� , � � ��'� HOTMOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING I�, ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS:EkTERIOR`�. _ ', POOL/SPA,; - SHEAR WALLS,INTERIOfi` „ } = x -- � ROUGH PLUMBING ::� s ,. ' ' .;; . ` ` _ � FRAMINGNENTIN6 , _, - „ � '` � 'ROUGH,ELECTRICAL:=` . �� ._ , .. , ROUGH MECHANICAL ;. ,� •: , . '?. � �� -- ', ROUGH MEGHANICAL; , . �`^ " " �"' ` �, .. ..;. . ; ; , �: ROUGH ELECTRJCAL W( )C(•'') _ ,. "- �- GAS TEST :.`.. ;. _. ` . ` ' '` , _ . ., . ,. t r „ ROUGH?LUMBING _ .��, �. �'�� - �`� � .� '. '� `' � � �� PRE GUNITE �:�`. ` ; ' - -- .,�. :t_. , . : INSULATION WALL POOL PRE DECK BONDING, ,'. + ` ' �' > INSULATION CEILING P-�TRAP � �;' t.'.�.'a ��" DRYWALL FENCE,�GATE/'ALARM ,,,: - .,'�:x �- LATH(PRE) FINAL POOt > � y`-1� ,, ''- __ IJ�TH EXTERIOR WALIS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PGANNINGAPPROVAL .�� :, .. . _ , � _.. , . � . . - :. - _ ,.' _ FINAL=BUILDING.. _�: ' ,. i,:=i 1.� ` .' .` ROU�H FIRE APPROVAL . � '' ::. : :: .,., . :FINAL�MECHANICAL' ` .. � : � < - ` <` . EINAL,FIRE OEPARTMENT # ;:. ,.,;. F{NAL�ELECTRICAL'� ,��< � '•'. �� .;:' ':. � � ��;� , . i;�� . FINAL PCtiNNiNG".. FINAL PLUMBING, '�- ,.; ` ;;� FINAL"ENGINE�RING/PW•:-.°` �'. :� � . � �� . � ._�. T.C.o.f,OCCUPANCY..' � FINAL COMMUNIFY'SERVICES ``-;s - CERT.��of OCCUPANCY��;�,�=., �. �� - - � � fINAL�HEALTH DE.PT. ; FINAL INDUSTRIAL..WASTE ,° • � . �_ COMMENTS: �