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Home My WebLink About14-3413 I "'-.',5',�_ , C1TY OF DIAMOND BAR • _ ! . � I i ' �� DEPARTMENT OF COMMUNITY&DEVELOPMGNT SERVICES �� '``ti:t� a�lllL�i �;s ' 21810 Copley Dri�-e,Diamond Bar,CA 91765 PRESS � '� Y ,,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ��''"""%� � BUILDING PERNIIT APPLTCATION s JOB SITE ADDRESS 7'� G� Ou-�l Lc Ll'' APPLICATION DATE: ' I �1 P/C# P� \q-^ ��3 a ISSUE DATE: Z � PERMIT# �_��I 3 zo APN LOT TRACT • o OWNER� Dr�b. !�S �/. �`v��' TYPE CONST. OCC GROUP: N ADDRESS � fJ O U� /`+ J ZONING SEfBACKS � CIIY ZIP � '�TEL U�I� ' Z�� FRONT RW ❑ � APPLICANT TEL. a u�- REAR ❑ � n- , - / SIDE/SIDE STREET RW ❑ o CONTRACTOR � 7C L //�M%��/ �NC SIDE ❑ � ADDRE S � PROPOSED US B�� _�v �l ¢ CI ' - ZIP TEL�7-Z�� o �_[+�--- o ARCH/ENG/DESIGNER Y �� _��dr/ �/1 zo ADDRESS tl DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. m DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION OWNER-BUILDER DECLMATION o I hereby attirm under penalty of perjury that I am ezempt lrom ihe ConVador's State License Law for ihe reason�s) SF ADD EM O p indicated below by the checkmark�s),1 have placed next to ihe apDlicable i�em(s)[Section 7031.5,Business and Garage/Carport '-'-' Prolessions Code:Any city ar county that requires a permit ta construct,alter,improve,demolish,or repair,any � �z structure,prior to its issuance,also requires the applicant for the permit to file a signed statement ihat he or she � Patio/Deck � a is licensed pursuant to lhe provisions of ihe CanVactor'S State License Law(Chapler 9)Cammencing with Section w � 7000 af Uivision 3 of the Business and Professions Code]or that he or she is ezempt from licensure and the basis tor LL Pooi/Spa N the alleged exemption.Any violation of Sec6on 7037.5 by any applicant for a permit subjecLc the aDPlicant to a Civil penalty Z Re-Roof � ol not more than(ive hundred dollars(5500). Q o (,I,as owner of the property,or my employees with wages as their sole compensation,will do(J all of or(1 portions � Commercial � ot ihe work,and ihe structure is not intended or offered Por sale(Sec[ion 7044,Business and Protessions Code:The m � ConVacturs'State License Law does not apply to an ovmer of properry who,through employees'or personal effort,builds w or improves ihe property,pmvided that lhe improvemenLs are not intended or offered for sale.If however,the building or � improvement is sold within one year of complelion,the Owner-Builder will have the burden of proving mat it was not built ' p �or improved for the purpose ol sale.). . � (�I,as owner of the proDerry,am raclusively conVacting with licensed Contractors to construct the project(SecGon Z 7044,Business and Professions Code:The Contractors'State License Law does not apply ro an owner of Droperty who Valuation b 0 • Adj.Area: _ I N builds or improves Ihereon,and who contracis tor the projects with a licensed Contractor pursuant to tlie Contracrors'State pUANTIIY DESCRIPTION FEE Y License Law.). . . o U I am exempt from licensure under the ConVactor's State License law lor the following reasan(s): a � U ♦1/ 5 ��' '( LL By my signature below 1 acknowledge thal,except for my personal residence in which I musl have resided for at least one W � o year prior to completion oi Ne improvements covered by Nis permit,l cannot legally sell a sWcture that I have built as an W Q owner-builder if it has not been consiructed in ifs entirety by licensed contractors.I understand that a copy of the applicable _ Q law,Section 7644 ot the Business and Professions Code is available upon request when this application is submitted or at � the lollowing Web site:hrip/www.leginfo.ca.gov/calaw.html. �' � o DATt: SIGN: � G � LICENSED CONTRACTOR'S DECLARATION � w I heieby affirm under penatry ot perjury thal I am licensed under provisions ot Chapter 9(commencing wi�h Section 7000) � m ol Oivision 3 of the Business and Prafessions Code,and my license is in full force and eflect. J � j� �J 2 �j � N LIC.ENSE CLASS: E�J .I�NP.: / �/U v � z . o DATE: CONTRACTOR: _ w a WORKEfl' OMPENSATION 0 ATION g � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF 1HE FOLLOWING DECLARATIONS: �S oI have and will maintain a Cert�cate of Consent to Self-Insure lor Worker's Compensation,as provided by CONSTRUCTION: _ �O 1. � , /Seclion 3700 of the LaDor Code,for the pertormance of the work for which Uiis permit is issued. p�qN REVIEW: O > V I have and will maintain Worker's Compensation Insurance,as repuired by Section 3700 of the Labor Code,for - � the performance ot the work for which ihis permit is issued.My Worker's Compensation Insurance Carrier antl ELECTRIC: . a Policy Numh c,a�r�e-y / PLUMBING: �7,�_ � CARRIER 76�% �l��/�.f�� l�V�u��IJ�C�' ��, w �-.�-n,S MECHANICAL' �� Q S � POLICYNUMBEA��y r INSPECTION FEE: � (iNIS SECfiON NEED NOT BE COMP E�ED IF h1E P R IS FOR ONE HUNDRED DOLLARS(5100)OR LESS�. ISSUANCE: � . /9 Q i cedAy thal in me pedormance of the work lor which Nis permit is issued,I sball not employ any person in any manner so as Po SM IP: � �!/ o become subjed to the Wakers Compensalion Laws ol Calitornia.Md agree ihal if I shoulU become subject tu the Worker's � Compensati�r visions ot Section 3700 0l t/he��ypo,Cod hall lonhwi�h compy with those pmvisions. ENERGY P/C: �• �Q� J DATF.: APPLICANT:/ � —($�y� ENERGY PERMIT: �O. ��J � WARNIN :Failure o secure Worker's Compensation co�er is unlavAul,and shall subject an employer to criminal RETENTION FEE: 7�,� w penalties and civil fines up to one hundred thousand dollars($100,000),in addiUon to the cost of ihe compensation, a damages as provided tor in section 3708 M the labor code,interest,and attomey's tees. PRE-ALT FEE: 0 d CONSTRUCTION LENDING AGENCY BSAF: t w 1 hereby amrm under penalry oi perlury that there is a Constmction Lending Agency for the pedormance of ihe work for • = which ihis permit is issued(Sec.3097,Civ.CJ. " � LENDER'S NAME � LENDER'SADDRESS: � a I certi that I have read this a lication and s[ate that the above informa6on is correct.I a ree to com TOTAL FEES ,G 1 �' �� fy pp g pty vnth all city and —14•�T Z county ordinances and state laws relatlng tn building conSVuctlon,and hereby authorize representatives of ihis county to COM MENTS: � o enter upon the above-mentioned properry for inspection purposes. m �� '��,-�� ' . � PER ITfEE NAME(PRINT) f�` /`/� C �('� ' 3 �I`� N �/l.'� i' L��( �7�, —��BR;N� MITTEE �..`��— DATE RECEIPT N I�9y� PAID BY: VALIDATION: , . i . W HITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Appticant's Copy CITY O� DIAMOND B.�R , ' - ' ' INSPECTION RECORD — _ � _ " • • � � � • - • • o . • o - SETBACKI LETT:ER � ._�. �, =� TRACT AND LEDGER 'FOOTINGSFORMS , $`-�q:�;l � � �� , SWITCHGEAR ,SLAB�< _ =.S .^� �; —'��: COMMERCIAL HOOD � � UG:PLUMBING , . - - -- ' T-BAR UG,ELECTRICAL INTERCE�TER UFER GROUND . - HOT MUP/SHOWERPAN ' � SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMCLITION ROOF SHEATHING ROOF DRAINS • FLOOR SHEATHING ROUGH CONDUIT _ _ , SHEAiiWALLS.EXTERIOR .:. '; ' �'; : ,'� ;, ' ".. POOL/SPA �,` ,- ., >::� :; � -.� � - � .�:_ SHENR WALLS�INTERIOR- , � �d.. ,�:�E� :,. ROUC�H PLI�MBING�`•;� , ` _ - , = • ,. . : , RAMING JENTING .�`.; °'.' ;" ", '.� . ':�'' ti„''' "= .:`. ROUGHELECTRICAL;- _ ' -: , -;' �` ROUGH MECHANICAL " x } ROUGN:MECNANICAL ` � �� ROUGH-ELECTRICAL.W(').C( ) =,��,�r.., �-- � -f ;' ` �GASTEST=' _ - ROUGH PLUMBING , ` Y; � ' PRE GUNITE INSULATION WALL POOL PRE�DECK BONGING, ,, " `"" , =° INSULATIONCEILING P'�.T�P �� •s;� .�� .�� DRYWALL FENCt�%GQTE/ALARM , ��s LATH(PRE) ,FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELFCTRIC METER RELEASE WALL DRAIN/SEAL • GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0:FRAMING PLAIVNINGAPPROVAL , ,' _ ,: - FINALBUILDING ': %'� ° . `; :'' ;'_ .., : .":- ROUGN.FIREAPPROVAL _ '-' FINAL'MECHANICAL . ��,, ;� - '� ��+�� .� ftNAL FIRE-DEPARTMENT- ' FINAL ELECTRICAL „ - ., .', ti '. .l,'� . ;:' . ' ',� , � . :FINAL PLANNING ':,: - -- ' = �.,: ,' � �7: �;, '� j•%�.Y ' �.: , . '. . . .. -.�-, FINAC.PLUMBING .' ` . - ;. . , _ , >, '.. = ' _ ' . FINALENGIMEERING/PW ` .: ' � . ,�.,;. i.;;� .. , _ , TC.of OCCUPANCY .. _. . ' • ,;.i = - -. - FINAL�COMMUNITY;SERVICES � ':' - ��-' . : ;: ,_ ., � �CERT.of OCCUPANCII�:�: � - � ' F,INAL HEALTH:DEPT: - FINAL INDU$TRIAL:WASTE :` . � :'� , . _ COMMENTS: � �' �- � � " . � ._ � �MO � � w�,s@,,"S low� o�., � �`� Il � _�w� S c�►�,.�� t� I C ac�, s=°t-�`t vw C_ �� ..� o�; � t '�' . r • 2 S V� -4�a�C"c� c �l� �`�a� . �n� ('��` �d�- �" � � �-Z �- �;� � ,� ��,^ ; ,�► f ' , �a�d lJ6'�"I�0Y �h 1 �fl��