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Home My WebLink About16-0793 (9) . " � �..J��-e Yr��rr1-�- � �:-:;'�� CITY OF DIAMOND BAR ' �" { I � I i � DEPARTMENT OF COMMIJNITY&DEVELOPMENT SERVICES �� pj;,= - 21810 Copley Drive,Diamond Bar,CA 91765 '��PRESS (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY C �'g"N� BUILDING PERMITAPPLICATION www.cityofdiamondbar.com building@diamondbarca.gov � ,°CL, �`�� 1 � �^. APPLICATION DATE: N�"I b P/C# �� a JOB SITE ADDRESS �� CA � v� o ISSUE DATE: 4� � � � b PERMIT#: � o APN—�-��LO TRACT /� � v N OWNER v i l IcL�O S TYPE CONST._ �' o OCC GROUP: _� ADDRESS I'1 �'I o�-�.rJooa �O�G df. a CITY r4MoA� �a/' ZIP TEL. � '�`S��,7 � Scope of Work vv�. { ' j- � o APPLICANT �i �rA TEL. ��oz.,�21 J� ,v �� CoM S��-ia/L a CONTRACTOR C : �AJ�. 0 � ADDRESS_��'I S w• ��Q� ,l S�• #DWEL.UNITS #STORIES #BEDROOMS o CITY C��la/�.b ZIP �1�7 TEL �o ��Oz..2�(� o ARCH/ENG/ z DESIGNER DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION o ADDRESS SFR/ADD/REM Z m CITY ZIP TEL. Garage/Carport a Patio/Deck o� OWNEH-BUILDER DECLARATION w oI hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) � Pool/Spa � o indicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and � Re-Roof w Professions Code:My city or county that requires a permit to construct,atter,improve,demolish,or repair,any � � y structure,prior to its issuance,also requires ttie applicaM for the permit to file a signetl sfatemeirt that he ar she � mmercial � is licensed pursuant to the provisions of Me Contractor's State License Law(Chapter 9)Commencing wiN Sectian m I N 7000 of Division 3 ot the Business and Professions Code]or that he or she is exempt trom licensure and the basis for N the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty 0 oi not more than five huntlretl dollars($500). � (J I,as owner of the property,or my employees with wages as their sole compensation,will do()all of or(J portions Z of the work,and the structure is not intendetl or offered for sale(Section 7044,Business and Professions Code:The VA/uatfOn: OC�. � Adj.Area: w 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 intentletl or offered for sale.If however,the building or QUANTITY DESCRIPTION FEE p improvement is soltl within one year of completion,the Owner-Builder will have the burden oi proving that it was not built � or improved for the purpose of sale.). � Z (J I,as owner of the property,am exclusively contracting with licensetl Conhactors to construct the project(Section � � 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who � Y builds or improves thereon,and who contracts for the projects with a licensed Contractor pursuant to the Conhactors'State � o License Law.). w LL ()I am exempt from licensure under the Contractor's State License law for the following reason(s): � z z m � By my signature below I acknowledge that,except for my personal residence in which I must have resitled for at least one � � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an a a owner-builder ii it has not heen constructetl in its entirely by licensed contractors.I understand that a copy of the w applicable law,Section 7044 of the Business and Professions Code is available upon request when Nis aDPlication is • o submittetl or at the following Web site:http/www.leginfo.ca.gov/calaw.html. � v LICENSED CONTFIACTOR'S DECLAHATION � mI hereby affirm untler penalty of perjury that I am licensetl under provisions of Chapter 9(commencing with Section 7000) � N of Division 3 of the Business and Professions Code,and my license is in full force and effect. N LICENSE C S� LIC.NO�.: !i0'�O a�S • � CONSTRUCTION: \�� (o Q ¢ DATE: CONTRACTOR p WORKEp'S COMPENSATION DECLAHATION FLAN REVIEW: ¢ I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ELECTRIC: o I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by PLUMBING: jSection 3700 ot the Labor Code,for the pertormance of the work for which this permit is issued. MECHANICAL: p ��I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for z the pertormance of the work for which Nis permit is issued.My Worker's Compensation Insurance Canier and INSPECTION FEE: a Policy Number re� Z �.4.a�e � a ISS�UANCE: S. CARRIER C�II � �o� � POLICY NUMBER_'�_ I�� SMIP: � Q N F (THIS SECTION NEED NOT BE CAMPLETED IF 7HE PERMR IS FOR ONE HUNDRED DOLLARS($100)OR LESS). ENERGY P/C: p I certity that in the pertortnance of the work for which this permit is issuetl,I shall not employ any person in any manner so�to ENERGY PERMIT: o become subject to the Worker's Compensation Laws of Calitomia.M ree that'rf I should becrome subject to the Worker's ^ Q� J Compen �on rovisions of Seclion 3700 of the Labor ode,I shall ly with those provisions. RETENTION FEE:_ � o� � DATE: - P� APPLICaNT: �� PRE-ALT FEE: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal gASF: 1 L� � penalties and civil fines up to one hundretl thousand dollars($100,000�,in atldition to the cost of the compensation, p damages as provitled for in section 3708 0(the labor code,interest,and attorney's fees. PLOT PLAN: d ' CONSTflUCTION LENOING AGENCY ZONING CLEARANCE: = 1 hereby a�rm untler penalty of perjury that there is a Construction Lending Agency for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.�. C LENDER'S NAME: � LENDER'SADDRESS: TOTAL FEES a a � _ a$ w a I certity that I have read this application and state thal the above information is correct.I agree to comply with all city and COMMENTS: Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to p enter upon the above-mention prope for inspection purposes. m Qa� ��-� Ct�►�e �,�; � PERMITfE ME(P � //J � � P/C: PAID BY: VALIDATION: � `� � /�/ RECEIPT# e��S I� pAID BY: �,��5 VALIDATION:�_ F SIGNATURE OF PERMITTEE DATE WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy CITY Ol�--DIA:ilIOND BAR INSPECTIQN "�i�Ci�RD � . ;.`�.,. „ �� . � � � i � � i p � • � SETBACK/LETTER TRACT AND LEDGER FODTINGS FpRMS SW(TCN GEAR S�� COMMERCIAt NOOD UG.PLUMBING T-BAft U6.ELECTRICAL INTERCEPTER UFER GROUND HOT MOPlSN4WERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROQF SHEATHINC� I.�.G I ROOF dRAINS FLpdR SHEATHING ROUGH CONdUIT SNFAR W;4L�S EXTERiOR POOUSPA SHEAR WALI.S INiERIOR fiQUGH PLUMBlNG FRAMINGNENTING RQUGH ELEGTRICAL HOUGH MECHANICAI RQUGH MECHANICAL ROUGH ELECTRICAL W� )C{ ) GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL • POOL PRE DECK BONDING INSULATION CEILiNG P-TRAP dRYWALI FENCE 1 GATE!ALARM LATH(PRE} FINAL P00� IATH EXTERIOR WALLS: LATH INTERI4R UVALL F04TfNGlSTEEL GAS TEST WALL STEEL 1sr� �2No� �� SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RE�EASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PI1�NNING APPRdUAt FINAL BUtEdING I ROUGN FIRE APPROVAL FINAL M�CHANICAL FINAL�lRE DEPARTMEEIT FlNAL ELEGTRIGAL � FINAL PLANNlNG FtNAL PLUMBlNG FINAL ENGINEERING!PW T.C.of OCCUPANCY. FINAL GOMMUNITY SERVICES CERT.af OCCUPANGY FINAL HEAITH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: (P/ease fill out and tea� off this portion to /eave wit/r�the jub card if no one wil/ be avai/able to allow the inspector inside the house.) .> . ,.., INSTALLATION CERTIFICATION � For the property located at •�-1� �o-�-�a'�woo� �o✓2� , I hereby certify that the required smoke alarms and carbon monoxide alarms have been installed as listed above. �i�i:ey-.�� (/ G.G��" �A� M b,nJn V t! �l1 �d b�s y ��I / L � � Signature Print Name Date Relationship to project(please check one): n�rner ❑Agent for Owner ❑ Licensed Contractor ❑Agent for Licensed Contractor If"Licensed Contractor"or"Agent for Licensed Contractor" is checked, please complete the following: ✓l Kvo�� 9a,g�� Contracto Contractor's State License Number