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Home My WebLink About14-3513` 1 -+�T ' ,__ C1TY OF DIAMONll BAR �' * , a ��I� [�� ', AI ; ' ;I DEPARTMENT OF COMMUI�'I�'Yti�z PTEVE,i.C.�PM�NT SERVICES 9�� 111�='� s, 21810 Copley Drive,Diamond Bar,CA 91765 PRESS � - �� (909 839-7020 Fax: 909 861-3T17 Buildin Ins ection Hotline 909 839-7027 _�"��,.,,�.,.,,.., ) t ) � P � � FIRMLY '�"'". BUILDING PERMIT APPLICATION ~ , N� APPLICATION DATE: SI�'a1 �� P/C# P�R �4—351'� � JOB SITE ADDRESS C � ��6 s�`�,/d.OI� pERMiT# �tI-.,7�.I1�,� a ISSUE DATE: z APN f ' LOT TRACT o OWNER�_t..[�ZC.^S. � ��G''�Zu'T� ��IL TYPE CONST. OCC GROUP: � CITYR��lPk-Mf7R1�f�F�IZ ZIP�`�TEL.q5 " �{'�30 ZONING F ONT KS RW ❑ � APPLICAN"f �Q�� TEL.�SI"6G,Q-�432 REAR ❑ � f,� SIDE/SIDE STREET RW ❑ a CONTRACTOR 1`�� SIDE ❑ 0 � ADDRESS ; PROPOSED US o CITY e ZIP �^TEL. D 1_„�,}.1��,_,,s,�G1,7YY� �., •n„"lu� " ARCH/ENG/DESIGNER X �_ C)� TTT1Ct�,.2�'Y1 �� T� 0 w o ADDRESS e #DWEL.UNITS #STORIES k BEDROOMS z CITY ZIP TEL.��-�19y"�l s 1 ' m DESC PTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNEA-BUILDEfl DECLAflATION � - SF /ADD/ EM o I here6y attirm under penalty oi peryury that I am exempt from the Contractor's State Ucense Law For the reason(s) p intlicated below by the checkmark�s),I have placed next to the aDDlicable item(s)[Section 7031.5,Business and Garage/Carport w Professions Code:Any city or county that requires a permit to construct,alter,improve,demolish,or repair,any z structure,prior W its issuance,also requires the applicant for the permit to file a signed sGtemen[that he or she � Patio/Deck a is licensed pursuaM to ihe provisions of the CoMractor's State License Law(Chapter 9)Commencing with Section w � �000 of Uivision 3 of ihe Business and Professions Code]or that he or she is exempt From Iicensure and the basis tor LL Pool/Spa N lhe alleged exemptian.Any violation of Secdon 7031.5 by any apDlicant for a Dermit subjecls the aDD�icant to a civii penalty �3 � of not more than five huntlretl dollars($500). Q Re-Roof o (,I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or U pnrtions J Commercial . � ot the work,and ihe strucNre is not iMend2d or aftered for sale(Section 7044,Business and Prafessions Code:The m Z Contractors'State License Law tloes not apply ro an owner oi property who,through employees'or personal ettort,6uilds � w w improves ihe property,pmvided mat ihe improvements are not intended or offered for sale.It however,ihe building or � improvement is wld vnthin one year of compleUon,the Owner-Builder wiil have the burden of proving tliat it was not built por improved Tor Ne purpose of sale.). V I,as owner of the m e am exdusivel conVactln wiN licensed CunVactors to construct tFie ro ect Section F (� P P nY� Y 9 p � ( Valuation. S . Sp Adj,Area: z 7044,Business and Protessions Code:The Cantractors'State License taw does not appty to an owner of property who .— � buildsorimprovesthereon,andwhoconhactstortheprojectswimalicensedContractorpursuantrotheContracrors'Shate QUANTIIY DESCRIPTION FEE Y Li.^,ense Law.). o U I am exempt from licensure under the ConVactor's State License law for the tollowing reason(s): � � � ZBy my signature b�low I acknowledge ihat,except for my personal residence in which I must have resided for at least one w �� -� i� year prior to completion ot the improvements covered by this permit,l cannM legally sell a structure mat I have buill as an -� W Q owner-builder if it has not Oeen constructed in its entirety by licensed contractors.I undersTand that a copyot the applicable _ � law,Section 7MA of the Business and Professions Code is available upon request when this application is submitted or at X me following Web site:httpl�wnv.leginto.ca.gov/calaw.html. � z � DATE:__. SIGN: � � UCENSED CONTflACTOR'S DECLAflATION � W i hereby affirm untler penalry of perjury that 1 am licensed untler provisions ot Chapter 9(commencing with Section 7000) � � , d m of Division 3 of the Business and Professions Code,and my license is in full force and etteci. _ � LICENSE LIC.N .: I / � �� a o DATE: � CUNTRACTOR: S = Z w a WORNER'S COMPENSATION�ECLARATION g t V � Qry� � I HEREB FIRM UNDER PENALIY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � oI have and will maintain a Certificate of Consent to Sett-Insure for Worker's Compensatlon,as pmvided by CONSTRUCTION: ,4-S • 35 � Section 3700 of ihe Labor Code,far the pertormance ot ihe work tor whicb this permit is issued. p�pN REVIEW: �P3a- S� � I have and will maintain Worker's Compensation Insurance,as requiretl hy Section 3700 of the Labor Code,tor r Z ihe peAormance ot ihe work far which fhis Dermd is issued.My Worker's Compensafion Insu2nce Carrier and ELECTRIC: __ ,1 7��/// a PoIi�yNumberare: PLUMBING: �..� � CARRIER w MECHANICAL: �� y � PouCYNUMeER INSPECTION FEE: � (iHIS SECfION NffD NOT BE COMPLEfED IFTHE PERMR IS fOR ONE MINDRED DOLLARS($1 DO)OR LESS�. f= ISSUANCE: I ,�.•�� o I certify that in ihe pertorm3nce of the work for which this permit is issued,I shall not employ any person in any manner so as to SM IP: �� become subjecl to 1he Walcer's Compensation Laws al Calitomia.Md agree that if I should become subjecl to me Worker's � Campensa'm provisions ot Section 3700 o1 ihe tabor Code, shall toNnvith compty with those provisions. EN ERGY PlC: �P�. 1'J�A LL DHTE:I��pPPUCANL �� 1G ENERGY PERMIT: �4 .S�}- � WARNIN :Failure to secure Worker's Compensation coverage is unlawlul,and shall subject an employer to aiminal RETENTION FEE: �,�,..�� w penal[ies and civil fines ap to ane hundred thousand dollars($100,000),in addition to the cost oi the compensation, a damages as provided for in sectinn 3708 of the la6or code,irrterest,and attomey's fees. PRE-ALT FEE: O a CONSiRUCTION LENDING AGENCY BSAF: ,�,.Da w I hereAy amrm under penalry ot perjury thal there is a Constmciion Lending Agenq tor Ue pedormance ol the work for � which this permil is issued(Sec.3097,Civ.C.�. � LENDER'S NAME: � LENDER'SADDRESS: TOTAL FEES 1� d I certity Nat I have read this application and state that ihe above informaBon is cortect.I agree to compry with all city and �O g�e. �� {� �.0� z counry ordinances and sfate laws relating to building consVuction,and hereby aumorize representatives of mis counTy to COM MENTS: \F p enter upon the above-mention d proDerly for inspection purposes. _ ��'�1 �'/� m a PERMfTTEE NAME(PRI ,/�, G 1 q� 1.� N �� 7 � SIGNATURE OF EE DA E RECEIPT# ��O� PAID BY: VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLOENROD—File Copy,GREEN—ApplicanYs Copy I - � G,��7'Y O F D I A'IUI O N�� B A R ., __ T: . � INSPEC�'if.)N R�C;ORD � �` ' � _. •� '? + .f a o • . . � � , e . . � � , � . �SETBACK/CETTER� . '` •-��;;;' TRACTAND LEDGER FOOTINGS"FORM$ � � _ SWITCH GEAR SCAB � ' COMMERCIAL HOOD UG:PLUMBING ` �' .� , S �.: �.,.: +- T-BAR UG.ELECTRICAL � � .` . ` ��` INTERCEPTER UFER GRDUND ' ' � S � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE • HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS�EXTERIOR : ,. . ; - - POOL/SPA , : ,; SHEAR WALLS INTERIOR � � -, ROUGH PLUMBING ' _ ERAMINGNENTING �.�':�. .:.:. . � ; � ��' '.'��. � � � � � ROUGH ELECTRICAL ' �� ` �� _ , _ . ROUGH MECHANICAL . . - ROUGH MECHANICAL -� � � : .-. GAS TEST ' . _ ROUGH ELECTRICAL Wl )�I ) . . : , :. - . _,_ :_. ROUBH PLUMBING :. ; �. ^:',' PRE GUNITE ,. . _ ;.. INSULATION WALL . ' POOL Pf1E DECK BONDING �„ , INSULATION CEILING P-TRAP -' - ' DRYWALL C � ! FENCE/GATFJ ALARM LATH(PRE} FINAL POOL LATH GXTERIOR WALLS: LATH INTERIOR WALL FOOTINGISTEEL GAS TEST WALL STEEL 1sr� �2r+o� �LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WAIL FINAL SPECIAL INSPECTION R0.ERAMING PLANNINGAPPROVAL ,:` , FINAL BUILDING ;'' � : ROU6H FIREAPPROVAL , ' : FINAL MECHANICAL ; , FINAL FIRE UEPARTMENT , ,_ fiNAL ELECTRICAL ' . , '. FINAL PLANNING . FINAL PLUMBING ° FINAL ENGINEERING/PW ` ; T,C,flf OCCUPANCY ` '�� ° FINAL COMMUNITY SERVICES � � CERT.of OCCUPANCY' , : . ,. FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMIVIENTS: „ ` '° :... _.. s:�'.. CITY OF DIAMOND BAR ” •� . . , � ' DEPARTMENT OF COMMUI�TI�.CY.&.DFVELOPMENT SERVICES ,: �;:.. -� __ ` 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �,„p �, � (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ''�''" BUILDING PERMIT APPLICATION i JOB SITE ADDRESS \ ` A PLICATION'DATE: 6/ � P/C# �I"� �� f� I � /✓ /�- 1 APN LO TRACT ISSUE DATE: , d' �S PERMIT# �I� �� J ��I � OWNER � TYPE CONST. � OCC GROUP: � � ADDRE S � CITY � ZI EL.~ ?j7.� ZONING F O TCKS RW ❑ = APPLICANT TEL. REAR ❑ � � SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS = CITY V ZIP�,�fEL. PROPOSED USE }/� n i /' .._ . . �ei V/J l�U�d / V �'/J �/�/V � ARCH/ENG/DESIGNER � n l� n RB wnn��.�! I�� ADDRESS ��— ' � ��T� #DWEL.UNITS #STORIES #BEDROOMS I z CITY ZIP TEL. a OWNEN-BUILDEN DECtANATION DESCRIPTION SQ.Ff. FACTOR PSF DJ.AREANALUATION � = I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SF AD /REM �� Ol,y � yr I L indicated below by the checkmark(s�,I have placed ne#to the applicable item(s)[Section 7031.5,Business and Garage/Carport I ' = Professions Code:Any city or couMy that requires a permit to construct,alter,imprave,demolish,or repair,any I z structure,prior M its issuance,also requires Uie applicant for the pertnit to file a signed sTatement that he or she � Patio/Deck i is licensed pursuantto the pmvisions of the Contractor's STate License Law(Chapter 9)Commencing with Sectlon W � 7000 of Oivislon 3 of the Busineu and Professions Codej or that he or she is ezempt from licensure and the basis for � Pool/Spa I n the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 = of not more than five hundred dollars($500). ZQ Re-Roof I � (,I,as owner of the property,ar my employees with wages as their sole compensation,will do(J all of or(�portions � Commercial I � of the work,and the structure is notintended or oftered for sale(Section 7044,Business and Professions Code:The m I ZContractors'Sta�License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the pmperty,provided that the improvements are not intended or offered for sale.It however,the building or I �� improvement is sold within one year of completion,the Owner-Builder will have the buNen of proving that it was not built � or improved for the puryose of sale.). I ()I,as owner of the property,am ezclusively contracting with licensed Cont2ctors to construct the project(Section V8luation: Ad Area: Z 7044,Business and Professions Code:The ConVactors'State License Law does not apply to an owner of property who 1• I n buildsorimprovesthereon,andwhocontractsiortheprojeciswithalicensedContractorpursuanttotheContracrors'State QUANTITY DESCRIPTION FEE I License Law.). � U I am exempt from licensure under the ConVactor's State License law Por the following reason(s): � I � � I i By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � I J � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w I owner-builder if it has not been constructed in its entirely by licensed contractors.I undersTand that a copy of the applicable � law,Section 7044 of the Business and Professions Code is available upon request when this application is suhmitted or at I X the following Web site:http/w�vw.leginfo.ca.gov/calaw.html. � I z = DATE: SIGN: � — LICENSED CONTRACTOH'S DECLABATION � I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � i � of Division 3 of the Business and Professions Code,and my license is in full force and eftect. J I n � �, I ;� LICENSE CLAS : IJC.NO.: a � DATE: CONTRACTOR:�� ° 7 � � I ¢ WOfll�fl'S COMPENSATION DECLAHATION � � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: L � �I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: I � �Section 3700 of the La6or Code,for the pertormance of the work for which this permit is issued. ( � PLAN REVIEW: � p > I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: z ¢ PolicyNumberare: PLUMBING: � CARRIER � MECHANICAL: � POLICY NUMBER � INSPECTION FEE: (IFiIS SECTION NEED NOT BE COMPLFfED IFTHE PFAMfT IS FOR ONE HUNDRED DOLLMS($100)OR L.ESS). ISSUANCE: �� ("] = I certity that in the performance of the work for which this permd is issued,I shall not employ any person in any manner so as to � � bewme subjed to the Worker's Compensation Laws of Califomia.Md agree that if I should become subjec[tn the Workerk SM IP:_ J Compen h�f Sectlon 3700 of the Labor Code,I shall fo wim comp ih those rovisions. ENERGY P/C: L DATE: aPPUcnNr.�(�'� ��_ ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal �,! ipenalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, RETENTION FEE: �T = damages as provided for in section 3708 of the labor code,interest,and attorney's tees. PRE-ALT FEE: i CONSTAUCTION LENDING AGENCY BSAF:_ �•D I y I hereby affirm under penalty of perjury that there is a Construc[ion Lending Agency for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � � LENDER'S NAME: r LENDER'SADDRESS: i I certify that I have read this application and state that me above information is correct.I agree to comply with all city and TOTAL FEES - �/� ��/ O � county ordinances and state laws relating to 6uilding conshuction,and hereby authorize represenTatives of this county to COMMENTS: z � enter upon the above-mentioned property for inspedion purposes. J � S] ¢ PERMITTEE NA � = SIGNATURE OF PERMITfE DATE RECEIPT N_�UY�, PAID BY: I VALIDATION: I WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy � . � �:ITY OF DIAPVi�3�� BAR � .=� � �� °� INSPECTIO,N.R�w�':ORD ,� , ; .,. - . � � , . � e . � � , . � . ;SETBACIV LET7ER" � � �� '� �t � � TRACTAND LED^uER �FOtkTINGS FpRMS � �. . � � � v .� � " . -� SWITCH GEAR � ; � � � _ •SLAB�� `� '� ? � �" ' �' � �' � � � COMMERCIAL HOOD � ; _m„ � � �,, a�., �- � �, , _ T-BAR UG.,PLUMBIN� : � �._ .. . .� .�� . H ,,, � � ., _ - -- ,� � � - � INTERCEPTER UG.ELECTJif�AL. ��- � � � �UFER�GR011ND: �� °f �� : ; �� .. �'� � ." �°� � � " "� �� , HOT MOPISHOWERPAN SEU'JER LATERAL SEPTIC/CESSPOOL fv1AliV WATER LINE � . HERS REPQRT RECEIVED _ __ _____i SEWER CLEANOUT � DEMOLITION ROOF SHEATHING ROOF DRAINS FI.00R SHEATHING RO�GH CONOUIT �. . � _,, _ _ _ � . I 'SHE�4R WALL5�EXTERIOR, � �� . ; POOUSPA � � r � , SHEARWALLS INTERIORf ^� � � �� ROUGH PLUMBING � ° � � ' �� ,. � �a ',3' h. .. ,2 :� i? � +r ' . ... .. _ . . .N r. k .. � x ......... ......... . .. �FE3AlVIING/VENTING �"� � � � ` . � ._ "'' � � �ROUGH�LECTRICAL _ � .�. t. _ _ � � . ROUGH MECHANICAL� � � �` . �� , � � a AOUGH MECHANICAL �� - R�UGH ELEGTR(CAL W(.1�C('�)� � �� • � � , �� C�AS TEST � � ` � � RbUGH PIUMBING� a< �'` '� � ° � � �� ` � � ;. � �� PRE GUNITE INSULATIUN WALL POOL PRE QECK BONDING INSULATION CEILING ' P-T�P $ URYWALL FENCE/GATE/AIARM IATH(PRE) -__ �FIN�iL POOL � � — LATH EXTERIOR WA��S� LATH INTERIOR WALL FOOTING/STEEL GAS TEST ^ WALL STEEL ts'( )2"0( )IIFT SCRATCH COAT WALL BOND BEAM E�ECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE � WALL FINAL SPECIALINSRECTION RO.FRl�MINGPLANNINGAPPROVAL � 8 . F, . . . .� � �FtN41L�U1�L01NG �„ �_„ �,. .� � � ROUGH FIRE APPROVAL � ` ' � �F�INAI 149EGHANiCAL �� =r�� " � � FINAL FIRE DEPARTMENT � � � � �� _ o_� � ,� -� , _ __ � _ . �INi4L E�E��RICAL �. �' °' �_ .. '�' ,. � � .� ��, � �, , , FINAL PLANNINCr ��IN�PLUM�� : � . � ,F BING � � ,� �_ �. ' � 4 �� o V �, FiNQI ENGINEERWG/PW � Ts�:nf OECUPANCY� ��`" � � '_ ��' °" � � � � " '� � ' � �� FINAL COMMUNITY SERVICES ' � � , €CERT,of�CGUPA�NCY `" ��.�, � "' � , Y � � FINAL NEALTH DEPT. � s �FINAL��INDUSTRIALWASTE ° �� ` ' � ` COMMENTS: .