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Home My WebLink About15-1826 ,%' S %�� CTTY OF DIAMOND BAR .�' , Li I i ' DEPARTMENT OF COMMU1vITY&DEVELOPMENT SERVICES 11 p?��J ��" "� 21810 Copley Drive,Diamond Bar,CA 91765 /0 PRESS ,,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �`'�'� BUILDING PERMIT APPLICATION s JOB SITE ADDRESS �/ � APPLICATION DATE: �� P/C# i ISSUE DATE: /r�D '�� pERMIT# ,� IO �(B z APN LO�T7�-��TRACT f / � OWNER �"V1 . TYPE CONST. /V�OIi6 OCC GROUP: n ADDR S {L. QCITY ZI TEL. f ZONING FRONTCKS RW ❑ = APPLICANT TEL. - REAR p = SIDE/SIDE STREEf RW ❑ � CONTRACTOR SIDE O � ADDRESS 3 PROPOSED USE ? CITY � IP TEL.��j'�I.P�rL��l,� � ARCH/ENG/DESIGN � = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEfl-BUILDEfl DECLAHATION = I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License law for the reason(s) SFR/ADD/REM I indicated below b the checkmark s I have laced next fi the a hcable item s Section 7031.5,Business and I � y �� P Pp (�� Garage/Carport i' Professions Code:Any city ar county tliat requlres a permit to construct,alter,Improve,demolish,or repair,any � I� structure,priar to its issuance,also requires the applicant for ihe pertnit to file a signed sfatement that he or she � Patio/Deck i is licensed pursuant to the provisions otthe Contractor's State License Law(Chapter 9)Cammencing with Section W � 7000 of Division 3 of the Business and Professians Code]or that he or she is exempt fmm licensure and the basis for � Pool/Spa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 r of nat more than five hundred dollars($500). ZQ Re-Roof I � (J I,as owner of the property,ar my employees with wages as iheir sole compensation,will do(�all of or(�portions � Commercial I y af the work,and the shucture is not intended or offered for sale(Section 7044,Business and Professions Code:The m I � Conhactors'State License taw does not apply ta an owner of properry who,through employees'or personal effort,builds � or improves the property,provided that the improvements are not intended or oftered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not 6uilt � or improved for the purpose of sale.). . I � p p rty,am exclusi�ely contracting with licensed Cont2ctors to construct the projec[(Section �]I,as owner ot the ro e Valuation: Adj.Area: I Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who � buildsorimprovesthereon,andwhocontractsfortheprojecCswtthalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I License Law.). � I � U I am exempt from licensure under the Contmctor's State License law for the following reason(s): � 2 � I 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � I � 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-6uilder if it has not 6een constructed in its entirety 6y licensed contradors.I understand that a copy af the applicable � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I K the following Web site:http/www.leginfo.ca.gov/calaw.html. � z � DATE: SIGN: � i — LICENSED CONTNACTOfl'S DECLAHATION � I a I � I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � of Division 3 of the Business and Professions Code,and my license is in full force and effect. J I Q ��{ ¢ � LICENS LIC.NO.: / �" � � I Z DATE: �� 1 CONTRACTOR: � �� I ¢ WOHI�H'S CO PENSATION DEC TION � I � I HEREBY AFFIRM UNDER PENAL7Y OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: y ' 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 Labor Code,for the pertormance of 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,for � the performance of the work for which this permit is issued.My Worker's Compensation Insu2nce Carrier and ELECTRIC: � ¢ PolicyNumberare: �A Ia PLUMBING: y CARRIER Tr�(a/'Q� JC�YG�f+' MECHANICAL: z POLICY NUMBER �e�(�QZ�L�S(J(� '� INSPECTION FEE: 'n (fHIS SECTION NEED NOT BE COMPLEfED IFhIE PFRMfT IS FOR ONE HUNDRED DOLLAAS($100)OR LESS�. ISSUANCE: �,�� = I certfy that in the perfortnance of the vrork for which this permit is issued,I shall not employ any person in any manner so as fi � become subject to the Worker's Compensation Laws of ifomia.Md agree that'rf I should become subjec[to the Worker's SMI P: J Compe sa n pro'sio�Section 3700 ot the Lab e,I s rthwitl�comply with ihose provisions. ENERGY P/C: 1 DATE: � APPLICANL ENERGY PERMIT: � WARNI :Fail e to secure Worker's Compen on coverage is unlawful,and shall subject an employer to criminal .il - y penalties and civil fines up to one hundred th sand dollars($100,000),in addition to the cost of the compensation, RETENTION FEE: „/ 1 damages as provided for in section 3708 of th labor code,interest,and attorney's fees. PRE-ALT FEE: I � i CONSTHUCTION LENDING AGENCY BSAF: y I hereby affirm under penalty of perjury mat there is a Construction Lending Agen�y tor the pertormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: = LENDER'SADDRESS: i I certify that I have read this appliration and state that the above information is correct.I agree to comply with all city and TOTAL FEES d� Z county ordinances and state lavrs relating to building construction,and he2by authorize 2presentatives of this county to COMM ENTS: / , � enter upon the above-mentioned property for inspection purposes. J � � l�'�G�r�re � � �4�► ¢ PERMITTEE NAME(PflINn � v /� n = SIGNA7URE OF PERMITfEE DATE RECEIPT# �J ��/ PAID BY: I�[00 VALIDATION: WHITE—DepaRment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy J� I CITY OF;DI/��OND BAR INSPECTION RECORD � • / � 1 � . ` ' , ` • • � �n4 �^�eo <c.- �n..amv. .... .. ... ... .. .. _ .... ,5ETBACKI LETTER ;� � � . ,� � � „ „� TRACTAND LEDGER • �FQOTINGS FORNlS�, �, �m, , � :<, > �. � T SWITCH GEAR �SLAB,� .,, . ;� � ` � � � � y� � ?� � COMMERCIAL HOOD UG..RLUMBING.� �. ,. � � ; °- .� ��, ,� � „'' .,'; � ,. .. T-BAR ,UG��ELECTHIGAL� ` � �'� � � '� � � � � � � INTERCEPTER UFER�GR4UND� � � °� ��°� "� ' � �� '� �� HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ,SNFA,R_,INALLS EXTERIOR � , � � � � � � � : 'POOUSPA ` " `' .`. � e�` � � n � � ,, � � �, � �� .�: .. �� — — ;SNEAR�WALLS 1�3TERIOR�°s ° � °� �� '��iQUGH PLUMBIN'f " 'FR�1MlNGtVENTING"° `�" � �� '� �",." = � � '� �� ° ��ROUGH ELECTRICAL , ` � � , � � � .� � � � � � � � s � .. _r ROUGH MEGHAN(CpL �� ' ''�� ROUGH MECHANICAL ,-.-� � . , __ _ , . RQUGN ELECTRICAL W( )C(,) � � � � � � � ��GAS TEST � � � , -� � � ,�,eA �. .� � . — , �ROUGtI P�UIYIS{NG � �. _ � �. .. , . � „ �PRE GUNITE � � � � INSULATION WALL POOL PRE DECK BONDING & INSULATION CEILING P-TRAP ° � ' DRYWALL FENCE I GATFJ ALARM � � ' LATH(PRE) �°�F1NAL POOI � � �� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2Ne� )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIALINSPECTION RO.FRAMINGPLAtJNINGAPPROVAL "' ' � ' "`� �� ,�. � � ;, , � �ROUGW FIRE APPROVAL � .� � �� - � _ : F1N{tL BUII,DIN6�° � „ FIN{1L MECHIiNIGAL �� `�� " �" � �'� � � � �FINAL FIRE DEPARTMENT� � ' � � , FIN�1l.,sELECTRICAL �;_"�`�°` _ ` � '�`�. � � � �- � � � FINAI PLANNING _ — ..��„. �� "�: � . �- �« __ - ` _ FINAL ENGINEERING/PW _ _ � FINAL PLUMBING Z � �� `� '� � ' , FINAL COMMUNITY SERVICES. � � � a ° �� LC�"�of,OCGUPANCY �`. , � A � � � °° GE ��- � � � � FINAL HEALTH DEPT. ��4� W �. � RT,�of BCCUPAta�X n - � �, � �FINAL INDUSSRIAL WASTE �a � � �� ° ' � COMMENTS: