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Home My WebLink About14-5148 ....,..;,�,��'�'�'4�,.,.,....�.., CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ' � ' 21810 Copley Drive,Diamond Bar,CA 91765 PRESS , ,,;, (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY I `''�""" BUILDING PERMIT APPLICATION � �I ( �p ��,�{, �,,a I,�' APPLICATION DATE: P/C# i JOB SITE ADDRESS �:/��' 1 L/Y��Li ✓�'�'�� I�• ISSUE DATE: �� d PERMIT# �`�-��`��P' z APN L TRA T T� LOWNER ��/( �� f)�/.'1 LT�� TYPE CONST. OCC GROUP: � ADDRESS � CITY ZIP TEL. � l ZONING FRONT KS RW ❑ ¢ APPLICANT .w /�� ' TEL. REAR ❑ x � v' �(�;� ��1�LS Q.N� SIDE/SIDE STREET RW ❑ � CONTRACTOR�� ,, t SIDE ❑ I � ADDRESyS � `C%Ly� � GL� �6C v Q_ � � 'D /�,,, ��,� �t D ��, �, /,n,,,` r PROPOSED USE ` � , . � 5� �I�fIZ � '�, � I = CITY�j.L� �I1D- ZIP < TEL. �a0 i = ARCH/ENG/DESIGNER � 6= �/j� ,j = ADDRESS #DWEL.UNITS � #STORIES � #BEDROOMS Q CITY ZIP TEL. n oWNEH-eUILDEH DECIAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION = SFR/ADD/REM � I hereby attirm under penalty of perjury that I am ezempt trom the Contractor's State License Law for the reason(s) I � indicated below by the checkmark(s),I have placed ne#to the applicable item(s)[Sectian 7031.5,Business and Garage/Carport I � Professions Code:Any ciTy or counry that requires a permit to canstruct,alter,improve,demolish,or repair,any z structure,prior to ifs issuance,also requires the applicant for the pertnit to file a signed statement that he or she � Patio/Deck I i is licensed pursuaM to the provisians aT the Contractar's State License Law(Chapter 9)Commencing with Section w � 7000 of Division 3 of tlie Business and Professians Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I the alleged ezemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 n Z Re-Roof S B �y ,1� � � Y of not more than five hundred dollars($500). � L-✓ � I � (�I,as owner of the property,or my employees with wages as their sole compensation,will do(,all of or(�portions —� Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I Z Contracturs'State License Law does not apply to an owner of property who,through employees'or personal effort,builds y or improves the property,provided that the improvements are not intended or offered 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 built � or improved for the purpose of sale.). I � '� I,as owner of the ro e am exclusivel contractin with licensed Contractors to construct the ro ec[Section (� p p�' Y g p � ( Valuation: Adj.Area: Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who � buildsorimprovesthereon,andwhocontractsforlheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). � (�I am exempt from licensure under the Contmdor's State License law for the following reason(s): � I ¢ I 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w I Z year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w � — owner-builder if it has not been constructed in its entirety 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 submitted or at I � the following We6 site:http/www.leginfo.ca.gov/calaw.html. Z = OATE: SIGN: � — LICENSED CONTRACTOH'S DECLAHATION � I a I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Sedion 7000) � of Division 3 of the Bu/siness and Professions Code,and my license is in full force and effect. J I � LICENSE CLASCS: �!�� _LIC.NO.: �� l �� Gl z I z DATE: �� I 'A_D � CONTRACTOR: ��L � � t'�LS fi 4 �� U I ¢ WOHI�H'S COMPENSATION DECLAfiATION � � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: �y � I have and will maintain a Certificate ot Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION:_ -l�� '7 � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�,qN REVI EW: > �I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: � the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ PolicyNum/�p��ar�e: PLUMBING: y CARRIER `�� f��" ��G� M EC HAN ICAL: � POLICY NUMBER f9 IQ �I` INSPECTION FEE: n (THIS SECTION NEED NOT BE COMPLEfED IFTHE PFRMR IS F9R ONE HUNDRFD DOLLARS($100)OR LESS�. ISSUANCE: �r,If� � I certlfy that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as tn � become subjed to the Worker's Compensation Laws of California.Md agree that if I should become subject to the Worker's SMI P: ,e�� J Compensation provisions of Sedion 3700 of the Labor Code,I shall Torthwith comply with those provisions. ENERGY P/C: i DATE: APPLICANT: ENERGY PERMIT: q � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: el�D� . y penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, i damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTION LENDING AGENCY BSAF: J� �� y I hereby affirm under penalTy of perjury that there is a Construc[ion Lending Agen�y for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: = LENDER'SADDRESS: i I certty that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES ) 1%�'� aFd d Z counTy ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: � ent n the above-me roned prop�for inspection purposes. � �_� S w � � - a P RMI M (PRI � �n��. :n y :A ,` = SIGN REOFPERMITTEE DATE RECEIPTN�'�f'�d'� PAIDBY: VALIDATION: � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECt�RD . � a , . � . . � � , . � . a� _ _ �SBTBAGKI LG�TER __v� �-- `�` -'� � - =�' � � ,TRACT AN�LEDGER ' .x, FO,OTINGS FORMS ��z=. , „��._ _ �o- S4NITCH GEAR ' S�LAB� �`��r _ .°rt��t �� ' �.= _ �,. z�"£, COMMERCIAL HOOD ,.. ,, � � � �s. . T-BAR ,UG.PLUMBING' ;�A`� ��"�.. . ��'�"= _>� .:.. � UG�'ELEGTRIGAL ��g;��,�� ; ;� ' �� ,, .- =� ,�., � �.a' INTERCEPTER UFERzGROUND��, Y��`,s�;� �"'�� g.;„��._ A. ��,�;. �. ,� I HOT MOP/SNOWERPAN i SEWER LATERAL _� SEPTICr'CESSPOOL _ � MAIN WATER LINE NERS REPORT RECEIVED _._._.._. __— ___....__..._..._._..-.- --..._..-----___�..—.---- SEWER CLEANOUT DEMOLITION ROOF SHEATHING • ROOF dRAINS i FLdOR SHEATHING ROUGH CONDUIT �SHEAR WALLS EXTERIOR �� ,� .�>y _�.. ' ,�' ; ��'�',,.5.,..�.� �POOIJSPII 9��=_ _ �° ,,� � �� yA �� M��:� . _ _. - ,,��, - 3r�4 � ; q�«<a..,.. ... �. „P',,p�€f� ' SHEARWALLSINTERIOR �� . ' " ,��:� . - "_ ,.: y�.y, `° �ROUGHPLUMBW� `= �._�,m��,,,,�� '� �� -� �,�,.rM,.y..�&. � ��_ �.3.�;�- ;��.nA3aac ...,a. .Y N1NN _.. _. -. $��i9'1`« �m'M*Y �.c- : _:Y2�. `�h ? ,n..f Lis�" �- ,x.w�t{l � FFWtdIINGIVENT(N� ��_�:, �°� ��:�: _,e = �a _ ��,.,' � ` ROUGHEt�CTHIGtiL� �`�� ` `` « � e,_ _ ,�b.W _ <z w - �✓ _ _s a�. -�a ... �g��, �.._..� RQUGH�MECHANICAL �.;; ��"� � ; , `",, iiOUGH�MECHANICAI.�� --:,'.'.. „_ F T � �'�, �. � ��, . . ._ r�� .�� -� --_`-�� „� : �.. , � : �� ,-� -- ROUGHELECTRICAL W( }�G�{�}�� :„�,�-, _ � � �GASTE5T��,_ �= _ �� ` ��,� _ . ._. ,.� �� w, ROt1GH PLUMBING .., " �, �4�_. ��q PRE GU',NITE��_= . r � �"� ;�; . � e . �:. ,. �n�., ,,,; ; INSULATION WALL POOI PRE'CK�BONDING_ ``�r�fi_ �` ' `� `� .��_ �_ INSULATIONCEILING P�-TRAP ��`�� `� _ ,` '� �:.. .N�,,�,�� DRYWALL FENCE�I�GATE/ALARM ' `�,;,,;,,., �xk,. y��'; �� .�' ':';� L�� LATH('PRE) ( FINaL P00L'��:� �� '� �_ �� ' �w�,,;' ��'"r�� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEl.1 s�( 12N0( )LlFT SCRATCN COAT WALL f30ND QEAM ELECTRIC METER RELEASE WALL ORAIN/SEAL __� GAS METER RELEASE I WALL FINAL � SPECIAL INSPECTION —1 `.,RO�FFiGiM{NG PLl�N1NIN��OVN.��;�,3,.,,�;��„ ;: y�,,.��` `,��a; .�� ,, � , �. ..� �,,, �� FINAL�aBUI�DihlG� �f ! �-f�:`�; .✓� :" �. � �� :-. ROUGHmFIREAPPRf}VAL��, � �� ,';': .. a ��. �,,, , ,.2'��x_,. ..: _ : � FlNAI'MECHANICAL ° " ' �� ,��_ `.M � ° FINAL FIRE�DEPARTMEN7_ . ��-� �' ,, � � '~ �'� � : x�� FINAL ELECTRICAL ,_.;' , ,�.��___ _; r'°;. FlNAL�?L�ANNING. ��: �_`- -� _yza �' ��.s ,.. � y'�:;, _ '� FIN',. :- ��f,, �..._ n _ e�W �� ,�„ , : �.,k,�-�g,��,�,� —_._ w � .:� .- ��a, � �- �• . AL'PLUMBING� ��F _ a-= � �,; � � FINAL�EN6INE�RlNGJ'PW � „��. _ �_" -��. '" ��_ iT�C,:of OCCt1PANCY x � �- , s � � FINAL COMMUNITY�SERVIGES� �� r'° � � >�.�. - �-' ,^� _� f _ - x � b '° s�p � �� -- � � �z ,x�,• �� - CERT.of OCCUFAMCY �: ��"�?+�;= : "� ' FINAE HEi4LTH�dEP�7 _- M1��IIa * ,-: - �� _ - • FINA�INDO�TRIAL 1NASTE a��"� '�u,.E��,:�'` ��",.�. COMMENTS: ^ �',�L`''''�' � �,ct; ✓ ��- ��ti�� ;t (,.1 � 2�- �, �. � �