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Home My WebLink About14-4976 l�,u��y �a/z�� /_`c�o _ -a��'fi.:�� ,,,,. CITY OF DIAMOND BAR �� ii DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �`" " 21810 Copley Drive,Diamond Bar,CA 91765 r�� PRESS \w A;�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 �)� FIRMLY ''�"'" BUILDING PERMIT APPLICATION ��I�p� "► i JOB SITE ADDRESS �S O l (��OV� T dO�� (.-N APPLICATION DATE: P/C# i ISSUE DATE: rV�J�f�V/Y PERMIT# �y� /7 7[� z APN r LOT TRACT � OWNER G�/t�Gi L P.iEi_ TYPE CONST. OCC GROUP: I � ADDRESS �SO I � �UGv DiD � ZONING SEfBACKS n CITY IP TEL. ��5�3Z� Y.�6� FRONT RW ❑ r APPLICANT EL.7/�J��-/2 �/S� REAR ❑ � n / • SIDE/SIDE STREET RW ❑ a CONTRACTOR ��G I'2P/Cle, �,SUS�P►.� ��C G�,��L SIDE ❑ � ADDREnSS Z Q� I/ GtL = CtTY f/C�ss�Sp/Z.�NQS ZIP lZZ62TEL. - Z`J - 7 PROPOSED USE � ��I i � I _ � � ARCH/ENG/DESIGNER � z ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS Q CITY ZIP TEL. � OwNEH-BUILDEH DECU1HA710N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION I ¢ SFR/ADD/REM = I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) � � indicated below by the checkmark(s),I have placed neM to the applicable item(s)[Section 7031.5,Business and Garage/Carport I y' Professions Cade:Any city or county that requires a permit tu construct,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires the applicant for the permit to file a signed sfatement that he or she � Patio/Deck I i is licensed pursuant to the pro�isions of the Contractor's State Llcense law(Chapter 9)Cammencing with Sedion W � 70W of Division 3 of the Business and Professions Code]or that he or she is exempt fmm licensure and the basis for LL Pool/Spa , I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a Dermit subjects the applicant to a civil penalty �7 �—= of not more than five hundred dollars($500). ZQ Re-Roof I � ()I,as owner of the property,or my employees with wages as their sole compensation,will do(J all o(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 Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds y or improves the pmperty,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 6urden of proving that it was not built � or improved for the purpose of sale.�. I � (,I,as owner of the property,am exclusively cont2cting with licensed Contractors to construct the project(Section Valuation: Adj.Area: I z 7044,Business and Professions Cade:The Contractors'State License Law does not apDly to an owner of property who n buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I Y License Law.�. � _ I � ()I am exemptfrom licensure under the Contrac[or's State License law forthe following reason(s): � I �i 2 i By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w 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-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 Web site:http/www.leginfo.ca.gov/calaw.html, z I = DATE: SIGN: � , — LICENSED CONTHACTOH'S DECLANATION � I d y I hereby affirm under penalry 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 effect. J I � LICENSE CLASS: '�� LIC.NO.: Z�� ` z ' I � DATE: d L �� CONTRACTOR: � ¢ WOHKEN'S COMPENSATION DECLAMTION �LJd�/ � y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: (,,{ TI � /� � I have and will maintain a Certificate of Consent to Self-Insure for Worker's C�peTisa ion,a�ro d� IVS�RUCTION: J Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�.p,N REVI EW: S�� I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: '-S� • �� the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ PolicyNumberar�j � PLUMBING: y CARRIER /�,.��"c�i�/�UP MECHANICAL: Z POLICY NUMBER 1 I= /7 J � � Z � INSPECTION FEE: � (i}iIS SECTION NEED NOT BE COMPLEfED IFTHE PFRMfT IS fOR ONE HUNDRED DOLLARS($100)OR LESS). ISSUANCE: � aJs• S�' � = I certify ihat in the performance of the work for which this pertnit is issued,I shall not employ any person in any manner so as to � � become subjec[to the Worker's Compensation Laws of Califomia.Md agree that if 1 should become subject to the Worker's SMIP: � Compensation provisions of Sec6on 3700 of the Cade,I shall forth th compl ih mose provisions. ENERGY P/C: i DATE:�APPLICANT:��"?-!r'�rI�G��4�-I��/� ENERGY PERMIT: � WARNIN .Failur to secure Worker's mpensation cove2ge is unlawf and shall subject an employer to criminal RETENTION FEE: � • b� y penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, 1 damages as pmvided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � x CONSTNUCTION LENDING AGENCY BSAF: i y I hereby affirm under penalty ot perjury that there is a Construction Lending Agenc.y for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: � LENDER'SADDRESS:' i I certify that I have read this application and state that the above information is cortect.I agree to comply with all city and TOTAL FEES 1 5 1. '�� county ordinances and state laws relating to building construction,and hereby authorize 2presentatives of this county to COMMENTS: � enter upon th ave-mentioned praperty for inspection purposes. � � � b ¢ PER E (PRItJ� � /` � � I= SI RE OF PERMITTEE DATE RECEIPT# ��'p,,,� PAID BY: I VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECT'ION RECORD � . � � , ,� . e � , , . � . �ETBACKI LET�TER� . ,__� :_�> �== �' �� ;TRACT AND LEDGER ' n��__ �04TINGS.FORMS ,��, �:�,� ' ds � ,. �'�& °� ,� ;SVVITCH GEAR e� ��,, .�� S�� ,., �E��- �.'�A �, .. _e__ -=: ,��,�" ��'"; - �' .,�_ j COMMERCIAL HOOD i UG�PL�UMBING„_. � � _ . ; �� ` �� s��s�;a��, T-BAR �_. �� , �..� . ,. �_- ��. �, �lG:ELECTRIGAL'�� `�� ,, p � �� , �� -�7�, li Ni'ERCEPTER_.�___. ---- -----.�..--�—�--�-�----- - �� UFER GROUNQ��„�;� �� .; ��E��;�. �-,:- ':��r ��.,,' ` � '; �HOT MOPlSHOWERPAN SEWER LATERAL ; 'SEPTIC/CESSPOOI _� MAIN WATER LINE , HERS REPQRT RECEIVED SEWER CLEANOUT � ;DEMOLITION � ROOF SHEATHING ; �ROOF DRAINS FLOQR SHEATHING ' �ROUGH CONDUIT � _„ . . � SHEAR WALLS EXTERIOR .,__ j.�y '..�. �� :" . ��P�OOUSPA"_,.._, , . `•;° ,�. "��ae��t,,>�'��r��:�..:�.,,.�.�e '' --_ x�. �: � SH64R'WALLS 1NTERIOR`;, ..$` ��`` _ �_. _L:_ _� � �� W;�:.."k : E ROUGH PL!!MBlNG� .� 4�= �`�° ,>`,..,. �' ,.�., ' ��' �, ,.�, � � � �.: � �� .��_ _ . FRAMINGNENTING �� ? - `� � ��;�,��,�, r, �a�,,�..:� I ROUGH EL�CTRICAL m�_ _ - �� `^ ROUGH�MECHANICAL`, 6 ' ,�.._ �,�.�,.r'�' �3;,��;,., ;RQUGHMECHANIGAL �� ,��,..,�� RQ[JGH ELECTRICAL xW�j C( l ,Lr� �.�,�. r ��-'. . ° '"'y��Y �� 'GASTEST �� `� ' �� `�,`�°�', ��' a � a.� � . � ��e�..,� �. � ��`� � "� � � - `�RE 6UNITE � *�� ROUGIiPLUMBING �. ��, r� �_�� _�_..� +�� -��„ � �`�"��h :�< ' � �� - �� , �, . . INSULATION WALL � �POOL PRE dECK,BONDING`��'_ '�,��,��^m'', a ;��¢ .. ;,� � �'` „� °� INSULATION CEILING i � ;P-TRAP�� `�� =� � � c a.a�.� i't,,� �a� DRYWALL ;FENCEfGi4TFJAlARIVi '�� '# � ''✓`% :.�� .=.-��.. - �� : � �._ :- ; LATH(PRE) _ , ;: �.� �� =. -- � _� I,FINAL PO,OL�`�� ' �-'. �',�� LATH EXTERIOR ! .WALL� � LATH INTERIOR ' �WALL FOOTING/STEEL GAS TEST ' WALL STEEL 1 s-� �prmi )LIFT SCRATCH COAT 'WALL BOND BFAM ELECTRIC METER RELEASE WALL DRAIN/SEAL _� --+----- -------- GAS METER RELEASE � � �WALL fINAL SPECIAL INSPECTION `RO FF�AMI,NG P�LANNINGPPPROVAt- '`�:��_ ' ? �,�> �'`� & '' �� E :&�: FINAL BUILDING>, __ �' �`�s? ,.�:�,�¢.; , � , :� `� 'R UGN FIRE APPR01lAL �� ` ,� BK . 0 , . . , .� N,3,��`�.,.s�r- : ..._ ��..:��. .� � , _ �H. � ' �� . FINAL MECHANICAL .�� '':��rr�y,.�E� � ` �N.��',��,:� I�.,,. �� : �� , � ; ' �'�� -�,`��, �;� ��_ - � EINAL,FIREuDEPARTMENT'" _: - � ��° ,��._ .� e:�- � �� r�•,,,�� F NAL�ELECTRIGAL � � � eLk � ,� � ,�� FtNAE.PU�iNNING��, �� - � : r*�,� �� $ � �,x ��,...___ �.�a - ,� �,�`_�� .o_�. - _ � ,� �,,.,., ,� � �,� _ , -�. � �,�� , �, � _ �9,��• �� °.� _ � �,� FINALPLUMBING �� ,�,�< � '-. .., � . - FINAE E�JGINEERIN6/PW � �� k--�-�;, '' ' ,��;,� � , � � � �� , �- � - FINAL COIVIMUNITY SERVICE _ � 'T.C.bf OCCUPANCY � ��` `"�s, ._. � �� .,a �. :a�-�� i� .� � _ S�_ �� > ;.�� ' ;GERT.of OCCUPANCY. �.��, "�� ,>;°� „�� . �` ��°�� l�EINAL,HEALTH DEPT�,"� �""�� ..:, ��.. ;.� �� .,� _ �;.r ,.r _ _ ,,.��, , ��, - __ �.��P��_:_ .,._... �F�INAL.INdtlSTRIAL�W STE�'" .� =`:�,.„,�,r�''� ' COMMENTS: