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Home My WebLink About14-4947 %�".,�:� ..,........... CITY OF DIAMOND BAR �.., , : � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � _ �'= — 21810 Copley Drive,Diamond Bar,CA 91765 RESS �y� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ��'�"'" BUILDING PERMIT APPLICATION i JOB SITE ADDRESS �, C APPLICATION DATE: O _I� P/C# i ISSUE DATE: �V/� 0 I"/ PERMIT# / '7� 7 7� / z APN LOT TRACT � � OWNER C7 TYPE CONST. OCC GROUP: L f, ADDRE , U ZONING SEfBACKS ¢ CITY Q � IP TEL. FRONT RW ❑ = APPLICANT ��TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ n � CONTRACTOR' SIDE ❑ � ADDR SS � � � PROPOSED USE O' �IM s CITY I ZIP TEL. � � ARCH/ENG/DESIGNER � z ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS QCITY ZIP TEL. I � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION OWNEH-BUILOEH DECLAHATION ¢ SFR/ADD/REM r I hereby attirm under penally of perjury that I am exempt from the Contrador's State License law for the reason(s) I indicated below b the checkmark(s),I have placed next to the applirable item s Section 7031.5,Business and I L y (�� Garage/CarpoR Prolessions Code:Any clty or county that requires a permit to construct,alter,improve,demolish,or repair,any � struclure,prior to iTs Issuance,also requires the applicant for the permit to file a signed sTatement that he or she � Patio/Deck I i Is licensed pursuant to the provisions o1 the Contractor's State License Law(Chapter 9)Commencing w(th Section w � 7000 of Division 3 of the Buslness and Professions Code]or that he or she is ezempt fmm licensure and the basis for LL Pool/Spa I the alleged exemption.Any violation ot Sedion 7031.5 by any applirant for a permit subjecls the applicant to a civil penalty C7 = of not more than five hundred dollars($500). Q Re-Roof I � U I,as owner of the properTy,or my employees with wages as their sole compensation,will do(_)all of or L)portions � Commercial y of the work,and the strudure is not intended or offered for sale(Section 7044,Business and Professions Code:The m � Contractors'State License Law tloes not apply to an owner of property who,through employees'or personal ettort,builds � 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 jor improved for the purpose of sale.). � I L)I,as owner of the property,am exclusively cont2cting with licensed Contracturs to construct the project(Section Z 7044,Business and Professions Code:The Contractors'StaTe License Law does not apply to an owner of property who V81U8tiOn: Adj.Afea: I � buildsorimprovesthereon,andwhocontraclsforthepmjeclswithalicensedContradorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.�. I � (,I am exempt from licensure under the Contractor's State License law tor the following reason(s): a I � � 1 By my signature below I acknowledge that,except tor my personal residence in which I must have resided for at least one w I � year pnor to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w I 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 ot the Business and Professions Code is availahle upon request when this application is submitted or at I I i the following Web site:http/www.leginfo.ca.gov/calaw.html. Z `^ � DATE: SIGN: � � �, ` � I — LICENSED CONTFlACTOH'S DECLAFIATION � I a Iy 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 �I � LICENS C S: ��y{G��N,OY.: I�WI�1 a I � DATE: CONTRACTOR: � /J1 i � ¢ WOHKEH'S COMPE ION DECLAMTION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: �/ ] � I have and will maintain a Certiticate of Consent to Self-Insure tor Worker's Compensation,as provided by CONSTRUCTION: �-7��J � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVIEW: > �I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,tor ELECTRIC: �7..r0 Z the performance of the work ior which this permit is issued.My Worker's Compensation Insu2nce Carrier and ,� ¢ PolicyNumberare , _`� ,,,��/� PLUMBING: ��fl_� y CARRIER ��W�� «�J _ _ ..�._ , MECHANICAL: �,�7 � PouCYNUMBER —�-�_� INSPECTION FEE: n (THIS SECf10N NEED NOT BE CAMPLEfED IFhIE PERMfT IS FOR ONE HUNDRED DOLWiS($100)OR LESS�. ISSUANCE: I ,—• = I cer0fy mat in ihe performance of tt�e work for which ihis pertnit issued,I shall not employ any person in any manner so as tu SMIP: e � � become subje Uo the orker's Compensation of Cal' i.Md agree that'rf I should become subject to the Worker's �+ Compensatlon ovisi p}SecBon 3700 of ihe Labo I I forth ' comply with those provisions. ENERGY P/C: i DATE: PPPLICANT:_ ENERGY PERMIT: � WARNING:Failu to secure Worker's Compensation rage is unlawful,and shall subject an employer to criminal RETENTION FEE: � / y penalties and civil fines up to one hundred thousan dollars(3100,000),in atldition to the cost of the compensation, �y i damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTION LENDING AGENCY BSAF: I r I�,�_ y I hereby attirm under penalty of perjury that there is a Construction Lending Agenc,y for the performance of the work for = which this permit is issuetl(Sec.3097,Civ.C.). � LENDER'S NAME: � LEN�ER'SADDRESS: TOTAL FEES i I certity that I have read this application and state that the above information is correct.I agree to comply with all city and y�',.�L/ � county ordinances and state laws relating to huilding construction,and hereby authorize representatives of this county to COM M ENTS: Jenter upon bove-men�d property�i�spection purpases. b � � l ¢ PERMITTEE NAME(PRIl� _ n = SIGNATURE OF PERMITTEE DATE RECEIPT# �7 PAID BY:! I�f / VALIDATION: WHITE—DepaRment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy _ . �: . . CITY OF DIAMOIVD BAR , INSPEC�'IUN RECORQ . o � , . � . . � � , . � . SETBACIU'LETTER` �� ^��, ,_ � ,� „+�� #�"��_. ::�,�� E"'.�.,; � �TRACT ANO LEDGER � �a,a. --------'--- .—.. ----'-'---- F�OQTINGS�FORMS `,�� °�� ,,;I, E��'�, -`� �'�. SWITCH GEAR SIAB.:. `'"", �� -��,,,� �� ,,i ,��':� ��.,;,'I, �6��"��: a �:� COMMERCIALHOOD UG�pL�UMBING�„`�� - �� '�E .�. � ��...:�$�_ i "�a ��; �?, T-BAR - UG.,ELECTfi�GAL �, .-.-��.._ �; , ... �"�'� �.,. °'�,...�._��_� r�,� �. � 3,;,�,s� � INTERCEPTER —�-- � UFEFi�GflOt1ND:`� " �� "��.r,<�� _��.t�,.��.�-�`�'�r� �, ,. �r��';'' HOT MOP/SHOWERPAN d SEWER IATERAL _� SEPTIC/CE5SPOOL ___ MAIN WATER LINE HERS REPORT RECEIVEO SEWER CLEANOUT � DEMOLITION ROOF SHEATHING �ROOF DRAINS FLOOR SHEATHING ' � ROUGH CQNDUIT yvae,wr... .�, .��. � � " . i.4 '' -a'ff 6 ,...�6 13?,.;<''' :�. �� ,R WALL"S;��XfER1QR�� , �� : � POOLtSPA�� '� '�� ' � �,,�,, SHEA _ � � � n,ma'��..� ,4.7w,.ti.€ms> - 4 s �� _b. ,4i.4v2 �3.� m�.., 'e� �.�f�v_t SHEA" _ y __ ._. .. _e� � ��'� :, �°F ,: �� ,, �s� R IJGH'PIUMBING °��.�� -y��E ..,., � �.�. ,�E� e, � � Rti1tA�LS�INTERIOR�. �;� �- � - ��;��. n'��, _ _. � � � � . . FRAMfNGNENTING� �N9��t <, ;��`�;, .k �-- ��'g `<'° .�� CTR C�,4L �`?�� t,,y � `�,� € _. .., � ,�. = x , R� M .�: _ ' `ROUGH��EL� 1 � � _�, . . � . __ � .<_�.. . _ , _,: _.. , � ; �, __, „ � -�� _ b ,,� � �+,� �� <,::, ;�� ROUGN MECHANICAL�-�_ ��'��_� '� ��' ;� �ROUGN MECHANICAI.�� ° "� ' �;��t�. ° ;�# �.� �. � _ >, ° _ .: E , ROUGH ELECTRICAL W/�tC�( �� «� ' � �, .��, "�.� GAS�TEST� _ �,� � �,t`` . ...�.....� -<�, 1 ,.7 t .� .�'.�t .��-"`��_, � � ��..�". �,��s-�. ,T=� .a:..:�� -e��^� ,n-S, ,ROt1GH'PLUMBING _.�'��,.. � • _=-$ ' �`'?'� �` �� . � PRE�GUNITE��+`.��»�,� � ;k,��: ..� �.,�� _._ �.W_ •. �. . „ - F. INSULATION�NALL POOL PRE�DECK�BONDING'�� '� `� � - � ��' � �� t INSULA?ION CEILING ;P TRAP.., ; �� '�°�� ; ,��,•�,��,�,��R.% .,��`�� DRYWALL i FEtVCE/GATE1 ALAfiM ° "'��`° """�;�,:,rt., .,, .�'��,,��, ��'� " LATHiPREI � °EINA'L"POOI "��`` �"��"��` `�� '�`�"W�' �" , , . � _.____ •m� . ,� .:.�.,w,,c»,.�.,�__�. `*x�b.ms,w� �s�.w_.. w.,.,.. ...s,»»,�.. LATH EXTERIOR � WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST _� WALL STEEL 1�'( )2HQ( )LIFT _ SCRATCH COAT WALI BOND BEAM ELECTRIC METER RELEASE , ;WALL DRAIN/SEEIL _ � uAS METER RELEASE i WALL FINAL _ ._. SPECIAL INSPECTION , 'RO�FP,AMING�PLI�WNINGAPPROV�AI��: � � , �� `� �" ��° � �' � —--- � . �� ,�: , _,. .__ �_ � � � �.. 'FINt�L�BUILDING,�.,� `��"� ..K,:��` -<p�� . , � 'w� , : � ��` "� :�� _:-�_� _; �iOUGH-FIREAPRROVAL � � � , � -. .,, .... �a .�,�m. e e FINA1�MECNANICAL� ' � s� "'� � ` � ,, '�� ';��. � ��' EfNAL FIRE DEFARTIIfIENT �� ,��'g _ � � s�- �.a� -�' �� E�.,--: -•• ,��, ' '- �.- "ak.�a3s:::�� -�"�� .. `�c�" �� ,-,;`� ��« .,�n '�� "�,. FINAL ELEGTRI�GAL � �'.: - �_. ' ' ;�"�� ,,��;�` FINAL PL`ANN(NG�� _�,.� m..��4 , e�� . ,EINAL`PLUMBING�� R;,� k � �� , -�� ', �� FINAL�ENGINEERIMG/�PNt � � «� �,�,. �" ,. „�,�� ° � �`. ��➢•� :,�� w e.. :T C of�OCCUPANCY�'��: ��.� .:� - °� ; � � -� � �. -��«_° � � �� .r. `- ' .�� 'FINAL��OMHlUNITY�SERVtCES" �� "�.`� �� .� ��:�> �� d� ,r a `GERT of.00CUFANCI! , �, a�. . �� 5 p�,. . ' , ;�>�� a � �� :��,. �. �_..�_� ____... _�� .. �, -� �..��. �� ,FINALHEALTH,DEPT..��.�, �' ,.,:�xc��.��,�� , �,, �� ; h . �FINAL�fNdU5TRIAl WASTE "'°� £ �" " '� � ��. COMMENTS: