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Home My WebLink About15-990 - f 1 I `�� ►_,. -`�ti -.._,,,_,.�,, CITY OF DIAMOND BAR � ` � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES __ _ � �`'= " 21810 Copley Drive,Diamond Bar,cA 9��6s � PRESS �,,��,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION r' '(�p�,� APPLICATION DATE: � v P/C# s JOB SITE ADDRESS �+- p 1 ISSUE DATE: ��I3�I�� PERMIT# �s"-1�� z APN LOT TRACT � � OWNER TYPE CONST. OCC GROUP: � ADDRESS 2- O � J CITY �k � / ZIPc��(�S TEL. �y O I ZONING F ONT KS RW ❑ � APPLICANT �iI�Q.� I�1.�(G�"1 TEL. REAR ❑ Q CONTRACTOR D }� � -� SIDE/SIDE STREEf RW ❑ SIDE ❑ � ADDRESS I m 0 PROPOSED USE = CITY Zl�r��, _TEL. � 23 �i-� 1� '� � ARCH/ENG/DESIGNER � = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. ¢ OWNER-BUILDEH OECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � = I hereby aHirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFWADD/REM I � indicated below by the checkmark(s�,I have placed nezt to the applicable item(s)[Section 7031.5,Business and Garage/Carport I � PraTessions Code:Any city or cowrty that requires a permit to construct,alter,Improve,demolish,or repair,any z structure,priar to its issuance,also requires the applicairt far llie pertnit to file a signed stahment that he or she � Patio/Deck I � is licensed pursuant to the provisions of tlie Contrador's State License Law(Chapter 9)Commencing with Sectlon w � 7000 oT Division 3 of the Business and Professlons Code]or that he or she is exempt from 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 . I of not more than five hundred dollars($500). Z Re-Roof � I� (�I,as owner of the property,or my employees with wages as their sole compensation,will do�1 all of or(�portions � Commercial y of the work,and the strudure is not intended or offered for sale(Section 7044,Business and Professions Code:The � I Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds m � 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 puryose of sale.). � U � _ ()I,as owner of the property,am exclusively contracting with licensed Contracinrs to construct the projec[(Section ValuatiOn: Ad AfeB: Z 7044,Business and Professions Code:The Contractnrs'STate License Law does not apply to an owner of property who 1• � � buildsorimprovesthereon,andwhocontractsiorlheprojeclswithalicensedContradorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I Y License Law.). 2 c�; I � U I am exempt from licensure under the Contractor's State License law for ihe following reason(s): a v � � Z � �j � � zBy my signature below I acknowledge that,ezcept 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-builder if it has not been constructed in its entirety by licensed contractors.I understantl 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 '�� the following Web site:http/www.leginfo.ca.gov/calaw.html. Z ? � = DATE: SIGN: � T 1 I — LICENSED CONTHACTOH'S DECLAl1ATI0N � I L( � !� I a I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Sec[ion 7000) y of Division 3 of the Business and Professions Code,and my license is in full force and ettect. J I � G��,,��/z a ;� LJCENSE CLA . � uC. l�'v/�✓ z I � DATE: CONTRACTOR: � � = I Z U ¢ WOBI�H'S COMP SATION DECLARATION � I y I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � I � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION:_ ��{�- �3 � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�qN REVIEW: > I have and will mainlain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,tor � G-y_� �^ � the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: J T �li ¢ PolicyNumberare: � � PLUMBING: �� CARRIER W t �) MECHANICAL: � 1� � POLICYNUMBER �� ry� INSPECTION FEE: n (THIS SEC'IION NEED NOT BE CAMPLETED IF1HE PEAMfT IS FOR ONE HUNDRFD DOLLAAS($100)OR LESS). ISSUANCE: 'Z,2, j I cerlify mat in the perfortnance of the work for which this permit is issued,I shall not employ sny person in any manner so as tn � n 1 � become subjed tn the Worker's Compen 'on la of Califomia.Md agree that'rf I should become subjed to the Worker's SM IP:_ J Compensa' prod ryqof Sectlon 3700 of � Code,I shall iorthwith comply vnth those prwisions. ENERGY P/C: y DATE: 3O �� APPLICANT: . ENERGY PERMIT: � WARNING:Failure o secure Worker's Co ion coverage is unlavRul,and shall subject an employer to criminal 1.� z � y penalties and civil fines up to one hu d thousand dollars($100,000�,in addition to the cost of the compensation, RETENTION FEE: ,�e = damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: � �-�Q = I hereby aifirm under penalty of perjury that there is a Consfruction Lending Agency for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: = LENDER'SADDflESS: i I certiTy that I have read this application and state that me above information is cortect.I agree to comply with all city and TOTAL FEES • �C7/ ^ �y 1 l7 1 Z county ordinances and state laws relating to building conshuction,and hereby authorize 2presentatives of this county to COM MENTS: � enter upon the above-mentioned property for inspedion purposes. � 1/0^��- +�iS.r ¢ PERMITTEE E RI n = SIGNATUR E DAT � RECEIPT#— 2y3� PAIDBY: i��V VALIDATION:__�____ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OFfDiAiVIOND BAR . .. -> IiVSPECTIUN RECORD . � � , � . . � � , � - `SEfiBACKiyi�`fTER � '�'�� ; ,_ , � .� „ ; � �� '� . �' � � ,� ". � . TRACTAND LEDGER � . � � a � -. � �FOOTINC�S fORMS ° `' �' �' � �w � '�� " �: " � �� `� ' � � , SWITCH GEAR � � ,. ti.� , _ , _�.- �5�� .:� .,..�.. �� '� � � � � � COMMERCIALHOOD 17G."PLUMBING�_;, �� , � � �, � �� T-BAR � � � �- 1J�i.��LECTRi�AL�� . ; � �� ` ' � � � ' � � �� INTERCEPTER ' ;UFER GROUND � � �,_� � �� ° � <�� °"� ' �� . � � HOT MOP/SHOWERPAN � SEWER LATERAL SEPTIC/CESSPODL MAIN WATER LINE HERS REPORT RECEIVED �} SEWER CLEANOUT DEMOLITION �— _j ROOF SHEATHING ROOF DRAINS FLOdR SHEATHING ROUGH CONQUIT � ;SH,EAR WAL1S E;lTERIOR' : ; � � , � . � � � _ . �� -� POOUSRA < , Q. � � . _ � : � r a �� - �SHEARxWAL�S iNTERIOR � � ` . � ° � ' �' ' ° � � � � ROUGH PLUMBING � ; , a _ _ _ FRAMINGNENTlNG �'/- � ^ : � � � '� ` ` ' ROUGH.ELECTRICAL v ` � o ,.;, � , � FZ0'�JGH;MECHANICAL ` � �� . �� . � � � �� ROU�H MECF+ANIGAL � � `� ' , . , � : a . � , _ ROU�H ELE�TRICAL'W(_�)C{ x� � � �,�� GAS TEST a , � � � � � _ _ � r � , ._ _ � � ,,�w � < - ��. ' , : � . PRE GUMTE , �, � � � . _ a 'RQ�1�H,PlU�IBfNG ;: � �;� : :, � �� a � � » g _ INSULATION WALL POOL PRE DECK�BONDING �� . ;, � . . . . �- > . �� - a INSULATION CEILING , P-T�P ' DRYWALL �' � � FENCE I GATEJ AIARM ° LATFI(PRE) __ FINAL POOL . � LATH EXTERIOR WALLS: LATH INTERIOR — WALL FOOTING/STEEL �AS TEST � WALL STEEL 1S'( )2NQ( )UFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPEC!AL INSPECTION fl0.FRAMING PIANNINGAPPROVAL � � r _:, �� . FINA��BUIL�ING; _ �: � � � � � `� ' ` RtiUGH FIRE APPROUAL " �_ � �.�« �.a °._ - e a � � FINAL'fitl6CtiANICAL�, ; � � ., _ � � � �� FINAG FIRE DEPARTMENT � ` , . �., o �� ,, � �� - �- �� _ ''' �� FINAL PLANNING ,FI[�i41.ELECTRICAL",-"_' ` � " ' � _, _ ��, .� , � ., � _ ,:` " �:;� �« � �•^r� , � � ��' .< � � � � � . — , ,� ��., - � — Fit�t'PLUMBING � �a� r _ � . w 'F1NAL ENGINEERINGI PW y �� _ � � , �.._ ` �` ��, r a ^�� : t , _ � "� ' FINAL COMMUNITY SERYtCES ��° � • , � �L��of�aCCUPANGY� _ ;�� _ � � � �� . � , � .. :�. ..��, � ,CERT.�of�OGl.�I1PANGY,� �. . .; . , �. � -�� _ •� � ; � ��INAL HEALTH DEPT. � � � , �� r � FINAL INdUSTRIAI WAST6 ° ` " COMMENTS: