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Home My WebLink About14-5045 �.___,......,:;,.';i':�,.>.•.,,..,�. CITY OF DIAMOND BAR � I: 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 �''�""" BUILDING PERMIT APPLICATION i JOB SITE ADDRESS ��/✓02��12 ��Y �~ 4'� . APPLICATION DATE: P/C# i ISSUEDATE: ��D��-1 PERMIT# �L� �7 � z APN LOT TRACT � OWNER �. � U�`�( TYPE CONST. OCC GROUP: � ADDRESS O(�� .Gre- . � CITY t0.v�G: ZIP��TEL.�30`J��6�"?i0/� ZONING F ONTCKS RW ❑ ¢ APPLICANT TEL. REAR ❑ x n ' � + SIDE/SIDE STREEf RW ❑ � CONTRACTOR D�Pt Kwa� ('l�eA�► QG`�'�`1.�� SIDE 0 � ADDRESS W� � �� q ,p PROPOSED USE re OlL+tr = CITY � ZIP��TEL. !�I � D 3--�� ' �N � ARCH/ENG/DESIGNER � ? ADDRESS . � #DWEL.UNITS #STORIES #BEDROOMS , zQ CITY ZIP TEL. I � OwNEH-BUILDEA DECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION = I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFFUADD/REM I � indicated below by the checkmark(s�,I have placed ne�R to the applicable item(s)[Sec[ion 7031.5,Business and I L Garage/Carport = Prafessians Code:Any city or county that requtres a permit to construd,alter,imprave,demolish,or repair,any I z structure,prior to ifs issuance,also requlres 1he applicant far the pertnit to file a signed statement that he ar she � Patio/Deck i is licensed pursuant to the provisions of the Contractor's State license Law(Chapter 9)Cammencing with Section W � 7000 of Oivision 3 of the Business and Professlons Code]or that he or she is exempt from licensure and the basis for uw. 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 Z Re-Roof = of not more than five hundred dollars($500). � I � �)I,as owner of the property,or my employees with wages as their sale compensation,will do�1 all 01 or(J portions � Commercial I y of the work,and the structure is not intended or oRered 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 � or improves the property,provided that the improvements are not intended or ottered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-Builder will have the burden ot proving that it was not built � or improved for the purpose of sale.). � (,I,as owner ot the property,am exclusivety cont2cting with licensed ContracMrs to construct the project(Section i Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of pmperty who Valuation: —�� Adj.Area: I i � buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I License Law.). I _ (,I am exempt fmm licensure under the Contractar's State License law for the following reason(s): a I � Q ZBy 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 owner-builder ii it has not been constructed in its enti2ty 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 � the following Web site:http/www.leginfo.ca.gov/calaw.htmL `� i z j DATE: SIGN: � I — LICENSED CONTHACTOfl'S OECLAHATION . � a I y 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 � LICENSE C SS: v�� , [3� . ��.No.: 97j6��67 Q � I Z DATE: �V'��3'�j�CONTRACTOR: n['�� K��k(`'� � I Q WOflKEfl'S COMPENSATION DECLAFIATION g I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: y /� � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: O�� L / � Section 3700 of the Labor Code,for the peAormance 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 ELECTRIC: � the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier antl � PolicyNumberare:tj � �r� PLUMBING: y CARRIER ��A MECHANICAL: � Z POLICY NUMBER "'T2 �J �9 oS� � . ,— INSPECTION FEE: n (THIS SECIION NEED NOT BE CAMPLEfED IFhIE PFAMR IS FOR ONE HUNDRFD DOLLAAS($100)OR LESS). ISSUANCE: ,j.I`� � I cer�fy that in the performance of the work for which this pertnft is issued,I shall not employ any person in any manner so as fn � become subject to the Worker's Compensation Laws of Califomia.Md agree that if I should become subject to the Worlcer's SM IP: f.�rL L Compensation provisions of Seciion 3700 of the Labor Code,I shall fortliwith comply vnth those provisions. ENERGY P/C: J i DA7E: APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation cove2ge is unlawful,and shall subject an employer to criminal RETENTION FEE: �. y penalties and civil fines up to one hundred thousand dollars(3100,000�,in addition to the cost of the compensation, -- �� '1 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. 0(� y I hereby affirm under penalty of perjury that there is a Construction Lending Agen�y for the performance of the work for �' � which this permit is issued(Sec.3097,Civ.C.�. LENDER'S NAME: = LENDER'SADDRESS: TOTAL FEES �/ i I certify that I have read this application and state that the above information is correct.I agree to comply with all city and ��-7 j Z county ardinances and state laws relating to building construction,and he2by authorize representatives of this county to COMMENTS: ' � enter upon the above-mentioned property for inspection purposes. J 7 1] a PERMITTEE NAME(PRINn = SIGNATURE OF PERMITfEE DATE RECEIPT#�Yf I PAID BY:�A f � VALIDATION: I WHITE—DepaRment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOIVD BAR INSPEC�'IC?R! REC(�RD • � m � � - • � � . � . $SETBACw"LETTER ��° '-� �"�' �`�� :,��: ' ;�;�� TRACT AND LEDGER �� '•�� FOOTINGS FORMS * �`� ,,��:4�, ?�_ �SWITCH 6EAR SLAB` �-�, �.�:.° ��"" ,i . � �. �, � � „� '�� CO(v1MERCIAL HOOD � UG�?PI�UMBING g x �� a r , � ; �s�� I T—BAR ; U�.ELECTRIGAL �' � � :;,� �u � ' �TERCEPTER _ -- -- ---�---------�—�-----� U�ER=GROUNDG�,. ��. '�' ��' �...�� '�� ''��' � ' �HOT MOP/SHOWERPAN ��' ��,�, �.,� � SENJER LATERAL ; i SEPTICiCESSPOQL MAIN WATER LINE • _� HERS REPORT RECEIVED � SEWER CLEANOUT � DEMOLITION RQOF SHEATHING ROOF DRAINS I FLOOR SHEATHING � ROUGH CQNQUIT `SHEAR WALLS EXTERIOR�� _ ' �;��a ,, � �� 4r�� POOUSPtt ` ��s�,�r,'k�� '�'�'r�,,?;,„�e., - � �.� � �� . �'� - �- -' ,SHEAR.WALLS'1NTER►QRu. ��'�� g ; -�� '� `R UGti PLUMBING ° '� "'4 `� r , r, -_ � R � , �, .� _ � _ _ __ �, ,...a ,,,� _ r„ , ��, _ �,- FR,QIuiiNG(U��6'` � "��' ,%i ;,+1 d�� . �� " ' � �' �Rt3t1GN�ELECTRICAL�T�� ,, ' �' .�W �` ROUGH'MECHANIGAL��s�;r � �u,, $�� ROUGH�fvtECHANIGAL� ,�� ' `' ROUGN�ELECTRIC,4L�VJi- }��. N� �� ;�t=;,r,' �:�, r,,, fFGASTEST � .5�.. � '' �° ;��.��.�-_:� .,°�� ROUGH PLUMBING �:�.. �¢ ��;;;��1, 3$ �.�x .� ,,',�r� PF�E Gt1NlTE ��'��''�` �-=_ _ _ � _._ , q� : ,, �: �d, -- -- < INSULATION WALL � �F,OOL PRE�DECK.BONDIPJ�� '""`' ' � � ,.�: „� INSULATION CEILING ; F-TRAP �� '�4' �,� ;��h °;'� DRYWALL i �FEN�E!"GATEisA11AFiM�.��v�_ `' ��s�- '-" ��'�;��&,_ � � LATH(PRE) ; i.FINAL POOL ...,: �� -= ., � ``"?.�;-:_ .. m _ _ _ _ ._ __ LATH EXTERIOR ' �WALLS: � LATH INTERIOR � i INALL FOOTING/STEEL GAS TEST �WALL STEEL 1 s'( )2Ne( )LIFT SCRATCH COAT j WALL BOND BEAM ELECTRIC METER RELEASE _____ � ;WALL DRAIN/SEAL__ GAS METER RELEASE � ! �WALL FINAL �.,. SPECIALINSPECTION ; ��RO�FRt}MING„�PL�{WNINGM{�fIUAl�. ' _ -- �� - �'��';'' .�' � a,. ��1. �.�: FIN{tL BUILOING� . 'o�` ��f�f I�y! ::. � �� . �'�; ?IiOUGH FIfiE� PA PROUAL, �'� ��,;.,�. ��' �; �,. _a� �� ` _��r�� ps��, �, -- � �,�r�� . :� ��.,; �� FINAL�MECHANICAL� �� , �,�� _�- �� , , ; '��.�9�z� =FINAL,FIRE DEPARTMENT`'� ��' , � '��'' � ...� _ .n.:�,�: _ ��. ��,�ri�� ;� � . � � - � �`� ��INAL�PLANNING �� r r z �;� �°,��,�m��, �, �,, WNAL�ELEGiRICAL . � .I_ .��,�,�::�. �� -, �� . �,s.,�. , �.,., .a., _ , , , � o.__� � , ,� �� :- rs - ��,�,�{t = - FINAL`�PLUMBING �,�y; ;`��x. FINAL,ENGINEERING!PW _': �-�� ra�,��_� ,T:C.of OCCUPANCY ; e $�. � .�- 4 FtNAL.GOMMUNITY SERVECES �- �� `� �� `CEt�T.of OCCUPAPICY. :,�,��.. ,��: =_ :. .. ' �`��.t�� :"°:.: .:, FINAL�HEALTH,dEP<T��:: ,��.�`�„a m��,.... e_��, £� ,FtNAL"INDIlS Rl%iL.�WASTE�`"��,�,'� ��` °��`�' "` �,;, �E �`�� . COMMENTS: . � �� Z �G� � � �