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Home My WebLink About14-4551 I ' ,=-T CITY OF DIAMOND BAR C!/ ��/T/�/� \ • ' � 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 �'��R°�� BUILDING PERMIT APPLICATION s JOB SITE ADDRESS �O� � ,r APPLICATION DATE: �r ^ `}DI P/C# i ISSUE DATE: 1"' �- �0'�`I PERMIT# ��^ y.r,r� z APN LOT TRACT � OWNER �Q L�� U TYPE CONST. OCC GROUP: ;� ADDRESS � CITY /�.LWJ ,m�� Q/ ZIP STEL. L ZONING SEfBACKS FRONT RW ❑ r APPLICANT TEL. REAR ❑ n SIDE/SIDE STREEf RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS - PROPOSED USE (�Il [✓S x CITY ZIP TEL. � � ARCH/ENG/DESIGNER � = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS ¢ CITY ZIP TEL. I � OwNEH-BUILDEp DECtnHATION 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) SFR/ADD/REM I L indicated below by the checkmark(s),I have placed ne#to the applicable item(s)[Section 7031.5,Business and Garage/Carport I Prolessions Code:Any city or county that requires a permit to construct,alter,improve,demolish,or repair,any z struclure,prior to its issuance,also requires ttie applicant for the permit to file a signed sfatement that he or she � Patio/Deck I i is licensed pursuant M the provisions of the CantracWr's State License Law(Chapter 9)Commencing with Section W � 7000 oT Divisian 3 of the Business and Profeuions Code]or that he or she is exempt fmm licensu2 and the basis for LL Pool/Spa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecCs the applicant to a civil penalty � s of not more than five hundred dollars($500). ZQ Re-Roof I � (J t,as owner of the property,or my employees with wages as their sole compensation,will do(J 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 Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds � 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 burden of proving that it was not built � or improved for the purpose of sale.). I '� I,as owner of the ro e () p p rty,am exclusively contracting with licensed Contractars to construct the project(Sedion Valuation: � Adj.Area: � Z 7044,Business and Professions Code:The Contractors'Sta�License Law does not apply to an owner of property who � buildsorimprovesthereon,andwhocontraclsfortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). I � (�I am exempt from licensure under the Contractor's State License law for the following reason(s): � I � � By my signature below I acknowledge that,except 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 strudure that I have built as an w . owner-builder if it has not heen constructed in its entirety by licensed contradors.I unders adtha py of the applicable I � law,Section 7044 of the Business and Professions Code is available upon request whe ' is submitted or at � the following b site:http/ leginfo.ca.gov/calaw.html. � �^ I z j DAlE: SIGN: � — LICENSED CONTpACTON'S DECLAHATION � I a I � 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 Business and Professions Code,and my license is in full force and effed. J I . J� U I � LICENSE CLASS: LIC.NO.: z � Z DATE: CONTRACTOR: � ¢ WOHI�H'S COMPENSATION DECLAflATION g I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � • � � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided 6y CONSTRUCTION: � 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 maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for Z the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: � a PoIi�yNum6erare: PLUMBING: Z CARRIER MECHANICAL: � POLICYNUMBER INSPECTION FEE: n (THIS SEC110N NEED NOT BE CAMPLEfED IFhIE PFAMR IS FOR ONE HUNDRFD DOLLAAS($100�OR LESS). ISSUANCE: �.�'7 j I certify that in the performance of the work for which this permd is issued,I shall not emplay any person in any manner so as to �,,,� � become subjed m the Worker's Compensation Lavrs of Califomia.Md agree ihat rf I should become subject to the Worker's SMIP: � Compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. ENERGY P/C: J J DATE: APPLICANT: ' 1 ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal /A I RETENTION FEE: � �� y penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, / � damages as provided for in section 3706 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: �O' y I hereby aKrm under penalty of perjury that the2 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: Y LENDER'S ADDRESS: � i I certiTy that I have read this appliration and state Mat the above information is correct.I agree to comply with all ciry and TOTAL FEES county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to z COMMENTS: � enter upon the above-mentioned property for inspection purposes. J � 1] ¢ PERMITTEE NAME(PRINn � = SIGNAlURE OF PERMITTEE DATE RECEIPT# �D��_ PAID BY: �G VALIDATION: .,Li / - _ —P----- WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF .DIAMOND BAR a,, , ., � INSPECTION RECORD `�� • , � � • - • • � � • - I 'SETBACK!LETTER�� -;� ,� - � : � � TRACTAND LEDGER FOOTINGStFORMS�^ �� ` � � ' ' � � � � � 5WITCH GEAR _ 'StAB � , "��'� � �� — � � _ � � � �� COMMERCIAL HOOD ,UG,�PLUI�BtNC��.��. T-BAR ;UG:�ELECTAIGAL� �: � � � �_� � �� ' � � INTERCEPTER ,UFE�t GROUND "` �" '� � � � � � � � ' �' � � � � � HOT MOP/SHOWERPAN SEWEH LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION RQOF SHEATHING ROOF DRAINS FLQOR SHEATHING ROUGH CONDUIT ;SHEARnWALL5 EXTERIOR ,, .� � � .��.� -� . ��. � � : a .;. �� POOUSPA � � �� _ �_ � �, � ,� :. � � � , a : �� -� ,. . � — �� .� _ � , ;SH�;4R`1NALL"S INTER161i` ` �``� �'� " `, � � �ROUGH PLUMBING � �:; ��.,,,,� � �^ � ��' � � . . .... .._ .. �� . _ � , _ ,. �- ._..� 4 ' g � � ROUGH ELECTRIGAL T �FI�AMINGIVENTING . �, � n 9 � n� � � � � ; � ,ROU�H MECHANICAL��- � � '� = � � �� ROUGH MECHANICAL ' � �RQUGH ELECTRICAL°Ul!( )�( 1' � �� ;, � ' ' � GAS 7E5T � � � , � _ _ � y _ _ � _ , ROUGH PLk1MBING, �� . � .. < .. PRE GUNITE < INSULATION V�JALL POOL PRE dECK BONDING ° � T ° ° INSULAiION CEILING P-TRAP _ _� , . , o - . � DRYWALL FENCE I GATE/ALARM LATH(PRE} FINAL POOL LATH EXTERIOR WALLS: Lr1TH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEI 1 ST( )2"0( )LIFT SCRATCH COAT WALL BOND BFAM ELECTRIC ME7ER RELEASE WALL ORAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO,fRAMING PLANNINGAPRROVAL 'F,INAL BUILOING� �� - ; � ; � �� ° '� ROUGH FIRE APPROVAL ' � � FINAL MECHANICAL ' � � 'T `` �INAL FIRE DEPARTMENT � ..�pt,� .� ,�. : — - . FINAL PLANNING 'FINAi.ELEGTRICAL - � .� ,� . F�INAL PLUMBINGk.•. �,-.g < � ;. � � � � ° � „ FINAI:ENGINEERING/PW , � � ' ,7 C�of OGCU�ANCY�� ' � �`� ' � � � � ` �' " 'FINAL GOMMUNITY SERVICES � ;CEEiT ofOCCi1P1lNCY '° � � �. � , ' '� � � FINAL HEALTH DEPT. � FINAL INDUSTRIAL WASTE � � � - � COMMENTS: