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Home My WebLink About14-4825 (8) � . ,:. i .. _ /� r • .. ..... r=��:: _,.,,,,_ CITY OF DIAMOND BAR � �__.' � ( �—/9�/�'� I DEPARTMENT OF COMMUNITY ck DEVE:LUPMENT SERVICES � _ ,, � - �� 21810 Copley Drive,Diamond Bar,CA 91765 PRESS \,,,,`�w„�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �'�"" BUILDING PERMIT APPLICATION APPLICATION DATE: ��/�1 I �� P/C# �-��C �4 48aS = JOB SITE ADDRESSX I '�Y' e �r i ISSUE DATE:I V"�t�� pERMIT# � �� 4 ��'g z APN LOT TRACT � � OWNER TYPE CONST. OCC GROUP: y ;� ADDRESS t'( ' ZONING SEfBACKS n CIIY ZI TEL. FRONT RW ❑ a APPLICANT TEL. REAR ❑ x � SIDE/SIDE STREET RW ❑ Q CONTRACTOR �Z�� !�� SIDE ❑ � ADDRESS �U �, �U� PROPOSED USE = CITY ZIP 7 TEL. , � ARCH/ENG/DESIGNER�( � z ADDRESS , '1C ` � � +� #DWEL.UNITS #STORIES #BEDROOMS � CITY -1'(J� ZIP TEL. �� DESCRIPTION SQ.FC FACTOR PSF ADJ.AREANALUATION � � G Q OWNEp-BUILDEH DECLAMTION � I hereby affirm under penalty of perjury that I am ezempt from the Contrador's STate License Law for the reason(s) S ADD M I L indicated below by the checkmark(s),I have placed ne�R to the applicable item(s)[Sectian 7031.5,Business and Garage/Carport I Professions Code:Any city or county that requires a permit ro construct,alter,improve,demolish,or repair,any I z shucture,priar to its issuance,also requires the applicant for the permit to file a signed statemeM that he or she � Patio/Deck i is licensed pursuant to the provislons of the Contractor's Sfate License Law(Chapter 9)Commencing with Sectian w � 70W of Division 3 of the Business and Professions Code]or that he or she is exempt from licensu2 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 � = of not more than five hundred dollars(3500). ZQ Re-Roof I � U I,as owner of the property,or my employees with wages as their sole compensation,will do()all of or(]portions � Commercial I y of the work,and the strudure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I � Contracfors'State License Law does 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 ot proving that it was not built � or improved for the purpose of sale.�. I '� I,as owner of the ro e am exclusivel contradin with licensed Contractors to construct the ro ect Section u P P�� Y 9 P � ( V01U8t1Of1: Ad Area: Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who 1� I n 6uildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedCantractorpursuanttotheContractors'State QUANTITY � DESCRIPTION FEE I License Law.). '` I j (,�I am exempt trom licensure under the Contractor's Sfate License law for the following reason(s): a � I � U Q �' 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 s[ruc[ure that I have built as an � owner-builder if it has not been constructed in its entirety by licensed contractors.I understand thata copy of the applicable w I � 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:httpMnvw.leginfo.ca.gov/calaw.html. '� , I z = DATE: SIGN: � LICENSED CONTHACTOH'S DECLAflATION � I 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 eNect. � J I n CENSE CLASS: LIC. .: a I � ATE�O�IC�Iy CONTRACTOR: , _ � ¢ �� WOHI�H'S COMPENSATION DECLAHATIO � I y I HEREBYAFFIRM UNDER PENALTY OP PERJURY ONE OFTHE FOLLOWING DECLARATIONS: I � I have and will mainTain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided 6y CONSTRUCTION: 1 �Q� �� Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�,o,N REVIEW: �3� • �.7�7 � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for Z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: y 7.� ¢ PoliqNumberare: PLUMBING: � CARRIER i MECHANICAL: � � POLICYNUMBER INSPECT�ON FEE: 3�_S 7 � (THIS SECIION NEED NOT BE COMPLEfED IFTHE PEAMR IS FOR ONE HUNDRFD DOLLAAS($100)OR LESS�. ' ISSUANCE: � I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner w as m � become subject tn the Worker's Compensation laws of California.Md agree that if I should become subject m the Worker's SMIP: � -- L Compensation provisions of Section 3700 of the Labor Code,I shall forihwith compy with those provisions. ENERGY P/C:� 2 �(7 � J DATE: � APPLICANT: I i ENERGY PERMIT: � WARNING Failure M sewre Worker's Compensation coverage is unlavrful,and shall subject an employer to criminal RETENTION FEE:_ 7'Z,:r'V y penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, i damages as provided for in section 3708 of the labor code,interest,and attorney's fees.• PRE-ALT FEE: � i CONSTRUCTION LENDING AGENCY BSAF: l .✓�+ y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the pertormance of the work for = which this permit is issued(Sec.3097,Civ.C.). 3 LENDER'S NAME: x LENDER'S ADDRESS: i I certify that I have read this application and state that the above informatian is correct.I agree to comply with all city and TOTAL FEES a�8 . (,p3 I Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this counly to COMM ENTS: � � enter upon the above-mentioned property for inspection p poses. J � x f G n PER EE N E(PRIt� G S �4 Q I O t �7 = IGN E F PERMITTEE DATE` RECEIPT# Z�S pAID B�3�2�-/ VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy � CITY OF., �DI��M'0'ND Bp►R � � INSPE�T�UIv'�:ECORD � " � � , , • • - � • a � s - �SETBACK/LETTER � � e,=� . " �'""� �,., � , _ . ,, ,, � TRACTAND LEDGER 'FOOTING,S FORMS � ,�� ,-,�;:; .,: : ` � � � •� � SWITCH GEAR . _ _ SL116� � � ,,. ,�� .� - ,�.�� `�� -� �� - COMMERCIAL HOOD ,UG:.PLUMBING.: � � , . � � � ;. ,. , - T-BAR ,llG�ELEGTRIGAL��, � �_ `� �.° �° �� r �� ` � �� '" INTERCEPTER �UFER�GROUND � `�� `�� "' � "�` �� " � � � '' ' � �� ` �� HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING 3 l '1 S ROOF DRAINS FLOOR SHEATHING ROUGH CON�UIT SHEAR WALLS EXTERI9R ; � � 'POOUSPA � � �° � '' ' �' ` �SHFAf�NtALL�S INTERIQR ; �� ' �° � `� = � ��ROUGH f�LUMBING �'` � ' � � � � � �FRA�INt�IV�NTING�,,�, __�_� ,� ; �, � r 'AOUGH ELEGTRICAL � - �� ROUGH MECHANICAL"' �� " �' � ' � �� ROUGH MECHANICAL �ROIJGH ELECTRlCAt W��)aC('3 S � .��, : ; � �_ _ _ _ �� GAS TEST .. ..ceaowu . _ . ...'.. E �.. }� _... . .. .. . �_ " . . � c a ROUGH PLUt�6lNG�� .�� , �. bs. ;� , ,PHE GUNITE � . , � � � INSULATION WALL i POOL PRE DECK BONDING= � � INSULATION CEILING P-T�P ` ' ` DRYWALL ��FENCE/GATEI ALARM ` " � � LATH(PRE) 'FINAL POOL " ' LATH EXTERIOR � WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2N0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAINI SEAL GAS METER RELEASE WALL FINAL SPECIALINSPECTION 'RO:FRAMINGPLANNINGAPPROVAL � FI�iALBUIIDtNG� � �� e ` i� � � � ��` " �� ROUGHFIREAPPROVAL ; ° � " �A � � x. � � � �, ., � ��FINAL'FIREDEPARThAENT° y .: FINAI MECHANICAL� _ � � .�.w _ . _ FIPlAL ELECTRICAL , � � ��, %i� � � , ` . �� FINpL PLANNING � , � ��. . , � ._ . ,., �, ��; �.,�� ,�. .:. _ FINAL PL"UMBIN6�' � ��" , �� , � � �FINAL ENGINEERINGI PW a �� ,_,. ,e ., . ,� � �T.C,of�OCCUPANCY� �� ;_ � � � � �FINAL COMMUNITY,SERVICES . �. . , . �; , �f �� . � GER'f of�OCCUPANCY< :� � ,� -. , FINAL HEALTH DEPT, � "- �, __ ... . ,.NAL INDUSTRFAL WASTE ° ° COMMENTS: � �:,,� ,��'—+�c��S �S-i��i��,� i, , t,,r,- '