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Home My WebLink About15-1287 (8)� � Ca�nce� �\ ed � =, =�"':�� . ...... , CITY OF DIAMOND BAR � � .7�a��S .�,. s'' i E DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES by �`n'r`r�'G�v'P _ .::>_. __... R� 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �'� I ^ ',�;� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ��'�"''� BUILDING PERMIT APPLICATION � /6� � �/1 L �� APPLICATION DATE: � � P/C# i JOB SITE ADDRESS em�/i `er''� u✓v (� p i ISSUE DATE:_�J �O �� pERMIT# �f� �d.� � z APN��LOT TRACT --� � OWNER .7f\(+iI 1 ��.�� - TYPE CONST. OCC GROUP: L ;� ADDRE^SS � n CITY d/. ZIP L. - - � ZONING F ONTCKS RW ❑ ¢ APPLICANT • � TEL.qOq-9lJ��Y�I o REAR ❑ x = `', SIDE/SIDE STREET RW ❑ Q CONTRACTOR 1�-1Q-U �hS � /� SIDE ❑ � ADDRESS �-1 p .Q�/�/y� = CITY `,�,D` • ZIP �1�7g TEL. "1�/'l' PROPOSED USE � ARCH/ENG/DESIGNER � � ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. Q DESCRIPTION SQ.FC FACTOR PSF ADJ.AREANALUATION � OWNEfl-BUILOEfl DECLAlIATION 'Y 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 � I � indicated below by the checkmark(s),I have placed neM to the applicable item(s)[Section 7031.5,Business and Garage/Carport � Professians Code:Any ciTy or counry that requires a permit to construc[,alMr,improve,demolish,or repair,any z structure,prior to its issuance,also requires the applicant for the permit to file a signed statement that he or she � Patio/Deck I � Is licensed pursuant to the provislons o}the Contractor's State License Law(Chaptar 9)Commencing with Sectlon w � 7000 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I � the alleged ezemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 s of not more than five hundred dollars($500�. ZQ Re-Roof I � U I,as owner of the property,or my employees with wages as their sale compensation,will do(�all of ar(,portions ? Commercial I y of the work,and the struc[ure 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 y or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or I � improvement is soltl within one year of completion,the Owner-Builder will have the 6urden of proving that it was not built � or improved for the puryose of sale.). I � p p rty,am exclusively contrading with licensed Cont2ctors to construct the projec[(Section O I,as owner of the ro e Valuation: Adj.Area: I Z 7044,Business and Professions Code:The Contracturs'Sta�License Law does not apply to an owner of property who � buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheConVactors'State QUANTITY DESCRIPTION FEE I Y License Law.). � U I am exempt from licensure under the Contractor's State License law lor the following reason(s): � I s I 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one c~i 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 if it has not been constructed in its enti2ry by licensed contractors.I understand that a copy of the applicable � � law,Section 7044 of the Business and Professions Code is available upon reque�t when this application is submitted or at � I X the following Web site:http/�wvw.leginfo.ca.gov/calaw.html. � � I z j DATE: SIGN: � � — LICENSED CONTHACTOH'S DECLAHATION � ' (' I a � I here6y 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 effed. J I � LICENSE CLASg `��O LIC.NO.: �I 1 O � 1� �./ �y Z �` 1� Z DATE:"1�CJ I�IS p CONTRACT � � I a WOHI�H'S COMPE ION DECLAMTION g I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � �y have and will maintain a CeRificate oi Consent to Self-Insure for Worker's Compensation,as provided by 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 Insu2nce,as required by Section 3700 of the Labor Code,for Z the pertormance of Ne work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: � ¢ PolicyNumb e: PLUMBING: y CARRIER �� ( MECHANICAL: �"�L�,� � POLICY NUMBER — � INSPECTION FEE: � (iHIS SECiION NEED NOT BE COMPLEfED IFhIE PFAMR IS FOR ONE HUNDRFD DOLLARS($100)OR LESS�. �J,.r' ISSUANCE: = I certity that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Worker's Compensation Laws of Califomia.And agree that'rf I should become 'ct to the Worker's SMIP: J Compensation pmvisions ection 3700 of the Labor Code,I shall forth 'ih comply '� prowsions. ENERGY P/C: ' J DATE�APPLICANT: 1 ENERGY PERMIT: � WARNING:Failure to secure W k e '�ovei ' unlawful,and shall subject an employer to criminal y penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the wst of the compensation, RETENTION FEE: � �O � damages as provided for in section 3708 of the labor code,interest,and attorneys fees. PRE-ALT FEE: � i CONSTflUCTION LENDING AGENCY BSAF: = 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: z LENDER'SADDRESS: 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 TOTAL FEES ��I/�� I Z county ardinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: 7 Jenterupon the above-n io pro ertyforinspection purposes. � G n ¢ P EE NAME(PRI :n = SIGNA MITf DATE RECEIPT# '�-� PAID BY: J VALIDATION:� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy d r � rY . �'�a9 •'.�`9 . . •6`,-;0 .` .:�,"'��:"�°:� 'CITY.`A'F L?IAM(1ND BAR , INSPECTION RECORD ' • o � . � e . � � , � . �._. .,_.., , � , SETBACKi�ETTER�� =� � - �� " �° �� TRACTAND IEDGER �OOTINGS EORMS.� �" ��-�-�,°e; � �� . � ,� � :�� . SWITCH GEAR __.. — ,S�, w.,;.. ��..��m� .;a":� � � � : , . COMMERCIAL HOOD � _, _ UG;�PLl1MBIN�" '��•a'� ��. ' � T-BAR `.UGn�EL-ECTRICAL �� „��; " �' � �� ° � ' � � � ;INTERCEPTER � � '� ` �� ° "` � � HOT MOPISHOWERPAN ,UFER GROUND ��, � t,� � SEWER LATERAL SEPTIC/CESSPOOL MAIN VVATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT „�� .. � s, 9 . , .d. �� _. •SH�;R�WALLS��XTERIOR„� .�e�;� , � �. . .�t a � ��POOUSPA . ' � ' ' r°< ' ,'�� . q__ ,a ,�., , . „ ;SHEAR,WALLS INTERIOR` t „ � ��&, , . :�a�a�" :; ; ; ROUGH PLUMBING '.: > ,� �,� . ,,. _ ,FRAMINGNE�ITI,NG �"'� � .�� '�� ROUGH ELECTRICAL '°'` � � . -_-. a.,. �. A `ROUGH MECMANICAL;�� "" � r.�:�'-" � �� ROUGH MECHANICAL � -� � � � ; � ._ GAS TEST ° ROUGFt ELECTRICAL�VV(��)C{ � :_;, , � � � � � � � , _ :: . ��.�. . 6�;� PRE GUNITE � RDUGH�PLUMBING�,�,�� INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P-TRAP ; DRYWALL FENCE/GATE/ALARM LATH(PREI F1NAL POOL � � LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1S�( )2NQ( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN!SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMWG PLANNINGAPPROVAL � - ,.. :_ � __ � _- r � 'FIN�L BUILQING -�� ' �_ �" ` ROUGH FIRE APPROVAL .� _ �� _ r ..� e._ FINAL MECHANICAC�.�fr' `° �� - �� °� FINAL FIRE DEPARTMENT � ��._: - � �_ �FID�Xl�EL•EG�FRICAL�w ',�; _ °v��a�_ `� ; � �FINAL PLANNING _ _. �FlblAl PL'UMBING�� " �� ` FINAL ENG�NEERING!PW� � � ' � ° < , . � �,- � =M m4_� . . .. � � A. a �T.C.of OGCUPANCY g m"��, " "��- �� - �� FINAL COMMUNITY SERVICES • � � _ �� . . . :CERT of OCGUPANCY �,��,�� "�� ,`��.Y. ; �� < � FINAL HEALTH DEPT. � � � � _��„�.. FINAC INDUSTRIAL WASTE ` ` COMMENTS: