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Home My WebLink About14-4616 (8) _ .x�'�il, ,,,,,, CITY OF DIAMOND BAR i� I " DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES , , _ , - ;K� 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY `��'�"'� BUILDING PERMTT APPLICATION g p APPLICATION DATE: �� LI- P/C# x JOB SITE ADDRESS�C /Z4 Z �E I�U N �L 7 [� i ISSUE DATE: � �� r r 4 PERMIT# 1 � �7 �f � ? APN LOT TRACT � OWNERX MD /�lZ��J4''� ��.L- �d '�C31?'� -�,�T�,.i, � TYPE CONST. OCC GROUP: n ADDRESS j'7 B� �jr�___�n�T�� / ZONING SEfBACKS aCITY � , �fZ . ZIP��TEL.�9�� l�i,�T7�� FRONT RW ❑ = APPLICANT TEL.� REAR ❑ � n SIDE/SIDE STREET RW ❑ � CONTRACTOR C�WY1ev- !o u;�d � SIDE ❑ � ADDRESS PROPOSED USE � s CITY ZIP TEL. � � ARCH/ENG/DESIGNER � = ADDRESS #DWEL.UNITS #STORIES' #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNEN-BUILOEH DECLAHATION 's I hereby affirm under penalty of perjury that I am ezempt from the Contrador's State License Law for the reason(s) SFR/ADD/REM I � � indicated below by the checkmark(s),I have placed ne#to the applicable item(s)[Section 7031,5,Buslness and Garage/Carport I � Professions Code:Any city ar county that requires a permit tn canstrud,alter,improve,demolish,or repair,any z structure,prlor to iLs issuance,also requires the applicant for the permit to file a signed statement that he or she � Patio/Deck I i is Iicensed pursuant to the provisions of the Contrac[or's State Llcense Law(Chapter 9)Commencing with Section W . � 7000 of Divlsion 3 of the Business and Professlons Code]or that he or she is exempt fmm licensure and the basis for � Pool/S a I nthe alleged ezemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty � Re-Roo / • s of not more than five hundred dollars($500). � � �p S I � (�I,as owner of the property,or my employees with wages as their sole compensation,will do(,all of or L)portions � Commercial y of the work,and the structure is not intended or oBered for sale(Section 7044,Business and Professions Code:The m II Z Contractors'State License Law does nM apply to an owner of properry who,through employees'or personal effort,builds y or improves the pmperty,provided that the improvements are not intended or oftered 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 property,am exclusively contracting with licensed Contractors to construct the project(Section � 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who V81u8tion: 7 Z—•�W Adj.Area: I � Z builds or im roves thereon,and who contracts for me ro ects with a licensed Contractor ursuant to the Contractors'State I n P P 1 P •QUANTITY DESCRIPTION FEE License Law.). _ O I am exempt from licensure under the Contractor's State License law for the following reason(s): � I � � 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 if it has not been construded in its entirery by licensed contractors.I u stand that a copy of the applicable I � law,Section 7044 of the Business and Professions Code is available upon r est whe is application is submitted or at I X the tollowing Web site:http/www.leginfo.ca.gov/ tml. ` z I = DATE: SIGN: � � � LICENSED CONTNACTOB'S DECLARATION � � I a I y I hereby affirm under penalty ot 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. JJ U I � LJCENSE CLASS: LIC.NO.: � I � DATE: CONTRACTOR: = I Z U ¢ WOHI�H'S COMPENSATION DECLAflATION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF 1HE FOLLOWING DECLARATIONS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: �j g,� 7 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�qN REVI EW: � 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 and z ¢ PolicyNumberare: PLUMBING: � CARRIER MECHANICAL: � POLICYNUMBER INSPECTION FEE: n (THIS SECTION NEED NOT 8E COMPLEfED IFhIE PFAMIT IS FOR ONE HUNDRED DOLI.ARS($10�OR LESS). ISSUANCE:_ �� a = I cerMy that in the perfortnance otthe work for which ihis pertnR is issued,I shall not loy any person in any manner so as to `` become subject to the Worker's Compensation La of Califom'.And a at'rf ould become subject m the Worker's SMIP: ,.�y JCompensation provisions of Sec[ion 3700 of the or d h fi� ith co ,' wit �ose p ovisioqs. ENERGY P/C: �i J�° J DATE'�• APPLICANT: 1 — ENERGY PERMIT: � WARNI G:Failure to secure Worker's Compensation coverage is unlawful, d sha subject an employer to criminal RETENTION FEE: 1.�� 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 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: �/G� y I he2by affirm under penalty of perjury that there is a ConsVuction Lending Agency tor the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: = 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 �S +U'�7� county ordinances and state lavrs relating to building construction,and hereby authorize representatives of this county to z COMMENTS: � enter upon the above-mentioned property for inspection purposes. J .� � b ¢ E NA =n � —` ^ PAID BY: f4•S L VA�IDATION: SI NA7URE ITfE DATE RECEIPT#ZJV� C1 WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy . . - .. , .. . .. . • . . . - ..l. . .. .. . . . . , ... . .. . . . CITY OF DIAMOND BAR ifVSPECTION RECORD . � � , . � s � � , . � . SETBACKJ LETTER � _.�„„,,.� � �,<�."��,�� "- rtRACT AND LEDGER _ �_ �_ FOOTINGS,PORMS,,��s` " '�,, _ ��;.� �_<.. � 9 .��_': SWITCH GEAR �"� �"�" CQMMERCIAL HOOD �s�� m , °� � �',� `�� ¢ r °9f � ,UG.PLUMBING'� �� r �� :�. , �E,� ..�,��'', T-BAR � ,UG:?ELECTRIGAL� r �; ��"��„ °. _� ;;- - r, �, INTERCEPTER UFEFi.GRQUND'> s�' , ; .,x,., _ °'��„ts� �,.;: {;`e ." �,_"_ �,.n"` .;�� HOT MOPISHOWERPAN SEWER LATERAL ; SEPTIC/CESSPOQL ' MAIN WATER LINE ; � HERS REPORT RECEIVE� ' SEWER CLEANOUT DEMOLITION ROQF SHEATHING � ROOF DRAINS fL00R SHEATHING � I ROUGH CONOUIT SHEAR WALLS:E7iTER�IOFt� ��;r;. � �°� a � �POOLlSPA �„ ,a �''�`�',« ` �;� aay ��d,, �, � �� - SHEAR WALL5;INTERIOR ... ' �.. `� � � �� , '�°, ,. .�. ��` .,., .�'�, fiOUGH PLrUMBING `� � _ -,� � ��. ,�� " ,�!' � . �� FR%aMINGNENTING�'�� .,.�� : ;�...`��. �� ;:��' ,� °ROl1GH ELEC R CAL'_3;, � �,�.��_ ;� ��, , ,..��`; �� ',•� ROl1GH MECHANICAL ;��- �_� " �' , ��: , t HOUGN MECHANIGA�`� ' � �� t P` ��'�'�x,'' ":�'. . � �,� ��. �ROUGH ELECTRICAL W( )G( ,;t` �: �,A r�-. �. � -��';��-:: GASTEST � �:n o ��:.�.:;� "',E��,r��u� "'; °�,��.�«� �» , _,� . . , .;�,. ,. �, ,,.,�,� n. �� a�� ..�� ,, �� = ��,._ �°�� _� � - ��" ' .� �'` ��_ xg� ROUGH PLUMBING a �.,��: . � . ,. . �PRE GUNI��,�,�W= _ ��, ..�,�� . ��._- , . � , .,,rr � - . ., INSULATION WALL � :FOOL PRE'DECK B�ONDIN6_ _-�, N� �,y; . � �� . y - �= i INSULATION CEILING �;R�TRAP �: . �i,Y.�>a�_ _ � u�,,��t _�.":�' ==� DRYWALL FENCE!GAT�AI�ARME.�.��.��M;�°- `�°'d' ��,'�„,�r,«�.�� .._ .��... LATH(PRE) ; �FINaL PO(�L "�� '�°. � a � ': � " ��'�9a� . ��, _��__��= �.., y �� , — -- — — -._.._ _ ----- LATH EXTERIOR � WALLS: LATH INTERIOR i WALL FDOTING/STEEL __ GAS TEST WALL STEEL 1 S�( i 2"°{ )LIFT SCRATCH COAT ; WALL BONQ BEAM I ELECTRIC METcR RELEASE ; WALL DRAIN/SEAL GAS METER RELEASE ; WALL FINAL SPECIAL INSPECTION ! RO:FRAM(NR.G�NIN�APPEiOVAL` } .<��e,,�� , : o�� 'm� . -- _ �. -� ��> -- - _ � ��r �� - -- - FINAL'BUILDING �� ..�� . �s � .. F��..� `-�" �:��.,. . ROUGH FIRE�APPRQ� <_�.s. ,,n n,, ,Y � .= � �.�.��x.,�� . �.� �: _. , ,�-��,.. ;� �-�� -, �� _� -� ��8� �� ; ti� 1, : �,�,� �,� � �FINAL'M�CHANICAL >> � _ _ ",� �� '��F FINAL��WR��DEPAF3TMENT�.�� ,.� ,,�, ��, �,,,,.. , �. �.. �� s,�- �.�k�� = a�. �,�.��<.�.�-w... _ -.� _ � �FINAL-ELECTIiICAL � "` : , �� ' '� �� , m;, ��' .��v - ��_,, FINAL"FL�NP�ING a��, �,� �. FINAL PIUMBIM1iG �` < � �� ' � ` - --= 3 3� �'� ` ,� , ,:, .. , . , � . �. � _=� �...... ��, '��_- _.. � � � FINAL��IfINEERIAIGI PW>� � �<,yz,,,�<„� .N�-.- �;� � ,�. " fi ' ; � �,�� , - P,� T.C.of:OCCUPANCY,. ' . .:`..: ry' ��,,:', :; �� FINAI,COIUIMUNITY SERVICES '"r��'��9 �-, ^5�� „W,#�� ' � ,CEFi?�of OCCUPANCY' p_ � � :� L EH A ` � � A„ ; . , .�,, �FtNA% LTH DEPT� �� ., �.z � � � '� �.� �� ' - � fINAL INDt�STRil1L�ASTE£ a:��,,�,,,;,�,s;� �� '� � t,�u,' r y,. - - _ _�. .__. .T . �� _ , COMMENTS: � �%y�/h/