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Home My WebLink About14-4857 „I..,.._,.�:�-:�a�,.,_.,_. ,, CITY OF DIAMOND BAR ��,/3�y � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES { M 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 JOBSITEADDRESS ��7 j• ��AMoNO BfI� BC..�D=�(r APPLICATIONDATE: �1//� �dU/y P/C# i tSSUE DATE: IO/ l��.��pERMIT# j-/ ' �4 �l / z APN LOT TRACT yOWNER TYPE CONST. OCC GROUP: I n ADDRESS n CITY ZIP TEL. ZONING F ONT KS RW ❑ = APPLICANT TEL. REAR ❑� i � 1, c SIDE/SIDE STREEf RW ❑ � CONTRACTOR ��L�7IL L�'AS� S►��y✓S � �RAPff/GS SIDE ❑ I � ADDRESS Z-y�5�0 MOI7/TA C l KG G� q PROPOSED USE = CITY�GUNA N/6-UEL ZIP��TEL.�-/�9S�V�S� � ARCH/ENG/DESIGNER � � ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. b DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNFA-BUILDEH DECLAHATION I 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 �7 I indicated below by the checkmark(s),I have placed neM to the applicable item(s)[Section 7031.5,Business and Garage/Carport � � Professians Cade:Any city or county that requlres a permit ta construct,alter,improve,demalish,ar repair,any � structure,priar to its issuance,also requires the applicant Tor the pertnit M file a signed statement that he or she � Patio/Deck i s. is licensed pursuant to the pravisions of the Contrador's STate License Law(Chapler 9)Cammencing wiM Sectlon W n7000 of Division 3 01 the Business and Prafessions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa � � theallegedexemption.AnyviolationofSedion7031.5byanyapplicantforapermitsubjectstheapplicanttoacivilpenalty C7 s of not more than five hundred dollars($500). Zo Re-Roof I � (�I,as owner of the property,or my employees with wages as iheir sole compensation,will do(�all of or�)portions � Commercial � y ot the work,and the structure is not intended or offered tor sale(Section 7044,Business and Professions Code:The � Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds m � S I y 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 oi proving that it was not built � or improved for the purpase of sale.). I � (,I,as owner of the property,am exclusively contracting with licensed Contractnrs to construct[he project(Section Valuation: Ad Area: Z 7044,Business and Professions Code:The Contractnrs'Sta�License Law does not apply to an owner of property who 1� I n buildsorimprovesthereon,andwhoconhactsfortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). I � (�I am exempt from licensure under the Contmctor's State License law for the following reason(s): � � � r' GIQ�.L'/T RM � Q I 1 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 structure that I have built as an w owner-6uilder if it has not been constmcted in its enti2ty by licensed contractors.I understand thata copy of the applicable I � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I X the following Web site:http/www.leginfo.ca.gov/calaw.html. � I z = DATE: SIGN: � — LICENSED CONTflACTOH'S DECLAHATION � I a I � I hereby affirm under penalty af 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 ��. p 2 ` J I � LICENSE CLA S: �� LIC.NO.:_ /�J�� r z I � DATE: CONTRACTOR:P�F�S�� -,� � I Q w � WOflKEfl'S COMPENSATION DECLANATION � y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARAl10NS: ��J � 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 Me performance of the work for which this permit is issued. PLAN REVI EW: ��- �� I have and will maintain Worker's Compensation Insu2nce,as required by Section 3700 of the Labor Code,tar Z the pertormance of the work tor which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ��_ ¢ PolicyNumberare: PLUMBING: � CARRIER MECHANICAL: � POLJCY NUMBER INSPECTION FEE: � (THIS SECTION NEED NOT BE CAMPLEfED IF7HE PFRMR IS FOR ONE HUNDRFD DOLLARS($70�OR LESS�. ISSUANCE: �), � I certify that in the perfortnance of the work for which mis permit is issueJ,I shall not employ any person in any manner so as to e� � become subjed m the Worker's Compensation Lavrs of Califomia. agree that'rf I should become subjec[to the Worker's SM IP: � Compensati pro isio s of Section 3700 or ,I all vnth comply with those provisions. ENERGY P/C: i DATE: IU � APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall suhject an employer to criminal y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition tu the cast of the compensation, RETENTION FEE: f`j�� = damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTflUCTION LENDING AGENCY BSAF: � Q� y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for �� = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: ,� LENDER'SADDRESS: i I certfy that I have read this application and state that the above information is correct.I agree lu comply with all ciTy and TOTAL FEES )/a� � er :� Ju d Z county ordinances and state laws relating to building construction,and he2by authorize representatives of this county to COMMENTS: � enter upon the above-mentioned property for inspedion purposes. J ! b G ¢ PER E ME ” lo tb � = SIGNATURE 0 RMITfEE DATE RECEIPT# J PAID BY: � VALIDATION:�� • WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR IiVSPECTION RECURD • • � � • • - • • � � . � . `SET,BACKJ I��TTER�, , ,�__ ��, �� TRACTAND LEDGER ; �FOOTINGS FORMS � �� SWITCH GEAR ,5�. � . � , � _ �� ,, �; COMMERCIAL HOOD UG�PLUtv�81NG° �� . �r � � z t�� ,� ,� T-BAR 11G:�ELEG�RICAL ��_ � ��;� ,� �,. ,�, w� � �_- _�, INTERCEPTER 'UFER GROUNb, � ,_ a, ,��_ z .� �, _ f HOT MOP/SHONIERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT , SNFAR WACLS EXTERIOR�. �; "; �, �': �� ', � POOL/SPA �� ,, .;F: �, ,� `SNEAR WALLS�INTERIOR ,� :� � � �.� .�� .� „��, ,�. �ROUGH Pt,UMBiNG , : _ o � :� �R�MINGlVEN�T(NG��__ ; � ;_ � . ,. � �ROUGHELECTRICAL� �- �- � fRA � � GH MECHANICAL '� � � � �� 'RQUGH MECHANICAL � " -� °� °� � . � � ,...�,4. �� :�� r�.� � » � � � ��GAS TEST°� � -� �� . ROl1GH ELECTRIC,4L W()C� 1 � �i0[JGH P�_Uh�BING�° ��:� , �=x� �� ,� ,PRE GUNITE INSULATION WALL POdI PRE QECK BONDING INSl1LATI0N CEIUNG P-TRAP � ��` ` " DRYWALL i �FENCE/GATE/ALARM �TH(PREi FINAL POOL ,�, ,� LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEI GAS TEST WALL STEEL 1 s'( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRA�N/SEAL GAS METER RELEASE WALL fINAL SPECIAL INSPECTION R0.FRAMIN6 PLANNINGAPPROVAL - �` " FINAL BUIl01N6"�" '" ��" 'p "� �r � � ROUGH FIRE APPROUAL �� g PINAL MECF�AN(CAL ��. �. ��. . .� �� ,,.. __� � FINAL FIRE DEPARTMENT , AL ELECTiiICAL�.: �_,. �L - �a �) � _ �. — � �� < � 'FI�, , �. � FINAL PLANNING FINAL PLUMBING�' ;�� F1NAL ENGINEERING/PW `�� ,,., ,_-... ,� � .� ,�-.�:«� � �� , �� LG;�of OCCUPANCY � > "� � `` � "�' ." PINAL GOINMUNITY SERVICES � � '� � � : �� , _„ � GERT of�OC�CUPANCY� . ��;;� � --�. �, �� FINAL HEALTH DEPL FINAL INDUSTRIAL WASTE COMMENTS: