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Home My WebLink About14-3993 ��'�� CI'I'Y OF DIAMOND BAR ; ( I I i ' ';; DEPARTMENT OF COMMUNITY&DEVELOPMENT SERViCES FINALlZED ��lllil �:�- 21810 Copley Drive,Diamond Bar,CA 91765 PRESS � w,,,,�� (909)839-7020 Fax:(909)861-3ll7 �'Building Inspection Hotline(909)839-7027 � F�RMLY ` �'""°"�. BUILDING PERMIT APPLICATION ¢ JOB SITE ADDRESS , APPLICATION DATE: ,f �� I��- P/C# �PCZ \�}- � 3�{ • '�j z APN 'O T—�f�—, TRACT ISSUE DATE: !� ,�� PERMIT# ��' 7 o OWNER �-E.l�� I�G TYPE CONST. OCC GROUP: w � ADDRESS 'J CITY��t�(J�(1��✓ ZIP TEL ZONING F ONT KS RW ❑ � � APPLICANT TE REAR ❑ � ' SIDE/SIDE STREET RW ❑ Q CONTRACTOR O SIDE ❑ 0 oro ADDRESS QG o CITY ZIP GI, �/ TEL. I 09 Z�✓O`��ZU PROPOSED USE '�: + • � " ARCH/ENG/DESIGNER I u. o � �"r^\ n W'� r0\i�SS o ADDRES 1 ,., �� #DWEL.UNITS #STORIES #BEDROOMS z CI tr1 ZIP �0 TEL °O OWNEH-BUILDEfl DECLAflAiION ' DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � I hereby attirm under penalty oi peryury that I am exempt from the Contractor's State License Law lor the reason�s) SFWADD/REM 0 p indicated below by the checkmazk(s),I have piaced next to ihe applicable item�s)[Seclion 7031.5,Business and Garage/Carport o Professions Code:Any city ar caunty that requires a permlt to construct,alter,improve,demolish,or repair,any iz struclure,prior to its issuance,also requires ihe applicant far lhe permit to file a signed statement ihat he or she � Patio/Deck a is licensed pursuant to the provisions of ihe Contractor's SWte Lianse Law(Chapter 9)Commencing with Section w � 7D00 of Division 3 of The Business and Professions Code]or ihat he or she is exempt hom licensure and the basis for � Pool/Spa � the alleged exemption.Any violation of Seclion 7031.5 by any apD��cant tor a permit subjecis the apDlicant fi a civil penatry � Z Re-Roof � of rat more than five huntlretl dollars($500). � o (�I,as owner of the property,or my employees with wages as their sole compensation,will do(�all 01 or U portions � Commercial 0 of the work,and ihe strucNre is not intendetl or offered for sale(Sec6on 7044,Business and Professions Code:The m � Contractors'Slate License Law does not apply to an ovmer of property who,through employees'or Dersonal effort,builds � � or improves the Droperty,pmvided that the improvements are not intended or affered for sale.if however,the building or � impmvement is sold within one year af completion,the Owner-Builder will have the burden of proving Nat it was not buift p or improved tor the purpose ot sale.). U � V I,as owner al ihe property,am ea�clusi�ety conVacting with licensed ConVactors to canstruct the project(Section Valuation: Ad Area: Z 7044,Business and Professions Code:The CoMractors'State License Law does not apply to an awner of property who �� buildsorimprovesthereon,andwhoconVacistortheprojectswithalicensetlContraclorpursuanttotheContracrors'State QUANTIIY DESCRIPTION FEE Y License Law.). p (1 I am exempt hom licensure under the ConVactor's State License law tor the tollowing reason(s): � � � 11 By my signature below I acknowledge Mat,ezcept for my personal residence in which I must have resided for at least one w o year prior to complebon oT the improvements covered by mis permit,l cannot legally sell a structure that I have buiit as an w . Q owner-builder it it has not been consVucted in its entirery by licensed contractors.I understand that a copy of the applirable � ¢ law,Section 7044 ot ihe Business and Prolessions Code is available upon request when ihis application is submitted or at X the following Web site:httphwnv.leginfo.ca.gov/calaw.hhni. Z o DATE: SIGN: � � LICENSEO CONTRACTOH'S DECLAHATION � a. W I hereby affirm untler penalty ot perjury thal I am licensed under provisions of Chapter 9(commencing with Seclion 7000) m of Division 3 ot ihe Business and Professions Code,and my license is in fu0 torce and ettect. J � �' �15-23� � y LICENSE C SS: UC.NO.;___ za o DATE: "aU• CONTRACTOR:�p'`Y �jF = U a WORKEH'S COMPENSATION DECLARATION g � I HFAEBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARpT10NS: ¢ o I have and will maintain a Cert�cate af Consent ro Self-Insure tor Worker's Compensation,as provided by CONSTRUCTION: 'g p . � Sectiun 3700 ot ihe LMor Code,Por ihe performance ot ihe work for which this permit is issued. p�,p,N RE1/IEW: �Z� • S6 .Z � I have and will maintain WorkePs Compensation Insurance,as required by Section 3700 oi ihe Labor Code,for z the pedormance of the work for which this permd is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNum�(a PLUMBING: � CAARIER l,'��Y1�ln I0�'SI,�YNNGC C a • MECHANICAL: � POUCY NUMeER �1?7• SS�I��ro�'("�1' I INSPECTION FEE: � (THIS SECf10N NEED NOT BE COMPLEfE�IF THE PERMIT IS f-0R ONE HUNDRED DOLLARS($100)OR LESS). ISSUANCE: � � j'� oI certify thal in the pertormance M the work tor which this permit is issued,I shall no mploy any person in any manrrer so as to �1 0 6ecome subject to ihe Waker'S Compensalion Lavrs ot Calif ia- aqree th ' I s�wuld become subject tu ihe Worker's SM�P• �" J Com nsa' provisions otSection 3700 labor Code with pl wilh those provisions. ENERGY P/C: � DAiE: I APPUCaNi. ENERGY PERMIT: � WAANING Failure to secure Worker's Compensation coverage is unlawfut,and shalt subjeci an employer to criminal REfENTION FEE: j�Q �f1 w penatties and civil fines up to one hundred thousand dollars($100,000),in addibon to ihe cost of Ne compensation, o damages as provided for in section 3708 of the labor code,interes[,and attomey's tees. PRE-ALT FEE: n¢. CONSiRUCT10N LENDING AGENCY BSAF: �, A CI = I hereby affirm under penatry of perjury that ihere is a Constmction Lending Agenq for Ue peAormance of the work for —v�- � which this permil is issued(Sec.3097,Civ.C.). � LENDER'S NAME � LENDER'SADDRESS: a I certify that I have read tAis application and state tha[Ne above intormatlon is crortect.I agree ro compty with all city and TOTAL FEES 3�3• g �)l / c� J/� Z counry ordinances and sTate laws relating to building construcbon,and hereby aumorize representatives of ihis counly to COMMENTS: o ente pon the abave-mentio rty far inspection purposes. J � 1 _ m a PERM PR N'� .�G b �S � `- � N ti � SIGNATUR MITfEE OATEy RECEIPT#��_.� PAID BY: O��C�� VALIDATION: C WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—Fiie Copy,GREEN—ApplicanYs Copy CITY OF DtAMOND BAR ��,�� INSPECTION RECORD . � , . . � - • � • � � - SETBACK/LETTER . TRAeT,AND�LEDGEa, � .` i!:E i �_ _.:.� . , . � FOOTINGS FORMS> SWfTCH GEAR ,�_,. •,�'.f. � : . � .,-. ; .. . ; , : ; . . � .. ; SCAB ,. COMMFRCIAL 'HOOD •.• .r.: . . , . . _ UG:PLUMBING •:` , , T-BAR . .. , ` ,• . •. . , : . '. . ;� UG:ELECTRIGAL ; INTERCEPT R_ , , �. . - � . , . . UFER GRbUND : � ' ' . . HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE . ` ! ' ` : '��- HERS REPORT RECEIVED SEWER•CLEANOUT '•� � •• ' � ' �' ' � - � DEMOLITION .. , ROOF SHEATNING ROOF DRAINS . < � '�`�:] FLOOR SHEATHING ROUGH CONDl11T ,... ,,, . , , . . . . . SHEAR WALLS EXiERIOR_ . ' -- POOUSPA ' SNEAR.WALLS INTERIOR � ROUGH PLUMBING ' ` FRAMINGNENTING ' , . � ROUGH ELECTRICAL , : ROUGH MECHANICAL ;- �: .. . ' '. ,. :, ' : ' ROUGH MECHANIGAL , , . AOUGH ELECTRICAL W( )CO _ GAS TEST ROUGH PLUMBING. ' � PRE GUNITE INSULATION WALL POOL PRE DECK BONDING ` � `` '` INSULATION CEIUNG P-T�P DRYWALL FENCE/GATE/ALARM LATH(PRE) FINAL POOL LATH EXTERIOR � • WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2nn� ��FJ SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.FRAMING PLANNINGAPPROVAC - FINAL BUILDING . : ' '� ROUGH FIREAPPROVAL , :_ - . FINAL MECHANICAL ;`. ' FINAL FIRE DEPARTMENT fINAL ELECTRICAL '�. _` ,• FINAL PLAfdNIN� '` FINAL PLUMBING FINAL ENGINEERING/PW . � T:C:of OCCUPANCY ' � FINAL COMMUNITY SERVICES � ' CERT.of OCCUPANCY�• . � FINAL HEALTH DEPT. i FINAL INDUSTRIAL WASTE ' � ' COMMENTS: