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Home My WebLink About14-5053 ,� '�' ,.,..,,,,,,_,� CITY OF DIAMOND BAR I .,., � � E . .�,�i' DEPARTMENT OF COMMU1vITY&DEVELOPMENT SERVICES I - �:� �.. 21810 Copley Drive,Diamond Bar,CA 91765 PRESS � '.,,,,� (909)839-7020 Fax:(909)861-31ll Building Inspection Hotline(909)839-7027 FIRMLY I ��'�a"� BUILDING PERMIT APPLICATION z JOB SITE ADDRESS �f D/ J/V�Q/j/! �I7 �Z APPUCATION DATE: P/C# I I z APN LOT TRACT ISSUE DATE: �� « I</ PERMIT# ��'��/.Iw� � � OWNER Y ' YI�� TYPE CONST. OCC GROUP: � ADDRESS V n CITY " Y�D ZIP TEL. Z�NING F ONTCKS RW ❑ ¢ APPLICANT TEL.�� '� �o�"D 2 REAR ❑ x � n � �h n � � SIDE/SIDE STREEf RW ❑ � CONTRACTOR W-\, � � �I K,r SIDE ❑ � ADDR SS 2 � ��/, PROPOSED USE � = CITY O� ZIP V�'lD TEL. _ � � � ARCH/ENG/DESIGNER � = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS ¢ CITY ZIP TEL. I 70 OWNEN-BUILDEH DECLAHATION DESCRIPTION SQ.Ff. FACTOF PSF ADJ.AREANALUATION r 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 � � indicated below by the checkmark(s),I have placed ne�R to the applicable item(s)[Section 7031.5,Buslneu and Garage/Carport I �. �-' Professions Code:Any city or couMy that requires a permit to construct,alter,improve,demolish,or repair,any ystruclure,prlor to its issuance,also requlres tlie applicant far the pertnit ta file a signed sfatement that he or she � Patio/Deck I i Is licensed pursuaM to the provislons of the Co�actor's State License Law(Chapter 9)Commencing with Section w � 7000 of Divislon 3 of the Business and Professlons Code]or that he or she is ezempt from licensure and the basis for � Pool/Spa I � the alleged ezemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof = of not more than five hundred dollars(5500). � I � (,I,as owner of the property,or my employees with wages as their sole compensation,will do O all of or(J portions � Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I � Contractors'State License law does not apply to an owner of property who,through employees'or personal effort,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 ot 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 ro e am exclusivel cont2din with licensed Contractors to construct the ro ect Section U P P m' y 9 p � ( Valuation: Ad' Area: � 7044,Business and Professions Code:The Contractnrs'Sta�License Law does not apply to an owner of propedy who 1� I nbuildsorimprovesthereon,andwhocontractsforlheprojeciswithalicensedCantractorpursuanttotheContracrors'State QUANTITY DESCRIPTION FEE I License Law.). 1 I r � �)I am exemptfrom licensure under the Contractor's State License law for the following reason(s): � � 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 constructed in its entirely by licensed contradors.I understand that a copy of the applicable � � 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:http/www.leginfo.ca.gov/calaw.html. z �CQ I DATE: SIGN: m � � � I — LICENSED CONTHACTOfl'S DECLAHATION � a y I here6y affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) OI� � I � of Division 3 of the Business and Professions Code,and my license is in full force and effect. ,2 �. � I � ¢ � U I n LICENS C SS: LIC�NO: zQ Z DATE: �—� � � CONTRACTOR: Q w I U ¢ WOHI�H'S COMPENSATI DECLAl1ATI0N � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: , � I have and will maintain a CeRificate of 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. PLAN REVIEW: � I have and will mainlain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for fi,v � the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: �•d Vj� ¢ PolicyNumberare: PLUMBING: �1�1�1"f y CARRIER G _ MECHANICAL: �fjr.�1'� � POLICY NUMBER ' � INSPECTION FEE: � (THIS SECTION NEED NOT BE CAMPLEfED IF 7HE PEAMR IS FOR ONE HUNDRFD DOLLARS($100)OR LESS). ISSUANCE: I . 7 I = I certfy that in the per(ortnance of the work for which this pertnit is issued,I shall not employ any person in any manner so as to � become subjed to ihe Worker'S Compensation Laws of Califomia.Md agree ihat if I should become subject tn the Worker's SM IP: L Compensation pmasi ns of Section 3700 of U�e Labor Code,I shall comply with those provisions. ENERGY P/C: J i DATE: � Zr' APPLICANT: �--�- ENERGY PERMIT: � WARNING:Failure to secure Worker's Compen ion coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: `6a y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the cost of the compensation, 1 damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTION LENDING AGENCY BSAF: �..�''�_ y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the pertormance af the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S�NAME: 1'� ' Y LENDER'SADDRESS: � i I certify that I have read this application and state that tl�e above information is correct.I agree to comply with all city and TOTAL FEES Z county ordinances and state laws retating to building construction,and hereby authorize representatives of this county to COMMENTS: � enter upon the above-mentioned p�rty for�spe�purposes. J `�+ � ' /y� 'S] 6)��J\ � a PERMITTEE NAME(PRINn � 11-12- I �'1 = SIGNATURE OF PE ITfEE DATE � RECEIPT# �I _�� PAID BY: � VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPEC�ION REC�RD e � � , . � . . � � , . � o �.� - 'SETBAGK/LETTER ,,�{F �" �;, ��" > �_, " ;� _��, � i TRACT AND LEDGER �,� .� � , ,, ; � : F,OOTINGS FORMS �. : `� ..�' ��` ' a�:' :�a�., �� _��'i �SWITCH GEAR r- a � �o; .�� :, „ _ �� ; �_�� -= ' ;COMMERCIALHOOD � ;SLAB; -��_ ,UG.,PLUMBING�` �4 ,a.,L„ '`��t.. � "�`�� .� i T-BAR ;UG.ELECTRIGAL s : � �`' �� -`' ��¢� �; �INTERCEPTER r -� °��_- "� �µ_ � � 3UFER GROUNDu�µ,,,, � �,�� s��;,� �'� ��;'', ��,;.�:� !HOT MOP(SHOWERPAN SEWER IATERAL ;SEPTICiCE5SP00L MAIN WATER LINE �HERS REPORT RECEIVED � —.______.._.�.-- -_— _---. _ . _ -- -...—._.... SEWER CLEANOUT DEMQLITION �� ROOF SHEATHING ROOF DRAINS FLQOR SHEATHING �ROUGH CONDUIT f...� �- _. ,'a "' a "� '�¢" ' PODLI.S,P _ " F` �_-_ -�`- ;SHFARWALLSvEXTERIOR,� ., ,�.�. e. W w,�.:��b�. �.. Ft��.�.�,� A'_E' �� e�}� ..� T;�. � ,Rr.� �, ., _- ., �,�� , , : �sE .�««��• � ��;:;, � �SHEAR�WAL�INT�RIOR� �° ,3 y �., � � . .��; _ . _ -.". �,�,, °RO�JGH PG�1fVIBI�tG��, � _ + 3�;..��r�' '� ��` � �� M3, , k„ --== : -- � � - � 4 :. : - � � - - _�_ �FRAM[NGNENTING.� i' v�., ' :��. :�._ �`_. �: ' .4.�r .._ ` t�d�U�E,LECTRIGAL� �� .�«�,,�, .,..�;�� `' � � ��`� �._,�.a. . .x; p �.� Em;; � = ^� � ��,.;,.� y,;�..., � � - �ROUGH°MEGHP;MCAL :- � 9�,� " ��, ',,, �- '��;:,, �ROUGH�M..:CHANIGAL� � � �..;; 3�„�, '�,,�. .�,.; eROUGFi ELECTRICRL�W( j C;(..) �, t �� , , �G TEST� V �� '; �� ,�� .� ��: t= . _ 09 -.=-_ - - ��° � .� - ��_��. �, AS �. ��,,; , � � ROUGH PLIfMBING R ;„< ��.�� ,. �_ �„ ��.. [PRF�GUNI1 E `�s�` �� a��= INSULATION WALL ;POOL FFiE DECK�BONDING�,� .� INSULATIONCEILING �P�TRAP, . �� .�; �::. '��:��^��` { :��qa� DRYWALL FENCE!'GAT�AL/#FiM.,._ �r ft'a'„'.�..�... .:Q�}r�." 8; � `�..� ` `" R F=��'. , , - a- - �. LATH(PRE) -- - ------� �FINAL_P�OL �� ._��` � 3r _ �� i --- -- ,�.W �� ___ LATH EXTERIOR �WALLS: LATH INTERIOR (� j WALL F�OTING/STEEL GAS TEST �ALL STEEL 1S�( )2N0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE �WALL DRAIN/SEAL GAS METER RELEASE �WALL FINAL �,..o , . ,.��.. ��, -.�^� SPECIAL INSPECTION i RQ FFiAMING,PLAI�lNING�PPROVAL _ .,, , ��«' ��„ , `� �� _ � _. �... �' �.�*,`� %._: l. ,�„ � ��-.�"w,�' `` e,�`�' *x,.�..�-. ;�� t._ r< s .�W.. FINAL`BUILDING ; ~�;; k- � � � �,., ,UROUGH�EIRE APPR�UAL _ ,�. . � `°,` �b�E�� " ��rr� �`" ;FINAC FIRE DEPARTiVIENT `�v, ;F� �:�� FINAI MECHANICAL�� ;� �,_�" `' � �.� ��. tt,m��. '�..�. ��. �+;. ��m .�. �: --: e�u�a' ., ��e �s .`� .. ,.'. ,__> ..... Rr d(�`.� _ __ � ��_... ._ '�'.:. .. � �wns.-' � � '�KS�,"'�,"� t _ .. se ---s--,a, ;FINALELECTRICAL,�, FFINAE.�P�L.ANNING �_ �, --;y. ,a��,. _�� e_ : = - As�� _ r� . � � -. ;FI'NAL PWMBING-� ;`.� �;��an ��3, ..,,.. �� , �_ °�� "�� "',b ;.�iNAE.ENGINEERING%'PW ��"�_-�, �,' �� , . .� : _w.. �= �� ' . �s 5 , �� :- ....� � -- �� . �- � -,�_�, �a ��,� � �� -`�`�''�4..., ��'' �T C,��of OCCUPANCY �a�. � - � „� - , '�,� �� _ . e�,�� E�INAL GOMiUIUNETY�3ERVICE5 „ � � � �� "�� ,,�;�._..a ,CE�of OCCUPANGY�W �^ ��;r;e. : ��,P�� "��''� "FtNAL HEALTN Q£PT K '' �� ,� ;�'�"� a3.,,'� ;�! �a_.. ��.�� :�_ ;�FINALINDUSI'RIALa1NASTE.�' w E_��- �� "�4; a�� x�� .w COMMENTS: