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Home My WebLink About15-1899 . -�'•; CITY OF DIAMOND BAR ��/f� I I I i I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES `j= — 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �,�9�9� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 F�RMLY � BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarca.gov a JOB SITE ADDRESS � D ` � APPLICATION DATE: U��"I S PlC# �S�l�9-1 o APN LOT TRACT ISSUE DATE: �' I��l� PERMIT#: ��' �O�� N OWNER TYPE CONST. OCC GROUP: � ADDR S ¢ CITY ZIP / ��TEL. Scope of Work �� -8�� o APPLICANT TEL. IP �Q � o CONTRACTOR � ADDRE S ��2 � #DWEL.UNITS #STORIES #BEDROOMS o CITY ZIP TEL. o ARCH/ENG/ z DESIGNER DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Z ADDRE S I � SFR/ADD/REM ¢ Garage/Carport ¢ CITY ZIP O � TEL. � OWNEH-BUILDEH DECLAl1ATI0N w Patio/Deck oI hereby affirtn under penalty of perjury that I am exempt from the Contractor's Sfate License Law for the reason(s) LL PooVSpa o indicated below by the checkmark(s),I have placed ne�R to the applicable item(s)[Section 7031.5,Business and � w Professions Code:Any city or county that requires a permit W construct,alter,improre,demolish,or repair,any Q Re-Roof a struclure,prior to its issuance,also requires the applicant for the pertnit to file a signed statemeM lliat he or she ...i Commercial � is licensed pursuaM to the provisions of ihe Contractor's Stale License Law(Chapter 9)Commencing with Section � N 7000 of Division 3 of the Business and Professions Code]or that he or she is ezempt from licensure antl the basis for m � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty o of not more than five hundred dollars($500). � (J I,az owner of the properry,or my employees with wages as their sole compensation,will do(,all of or(�portions Z of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Va/uaiion: Adj.Area: � Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds por improves the property,provitled that the improvements are not intended or offered for sale.If however,the building or QUANTITY DESCRIPTION FEE improvement is sold within one year of completion,the Owner-Builder will have the burden ot proving that it was not built � or improved for the purpose of sale.�. Q � Z (�I,as owner of the property,am exclusively cantracting with licensed Contractors to construct the praject(Section � a, ' � N 7044,Business and Professions Code:The ConVactors'State License Law does not apply to an owner of property who � Y builds or improves thereon,and who conVacts forthe projects with a licensed Contractor pursuant to the Contractors'State � � License Law.). � LL' . � ()I am exempt hom licensure unAer the Conhactor's Sfate License law for the following reason(s): � z Z m � By my signature below I acknowledge ihat,except for my personal residence in which I must have resitled for at feast one � � year prior to completion of the impmvemenTs covered by this permit,l cannot legally sell a structure that I have built as an a X owner-builder if it has,not been consVucted in its entireTy by licensed contractors.I undersfand that a copy of the w applicable law,Section 7044 of the Business anA Professions Code is available upon request when this application is � o submitted or at Ne following Web site:http/vnvw.leginfo.ca.gov/calaw.html. � V LICENSEO CONTHACTOH'S DECLAflATION � � I hereby affirm untler penalry of perjury that I am licensed under provisions of Chapter 9(commencing with Sec6on 7000) � Nof Division 3 of the Bu�s/iness and Professions Code,and my license is in full torce and effect � N LICENSE CLASS: �/ LIC.NO.: �� / �� I' � ---- CONSTRUCTION: I Z DAlE:� CONTRACTOR: a p WORKEfl'SCOMPENSATION flATION PLAN REVIEW: a I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLO ING DECL.ARATIONS: ELECTRIC: _ o I have antl will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by PLUMBING: � ection 3700 of the Labor Cotle,for the performance of the work for which this pertnit is issued. MECHANICAL: Z I have and will maintain Worker's Compensation Insurance,as required by Sec[ion 3700 of the Labor Code,for a the performance oi me work For which this permit is issued.My Worker's Compensation Insurance Carrier and INSPECTION FEE: o Policy Number are: j' �q� J� Z CARRIER ✓T/�//� �U��/� ISSUANCE: � POLICYNUMBER_yq� ��_ SMIP: � (THIS SECIION NEED NOT BE COMPLEfED IF 1HE PERMfT IS FOR ONE HUNDRED DOLLARS($100)OR LESS). ENERGY P/C: o I certify mat in me performance of the work for which mis permit is issued,I shall not employ any person in any manner so�to EN ERGY PERM IT: o become subject to the Worker's Compensation Lavrs of Califomia.Md agree ihat if I should become subject to the Worker's J Compensation provisio ection 3700 of ihe�h ,w2o�"F�T"9hs ia o vith comply with those provisions. REfENTION FEE: a�J� � DA7E. APPLICAN7: . � � PRE-ALT FEE: � WAR NG:Failure to secure Worker's Compensation coverage' nlaw(ul,and shall subject an employer to criminal � penaltles an0 civil fines up to one huntlred thousand doll 100,000),in addition to the cost of the compensation, BASF: p damages as provitletl for in section 3708 oi the labor cod,interes[,and attorney's fees. PLOT PLAN: ¢ a CONSTqUCTIONLENDINGAGENCY ZONING CLEARANCE: w I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance ot the work for � which this permit is issued(Sec.3097,Civ.C.). C LENDER'S NAME: wLENDER'S nDDRESs: TOTAL FEES � 1 certiTy that I have read this application antl sTate that the above information is correct.I agree to comply with all city and COMMENTS: �b�' Z county ortlinances and sfate laws relating to builtling construction,and hereby authorize representatives of this county to o enter upon the above-mentioned property for inspec[ion purp = a vr� -� G m N PERMITfEE NA ,.._// / P/C: PAID BY: VALIDATION: y / / RECEIPT�� PAID BY:SJG,��- VALIDATIO�'� F SIGNAlURE 0 PERMITTEE DATE WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy . CITY OF DIAMOND BAR INSPECTION RECORD • � � . � . . � � , . � . SETBACK/LETTER TRACT AND LEDGER ' FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG.PLUMBING T-BAR UG.ELECTRICAL INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( )C( ) GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P-T�P DRYWALL FENCE/GATE/ALARM LATH(PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 15T/ 1 ZND! �LIFT � , i SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL � � � FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/PW T.C.of OCGUPANCY FINAL COMMUNI7Y SERYICES CERT.of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: