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Home My WebLink About14-4873 :,..,�i.�r-'"b��,..,,... � CITY OF DIAMOND BAR ,_., _ DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES ' -- � 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS „�,��,,, (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 �'�'"� BUILDING PERMIT APPLICATION FIRMLY s JOB SITE ADDRESS � J�O t tl (' APPLICATION DATE: ` P/C# i ISSUE DATE: � /`�1/ PERMIT# � /'� �4 7� z APN LOT TRACT � OWNER O G1 Cr ��'I��G��S Oql TYPE CONST. OCC GROUP: y n ADDRESS J CITY ZIP TEL._q(JCI �fjl �� ZONING SEfBACKS S� FRONT RW ❑ � APPLICANT i�'1 � TEL. �`1 3�� 3 � REAR ❑ n ��-�f 1�e „{ SIDE/SIDE STREEf RW ❑ ¢ CONTRACTOR r' SIDE ❑ • � ADDRESS ��'1��/► �ky z.� r k �� 20 � PROPOSED USE � CITY ��G/'YLV� CI ZIP "L JS' EL. J�I� 3�� 4�'r � ARCH/ENG/DESIGNER y = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNEH-BUROFA DECL.AFIATION = I hereby atfirm under penalty of perjury that I am exempt from the Contractor's State License Law fa the reason(s) SFR/ADD/REM � indlcated below by the checkmark(s�,I have placed nerzt to ihe appllcable Item(s)[Sectlon 7031.5,Buslness and � Aofesslons Code:My clty or couMy ttiat requlres a pamitt to construct,alter,I Ga2ge/Carport mprove,demoliah,or repalr,arry y structure,prla to iffi Issuance,also requlres tAe applicairt fir ttie permR to flle a sig�ced slatemeM that he a she � Patio/Deck i Is Iicensed pursuairt to the provislans of tlre Contrac[ars State Llcense Law(ChapLer 9)Commencing wfth Sectlon W � 70W of Divlslan 3 of the Business and Profasslans Code]or that he or she is exempt fmm licensure and the basis for � PooVSpa � the alleped ezemption.My violaUon of Sectlon 7031.5 by any applicant for a permit sub�ects the applicant to a civil penatty C7 ,s of not mwe than Flve hundred dollars($500�. ZQ Re-Roof I � U I,as owner of the property,or my employees with wages as thelr sole compensatlon,will da(,all of or(,portions � Commercial � y of Ne work,and the structure Is not intended or offered tor sale(Sectlon 7044,Business and Professions Code:The m I � Conhacfirs'State License Law dces not appty to an owner of property who,through employees'or personal ettort,builds � � a improves the pmperty,provided that the improvemerds are not irrtended ar offared for sale.If however,the building or I � improvement Is sold vnthin one year of completion,the Owner-Bullder will have the burden of proving that It was not built � or improved tor the purpose of sale.). . I '� I,as owner of the ro e U p p rry,am exclusively cont2cting with Iicensed Contractors to construct the project(Sectlon Z 7044,Buslness and Professions Code:The Contractors'Stata License Law dces not appry to an owner of property who Valuation: �Adj.Area: � buildsorimproveslhereon,andwhocontractstorthepmjectswithallcensedCamadorpursuanttomeContracrors'State QUANTITY DESCRIPTION FEE I Y LJcense Law.). I � U I am exempt from licensure under the Contractor's State License law lor the following reason(s�: � I � � 1 By my signature below I acknowledge that,except for my per5onal residence In which I must have reslded for at least one � I Z year prior to completion of the Imprwements cwered by this permit,l cannot legalty sell a struclure that I have buitt as an w I owner-builder If it has not been constructed in its entirety by Ilcensed contractas.I understand that a copy of the applicable � law,Section 7044 of the Business and Professions Code is avallable upon request when this applicatlon Is submitted or at I � ihe follovnng Web site:hrip/www.leginfo.ca.gm/calaw.htrnl. Z � I = DATE: SIGN: � /�+ r/ LICENSED CONTHACTOB'S DECLAHATION � . T� X�f Cfr� S � yI hereb afflrm under en � e � � Y p atty of per�ury that I am Iicensed under provlslons of Chapter 9 commendn wIm Section 7000 I � of Dhrision 3 of the Business and Protessions Code,and my license is in full force and effed. J I � LICENSE CLASS:_ e l�6� LIC.NO.� "1� �J S -1 Zi z I � DATE:� CONTRACTOR: � I � � WOfl1�A'S COMPENSATION OEC TION � I y I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING�ECLARATIONS: � I have and will maintaln a Certifipte oi Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � ,�, Section 3700 of the Labor Code,for the pertormance oi the work for which this permit is Issued. p�,qN REVI EW: � I have and will mainhnin Worker's Compensatlon Insurance,as required by Sectlon 3700 of the Labor Code,for Z the pertormance of the work for which this permlt is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: a Polic,yNumberare: PLUMBING: _ %� ,�^ y CAARIER �'✓BS �� MECHANICAL: —�� POUCYNUMeER�lG/ C `�(O � �( � �( INSPECTION FEE: n (THIS SECTION NEED N0T BE COMPLETm IF1HE PHiMR IS FOR ONE HUNDRED DOLLPftS($10Q�OR LES57. ISSUANCE: „�� I certify that In me perfamance ot the wark fw wh�h mIs permd is Issued,I shall not employ any person In any manner so as to � � become sub�ect to the Mbrker's Canpensation Laws of Califomia.Md agree that if I should become subject to the Wwker's SMIP: � Canpensation�prov"ls�b'ns of Section 3700 ot ihe Labor Code,I s wl�ty witti those pqyisions. ENERGY P/C: y DATE:_��APPLICAM: —� ENERGY PERMIT: � WARNING:Failure to secura Worker's Compe verage is unlawful,and shall sub�ect an employer to criminal •� q� ipenatties and civil fnes up to one hundred thousand dollars($100,000),in addftlon fu the cost of the compensation, RETENTION FEE: o` V = damages as pmvided tor In section 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTlIUCTION LENDING AGBICY BSAF: y I hereby affirm under penalty of per�ury that there Is a Constructlon Landing Agency for the performance ot the wak for � = which thls pertnit is issued(Sec.3097,CI¢C.). � LENDER'S NAME: = LENDER'S ADDRESS: i I certify ihat I have read this application and state that the above informatlon Is correct.I agree to comply with all city and TOTAL FEES 1�7 �� e Z county ordinances and state laws relatlng to building construction,and hereby authonze representatives of this county to COMMENTS: � enter upon the above-mentioned pmperty for insDectlon purposes. � �'vn «; r� � s( c�.� �! ¢ PERMITTEE NAME(PRINT� ; os 4 �/z �, ;�, �/� ^ = SIGNATURE MfTTEE DATE RECEIPT# I PqID BY:V / VALIDATION: ' WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—Appllcant's Copy CITY OF DIAMON�D BAR INSPECTION RECORD -� . _ ,, � 0 � • � � � � � s g • 5ETBACW L`ETT'ER-��, `"��'�'. �"%� �� A �� TRACTANO LEDGER FOQTINGS FORMS:.�ffi: �3 °�� °;�`�t. , �� ' ' SWITCH GEAR 'glqg : �.�� ,'�,� ,,��. ��,��°��:��.-' "��,��3:�� COMMERCIAI HOOD "z�;„ � �� - ,� �� R�c,� ,UG.PLUMBING � �� ;:,� �� T-BAR � m.� � ; � - ��t �. �, °� ��' ��:�` �� '� � � INTERCEPTER ;UG.ELECTRIGAL �, � ��' UFER�_GROUND,��a� ��,� � •�� `�� »�� " '��°:��,. ,�°; HOT MOPISHOWERPAN SEWER LATER,4L � SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT dEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT , e _ � � �� a �� POOV,SPA�� ,�,:-. �� A_ �� :SHEAR�WALLS EXTERIOR �,� �� ,�� SHEAR-WALLS�INTERlOA�-k'� ��.��.', ��" �� .��. ��`��:6 R�UGy PI.UMBlNG�;��'�:�� 3�,�� ' �� , �; �.. ,,r E�� .��'"" �� . �� ,E,� ��a�d� CTRICAL'�� *��,.�:� � k� � �.,':��' 'a� �M•. 'FRAM{NGNENTING �,�a� � � ROUGH ELE ; � � :�. � _ � ..� � � � ROUGh MJECHANICAL�`�-. «� , �� _�� ` � ,�� g�,�� R�UGH ME�IIANICAL �'°�_ � � � �� ° � �� ` `'� ,�� AS�TEST�`, �` "� E�� . ROUGN�ELEC7R�CAk. V+i('��)C f )� k,� �� -�: .Y � � -. � � �� :��. ,�, � � �� `~ � � , � �� - .�,�, � � `� �� a � � n'�`�c��`� �-'�� tOUGti P��IBING� ==��-� lF� „ � _ - . .�s, _ �P�iE GUNITE�.� �� -E �,�� .� � � ;_ �>_� _ INSULATION WALL � � � '� � � � g� � RQOL,PRE DECK`BONDING� �-� � ,�_=, -��:� � �� .. INSULATION CEILING p��P��'�� °�� ' '� ��` `�'� ` � ' DRYWALL �,,;,. u.� �� , ..< �� EEtVCE l GA7El ALaRNI ,� ,�; . . � �� G ; � f_ F(NAL POOL'� . ','� �� . LATH(PRE) o� .��_ -.__ _. � _.��, , ,�, ,�__ LATH EXTERIOR WALLS: LATH INTERIOR WALL FQQTING/STEEL GAS TEST WALL STEEL 1 sr� �2�+0� �� SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL ' SPECIAL INSPECTION :RQ FRAM�iGPLANNWGAPPROVAI_ ��'�, . � ,, �,; *' � � `.�,' .�: ��: ��s � �r , ��`a� �� ,R UGH=EII3E APPROVAL��^° ��;,�, ��» '�F�_'��` .�� FINAL":BUILDING �x �, �� ,� �� _ ._��'�_ .,� a -� `. � �� ,FINAL MECHANICAL�' ��; �� .� FiNAL FIRE DEPARTMENT � �� : ' � � � � t�` � w � �, '�` „� �,�r� � FINAL PLANNtNG,��_ A�° �� `�� * . � •�� "�'�� FINAL�@L�GTRICAL� ','" � � -� �� ;� - � „;. FINAL PLUNIBING�,�� +D � � W�' �z� ,�� FINAL�ENGINEERING/�PW.�., � ' 4 '�a„��.,'� �''� �� . , ,� jtC..of�QCCUPANCY � �� ,�� „�� NAL COMR9UNITIL 5ERVICES ��:� �� " �� ' � Ft pCERT.:�ot OCCUP�NCY��,��._ .� ,.�� m� , » � � � iNAL HEALTH dEPT� �� ,,,. �� '�'z�,� � �_ � ,�� ,,. .� ��s�. � � �� .� � .,.r � F �.� � 1 i��. 3 n"'.� �.,� Wa'��'�. FtNAL�INDUSTR1A1�1NASTE �� _,�. , . COMMENTS: