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Home My WebLink About14-5239 I ._,,,�r!?�'�.�,,,_,_,_„y, CITY OF DIAMOND BAR C `I�I�� ' � I DEPARTMENT OF COMMUNITY&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 � p APPLICATION DATE: ItF1J' olV�� P/C# � L/ ,��,�� y JOB SITE ADDRESS �O�I 7 E AR t_GSFTE q z N LOT TRACT ISSUE DATE: 12��G��I� PERMIT#_ _J y' .��r� LWNER_ _ pf C 0 C !h d Q'� TYPE CONST. OCC GROUP: � ADDRESS 2��i A Ea�� G n t e S . J CITY ,n �(� �r ZIP �I1�'�q TEL. aSI -S�)S-SS7S ZONING SEfBACKS = APPLICANT P2II S0� FRONT RW ❑ TEL. `�I�q-ZT�- 2$ 1;1 REAR ❑ :n 1 SIDE/SIDE STREET RW ❑ � � CONTRACTOR p8�� S a 1 0.! � ?� t. SIDE � ADDRESS '��O S M 1 I I��'Ln 1rQ ❑ � CITY �h'}�r j L' ZIP q I'f[� TEL. e��G- ��•1 G�1�4 q q PROPOSED US 1 C p f � ARCH/ENG/DESIGNER I.v�u�I��A►1, `(�l�f � ADDRESS l� #DWEL.UNITS #STORIES #BEDROOMS � CITY f/ ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNB1-BUILDEp DECLAHATION ? I he2by a�lrm under penalty of per�ury that I am exempt hom tha Contractar's State License Law fw the reason(s) SFFt/ADD/REM L indicated below by the checkmaric(s),I have placed neM to the applicable item(s)[Sectlon 7031.5,Buslness and Garage/Carport �I � Rafessions Code:My clly or county that requlres a permit to consWct,alter,improve,demolish,or repair,any z structure,prlor to Its issuanca,also requlres tl�e appllpM for tlre pertnit to file a slgned statemerrt that he or she � Patio/Deck I nIs Ilcensed pursuarrt to the provisla�s of the Contractor's State License Law(Chapter 8)Commencing wlth SecUon w � 7(100 of DIvlslan 3 of the Business and Professlons Code]or that he or she is exampt from Iicensure and the basis for � Pool/Spa I � the alleged ezemptlon.My violation of Sectlon 7031.5 by any applicant for a permit subjects the applicant to a civil penatty C7 xof not more than five hundred dollars($500). ZQ Re-Roof � U I,as owner oi tlie property,or my employees with wages as ttieir Sole compensatian,will do(J all of or(,portions -� Commercial I y of the vrork,and the structure is not intended or offered for sale(Section 7044,Business and Professlons Code:The � I �--� Contractors'Sta�License Law dces not apply to an owner of property who,through employees'or personal ettort,builds m y or Improves the property,pmvided ihat the Improvemertis are not Intended or offered tor sale.If however,the building or I � improvement Is sold within one year of completian,the Owner-Builder wlll have the burden of proving ihat It was not buitt jor improved for the purpose of sale.). I '� U I,as owner of the ro e � p p rty,am exclusivety contracting with Ilcensed Contrectors to construct the projec[(Sectlon = 7044,Business and Professions Cade:The Contractors'Stata License Law does not appty to an owner of property who Valuati0 Z .0 0 Adj.Area: I � buildsalmprrnesthereon,andwhocontractsfortheprojectswlNalicensedConVactorpursuarrttotheContractors'State ANTITY DESCRIPTION FEE I Y LJCBf1S8L3W.). ^� I � (,I am exempt hom licensure under the Contractor's State License law for the follawing 2ason(s): � ' I � � 1 By my signalure below I acknowledge that,ezcept for my personal residence In which I must have resided fw at least one � I = year prior to completlon of the improvemer�ts covered by this permlt,l cannot legally sell a structure that I have buitt as an w I owner-bullder if it has not been consWcted in its entlrety by licensed contractors.I understand that a copy of the applicable � law,Section 7044 ot the Buslness antl Professions Code is available upon requeffi when thls application Is submitted or at I i the following Web ate:httpA»vw.leginfo.ca.gov/calaw.htrnl. � � Z_ I = DAlE: SIGN: � — LICENSED CONTRACTOH'S DECLAHATION � I � � I y ereby affirm under penalty of perJury that I am Ilcensed under prmisions ot Chapter 9(commendng with Sectlon 7000) � of Divislon 3 of the Buslness and Professlons Cade,and my Ilcense is in tull force and effect. I � � ;� LICENSE CLASS: C /N : I� � ' I � DATE: CANTRACTOR: 1 - I WOHI�H'S COMPENSATIOH DECLAIiATION � I � I HERF�YAFFIRM UNDFA PENALTY OF PERJURY ONE OFhiE FOLLOWING DECLARATIONS: �y y �� I have and will maintaln a Certifipte of Consent to Self-Insure for Worker's Compensatlon,as provided by CONSTRUCTION: �v �• � � Section 3700 of the Labor Code,for the pertormance oi the work for which this permit is issued. p�qN REVIEW: > I have and will malnhain Worker's Compensatlon Insurance,as required by Section 3700 of the Labor Code,for � � the performance of the work for which this permlt is issued.My Worker's Compensatlon Insurance Carrier and ELECTRIC: zd PolicyNumberare: PLUMBING: L CARRIER �U ��S �{I�-(,� !CPS MECHANICAL: � POLICY NUMBER �F�O` Y� �y� J�— D�— C�I ' INSPECTION FEE: n (THIS SECTION NEED NOT BE COMPLEfED IFTHE P9iMfT IS FIXi Of�HIAVDRED DOLIARS($700)OR LESS�. ISSUANCE: 7�,�L.� = I certify that In the perlortnance of the wark for which ihis permtt is issued,I shall not employ any person in any manner so as to � becane su6ject to the Worker's Canpensation Laws of Calitomia.Md agree that rf I should becarie subject to the Worker`s SMIP: ,;�,�� Canpensation provlsions of Sectlon 370o af ine LaUa Code,I shall forthvnm compty wIm mw¢provisions. ENERGY P/C: J• DAlE: APPL1CAPfT: 1 ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subJect an employer to criminal � y penalties and civil fines up to one hundred thousand dollars(5700,000),in additlon�the cost of the compensation, RETENTION FEE: ��,� = damages as pmvided fir in section 3708 of the labor code,interest,and attomey's feas. PRE-ALT FEE: � i CONSTIiUCTION LENDING AGENCY BSAF: J �/,� y I hereby a�irm under penalty of perjury that there is a Conshuction Lending Agency for the performance of the work fa k� = which this permlt Is Issued(Sec.3097,Civ.C.). � LENDER'S NAME: z LENDER'SADDRESS: � i I certlly that I have read this applicaGon and state that me above information is correct.I agree to comply wfth all city and TOTAL FEES �tn�� 'y V Z counry or' es and state laws relating ro bullding construction,antl hereby authorize representatives ot this county to COMMENTS: � eM ab ve- oned property for inspectian purposes. J � Y1 a PE TTEE NAME(PfilNn ✓ � � X �a-�o-�c� F' = SI NATURE OF PERMRTEE DATE RECEIPT# PAID BN�7 vi1`� VALIDATION: f WHITE—Department Copy,YELLOW—Flnance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECQRD . e � . • • - � s � • � . �SETBACK/��ET�TER��'�:>� �� ,��"��... .h ' TRACT ANO LEDGER� . . FOOTINGS�FORh11S�.��;� ,�� ,..,� ' �� SWITCH GEAR SLAB�,� r �� g."� °�°�w �P �� , .`� �� ,,� COMMERCIAL HOOD ,UG�PLUMBING� ;:��..g� �k �E�, ��,�;.°� ' �.��'�� T-BAR UG:�ELECTWCAL ., � � �.g,. �; � � ��.��,.. _ ��"» INTERCEPTER � �� HOT MOPISNOWERPAN t1FER GROUND��_ ,�.,,� `��, �.m�..,. �� .�. .�. SEWER LATERAL SEPTICJCESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLJTION ROQF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �" ,��,„ `� POOLI�SPA�� 3 � �� - � �, � �SHF�4R WALLS�E7(TERIOR� "� � �' �� " � - �- � � �� '� �' '° " � � �� ' �, �� m �SIiEARWALCS�iNTERi(lR��"`" �� gr� w�,a�� " � � .; ROUGH`PIUMBIMG�� `_ � � y � � � '� �� -�,, � � �`�„�� R' � �. �" �°�,��°�`�.�� ROUGH ELECTRlC,?ILxL�� '�� FRAMINGl�7Et�TINC� ,x a � �. RdUGFi MECHANICAL�°�;� � , �'� "`�,,��,:�� ; RQUGH MECIiANICAL � �.��`�T��`�� '�'� m ' � � � � � � � � , ROUGii ELECTi31CAL�W(,',)�G{�.,7 :;x�� r��. � .,,;� � � �;� '� �� _`"" .' '�`�.�� d �. � � �� ..� GAS TEST�,� ,� ��:`_�� T� � � ROl1Gti f'Ll1MBING ,� � � � �� , � . � ,. � �f ��,�� ° �� °: � �-,� g ' �.a . ,� � , _Ar,�,� a � � PRE 6t1NIT�� „� * � � �, � � � a aa .. '4�� sa�^" ��: n« '�'� �� +' s��' a �'��,�� INSULATION WALL F,QOL PRE,„DECK�BONDING �;� - ��<,��. .� � -� . INSULATION CEILING � : ° ' � �� ` � P TRAP� '� �d�� x � �, � � DRYWALL FENCE/=GATE/ALARM �� `��,� � �; ��`�� LATH(PRE) FINAL�POOL��.�._� � � "��.�$��..� '�� •�`� �_, LATH EXTERIOR �A�� LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2NQ( )LIFT SCRATCN COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO FRAIVl�VGPL'i.�INING�APPROUN`_�� ; �� .�� `� ��. ,..�.,, ��;�#� ��.,� �. �'� �`�- �,� �� FIREAPPROVAL,��"a �� '` ��f� � �� n . ,� �t �� R(IUGH �� °'a ' �� R � � �. FINAL BUILDiNG_ �.� , � � �u � y �� - _ � ' � «�. y�•.. - m� �� ";� +� �� ..INAL F1R�DEPARTMENT�.�� ,� � ,t�, �.� »�'`�� EIN�MECHANtCAL � - � : � �.; � � � , �`^-°a� � � �' �t� ,. t _ � � ` �" � �' � �"�� '� �, �.� � ��, � � '°"" F:INAI PL`AhINING,�� „��- �� ` � J,�(tPINAL EC:EC7RiCAL J�C�SrL-' .� .' � � � „ � , ,�_ ��,�,�� ,. ��`� �,��r '��' �'`�„��*"�' � " st;� �FlIJAL€ENGINEERINGJ PW"�w��`.��::� �� .�� . iFINAL PLUMBING � �� . � �T C.of OCCUPl1NCY��`�'� �`� �> � �,�� "�'�`�'..�' � �.' FINAL COMMUNITY�SERVICES � � 3�� " .� .,.�..�� , �� z� � »�� k ,� � �y � � � L �" � �CERT of OCCUPdNC1(� � ��`�°� �e;' ��;��. ' _�`�"'��"-_�, �„"� � 'FINAL HEAITH DEPT ; "�, � �`fi. � � � �` �.� � � . FINAL{NdUSTRiAL WASTE�.,��' ��`�,..`�', � ��.,,,� �_.��_��°�� COMMENTS:�c S�t..,a r� oac 1 — ��i� 1�-�— Es.gs T �t.�.�►� L��1�tt� c�r-��e.� p�s�.t�13�� I�R.�