The URL can be used to link to this page

Home My WebLink About15-0272 _ -::"� �OF DIAMOND BAR , -• . �p 2 /� I�� I ? • / � � DEPARTMENT OF COMMLTNITY&DEVELOPMENT SERVICES , w_ - 21810 Copley Drive,Diamond Bar,CA 91765 PRESS „ (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY `\��''��'"y�J BUILDING PERMIT APPLICATION g AP LICATION DATE: �I a I�S P/C# I,J�� Od`7 � L JOB SITE ADDRESS � f�' �O �� O /' `!� 1 ISSUE DATE: ��,�t�G�J PERMIT# �_f'— D�J� z` N LOT TRACT � � WNER TYPE CONST. OCC GROUP: � ADDRESS .E C d G�v�C_ aCITY � ZIP TEL. Z�NING F ONACKS RW ❑ = APPLICANT TEL. REAR ❑ _ � 1 �� SIDE/SIDE STREET RW ❑ � CONTRACTOR oT0 � G SIDE ❑ � ADDR,�E S /Q �� PROPOSED USE x CITY�4/� O .[/" t'� IP EL. �� ARCH/ENG/DESIGNER � = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDEH DECLARATION = 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#to the applicable item(s)[Sec[ion 7031.5,Business and Garage/Carport I '-� Professions Code:Any city or county that requires a permit to construct,alter,Improve,demolish,ar repair,any z structure,prior to its issuance,also requires the applicant for the permit to file a signed statement that he or she � Patio/Deck I i is Iicensed pursuaM to Uie provisions of the Contractor's STate License Law(Chapter 9)Commencing with Sectlon W � 70W of Division 3 of the Business and ProTessions Code]or that he or she is exempt fram licensure and the basis for � Pool/Spa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 s ( - Zo Re-Roof I of not more than five hundred dollars$500). � (�I,as owner of the property,or my employees with wages as their sole compensation,will do()all of or�j portions � Commercial I y of the work,and the struc[ure is not intended or ottered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'Sta�License Law does not apply to an owner of property who,through employees'or,personal eftort,builds � or improves the pmperty,provided that the improvements are not intended or offered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built i p or impmved for the puryose of sale.). - I '� I,as owner of the ro e am exclusivel contradin with licensed Contractors[o construct the ro ed Section U P P nY, Y 8 P � � Valuation: Ad Area: Z 7044,Business and Professions Code:The Contractors'State License law does not apply to an owner of property who 1� � n buildsorimprovesthereon,andwhoconVactsfortheprojecLswithalicensedContractorpursuanttotheContractors'State QUANTIN DESCRIPTION FEE I Y License Law.). I � (J I am exempt from licensure under the Contrador's State License law for the following reason(s): � � � I 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one c~.� 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 I — owner-builder if it has not been construded in its entirety by licensed contractors.I understand that a copy of the applicable I � law,Section 7644 of the Business and Professions Code is available upon request when this application is submitted or at � i the following Web site:httphnvw.leginfo.ca.gov/calaw.html. I =x m DATE: SIGN: � — LICENSED CONTHACTOH'S DECLAf1ATI0N � I a � I h reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � of Division 3 of the Business and Professions Code,and my license is in full force and effect. J C ` (/ ¢ � LICENSECLASSy: � LI NO.: �Z v a z I Z DATE: �T/��/� CONTRACTOR: � 1�i41' � I a WOHIffJi'S COMPENSATION DECLARATION � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: y � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � Sedion 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. PLAN REVI EW: � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for z the performance of the work for which this pennit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumberare: / PLUMBING: O D� L : CARRIER .' T!� �jUGI ��:. l0/+IO�f�.�n MECHANICAL: I Z POLICY NUMBER ��/'T �� " '7 --� INSPECTION FEE: 'n (i}iIS SECTION NEED N�T BE COMPLEfED IFTHE PFAMR IS FOR ONE HUNDRED DOLWiS($100)OR LESS). �� r' ISSUANCE: � I certily that in the pertortnance of the work for which this pertnit is issued,I shall not employ any person in any manner so as to � become subject to ihe Worker's Compensatlon Laws of Califomia.Md agree that it I should become subjed fi the Worker's SM IP: L Compensation rovisi ns of Section 3700 of the Labor Code,I shall fortliwith comply wim those provisions. ENERGY P/C: J i ATE:��°/ lrI_APPUCANL ENERGY PERMIT: � RNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal ., ,.,,, ipenalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, RETENTION FEE: �� = 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 aftirm under penalty of perjury that there is a Construc[ion Lending Agency for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: Y LENDEfl'SADDRESS: i I certify that I have read this application and state that me above information is coned.I agree to comply with all city and TOTAL FEES �1 �a a � county ordinances and state laws relating to building construction,and he2by authorize representatives of this county to COMMENTS: / J 7 z � enter up e a6ove-mentioned pr e�y for inspection purposes. J s :G � � ¢ PE ITTEE (PRINn I n O �� . � , I = ITfEE D TE RECEIPT#_0�� pqIDBY: �C�S�VALIDATION: � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy i CITY 4F DIAMUND BAR � � ' INSPECTION RECORD e � � � • � s � � , � � • • � „�.� ... . .... . , . _ 'SETBACK/LETTER :° � �� ; TRACT AND LEDGER � e. ,_ `FOOTIN�S�O�MS SWITCH GEAR � ;SLAB ��~ -�, . � ., COMMERCIAL HOOD �UG:��LUMB�It G �'�` '�`^��. T-BAR — °�� _�_ _., ��. , ;� ��,.;_� _ � INTERCEPTER ,UG:�ELECTHlCAL�; ° ,,;.� UFER GROUND"�� ,�� HOT MOPISHOWERPAN ; SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPQRT RECEIVED _J SEWER CLEANOUT DEMOLITION ROQF SHEATHING ROOF DRAINS i FLQOR SHEATHING ROUGH CONDUIT ;SHEAR WALLS EXTERIOR � �a�,s�_ POOUSPA _ W.,, ;SH�ARWALLS�INTERIOR � �,�� . �_� � � ROUGHPLUMBING >:�� FRAMINGNENTIAIG_,�,;-�. � �„'� �� .�e� � ROU6N�El�ECTRICAL �� `' � �� . . � ��s <� <__ �� . .��.,. _ �. _� ,,,�- �_ � � � ,�,�� _,,- - � >"�: `� �W . � ,° u�. - � ROUGH�MECHANICAL ��`. ROUGH MECHA�lICAL�'� ;_�'�a „ �� 3RQUGN ELECTRICAL W( )CO F GAS TEST � �ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P�r�P. DRYWALL ��FENCE IC�ATF!ALARM �'�` � ��;� LATH(PRE) FINAL POOL IATH EXTERIOR WA��S� LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEI 1�T( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMIN6 PItWNINGAPPRdVAL . __ _ ,F1t�Al:BUILpifit�� . � 9 B�1'"�' � ROIIGH FIRE APPROVAL � FINAI�MECHt1NICAL;��„ �,.'',R' ".,,� ��' a�� ,",�_ FINAL FIRE DEPARTMENT ��. .. . ��,� � �e�- —=,- � EINAI;ELECTRIGAL � ��,"� � � x � FINAt��PLANNING �INAL PLUMBING �� `, .�� FINAL ENGINEERING/PW .LC�.of OGCUPANCY � �� '� • _. FINAL COMAflUNITY SERVICES u.,�. ;GERT.of�OG�UPANCY � _� �:: � � FINAL HEALTH DEPt � FINALatNDUSTRIAL WASTE �� ' °�'�� -,�», COMMENTS: