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Home My WebLink About15-0200 <- . - -.�=:� CITY OF DIAMOND BAR �_ _ ,.:r _ 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 FIRMLY �'"�"� BUILDING PERMIT APPLICATION - i JOB SITE ADDRESS APP�ICATION DATE: `Iv1\ I� S P/C# P'R �S- C�flO L I �- i � z APN LOT�TRACT ISSUE DATE. �� PERMIT# .I� a�.GQ � OWNER � TYPE CONST. OCC GROUP: � ADDRESS GCC_ - � CITY ZIP��TEL. y � ZONING F ONT KS RW ❑ ¢ APPLICANT TEL.�I S 1�ZU~I�ZI�C�°, REAR ❑ x ;= •/ SIDE/SIDE STREEf RW ❑ � CONTRACTOR '/ SIDE ❑ � ADDRESS � � PROPOSED USE - • � s CITY�`��• ZIP � TEL. r+ � � ARCH/ENG/DESIGNER � = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION I, OWNEH-BUILDEH DECLAHATION x SFR/ADD/REM = I hereby affirm under penalry of perjury that I am exempt from the Contractor's Sfate License taw for the reason(s) � � indicated below by the checkmark(s�,I have placed next to the applicable item(s)[Section 7031.5,Business and Garage/Carport I �-' Professions Code:Any city or county that requires a pertnit lo construct,alter,improve,demolish,or repair,any z structure,prlor M its issuance,also requires the applicant for the pertnit ta file a signed statement that he or she � Patio/Deck I i is licensed pursuant to ttie provislons of the Co�actor's State License Law(Chapter 9)Commencing with Section w � 7000 at Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I n the alleged exemption.Any violation of Section 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($500). � I � ()I,as owner ot the propeRy,or my employees with wages as their sole compensation,wilt do(,all of or(�portions � Commercial I � of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I y � Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the property,pmvided 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 � or improved for the purpose of sale.). I '� I,as owner of the m e (1 p p rty,am exclusively contmcting with licensed Contractnrs to construct the projec[(Section Valuation Adj.Area: I Z 7044,Business and Professions Code:The Contractors'State License taw does not apply to an owner of property who n buildsorimprovesthereon,andwhocontractsfortt�eproject5withalicensedContradorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I Y License Law.). � I j (�I am exempt from licensure under the Cont2ctor's STate License law for the following reason(s): � I � � '—' By my signature below I acknowledge that,except for my personal residence in which I must have 2sided for at least one w I = year prior to completion of the impravements covered by this permit,l cannot legally sell a structure that I have built as an w I owner-huilder if it has not been constructed in its entirety by licensed contracturs.I understand that a copy of the applicable � law,Section 7044 ot the Business and Professions Cade is available upon request when this application is submitted or at X the following Web site:http/www.leginfo.ca.gov/ralaw.htmL '� I z � DATE: SIGN: � LICENSEO CONTHACTOH'S DECLAflATION � I a I ' I hereby affrm under penalty of perjury that I am licensed under provisions af 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 I n LICENSE LASS: �i C.NO.: —1 l n I"1�� a I �. DATE: CONTRACTOR� ` �ar� I � P I � I ¢ � � WOHI�A'S COMPENSATION DECLAFIATION g I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: �a�` � � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � Section 3700 of the Labor Code,for the pertormance ot the work for which this permit is issued. PLAN REVI EW: �, • 3Q � �,�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 permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ,�� ¢ PoIi�yNumb rar , � ! � PLUMBING: y CARRIER��I� I •W' MECHANICAL: � POUCYNUMBER �I ��i IG'�� INSPECTION FEE: _ (THIS SEC110N NEED NOT BE CAMPLEfED IFTHE PEAMfT IS FOR ONE HUNDRFD DOILARS($100)OR LESS). ISSUANCE: -��J j I certify that in the pertormance of Ne work tor which this permit is issued,I shall not employ any person in any manner so as to �� beoome subject to the Worker's Compensation Lavrs of Califomia.Md agree that'rf I should become subject to the Worker's SMIP: � �� J Compensation pmvisions of Section 3700 of the Labor Code,I shall forihwith compty with mose pmvisions. ENERGY P/C: i DATE: APPLICANL ENERGY PERMIT: � WARNING Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal � 1 DM ipenalties and civil fines up to one hundred thousand dollars($100,000),in addition lo the cost of the compensation, RETENTION FEE: �. y � damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTflUCTION LENDING AGENCY BSAF: �� y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the pertormance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: x LENDER'SADDRESS: � TOTAL FEES � 1 i I certity that I have read this application and state that Ne above information is wrrect.I agree to comply with all ciry and �, • �j `� v�,• � county ordinances and state lavrs relating to building construdion,and hereby authorize representatives of this county to a z COMMENTS: � enter upon the above-mentioned property for inspection purposes. J � � ¢ PERMITTEE NAME(PRINT) �G a,�.�b '15� n � ./ = SIGNATURE OF PERMITfEE DA7E RECEIPT# / PAID BY: D VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR . _..�,. INSPECTION RECORD • • � � � • - • e � � • • - ;SETBQCI(t'LE'TTER.4 � ��;��:�� .�' '�, �. ��:. � �� TRACTAND LEDGER �FOOTINGS FORMS '. �� .�_ : � SWITCH GEAR �SLAB #A COMMERCIAL HOOD ��.. , _ �., � . T-BAR � UG.PLUM8ING �� ,.` _:. , :.��..,. ��. , UG.�ELEG�TRlCAL ��"�" �� ,�"�� .� �� `� INTERCEPTER �UFER GROUND :r' � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION RQQF SHEATHING ROOF DRAINS FLddR SHEATHING ROUGH CONDUIT . n ,. SHEAR�ALLS EXTERIOR ..., ^�� ;�� .N��s <, POOUSPA � _�. •�4 �°��': � - -�— -<.-�w.tw... . :_. ..,�'.,.,....:.. .,. ,<Y4'... x.......:....... ._ . ..� ......... .y.., ......... .._....... SHEARWAtLSINTERIOR. "�a , � - >� � _ r � ROUGHPIUMBING � ` °�`°_ 'FR�IN1[NGNENTING � r �� ROUGH ELECTRICAL _ �ROU�N�t�E�HANICAL -" _M ��F, �'� RQUGH MECHANICAL . � ,.. � fiOUGN ELEGTHICAC�W�a,.)''C( ) : •, �- GAS TEST � �,��s_ ROUGH�PLUMBING ��., �� PRE GUNITE _ INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P-TRAP DRYWALL FENCE�/�GA7FJ ALA�iM ,�, LATH(PREj FINAL POOL LATH EXTERIOR WALLS: IATH IPJTERIOR WALL FQOTING/STEEL GAS TEST WALL STEEL 1Sr( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELEC i RIC METER RELEASE WALL ORAIN(SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.FRAMINGPLAtJNWGAPPROVAI _ ��__ — ._ FINttL BUlLDING �b ROUGH FIRE APPROUAL FINAI:_I��CH�NICAL --�. ,��,, � � � FINAL FIRE DEPARTMENT `FINAL ELECTRIC�AL '� ��"� );�i � � - _ �•.:� �� FINAL�P'LANNING � � _ k�°°^. ��`:� -T ,, i_ �FINAt,PLUMBING ��_ � t��,T ��,xx � � FINAL ENGINEERING/PW � �� _ �� FINAL COMM1flUNITY SERYICES }T.G,of,OCCUPANCY_ _�'' � °` CE�iT of�OCCUPANGY:�. �:�. �� ,a`.�_� �� FINAL HEALTH DEPL FINAClNDUSTRi'AL�WASTE � �� COMMENTS: