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Home My WebLink About14-4975 (8)� . .. .._,....,��!,; . „_ CITY OF DIAMOND BAR i ��I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �. - - 21810 Copley Drive,Diamond Bar,cA 9i�6s PRESS ,�„ w,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 `'�"`" BUILDING PERMIT APPLICATION FIRMLY i JOB SITE ADDRESS�I �J �� 'eO�l C� �J(,� APPLICATION DATE: P/C# � � z APN LOT TRACT ISSUE DATE: �Q/.�1� �D�Y PERMIT# 1 y� y 7 � � OWNER TYPE CONST. OCC GROUP: n ADDRESS j'j'l�Ql'c J CITY �IP TEL. �Og:3�'/ " � ZONING SETBACKS t � FRONT RW ❑ � APPLICANT TEL. — REAR ❑ � Y / L . SIDE/SIDE STREET RW ❑ a CONTRACTOR� �I ,LZiC/le�S�/S�K G..��G�,L�fG SIDE � ADDRES 7S � T I C'i LtJCe ' ❑ s CITY ( ZIP�??��TEL.�7��3Z � PROPOSED USE N�1 �I O.y Iti � C�U � � �L� � ARCH/ENG/DESIGNER ` L = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � CITY ' ZIP TEL. I OWNFA-BUILDEH DECLAHATION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION = I hereby affirm under penalty of perjury that I am ezempt from the Conhactor's State License Law for the reason(s) SFR/ADD/REM I L Indicated bebw by Me checkmark(s�,I have placed nezt to the applicable Item(s)[Sectlon 7031.5,Businass and Garage/Carport I = PrMessions Cotle:My cNy a cou�rty that requires a permtt to construct,alter,Improve,demolish,or repair,any z structure,prlar to Its Issuance,also requfres tlre applicaM Mr tl�a permft to flle a slgned sfatemeM that he or she � Patio/Deck � I i Is Iicensed pursuarrt to the provlsions of tlre Contractor's State Ucense Law(Chapter 9)Commencing wlth Sectlon w � 7000 of DMislon 3 of the Buslness and Prolessiw�s Code]or that he or she is ezempt from Ilcensure and Me basis for � PooVSpe I n the alleged exemptlon.My violation of Sectlon 7031.5 by any appllcant for a pertnit subJecis the appliprrt to a civil penatty C7 I n of not more than fve hundred dollars($500). � Z Re-Roof � I,as owner of the ro � � . U p perty,or my employees wtth wages as their sole compensatlon,will tlo(�all of or(J portions _ Commercial y of the work,and the sUuc[ure is not intended or offered for sale(Sectlon 7044,Business and Pmfesslons Code:The � I � Contractors'State License Law does not apply to an owner of properry who,through empbyees'or personal effort,builds m y or Imprmes the pmperty,provided that the imprrnements are not Intended or oftered for sale.tt however,the huilding or I � improvement is sold within one year of completion,the Owner-Bullder will have Ne burden of proving that it was not bullt � � or improved for the purpose of sale.�. I (�I,as owner of the pmperty,am ecclusively contracting vnth Ilcensetl Contractors to consWct the proJect(Section � 704a,Business and Professlons Code:7he Contraclors'Shate License Law does not apply to an owner of property who Valuation: Adj.Area: � bulldsaimprovesthereon,andwhocontractsfortheprojectswtthalicensedContractorpursuanttotheContractors'Shate QUANTITY DESCRIPTION FEE I Y LJcense Law.). � U I am ezempt from licensure under the Contracta's Shate License law for the following reason(s): � Q'`�k'�� 1 By my signature below I acknowledge that,except for my personal residence In which I must have resided fdr at least one I Z year pnor to crompletlon of the improvemerds covered by this permtt,l cannot legalty sell a structure that I have built as an "� I w I owner-builder if it has not been consWcted in iLs errti2ty by Ilcensed contradors.I understand that a copy of the appllcable � law,Section 7044 of the Business and Professions Cade is available upon request when ihls applicatlon Is submitted or at I � the following Web slte:http/www.leglrrto.ca.gov/calaw.html. , = I = DAlE: SIGN: � — LICENSED CONTHACTOH'S DECLANATION � I ' I hereb affirm under en perj ry p p ( A 1 � y p alty of u that I am licensed under rovislons of Cha ter 9 commencin with SecUon 7000 I � of Divislon 3 of the Business and Professions Code,and my license Is in full force and effecL J I � CENSE CLhSS: C:'I U L1C.NO.: �D��I � . , I z ATE:_� CONTRACTOR: � � �.eCLt; L. � I ✓f— ¢ WORIffA'S COMPENSATION DECLAHAT N I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � I have and will malntaln a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: Section 3700 of the Labor Code,for the performance of the work for which this permlt Is Issued. PLAN REVIEW: —rj O, �jp � ��I have and wlll maintaln Worker's Compensation Insurance,as requlred by Section 3700 of the Labor Code,for 5,7� $O � ihe performance of the work fw which thls permit is Issued.My Worker's Compensation Insurance Carrler and ELECTRIC: dz PoIi�yNumberare: . PLUMBING: y CARRIER_ �/L`f�1�/�f/ MECHANICAL: � x POUCY NUMBER LS C�F 4-r's 7� ��/ INSPECTION FEE: n (THIS SECfION NEED NpT BE COMPLEfED IFTHE P6iMR IS FOR ONE HUNDR�DOLLARS($100)OR LESS�, ISSUANCE: 3S • S'� = I certfy that in the perfortnarxe of the wak for whlch this permtt is Issued,I shall rrot employ any person in any manner so as to � become subject to the Worker's Canperrsation Laws ot Califomia.Md agree that if I should becane subject to tlie Worker's SMI P: � Campensation7�Sectim 3700�e' Code,I shall forthwith fymPN with prwisions. ENERGY P/C: y DATE: APPLICANL_ j��,�� ,�_._ ENERGY PERMIT: sWARNIN .Failu to secure Worker's�Compensation coverage is unlawful, d shall sub�ect an employer to cnminal RETENTION FEE: $ �� y penalties and civil fines up to one hundred thousand ddlars($100,000�,in addttlon ro the cost of the compensation, = damages as provided for In section 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTIiUCTION LENDING AGa1CY BSAF: y I here6y afflrm under penalty of perjury that�here is a Construction Lending Agency for the performance of the wak for = which this permR is issued(Sec.3097,Civ.C.). � LENDER'S W1ME: = LENDER'SADDRESS: i I certlfy that I have read this application and state that the above Informatlon is correct.I agree to compty with all city and TOTAL FEES �S\. 3—. I t Z crounry ordinances and state laws relaUng to 6uilding conshuctlon,and hereby authorize representatives of this county to COMMENTS: � enter upon the abme-mer�tioned property for Inspection purposes. J �7 b /�.rC.'c� �Q ei�c�J�J Q PERMITTEE1JqA1E(PRINn � /D/�9/I� � � J7^�� t�w. //� _ '�� DA RECEIPT#��..,_ p,q�D BY: i� I V L� VALIDATION: � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fi�e Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTIOtV RECQRD • � . • a - • , � . � . � , � � -'� �`�` '��„�� _ ' �'"�'� TRACT AND LEDGER SETBACK/LETTER „ � � � �.� � .� � � • F,OOTINGS FORMS � � �' � " `�� .'�� SWITCH GEAR �,.�� . � , �t � � g�, ,:,�� „'� ' ��' �:. � ��;5�' COMMERCIALHOOD SLA� .,.� ,�,� ,�, � � .� � � ,U6.PLUMBING;;. �p� � �`� :� � �„ �� . � .�� T-BAR � �� ,:. =,�� _,.'� � .�. ;�-��'�� `R INTEFGEPTER UG�ELECTRICAL� � �� _ � � �_ � UFEFi GROUND,'� .m�� ,"'�: -� �"��.,�`�� <. '"� .�� ` HOT MOP/SHOWERPAN SEWER LATERAL / SEPTIC/CESSPOOL MAIN WATER LINE HERS REPQRT RECEIVED ' SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONOUIT SHFAR WALLS EXTERIOR' & ��'� � ��«�� : � �` ��r� aP�,00USPA; � �� "�:� *`� � � � " � � SHEAFtWALLSYNTERIQEi" �°�� .�a��. � ��;� ROtiGH�PLCIM6lNG,„�� "��;�� <� � ,.� � �� »�� ,� � ;� ��" �� r.; ��,;� � � 'RQ�}GHoELECTRICAL, ,�� .� �� .ri:�� „�., {� �� 9 � �°�' ��, FRAMfNGiVENTfNG �� .�� _�� . _� ., �� a� � :�t „� : � �` �� 'FiOUGH�MECHANICAL'� °��` �� .� �` � �"�� a:� � � ROUGH MECHAN�CAL�� .,� . �� -� �, ��,�' �", ,�,��`� �` � ; �. � '�.n�,t �GA$TEST ;�� .,� � � � � 3 : RQt1GH ELECTRiCAL V+t(�)C(�)�� .� , �� " : HQUGN�PU3MBING� ,�'�� v. �.��: ��' � .';:,��. °��'<�,.� .PRE GUNITE��°��;� � � � �° �� ;��y�� INSULATION WALL �POQL�PRE�DECK BONDING*�� z � � � '"d ` �� INSULATION CEILING ;P-TRAR.��„� � �°�� ...; » '"� ��'�� "'`.� � �� `FENCE 1 GATEJ A�I.ARM� � .° �' . �� ° �'� �"�� DRYWALL �� -a�a� � :,�, K ,�� „�� _ �- � � � ��. . � �� , LATH(PRE) �FINAL�PQQL�„�s,�� _ .�� ,�� - LATH EXTERIOR �A�� LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2No� �� SCRATCH COAT WALL BQND BEAM ELECTRIC METER RELEASE WALL DRPdN/SEAL GAS METER RELEASE WALL F{NAL SPECIAL INSPECTION °R0�'�(�AMINGPLANNINGAPRROVAL � '��"��"�� `� � "�� .. .. � �.�,,.�--�' .:z.�'.':�„ �7��" �"; .. ;p ,.e.,^'�-��'� ?R AL� ' ��^�1 e�� .� �_; � �, ..,.�,�`��..� �INAI.BU(LDING �.�, � �°� � �:a � ° � .� � �: OUGN FIRE{1PPROV �� , � � � � ifINAL�MECHQNlCAL.��..... ��-., "�� m�� FINAL FIRE DEPARTMENT �� ' ��^':��' ;�A�� .�.�-: ,��;4°, , (.% ;� :�. � � ,�� FfNAL PIANPdtNCi�,;� �``�'�� ' ��.� � �.��° a, � �� ;�.. �FI�IAL�ELECTRICAL �_..� � „� � , � � �� ;� � � � �..� � � �� . 'FINALPLUMBING ,,. � � �., �'° "" � �� ' .`�-�� .�� F�1NAL=ENGINEERINGI`P'W.�� .��, �`� �� .�� , ��..�M� .�� " _�. ..''' ,� 'T�� '��, �'FtNAL'�COMMUNITY SERVICES��t�"��"� ��. � ��'�� .;�.3 � �. T�,of�OCCUPp,NCY � � �� • � "� �.' �� I..�_ —,.�- a�_, ,:.. �� '�+�� ,�"� �' ��` �` '��+ i�i• E "4' 9 , f.. �CERT,of,OCCUPANCY.��= �� `��,� ��° � ��x� �"'� �" �FkNAL�'HEALTH'DERT� ; ��'��c ��;�,� � �� . �° � -° 'EINAL.INDUSTRtAL WASTE�� .�..��-�. 5��.w, ��.,��`�< COMMENTS: