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Home My WebLink About14-4961 E .�-�,,,,,,,,.,...� CITY OF DIAMOND BAR �1�1� f ;__ _;� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ,�Ia ` = 21810 Copley Drive,Diamond Bar,cA 9i�6s � PRESS ,.� � (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � FIRMLY """"� BUILDING PERMIT APPLICATION � _ APPLICATION DATE: �O I 2$ �I� P/C# s JOB SITE ADDRESS � 3�S Fh 1 Q L�N L i; D(Z / l z APN LOT TRACT ISSUE DATE: ��/o��O�D I Y PERMIT# I y�- y�,�_ � OWNER w�!,t i Anl\ f�:rv�, �,.�L n�l� TYPE CONST. OCC GROUP: .� ADDRESS 13 3-f` �A�2�v�^�L2 �t�+�- � CITY W A L/v"l� Z�p � $ r � ZONING SEfBACKS � ��TEL. Fi 2-Fi I 4 J'Sf� � FRONT RW ❑ = APPLICANT N A M-z�1�d Sca c,�uf TEL. 951 �3DU U7 6� REAR ❑ � � SIDE/SIDE STREEf RW ❑ � CONTRACTOR S D LA2 M Ax SIDE � ADDRESS 7 O `�V IZTu J� ❑ PROPOSED USE �b� M o�� S D LdrL � CITY ?Z-�v2�-5 i1�G Z�p �lZS07 TEL. `fs� Zv� a76f�/ 3•9 z�-/ K w � ARCH/ENG/DESIGNER / /Nvr,p.�7L52 ��— M bpJ) e j � ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � � OWNEFI-BUILDEH DECLAHATION � I hereby affirm under penalty of perJury that I arn exempt hom the ConVac[or's State License Law for the reason(s) SFR/ADD/FtEM I L Indicated below by the checkmark(s),I have placed next to the applicable ttem(s)[Sectlon 7031.5,Buslness and Garage/Carport � Protassb�Cade:My dty a county that requlres e parmk ro construct,alter,Improve,demollsh,m repalr,airy L struchire,prior to Its Issuance,also reQuires the applipM lor the pertnit to flle a signed sfetemerrt that ha or she � Patio/Deck � Is Iicensed pursuarrt to ttie provislo�of the Contractor's State License Law(Chapter 9)Commencing with Sectlon w tt I n 7(100 of DIvlslon 3 of tlre Business artd Professlo�Cade]or that he or she is ezempt trom licensure and the basis for � PooVSpa n the alleged exemption.My violation of Sectlon 7031.5 by any appllcant for a permtt subjects the applicant to a civil penalry C7 I of not mae than five hundred dollars($500). Z R�Roof � (�I,as owner of the property,or my employees wlth wages as iheir sole compensatlon,will do()all of or(J portions � Commerclal y of the wark,and the structure Is not Intended or offered for sale(Sectlon 7644,Business and Professlons Code:The � , � m Z Contractors'State Llcense Law dces not appty to an owner of property who,through empbyees'or personal effort,builds I y or improves the property,prmlded that the improvements are not Intended or oftered for sale.If hmvever,Me bullding or I � improvement is sold within one year of completion,the Owner-Builder wlll have the burden of proving that ft was not buitt � or improved for the purpwe of sale.). '� I,as owner ot the . U property,am exclusively contracting with Ilcensetl ContracLors to consWct the project(Section Z 7044,Business and Professions Code:The Conhactors'State License Law does not apply to an owner of property who V8luation: /� VUI� Adj.Ar88: I � bulldsorimprovesthereon,andwhocontrpctstorlheprojectswtthalicensedContractorpursuarrttotheContractas'State QUANTITY DESCRIPTION FEE � ,� LJcense Law.�. 4 � (J I am exempt from licensure under the CoMractor's State LJcense law tor the following reason(s): � � 3.Y i n+v EyT�,� � � 1 By my signature below I acknowledge that,except far my personal residence in which I must have reslded for at least one � 2 w I � year prior to completlon of the improvements covered by this permft,l cannot legally sell a structure that I have buitt as an w ¢ owner-builder if it has not been consWcted in its entlrety by Ilcensed contradors.I understand that a copy of the applipble I Y law,Sectlon 7644 of the Business and Professions Code Is available upon request when this apPllcatlon is submltted or at I � the folbwing Web site:httpMhvw.leginfo.ca.gov/calaw.htrnl. � = DATE: SIGN: � I — LICENSED CONTHACTOH'S DECUIHATION � I y I hereby afflrm under penalry of perjury that I am licensed under provislons of Chapter 9(commencing witli Sectlon 7000) I � of Dlvision 3 of the Business and Protessions Code,and my license Is in lull force and effect. I � LICENSE CLASS: C-�'I b LJC.NO.: ! ��-�`r �. � � I � onre:�/z r� corrrrucraR: '��/ �—�:" �, I WOHIffA'S COMPENSATIO DECLAHAT � I � I HEREBYAFFIRM UNDER PENALIY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: y � I have and wlll maintain a Certificate of Consent to Self-Insure for Worker's Compensatlon,as provlded 6y CONSTRUCTION: � SecUon 3700 of the Labor Code,for the pertormance of the work for which this permit is Issued. w�M1 � PLAN REVIEW: �' �I have and will malnlaln Worker's Compensation Insurance,as required 6y Sectlon 3700 of the Lahor Code,tor ELECTRIC: r+��_ � me perfomiance of ihe work for whlch this permtt is issued.My Worker's Compensation Insurance Carrier and — v / � Zd Po�i�yNumberare: PLUMBING: � CARRIER S Tpr� �o�vJ/' MECHANICAL: � � POLICY NUMBER_ 9'O 7 0 3 i 3/ `7� INSPECTION FEE: 'n (lHIS S[CIION NEED NQT BE COA�LEfED IF1HE PBiMR IS FOR ONE HLWDR�DOLLAAS($100�OR LESS�, i.,�� = I certtty that in�he performance of the work for which ihis permit is Issued,I shall not employ any per5on in ISSUANCE: arry rtranner so as to , � � becane subject to the Worker's Compensation Lavrs of Califania Md agrea that rf I shald becane subJect to the Waker� SMIP: f �L Compensatlon provisions of Section 3700 M the Labor Code,I shall forthwith comply w�ith��N�°�✓�roJ's. ENERGY P/C: � DATE: �Q APPUCANT: y�� s i''� �d� �>/ ENERGY PERMIT: � WARNING:FaiNre to seare Worker's Compensatlon�is unla�shan su6�ect an employer to criminal �A O� y penatGes and dvll fines up to one hundred thousand dWlars($100,000),In additlon to the cost of the compensatlon, RETENTION FEE: = darnages as provided far in sectlon 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTIiUCTION LENDING AGENCY BSAF:_ f � = I hereby affirm under penalty of perjury that there is a Constructlon Lending Agen�y for the pertormance af the work fa -� � which this permit Is Issued(Sec.3pg7,Civ.C.). LENDER'S NAME: = LENDFA'SADDRESS: i I certiry that I have read this application and state that the above informatlon is correct.I agree to comply wtth all city and TOTAL FEES ryyJ � �{qi'r Z county ordinances and state lavrs relatlng to 6uilding wnsWction,and herehy authorize representatives of this county to COMMENTS: � enter upon the above-mentloned property for inspectlon purposes. � � y � �-,a �-S � � PEflMfTTEE NAME(PRINn � � �� rn - j0 = SIGNAlURE OF PFAMfT'fEE DATE RECEIPT#�l�� pq�D BY:�,�[�� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOIDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAM4fVD BAR INSPECTION RECORD . � � . � - • � , • - SET �`�'�� °�"� �� "� � �� `�°`��' '� ' TRACTANO LEDGER BAGKJ LETaTER� �_�� .��«�^�4.,. w�a�.� 'FOOTINGS FORMS��<`' 4 °� � ��°� �,�:'., ,,... SWITCH GEAR ,: ,: a �S�� ,�� , -- ��- _z .. ��'_� ��- M1� CQMMERCIAL HOOD AUG.PLUMBIN6�� ' � �� T-BAR UG.ELECTRICAL„ ra� s.��ab,,.� ��.�'��;,�a�� ; INTERCEPTER ,UFER AGROl71VD:��., ��,;:�� .;,��:'. : � � � �`�a�� x µ ' HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CL�INOUT QEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CQNDUIT �. „ ,..., � �� ,,:�. ��°- �� SHF.,4R WALLS,F�tTERIOR , . �� ' ,�� 3 � � � ''� �b��° '�� POOLlSPII�� `�- ��-�� P� �` � �� ,�, :�� :ROUGH PLUMBING -�,; �� .�� :�A� �� s�� ,SHF�4R;WALLS 1�P1�tQR-,� �.- = k� A ' � � � E ��a � � � �.. . �,r �=�' '� 3 _ E� � �� ` � � „„ '��; �MIN6/VENTIN�� "�� ` � �'� ;�� x �� RE}�7GH ELECTRICAL� � _ ��:� �: �� s �. � , ROUGH MECHANICAL "��,�. '��°�� w ;� �� ,� ,,,�,� � 'G,4STE5TECHANI�CA�L.�� ,�` �� _. ��`� �'� �ROUGH ELECTRIC,4L W( )C( 1 � _ �� . �� x� , , : �ROUGH PLUMB(NG�r� , „r��r�" �;��°"�� .�-• � 'PHE�GUNITE �.��.��..F , � ,�� __� r � �� ° ��-�`� _� INSUlATION WALL � P�10�PRE�DECK�BONDING _ ` ° INSULATION CEILING �. �`�`�r'� �'�Et � ` �,� tl'" ��`� � " I'=T[3AP �;� .�� .�� . _ ��_ DRYWALL �F=kNCE/'��';�TEI ALARlV!��;...�� `� , �� ,� � ��'� � LATH(PRE) :FINAL�POOL'� �� w _ " ��,��,w; � ;•a � ��-a �x�� ,:�. -�,., <�` �-- LATH EXTERIOR wA��'� LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 srt �2r+e� �LIFT 5CRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIALINSPECTION ;RO:FHAMW6PLANNWGAPPROVAL . �� y � _a ;�� ,�� ` ��,� � �FINAL BUIIDING �` �- �� 'ROWGHaFIREAPPR01tAl.� � �� .� � " . � �� v �� r � � ��' .�� F1NAL FIRE DEPARTMENT�" ` �� EINN:MECHANI(`.AL� ,�°'� , _ �.,,�s3 � �� °� � �FINAI.ELECTRICAL ' �„ '�� .� �� '�.._�� FINAL�PLANtdING n' � ;. �� _>`,.. "��.' �� '�� FINAL PLUMBIN6 .� � ;� .��4 .�„ � : � � �" �»� ��tNA�.µEt�GINEERING/PW"�� ;��`�� a ...� �"` � �� ,'�`,�. ��, 4 � � �`� � ' � Fit�AL�COMRAUNIT�Y�5ERViCES �� ` ' �` �� ttC.of OCCUPANCY��. ' � . �r �� x ��.� o_ � � _ ,�� - �� a-� � =F1NAl�HEALTH�DEE�,� ��".,. �r��`.�.� �fi `�� ,��a��"'��a � �,,; ;GERT.of OCCi1PAMCY_ ,�, �� _ , � . ` �� , �� -��`` ,, _ �� - ,� � _ �� ,„.�� .< �FitdAL{NDUSTRIAL�_.WASTE�_�_ , , � > . .�� COMMENTS: � �