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Home My WebLink About14-4946 .. ��'�,"�"`--y� ;��,�;�,�,�, CITY OF DIAMOND BAR � � ��i� DEPARTMENT OF COMMUNITY&�EVEL•(�:PMENT SERVICES I ' 21810 Copley Drive,Diamand Bar,CA 91765 , PRESS ` �, (909)839-7020 Fax:(909)861-3117 Building Inspectian Hotiine(909}839-7027 FIRMLY ``er'�"'�` � BUILI}ING PERMIT APPLICATION � APPLICATI(7N DATE: P/C# s JOB SlTE AQDRESS _—j}_/.} �f�� I �L� � � ISSUE DATE: 1✓/ST_�_�r�— y �—PERMIT# �� i � z APN �OT TRACT yOWNER_��J'SlX� " TYPE GONST. OCC GROUP: r, ApCSRESS �.�'��`�. Fr1�LAC,��+� �(��__h/y" �(�� ZONING SEfBAGKS .JJj ClTY� � ZIP�_�tQ+t_TEL. ts:Lt�a "5��.--=r—��"� FRC3NT RW ❑ z APPLICANT !� C"�,�i^�LL.I.� TE�. Cl„�`�I �L_S_��IL�O' REAR 0 � SIQEISIDE S7REET RW ❑ ¢ GONTRACTQR H SIDE � � AODRESS�.�� T�E,'".. S7" PRdPOSED USE x CITY�i�+p^�aY zip r� � .�E�.��r 60c, �-z�o � � ARCH/ENG/DES�GNER = AC3DRESS #C1WE�.UNITS #STORIES #BEDROOMS a CITY ZIP TE�. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � ¢ ownea-suao�oecuaRanon I = I hereby affirm under penalty of perjury that I am exempt from the Contractor's State Ucense Law for the reason(s) SFR/ADp/REM indicated belaw�y the checkmark{5},i have piaced oszt to the aR0licable+tem s [Sectlnn 7431.5,Busi�ss and � (} Gara9elCarport '� Professians Code:Any c(ty or counry that requires a permit to construct,alter,improve,demolish,ar repair,any , z structure,priar ta its issuance,etso requlres the appiicant tw the permit to fite a sigr�ed statement that he w she N Patiol6eck i is licensed pursuant to ttie pmvisions ot the Contractor's State License Law(Chapter 9)Commencing with Sectlon w I � 7000 of pivision 3 of Ute Business and Professinns Cntte�ar that he or she is exempi tr4m licensure and the basis far ti PQoltSpa � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty � ( � 4i not more than five hundred doilars{�.500). Z Re-Roof s � I� ()I,as owner pf the properry,or my employees with wages as their snle compensation,will do(�all of or(,portions � Commercial � of the work,and#he structure is not iotended or affered for saie(Sectian 7044,Business and Professions Code:The � I y m � Contractors'State License Law does not appry to an owner pf property who,through emplqyees'or personal effort,builds y or improves the properfy,provided that the impcovemems are not iMended or offered for saie.If hawever,the buiiding or I � improvement is 5old within one year of cnmpletion,the Owner-Builder will have the burden of proving that it was not built � ar imprrned far the purpose oE sata.y. I '� {�I,as owner of the pmpetty,am exclusivery contracting with licensed Contmctors to construct the projecf(Section � 70A4,Business and Professions Code:The Contracturs'St�te License Law does npt appiy to an owner of property who VBluation: Adj.Area: � Z 6uildsorimprovesthereon,andwhowntractsforNeprojecawithalicensedContractorparsuanttotheContractors'State QUANTITY DESGftiPTlON FEE � ls Y License law.}. � j �}I am exempt irom liceasure under the GoMractor's State tibense lew for the following reason(s): � I � � 1 Sy my signature below I ackrwwiedge that,except for my persanai residenca in which!mns#havs resided for af least one w � Z year pnor to completion of the improvements covered by this permit,l cannot legally sell a strudure that I have built es an w � ( � owner-bnilder if it has not been constructed in its entirety by licensed contractars.i nndersian�l that a rApy oi the appilcab(e law,Sectian 7044 of the Business and Prafessions Cotle is available upon request when thia application is submitted or at I � the foliowing Web site:httptwww.legi�fa.ca.govlcataw.t�tmi. z I L DATE:_...... SIGN: °� � I LICENSED CONTHAGTOfl'S DECLAHA170N � � � !here6y affirm under penatty of perjury that 1 am Gcensed under prorisions ai Chapter 9{commencing with Section 7W0} ( y � of Division 3 of the Business and Professipns Code,and my licensa is in full force and effect. � G � � .r� � �y�[�/` /' U n LICENSE CLASS: C,C�.(/ LIC.NO.; (_(, ly��T_ a I � DATE:��r.,f J�l CdNTRAC70R:__F��4�,�y , � I ¢ WOflKEB'S CpM T N DECLARATION � � � I HEREBY AFFIRM UNOER PENALTY QF PERJUHY ONE OF THE FOLLOWING DECLARA710NS: y ? i have and wiit maintain a Certificate af Cansent ta Seif-insure for Worker's Compensation,as pravided by CONSTRUCTIQN: ,� Section 3700 of the Labor Code,for the pertormance of the work for which this Rermit is issued. p�qN REVIEW: � �i have and wiii maintain Woricer's Cqmpensation insurance,as required by Section 3700 of the taba Code,for ELECTRIC: � the performance of the work for which this permit is issued.My Warker's Compensatlon Insurance Carrier and ¢ PolicyNumber re: y, , PLUMBING: � CARRIER �.A'llf�t� MECNANIGA�- ��,___ � POLICYNUMBER.��(��"',��'G��I� INSPECTION FEE: � (iliiS SEGTiON NEEO NttT 8E COMPLE'IED IF THE PERMtf IS R7R dNE HUNDAED DOLIARS{5700)dR LESS}. �'� ISSUANCE: � I certity that in the performance of the work fw vfiich this pertnft is issued.I shall not employ any person in any manner so as to � become su6ject to the Worker's Compensation Laws of California.And agree that rf I shouid become subjed to the Worker's SMIP: � Compensatior�provisions of Section 37�0 of th Labor Code,!shall forthwith camply with Ehosfl provisions. ENERGY P(G: J DATE:IG_�J��L�APPLICANT: v `�'^"'''"—�,.�—� ENERGY PERMIT: i — A � WARNIN6:Faiiure to secure Waricer's mpen tion coverage is untawEui,antl shali subject an empioyer to criminai RE7ENTION FEE: ��+� y penalties and civil fines up to one hundretl thousand dollars($100,000�,in addition to the cost of the compensation, "�— i damages as provided tor in section 3708 of the Iabor wde,interest,and attomey's tees. PRE-A�T FEE: � s GONSTRUGTIOfl I.ENO{NG AGENC BSAF: i z I hereby affirm under penalty of perjury that there is a Construdion Lending Agency for the perfprmance of the work for y � which this permit is issued(Sec.3097,Civ.G.}. LENDER'S NAME: � LENDER'S ADDRESS: i t certi4y that t have read this applicatio�and state that ihe above'rnfarmatifln is coReqt.i ayr8e ta compty with att city and FaTAL FEE$ �.y�,,,'�� counTy ortlinances and state laws relating to building construction,and hereby authorize representatives of this counTy to COMMENTS: Z enter upan the abave-men6oned pcoperiy f4r inspection purposes. � ��rm��_. n PERMITTEE NAME(PRIN� ��jx�,��LL_ � /"'') � ' ! � RECElPT#_[!��_ PAID BX;y /q cp' � VALIDATIOIV: = S4GNANftE 0 ER E —� DATE WHITE—Department Copy,YE110W—Finance Copy,PW K—Assessor Copy,GOLDENROD—Fiie Gopy,GREEN—ApplicanYs Copy CITY C3F; DIAIl�ONCD BA iNSRECTIOf�! RECt3F�D , , , �, e � � ` � o , � � , . � . SETBACKt LECTERm�� ...�. ;; �� s � � .,t��.� � I TRACTANC?LEDGER --i " '� �� 5WlTCH GEAR Ft}JTiNGS�ORMS� :�� "��,��va� � '' �� ' °' a��. �� ' � s ,� ` w'� � , SLAB<, „ .,, , ��;.;,. �^`.,.�� ;. �� uH�� W�. ; CQMMERCIAL HC7QD UG°�PLt1ME31NG. ��;��„ ��;?. ... � . <.� E"�� '� T-BAR UG EL'=EGTRIGAL�a� z� ', �� `�� '�� _�� INTERGEPTER " r�� f � _ � . ;� ° HOT MOP(SHQWERPRN ,UFER;.CR4UND�"��`�;'� ..� ;. `��.��F '� K�...� ..�.� .,ti.ti . , - SEWER LATERAL SEPTICiCES�P00L N1AW WATER LINE ! NERS REPORT REGEIVEz� SEWER CLEANOUT ' DEMOLfTION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CON�UIT �__�,6 �� ' � � �,� � � � �� '�`�' `�� ` ,� ��,,�, � � SHEAl�WALLS EXFTERIOR'�� '• � ��'��,,� �' �: POOLISPA�� `�� : = � � .� � �� F � ��`�� ROUGN�PLlJMB11�G��r�"� �� .° � �" ��R.,��'�,�� SNEARtWAL�S_INTERICIR �;�� 'w �"� .. h� ��¢ � �" '��„�� ROI�GH�ELE�7RIGAL=� �,� '� .�',�� , � �� FRANiINGNENTING � ,� `�`,� � 'a �� ,. �,r� � � � �° 9 �w ;� �.. �� " �� FiOUGN�MECHANICAL � � � RQU�H M � � �� ROUGH E I ) } � � � � �; w r, �`�� " �° �' .� d ` � � � � �B ,��°*'��'.� GAS TEST''�� , ��° �, � �� ,� �, , ,��`..� �<� � ; � `PRE GUNITE�� ,�,� � �, � �u..�,�� ROUGH PLUMBIl� �'�- �` �,,,�> °'� ..�� - � , � �� c F .. . .�..,, . � '4"P .�.� � . .. df� iNSUlATION L�" � �` P�OL�PREaDECK,BQN[IING��s ��--;�� `�� .�� .�"_ i yP TRAP � �`�� ` � �� r` , �� .,' INSULATION CEILING -°� DRYWALL j `�EENCE!GATEI'ALARM �� ' � � � � --� a LATH(PRE) ` � =�FINALP00��,� n�'a >�,�,�� `� 3,�. ��'�� ...�� LATH EXTERIOR WALLS: LATN IiVTERIOR � WALL FQOTINGr'STEEL GAS i�FST j WALL S7EEl.1�'{ �`Lhdo( )l3FT _._. _ __..._._ _.._____.___. _.. _____.� _.__..___.__._ __..__......_._. _._ SCftATCH COAT � � �� WALL 60ND BEAM ELECTRIC METER RELEASE � WALI DRAlNI SEAL GAS METER RELEASE [ WALL�fNAL ,, �. � , �r�� ;� ,� �� ` ,.�' .�` � '' SPECIAL INSPECTION ' RO FRAM[NGFtAI�!Nii�fiAPf�Rt1VAL�,,�`", � . � ' " FINAL�BUI�DIfVG, `� �,�.;�"�F,f� � � �� ;R UGH��IRE�APPR£}VA�`��.; �� . 9 ��n��`�,�#� � �INAL MECt{AN(CAL. �� `z �� fFINAI�FIRE DEPART�#ENT .,��;i za��"� ��': `.�� " �� .�� ,� w ' F6NAL PLANt116NG��%� r ,,F.� � , � � � i �� FlNA�ELECTfiICAL �,- � � �� ° ��, .d � , ,,., ,�?� M ,�'� ��n; FINAL PLUMBBNG ��,� �� ,��:�p� , ` „� ��'. °� " � �FIIVAL ENGINEERINGt PY� � � �� G:°of OCCI1f'ANCY�"�� 1��. �, :.:,.. '`' ��_� ��°�� FINAL,CO.MMU�9NTlF SERVIGES�F � ��,��':� �� .�.hx:a �� „� ; ,•: ' �„ -:��,?_�� FiNAL WEAL DEPT� �`>��r� � � � ' � ;� , ,C,E ;.ot OCCUPAI�CY�_ , �,�._.�,� ��, ....� ,. ' ; � ;�� ; �`��' '�"; �lNAL INI}USiR1�L�NIAST€� ...,. � , �_��E '.._F,� COMMENTS: