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Home My WebLink About14-5096 .,,..,,...��,�..................... CITY OF DIAMOND BAR � I 1� ,� I � :: DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��- `G PRESS 21810 Copley Drive,Diamond Bar,CA 91765 �,,,,k�� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � '"�'� BUILDINGPERMITAPPLICATION FIRMLY i JOB SITE ADDRESS a�L dO � � APPLICATION DATE: P/C# z APN 40T TRACT ISSUE DATE: ��l��y PERMIT# lY��_ � OWNER � -2 �' �l :QY1�:�� T�n TYPE CONST. OCC GROUP: � n ADDRESS ,��-(c903� C7KS ��V✓ Q�/` � � ZONING SEfBACKS .� CITY D�i ,"�j�7(9I�/ �(XY' ZIP��TEL. FRONT RW ❑ = APPLICANT TEL. REAR ❑ � � �"J-C�-CL�S SIDE/SIDE STREEf RW ❑ a CONTRACTOR SIDE ❑ � ADDRESS SO i{Z L✓TLL.ST�I{Z E I3l #I S�I�D�' pROPOSED US ' s CITYLC��V(iE'L�S ZIP v�v �TEL. 3�Q� a(� �oZ�o - � ARCH/ENG/DESIGNER S I-FYJ�I�EL�S � ` � ADDRESS S��l'L i./�LLSkTp� RI � � �d[yTJ�' #DWEL.UNITS #STORIES #BEDROOMS z CITY LC]$ �A/�LES ZIP CXW �o TEL 31 D �� v[_�<.C'� Q OwNER-BUILDEH DECIANATION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � 2 I hereby atfirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFFi/ADD/REM I � I � indicated below by the checkmark(s),I have placed nezt to the applicable item(s)[Sectian 7031.5,Buslness and Garage/Carport � Professions Code:Any city ar county that requires a permit flo construct,alter,improve,demolish,or repalr,any z structure,prior to its iuuance,also requires 1he applicartt for ihe permit to file a signed statement that he or she � Patio/Deck I � is licensed pursuantta the provisio�of the Contractor's State License Law(Chapter 9)Commencing with Section W � 7000 of Division 3 of the Business and Professions Cade]or that he or she is exempt from licensure and the basis far � Pool/Spa I n the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant N a civil penalTy C7 ,= of not more than five hundred dollars($500). ZQ Re-Roof I � (,I,as owner of the property,or my employees with wages as their sole compensation,will do()all of or�)portions —� Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal eRort,builds �A\ � or improves the property,provided that the improvements are not intended or ottered 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 ro e am exclusivel contmdin with licensed Contractors to construct the ro ect Section U p P�� Y 9 P � ( V21U3ti0�. Z 7044,Business and Professions Code:The Contractnrs'State License Law does not apply to an owner of property who a� Adj.Area: I n buildsorimprovesthereon,andwhocontractsiortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY 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): � — r �' ¢ I 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided tor at least one c~.� I = year prior to completion of the improvements covered by this permit,l cannot legally sell a strudure that I have built as an w — owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable I � � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I 'i the followin Web si e:httphr,w�.leginfo.ca.g v/calaw.html. � � � DATE: � I SIGN: � �i ��'��'� � — LICENSED CONTflACTON'S DECLAHATION � I d I � I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Sectian 7000) � � of Division 3 af the Business and Professions Code,and my license is in full firce and effect. J I n LICENSE CLASS: L� LIC.NO.: ��' U I �� Z DATE: ,�aL�(l��/� CONTRACTOR: � � � I ¢ WOHKEH'S COMPENSATION D LAflATION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: p � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: g g. 3-1 � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVI EW: 3�j�. lp'�j � 9�" I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for �� $b Z the pertormance of the work for which this Dermit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: _ ¢ PolicyNumberare: PLUMBING: � CARRIER Nd��(,{�[� Lfl/S!/Rf�iVGF CC�yT/aaA/� MECHANICAL: ' POLICY NUMBER .S IF1nIG.� ��(�S � INSPECTION FEE: _ (TIiIS SECIION NEED NOT BE CAMPLEfED IF7HE PEAMR IS FOR ONE HUNORED DOLLAAS($10�OR LESS�. ISSUANCE: '-(\ \L� � I certify that in the performance of ihe work for vfiich ihis pertnR is issued,I shall not employ any person in any manner so as to � become subject to the Worker's Compensation Laws of Califomia.Md ag2e that if I should hecome subject to the Worker§ SMI P: � �O JCompensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. ENERGY P/C: y DATE: - APPLICANT: ENERGY PERMIT: YWARNING Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE:_ aa. y penalties and civil fines up to one hundred thousand dollars($700,000),in addition to the cast of the compensation, b� � damages as pmvided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY gSqF; , , O Q y I hereby affirtn under penalty of perjury that there is a Cons[ruction Lending Agency for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: = LENDER'SADDRESS: i I certify that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES g� 1 S� z county ordinances and state laws relating to building construction,and here6y authorize representatives of this county to COMMENTS: � enter upon the above-mentioned property for inspection purposes. J � b a PERMITTEE NAME(PRINn n = SIGNANRE OF PERMITTEE DATE RECEIPT#�.}IU�� PAID B : /1�7 VALIDATION: +1 ! . I �--- WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD ` ' • • � . � . . � , , . e . ,`SETBACKI LE7TER � �_ �TRACTAND LEDGER �F0071NGS FQRNiS q Efj: � � ,� ,_ �` I SWITCH CEAR I ,SI_AB� �� ;�� a'' �::� � �: � �"�;, COMMERCIAL HOOD I x . , ;UG.�PLUMBING . � "� �� 6�'` ��r:� �", ��`�...'� � -�� T-BAR � � ��., �UG�.ELE�TRIGAL �� . � �� INTERCEPTER � �UFER�ROUND •��; HOT MOP/SHOWERPAN � SEWER IATERAL SEPTIC/CESSPOOL MAIN WATER LINE , NERS REPORT RECEIVED I SEWER CLEANOUT DEMOLITION I ROOF SHEATHING ROOF DRAINS FLdOR SHEATHING , �ROUGH CONDUIT _ �,, ;�HE_AR WALLS�F�TERIOR. ,��' �_ �.�� `,> �-� '�POOUSPl1 ��.a,; �,� .,,__� ,��_ ,_3.., ,_ G �� - � � 4�..�:_�4„ .x, �� :,; `RQUGH PLUMBING'�= � ,. ..e�� , � � .�,� _ SFiFAR WAZL5�INTERIO;R'' �� -��°°' � ��, � �, _ �. ��. �RAMfNC�VENTIN� ��`�;�,�� ,� � �� '��_�� ;ROU6H ELECTRICAL � `�- .. ':ROUGH MECHANIGAL ROUGH MECHANICAL �ROUGN E�ECTRICAL W( j C(��,'�� GAS TEST ,�. �:,, � ROUGH FLUMBING' .��, ,;w, ;PRE GUNITE � INSULATION WALL � FPOOL FRE DECK BONDING ��'� �"�� r�< , �. INSUlATION CEILING 'P-TRAP . .. .. DRYWALL FENCE/GATE/AIARfN LATH(PREI ' FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST � WALL STEEL 1 s?( )2"e( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE � WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL ------ _ SPECIALINSPECTION � ��'RO.FRAMINC�PLANNINGAPPROVAL �° �� 8�� : . • . ,✓� _ ROUGH FIRE APPROVAL _ FINALBUILDING ��" � � :� ,� � �� ; ,FINAL MECtiANICt1L �'��. ' <.��;:;_ �k FINAL FIRE DEPARTMENT • . -� �FINAI:ELECTRIGAL Y - FtNAL PLANNING _ � : ,. � � �" � '�� ' ��'r � �<. �'�: �_��? ?-u�� '�F1NAL ENGINEERI_NG/PW � ;.. ,Flt�'AI,PLIJt��I Q �;_ � � ,� .., - _ _ �_ a ,�, � '. T.C:of OCCUPANCY},� <` ;� �' .:��^,� �"" ; � �FINAL GOMMUNfTY`5ERVICES ; =�', ,�,. ;CERT.of OCCUPANCY �� ,� �°, �� INAL HEALTH DEPL FINAL INdUSTR1AL WASTE COMMENTS: �'"'� CITY OF DIAMOND BAR -�- �.—: , DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� "" 21810 Copley Drive,Diamond Bar,CA 91765 -�-- PRESS II \„,��,�� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 F�RMLY BUILDING PERMIT APPLICATION s JOB SITE ADDRESS � APPLICATION DATE: �I 19 �� S P/C# P�R �S- 3 g S � ISSUE DATE: PERMIT# z APN LOT TRACT � OWNER TYPE CONST. OCC GROUP: � ADDRESSZ�/�� 'eLf/ ,��i�" � ZONING SEfBACKS � CITY ��1� L�✓- ZIP.��TEL. FRONT RW ❑ s APPLICANT TEL. REAR ❑ _ �+�� SIDE/SIDE STREET RW ❑ I Q CONTRACTOR Jf7p�,C'�L S SIDE ❑ p ADDRESS�y� 1�/��E �I �. I��r� I r CITY ��I� ZIP��TEL. � ,��{�2L PROPOSED USE�C Y � � ARCH/�DESIGNER '� � ADDRESS �. /y F � St��U'N C ��-cZa/ #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. �'U � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEfl-BUILDEH DECLAHATION I z 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 � indicated below by the checkmark(s),I have placed ne�R to the applirable item(s)[Section 7031.5,Business and Garage/Carport I � Profeuions Code:My city or counry that requires a permit to construct,alter,improve,demolish,ar repair,any z structure,prior to its issuance,also 2quires ttie appliwM for the permit to tile a signed sfatement that he ar she � Patio/Deck I i is licensed pursua�rtta the prorisions of the Contrador's Sfate License Law(Chapter 9)Commencing with Section w � � 7000 of Division 3 of the Business and Professions Code]or that he or she is exempt fmm licensure and the basis for LL Pool/Spa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecLs the applicant to a civil penalty Z Re-Roof s of not more than five hundred dollars($500�. � I � U I,as owner of the property,or my employees with wages as iheir sole compensation,will do(,all ot or()portians -� Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'State License Law does not apply to an owner of properry who,through employees'or personal ettort,6uilds � or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or ' � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built I I � or improved for the purpose of sale.). I �, � (,I,as owner of the property,am exclusively contmcting with licensed Contractors to consWct the projed(Section � � Z 7044,Business and Professions Code:The Contractors'STate License Law does not apply to an owner of property who V0luatio l Adj.AreB: I 'I � buildsorimprovesthereon,andwhocontractsfortheprojeclswithalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I License Law.). I � (,I am exempt from licensure under the Contractor's Shate 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 w I � j year prior to completion of the improvemenCs covered by this permit,l cannot legally sell a structure that I have built as an w owner-builder if it has not been constructed in its entirery by licensed contractors.I understand that a copy of the applicable I � law,Section 7044 of the Business and Professions Code is available upon requeffi when this application is submitted or at I � the following Web site:httpM�ww.leginfo.ca.gov/calaw.html. '� I z = DATE: SIGN: � — LICENSED CONTHACTOH'S DECLAflATION � I a I � I hereby 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 effed. � I � n U I � LJCENSE CLASS: 1�l L1C.NO.: � z � DATE: �Z�(��"'I/ CONTRACTOR: ..5�� S = Z � ¢ WOHI�H'S COMPENSATION DE HATION � I y I HEREBY AFFIRM UNDER PENAL7Y OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � 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 peAormance of the work for which this permit is issued. p�qN REVIEW: ^I a� �� > I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for Z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumber e: PLUMBING: y CARRIER ��YY��/�'��J'��[Sj�Y1�✓JL� (�!�✓17,rau MECHANICAL: � POUCYNUMBER I��viL S�y��S �7 INSPECTION FEE: � (IHIS SECTION NEED NOT BE CAMPLETED IFTHE PERMfT IS FOR ONE HUNDRFD DOLLARS($100)OR LESS). �� /wr� ISSUANCE:_ V � j I certity that in the pertormance of ine work for which this permit is issued,I shall not employ any person in any manner so as to ` F,I, � become subject fn the Worker's Compensation Laws of Califomia.Md ag2e that if I should become subjed to the Worker's SMIP: v � Compensation provisions of Section 3700 of ihe labor Code,I shall forthwith compty with mose provisions. ENERGY P/C: J i onre: nrPucnNr: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal � J� h� x RETENTION FEE: y penalties and civil fines up to one huntlred thousand dollars($100,000�,in addition ta the cost of the compensation, � i = damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: % /�n y I hereby aff rm under penalry of perjury that there is a Construction Lending Agency for the performance of the work for ��— = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: r LENDER'SADDRESS: i I certity that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES -, � , �� L /�/ �'qr � county ordin ces and state laws latin to buildin construction,and hereb authorize re resentatives of this coun to � V � ? � 9 9 y P Ty COMMENTS: V � enter u n e a ve-mentioned pr perty tor i spection purppses. J ! � b fC e ¢ PERMITf E(PRI (�IC a3 a 4'�- ✓�3��o aoa�- �� n � ` � � = IGNA E Of PER � DAT RECEIPT# ��l� PAID BY:�c}��VALIDATION:� WHITE—Department Copy,VELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD '� ' ' . � � , . � . . � � , . � o � r. SETBACKI IETTER�."�, � �_�-. _ TRACTAND LEDGER F001"IN�S FORMS �� F�' � �S�� SWITCH GEAR ;S(,� �� `��° ' �� -Eq�u�� =��e��`� COMMERCIAL HOOD y �. _, , � , , _ , �� UG.PLt3MBING � � � ��- T-BAR , ;UG.ELEGTflICAI �:� � �r� INTEACEPTER � A�h�. �� _ � . , _ ,UE�R GRiIU,ND �� r,�� ; ��_ �_ HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT ' DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �SHEAR WALLS EXTERIOR, : �� , POOL/SPA .� ;SHFAR�W�C��INTEI�I�QR ,�;� ��<-, _ , � � ROUGN PLU�IBINC��. - 3.r_ � _:- ,, . , ,,,, � �� ,:� � ., �FRl�N11NG/11ENTENG °� � �- �� ROUGH ELECTRICAL � _ -.._ �RQUG�MECHANIGA� ��',�� ROUGH MECHANICAL {RQUGN EL°ECTRIC�,9L W{a)�C�( �.�.. `� „ _ _,��;,,. GAS TEST � ..��u� ,. .�: ,��„� � � �r�, . �: " �. _�, , � ;, sq, - � ROt�GH�LUMBiNG _�- �.� � �� PRE C�UNITE � INSULATION WALL � POOL PRE DECK BONDING INSULATION CEILING � P-T�P DRYWALL FENCE/GATEI ALARM �� ,'� � � LATH(PRE) F1NAL POOL LATN EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sTj 12"0( )LIFT SCRATCH COAT WALL BOND BFAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION ; R0.FFiAMING PLANNINGAPPROVAL ` °�" � = � �; '�� ,� "'� ROUGN FIREAPPROVAL � ' EINAL'BUIL�(NG , ��„ �,�., �- �'�a�� .�-` ��, � ,-, _. _ , FINAI�M€CliANICA� �:� �` ,� �;� �� ' �� FINAL FIRE DEPARTMENT `�° _. : �� `- ``�� : � FINAL PLANNING �fINAt ELEi;TRiCAL� �FINAL RL�UMBIN��; �, � � `a ��Q, ,�� FINAL ENGINEERINfi/PW .._:�,�.� �.� ; � .. � .�,�� , , �.�. �: ��. _ �� ,T.G.of�U�CWPANCY "�� a R"� ,,, �,m � �!. �`� FINALCOMMUNITY�SERVICES � " . ' J _ FINAL NEALTH DEPT, ,GERT.of-i1CCUPl�NCY �, FINAL INDUSTRIAL WASTE COMMENTS: