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Home My WebLink About16-0587 „�r°::"'� �„, CITY OF DIAMOND BAR � w• C�r n� �j� =��ST�1�TI�I� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ► u' ,.J � = 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 � O ��^ 1 � APPLICATION DATE: P/C# I y JOB SITE ADDRESS I /^ ` /� ¢� i ISSUEDATE: ��cl /�/� PERMIT# �(J'—o_�CJ r� i z APN LOT TRACT '� i � � OWNER TYPE CONST. OCC GROUP: L � ADDR S I�.I � CITY ZIP TEL. ZONING F ONT KS RW ❑ I = APPLICANT EL. REAR ❑ � Q CONTRACTOR S SIDE/SIDE STREEf RW ❑ SIDE ❑ � -ro ' � ADDRESS = CITY �j��u . L_r_l_r__I A' ZIP TEL. PROPOSED USE � ARCH/ENG/DESIGNER — y � ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP �TEL. �- ¢ OWNEH-BUILDEfl DECLAHATION DESCRIPTION SQ.FT'. FACTOR PSF ADJ.AREANALUATION � = I hereby affirm under penalry of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I L indicated below by the checkmark(s).I have placed ne�et to the applicable item(s)[Section 7031.5,Business antl - Garage/Garport - � - I � Protessions Code:Any city or counTy Mat requires a permit to construd,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires the applicant for the permit to file a signed sfatement that he ar she � Patio/Deck I i is Iicensed pursuant to the provis(ons af Me Contractor's State License Law(Chapter 9)Commencing with Sect(on w � 7000 of Dlvision 3 of the Busineu and Professtons Code]or that he or she is ezempt from licensure and the basis tor � PooVSpa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applirant to a civil penalty C7 I n of not more than five hundred dollars($500). 2 Re-Roof Y I � U I,as owner af the property,or my employees with wages as their sole compensation,will do()all of or`)portions � Commercial y of the work,and the strudure is not intended or offered for sale(Section 7044,Business and Professions Code:The � � m I Contractors'State License Law does nat apply to an owner of property who,through employees'or personal effort,builds � or improves the property,provided 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 j or improved for the purpose of sale.�. I (J I,as owner of the property,am exclusively contracting with licensed Cantrecrors to construct the project(Section z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who Valuation: Adj.Area: � � buildsorimprovesthereon,andwhocontractstortheprojectswithalicensedContractorpursuantrotheContracrors'State QUANTITY DESCRIPTION FEE I Y License Law.). j (,I am exempt from licensure under the Contmctor's State License law for the following reason(s): � � � U I1 � By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � I � year prior to completion of the improvements 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 entirety by licensed contradors.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 suhmitted or at I � the following Web site:http/www.leginfo.ca.gov/calaw.html. � z I � DATE: SIGN: � — LICENSED CONTRACTOfl'S DECLAHATION � I a ' 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 e ect. J I � // a n i� g � zLICENSE�ih�Ss: `�.3_� �0.: ✓ � I � DATE:_Q�_�u r'_�,� CONTRACTOR:�] A . � ¢ WONKEH'S COMPENSATION DECLAflATION � y I HEREBY AFFIRM UNDER PENALN OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I � I have and will maintain a Certificate of Consert to Self-Insure for Worker'�Ccmpensation,2s proviCeC by CONSTRUCTION: ' � � Sedion 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�,qN REVIEW: > I have and will maintain Worker's Compensation Insu2nce,as required by Sedion 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: a PolicyNumb rare:2 PLUMBING: � CARRIER�'_�l � MECHANICAL' y _ � POUCYNUMeER � I� D � INSPECTION FEE: n (fHIS SEC110N NEED NOT BE CAMPLETED IFhIE PERMR IS FOR ONE HUNDRFD�OLLARS($100)OR LESS). � ISSUANCE: � I cerGfy ihat in the performance of the wark for which this permR is issued,I shall not employ any person in any manner so as tp � become subject to the Worker's Compensation Laws of Califomia.And agree that if I should become subject to the Worker's SMIP: � Compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. ENERGY P/C: J J DATE: APPLICANT: i ENERGY PERMIT: � sWARNING Failure to sewre Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: �(� I y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the cost of the compensation,. = damages as provided for in section 3706 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: y I hereby affirm under penalty of perjury that there is a Construction Lending Agen�y for the pertormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: s LENDER'SADDRESS: i I certify that I have read this application and state that ihe above information is conect.I agree to comply with all city and TOTAL FEES � z county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: � enter upon t e a6ove-mentioned property for inspection pur ses. J 1.�w� K�h�-� � � ¢ PE��"'' - CA—I�_I lv n � n PAID BY. I VALIDATION: = SIGNATURE OF PERMITTEE DATE RECEIPT#��j l,j g _ � ' WHITE—Department Copy,YELLOW—Finance Copy,PW K—Assessor Copy,GOLDENROD—File Copy,'GREEN—ApplicanYs Copy - � - C6TY C?F i3�AMON� BAR IlVSPECT14tV RECURD . � � . � - � � � • ' �, � . �, � , ��. . ,�� ,� TRACTAND LEDGER SE'TBAGf4r,��"t�TER.�� '� <„ �<,:�;��,x,�` ..�` � �O(3TINGS�FORMS�`�_ .� .,��"��.; �. �°' ..,�� e�•:, `..�� • e s��, SWITCN GEAR �,'�� '� �� ,� , , � - `� COMMERCfAL HOOD SIAB�� . _.�� y- .� � ... UG�PI:UMBING.;, � �. �� , ��'��,�� T-BAR "" ^� �� ,�` :�' '��'�� lEJTERCEPTER UG�ELEGTRlCAL � � _� ��s ,��`�� ,� �� F � ,UFEFt�GFiOUNQ'' .,��t��s.N�;k� .. � .�w. � �� HQT MOPISHOWERPAN SEWER tATERAL _ i SEPTICiCESSPOCIL MAlN WATER LINE HERS REPORT RECEIVEd � SEWER CLEANQUT �DEfVIOL(TIQN ROQF SHEA7NING �ROOF DRABNS FLOOR SHEATHItvG ROUGN CONOUIT : f , � �SHEAR;WALLS�EXTERIQR' a� .�„� .�.�>-, ��'�..��,.,':� . � � PU�?t.�'.JSPA� ��.'; �"^��'�� ' �� m`'��,�� HEAR WAC.t�S�INTERIQR�4�� ROUGN PL€1MBl�IG '�,��,� �� _ �'� .� ' � ��`� �" � r; � �. �� '� '�° �'�*� I FiQUGH ELECTRiGAL�� `�,� � �;�� "" ��;�w�� '` �- FRAM(i�JG/VENTE�((i �� « � � � *� � �� , � � , �� ,� ROUGH�MECHANICAL � �'��a�� `�� ,��y�� ' ��;� �€iOUGM MECNANICAL �� ROUGN ELEGTRIGAL��N{�t)�(,) :',� �.��v '�' ,��,�.��„ ;�GAS 7E5� �,�x��, M;,• � �a��.�R �e�g�� b �� ;R(}UGN�PLU�Bi�fG ��;'w�. ��~`��`� .,� ......��.w,.�:� ...,�.,' , �i?RE,GUNITE�� ` `� '� � �� , w � �� "�`. � ", INSULATION WALL f POOL�PRE(7ECK BONI�ING , f �� ,� � ,� , ��°" � ��:.��. ,� ��. � �. ��.;>�'''��,,�� INSULATION CEILING `F�� p �'' � � ,� DRYWALL �.F.ENCE�I�GATE/�ALARN[��. � '' � � �q �� ; _ _____ ______ ` � �� ,, � . LRTH(PRE) (�F;INAL�POdL, �s.,�a'�. ..�..,� :�� .,��. -,� LATH EXTERIOR �WALLS: � � LATH iNTERiOR (—WALL FOOTING/STEE�. GAS TEST � ( 'WALL S7EEL 1 S�{ )F"°( )LIFT SCRATCH COAT �WALL BOND BEAM ELEC?RIC METER RELEASE �WALL DRAIN(SEAL ---�--__.. — ^uAS METER REIEASE I �WALL FINAL ,,. ,� «�- ��«< �,��.� �^� �� .� �� * ' SPECIAL INSPEC�fION RO��F�AMMS�IGPLANNIt�Gi�ClUAL �...;, �� 1NJ�.BUILDIN£�4 � �� ,�� ROUt�N`FIREAPPRdU 1�� Yf��' � " � � ' �� ,, � , �c�t __ ,� ' �"� �� FINAL MEG�iAIdiCAL � � � � $� .�� y�� :�� FtNAL lF�lRE D�9'ARTNIENT�� ,� �� = w E�� ;�� ,.�r �T� �' ��` ;.�y�"P �,y e?_". FIN�L�EI�Ea",TRi(;AL�� ` ��; '`�✓ ��,� �� FIP9�L PLAN(U(NG�,`. �� ; ,� %,� � e FINAL PLUMBIRI£�� '`x : ��`�,��:� 7 ��,�� ;EfN�L,ENGINEERING/PiN „� `� „µ� a�� ` ��` �'� � �. .:: ��:� �` < �� • ,. ��' �� INAL�C{3MMUNITY SER�ICE5�� ,� � :,,� �.. TC.�a��OCGUPAt�GY ��C�' �"� E� �n � �"� � .��` � �- �El�T �f{D�CJ'�A�dC'��' �t.�. �t'�. .�- .��, ��» �� ' «�.�,.sz: � , €��INAL�tl�,L.TN�DEPT�� ,; �, � � � ` � � �. � s^.� _„ ., e< .� . �" � � a� � � �« �. ' ��.�z� ,FINA,L,iNQUSTRlAL,VVASTE�,: x� ��,�. �; �m�,<.��r CQMMENTS: