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Home My WebLink About15-1806 _._.._._.�'��__... ...., CITY OF DIAMOND BAR . ; : ' , �`' /Y/��=�� I I i i; DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES `� ,_,_ — 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 i JOB SITE ADDRESSX �O�1�(/ F I l/Jf �e OY rj1IGIN� �� APPLICATION DATE: ,�o�`b��S P/C# � �s' �F��IoI i ISSUE DATE: ��/j� PERMIT# �J '��O = APN LOT TtRACT ��f L OWNERX R�/aN ^��[kBl,j' �ZK,/��(y�t� TYPECONST. iC� OCCGROUP: � ADDRESS � CITY ZIP TEL. ZONING F ONTCKS RW ❑ ¢ APPLICANT TEL. REAR ❑ s � 1� SIDE/SIDE STREEf RW ❑ � CONTRACTOR kN✓IE�?�l( �ut� �,�YtLL�/OY1 SIDE ❑ � ADDRESS ' `,�^ PROPOSED USE TO Q r/✓ C � al I77 = ciTv G ziP 0 D TEL. �fo2 tz8 - � � ✓ n/ r d o,✓ - �A P��'c/ 1 ARCH/ENG DESI¢GNER X ?a /�If �/� C�.j,t, t �� "e ra.�p � = ADDRESS �O �` �� p /`u� #DWEL.UNITS #STORIES #BEDROOMS aCITY C�'� � r ZIP /�7�9 TEL. v .� U� � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OWNEN-BUILDEH DECLAIIATION � I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFFVADD/ E g ��, ,� I � indicated below by the checkmark(s�,I have placed ne#to the applicable item(s)[Section 7031.5,Business and Garage/Carport I �-' Professlons Code:Any city or counry that requires a permit to construc[,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires the applicant Tor the pertnit W file a signed statement that he or she � Patio/Deck . I i is licensed pursuant ta the provisians ot the Contractor's State License Law(Chapter 9)Commencing witli Section w � 7000 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I � the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalry Z Re-Roof = of not more than five hundred dollars($500). � I � �]I,as owner of the property,or my employees with wages as their sole compensation,will do(J all of or(,portions � Commercial I y of the work,and the stmdure is not intended or oftered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'Sta�License Law does not apply to an owner of property who,through employees'or personal ettort,builds � or improves the pmperty,provided that the improvements are not intended or otfered 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 � (J I,as owner of the property,am ezclusively contracting with licensed Contrac6ors to construct the project(Section Z 7044,Business and Professions Code:The Contractors'Sta�License Law does not apply to an owner of property who Valu8ti0n: (l�'0 Adj.Ared: I � buildsorimprovesthereon,andwhocontractsforlheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). , � � ()I am exempt from licensure under the Contractor's State License law/or the following reason(s): a ��L 6 I � � O � % O I � Z By my signature below I acknowledge that,ezcept for my personal residence in which I must have resided for at least one w 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 I owner-builder if it has not been constructed in its entirety by licensed contradors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I � the following Web site:http/www.leginfo.ca.gov/calaw.html. � z = DATE: SIGN: � /i'E I — LICENSED CONTFIACTOfl'S DECLAHATION � I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Sec[ion 7000) � ' � — I � of Division 3 of the Business and Professions Code,and my license is in full force and effect. J I Q ¢ � LICENSE LASS: LIC.NO.: � ( Z , a I � DATE: �r�j f I5 CONTRACTOR:� ` �i1lL !?Yf = I c� a WOHKEH'S COMPENSATION DECLAMTION � y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: t � � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided 6y CONSTRUCTION: �� J� � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVIEW: � . 'g'� > I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for Z the performance ot the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: �.S� ¢ PolicyNumberare: PLUMBING: Z CARRIER MECHANICAL: , ;� POLICYNUMBER WSPECTION FEE: n (THIS SECTION NEED NOT BE CAMPLEfED IF THE PFAMfT IS FOR ONE HUNDRFD DOLLARS($100)OR LESS�. I = I cediry ihat in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to �SSUANCE: y I � become subject to the Worker's Compensation Laws of Califomia.Md agree that if I should become subject to the Worker's SMI P: ��,�Q , L Compensation provisions of Section 3700 af the Labor Code,I shall forthwith comply with those provisions. EN ERGY P/C: J i DA1E: APPLICAN7: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal ,� ipenalties and civil fines up to one hundred thousand dollars($100,000�,in addition m the cost of The compensation, RETENTION FEE: = damages as pmvided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTNUCTION LENDING AGENCY BSAF:_ � •U y I hereby affirm under penalty of perjury that there is a Construdion Lending Agency for the pertormance of the work for � which this permit is issued(Sec.3097,Civ.C.�. IENDER'S NAME: � s LENDER'SADDRESS: TOTAL FEES ��3� i I certify that I have read this application and state that the above informatlon is correct.I agree to comply wiTh all city and S� • \ � county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMM ENTS: z � enter upon the above-menUoned property for inspedion purposes. J ` � b ¢ PERMI EEN P 'PIG as��a3 \1 G� � �y� :n ' " ��f'7�g G/�Sid d = SIGNATU ERMITTEE DATE RECEIPT# PAID BY: VALIDATION:�/!L__ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY �F L'�IA"�� RAR INSPECTION RECORD e � , , � . . � � , . � . SETBACKi LETTER ;-� � __,� �� _,,, �, , , �� TRACTAND LEDGER ! _FOOT(NGS�I�9�, _ $' /� %� . , SWITCH GEAR � <��_ " m � � SLAB e W' � ` m COMMERCIAL HOOD UG:'I�LUMBING �' �, � �"a" ,�, � .':� �r� : °'"` T-BAR UG,ELECT8IGAL ,� »� � � � �, � �° � ' INTERCEPTER �1FER�GROUND� � �; � � .�: � , ,_, �, , ,, HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPQRT RECEIVED SEWER CLEANQUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ��;:�� ° •� �,� ,, � , � �. �_ � _ �. , �_ � �SIIEAR WAL�.S EXTERIOR *' � ` `�' �� rv' POOU$PA , _ � s 9 _ � �� ; __ — -- �, S�IF:�IR WALL�INTERIOR � �� , ; ;� � =�°�, ' � � `� � ROUGH PLUf�BING �� '�� ` FRAMIN6NENT(NG _ �� .� �_� �_� � � � .�; �� ROUGH ELECTRICAL , �� e � ,� :- >�, _ . �- r ROUGH MECHANICAL_ ._�_ _ ,� � � ROUGH MECHANICAL � �ROUG ELEG7RICAL N( �t C(�7� ;�r.,,� �, r. .� �-_ _� �rAS TE57 - � — - � � • F�OfiGH`PL�U�I�BING ,�,� �� .�, � ...,.,� V �,,. ��s � �� PREGUNITE � INSULATION WALL � POOL RRE�ECK BONDING a INSULATION CEILING P-TRAP DRYWALL �' FENCE I GATE/ALARM LATH(PREI FINAL POOL" � LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2r+e� )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL ORAIN/SEAL GAS ME i ER RELEASE WALL FINAL SPECIAL IiVSPECTION R0.FRAMING PLANNINGAPPROVAL ,n ��«��, � . _ q� �_ _ FIN�BlliLDiNG �� ,� " �� " �� - �ROUGH FIRE APPROVAL �_ ,� ��AL�M@CNAI�#CAL ='°� � � �� ° � ff � FINAL FIRE DEPARTMENT� � �° FINAL.ELE�T,RIGAL�r;,,,�. . � �� .N � FINAL PLANNING � � � „ . ,�. ��IN�iL PLUh�BING �� _� �� w� �� FINAL ENGINEERINGI PW �, � .�< .._ _, � ;, n � _.. � z- �TC:��of�OCCUPANCY�"`"� "'�� FINAL COINMUNITY SERVICES CERT`of'UGCUPAFICY'�' eg, �"Y`� �� ° � FINAL HEALTH DEPt ; � FINA6 INDUSl'RIAL WASTE� � � s. ��F � �� _ COM ENTS: --9 ��