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Home My WebLink About14-3964 ,� CITY OF DIAMOND BAR i I I { ' �� DEPARTMENT OF COMMUNITY&DEVELOPMCNT SERVICES �III��"�`� ` 21810 Copley Drivc,Diamond Bar,CA 91765 � PRESS �,�r � � ' ,,,� (909)839-7020 Cax: (909)861-3117 Building Inspection Hotline(909)839-7027 F�RMLY � ��'�ie"'�. � BUILDING PERMIT APPLICATION � (.�,�,y- �: 1C, /1+� APPLICATION DATE: �� y P�� JOB SITE ADDAESS L�J �V L'�� /� �/ w ISSUEDATE: 7- �- aa�5!PERMIT# �1�.��'7 '/ oAPN `101T TRACT 7ypE CONST. V�'i C�ll N r�C`7 � OCC GROUP: o OWNER �Pj'�EI� �1�.-�� w � ADDRESS ZONING SEfBACKS � CITY ZI TEL. — FRONT RW ❑ a TEL. — REAR � APPLICANT o SIDFJSIDE S7REET RW � a CONTRACTOR � � SIDE � � f�� i c� ADDRESS � . � PROPOSED USE � � C�TY �,�� Z�p L TEL. C/ o `t o ARCH/ENG/DESIGNER o ADDRESS tl DWEL.UNffS #STORIES #BEDROOMS a C�-ry ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDffl DECLAHATION , � SFR/ADD/REM � I hereby a�tirm u�er Oenalry of ve�ury Nat I am exempt hom ihE CalUaCtor's State LicenS¢L2w fOr Ne reaSAnlsj o InOicated below by the checkmarWs),I have D��ne�R to the aDD��Ie item(s)[Secdan 7031.5,Business an0 Gerega/Carpwt w Protessions Code:Any dty or county that requires a permit ta conshuct alter,improve,demolish,a repalr,any z struclure,prior to I[s fssuance,also requlres the applicaM fm lhe permit to flle a signed statement that he or she w Patio/Deck � Is Ikensed Dursuant to ihe provisians of ihe CoMractor's Sfate Llcertse Law(Chapter9)Commencing with Section LL p�VSpa � 7000 of Uivision 3 of the Business and Professions CodeJ or ihat he or she is exempt hom licensure and 1he basis fw N Ne alle9ed ezemDtion.My vidatwn of Sectian 7031.5 by any applicant fa a permfl su��ects ihe apDlicant to a Gvfl penalry Z RaRoof � ot rwt more than frve huntlretl dollars(3500). � o (,I,as awnar of the property,a my employees with wages as Nair sole compensation,will do(,all of or(,porllons � Commercial � 0 of�he work,arM the sWcture is not intendetl or oflered lor sale(SecUon 7044,Busfness and Pmfessbr�Code:The � m � Cantractors'State Licerrse Law dces not appty ro an owner o�property who,through employees'or personal effort,huilds w or improves the property,prmided that ihe Imprwements are no�intended or oftered for sale.tt Irowever,ihe Duiltling a . , � improvement is sold within one year of canD�edon,the Owner-Builder will have the burden ot praWng Uwt it was rrot hultt , Uor Impmved fa the purpose of sale.). � {J i,as owner ot the pmperty.am exdusivery canvacGng wim Iicensed Convacmrs ro conswct the proJect(Section Valuation: � �' Adj.Area: 0 7pqq,Business and Professions Code:The Contractms'State License L.aw daes not appy tn an avmer ot property who Z buildsaimprovesthereon,endwhoconiractstoriheprojeclswiNelicensedCantradorpursuanttotheContractors'State QUANTITY DESCRlPTION FEE I cn Y License Law.). � o (�1 am e�cempt hom Iicensure under Ibe ConlractoPs Slate Llcense law�or Ne tollowfng reason(s): � 3 � `� By my sfgnature below I acNnowledge tliat,except for my personal residence in whic�I must have reslded fa at least one � Z year prlor to comple8m oi lhe Improvemenfs covered by this pemiit,l pnnot legalty sell a strucWre that I have bulft as an �,,� 0 F ovmer-builder If it has not been consfructetl In its entirery by licensed contractws.I understarW that a copy of Ma appOnble � law,Sectian 7044 of ihe Business:md Rofessions Code Is availa6le upon reques[when thh appliption is submitled or at � X ihe Ioliovnng Web site:�ttplwww.leginfo.ca.gov/calaw.html. m `�'� OATE: SIGN: � � LICENSED CONTRACTOR'S DECIARATION � � � � 1 hereby aflirm under penalty ot per�ury that I am 6censed under provision5 oi Chapter 9�commencing wilh Secliai 7000) w � of Olvlsion 3 of ihe Business and Professions Code,and my license is in full force antl eftecl. � � N /i 12, c� y t10ENSE CLASS: UC.NO.: C/ z O D oz DATE: � CONTMCTDR:�n�,.,l�Y � ¢ WORKEFI'SCOMPEN TIONOECLARAt10N g � I NFfiEBY IVFRRM UN�ER PENALN OF PERJURY ONE OF THE FOLLOWING�ECLARATIONS: w ¢ I have and will mainhain a CertAlpte ol Consent to Self-Insure lor Worker's Compensa�ion,as provided 1ry CONSTRUCTION: � Sectlon 3700 of the La�or Code,for Ihe pertormance of the wak far whiCh tha permit is issuetl. � PLAN REVIEN/: j �' I have and wi�maiMain Worker's Compensation Insurance,as requlretl by Section 3700 0l the Labor Code,tw o the pertarmance of tha work far which thfs pertnit[s issued.My wakePs Compensatton Insurance Carrier and ELECTRIC: ¢ PdieJNumberare: �� 1 PLUMBING: � CARRIER J MECHANICAL� 7 ' Z POLICY NUMBER Ck LJ.i I I� �I - INSPECTION FEE: � (T}AS SECTION NffD NOT BE fAMR_EfED IFTFIE PEAMIIT lS FOR ONE Id1NDRED DOLLNi51S100J�R LESSI. ISSUANCE: � �� of ceAify ihal in the pertormance of the wwk ta vrhich lhis pem�it is issued.I sloll cat emPbY�Y Person in am/marmer so as to SM IP: o Uecane subjecl lo Ihe Worker's Compensation laws o1 ' ia.Md agree that if I Should Decar�e subject in the Worker's � Compe�atlm ns at Section 3700 ot the e.l sh ith complY vrith ttrose waYr�.�ia�s. ENERGY P/C: J pq7E: .�'�I_��qPPUCI�M: ENERGY PERMIT: � � �L,, �� WARNIPJG: alNre to secure Worker's CompensaGo rage is unlawlul,and shall suoject an emproyer to criminal RETENTION FEE: �'�i � penattles and cNil tines uD ro one hundre0 Nousa tlollars($I00,000�,in addition to the cost of ihe campensation, w PRE-ALT FEE: n- damages as provided for in section 3708 of the labor code,interest,and attomey's lees. � CONSTRUCTlON LENDING AGEtJCY BSAF: w I hereby aKrm under penalty of perlury that ihere is a ConsVuctan Lending Agency Iw the pedormance of the work for � whicb Ihts permA is Issued(Sec.3097,Civ.C.). � LEN�ER'S NAME I}I'J' � LENDER'SADDRE55: a I certify ihat I have read this appllcation and state that the above Intormation is correcl I aqree N compry witli all ciry and TOTAL FEES � county ordinances and state laws relatlng ro builoing conswction,and hereby authorixe reD�ntatives of this county to COMM ENTS: z o enler upon ihe�bove-menlioned pmperty for inspeclion purposes. J � m a PERMfTTEE N4ME(PRINT) N � RECEIPT q PAID BY:�_VAU�ATION: = SIGNATURE OF PFRMITTEE DA� � WHfTE—DepaAment Copy,YELLOW—Fnance Copy,PINK—Assessa CopY.GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD . � � , o . . s � . • • - SETBACKI LETPER� � ` TRACT AND LEDGER FOOTINGS.FORMS `:t.� :.; �� '.� =� _ '� i,= ��= SWffCH GEAR ' SLAB 3 . ' � ° , " COMMERCIAL HOOD `UG:P,LUMBING�- _ � '�'' ' ,� - T-BAR .� ,UG.ELECTRICAL -- - �-'' = INTERCEPTER 'UFEEi 6R0UND�� ": �.� ` �'' ":�' f � �a` �.�.�` �� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEII/ED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUfT "SHFARyWALLS'EXTERIOR:. � � r � r �_ {`; �POOUSPA j �` � ( S - � � a� SHEAR�WALLS INTERIOR �� ' r; � - ROUGH PLUMBING �- � ' ��_ -� `� �- � �; {�. , � a,.,` ' `� �; - i ROUGH ELECTRICAL� ' �V �s � f � � �' �,' FRAMING/UENTING F r - ' r " ROUGH MECHANICAL� >�� ;�.. . ., ", F. r::` , ,�,�Y ,__ ,' �.r ROUGH MECHANICAL. - , r- , ^��' '�a _ s ROU6H ELEC7RICAL W(4)C'(• ) �3 ' * ' '� `GAS TEST ;� : ^ ,��t'; ` *�' � �� ROUGH PLUMBING " � - PRE GUNITE' " i4 � `-�`. , —, � . _ ; _ � .., :- INSULATION WALL POOL.PRE DECK BONDING = # � "? �; �a ' � . INSULATION CEIUNG P*T�P `� `� DRYWALL FENCE/GATE/ALARM . ` � `' � - - 6i:' � LATH(PR� �FINAL POOL - �' ��`_ E ��- ��`^��r F - 111TH EXTERIOR WQLLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2N0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GA5 METER RELEASE WALL FINAL RO'FRAMING PLANt�pNGAPPROUFtL , - "�k 1`' -� ' ` SPECIAL INSPECTION _ `,` � �� ' ,._ _. _ 'FINAC BUILDING �` `' ._ ;.'a.._ :; , ROUGH FIREARPROVAL �' - '`�., � ' �� _ : � , � FINAC MECi1ANICAi. � ` �'' . z�,:`'� ;=. � : FINAL FIRE'DEPARTMENT ',�- , � '�" . �' ` ` FINAGELEGTRICAL ,. '�_, ' i I r ,�, FINAL PLAMNING,� _ � +{ `� `�. r,.: :�+ �FINAL'PLUMBING. . . ' ' ' '� {k v ' ' FINACENGINEERiNG/PW � � 'r'�.�`� � �a;' ' �a F` - ` � � � FINALCOMMUNIFY�SERVICES `r � T.C:of OCCUPANCY - � - , .� '' F ' ", FINAL HEPiLTH DEPT r. - _ , ' ' � r � ,,; ; s , �. �r �, CERT:of OCCUPANCX�€ �� FINAC;INDUSTRIAL;WAS?E,�� _ �. , ,�.>. ;� ,.= �� :�� ` ��, COMMENTS: