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Home My WebLink About15-0453 ,-- '�_'''�`'�.a..T_:_ C1TY OF DIAMOND BAR .� •� ��`�D • ( I I i ' : DEPARTMENT OF COMMUNITY&DEVELOPM�NT SERVICES � �III�� 21810 Copley Drive,Diamond Bar,CA 91765 pRE�� r . � ' I „� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �'ya'� BUILDING PERMiT APPLICATION II � �� APPLICATION DATE: P/C# i ¢ JOB SITE ADDRESS�-3� I S I-/ f- a ISSUE DATE: �/d'J! .2DII� PERMIT# �V 'P4.1'� I z APN LOT TRACT 0 o OWNER Q. TYPE CONST. OCC GROUP: � ADDRESS S O . J CIlY��Al710T1� �LZIP�(� E .qOA'3q�D-�1Z�I ZONING F ONTCKS RW ❑ oAPPLICANT �Q'+' I'�'i TEL��S-'3�F5' � �8 7 REp,R p cn SIDE/SIDE STREET RW ❑ I Q CONTRACTOR'�"O'��A 1D�� I (A�P 1� � �'P��,C SIDE ❑ � ADDRESS ZR�i^I7_ C�1'Ics-r-�l(a-�-i on �(�(� pROPOSED USE � cirv U�, Ip r�['.I�C�. ZIP�(3 SS TEL.$S,S'_ 4.S-9�7 o .0 nm� �n C C��2n o ARCH/ENG/DESIGNER I w o ADDRESS I �i DWEL.UNITS q STORIES� #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OWNER-BUILDER DECLAFlATION °C I hereby affirm under penatty oi perjury that I am exempt hom the Contractor's State License Law Mr the reason(s) SFF2/ADD/REM 0 p indicated Gelow by the checkmark�s�,1 have placed ne�R to lhe aDPlicable item(s)[Section 7031.5,Business and Garage/Carport o Professions Code:Any city ar caunty that requires a permit to construct,alter,improve,demolish,or repair,any w structure,prior to ils issuance,also requires lhe applicaM for the pertnit lo file a signed statement ihat he or she � Patio/Deck N is licensed pursuant to Ihe provisions af ihe Contraclor's State License Law(Chaphr 9)Commencing with Section w � 7000 of Division 3 of ihe Business anA Prolessions Code]or that he or she is exempt from licensure and the basis tor � Pool/Spa � � the alleged exemption.Any violation of Secdon 7031.5 by any apD��cant for a permit subjects the applicant to a crvil Denalty � '� N of not more than five hundred dollars($500). Z Re-Roof '�, � O o (�I,as owner of the property,or my employees wi[h wages as their sole compensation,witl do(�all of or(�portions —� Commercial , � ot the work,and the struclure is not intended or oftered for sale(Section 7044,Business and Prolessions Cade:The m '�� Contractors'State License Law dces not apply fi an owner oi property vfio,through employees'or personal ettnrt,builds � or improves the property,provided that the improvemenfs are not irrtended or ottered for sale.if�owever,the building or � improvement is sold within one year oi comple5on,ihe Owner-Builder will have me 6urden of proving t�at it was not built , p or improved for the purpose ol sale.). . � (�I,as owner of ihe property,am exclusively conVacting with licensed ConVactors to construct the project(Section � 0 7044,Business and Protessions Code:The Contracrors'Slate License Law does not appry to an owner ol property who Valuation: Adj.Area: I Z builds or improves thereon,and who conhacts tor the D�ojects with a licensed Contracror pursuant to the Contractors'Stale �n OUANTITY DESCRIPTION FEE Y License Law.). o (�I am exempt from licensure under the ConVactor's State License law for ihe foltowing reason(s): � � ¢ LL By my signaNre below I acknovlledge that,except Por my personal residence in which 1 must have resided for at least one w � o year prior to complelion of the improvements covered by this permit,l cannot legally sell a sVucWre that I have built as an w Q owner-builder if it has not been wnsWcted in its eMirety by licensed contractors.I understand ihat acopy of the applipble � law,Section 7044 of ihe Business and Professions Code is available upon request when this appliration is submitted or at e 35�� X tAe following Web site:http/www.leginfo.ca.gov/calaw.hhnl. �^ w Z o DATE: SIGN: � � LICENSED CONTAACTOfl'S DECLAHATION � n. w i hereby aftirm untler penalry of perjury that I am licensed untler provisions of Chapter 9(commencing with Section 7000) m ot Division 3 ot ihe Business and Protessions Code,and my license is in full tarce and ettect. J � Q y LICEtJSE CL.ASS: LIC.NO.: � z . r• _ oZ OATE: Z 2 CONTRACfOR: . � I � ¢ WOflNER'S COMPENSATION DE¢LA il i � � I HEREBY AFFIRM UNDER PEM1IALTY OF PERJURY ONE OF THE fOLLOWING DECLARAiIONS: // 0 I have and will maintain a Cert�pte of Consent to Selt-Insure for Worker's Conlpe tion,as provided by CONSTRUCTION: � �Section 370D oi the Labor Code,for Ihe pertormance of ihe work for which this p is issued. p�,qN REVIEW: > I have and wiil maintain Worker's Compensation Insurance,as repuiretl by Section 3700 0l the labor Code,for Z the peAormance oT the work for which this Deimit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: a Po�icyNumberare: PLUMBING: �,�� CARRIER MECHANICAL: w � PouCY NUMBER n C{�i G'"'� 2 z I INSPECTION FEE: � (THIS SECf10N NEED NOT BE COMPLETED IFhiE PERMR lS FOR ONE HUNDRED DOLLARS�5700)OR LESS). �� ISSUANCE: o I certify that in the pertortnance M the work lor which ihis pertnit is issued,I shail nol employ any person in any manner so as to o become subject to the Waker's Compensation Lavrs of falttomie.Mc�'agree that if I shoultl 6ecome subject to me Worker's SM I P: � Compen tion provisions of Sec7ion 3700 of the labor Cade,I sh�l lor6iwrthao ipl visions. ENERGY P/C: LL oah:2 2 arPucarrr: ��a � ;` ENERGY PERMIT: � wARNIN :Faiiure to secure Workers Campensation covera�e is�Unlawful,and all Dj ct an employer to criminal RETENTION FEE: ,� /%/Y w penatties and civil fines up to one hundred thousand dollars($100,000),in addition t cost of the compensation, �is-�y— � damages as provided ta in section 3708 ot the labor code,interest,and attomey's te . PRE-ALT FEE: 0 d CONSTRUCTION LENDING AGENCY BSAF: w I hereby affirm under penalry M perjury ihat ihere is a Constmction Lending Agency 1or ihe pedormance o1 the work for = which ihis permit is issued(Sec.3097,Civ.C.). � � LENDER'S NAME � LENDER'SADORESS: a I certify that I have read this aDPlication and state Nat the above information is cortect.I agree tn compry with a!I city and TOTAL FEES � counry ordinances and state laws relating ro 6uilding construcGon,and hereby authorize representatives oi this county to COMMENTS: penter upon fhe abave-mentioned pmDerty for inspeciion purposes. J K _ � m a PERMfTTEE NAME(PRINTj..� : � -,.,, �'• 2 2 �- � � SI6NATURE OF PERMITfEE DATE RECEIPT H��,__ pq�D BY:,�7 y�7 VALIDATION: l WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOIDENROD—File Copy,GREEN—ApplicanYs Copy ��'�'��'� �INSPECTDION RECO DR • � � � • - � • � � • - SETBACK/LETTER ' TRACT AND LEDGER FOOTINGS FD,RMS - SWITCH GEAR `SLAB � COMMERCIAL HOOD UG;PLUMBING r T-BAR UG.ELEGTRICAL INTERCEPTER UFER GROUND - HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONOUIT ,: . SHEAR WACLS EXTERIOR_ POOUSPA SHEARWALLS INTERIOR. �; �. - ; ROUGH PLUMBING " , _ _ FRAMINGNENTING „�' ' � .':' ' ROUGH ELECTRICAL '' ,:°- _ ROUGH MECHANICAL `: , .,� -:' � :: ", :. ROUGH MECHANICAL � � > , , . . : , ,,. ROUGH ELECTRICAL W(� j C�( ) � , GAS TEST ` ,.- . ROUGH PCUMBING ' - ; . - PRE GUNITE � INSULATION WALL POOL PRE DECK BONDIN6 ; _ WSULATION CEILING P-T�P - DRYWALL FENCE/GATFJ ALARM ' " LATH(PRE) FINAL POOL � LATH EXTERIOR WALLS: Ll1TH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2N0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO:FRAMING PLANNINGAPPROVAL , ;: ,. FINAL BUILDING .'` , � '. �-' . ROU6H FIRE APPROVAL , FINAL MECHANICAL . � :' '. ; FINAL FIRE DEPARTMENT ;'' , . •- , > FINAL ELECTRICAL ;: ' '. FINAL PLANNING . _. .. : ; - FINAL PLUMBING ' `�Q'.i' FINAL ENGINEERING/PW LCr of OCCUPANCY < . ` FINAL COMMUNITY SERVIGES '`` `° CERT.of OCCUPANCY - FINAL HEALTH DEPT. _ . .. FiNAL INDUSTRIAG WASTE .� � COMMENTS: