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Home My WebLink About15-1400CITY OF DIAMOND BAR W DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS w (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY BUILDING PERMIT APPLICATION JOB SITE ADDRESS 5—k-\ APN LOT TR CT OWNER ADDRESS e7_$'11 yP %A CITY _A�j ZIP TEL 9 11 APPLICANT TEL. CONTRACTOR ' ADDRESS o CITY ZIP TEL. ARCH/ENG/DESIGNER ADDRESS S,eA1M QS'�C rnV CITY ZIP TEL. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) indicated below by the checkmark(s), I have placed next to the applicable item(s) [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair, any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). L) I, as owner of the property, or my employees with wages as their sole compensation, will do () all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not 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 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.). L) I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). U I am exempt from licensure under the Contractor's State License law for the following reason(s): By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 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 the following Web site: http/www.leginfo.ca.gov/Galaw.html. DATE: SIGN: LICENSED CONTRACTOR'S DECLARATION 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 effect. LICENSE CLASS: C_ 1 I b LIC. NO.: 9f I 11L DATE: —�D—� S CONTRACTOR: _ (7 J:n f\ k WORKER'S COMPEN ION DECLARATION I HEREBY AFFIRM UNDER PENALTY 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are: CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the Worker's Compensation Laws of California. And agree that if I should become subject m the Worker's Compensation ,provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DATE: -4 4 %�' APPLICANT: �y� 61- WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal 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 3708 of the labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty 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: LENDER'S ADDRESS: I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. 5 V\ re C PERMITTEE NAME (PRINT) SIGNATURE OF PERMITTEE DATE APPLICATION JD'ATE: P/C# ISSUE DATE: 4 /% D X0f r PERMIT# U- 1100; TYPE CONST. OCC GROUP: ZONING SETBACKS FRONT RW REAR SIDE/SIDE STREET RW SIDE ❑ ❑ ❑ ❑ PROPOSED USE # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport w Patio/Deck LL Pool/Spa ZRe -Roof Commercial 00 Valuation: Adj. Area: QUANTITY DESCRIPTION FEE a re °case �c+r � J w C f co 0 J a a U Q U CONSTRUCTION: PLAN REVIEW: ELECTRIC: AV, 4 , PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: SMTP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: Q(} BSAF: I TOTAL FEES COMMENTS: d RECEIPT# -A—J L PAIDBY:L/�VALIDATION:TQ� WHITE— Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy sa, ;UG: ELECTRICAL UFER.,GfkOND' SEWER LATERAL CITY ORDIAMOND,13AR INSPECTION 'RECORD MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING ;SHtA4'VVACLSi'EXTERIO , R v FRA'M—lNG)VEN(NG"Z, 3llbUG6iMECHAINICA, L -4 MUGH ELECTRICAL= W( C (4)' !ROUGH,iPLUMBlNGl' INSULATION WALL INSULATION CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTERIOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE ol (-AWs��ll GAS METER RELEASE SPECIAL INSPECTION TRACT AND LEDGER SWITCH GEAR COMMERCIAL HOOD T -BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOL/SPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST ,PRE GUNITE POOL PRE DECK BONDING P -TRAP FENCE / GATE/ ALARM FINAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL 1-( ) 2ND( LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL RO. FRAMING PLANNING APPROVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT ,FINAL PLANNING FINAL ENGINEERING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: '7D r City First Electric 8333 E FOOTHILL BLVD SUITE #128 RANCHO CUCAMONGA, CA LIC #: C 10-972398 OFFICE: (909) 999-5331 FAX: (888) 740-8426 EMAIL: WEBSITE: cityfirstelectric.com To whom it may concern: Panel inspection Power was removed from the property after Southern California Edison concluded that the customer was stealing power I have thoroughly inspected the panel and have found no evidence of any type of tampering or theft. Of course would be believed that Edison has removed the evidence of tampering. All circuits and conduits are intact no work is needing to be performed to correct any issues of any kind in my believe to restore power to the home at this time. No visual signs of intercepting the single -line from Edison were found. Wall behind the panel is intact and has not been tampered with nor has the stucco beneath the panel. It would appear as the powers been stolen by jumping from the line side of the meter.to a breaker on the load side which have been removed prior to my inspection. I see no reason why the power should not be restored to the property and no further city inspections would be necessary as no work has been completed just a visual inspection and continuity test.