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Home My WebLink About14-5154 W.r,.,,e�'��rr"',��,,,.,,, CITY OF DIAMOND BAR � �� ` DEPARTMENT OF COMMUNITY&D OPMENT SERVICES - G 21810 Copley Drive,Diamond Bar,CA 91765 ESS ,F„q�,y� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 ''a""� BUILDINGPERMITAPPLICATION � FIRMLY � = JOB SITE ADDRESS D � APPLICATION DATE: P/C# ISSUE DATE: �I J��y PERMIT# �—(��y z APN LOT TRACT �� OWNER TYPE CONST. OCC GROUP: y � ADDRESS J CITY ZIP TEL. ZONING SEfBACKS � FRONT RW ❑ = APPLICANT TEL. REAR ❑ n SIDE/SIDE STREEf RW ❑ � CONTR,4CTOR S! ,��p��,�rj��p� SIDE ❑ � ADDRESS PROPOSED USE � CITY IP�I.�J„ J� � � � ARC /ENG/DESIGNE « ,��''� 1 �— y = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. I '� owNFA-sunoEn oEcwiATloH DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � I hereby afflrm under penalty ot per�ury that I am exempt from the Contractor's State Llcense Law for the reason(s) SFR/ADD/REM L indicated below by the checkmark(s),I have placed neM to the applicable item(s)[Sectlon 7031.5,Business and Garage/Carport � Profess�orm Code:nny cny a coumy that requlres a permR to construct,aner,improve,demoush,or repatr,arry z struclure,prior to its issuance,also requlres the appllca�rt for tice pertnit to file a slgned sfateme�rt that he a she N Patlo/Deck I i Is Ilcensetl pursua�rt to the provislarce of the Cairtractor's State License Law(Chapter 9)Cammencing wfth Secllon W � 7000 0}OlWslon 3 of the Business and Proteselons Code]or that he or she Is exempt from Ilcensure and the basis for � PooVSpa I � ihe alleged exemptlon.My violatlon of Sectlon 7031.5 by any applipnt for a permtt subjecfs the appllprrt to a civil penatty C7 I n of not more than five hundred dollars($500). Z Re-Roof I � (�I,as owner of the property,a my employees wtth wages as their sole compensatlon,will tlo(,all of or(,portions � Commercial y oi the work,and the structure Is not Intended or offered for sale(Section 7044,Business and Professions Code:The � I � � Contractors'State Llcense Law dces not appty to an owner of property who,through employees'or personal effort,builds m � y or imprwes the pmperty,provlded that the improvemerds are not iritended or offered for sale.If however,Me building or I � Improvement is sold wlthln one year of completlon,the Owner-Builder will have the burden oi proving that it was not buitt � or improved for the purpose of sale.�. I ' U I,as owner of Uie property,am exclusively contractlng with licensed Contractors to construct the pro�ect(Section � 7044,Business and Professions Code:The Contractors'State License Law does not appry to an owner of property who ValUBtiOn: �. � Adj.Area: I z buildsorlmprovesthereon,andwhocontractsfortheproJeciswimallcensedContractorpursuardtotheCorrtractors'State QUANTIIY DESCRIPTION n r Llcense Law.). FEE � U I am exempt from licensure under the Conhactor's State Llcense law for the following reason(s�: � I � 1 By my signature below I acknowledge that,ezcept for my personal residence in which I must have resided for at least one � , I � year pnor to completion of the Improvements covered by this permlt,l cannot legally sell a structure that I have bultt as an w I owner-bullder If It has not been constructed in Its entlrety by licensed contractors.I understand that a copy of the applipble � law,Section 7044 of the Business and Professlons Code Is availa6le upon reques[when this application Is submitted or at I i the following Web site:http/www.legir�o.ca.gov/calaw.hhnl. � � DATE: SIGN: � I — LICENSED CONTHACTOH'S DECLAHATION � I a I ' I hereby affirm under penatty of perjury that I am licensed under prmisions of Chapter 9(commencing with Section 7000) � of Division 3 of the Business and Professions Code,and my license Is in tul�rce and�. � , � � I n LICENSE C S: L1C.NO.: � � DATE: CONTRACTOR: I WOHI�H'S COM EHSAT OEC TION g I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE F9LLOWING DECLARATIONS: y ? I have and will maintaln a Certificate of ConseM fi SeR-Insure for Worker's Compensation,as provided by CONSTRUCTION: = Section 3700 of ihe Lahor Code,tor ihe pertormance of the work for which this permlt Is issued. p�qN REVIEW: j � ' I have and will mainhain Worker's Compensatlon Insurance,as required by Section 3700 of ihe Labor Code,for �'/ _^ Z the performance of the work for whlch this permR Is issued.My Worker's Compensation Insu2nce Carrier and ELECTRIC: �` ¢ Poli�yNumberare: ��p� /,,� PLUMBING: y CARRIER Oj'1 � �'K��V• MECHANICAL: � POLICY NUM R INSPECTION FEE: n (THIS SECTION I�D NOT �COMPLEfEO E P IS FOR 0 E HUNDRED DOIlARS($10�OR LESS). �� 1� ISSUANCE: � I certity that in the pertortnance of the walc for which this permR's Issued,I shall not employ any person in any manner so as Oo �� become subject lo the Workers Compensation Lavrs of Califomia.Md agree tliat If I should become subject to the Waker's SMIP: � � Canpensa� I Section 3700 of ine r Code,I shall iprthwith cg.rpfpry�n'th,those,provisions. ENERGY P/C: 1 DAlE1�C��APPLIG+NL�� Y�� ENERGY PERMIT: � WARNI G Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer ro cnminal I n�y � penaltles and clWl flnes up to one hundrad thousand dollars($700,000�,In addition to the cost of the compensatlon, RETENTION FEE: P� = damages as pmvided fa In section 3708 ot the labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTAUCTION LENDING AGENCY BSAF: � ry = I hereby amrm under penalty of perjury that there is a Constructlon Lending Agency for the performance of the vrork for � which this permit is issued(Sec.3097,Gv.C.�. LENDER'S NAME: = LENDER'SADDRESS: � i I certify that I have read this applicatlon and state that the above Information Is correct.I agree to comply wRh all clty and TOTAL FEES � county adlnances and state laws relatlng to building consWctlon,and hereby authorize representatives Mthis county ro COMMENTS: �D ! Z enter upon the abme-mentioned property for Inspection purposes. � /�j� h/lK%�� .�/ i_ ¢ PERMITTEE NAME(PRINn / n n = SIGNATURE OF PER DA7E RECEIPT q� pAID BY: � VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—AppllcanYs Copy � CITY G� ND BAR INSPEG � . � RECORD � � . • � - • r � . � . iSETBACK/I�ETTER„ � �• ,a� �.. v ,n�•�:�._ .a:� � TRACTANDLEDGER �FOOTINGS FORIVfS� �� "��.. �� "�� -ry� } ,''� �� '"'� SWITCH GEAR �a� 4.� ;SLAg `��' :�� "� ��,�,.��.�r;�� COMMERCIAL HOOD ,. � � .>� ��> ,UG"PLUP/IBING � �� "� g��: �� .y w ��u �`; T-BAR ;UG�ELECTft1CAL , ��' : %•, ,� � �*„�� - � F 'g INTERCEPTER jUFER;GROt�t�b � � � '�- � �"�� ""� � �� HOT MOPISHOWERPAN .� � �; �. SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DR,41NS FLOQR SHEATHING ROUGH CONDUIT ; � � '� � � �� "� POOUSPA� �� ,SHEAR WALL,S,,EXTERIOR, ��.� �. .: �a � �� _ .�� - �� ..... � � ��. �T ' �� 3:, ROUGH PLUMBING�N, �,`.�� `" �,��. �� ;SHEAfIWALLS�fNTEFtIOR.� ;� .� �� " � � � � � � �. Q, �FPAMING/�tENTIt�l� - � '�T: ��°^�`�, �. ,�� `�� '�� ROUGH ELECTRICAt � �� A.� �� ,,.,., ,a��„,,;.: , ..�� ,�': ��..y,.:�-' r,, � ;� �� 'ROUGH MEGHANICAL' � ��.�. � �� ,ROUGH MEGHANICAL � _ � _ � �� '� ROUGH ELECTRICAL=,,W(�)�C( „} � `�`� �� '` �.� � � :� GAS�TEST „" � _� �F �� `� '� �, �� ;�'°, `� "" `�`��>��„r��s� �'�'� PRE CtUNET,E � �� "� ��' � � � �°.,.�� ,ha�= �,>.�:�� ROt1GH FLUMBING �_ . .� ° �� ` INSULATION WALL P,Ot?L PRE'EjECK�BONDING�-�� -, � �� "�� '"� � �� . �� INSULATION CEILING P=�`� �: � � � �� ' � `` � �� 6@NCE l GATEI AL�FtR� � � ',�"'� ,� „��- � � DRYWALL ' fttl �':' ' ��`:� � � � .. � � „ � � _ . , _ �.. LATH(PRE) fINAL POOL,�,"��`��---��`�� ":e ,t�� «� e�e� LATH EXTERIOR �A��: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1St( )2Ne( )LIFT SCRATCH COAT WALL BOND BE4M ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL 5 SPEGIAL INSPECTION RO�FRAMI�G'��NINGAPPROUI�L�'��`""� � "m'� ` �"� , `.� �� , �� T. �� `�` � ' '�" �� '� 'ROUGH FIRE APPROUAL.� � .�� g�� ,F)t�kAL BUtLD(NG �� :o!.. �;�, / _. � _ ,� � � - �, . �� sa �. re� �° --� E ; � :� a�� , �� FINAL MECHANlCAL �.: s _ ��°� �� : �„,� � F!N{1L FIRE DEPARTMENT ° _ � �� "�,�`" � s FIh�AI.ECECt'RlCAL°- - _ ' �= - �� FIId�AL PLANNING��" '�� > �� `�". �FINAL PLUMBING � � �' � � ��°`.� � �Ft �� FINAL ENGINEERING/PW' �' �x� � � `� =�,x •"� � � �y.a.. �r� ; , , ,,�, � - .y+� � _ � - �R�-4�1`�'� .; �T C:of OCCUPIINCY �� .�� ;: �.r ' �� .� �� K �M �� FiNAL COMMUNITY=SEAVICES � � ��"°.. � �� .�� - • e.., ',GERT.Of.00CUPAtdCY,�r " �,� a � • � �� ° � .�sa-° � FINAL HEALTH DEPT`'�- � �� `�'' �- �' • �; _ �a, '� ,:� � � _. � . � _ � ,� o�,; ,. � � a 4� ' �;� „ :' R' "" �,� '.. a »�a.� ��Na�.ir�aa�sT��a��rAs�,,��. . ., ��6 ,� , ,�.. .,�,r� o.��. COMMENTS: