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Home My WebLink About14-5058 ..,,.,,.�='�*;: _....�.,,,,, CITY OF DIAMOND BAR ��ci�`{3� ' r `.� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �; ' 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS � „ w� (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 FIRMLY �'�""� BUILDING PERMIT APPLICATION � ./�� n� /^ APPLICATION DATE: ��/�'�� '1'D� � P/C# I-7—d r/�� x JOB SITE ADDRESS �� ✓"� : 1 �l l i ^ ISSUE DATE:_ �e�.��l��ERMIT# r�� z APN � 3 �GaO�LOT�a3 TRACT - - � � OWNER ►.�.. .(' TYPE CONST. OCC GROUP: i _ n ADDRESS 1`�I �' SC� � Citi / � CITY ZIP TEL. ZONING F ONTCKS RW ❑ ¢ APPLICANT � TEL. -7 — REAR ❑ � n � ¢ CONTRACTOR _I 1�1 / �IZ.OGELIi SIDE/SIDESTREEf RW ❑ � SIDE ❑ � ADDRESS ��+''�� I��tZ��TLI/ S%. PROPOSED USE � �l EJ �. �1 f� = CITY �A-I�A A�A ZIP I� TEL. � I�') -� 1�I��Z� � � � ARCH/ENG/DESIGNER �-�� `o.� � ADDRESS � � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. Q OwNEB-BUILDFA DECtANATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION i = I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFFUADD/REM I � indicated below b the checkmarks I have laced next to the a licahle items Section 7031.5,Business and I y y (�� P pP (�� Garage/Carport Professions Code:Any city or counry that requires a permit to construct,alter,improve,demolish,or repalr,any z structure,prior to Its Issuance,also requires the applicant for 1he permit to file a signed statement that he ar she � Patio/Deck I i is licensed pursuant to the provisions of the Contractor's State License Law(Chapter 9)Commencing with Sectlon W � 7000 af Division 3 of the Business and Professions Code]or that he or she is ezempt from licensure and the basis for � Pool/Spa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecis the applicant to a civil penalty C7 � Z Re-Roof = of not more than five hundred dollars($500�. o � (,I,as owner of the property,or my employees with wages as their sole compensation,will do�1 all of or(]portions � Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The � z Contractors'State License Law does not apply to an owner of property who,through employees'or personal ettort,builds m � i � or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-Builder will have the 6urden of proving that it was not built � or improved for the purpose of sale.). � I :� (,I,as owner of the property,am exclusively contrac[ing with licensed Contracturs to construct the project(Section Valuation: Ad Area: Z 7044,Business and Professions Code:The ContracMrs'State License Law does not apply to an owner of property who 1• I n buildsorimprovesthereon,andwhocontractsfortheprojecl5withalicensedContradorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I Y License Law.). i � U I am exempt from licensure under the Cont2ctor's State License law for the following reason(s): � I 1 � I Z By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � I = year prior tu completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable I � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I X the following Web site:httphwiw.leginfo.ca.gov/calaw.html. � I z = DATE: SIGN: � — LICENSED CONTlIACTOfl'S DECLARATION � I d � 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. J I a n LJCENSE CLASS: LIC.NO.:� I� I� z I � DATE: 2-�5� � CONTRACTOR� �J.LJCC 1.L � I Q w ` WOfl1�H'S COMPENSATION DECLANATION � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: y � _�I have and will maintain a Certifirate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: A � � �•� � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�,o,N REVIEW: �M d. ,�/, > _�I have and will mainhin Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for I � the performance of the work Por which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: z ¢ PoIi�yNumberare: PLUMBING: ,�, CARRIER �YPI�IESS (/YS� Go�7�}FN� MECHANICAL: � POLICY NUMBER r '�'�2 O D(��'I�'7 O -��f INSPECTION FEE: n (T}iIS SECfION NEED NOT BE CAMPLEfED IFTHE PFAMfT IS FOR ONE HUNDRFD DOLLARS(5700)OR LESS). ISSUANCE: �J"i r 7 j I certify that in the pertormance oime work for which this permit is issued,I shall not employ any person in any manner so as to �J-J I become subject to me Worker's Compensation Lavrs of California.And agree that if I should become su6ject to the Worker's SM IP: � � � � Compensation provisions of Sedion 37 0 of ihe Lab d�all forthwith comply vAth those provisions. ENERGY P/C: J i DATE:2 -S-I S APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal 1 1 /�n., y penalties and civil fines up to one hundred thousand dollars($100,000),in addition tn the cost of the compensation, RETENTION FEE: dV VIY 1 damages as pmvided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTION LENDING AGENCY BSAF: ,�1 p = I hereby affirm under penalty of perjury that there is a Construction Lending Agen�y for the performance of the work fur P��t�1�iGn InC��Q ^ �•O � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: s LENDER'SADDRESS: i I certily that I have read this application and state that me above information is correct.I agree to comply with all city and TOTAL FEES /�D�r' � �� Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this counly to COMMENT � enter upon the above-mentioned properry for inspedion purposes. � a��D l v�a� �- g � �y� ¢ PER EENA NT) �� ^� `��,�� a� = SIGNATURE OF PERM EE DAlE _ S ` RECEIPT#�� k PAID BY:i/ ��.l'7 VALIDATION: �� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy ' CITY OF DIAMOND BAR INSPECTION RECORD . � � , . � . . � � , . � . I �SETBACK!LETTER . TRACTANO LEDGER � FOQTINGS FORMS .:�.° ; SWITCH GEAR SLAB � � � �'`�� COMMERCIALHOOD ' ��,R� -. - _ , __ _�.�� UG.'�IUMBINf� � T-BAR 1JG�.�LEC7RICAL � �� INTERCEPTER .�. — � �z,;;�, -� _ IJF�R GROUND �'` � HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIUED I SEWER CLEANOUT DEMOLITION ROQF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ,�„ , _ e; SHEAR WAE�S EXTERfOR � POOUSPA ��'� �SH�A€tWALLS INTERfOR �� , � "� _ ROUGH PLUMBING � �� _ "FRAMING/VENTING ROUGH ELECTRICAL � ROUGH MECHANICAL ROUGH MECHANICAL �, ROUGH ELECTRICAL W( }C( 1 GAS TEST RQUGH PLUMBING PRE GUNITE INSULATION WALL POdI PRE DECK BONDING INSULATION CEILING P-T�P DRYWALL FENCE/GATE/ALARM LP,TH(PRE) __ FINAL POOL IATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2Ne� )LIFT SCRATCH COAT � WALL BOND BEAM ELECTRIC METER RELEASE WAIL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAI INSPECTION R0.FRAMING PLANNIN6APPROVAL .��. _ ,Fit��BUILDING � � � " � � �r'� ROUGH FIRE APPROVAL FINAL MECHANtGAL �� FINAL FIRE DEPARTMEN7 .:-,o - ,F,(NAC EL�CTRICAL � �`�� _ FINAL PLANNING �FINAL PLUMBING FINAL ENGINEERINGI PW LG'°"ofiOCCUPANCY � FINAL COMMUNITY SERYICES - ._� � ,GERT.of OCCUPANCY ��°�`� � FINAL HEALTH D£PT. FINAL INDUSTRIAL WASTE COMMENTS: