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Home My WebLink About15-2409i p r3��s� •-- - - � CITY OF DIAMOND BAR I u/ � � I i ' I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �i 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS � (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 F�RMLY � '�'� BUILDING PERMIT APPLiCAT10N www.cityofdiamondbar.com bailding@diamondbarca.gov �°C,, � h.n APPLICATION DATE: � U/�.3/�PlC# I�� C7 Oq a JOB SITE ADDRESS Z ISSUE DATE: PERMIT#: � APN LOT TRACT 0 � OWNER�� t �2�'\ 'n TYPE CONST. OCC GROUP: � ADDRE S �- t3� i'� 'i P• < CITY � �n ZIP� L. ' I L�st \ ♦ � � Scope of Work { /� r J o APPLICANT T/E�L. _j�`'J {��7 G � o CONTRACTOR CNr�2�' �i �y p� � ADDRESS #DWEL.UNITS k STORIES #BEDROOMS o CITY ZIP TEL. o ARCH/ENG/ z DESIGNER DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION o ADDRESS SFR/ADD/REM z m CITY ZIP TEL. Garage/Carport ¢ Patio/Deck ¢ OWNEH-BUILDER DECIAHATION w � I hereby affirm untler penatty of perjury that I am exempt from the Coniractor's State License Law for the reason(s) LL PooVSpa w indicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and � z Professions Cade:My city ar county that requires a permit ta construct,alter,improve,demolish,or repair,any ? Re-Roof Nstructure,prior to ils issuance,also requires the applicant for the permit tn file a signed statemeM that he or she � Commercial � is licensed pursuarrt to the provisions of the Contractor's Sfate License Law(Chapter 9)Commencing with Section 7 � 7000 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis tor 00 � the alleged ezemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry 0 of not more than tive hundred dollars($500�. e (,I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or U portions Z of the work,and the shucture is not intended or offered for sale(Section 7044,Business and Professions Code:The Valuation: Adj.Area: � Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builtls or improves the proDerty,provided that the improvements are not intended or offered for sale.If however,the building or QUANTIIY DESCRIPTION FEE pimprovement is sold within one year oi completion,the Owner-Builder will have the burden of proving ihat it was not built � or improved for the purpose of sale.). a (` — �(� Z (�I,as owner of the property,am ezclusively comracting with licensed Coirtractors to conshuct the project(Section Q (J•� ••9 3 � 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 conUacts for the projects with a licensed ConVactor pursuant to Ne Contrac[ors'State � ' �` o License Law.�. "-' '1•f9 � o/(J i � (1 I am ecempt from licensure under the Contractor's State License law for the following reasan(s): � z z m 0 � By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � Q year prior to completion of the improvements covered by this permit,l cannot legally sell a shucture that I have 6uilt as an a , X owner-builtler if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the w applicable law,Section 7044 of the Business and Professions Code is available upon request when this application is � o submitted or at the tollowing Web site:ht�/www.leginfo.ca.gov/calaw.html. � �j LICENSED CONTflACTOH'S DECLARATION � mI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � - � N of Division 3 of the Business and Professions Cotle,and my license is in full force antl effect � � N LICENSE CLASS: UC.NO.: � CONSTRUCTION: Z DATE: � CONTRACTOR: a PLAN REVIEW: �p . C'o p WOHI(Efl'S COMPENSAiION OECLARATION . ¢ I HEflEBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE fOLLOWING DECLARATIONS: ELECTRIC: �O •S�3 ' I o I have and will mainTain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by PLUMBING: � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. MECHANICAL: p I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,(or Q the performance of the work for which this permit is issued.My Worker's Compensatlon Insurance Cartier and INSPECTION FEE: Policy Number are: � CARRIER ISSUANCE: 3r. N z � POLICY NUMBER SMIP: � � (IHIS SECTION NEED NOT BE COMPLETED IF iHE PFAMfT IS FOR ONE HUNDRFD DOLIJ+}iS($100)OR LESS�. EN ERGY P/C: o I certify that in the performance of the work for which this permi[is issued,I shall not employ any person in any manner so�to EN ERGY P ERMIT: o become subject to the Worker's Compensation Laws of Califomia.Md agree that if I should become suhject to the Worker's J Compensalion provisions ot Secbon 3700 ot the Labor Code,I shall foMwith comply with those provisions. REfENTION FEE: �Q. Q� LL DATE: APPLICANT: PRE-ALT FEE: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal gqSF: � penalties and civil fines uD to one hundred thousand dollars($100,000),in atldition to the cost of the compensation, p� tlamages as provided for in section 3708 of the labor code,interest,and attorney's fees. PLOT PLAN: a CONSTRUCTION LENUING AGENCY ZONING CLEARANCE: w I hereby affirm untler penalty of perjury that there is a Construction Lending Agency for the performance of the work for = which Nis permit is issued(Sec.3097,Civ.C.). � � LENDER'S NAME: � LENDER'S ADDRESS: TOTAL FEES w a I certify that I have read this application an�state that the above information is correc[.I agree to comply with all city and Z counry ordinances and siate laws relating to building construction,and hereby authorize representatives of this counly to COMMENTS: 90�.\� o ente e ove-mentioned prop forinspectio purposes. m r ti a PER NAM RINn P/C: PAID BY: �/ VALIDATION: N RECEIPT n �,�� PqID BY: V�O�� VALIDATION: b .� lURE OF PERMfTTEE DATE WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy CITY OF DIAMOND BAR . . � INSPECTION RECORD • � � • - • � � • - SETBACK/LETTER TRACT AND LEDGER FOOTIN6S FORMS SWITCH GEAR S�qg COMMERCIAL HOOD UG.PLUMBING T-BAR UG.ELECTRICAL 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 CONDUIT SHEAR WALLS EXTERIOR POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL '' ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( )C( ) GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P-T�P DRYWALL FENCE/GATE/ALARM LATH(PRE) FINAL POOL LATH EXTERIOR WA��S� LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1ST� �ZND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FiiAMING PLANNING APPROVAL FINAL BUILDING � >�� (S �"i- ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL ( ' � � � FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/PW T.C.of OCCUPANCY FINAL COMMUNI7Y SERVICES CERT,of OCCUPAHCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: