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Home My WebLink About14-5209 =�' �e,,.. CITY OF DIAMOND BAR I �/J`'b1�7 _ �., � �I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � - `� 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ..\R•,M1�}y� (909)839-7020 Fas:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ��'� BUILDING PERMIT APPLICATION � 7j 7�Z� GO LO EPI �P�A/'6 S �rL� APPLICATION DATE: ` " �_P/C# � '� �- s JOB SITE ADDRESS_ p� 1 ISSUE DATE: ��/I f�� pERMIT# � "J �' z APN I.OT TRACT --r— � y OWNER TYPE CONST. OCC GROUP: � CN �� Z Z�p� �NES � �� ZONING SEfBACKS FRONT RW a = APPLICANT � TEL. � REAR ❑ � L n V v�P�I6O SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRE S � ' S S AV� x CITY ZI OL 3�Q—p O3—�Q�3 PROPOSED USE �F �D l.f}'1'L _ � TEL. lJ �S = ARCH/ENG/DESIGNER E L � L P ? ADDRESS �?'�� S� � � � 0 #DWEL.UNITS �1 STORIES #BEDRpOMS zQ CITY ZIP O TEL. � � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDEN DECLARATION . = I hereby afflrm under penalTy of per�ury that I am exempt fmm the Contractor's State License Law Por the reason(s) SFR/ADD/REM � indicated helow hy the checkmark(s�,I have placed neM to the applicable Item(s)[Sectlon 7037.5,Buslrress a� Garege/Carport � Professians Code:My cfty or couMy that requlres a pemdt b cw�struct,alter,Improve,demolish,a repalr,any �_z struchire,prla to its Issuance,also requUes the applipnt Mr fhe permH M flle a signed sfatert�ent that he w she � Patlo/Deck � is Iicensed pursuard to the provisla�s of tlie Contractor's State License Law(Chapter 9)Commenci�with Sectlon w � 7(J00 of Dlvlsion 3 ot the Busfrtess and Pmfesslons Cade]or thai he or she Is ezempt hom licensure and Me basis for � PooVSpa � � the alleged exemption.My violation of SecUo�7031.5 by any appllcant for a permit sub�ects the applicant to a civil penalty C7 I ot nat more than frve hundred dollars($5Q0). Z Re-Roof I � (,I,as owner oi the property,or my employees wtth wages as thpir sole compensation,will do(J all of or(_J poNons � Commercial y of the work,and the shucture is not intended or offered fw sa�e(Section 7044,8usiness and Professfons Cade:The � � Contractors'State License law does not apply to an owner of 00 I property who,through employees'or personal eHat,builds � or Improves the property,prmlded that the improvemerds are not Intended or oHered tor sale.tt however,the buiiding or I � improvement Is sold within one year of completlon,the Owner-Builder will have the burden of proving that it was not buitt j or improved for the purpose of sale.). I _ (J I,as owner of the property,am exclusively contracting wlth Ilcensetl Contractors to construct the pro�ect(Sactlon � 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of praperty who ValUatiOn: Adj.A�ea: nbuilds or imprwes thereon,antl who contracts fa the proJecis with a Ilcensed Comractor pursuarrt to the Contractors'State I Y ucense Law.�. !� QUANTIIY DESCRIPTION FEE � (�I am exempt from Iicensure under the ConhactoPs State Ucense law Por the following reasun(s): � v � � � � � ¢ 1' By my signature below I acknowledge that,ezcept for my personal residence in wbtch I must have resided for at least one v I � year prior to completion of the improvements covered by this permft,l cannot legally sell a structure that I have built as an w I owner-builder if it has not been constructed In Its ontirery by licensed contractors.I understantl thata copy of the appllcable qy law,Section 7044 of the Business and Professlons Code is available upon request when this application is submitted or at I i ihe fdlowing Weh site:httphm�w.leginfo.cagov/calaw.htrnl. c� � I ,= DATE: SIGN: � — UCENSEO COHTRACTOH'S DECLAIIATION � I y I hereby affirm untler penalty of pe�jury that I arn Iicensed un0er provisions of Chapter 9(cnmmencing with SecUon 7000) � � I � of Divislon 3 of the Business and Professlons Cotle,ana my license is In lull force and eftect. I � LICENSE LAS�C_� IJC.NO.: ��S (/1f�3 � �,Z DATE: CAMAAC70R: � I ¢ WOIII�H'S COMPENSAT N DECLAAATION g I ,� I HEREBY AFFIRM UNDER PENALIY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ) , I = I have and will malntairt a Certlficate of Consartt to SeK-Insure tor Workor's Compensation,as provided by CONSTRUC710N: � t7yl��_ = Section 3700 of the Labor Code,for the pertormance of the work for whlch mis permtt Is Issued. p�qN REVI EW: 7� �� > I have and wlll maintaln Worker's Compensatlon Insurance,as required by Section 3700 of the Labor Code,for �� the perfonnance ot the work for which this ermit is issued.M WorkeYs ELECTRIC: P y Cort@ensatlon Insurance Carrier and Zd PdlcyNumherare: PLUMBING: � S I�Ot�1.l�/ MECHANIGAL: y CARRIER � POLICY NUMBER � D INSPECTION FEE: n (fHIS SECTION NEED NOT BE COMpLETEp IF THE PH1MR tS FIXt pt�HUNDRED�OLLPRS($10�OR LESS�. ISSUANCE: '�/.� � I certlfy thffi in the peAortnance of the wak for which lhis pertnit is isssued,I shall not employ any person in any manner so as to � becane subject ro the Worker's Compensatbn Laws of Calilamla And agree mat if I should becane sub�ect to me Workers SMIP: �L Compensation provlsions of Sectlon 3700 of Ne Labor Code,I shall forlhwith compty with Uwse provlsbns. ENERGY P/C: DA7E: APPUCANi: ENERGY PERMIT: � WARNtNG:f�allure to sewre Worker's Compensatlon cmerage is anlawful,and shall subject an employer to cnminal M y penalties and civil fnes up ro ane hundred Nousand dollars($10o,0D0�,In additan m me cost of the compensanon, RETENTION FEE: �� = damages as provided for in sectlon 3�oe or the labor code,interest,and attomey's tees. PRE-ALT FEE: i CONSTflUCTION LENDING AGENCY ggqF; � b� y I hereby afflrm under penalty of perjury that there is a Construction Lending Agency for the peRormance ot the work Por = which this permit is issuad(Sec.3097,Civ.CJ� � LENDER'S NAME: = LENOER'SADDRESS: i I certlfy that I have read this appllcation antl state that the above informatlon is correct.I agree to comply with atl cIty and TOTAL FEES q�-� ? county ordinances and state laws relating to bulltling construction,and hereby aulhorize 2presentatives of ihis counTy to COMMENTS: � ��/ � enter� the above-menUoned property for inspectlon purposes. � �d�l�Z�4�1 A Z n a PFAMITfEE NAME(PRI � n ((^�—� 1..��.rq � �ct�.F' n = SIGNAIURE OF PERMI DATE RECEIPT# PAID BY:�VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAM4ND BAR INSPECTION RECORQ • • � � � - • � � . . � . SET�AGtCsl��TT�fi E�� ::�.'��- ��" °�� TRACTAND LEDGER F04TINGS�O,RMS�� _��'� .�'�ry ,��.,,v�„�� ' � "��-,,�� SWITCH GEAR p ��.,,. ��,.� _ � .7��'R^a��y � .�`a:p �,�._' ��.��1��"r ', � ,y. ,' n� ��_ ="'k,� .�� F��,�....� ,_ _ ,��._,_��, u'�; COMMERCIAL HOOD U6:PLUMBFNG ��`� ��,:� ��, � sr �� ._ ��"`� �`,� , T-BAR UG�ELECTRkGAL��_ � �� `��,�� 'F d�. � �<� INTERCEPTER _,__.- .. ,. _ UFER��F40UND:�� ... .. .� ��,��,��„`:� , p � ,�„ �� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPdRT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONOUIT � ,., r� °� SHEARaWALCS�EXTERIOR-� -.��E��_�. ��,��,�»� �:�`�� ROOUSPA":��:�_, �.r�.�� r � ��. �„ ,�__. � ., � _ , „s: , SHEAFt1NA�S'IP�TERIORE� �„��,�` ��"� � ��' "�� z,..��,, , ` R(�ll�H.,P,_CUMBING�� "�`�` � � �� _ � �, . � ��. �. . - n,�eq�.� � �. F[Vt��NC7 � �.�. Erar � �byk� �" �� °� `R r � � 'a�s� � ` >,�.-� ` ._ , ._ .� ��a . � •�,'��. ...��.,� � ��a �a� - �� ,.. ��;.o� . ��,�<. . _ �� :R�UGH�ELEGTRICAL'.' _ � � ,� ` _ _ � �r .s �� . � � ..�- � ROl7GH'MECHANIGAL ; .��;'�,:� �'w��` �:��<,��.:F . ��:�� ,�� ;�� } ROUGH MECHANICAL � ,� � ROIJGH�ELECTRiGAL�W(�)�C{�}�s;�;��.,..�>� ,��,�„' .��.�� . GASTEST ��*��'�5�� , "" s,P r;e ' �.��, _�m x �' � . -- ., � , � � �� 1 !#OIIGH�PttJMBWG � ,.�d,:;.. .,.� ��. �,��<< .. , �� .,�.�� s��._' PRE GUNITE�� '�� .��; �� x.��' ' h ,.,a -�, �. � . INSULATION WALL ;POOL PRE°DECK BONDING < � � °� '��° ��,,'�, ��"` � _ �� '�w� � ��r � �- E,, m = � . _ .. . �s ,� �� ,� �� -�� ,-«m-Qa -- - � 9c,. INSUl.ATION CEILING P=T 4P � ,�� «� � � � �.�� `,�� , . '� � d�-.ff� � � ..a_� DRYWALL �FENCEI"GATFJALARM�' � � �� ` IATH(PRE) aFINALP00t-�.,�.��,�,«. � .��,�,� ��,4 .� ,��4.� ��.:; :��..�� LATH EXTERIOR WALLS: LATN INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2N°( )LIFT SCRATCN CQAT WALL BOND BEAM ELECTRIC MEfER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL _., SPECIAL INSPECTION RD.fRAMIN�,PIA(dNING�APPROVAL , � . � , ��, -�� :. �_ , 3��> >:.�. . FINAt',BUILDIN�� ,� ��a� -� ,�:. , � . a �� ... -_ - - _ �.,�..-.. , ROU6H FIRE APPROVl1L� .t� � , � � �� :: e�, � ;� � FINAL�MECHAN(GAL .�`��. ��.��;. � � �� - � �� "�" ` ..,.� „��.��,_:: �.;,'-_ ��.>"� FINdE FIRE�DEPARTMENT �. �.ra��.`` °� �-�� -��.� �. . : �,�a_ . : : FINAL ELECTRlGAL _�a:�',"_��/g q�p'�=I ��.. � �`` "� �" ' FINAL PLANNiNG� , �� ' �:e� ��-� -��6 � � . , > �- ��„�A -- , . FINAL.PLUMBING ,"�� 4 . ��=�;�« �� ' ", �'�� - _. „� — � _ ��.. _ � � ��.,„w=��„�.. FINAt ENGINEERIPIG/PW�' j� � >..,. �"�� _�� e _ pT C,of OCGUPANCY�a- �� r ' ' �A: ��'� � "�;� :=��.�� FINAL�COM�UNITY SERVIGES� �,, ` � _ , ,� � ,_ _ � � CERT af OCCUFANGY��.� :��. ��t�� W , < '��`,$ .FINAL HEALTH DEPT. "," �§ e,�� .. , - �� ,,� flNAL.INDt1STR1Al�1NASTE �.'� � �� , ��=s.:� � � � COMMENTS: