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Home My WebLink About14-4637 �,�e�°'n"� „_i CITY OF DIAMOND BAR ( f , DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES t� , SG ' � 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �;,µ u�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ''�"� BUILDING PERMIT APPLICATION APPLICATION DAT(�E: �/�f7/71f I�", P/C# i JOB SITE ADDRESS r r� 7�l G�JV�Y PERMIT# /y— � �7 .i.r ISSUE DATE: i � APN LOT TRACT � OWNER � C I TYPE CONST. OCC GROUP: � ADDRESS �Ln� b il:�.C/V .Sb�f br �'� ZONING SETBACKS � CITY� T� ZIP �[ 7 .S�TEL. FFiONT RW � APPLICANT I� L EL. .� �� REAR � � n SIDE/SIDE STREEf RW � Q CONTRACTOR 17�'M�C I"1` LY d� �E i'�i tA e SIDE � � ADDRESS �1 �q.I~ D I.1�'�� PROPOSED USE � s CITY �:�v/1G► �hri�ZIP 4/�,Gzl TEL.��. 6N�1 �y'��' � ARCH/ENG/DESIGNER = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION I � OWNER-BUROER OECLAHATION I 'r I hereby a�lrm under penalty ot perJury that I am exempt from the Contrador's State License Law for the reason(s) SFR/ADD/REM � tn0icated 6elow by the checkmark(s),I have piaced next to ihe appllcable item(s)[Sectlon 7031.5,Buslness and � � Garage/Carport � Profassla�s Cade:MY clty w county ttiat reqWres a permit to construct,alter,Improve,Uemollsh,or repalr,any z strucWre,prlor to Its issuance,also requlres the applica+rt tor the permlt to tife a slgned ststament that he or she � Patio/Deck i Is Ilcensed pursuaM to the provlslons of the Contractar's Sfate Llcense Law(Chapter 9)Cammencing wHh Sectlon w I n 7000 of Dlvlsfon 3 of the Business and Protesslare Coda]or that he or she Is exempt hom Ilcensure and the basis tor ti P�USpa � � n the allegod exemption:My violation of Section 7031.5 by any applicarrt for a permit subJecb the applicartt to a clvll penalty Z Re-Roof � n of not more than fwe huntlrea doNars($500). s � I � ()I,as owner of the property,or my employees with wages es their sole compensatlon,will do(_.)all ot or U P�o�g J Commercial � of the work,and the structure Is not Intended or oBered for sale(Suc6on 7044,Business and Pmfesslons Code:The � I m '-L� Contractors'State License Law d0es not apply to an owner of pmperty who,thmugh empbyees'or personal effort,builds y or Impmves the proparty,provided that ihe improvements are not Intended or oftered for sale.M however,the building or � Improvement is sold withln one year of compleUon,the Owner-Builder wlll have the hurden of proving that it was nOt buitt � or improved for the purpose of sale.). "� (,I,as owner ol the propertµam exclusively cantracUng with licensed Contracmrs to construct the project(Section I Z7644,Business and Professions Code:T1ie Contracrors'State License Law does not apply to an owner of property who Valuation: Adj.Area: n builds ar imprmas thereon,and who contracts tar the praec�with a Ilcensed Contractor pursuant to the Contractors'State QUANTITY DESCRIPTION FEE � Y ucense Law.). , _ (,I am exampt trom licensure under the Contractar's Stata License law Mr the tallowing reasan(s): � � I � By my signature below I acknowledge that,ezcept fa my personal residence in which I must have resided fir at least one � I Z year prior to completion of the improvements wvered by this permtt,l cannot legalty sell a structure that I have buitt as an �,�, I � ovmer-bullder if it has not been consWcted to Its entirety by licensed conhact�rs.I undersiand that a coDY of Ne applicable � law,Section 70M14 of the Business and Professions Code is available upon repuest when this application is submttted or at � the fo0ovnng Web slie:http7www.leginfo.ca.govtcalaw.html. z , I DATE: SIGN: m r � � — UCENSED CONTNACTON'S DECIAHATIOH � t. I � I here6y atfirm under penatty ot perjury that I arn licensed untler provlslons of Chapter 9(commencing wfth Section 7�00� y � of Division 3 ot the Business anA Professlons Code,and my license is in tull force and effect. � � � p c' cai �j LJCENSE CLASS: LIC.NO.:�L.�,��7A � � DATE: � CANTRACfOR:�Jy►�� ♦ L(fj�I w I zd WONI�A'S COMPENS/UION DECLARATION � � i � I HEREBY AFFIRM UNDER PENALN OF PERJURY ONE OF 1HE FOLLOWING DECLAR4T10NS: � �--y�. �B ¢ I have and will maintain a Certificate oi Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � Section 3700 of the Labor Code,for the pertormance ot the work for which this permd is issued. PLAN REVIEW: > _�I have and wlll maintaln Waker's Compensation Insurance,as requlred by Sectlon 3700 of the Labor Code,for ELECTRIC: � Me pertormance of ihe work for which this permtt is issued.My Worker's Compensation Insurance Cartier and . a PdlcyNumberar PLUMBING: � CARRIER �' MECHANICAL: � POLICYNUMBER_� � INSPECTION FEE: n (TFiIS SECiION NEEO NOT BE COMR.EiED IF1HE PBiMR IS FOR ONE HUNDRFD DOLLARS($10�OR LESS). ISSUANCE: � � I certity that In the performance of the work for which thls permit is Issued,I shall rrotemploy any person in any rtranner so as to � become subject to the Nbrkers Canpensa»on taws of Califomla.Antl agree ihat if I should�ecome subject to Ne Worker's SMIP: � Compensatio1� I�provisbns of Sectlon 3700 of the or Code.I shall forthwith compty with mose Pra'Islons. ENERGY P/C: /�f l.( i DATE: i�[2tt��_ J � ENERGY PERMIT: /; � WARNMG:FaiWr�to secure Worker's Gompensati�coverage Is uniawtui,and shall subject an emp�oyer to cdminal RETENTION FEE: �•�/� y penatties and civil Flnes up to one hundred thousand dollars(5100,000),in additlon to the cost of the compensatlon, 1 damages as provided for in section 3700 of the labor code,interest,and attorney's fees. PfiE-ALT FEE: � z CONSTRUCTION LENDING AGENCY BSAF: i = I hereby afflrm under penalty of perjury that ihere Is a Consh'uction Lending Agen�y for the performance of the work for y � which this permlt Is issued(Sec.3097,Civ.G�. LENDER'S NAME s LENDER'SADDRESS: �i I certity that I have read thls appllcatlon and state that the above InPormation Is cortect.l agree to comply wlth all clty and TOTAL FEES � courrty ordinances and state laws relating to building consUuctlon,and hereby authunze representatives of this county to COMMENTS: z � aMer upon ttie above-mentioned D�operty for inspectton purposes. � �__��r�+N��/fJ ¢ PERMI. F�IAME(P�Nn � J� / � � �/� L~� � / �T�— RECEIPT# '�"� Pao er. �9yr VAUDATION: � n � � = SI6NATU FPE EE �� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—FIIe Copy,GREEN—P.pplicant's Copy CITY OF DI/�MON.D BAR INSPECTION RECQRQ e � , • � • � , . e � . � �- _ � �"' � � ��. �� '`� �` ,� ��`,: TRACTAND LEDGER SE7BACiV LETTER� .,��, °E � � , �� FO�OTINGSFORMS��w�°;.�� .�'� .. � � ' SWITCHGEAR � �.�_ . . „ _ �� r. ,- � , .._ ;SLAB , ��t`�� ,• ��A-, -� "�_�.��.�� ,�`�.� COMMERCIAL HOOD ,UG.PCUMBING . .�a f� - . n�� _�� T-BAR ;UG�ELECTFilCAL��a,w � � ;�..��' ;��b�` INTERCEPTER U�ER,.GROUND�� w ' � ��«� ,�� HOT MOP/SHOWERPAN H.K'+ SEWER LATERAL SEPTIC/CE55POOL MAIN WATER LINE HERS REPQRT RECEIVEQ SEWER CLEANOUT DEMOUTION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT � ��- �.�'� �x �� k �� P{I�USPA: :--.�� ,�,b,�. �� . �, , ,� SHE'ARWALLS�EXTERIOR�� : * -� ` � �� "�� a:�� iNTERi�R�� '� d. � � , � �� R{IUGH�PLUM6lNG �� a� �, ' ��".�.. �� SHFA,R WALLS� ��.,�� !� � � � ,�� y,� 5'� �. ��'�� '��iOUGH ELECTRICA��'�� .�'� � �,� g°�er�,t� �, � :� �� FRAMING/VENTIN�� '. �� x ` . :� �� .. 'ROUGH MECHANICAL�'.�� ,��"° � a �, �ROUGFI ANICAL�-��': *°�� `��"� �� e� � .� w _ , _.. _ : �, � e �'� ,�� , �- MECH � � .. � 'ROUGH ELECT�ICA��W(�)C.{ ) ��',��- ;��"�" . �,F = S�TEST„ �� .��_� � ��,�• �� . y .�.�' PREGUNITE ��, �� ,.:� � �ROU�H PLUMBING.��: ., ,� � ,�� _� � _.. �,� � ,n INSULATION WALL �R,pQL�PREmDECK BONDIPIG „� � � �"�� , �� _ �� INSUlATION CEILING `P�j�� =T� t '��` �� ''� �'�� P': DRYWALL ?FENCE I G,47�(AtARM� ��'��a �°�^a�� u�, A ��`��;:,: �'�� LATH(PRE) iFINAL�P00L,�.�`� . ` .�"-�'- �°�r�.:.., ,��_� w !,��. .�..�..a LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sT( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN(SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION .� � ;RO�FRAMBVG PtANNINGAPPRt)V,4L '�`;� � �� d��_ � �� FINAL BUILDI�NG�� m � �.x � _� �� ° �iOUGH FIRE APPROVAL�� yPINAL MECHANIC;AL�� „� . �� ;� �"�� '� �� FtNAI FIRE DEPAtRTMENT�=� Mi'�� ' � � �� . � �^. � �� .��W ; � 3�� , �� .a q�° '� ��INAL ELECTRICAC`�.�;`�,� ��'��.� ;�, �,�� . .FINAL�PIJANNING�� , � ��, � ��.'�. �FINAL PLUMBING �� 5�;�;�`�' ��'��"�s.�� :� � � ` � °FINAL,ENGINEERI�IGI PW �'� � , � �'�� ' �� '�` �. '� y�'"�' �� z`�-.:'' �� ;FI1dAL CO�MNiUtdITY SERVICES� �`��,�« ° ,^� "„��,� .:.��. �°� x��``� �T.�,of OCCUPANCY��:. � � ° �,�� , � � - , � '�'' � ��.=� �'� �CER'i.of OCCUPANCY°^��. '�� .� bFiNAt HEALTH�DEPT � _ �� ,,�� 9 : �� .. ,�e..., . � � �,.. � -� �FtNAL INDUSTRIAL�WASTE:� ° � „ ;��`,��,� � .��'� . , ° COMMENTS: