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Home My WebLink About14-5012 1� �"'��'"`�. �, C1TY OT DIAMOND BAR .� O � I`��''NAL��D I � I 1 I i . i ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES '�,�: ��[„� ��. � 218'10 Copley Dnve,D�amond Bar,CA 91765 pRE�S �� i " �� (909)839-7020 I'ax:(909)861-3ll7 B�ilding Inspection Hotline(909)839-7027 ��'"�° BUILDING PERMIT APPLICATION FIRMLY g l` APPLICATION DATE: P/C# � JOB SITE ADDRESS " � I� �n / �n � ISSUE DATE: �l/f�W I� PERMIT# I y I�J J'1 z APN LOT TRACT • 0 o OWNER C��n rnrc�n �q,�ti ,�j TYPE CONST. OCC GROUP: � ADDRESS �I�U- � C�nL� P�_�p��v��.j ZONING SEfBACKS J CITY Nrn �,a �r ZIP TEL. Q �� b�, FRONT RW ❑ o APPLICANT TEL. REAR ❑ �n � SIDE/SIDE STREET RW ❑ o CONTRACTOR . 'Y �-� SIDE ❑ � ADDRESS �e�.l FSD�e�'�nn2r� ( , � CITY („�,..�o ZIP ��7111 TEL. GIOGI• �t��y� PROPOSED USE EG� Ane� ��• (,(3vy„ 3-„�` o �Q�,,.�- ��,a f�ol..�$ . o ARCH/ENG/DESIGNER � �— o ADDRESS �} #DWEL.UNITS 1 #STORIES_� #BEDROOMS z CITY ZIP TEL. - a OwNFR-BUILOEA OECIAnATION DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � I hereby aKrm under penatty of perjury ihat I am exempt from the Conhactor's SWte License Law for the reason(s) SFR/ADD/REM . p (ndicated below by the checkmark(s),I have placed next to the aDDlicable item(s)[Section 7031.5,Business and GarageJCarport o Protessions Code:Any ciry or county that requires a permit M construct,alter,improve,demolish,or reDair,any z structure,prior to its issuance,also requires ihe applicant for the permit to file a signed sfatemen[that he or she � Patio/Deck 1 a � is licensed pursuaM to the provisions of ihe Contractor's SWte License Law(Chapter9)Commencing with Section w � 7000 of Division 3 of The Business and Prolessions Code]or that he or she is exempt hom licensure and ihe basis tor � Pool/Spa � the aileged exemption.Any violation M Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty C7 � ot not more than five huntlred dollars($500). ZQ Re-Roof o (]I,as owner of the property,or my employees with wages as their sole compensation,wiil do(]all 01 or(_.)portions � Commercial „t ��''� � of tlie work,and the structure is not intended or oftered for sale(Section 7044,Business and Professions Code:TAe m � Contractors'State License Law does not appry fi an owner af property vfio,thmugh employees'or personal eflort,builds � or improves the property,Drmided ihat the imprwements are not intendetl or otteretl for sale.If however,the building or � improvement is sold within one year of completion,the Owner-Builder will have ihe burden oi proving that it was not built p or improved tor the purpase oF sale.). � U 0 (�I,as owner oi the proDertY�arn exclusively conVacting with licensed Contractors to consWct the project(Section Valuation: Ad Area: 7044,Business and Professions Code:The Corrt2ctors'Slate License Law does not appty to an owner of property who 1� z builds or improves thereon,and who contracts tor the prqecls wilh a licensed Contraclor pursuant to the Contractors'State cn QUANTITY DESCRIPTION FEE Y License Law.). o (�1 am exempt from licensure under the ConVactur's State License law lor the following reason(s): � � � LL By my signature below 1 acknowledge that,except for my personal residence in which I must have resided tor at least one � o year prior to completion oi tAe improvemenCs 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 iCs entirety by licensed contractors.I understand mat a copy olthe applipble � law,Sectlon 7044 of the Business and Professions Code is available upon request when this application is submitted or at X the foliowing Web site:httphvww.leginfo.ca.gov/calaw.html. � w Z o �ATE: SIGN: � � LICENSED CONTRACTOB'S DECLAflAT10N � � o. w I hereby affirm untler penalty oT perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) m of Division 3 01 the Business and Professions Code,and my license is in full force and ettect. N �6 C�7 U �j � � LICENSE CLASS: { LIC.NO.: L��i'� z x oz DATE: CONTRACTOR: � � ¢ WORNER'S COMPENSATIDN DECLAHA710N g � I HEREBY AFFIRM UNOER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: oI have and will maintain a Certificate ol Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � Section 3700 0l the Labor Code,for the peAormance ol the work for which this permit is issued. PI.AN REVIEW: 9�J � > I have and will mainfain WorkePs Compensation Insurance,as required by Section 3700 of the Labor Code,for —� Z the peAortnance of the work tor which this Dermit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumberare: ,q ` PLUMBWG: „� CanRIER !_4fileriGuv� s.C�1 MECHANICAL: � POUCY NUMBER (�J Cr��1- �I°I-8(� -�) INSPECTION FEE: � (fHIS SCCTION NEED N0T BE COMPLEfED IFTHE PEAMR IS FOR ONE HUNDRED DOLLARS($100)OR LESS). ISSUANCE: o I certily ihat in me pertormarice M ihe work for which this permit is issued,I sl�all not employ any person in any manner so a5 to ^ o become subject to ihe WakerS Compe�ation Lavrs of Califomia.Md aqree that if I should become subject to the Worker's SMIP: r b J Compensation pmvisions of Section 3700 of the Labor Cale,l shall torthwNi comply wilh those pmvisions. ENERGY P/C: � DA7E: APPUCANT: ENERGY PERMIT: � WARNING:Failure to secure Workers CompensaGon coverage is unlawful,and shall subject an employer M cnminal �bn w Penatties and civil fines uD to one hundred thousand dollars($100,000J,in addiUon to the cost ol the compensation, RETENTION FEE: (� � damages as prmided for in section 3708 of ihe labor code,interest,and attomey's fees. PRE-ALT FEE: a CONSTRUCTION LENDING AGENCY BSAF:_ I�Q�' w I hereDy aKrm under penalry oi perjury that there is a ConsVuction Lending Agenq fir Ihe pedormance of ihe work tor � which this permit is issuetl(Sec.3097,Civ.C.). F LENDERSNAME: � LENDER'S ADDRESS: a I certiTy that 1 have read this application and state that the above informatlon is correct.I agree tn camply wi[h all ciry and TOTAL FEES �+�� !! � county ordinances and sfate laws relating to building construcUon,and hereby authorize representatives of this county to COMMENTS: z p enter upon ihe above-mentioned pmperty for inspection purposes. J T m `V��.. h'�VwN\ d PERMfT�TE PRIN� �} ) N ' l 1 ti ^ F SIGNAT F RMI � DATE RECEIPT# PAID BY: �� VALJDATION: :��,. WHITE—Department Copy,YELLOW—�Finance Copy,PINK—0.ssessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF '4MOND BAR ��„�� INSPEC.TI iV �ECORD • � • � • - • � � • • - SETBACK/LETTER . ,�`': - TRACT AND LEDGER FOOTINGS FORMS -.,, %_ �` . ': SWITCH GEAR SLAB, - COMMERCIAL HOOD UG.PLUMBING - ; ' ; " T-BAR UG:EIECTRICAL•' INTERCEPTER UFER GROUNQ HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIUED SEWER CLEANOUT DEMOLITION ROOF SHFATHING ROOF DRAINS FLOOR SHEATHIN6 ROUGH CONDUIT i SHEAR WALLS fXTERIOR ` ` POOUSPA SHEAR WALLS INTERIOR ROUGH PLUM8ING FRAMWGNF�-.-:..; .- ,� m/: ROUGH ELECTRICAL _ `ROUGH MEGHANICAL"�: :;:; , `:; - •� . ROUGH MECMANICAL ' ROUGH ELECTRICAL W( )CO GAS TEST ROUGH PCUMBING - PRE GUNITE - INSULATION WALL POOL PRE DECK BONDING. ' INSUlATION CEIUNG P-TRAP DRYWALL FENCE(GATE/ALARM . LATH(PRE) , � i/ s r? FINAL POOL - LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GASTEST WALL STEEL 1sr� �2eo� )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER REIEASE WALL FINAL SPECIAL INSPECTION R0;FRAMING PLANNINGAFPROVAL • F{NAL 6UtLDlNG .- .• :, % 'f ; . ROUGH fIRE APPROVAL ` , , - . FINAL'MECHANICAL .-° FINALfIRE DEPARTMENT : '' F{NAI:ELECiRICAL., ..,:., ; , ; , : . . FINAL.PLANNING - ,,. < � FINAL PLUMB{NG . �:' ' ' .FINAL ENGINEERING/PW 7C:�of OCCUPANCY �"� � � � � FINAL COMMUNITY SERUICES � � - � CERT.of OCCUPANCI'.. ': FINAL HEALTH DEPT.':; < ': � ` FINAL INDUSTRIAL WASTE ` ` " ' Y: COMMENTS: