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Home My WebLink About14-5212 =�'�..,,...�.., CITY OF DIAMOND BAR S I ZP�� ' ' � �' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES Q�`� sc 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �,,�e�,� (909)839-7020 Faac:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION � j� APPLICATION DATE: � P/C# �e/-1'd-l�_ s JOB SITE ADDRESS , ✓ EaS /� /� = APN �OT�s----TRACT ISSUE DATE: �� PERMIT# I LI�J � �0' � OWNER JU TYPE CONST. OCC GROUP: � ADDRESS O s �� - J CITY ZIP � '�TEL. Z�NING SETBACKS FRONT RW ❑ � APPLICANT TEL. ��S —O�� REAR ❑ � r i �,1 S�DE/SIDE STREET RW ❑ � � CONTRACTOR C� ' SEIV � SIDE . ❑ � ADDRESS � G t— d PROPOSEDUSE `J�G lti.Y1 s CITY M�` � ZIP � TEL.=Ld�� > c�'�'� I o O � � ARCH/ENG/DESIGNER�, �a\m-� S �} IY.I C I ,� � � = ADDRESS n � W� C/ �Y� �Y i'S �s��l,�� l ' #DWEL.UNITS #STORIES #BEDROOMS I , � CITY� t��S ZIP TEL. 1 OWNEH-BUq.DEH DECWHATION DESCRIPTION SQ.FT'. FACTOR PSF ADJ.AREANALUATION = I hereby afflrm under penalty of per�ury that I am exempt hnm the Contractor's State License Law for the reason(s) SFFi/ADD/REM I � Indipted below by the checkmark(s),I have placed next to the applicable ftem(s)[Sectlon 7031.5,Business and � � Proleasio�re Cade:My ciry w cowriy that reqWres a permtt to construct,alter,Improve,dertwllsh,ar repalr,any GaragelCarport I z struclure,pria to ifs issuar�ce,also requlres the applicairt Mr tlie permtt to flle a sigrred statertreM that he ar she � Patio/Deck I i Is Ilcensed pursuaM to the provislona of ttie CaiVactor's Sfate Licer�se Law(Chapter 9)Cammencing wIM Sectlon W j 7000 of Dlvlsion 3 of the Busineas antl Protesslons Code]or that he or she Is exempt from Iicensure and ihe basls for � PooVSpa I n the alleged exemptlon.My vblatlon of Section 7031.5 by any applicant for a permit subjects the appllcaM to a civil penatty C7 I n of not more than Bve hund2d dollars(3500). � Z Re-Roof j (�I,as owner of the property,or my employees with wages as iheir sole compensation,will do(.)all of or(J porNons � Commercial I y of the work,and the structure is not intended or offared for sale(Section 7044,Buslness and Professlons Code:The � I ' Contractors'State License Law does not m apply to an owner of property who,through employees'or personal ettort,builds � or imprwes the pmperty,prwlded that the improvements are not Intended or offered fir sale.B however,the building or � imprmement is sold withln one year ot completlon,the Owner-Bullder will have ihe burden of pmving ihat R was not buitt � or Improved for the purpasa of sale.). I � U I,as owner of the ro e p p rty,am exclusively contracting wlth Iicensed CorrtracLors to consWct the project(Sectlon z 7044,Business and Professions Code:The Contractors'State License Law dces not apply to an owner of property who ValuatiOn:� Adj.Area: I n bulldsorimprovesthereon,andwhocrontractsfortheproJeciswithallcensedContractorpursuantrotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). � U I am exempt hom Ilcensure under the Contractor's State License law fir the tollowing reason(s): � I � y By my signature below I acknowledge that,ezcept for my personal residence in whlch I must have reslded for at least one � I = year prior to completlon of the improvements covered by this permit,l cannot legally sell a shucture that I have buitt as an w owner-bullder if it has not been conshucted In its entirety by Ilcensed contractas.I understand that a copy of the applipble � law,Section 7044 of tha Business and Professions Code is available upon request when this applicatlon is submitted or ffi I � the fallowing Web slte:Mip/www.leglnfo.ca.gov/calaw.htrnl. z I � DATE: SIGN: � LICENSEO CONTqACTOH'S OECLAMTION � y I hereby affirm under penatty of per�ury that I am licensed under provlslons of Chapter 9(commencing with Section 7000) I � af Division 3 of the Business and Professions Code,and my license is in tull force arrd effect. � n LICENSE CLASS: � ` `F' L1C. : t l�. � I � DATE: � CONTRACTOR: • . � � I WOHI�H'S COMPENSATION DECLANATION � I � I HEREBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARI1ilONS: y � I have and wlll maintain a Certificate of Consent to Self-Insure for Worker's Compensatlon,as provided by CONSTRUCTION: ! Sectlon 3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVI EW: � �I have and will maintaln Worker's Compensation Insurance,as requlred 6y Section 3700 of the labor Code,for �— � the pertormance of the work for which mis permit is issued.My Nbrker's Compensa0on Insurance CaMer and ELECTRIC: =d PoIIcyNumberare: r1 PLUMBING: � � CARRIFA �L. S'I��l�� MECHANICAL: y � PouCYNUMBEa � INSPECTION FEE: � (IHIS SECTION NEFD NOT BE COMPLETED IFhIE PH?MR IS FOR ONE HUNDR�DOLLPRS($10�OR LESS�. ISSUANCE: �]I./V = I certify that In the performance of the wak for which this permtt is issued,I shall not employ any person In any manner so as to 7 L/ � becane subject to the Worker's Canpensation Laws of Califomia.Md agree mat if I shald becane subject tn the Worker's SMIP: —� � Compen n p ns of Section 3700 of the Code,I shall th compry wim those prwisions. ENERGY P/C: 1 DATE:��APPUCl,r,rT'��I Ci.� ��Y�'Z ENERGY PERMIT: � WAANING:Fallure to secure Worker's Compensation coverage is unlavrful,and shall subject an employer to crlminal �Q �� ipenalties and civil fines up ro one hundred thousand dollars(5100,000�,In addition m the cost of the compensatlon, RETENTION FEE: = damages as pmvided for In sectlon 3708 of the labor code,Interest,and attumey's tees. PRE-ALT FEE: i CONSTRUCTION LENDING AGENCY BSAF: � � y I hereby affirm under penalTy of per�ury that there Is a Construction Lending Agancy for the pertormance of the work fa —�— = which thls permit is Issued(Sec.3097,Civ.G�. � LENDER'S NAME: s LENDER'SA�DRESS: i I certlly that I have read this application and stata that ihe a6ove information is correct.I agree to comply with all city and TOTAL FEES �, ``�<6 J v � canty ordinances and state laws relating to building consWction,and hereby authorize representatives of this county to COMMENTS: z � enter upon the above-mentioned property fa Inspection purptues. b ✓� (�.• ��`�.—Z� ¢ E(PR � n ` ' �� S �tiC l'` = SIGNATURE OF PERM E DATE RECEIPT# I PAID BY: ✓ VAUDATION: WHfTE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMUND BAR IiVSPECTiON RECORD . � � . � - • r � e � ,� ,4 �, _ . ;SETB�ACK/LETTER�e �;` �' �: 6' � �:�e � ��' �� TRACTAND LEDGER V�� v�� SWITCH GEAR F0071NGS��dRIVIS�`' " � ;;� � .3� A ,g�pg..` �� " �,._ "� �� e�a� COMMERCIAL HOOD �UG I?IUMBINGh��.'. �. x�,�.� ..� ,�� :��.,s� T-BAR ,�,,� , � �v �� ' '�`' �' �� `��'g `".� :� �`e�.' � INTERCEPTER UG.,ECECT(�IGAL � � ,�� • .��. �UFER GROUND'�� ^� '� �� ''' ��,�� ,�� - av�.�� "��''� " �� HOT MOP/SHOWERPAN SEWER LATERAL � � � SEPTIC/CESSPOOL � MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATNING � , ROUGH N SHEARWArLLSEXFERIOR_ d��°� �� PffUt%SPA�� °��.� .�� sR. �� - `�" ��«� �� ,� � : � �€ �� ° ��d._ � .0 �'� _ _ _ � � � � �� ' �� " � � � � rr �� SHE,4R WALLS 1NTERIOR`.� �_ �� - ,� �� ROt1GHPLlIMBlNG� � ____:��` .� ;FR�Ah11(NG/VENTING��' � � s"��,�� *' � �� ROUGH.EI`ECTRiCAL�- k� �` '�' � � �, � �', � � �� ROUGH MECHAtVICAL � � �. �� RdUGH MECHANICAL �� ' � �� `�" � � � � � � � � F�� ' �� GAS�TEST �� -,s�� ,� � ��; ROtJfH EtEC7RICAL�W(�l G( 1 .� ,.�� ;�� . �� . � �� ..�.-� � �_� �-,a �, �v ,' � � �� - � ,� �� „� �� ,a � ,ROUGH PLUMBiNGs�„ ��_ �� ,��, �.� . ..�, :�.��< _ � . ��, �� PRE GUNlTE� �- � .� � � INSULATION WALL �>.�� f �� ,� :� �P,O�L�P,RE�DECK�INDING ' `:`�`� �� F � �.� , " INSUWTION CEILING � �� '�� `� �; � � �� . P-TRAP � DRYWALL FENCE�I�GAi'EIALARM � �', ' � �`��= "� � � ��'"�� LATH(PRE� FINAL:POOL� �:�` �° ,.�� 1 � , �_- �� r �� LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2rve� j LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN!SEAL GAS METER RELEASE WALL FINAL �--�,��_ SPECIAL INSPECTION R(l.FRAM�iG PL NNINGAP�?ROVAL��, , e �� ° : � �� ._ ;FINAL BUILDIPtG k� °� �/� ��= �w�°�. I�� RdUGH FIRE APRAOVAL� `��° .�R � n E � � �FINAL"'MECHANICAL ��3 ��y `'��,"� x 3 � � �� FtNAI.�FIRE,DEPAFtTMENT. " �` �� , � _.. '� .�.� , � � . _ _ � ��' �'_ �� ,,�� : �� ' �< - �� 'FlNtki..ELECTRiC�4l �� ° ` �?f..�/ -:.�g � _ � ��' .FINAL,PLAIdNIN��'; '��P; �g'� �� -°�� FINALPLUMBING � ��`",�:.. �f�$°�� '''�,e., ��" �x F,ItJA��ENGiNEERiNGIPSN;,, � ��'�{H ?' «aa ..,��.. , � � � `�� ,�� FINAt COMMUNtTY�5ERVICES�� k� � �� - ' ,TC�ofOCGUPANCY � ��:' � �.��. • � �� .� �, 3 _ � �.� � �� .��_ _ �� ,,�.�: ;, �... "`��,��, � ��.: �� , ;, � ' F _A H � � _ ��:. � �� FINAL 1 USTR,IA,L`WASTE �<�� ,GEiiT,of OCCUPANCY , �• E �°° . t-.. . _ �.�� .�� d. , , ��...�- � _. � _�< � ��Q� COMMENTS: