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Home My WebLink About15-0871 ; __ __ _ _ ��: . . ._ ,��'�'�.. ... CITY OF DIAMOND BAR / FI � �� '; DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �f �� r '" 21810 Copley Drive,Diamond Bar,CA 91765 / �� PRESS � \,„ ,;�;� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY '''�R°' BUILDING PERMIT APPLICATION �'"�� \ � APPLICATION DATE: \ P/C# i JOB SITE ADDRESS ��N /H ¢� i ISSUE DATE: �!� ! �. PERMIT# �� Q1�_ � z APN LOT TRACT� � OWNER TYPE CONST. OCC GROUP: � i n A SS ZONING SETBACKS -� C�� Q I FRONT RW ❑ a — r APPLICA • T �� REAR � � SIDE/SIDE STREET / ❑ n � � CONTRACTO SID � " � � r!. � ADD � � PROPOSED USE � CITY � IP L. � �' � , � ARCH/ENG/DESIGNER � � = ADDRESS q DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. ¢ DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNEfl-BUILDEH DECLAflATION I r I hereby affirm under penalry of perjury that I am ezempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM indicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and I � Garage/Carport �-' Professions Code:Any ciTy or county that requires a permit tn construd,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires the applicant for the pertnit to file a signed statement that he or she � Patio/Deck I i is licensed pursuantta the provisions of the Contractor's State License Law(Chapter 9)Commencing with Section w I � 70W of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for u_ Pooi/Spa f' the alleged exemption.Any violation of Section 7031.5 by any applirant for a permit subjecLc the applicant to a civil penalty � I n of not more than five hundred dollars($500�. Z Re-Roof Y � I� �(�I,as owner ot the property,or my employees with wages as their sole compensation,will do U all of or(_,)portions ? Commercial y of the work,and the struc[ure is not intended or oftered for sale(Section 7044,Business and Professions Code:The m I � Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the property,provided that the improvements are not intended or ottered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built � or improved for the purpose of sale.). I � :� (�I,as owner of the property,am exclusively contracting with licensed Contmcmrs to construct the project(Section Valuation: Adj.Area: I � 7044,Business and Professions Code:The Contractnrs'State License Law does not apply to an owner ot property who z buildsorimprovesthereon,andwhocontractsforlheprojectswithalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPT�ON FEE I :n Y License Law.). � � U I am exempt from licensure under the Contractor's State License law for the following reason(s): � �`' � � I 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w . � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w I owner-builder if it has not been construded in its entirety by licensed contmctors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I X the following Web site:http/www.leginfo.ca.gov/calaw.html. Z � I '-� DATE: SIGN: °� � � — LICENSED CONTHACTOH'S DECLAflAT10N � � I hereby affirm under enalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) I y � of Division 3 of the 'ness and Pr fessions Code,and my licens 's i f II force and etfect. I � � U � LICE S C S: � LI .NO.: a � DATE: CONTRACTOR: � ¢ WOHI�H'S COMPENSATION DECLAMTION � y I HEREBY A FIRM U DER PENALIY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I � 1�ave and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � `j ection 3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVI EW: > �� I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: � the performance of the work for which this ermit is issued.My Worker's Compensation Insurance Carrier and ¢ Policy Nu r re PLUMBING: �t l�1— � CARRIER�� MECHANICAL: y � POLICY NUMBER INSPECTION FEE: n (THIS SECIION NEED NOT BE COMPLEfED IFTHE 100)OR LESS). � ISSUANCE: r l"� � I cer6fy th�in the pertortnance of the work for � is permit is issued,I shall not employ any Farso any manner so as to = become ect to Worker's Compensa' Laws of Califomia.Md agree tl�at if I should be e subject to the Workers SMI P: J Com n vis ction 3700 the Labor Code,I shall forthwith comply wit � provisions. EN ERGY P/C: i DA7E: APPLICAN7: ENERGY PERMIT: � WARNING. 'ure secure Worker's Compensation coverage is unla ul,and shall subject an employer to criminal RETENTION FEE: '� y penalties and civil nes up to one hundred thousand dollars($100,000),in addition tn the wst of the compensation, . I i damages as provided for in section 3708 of the labor code,interest,and attorney's tees. PRE-ALT FEE: � z CONSTflUCTION LENDING AGENCY BSAF: � i y I hereby affirm under penalry of perjury that there is a Construction Lending Agency for the performance of the work for � which this pertnit is issued(Sec.3097,Civ.C.�. LENDER'S NAME: � LENDER'SADDRESS: i that I have read this a plication and s e t�at me above information is correct.I agree to comply with all city and TOTAL FEES � � �(� county rdinances and state relating to b'Idi g co struction,and hereby authorize representatives of this county to COMMENTS: y � ente t e - ntion ope fo i p ion urposes. J � Y] ¢ EE NA (PRINn n _ � � SIGNATURE OF PERM(TTEE DATE RECEIPT It PAID BY:�_VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR . INSPECTION RECORD ` J � ' • � � ' • ' • � � � e � o SETBAGK7�L`ETTER�`� � TRACTAND LEDGER � ; _�. �.� FdQT1NGS FORMS�` �*' SWITCH GEAR � us�`�� '�T� �� -� � � COMMERCIAL HOOD � -� _ UG.PLUMBit�� ., T-BAR ,UG.�ELECTRIGAL � � � INTERCEPTER UFER GROUND�� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLddR SHEATHING ROUGH CQNDUIT ;SHEAR WALLS��EXTER�OR POOUSPA � � � - �: $SNEiAR�NALLS 1NTERIOR ROUGH PLUMBING �_<. FRAMIN6IVENTiNG ROUGH ELECTRICAL ROtJ,GH,MECHANICAL � ROUGH MECHANICAL "RQUGH ELECI'RICAL W( ;C( ) GAS TEST � � � � � :_A,_ ROU�GH,P,LUMBING� � �� ' � /i PRE GUNITE INSULATION WALL � FOOL PRE DECK BONDING INSuLATION CEILING p_7R;qp DRYWALL FENCE/GATFIALARM IATH(PRE) FINAL PdOL LATH EXTERIOR WALLS: IATH I�JTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 ST( )2N°( )LIFT 5CRATCH COAT WALL BOND BEAM EIECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL b a sFY _.... ... . SPEGIALINSPECTION RO.FRAMINGPLANNINGAPPROVAL� s�� F�;_ �� : FIN,A�,BUILDIN��. '�"� . ��'�.: :3 k ;'�3 ` , ROUGH FIREAPPROVAL �;�,,, � '� ,., ,�,.. � FIN:0.�.MECNANIC�tL��'�` , �9'� �FINAL FIRE DEPARTMENT �� `� �`'�� ' � !� f� € : FINAI..ELEG7'R1�C��L z 9 � �a � q , � FINALPLANNINf ,; ��;�� w �. � ;, � - � _., �- _ -� EINALPLUMB� " �-' ;' '�,� . ' _ � � FINAL�ENGINEERING/PW . � ��:,MY�. R�_t �:,u `��:_ : - �e � �G,of OCCUPANCY��; <,�_'`�'�" ,�' , , „ �FINAL COINMUNI7Y SERV(CES ' � �, -y-�. ��u.�`; �:�..,�� , . �.:� � _ s�, ' �li� uf OCG�PA1dCY'�� ;�'� . � � °°� � ��FINAL NEALTH DEPL � ��'�� :�' �, : -; � ..�_ �INAL INDUSTRiAL WASTE � �� '�� `�"��-� �� i�� ,�� .�� COMMENTS: Y `! } i '