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Home My WebLink About14-5365 E ,._ �'"` CITY OF DIAMOND BAR � L~�5�� '��M�`� ',�� DEPARTMENT OF COMMUNITI}&DEVt�LOPMENT SERVICES � D ., �_ � 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ,�„Y�,y� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ''�°'" BUILDING PERMIT APPLICATION � APPLICATION DATE: �`�' � r'�l. �i I ��► P/C# x JOB SITE ADDRESS I't / r / z PN LOT TRACT ISSUE DATE: `�I a g I�A- PERMIT# / � I�!�� y O NER PI G(✓1 �Li�C�J S 'n TYPE CONST. OCC GROUP: � ADDRESS_IU s �iUr�G�OXP NY� � CITY Ot�G YY�n ti� �+(' ZIP �(t 7!��TEL. �o��"'I�'�d�� ZONING SETBACKS FRONT RW ❑ = APPLICANT TEL. REAR ❑ Y �1 SIDE/SIDE STREEf RW ❑ NTRACTOR SIDE ❑ � ADDRESS PROPOSED US �. ` x CITY ZIP TEL. � —�-ki�pi��t�a rz�6c� � ARCH/ENG/DESIGNER � � ? ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. I OwNEH-BUILD91 DECLAFIATION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION = I reby afflrm under penalty of perjury that I am ezempt from the Contractor's State Llcense Law for the reason(s) SFFVADD/REM � Indicated below by the checkmark(s�,I have placed ne#fi the applicable Item(s)[Sectlon 7031.5,Buslness and � Rofessions Cotle:My city a couMy that requlres a permit to�ca�struct,alter,Improve,demolish,or repalr,any Garage/Carport I z structure,prlor to Its Iseuance,also requlras the applicarrt fa the permit to Nle a slgned statement that ha or she � Patio/Deck I i Is Iice�ed pursuaM to ttie provislons ot Ne Contractor's State License Law(Chapter 9)Commancirtg with Sectlon w � 7000 of Divislon 3 of the Business and Professlare Code]or that he or she Is exempt fmm Iicansure and the basis for � PooUSpa I � the alleged exemption.Any violation of Section 7037.5 by any applicant for a permR sub�ects the applicant to a civil penalty C7 I n of not more than Bve hundred dollars($500�. Z Re-Roof � I � �as owner of the property,or my employees with wegas as thelr sole compensatlon,will do all of or(,portions � Commercial � .of the work,and ihe structure is not Intended or offered for sale(Sectlon 7044,Business and Professions Code:The � Contractors'State Llcense Law dces not I to an owner of ro m aPP Y P Pert1'Who,thmugh employees'or personal effort,bullds or improves the property,provlded that the Imprmements are not intended or oftered for sale.If however,the building or I � Improvement is sold within one year of crompletion,the Owner-Builder will have the burden of pmving tha[it was not buitt p or Imprmed for the purpose of sale.�. I ' I,as owner of the ro U p perry,am exGusively conhacting wi[h Ilcensetl Contractors to consWct the proJec[(Section Ad Area: Z 7044,Business and Professions Code:The Conhacfirs'Shate License Law does not a I to an owner of ro ValuatiOn:' � �(��a'L'_.�jC=j�1�'...� j. I PP Y P PertY�o � � a� n builds or improves thereon,and who contracts for the proJects with a licensed Contractor pursuarrt to the Contractors'State QUANTITY DESCRIPT�ON FEE Y 'cense Law.). � (,I am exempt hom Iicensure under the Contrador's Stete License law for the tollowing reason(s): � I � �1 By my signature below I acknowledge that,ezcept for my personal residence In which I must have resided tor at least one I � year prior to completlon of the imprwements covered by this permtt,l cannot legalry sell a structure that I have built as an w I owner-bullder if it has not been constructed In its errtrety by Ilcensed contractors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professlons Code is avallable upon request when this appllcaUon is submttted or at I i the following We sKe: .leginfo.ca.gm/cal htrnl. � '� � � _ � DATE� SIGN: � � — LICENSEO CONTHACTOH'S DECLAHATION � I y I hereby atflrm under penalty ot perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) I � of Division 3 of the Business and Professions Code,and my Iicense Is In full force and effact. � � n I ;q LICENSE CLASS: LIC.NO.: � � DATE: CONTRACTOR: � � WOHIffA'S COMPENSATION DECLAfiATION � i y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE fOLLOWING DECLARATIONS: � I have and will maintaln a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: ��,1 '�'i'� � Section 3700 of the Labor Code,for the pertormance of the work for whlch this permtt is issued. p�,qN REVI EW: > I have and will maintaln Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � the performance of the work for which this permit is Issued.My Worker's Compensation Insurance Carrier and ELECTRIC: =d PoII�yNumberare: PLUMBING: � CARRIER MECHANICAL: y ' PoL1CY NUMBER INSPECTION FEE: '� • (IIiIS SECiION NEED NOT BE COMPLEIED IFTHE PERMfT IS FOR ONE HIRJDRED DOLLARS($100)OR LESS). ISSUANCE: ��iS S '1 � I certiry that in me perfomiance of the work for which this permit is issued,I shall not emplo;any persan in any manner so as ro SMIP: , ��Q.� � becane subject�the Nbrke�s Compensation laws ot Califanla And agree that'rf I should become subject to the Workers JCanpensatlon rovls ns oi Section 3700 of ine �`I shall f°�' ,canpy wlth those provfsions. ENERGY P/C: i DATE: APPUCANT:,�'�//l� ,�1 [ - ENERGY PERMIT: � WARNING: lure o secure Worker's Compensafion coverage is unlawful,and shall subJect an employer to criminal � penalties and civil flnes up to one hundred thousand dollars($100,000),in addttlon m the cost of the compensatlon, RETENTION FEE: .� �� = damages as provided for In section 3708 of the labor code,Interest,and attomey's fees. PRE-ALT FEE: i CONSTIIUCTION LENDING AGENCY BSAF: � dv y I hereby affirm under penalty of perJury that there is a ConsVuction Lending Agency for the pertormance of the warh tor . = which thls permit is Issued(Sec.3097,Civ.C.). � LENDER'S NAME: r LENDER'S ADDRESS: i I certity that I have read this applicatlon and state that the above information is correct.I agree to comply wtth all city and TOTAL FEES . � �\1 � Z wunty ordinances and state laws relaUng to building consWctlon,and here6y authorize representalives of this county to COMMENTS: � e`ter upon e abwe-mentlonetl propertytor inspection purposes. /\ n �'ri i ¢ PERMI N E(PRI :n n ^,� 6�. ``� = S GNATURE OF PERMfT7EE DA RECEIPT# '�d.S'�"� pAID BY: ��+ � K VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Cqpy,GOLDENROD—File Copy,GREEN—P,pplicant's Copy .V CITY OF DIAMUND BAR � �� IPVSPEC�'��t'�iV� -�'►'EC�RD � � , , e . • • � . � . ... ' �� 8�'� �'�:r' Nx ._ ;SETBACIU-tEFTER � � � � � �.� ,.�= �.�� ,,, �,_ �; TRACTAND LEDGER x o� .�_ ,�� . �,� �� " �.� -�,, �� ,, �z � ;FaQTINGS�FORMS �`� ° � a � �" �� `�°- ,�� . . ��. � � ' �; _ �'x: SW(TCH GEAR ,�� .- a � � ��- _. _ p " _ -- . � �, ,,.._ w�� ,,,� `,� . �s..� .:: . � COMMERCIAL HOOD �UG:PLUMBING ��' �'� �"'� �5 ,� �� 4�`� T-BAR �UG EL<ECTR(CAI�o• " �,�;��,,��,��`�:r��.�m�� ; ��`..,,: INTERCEPTER ;U�ER GROUND �d - �'�'� � �'"� HOT MOP/SHOWERPAN � SEWER IATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPQRT RECEIVED � SEWER CLEANOUT DEMOLITION ROOF SHEATHING 6 y� '� /�-'�-�—� ROOF DRAINS FLOOR SHEATHiNG ROUGH CONDUIT _. .� �. . _ SHEAR WALLS EXTERIOR� � � �� *� .,`,��., �:�A °. � �P OUS A`�: � �i� �� , � , . _ � 0 P �� `` ' � � �, ; ,— � � � ��.' _ ,. . . �� ,,�:,�� SNEAR WAkLS INTERI�R�,.�.��, ��_� ��., ' m< � -� ^ �; �,. ;� . � � �,< � �,. . � � ,_� �.; R�If�H'PlllMBIN6 �� . � >F� ,,. . �-- � �v_ .d ��z >�__ _ °� ROUGH�ELECTI?ICAL "�` ^�� .. � � r' ��,e �'�, , �,,,h FRAMINGNENTING .'" � ,� � � � � , � ;`� a.� � , � �, � � ��. 'FiOUGH MECHANIGAL��`R.�. ��..� �� —.��`� � �`;�� ROUGH MECHANICAL��:�: �" ,;�� „, .� �.�r. ��,�- �RQUGH ELECTRICAL W(��}"C( �) � �,# " ' � GAS°TEST ��` °� �� x°�` ..` � �j , ;.�.. - � _�� ,ti�` ,. ; � , �� PRE GUNfTE �, .� �� "� � � � � �- �. HI �< � � � !ROUGH FLt16iIBiNG�'�"��=, '�� ` �� . �. , , � � � �� . . , � � - �� .� �� , - �,�� ,1�3 '�lid�''.,.,�� INSULATION WALL 5P00l:PRE DECK BONDING� �� ,�,`; "� ��`' �- �'� �'� INSUEATION CEIL[N6 �P-T�P'. �:._ � , �,T�,��,�;� � � ��:�• �,��:. DRYWALL FENCE�IaGATFJAIARM � � �` �� °�� w Y::� £t'� d��;.� LATH(PR� FINAL PO�OL�''�� r ,-.� �� = �'. � ' ' r � �; ��a.�.�-': �� `:� ":�. ,� � , �, � ��._; �_. _ . LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2"0( j LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN(SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECT(ON "`� ' � "`�� ` ' ' ,�. w-� ,-,. . _ � R0.FRAMRVG PL.ANNINGAAPR�VAL ��, ,,, ��° � ' �°.. '" �. , . �FIMALBUILDING� "�¢ ,�w // "�; ` "` ''. � � '°�' ROUGHFIRE;APPROVAL "� �«�: �, -� ,'�� '� � ,� :�� -FINAL MECHXINlCAL"�� ,,-,.� � �. � � �, � � , F �:��-�� '��,. � � � �� lNAL'ftREDEPARTMEN7� �.� �-s�� ,_� �~�� , � ' � � .�.r �_�w ; . �FINALELEGTRICAL �� ' � � � � � '� FINAL�PLANNING'� �� ' ��`� � � �� ;FI�Nlll.PLUMBIN6- '"� � �� ,� '�'` �", � ��"�° � �� FINAL'ENGINEERING/.PW r� '`� @ "" �`� ,... „ , �,« � �,� � F � � �� r�, .�.�, �...,. ��,4� T�,of OGCUPANGY ,�� a^� ��`' ' � ' � �'a �`" - �' . ;�:� �� FINAt COMt�RUNITY SERVICES � �;"� '� ��" ~��" � � . � �� -��;: _ ' ��d.;° � - �: z ... P ,� -. �,.�g��` �;ae�,�, � � ;CERT.of;OCCUPANGYa '' �� .'.'� , �aa ' .�.�•-�_� .��. � �,�A:��a:�� FINAL HEA[Tii DEP7�,• �"�. �°.�._.��x� `"`� :.� .�`:: � � gFIN,ALINdUSTRIAL,�WASTE, �� :.�"�� `� ��:� ��aa�.,��" COMMENTS: I i