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Home My WebLink About15-1949 `Ia�-��. `- ' _ .................. CITY OF DIAMOND BAR —� �//� . • -._.._.��:... ,,, ; � • DEPARTMENT OF COMMU1vITY&DEVELOPMENT SERVICES � r ,__ _ 21810 Copley Drive,Diamond Bar,CA 91765 P ESS <'*„R,.,w ,�,;� , (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �'�"''� BUILDING PERMIT APPLICATION � t n APPLICATION DATE:��I��I S P/C# I�• �9`i q y JOB SITE ADDRESS �1 - t G N S- �'� ISSUE DATE: $�� S PERMIT# I S�� 1�9 i � z AP �. � LOT TRACT .,�/�,r� yOWNER��Ah� �LV(,( TYPE CONST. �!- t'� OCC GROUP: � ADDRESS ��-�N`-Q- n CITY ZIP TEL. ZONING F ONACKS RW ❑ = APPLICANT TEL. REAR ❑ � � � _/�O S SIDE/SIDE STREEf RW ❑ Q CONTRACTORn ( SIDE ❑ _I.�� ADDRESS � ��7 PROPOSED USE 3 a ) = CITY L/ • � ZIP�I,.o��6�TEL. - a � ARCH/ENG/DESIGNE ��C t� ..r�� L = ADDRESS #DWEL.UNITS #STORIES� #BEDROOMS z CITY ZIP TEL. ¢ OWNEH-BUILDEB UECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � x I hereby affirm under penalty of perjury that I am ezempt from the ConUactor's State License Law for the reason(s) SFR/ADD/REM I L indicated below by the checkmark(s),I have placed ne#to the applicable item(s)[Section 7031.5,Business and Garage/Carport � I � Professions Code:Any city ar county that requires a permit to construct,alter,improve,demolish,or repair,any z structure,prior to ifs issuance,also requires the applicant far the permit to file a signed statement that he or she � Patio/Deck �$ � '� � I � is licensed pursuant to the provisions oT the Contractor's SUte License Law(Chapfer 9)Commencing with Section w n 7000 af Division 3 of the Buslness and Professians Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I n the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 s of not more than five hundred dollars($500). ZQ Re-Roof I � U I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or()portians � Commercial I y of the work,and the strudure is not intended or oftered for sale(Section 7044,Business and Professions Code:The m I Z Cont2ctors'Sta�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 offered for sale.If however,the 6uilding or I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built p or improved for the purpose of sale.�. I '� I,as owner of the ro e am exclusivel contradin with licensed Contracfirs to construct the ro ect Section � P p�� Y 9 p � � Valuation: Ad Area: Z 7044,Business and Professions Code:The Contracmrs'STate License Law does not apply to an owner of property who 1• I n buildsorimprovesthereon,andwhocontractsforlheprolectswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). ' � (�1 am exempt from licensure under the ConVactor's State License law for the following reason(s): � I � Q 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � I = year prior to completion M the improvements covered by this permit,l cannot legally sell a structure that I have built as an w I owner-6uilder if it has not been constructed in its entirery by licensed contradors.I undersTand that a copy of the applicahle � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at K the following Web site:http/www.leginfo.ca.gov/calaw.html. = i = DATE: SIGN: � — LICENSEO CONTpACTOfl'S DECLAflATION � ' I a I' I hereby affirm under penalry of perjury that I am licensed under provisions of Chapter 9(commencing with Sec[ion 7000) � of Division 3 of the Business and Professions Code,and my license is in full force and effed. J I �� y� �" a UCENSEC}� /L1C�.N0.: �_l� ✓q�p��__ ¢ I � DATE: O CONTRACTOR:_�� a WOHI�H'S COMP�TION DECLAl1ATI0N � � I y I HEREBYAFFIRM UNDER PENALTY OF PEflJURY ONE OFTHE FOLLOWING DECLARATIONS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: ��•�� ` Section 3700 of the Labor Code,for the peAormance of the work for which this permit is issued. p�qN REVIEW: �.� � I have and will mainTain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,tor Z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: a PolicyNumberare: ��y /� PLUMBING: � CARRIER `��`-^--� �VI�� MECHANICAL: � POLICY NUMBER INSPECTION FEE: n (THIS SEC710N NEED NOT BE COMPLEfED IFTHE PFAMfT IS FOR ONE HUNDRFD DOLLAAS($100)OR LESS�. ISSUANCE: �S`.(�R-) � I certify ihat in the perfortnance of the work for which this permit is issued,I shall not employ any person in any manner so as m � becnme subject to the Worker's Compensation Laws of Califomia.Md agree that if I should become subject to the Worker's SM IP: � rj a L Compensation pmvisions af Section 3700 of the Labor Code,I shall forthwim compty vdth those provisions. ENERGY P/C: J � DATE: aPPUCANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall suhject an employer to criminal ipenalties and civil fines up to one hundred thousand dollars($100,000),in addition m the cost of the compensation, RETENTION FEE:_ �Q � = damages as provided for in section 3708 of the labor code,interest,and attorney's tees. PRE-ALT FEE: i CONSTNUCTION LENDING AGENCY BSAF: ' = I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: = LENDER'SADDRESS: i I certity that I have read this application and state that ihe above information is correct.I agree to comply with all ciTy and TOTAL FEES �/.'"+ Z counTy ordinances and state laws relating to building construdion,and hereby authorize represenhtives of this counTy to COMMENTS: `� � � enter upon the above-�ned property fur inspecti n purposes. J f� ri-�o,� _ � a PERMIITEE NAME(PRIIJ� � �� (7_�� y = SIGNAIURE OF PERMITfE�— DATE O RECEIPT tlo(� ` PAID BY:�.�+ 1� VALIDATION:�� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy . CITY OF �IAtt�OND BAR • � . INSPECTION FiECORD . � � , o � . . � e , . � . 5ETBACK/LETTER��° � <�� -��- TRACTAND LEDGER 'FOOTINGS FORMS �� SWITCH GEAR 's�qg ;,��°:_ �,�..�� , COMMERCIAL HOOD UG.'PLUMBING� ��x � 4„�;,< T-BAR � . , �, _ �._ ,, ;UG.'ELECTRIC L �� ` �� :�� . � � ��.. �� x �- , INTERCEPTER , _ s�Y� - UFER GROUND '" �� - , HOT MOPlSHOWERPAN SEWER LATERAL SEPTIC/CESSP�OL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING. ROUGH CONDUIT ___ �._ jSHE4R V�tAL.LS�FXTERIOR� e��; � � � POOUSPA '� � �� ;SHEAR WALLS INTERIOR '"�� ROUGH PLUMBING 'FRAMINGNENTING� ° �a�._ ROUGH ELECTRICAL '�'� � � � �.� ROIJGH MEC�ANIGAL � ,��.. _ .y, ,_ . - ,�� y,.. �^� ROUGH MECHANICAL �e� x��x, _ �.� ,��, >. � v;:�. --:. , �� 'GAS TEST �� ;,,,, ,�; 9 y�g ROUGH ELEG;i`F21CAL,W(� )C{ S';.��.� � � _�i�;<- ��" � x� . _... _ ,. . _.,. ROUGH PLUMBlNG' � �`` _ PRE GUNITE ' __ INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P-TRAP DRYWALL FENCE/GATFJ ALARM LATH(PRE) FINAL POOL LATH EXTERIOR � WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL IN5PECTION RO.FRAMING PLANNINGAPPROVAL gw�_ ,, ... �INAL BUILDING�. � �� `� ��' � ROUGH FIRE APPROUAL ,FINAL MECHANICAL , FINAL FIRE DEPARTMENT �� ,�e �� m — FINAL,ELECTRICAL� � . FINAL PLANNING :; _..... _ _ �T�AL�PLUMBING� Y2 ', ", ; ��"" ' FINAL COMMUNITY SE VICES ' .�';. �°�� „ �. ,� �� ., � � �.:. �" �:., �, a ��of OGCUI�ANCY �� . � � `GERT.of OCCUPpNCY �� , �� fINAL HEALTH DEP7. • FINAL INDUSTRIAL WASTE COMMENTS: i�aWo�a�'-' b(G� 10�►5�`}! ► �