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Home My WebLink About15-1781 i .. ,._,. .��-�'r';�_„.....-,, CITY OF DIAMOND BAR � ; I . I DEPARTMENT OF COMMUNITY'&D�`S ELOPMENT SERVICES .� �-,_ ; — 21810 Copley Drive,Diamond Bar,CA 91765 PRESS t,:� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ��`�'��"� BUILDING PERMIT APPLICATION sJOB SITE ADDRESS �� ' �/� ^'V0� APPLICATION DATE: ��I S� P/C# i ISSUE DATE: PERMIT# IJ � I�O/ z APN LOT TRACT � OWNER e.�� Le e TYPE CONST. OCC GROUP: � ADDRESS � AW K IN�� R � ZONING SEfBACKS n CITY�i�a�pnd �� ZIP TEL. FRONT RW ❑ = APPLICANT SGD'F'�' 19M��5 TEL�ZPo S�.�S 7� REAR ❑ � O An L SIDE/SIDE STREEf RW ❑ I � CONTRACTOR �i Pv / �CL.Sf��s P�U�p�n� SIDE CL I � ADDRESS �2�' B�.,�t te� p/ I +� = CITY (T�e��I�A. ZIP�� TEL��S�3 S{/ .� PROPOSED USE � ARCH/ENG/DESIGNER L = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. i ¢y DESCRIPTION SQ.FC FACTOR PSF ADJ.AREANALUATION � a OWNEH-BUILDER DECLAHATION I '= I hereby affirm under penalty of perjury that I am exempt 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 Garage/Carport I '-� Prohuions Code:Any city or caunty that requires a permit to construct,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires the applicant for tl�e pertnit to file a signed sfatement that he or she � Patio/Deck I i is licensed pursuaM ta the provisions of the Contractor's Sfate License Law(Chapter 9)Commencing with Section w � 7W0 of Divisian 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for LL Pool/Spa � � the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty � I � of not more than five hundred dollars(5500�. ZQ Re-Roof � (,I,as owner of the property,or my employees with wages as ttieir sole compensation,will do(J all of ar(J portions � Commercial I y of the work,and the structure is not intended or ottered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal ettort,builds y or improves the property,provided that the improvements are not intended or offered 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 purpase of sale.). I "� (�I,as owner of the property,am exctusively cont2cting with licensed Contractors to construct the project(Section Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who ValuatiOn: Adj.Area: I n buildsorimprovesthereon,andwhocontracTsforlheprojectswithalicensedContractorpursuantrotheContractors'State QUANTIIY DESCRIPTION FEE I Y License Law.). I j (�I am exempt from licensure under the Cont2c[or's Siate 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 leas[one w I � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w , owner-builder if it has not been wnstruded in its entirery by licensed contractors.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 � �Q �� e I � the following Web site:http/www.leginfo.ca.gov/calaw.html. Z I = DATE: SIGN: � — LICENSED WNTNACTOH'S DECLANATION � I a y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) I � of Division 3 M the Business and Professions Code,and my license is in full force and effect. J I nj LICENSE CLASS: � � LIC.NO.: V �i / �D V � a I � DATE: CONTRACTOR: /�X�1.Str� /7 = I U ¢ WOHIffA'S C MPENSATION DECLANATION � � � I HEREBY AFFIRM UNDER PENALT/OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: y � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided hy CONSTRUCTION: � �( Sedion 3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVIEW: � _L�—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 permit is issued.My Worker's Compensation Insu2nce Carrier and ¢ PolicyNumberare: 1 rr, PLUMBING: �r y CARRIER �7R'�r� /- '�L��, MECHANICAL: � POLICYNUMBER U � I '"� INSPECTION FEE: n (IHIS SECTION NEED NOT BE CAMPLETED IFTHE PFRMR IS FOR ONE HUNDRFD DOLLARS($100�OR LESS). `, ISSUANCE: ��In y � I certity that in the pedormance of the workfor vfiich this pertnR is issued,I shall not employ any person in any manner so as N SMI P: � become subjed tn me Worker's Compensation Laws of Califomia.Md agree that if I should become subject to the Worker"s � Compe 'on row ion of Section 37Q0 of the tabor Code,JS6�IFforthvAth co y with those provi'ons. ENERGY P/C: J DATE: � � PPLICANT:_...��J � �. - _ ---- ENERGY PERMIT: � WARNING FaiWre ro secure WorkeYs Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: � y penalties and civil fines up to one hundred thousand dollars($100,000),in addition tu the cost of the compensation, � '1 damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTflUCTION LENDING AGENCY BSAF: y I hereby attirm 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: s LENDER'SADDRESS: i I certify that I have read this application and state that tl�e above information is wrrect.I agree to comply with all city and TOTAL FEES s�i�o � county ordinances and state lavrs relating to building construction,and hereby authorize representatives of this counry to COMMENTS: z � enter upon the above-mentioned property for inspection purposes. J � S r�b� � ¢ PERMITTEE NA RINn � � � A I n = SIGNATUHE OF PERMf1TEE DATE RECEIPT# PAID BY: VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR - � �� INSPECTIU"� ��CORD , ' e � � • • � • • � � . • - � � � � TRACTAND LEDGER SETBIkCKt LEfTER��a�. . ;� �.F ��,�3 � , , ; � � _� _ � � FO��'INGS�FORMS ° � , �� ; - � �� v � ' SWITCH GEAR _ � . r . .� � , �� ,,�•_ � � ; ,. � � ,�-_ �, S�. . - �� - � �� q ' ' � COMMERCIAL HOOD > > . . . . a UG.�PLUMBIN� ��" ° � �;� ` 9 '� � � T-BAR �,�.. ,tJG�ELECTRIGAL� � ;��P�� ' � �� ' ' � INTERCEPTER ,UF�R GROUND . � � �;� ,' � ��.�v� : . � �`s e �� HOT MOP/SHOWERPAN � SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDU►T ;`SHEAR WALLS EXTERIOR , ��: _:._ , � ,;�� > � � , PUOUSPA ` � �� . ' „ _ n-: , o :�-_ _ _ SHFAR WALLS 1NTERIOR �� w: �� ROUGH PLUMBING ° ` ��. � , _ � � . . , . FR�AMINC�/VENT'ING � " �� " ' . n � = m v � a ; : �ROUGH ELECTRICAL � � � ,x �� r : � . . �OU,�H ME�HANICAL ;" �� _ . e r � � � � � 'o ROUGH MECHANICAL � 'ROUGHsELEC'�RiCAt W�� )�( �1.�, , �>�. , � GAS TEST ° �s�� e � � � - : � �, , �,`�r� ; �PRE GUNITE 4 . RQUGFI PLUMBIN6y�'� : � �� . �'"`� , INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING �P-TRAP � � � ` � � . , DRYWALL FENCE I GATE/ALARM LATH(PRE) FINAL POOL - LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sT( )2Ne( �LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAINI SEAL GAS METER RElEASE WALL FINAL SPECIAL INSPECTION RO.FRAMINGPLANNINGAPPROVAL ° � FIN��L�BUILf1(NG �' � - `_ � �'� ° ° ` . ' ' . . . . . � � � ROUGH FIREAPPROVAL ' � � FINAI:,MEC}iANiCAL�� °�� ' �� ° FINAL FIRE OEPARTMENT ` ` ' " � _ . . � � �� > x . , _ ._., a . . FINAL ELECTRICAL _� �q �� ' �..'�� ' ` ' , � �.,��•„t ` � �� ; � FINAL PLANNING � . � _� . ,s � � �. _ _ — _. FINAL PLUMBIHG° ,� '�� j�. � "'<< ��' ' ` �� ' � � FINAL ENGINEERING!PW � � ' ��. ;- �, u„ T��af OCGUPANCY� ��y�`�` . :�� ;� , � � � _ FINAL GOMMUNITY SERVICES � � - ,-� ,�� . . ` � " : � � � > � FINAL HEALTH DEPL _ CEF�T�af;tiCCUPANCY.' �,�a• . :,�., � a�� §� . - � L PINAL INDU5TRIAl WASTE � - � � �� _ . COMMENT��7 T� J`'/r'��-��f�`l�f'-LL� l�✓ c�lG<�'/�v,G.S `�.��'.��`t5��,,��`••.�