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Home My WebLink About14-4867 . . f ._ � �_. _-_ .�- / I *• ' � � CI`Tj'OF DIAMOND BAR .� �f.S ,,�`".:. :. , , � I ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES , .: '= m 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ; � W,,,;� (909)839-7020 Fax:(909)861-3117 Buylding Inspection Hotline(909)839-7027 FIRMLY ��'��"� BUILDING PERMIT APPLICATION ` APPLICATION DATE: b�� 1C� P/C#� �g`' �'�b� s JOB SITE ADDRESS � �`� �� /� /� ,/ /�r� i ISSUE DATE: �'��'7/c�li'IY PERMIT# I Y— 7 5 ,/ z APN LOT `� TRACT � OWNER x �.\�(Q ��c TYPE CONST. OCC GROUP: � ADDRESS�� ` b�I� ZONING SETBACKS � � CITY ZIP TEL. FRONT RW � ¢ APPLICANT TEL. REAR � T � SIDE/SIDE STREET RW ❑ ¢ CONTRACTOR SIDE ❑ � - � ADDRESS PROPOSED US ~ �� ' = CITY � ZIP �pT,,EL. � ARCH/ENG/DESIGNERV 11\C�O.�. vl CGCf\�OSD� z qDDRESS �5� �y��c°� P'�V� I � �— • #DWEL.UNITS #STORIES #BEDROOMS ¢ CITY ZIP � � TEL. Z�3�—�Z\� DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION � Q � OWNEfl-BUILDEH DECLAPATION 'r hereby attirm under penalty of perjury that I am ezempt from the Contractor's State License Law for the reason(s) SF DD EM yg I � . I � indicated below by the checkmark(s�,I have placed next to the applicable item(s)[Section 7031.5,Business and Garage/Carport '� Protessions Code:Any city ar counry that requires a permit to construct,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires the applicant Tor 1he pertnit ta file a signed sTatemeM that he or she � Patio/Deck I i is licensed pursuaM to the provisions of ihe Contractor's Sfate License Law(Chapter 9)Commencing with Section W I � 7000 ot Division 3 ot the Business and Protessions Code]or that he or she is exempt irom licensure and the basis for � Pool/Spa � � the alleged ezemption.Any violation of Section 7031.5 6y any applicant for a permit subject�the applicantto a civil penalry � I � of not more than five hundred dollars($500). Z Re-Roof 0 I� j[f I,as owner of the property,or my employees with wages as their sole compensation,will doJ[f all oi or(�poRions � Commercial � y of the work,and the structure is not intended or offered 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 P i or improves the property,provided that the improvements are not intended or oftered 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 ezclusively cont2ctinq with licensetl Contractors to construct the projed(Section � 7044,Business and Professions Code:The Contracmrs'State License Law does not apply to an owner of property who Valuation: � Adj.Area: I Z buildsorimprovesthereon,andwhocontractsforlheprojectswithalicensedContractorpursuanttotheContractors'State �UANTIIY DESCRIPTION FEE � � Y License Law.�. ' � �i�.� � �`` i . � (�I am exempt from licensure under the Contractor's State License law Tor the following reason(s): � � ¢ 1 \� �- S�' � 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one W '2 r�W� ��1�tr,�;! � � year prior to completlon of the improvements covered hy this permit,l cannot legally sell a strudure that I have built as an w , I owner-builder if it has not been construc[ed in its entirety by licensed contradors.I understand that a copy of the applicahle � law,Section 7044 of Me Business and Professions Code is available upon request when this application is submitted or at ; I 'i the following Web site:http/w`vw.leginfo.c. v/cal .html. ' z r � = DATE: �Z�`�� SIGN: ? I — LICENSED CONTHACTOH'S DECLAHATION a I � I hereby aNirm under penalry of perjury that I am licensed under provisions of Chapter 9(commencing with Sedion 7000) � � � of Division 3 of the Business and Professions Code,and my license is in full torce and efted. _, I � a n c� ;n LICENSE CLASS: LIC.NO.: Q I � DATE: CONTRACTOR: � I Q WOHIffJi'S COMPENSATION DECLAl1ATI0N � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: • b C�a� ¢ I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: �1 ��\. � � Section 3700 of the Labor Code,for the peAormance ot the work for which this permit is issued. p�.,qN REVIEW: �O�J • U1 /�. � � � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for �ELECTRIC: f�,��,k.H � the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ PolicyNumberare: PLUMBING: � CARRIER MECHANICAL: y � POLICYNUMBER INSPECTION FEE: � (THIS SECIION NEED NOT BE CAMPLETED IF THE PFAMfT IS FOR ONE HUNDRFD DOLLARS($100)OR LESS). ISSUANCE: �,%'�l� � I certify that in ihe performance of the work for which this permit is issued,I shall not employ any person in any manner so as fi �1 � beoome subject to the Wo�Cer's Compensation Lavrs of Califomia.Md agree that if I should become subject to the Worker`s SM IP: {� � CompensaVon pmvisions of Section 3700 of ihe Labor Code,I shall forthwith comply with those pruvisions. ENERGY P/C: a0• cJ�� J i DATE: APPLICAN7: ENERGY PERMIT: ag'• ��G � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall sublect an employer to criminal RETENTION FEE: y penalties and civil fines up to one hundred thousand dollars($100,000),in addition to 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: ��..� � = CONSTAUCTION LENDING AGENCY BSAF: f�/JO i Z I hereby attirm under penalty of perjury that there is a Conshuction Lending Agency for the peAormance of the work for y � which this permit is issued(Sec.3097,Civ.C.). � I LENDER'S NAME: I � LENDER'SADDRESS: ' � TOTAL FEES � �� i I certily that I have read this application and state that the above information is correct.I agree to comply with all ciTy and ��S •�� y � � county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: z � enter upon the above-mentioned property for inspection purposes. J � � +� a PERMI7TEENAME(PRINn P C cX��C4'� J `�'S �'Vl n � ! �►. � = SIGNATURE OF PERMITfEE DATE RECEIPT# PAID BY: i/ ��'I VALIDATION:__�_� ' WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy _ �� y� CITY OF DIAMOND BAR � ' • - , � ..,, INSPECTION RECORD � ` � • � ., ,, � . , -.. ' � � ' • ' � • r � • • - .,_. ,� 5��'��Y�� '" ` �� _� � � ` TRACT AND LEDGER � __�, _� _ ,F00��"I�SfS'FORMS �""�. _„ / � � � � SWITCH GEAR ' SI � " �� °� � �� . �� COMMERCIAL HOOD � ,AB �< -� ° � . ,.. _._ , .. �� } . ,. _ _ . ,UG.PL,UMBIt�G ;, �� °_ � � � T-BAR � _ _� � •� 1JG�ELECTRIGAL -��;`.,.�` � �" � � � ° �� `" � INTERCEPTER , ,. ,: k� __—. �-- <.� ��-�:. ��..< �,; �UF�i�GROUND � �� F �� HOT MOP/SHOWERPAN SEWER LATERAL _ SEPTIC/CESSPODL _ � MAIN WATER LINE _ HERS REPORT RECEIVED � SEWER CE.EANOUT DEMOLITION ROQF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT — • — � , _. _ -- °SNFA(�WALL�EXT�RIQR `'�" FOOL/SPA �. �. kw .� _. >,a. �.: ` � - � a��x � �_. _, x. , _ ,�. : ,5HEARWAL`L"S�IN7E�ilOR�� ' z� : � -: °; �_. ° ��ROUGH PLU(VIBINC� � � � � _ .�� -� , a _2, FRAMfNG�VENTING j� , �'f ,�&�' ,,��.::�,J " � ROUGH ELECTRICAL ° 'ROUGH MECHAN�CAL r ROU6H MECHANICAL 9 ' ��. _ — � ; _ _ � — � ROf�GH°E�ECTI�IGAL VVf�)C i,n)��` r;; � � �,, _ ��GAS TEST � ��. , x�, ROUGH RLU�IBIN6`��« b° �� , � � ` � � PRE�GUNITE � � � INSULATION WALL POOI PRE DECK BONDING INSJLF.TION CEILINu I P-TRAP DRYINALL 12��_`3_ _ FENCE I GATE/AU�RM ��TH(PRE) FINAL POOL � � ��a� IATH EXTERIOR a S— WALLS: LATH IPJTERIOR WALL FOOTING/STEEL GAS TEST _ ____ WALL STEEL 1ST( )2N0( )LIFT SCRATCN COAT WALL BOND BEAM � ELECTRIC METER RELEASE WALL DflAIN/SEAL UAS METER RELEASE j WALL FINAL SPECIAL INSPECTION i R0.FRAAMING PIANNINGAFPROVAt � , FiidtL BUILbiNG �� ,: �� a a �'' � ::: � ROUGH FIREAPPROVAL � � '.,�r ,�: �INrll ME�HA�, ,� � �� _�NICAL ,i �a. 'a a. . e�a �� -� :� � EINAL FIRE DEPAR7MENT � � .. , ..a , , � .� < � n ,_ � _ �� fINAi.ELECTRIGAL �,�� "'' �, _ �;��` � �` FINAL PLANNING � �FINAL:PLUMBING��, ��` ''.� � ��;` � � : � FINAL ENGINEERING/PW � � '' � �� ,._ } _. 1'G:�of�OCCUPANCY:�, ��. �A �A ,. ' �� P': � FINAL COMMUNITY SERVICES � ` " � •. _ = 9 G�iiT.of OCClIPAPdCY,. "�, �� N °�s `` FINAL HEALTH DEPT. ,_ FINAL iNDUSTRIAL WASTE ' �� COMMENTS: S.r_ �� 2 _ � r - �,,;::� �'c�.�yv�k�a--� w o,k � �—��_�IP�+� '��5• 9�c��'� �c _L�,r��•-, 5��+�ill . �Z..�Z31��l �K�(�v��f,3 S ��.(_ �v��} i�lZ��.c:�c_�1S � t+�su� ��ylr�� u��_�2._p,� _�.��-� L� _ N�.�_- 1.�_- . _fi,__�' ..._ ...�. I + � t � y I t : ...:..,.�..� F,''"- .. ._- . . � ' � �lt.Y>HIt�>ttqAT}� �D' CITY OF DIAMOND BAR B UILDING&SAFETY DI YISION 21810 Copley Drive Diamond Bar, CA 91765 (909}$39-7020 SMOKE ALARM AND CARBCEN Mt�NtJXIDE CERTIFICATION In order to help assure the life and safety within existing dwellings, the 2013 California Residential Code (CRC) Section R314 and R315, along with the Califo�nia Building Code Section 420.5 and 420.6 requires existing dwellings have smoke alarms and carban monoxide alarms installed within the upper 12" of the ceiling when a � building permit is issued far, warked on or in a building that is valued at $1,000 ar more. Generally, the alarms are required ta be hard-wired, have battery back up and be interconnected. � Starting July 1, 2014 all smoke alarms including combination smoke alarms, that are solely battery powered shal! cantai.n a non-replaceable, non-remavable battery that is capable of powering the smoke alarm for at least 1 Q years. ; The alarms are reguired to be installed in the follawing locations: ❖ Smoke alarms in all sleeping rooms. ❖ CO alarms in all sleeping rooms where fuel burning appliances are installed. ❖ Smoke alarm and CO alarm in hallways preceding sleeping rooms. ❖ Smake alarm and CQ alarms on each dwelling ievel including basements and habitable attic rooms. The smoke and CO alarms are required to comply with#he above when requesting a final inspectian. Please make sure an adult is present ta allow the Inspector access to the home to verify compliance with the above requirements. If no one will be available, yau may opt to camplete the Installation Cerkification below and leave it with the job card. � IN&TALLATION CERTIFICATION ' For the praperty located at �,.��- ��`�-� , I hereby certify that the required smoke alarms and carbon monoxide alarms have been instatled as listed above. — � �-.�� s�i f�ef� r� I2�J�`1 . Signatute Print 1Uame Date Relationship ta project (please check one): �Oanrner ❑ Agent for Qwner ❑ Licensed Cantractor ❑ Agent for Licensed Contractor If"Licensed Contractor" or"Agent far Licensed Contractor" is checked, please complete the foliowing: Contractor Contractor's State License Number