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Home My WebLink About145276 �.,. _ . �"' CITY OF DIAMOND BAR „ , ��i,_� : DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES Ol J�I lS— �"=^>., �• 21810 Copley Drive,Diamond Bar,CA 91765 PRESS � �„�;�. (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � FIRMLY BUILDING PERMIT APPLICATION � i I.�-I)-� Ihd� \�, / ( APPLICATION DATE: P/C# x JOB SITE ADDRESS_ � Vv Fi"I Y / `n /+ i ISSUE DATE: ��'/ I��/�y PERMIT# �LI"�a�1 z APN LOT TRACT —� � OWNER QI�I S ING� I'}U , YAH�1 ZH A'NG TYPE CONST. OCC GROUP: � ADDREnSS ( 52 I ipA') V�/ � � CITY J�G�n'�OY��I r ZIP �Ji�� TEI. U— "O Z ZONING F ONTCKS RW ❑ = APPLICANT �S'�PiVe- SU YI TEL.�6_z.62'��I 6$' REAR ❑ � �y /� �/� SIDE/SIDE STREET RW ❑ Q CONTRACTOR 7l SI��— ETYh�II,/'J W W Ca7NS�TRI.�C�� SIDE ❑ p ADDRESS I��{'� /VeLtY�it91�=D} PROPOSED USE / tI'� VOI11 1 �S n � CITY �D1�)�OfV�� I�l'y'��_ZIP�(��L.� 3�u��,�� -iYl ClOS2 9 � . i�1 . � ARCH/ENG/DESIGNER � ADDRESS #DWEL.UNITS j #STORIES 2- #BEDROOMS .J z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEH-BUILDFA DECLAHATION r I hereby attirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � � indirated below by the checkmark(s�,I have placed nert to the applicable item(s)[Section 7031.5,Business and Garage/Carport I � Professians Code:Any city or couMy that requires a permit to canstruct,alter,improve,demolish,or repair,any I z structure,priar ta its issuance,also 2quires the applicant tor the pertnit io file a signed sfatement That he or she � Patio/Deck i is licensed pursuarrt to the provisions of the Co�actor's State License Law(Chapter 9)Commencing with Sectian W � 7000 oT Division 3 of the Buslness and Prafessions Code]or that he or she is exempt from licensure and the hasis for � Pool/Spa I � the alleged exemption.Any violation of Section 7031.5 6y any applicant for a permit subjects the applicant to a civil penally C7 = 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 sale compensation,will do U all af or(�portions � Commercial I y of the work,and the structure is not intended or olfered for sale(Section 7044,Business and Professions Code:The m I � Contractors'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 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 '� (�1,as owner of the property,am exclusively contracting with licensed Contractors to construct the projec[(Section , Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who ValuBtion: �� Adj.AreB: I � buildsorimprovesNereon,andwhocontractsfortheprojecicwithalicensedContradorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). � (�I am exempt from licensure under the Contractor's State License law fir the following reason(s): � 2 ` �� I � � �f � 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 of the improvements covered by this permit,l cannot legally sell a sfructure that I have built as an w I owner-builder if it has not been constructed in its entirety 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 -re��QL I � the following Web site:httplwww.leginfo.ca.gov/calaw.html. '� � Z_ � I � DATE: SIGN: � � � — LICENSED CONTHACTOR'S DECLARATION � � S�py�/ I a I � I hereby affirm under penalTy of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) ? of Division 3 of the Business and Professions Code,and my license is in full force and eftect. J I � I � LICENSE CLASS: LIC.NO.: �� U � � Z� DATE: I I I �� CONTRACTOR 1 �l h� � ( ¢ WORI�p'S COMPENSATION DECLAHA N � � I � I H BY FFIRM UNDER PENALTY 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 by CONSTRUCTION:_ ��'��f�,, � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVIEW: ��/)_ 7�" � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for trti�== z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PoIi�yNumberare: PLUMBING: _ �, � �I CARRIER MECHANICAL: G(y. �/7 � ^ POLICY NUMBER n INSPECTION FEE: _ (THIS SECf10N NEED NOT BE CAMPLEfED IF7HE PFAMR IS FOR ONE HUNDRFD DOLLARS($100)OR LESS�. ISSUANCE: / = I certify that in the performance of the work tor which this permd is issued,I shall not employ any person in any manner so as to � 6ecome subject to the Worker's Compensation Lavrs of Califomia.Md agree tl�at rf I should become subject tn the Worker� SMIP: r� J Compensafion provisions M Sec6on 3700 M the Labor Cod�all firthwith comply with those provisions. ENERGY P/C: 1 DA ��APPLICANT: ��/��,` �� ENERGY PERMIT: � WARN NG:Failure to secure Worker's�mpensation coverage is nlawful,and shall subject an employer to criminal y penatties and civil fines up to one hundred thousand dollars(5100,000�,in addition tn the cost of the compensation, RETENTION fEE: �i nll� t fG� '1 damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: 7 i CONSTHUCTION LENDING AGENCY BSAF: I D�. I y I hereby affirm under penalty of perjury that there is a Construdion Lending Agen�y for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: z LENDER'SADDRESS: i I cer6fy that I have read this application and state that me above information is correct.I agree to comply with all ciTy and TOTAL FEES �1 �/�� =� 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 inspedion purpases. � �' Y� wia .�L'f ¢ P,ERMITTEE NAME(PRINn � ��/ //' /� n � n � �� / \ = NATURE OF PERMITfEE . DATE RECEIPT# `�' PAID BY:� VALIDATION: . I WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy , . i .--. CITY OF DIAMOND BAR ��' IIVSPECTIOfV RECORD • � , � • � • • ' � s � � I �w rM. � ^-- . ... , ; . ........ .. ... ... . I �SETBAGK,'L�TTER�=��` ��'�� ' "�'�� TRACTAND LEDGrR i FOOTINGS FORMS � � � � � �, ��, SWITCH GEAR �Q �` ., . SI�B� �� • � " ��` , "� � ° �COMMERCIAL HOOD I ,UG.,��RLIINlBING� , ,,` r�� ,�„ ` ��' `� 'T-BAR � � U�.;�EL'ECTRIGAL � � ,,, � �. � ,� � .�_ �•�- INTERCEPTER _ �� u�_ « ,� . a I ,UFER GHOUND '"�' ' � `�` �' �° �"� � HOT MOP(SHOWERPAN � SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT REGEIVED ! SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLQdR SHEATHING i ROUGH CONDUIT -_ .._, �w ,��_ y�_ „. , ., . _ ,SHEAR�WALl.�EXTERIOR� � � �� 'POOUSPA ' . ��- b , 'SN�AR tiNALLS�iNTEl�lOfi� , , �� T'� �, � "�` _ �, ��ROUGH PLUMBING � �'� � � `: FRAMINC�IVEt�TiNG�� _ x, � �ROUGH ELECTRICAL � � , 'ROUGH MECHANICAL �,, � :�, �,� � �; �� ROUGH MECHANICAL RQC1Gti�ELEC?RICAL�W( ')�(�I �,. � ,. ; X � �. �� ' GAS TEST � . _ ,� ._ . �RQ�JGHtRLUN�BING� �R., �r ; � ,, ,� � PREC�UNIT;E INSULATION WALL � `POOL PRE DECK BONDING INSUlATION CEILING ,P-TRAP � DRYWALL � �- FENCE/GATEI ALARM ,;, � ____ �_.._�_ LATH(PRE} FINAL PQOL IATH EXTERIOR WALLS: LATH INTERIOR WAL�FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2NQ( )UFT SCRATCH COAT WALL BOND QEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION 'RO.FRAMWGPLANNINGAPPROVAL ` � ' � _ � � � �" � '�� ROUGH FIRE APPROUAL FINAL BUILUING � � � .,�, � , �„ _ -..�_, .� ,, _ . � _ �FINAL.MECHANICAC �� . �`� 1 � � � �� FINAL�FIRE DEPARTMENT 'FIh1AL�ELECTRICA�; ,� 'j k ,� � FINAE PIANNING � , , „ .,. FIt�AL PLUM�ING _� �' ,� � = ,� FINAL ENGINEERINGI PW �� a�,, �- - ,�__ s , ��„ - ,�. ;'�,C�of�OGCU�ANCY�� ' '� �� FINAL COMMUNITY SERViCES '��`� � � � �°� �,P� � '�FINAL'�HEALTHDEPL � -° GERT.of OGG�IPANCY �,. � FINAL INDUSTRIAL WASTE ;,. COMMENTS: ro�w� G� �4 I' �u ► �'�-�'r� 0 ia ��''`yZsr� Yl�'�' t..��l�� ,