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Home My WebLink About16-0700 ' � CITY OF DIAMOND BAR �i��D i � � � i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � , = 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 www.cityofdiamondbar.com building@diamondbarca.gov � ) a JOB SITE ADDRESS �� b� �a't�/(LZY LY� APPLICATION DATE: P/C# Z ISSUE DATE: c./ I l(�/PERMIT#: �Co� �7OC/ � APN LOT TRACT 0 � OWNER CA Ir' �V TYPE CONST. OCC GROUP: � ADDRESS a''�7�o Te•Yhawke� L�n_ a cirv ID i a�..,o�c�l U�r ziP a�?6�TEL. Scope of Work �a�h p�+�� tn�y�-�,v�e °� � Mkt�;i� o APPLICANT r.-. rY�TEL. 6eZ�i''`J �i��T6�v� � loo� �,.0 i..,a;►. . IaS�,T C��S ¢ CONTRACTOR -Z � � 0 � ADDRESS �'�� c►I �v �� '��+� �� /� #DWEL.UNITS #STORIES #BEDROOMS o CITY ZI/A'I�u-}� ZIP`1l3�TEL �i�6—�f.��y—�b� `� ARCH/ENG/ 0 z DESIGNER S � • � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION o ADDREyS►S �1 �oF `'�h 1fZr S j ;��. � SFR/ADD/REM ¢ CITY [/iB�u^lT'�' ��r ZIP � ��'ITEL. �v��6��i�'O�aZ� Garage/Carport oc OWNER-BUILDER DECLAHATION w Patio/Deck � I hereby aftirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) LL Pool/Spa W indicated below by the checkmark{s�,I have placed nezt to the applicable item(s)[Section 7031.5,Business and � z ��ssions Code:My city ar county that requires a permit in cons6ucf,alter,impro�e,demalish,or repair,any ? Re-Roof Nshucture,prior Oo its issuance,also requires Vie applicant for the permit to file a signed statement that he or she � Commercial � is licensed pursuant to the provisions of the Co�actor's STate License Law(Chapter 9)Commencing with Secton � N 7IXI0 of Division 3 of the Business and Profeuians Cade]or that he or she is exempt trom licensure and the basis for m � the alleged exemption.Any violation oi Section 7031.5 by any applicant for a pertnit subjects the applicant to a civil penalty 0 oi not more than five hundred dollars($500). (,I,as owner of the property,or my employees with wages as their sale campensatian,will do(�all of or()portions Z of the work,and the strudure is not intentled or offered for sale(Section 7044,Business and Professions Code:The ValuafiOn: Adj.Area: � Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves me property,provided that the improvements are not intended or offered for sale.If however,the building or qUANTIIY DESCRIPTION FEE o improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not 6uilt � or improved for the purpose of sale.). � Z (_,)I,as owner of ihe property,am exclusively contracting with licensed Contractors to construct the project(Section � N 7044,Business and Professions Code:The Contractors'State License law does not apply to an owner of property who � — buildsorimprovesthereon,andwhoconVactsfortheprojectswilhalicensedContracrorpursuantrotheContractors'Siate � Y w � License Law.). � (_)I am ezempt hom licensure under the ConVactor's Sfate License law for the following reason(s): � z z m � By my signature below I acknowledge that,except for my personal resitlence in which I must have resided for at least one � � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an a a owner-builder it it has not been cons[ructed 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 � o submitted or at the following Web site:http/www.leginfo.ca.gov/calaw.html. � � a LICENSED CONTqACTOH'S DECLARATION = � I hereby affirm untler penally of perjury mat I am licensed under provisions of Chapter 9(commencing with Section 7000) � Nof Division 3 of the Business and Professions Code,and my license is in full force and effect. o uCENSE C S:y—� �— uC.NO.: I O�O{0�� CONSTRUCTION: a DATE: �i��S� I/ � CONTRACTOR: /�y�pvG�/ ZInG. 0 WOHKEfl'S COMPENSATION DECUIHATION PLAN REVIEW: QI HEREBY AFFIRM IINDER PENALiY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ELECTRIC: a g� � o I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by PLUMBING: � � a Section 3700 ot the labor Code,for the performance of the work for which this permit is issued. MECHANICAL: p �/�!h•1 have and will mainfain Worker's Compensation Insurance,as required by Sectlon 3700 ot the Labor Code,for a ihe performance of the work for which This permit is issued.My Worker's Compensation Insurance Carrier and INSPECTION FEE: o Policy Number ar: ! I r Z CARRIER �7�Te Caa�v��PQNri�►TfOV) ��54.-A�.,Ce ISSUANCE: 3—'� N POLICYNUMBER 9►yvl"76'��j� SMIP: � (�HIS SEC�ION NEED NOT BE COMPLETED IF iHE PERMfT IS FOR ONE HUNDRED DOLIARS($100)OR LESS). ENERGY P/C: p I cer�ty that in the pertormance of the work for which this permit is issued,I shall not employ any person in any manner so�to EN ERGY PERM IT: o become subject to the Worker's Compensation laws ot Cal'rfomia.Md agree that if I should become subjec[to the Worker's � �� J Compensati pro/�risiP ns of Section 3700 of the Labor Code,I shall forthwifh cort�pl witli those provisions. REfENTION FEE: �,�v LL DATE: I / /.E7 APpLICANT:��(.Y� .f'1� 1��71 N PRE-ALT FEE: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal gASF: � penalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the cast of the compensation, � damages as provided for in seclion 3708 of the labor code,interest,and attorney's fees. PLOT PLAN: d CONSTHUCTION LENDING AGENCY ZONING CLEARANCE: w I hereby affirm under penalty of perjury that there is a Construction Lending Agency for ihe performance of the work for = which this permit is issuetl(Sec.3097,Civ.C.). � � LENDER'S NAME: Q LENDER'S ADDRESS: TOTAL FEES ��/� a I certiry ihat I have read this application and state that the above information is correct.I agree to comply wiTh all ciry antl COMMENTS:� � �� Z counry ordinances and state laws relating to builtling construction,and hereby authorize representatives af this county to ��w � � ��—��j� p enter u on the above-mentioned property for inspection purposes. �� m ��+,e,-� /�I G G, `� y a ¢ PER EE NAME(PflINn � r� ,� P/C: PAID BY: VALIDATION: � � RECEIPT#� PAID BY � VALIDATION: F S ATURE OF PERMITTEE DATE WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy "/``/� _ � . . . . , . . . �� . . C�TY OF DIAMO�ID BAR INSPECTION RECORD � • � � . � . . � � , . � . SETBACK/LETTER TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG.PLUMBING T-BAR UG.ELECTRICAL INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( )C( ) GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING • INSULATION CEILING P-T�P DRYWALL FENCE/GATE/ALARM LATH(PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1sr� �2r+o� )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNING APPROVAL FINAL BUILDING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL I1d•� FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/PW T.C.of OCCUPANCY FINAL COMMUNITY SERVICES CERT.of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: