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Home My WebLink About15-3011 .. . _ . ,. �'' CTTY OF DIAMOND BAR r F�`�D. ,: ,.. �, I I I �; DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES . ��, � "` .� ' 21810 Copley Drive,Diamond Bar,CA 91765 �G�/�f, PRESS ,�;� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 lP *�'��'� BUILDING PERMIT APPLICATION FIRMLY g Z,, 3 S I � �(,� � 1 (e Q L�'1 APPLICATION DATE:J�-2?—I) P/C# x JOB SITE ADDRESS � i ISSUE DATE: I�'Z.3�I�_PERMIT# ��_ �J/�� z APN LOT TRACT � OWNE��M K�� TYPE CONST. OCC GROUP: L n ADDRESS J CITY ZIP TEL. a � Il �(�4 ZONING SEfBACKS n � FRONT RW ❑ = APPLICANT � � � S �TEL a�� O REAR ❑ ¢ CONTRACTOR 1 t �' � P/ � SIDE/SIDE STREET RW ❑ y� SIDE ❑ � ADDR.�E^SS �2 � �r), U� � 'J I �U I x CITY 1 G1-��-' U�I U ZIP "t �3 5�'EL. O 1 3 �� 2 '{21 PROPOSED USE � � ARCH/ENG/DESIGNER = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. I � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEH-BUILDFA DECLAflATION � = I hereby affrm under penalry of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � I � indicated below by the checkmark(s),I have placed nert to the applicable item(s)[Section 7031.5,Business and Garage/Carport �' Professions Code:Any city or county that requires a permit to construct,alter,improve,demolish,or repair,any � Iz strycture,prior to its issuance,also requires the applicant for Uie pertnit to file a signed sfatement that he or she � Patio/Deck i is I(censed pursuant to the provisions at Me Ca�actar's State License Law(Chapter 9)Commencing with Sectlon w � 70W of Division 3 of fhe Business and Professions Code]or that he or she is ezempt fmm licensu2 and the basis Por � Pool/Spa i � the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjec45 the applicant to a civil penalty C7 = of not more than five hundred dollars($500). ZQ Re-Roof I � O I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or O partions � Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,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 purpose of sale.). I (,I,as owner of ihe property,am exclusively contracting with licensed Cont2ctors to construct the project(Section Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of propeAy who Valuation: Adj.Area: I n buildsorimprovesthereon,andwhoconhactsformeprojectswithalicensedContradorpursuanttotheContractors'STate QUANTIIY DESCRIPTION FEE I Y License Law.). . I � O I am exempt from licensure under the Confractor's State License law 1or the following reason(s): � I � � 1 By my signature below I acknowledge that,ezcept Por my personal residence in which I must have resided for at least one w I = year prior to completion of the improvemenfs covered by this permit,l cannot legally sell a shudure that I have built as an w owner-builder if it has not been conshuded in its entireTy by licensed contractors.I understand that a copy af the applicable I � law,Sedion 7044 ot the Business and Professions Code is available upon request when this application is submitted or at ./J , O . S. I � � the following Web site:http/www.leginfa.ca.gov/calaw.html. '� L `� /� _ _� DATE: SIGN: � �/ e'Y I — LICENSEO CONTFIACTOH'S DECLAHATION � � � q� I d ' 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. , � ( ' � a I nj LICENSE CLASS: v � � � L1C. 0.: � �� a I � DATE: IZ/L•�:J S' CANTRACTOR: �� - �J-- � I ¢ WONI�A'S COMPENSATIO DECLARATION g I � y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE 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 Lahor Code,for the pertormance of the work for which this permit is issued. p�,qN REVIEW: � � I have and will mainhain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: �� ¢ PoIi�yNumberare: � PLUMBING: �73 9� �fi� �'' O y CARRIER � � � MECHANICAL: � POLICY NUMBER rL , G{ �, O � �— INSPECTION FEE: _ (THIS SEC110N NEED NOT BE COMPLEfED IFTHE PFAMfT IS FOR ONE HUNDRFD DOLLAAS($100)OR LESS�. ISSUANCE: �;�. � I certfy that in the performance of the work for which this pertni[is issued,I shall not employ any person in any manner sa as to S M I P: y � become subject fi the Worker's Compensatlon laws of Califomia.Md agree�at rf I should become suhject to the Worker's � Compensation provisions of Section 3700 of Ne Labor Code,I shall forthw' �mply with those provisions. ENERGY P/C: � J DATE: APPLICANT: �1 .� ENERGY PERMIT: L � WARNING:Failure to secure Worker's Compensation cov ge is unlawful,and shall subject an employer to criminal ipenalties and civil fines up to one hundred thousand dollars($t00,000),in�addition to the cost oi the compensation, RETENTION FEE: � a,p0 = damages as pmvided for in section 3708 of the labor code,interest,and affirney's tees. PRE-ALT FEE: i CONSTAUCTION LENDING AGENCY BSAF: y I he2by affirm under penalty of perjury that there is a Construdion Lending Agency for the perfortnance of the work for = which this permit is issued(Sec.3097,Civ.C.).� � LENDER'S NAME: � LENDER'SADDRESS: i I certiy that I have read this application and state that ihe above informatlon is correct.I agree to comply with all city and TOTAL FEES '1�r �' IC Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: � enter upon the above-mentioned property for inspection purposes. � T"J n lC i/1 q 5 ( IM � � ¢ PERMITTEE NAME(PRItJn� ` 1 J �., � � = SIGNATURE OF PERM1�F E ` DATE RECEIPT#��D2� PAID BY: �$I` VALIDATION:� _ � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy �� ' 'CI�'Y OF DIAMUND BAR . INSPECTIO�N'RECORD • • � � . � e . � , , . � . �S�TBACK/LETTER °` : �. �� ; �, : s, � ;__ � � TRACTAND LEDGER 'FOO�INGS�FORMS �� . � y� „ _`� �- SWITCH GEAR `SLAB �� A �� ..; , � COMMERCIAL HOOD ,UG'�.PLU�lBING � ��' �;��..,� � �n � ,��. �� . � � > �, � �� T-BAR � ;UG:�fLECTRiGAI ��, �' �' �'" � � ��_ �� INTERCEPTER UFER GROUND '�' �'�� °'� '"� �`'�=� �� ° � ° � � HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL � MAIN WATER LINE HERS REPORT RECEIVED _ � SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT .�-.t�� ,: . .� _� _ �SI�EARWALtSEXTERIOR �— � ,� � � � . � , a �; � �`POOUSPA � � . , _ � _� ,. <. � �. �- �. r- ��.� ,� _ . �� ROUGH PLUMBWG Y �SHEAR WALLS�NTERIOR � ,, � � � � � � � � �� ° � _ _ x _x � ,,, � � � ��: � � � �. „ , FEiAMINGNENTING� '� �"� � �� HOUGH ELECTRICRL ° � � ;ROUGH NIECHANICAL ;;:� �: , � , � � ,m,__ � �� ROUGH MECHANICAL � � ; �� "" � � ' . � . ..._ .. .. m ......... ... . . . . . . . . .... . .... .a k_. .... ... ._ ROW�H E�EGTRICAt��t!( };;C(� ) ,. � �� GAS TEST ,f�Ol1GH�PLU{�BING�, ,, � .<,� I�I�`�� " '�� ,� A � PRE GUNITE , . , _ INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING F-TRAP �� DRYWALL ' FENCE/GATE/ALARM LATH(PREI FINAL POOL � LATH EXTERIOR WALLS: LATH INTERIOF3 WALL FOOTING/STEEL 6AS TEST WALL STEEL 1�T( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL ORAIN/SEAL GAS h1ETER RELEASE � WALL FINAL SPECIAL INSPECTION RO.FF�AAMINGPLANNINGAPPROVAI � � � � �_: ; m,.� . _ y , � , �. : �INAL,BUIIDING .�,. „. � �� I �� ROUGH fIRE APPROVAL � � � �� . ,s. ..yY �,� . �' , � FINAL FIRE DEPARTM�yT •'- FINAL,MECNANICAL,� � � , �, . „ : � ; __ __W, - FINAL,ELEGT.RlCQL. .� � �r r �._ ., �. , FINALPLANP�ING �� ' . . � ;FINAL PIUMBING- �� ,�_.. � �. / F , _ � FINAL ENGINEERING/PW � � �T.C�of�OCCUFANCY � •� .�� ,,;� �� „ � � � � FINAL COM�IUNITY SERVICES� • - � � � �` �' � . �a �CERT:of QCGUPANCY � , s: �, � .� � �.. .a FiNAL HEALTH DEPL � � , ` .__e� � � FINAL INDUSTRlAL WASTE ��. COMMENTS: