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Home My WebLink About14-4736� � ..,..._ CITY OF DIAMOND BAR � ,� W� 21810 Copley Drive:Diamond Bar,CA 91765 �� PRESS I _ � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES U I ,,� (909)839-7020 Fax.(909)861-3117 Bu�ldmg Inspect�on Hotl�ne(909)839-7027 �\t '�'� BUILDING PERMIT APPLICATION FIRMLY � I U I�'t�nYQ 8� L� APPLICATION DATE: P/C# y JOB SITE ADDRESS �J Z�_�y U i ISSUE DATE: 7 `- ' PERMIT# �7 ` �7�� z APN LOT TRACT yOWNER 0� r 00 TYPE CONST. OCC GROUP: � ADDRESS �C J�rE. � � CITY O��,f ZIP�,�TEL (3 ZONING SEfBACKS FRONT RW ❑ = APPLICANT TEL. REAR ❑ i � ,� (� ¢ CONTRACTOR `�L� -,e�S ��r� SIDE/SIDESTREET qW ❑ I � SIDE ❑ , � ADDRE �' � e- 0 r; � p PROPOSED USE � CITY � ZIP��TEL. C� �O�O � � ARCH/ENG/DESIGNER L = ADDRESS " � #DWEL.UNITS #STORIES #BEDROOMS zd CITY ZIP TEL. � OWNFA-BUILDEfl DECLANATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION = I hereby afFlrm under penalty of perJury that I am exempt hom the Contractor's Shate License Law tor the reason(s) SFWADD/REM I � indicated below by me checkmark(s),I have placed ne�t to the applicable ttem(s)[SecUon 7031.5,Busirress and L Professlons Code:A a coun that re Ires a ermit to con p � Y Garage/Carport . � �Y�Y tY qu p atruct,atter,im rove,demalish,or r Ir,an y atruch�re,prlor to ifs Issuance,also requlres tlre applicard for the pertnR to flle a sigired statemerrt that he w she � Patio/Deck I � Is Ilcensed pursuarrt to the proWsloro of tice Contractw's State Llcense Law(Chapter 9)Commencing wflh Sectlon w � 7000 of Dlvlsion 3 oT the Business and Professlore Coda]or that he or she Is exempt from Ilcensure and the basis for � P�I/Spa n the alleged exemption.My vlola6'on of Section 7037.5 by any appllcant for a permlt subjects the appllcant to a clvll penalry C7 � of not more than flve hundred dollars($500). 2 Re-Roof x � U I,as owner of the property,or my employees with wages as their sole compensation,wlll do(,all of or U portions � Commercial y o1 the work,and the structure Is not intended or offered fw sale(Section 7044,Business and Professions Code:The � � ConVactors'State LJcense Law dces not apply to an owner of property who,through empbyees'or personal effort,bullds m � or improves the pmperty,provided that the improvements are not intended or oRered for sale.K hwvever,the building or I � Improvement Is sold within one year of crompletlon,the Owner-Builder will have the burden of proving that It was not bultt � or Improved for the purpose of sale.). I ' U I,as owner of the pmperty,am exclusivety contractlng with licensed Contractors to construct the project(Sectlon Z 7044,Business and Professions Code:The Contracturs'StaOe LJcense Law does not appty to an owner of property who Valuation: Adj.Area: I � buildsaimprovesthereon,andwhocormactsforthepro�eclsvrithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE Y License Law.). � U I am ezempt hom Iicensure under the Contractor's State License law for the following reason(s): � L��'�"�P r �- � U I 1 By my signah�re below I acknowledge that,except for my personal residence in which I must have resided for at least one � = year prior to completion of the improvemerrts covered by this permit,l cannot legally sell a structure that I have bullt as an � I owner-builder if R has not been constructed in Ib entirety by Ilcensed contractors.I understand Nat a copy of the appllcable I � law,Sectlon 7044 of the Business and Professlons Cade is available upon request when this application Is submitted or at � � the following Web site:http/www.leglnfo.ca.gm/calaw.htrnl. z I � DATE: SIGN: � — LICENSED CONTAACTON'S DECLARATION � ' I hereby af�rtn under penatty of perJury that I am Ilcensed under provislons of Chapter 9(commencing wtth Section 7000) � I � of Division 3 of the Business and Professions Code,and my license is in full force and elfect. � I „ _ Q � 2 pl �p � LICENSE CLASS: ' LIC.NO.: ' Z� DA7E: � CONTRACTOR: � � i ¢ ,�� WORIffJi'S COMPENSATION DECLA TION �C� � y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � ? I have and will mairrtain a Ce�cate of Consent to Selt-Insure for Worker's Compensation,as provided by CONSTRUCTION: � = Sectlon 3700 ot the La6or Code,for the pertormance of ine work for which this permit Is issued. p�,.,qN REVIEW: j I have and will maintain Worker's Compensation Insurance,as requlred by Sectlon 3700 of the Labor Code,for � the performance of ihe work for which this permit is issued.My Worker's Compensatlon Insu2nce Carrier and ELECTRIC: ` Zd PolicyNumberare: PLUMBING: � CARRIER MECHANICAL: ' � POLICY NUMBER INSPECTION FEE: 'n (THIS SECTION NEED NOT BE COM1�WLEfED IFTHE PERMfT IS FOR ONE HUNDRm DOLLMS($100)OR LESS�, � � � ISSUANCE: = I certity that in the performance of the work for which this permit is issued,I shall rwt employ any person in any manner so as to � becane subject to the Nbrker's Campensation Laws of Califomia.Md agree that if I shauld becorne subject m the WmkerS SMIP: � Canpenpstiwi pm siorrs of Sectlon 3700 of the La6or Code,I shall forttrvvlth compty wlth tlrose provlsfons. ENERGY P/C: 1 DATE: ,�� APPLICANT: ENERGY PERMIT: � WARNING:Faiu to cure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal �� penattles and civil flnes up to one hundred thousand ddlars($100,000),in additlon to the cost of the compensation, RETENTION FEE: _ � damages as provided for in sec6on 3708 oi the labor code,Interest,and attomey's fees. PRE-ALT FEE: i CONSTRUCTION LENDING AGENCY BSAF: = I hereby attirm under penalty of perJury that there Is a ConstrucUon Lending Agen�y for the pertormance of the vrork for � which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: z LENDER'S ADDRESS: �� i I certify that I have read this applicatlon and state that the above informatlon is cortect.I agree to comply with all city and TOTAL FEES � counry ardinances and state laws relating to bullding consWcUon,and hereby authonze represerrtatives of this counry to COMMENTS: Z enter upon the above-mentloned property for Inspection purposes. � � n ¢ PERMITTEE NAME(PRItJn n � = SIGNATURE OF PERMfTTEE DATE RECEIPT N PAID BY:� �D� VALJDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD � � 1 � � • � � � � �SETBACK/LETTER�$� : .��` ��-*` � .� ��` �� T �a,�s� TRACT AND LEDGER FOOTINGS�FORt+hS&..;�,,:. _� �� r ��;�'�R �� ` �� SWITCH GEAR SLA �:� �''��+�� '`�` `� ��' � �'�'` COMMERCIAL HOOD B: �� r�. r� �� *�.; :� _,- � � �� _ _ � �,' T-BAR ,U6.PLUMBING� � � ,� ,� e .� - ',UG.ELECTRICqI.�� , � '��;:��;A�.�� - _ �,a��.:��'*�'°�"' INTERCEPTER 4; ; � . ��.�dR� � �=��n �r�.�`_ ' .s��x�-`.° , .. �...- , . ,UFER GEiOUNQ,.,b �� ,� yT. �. ��.� '_�� _ HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOf SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHFJ4R WA�L'LS�IX7ERIOR �'� �« ��:,R �,, ;a� ROOL/SPA ..r �� ` _ �'� ��,R`"� � ,S'� 11 ' � � F E 2b^ � � �� RQUGH PLUMBING� ��, � � �. ��. �� SHEAR WALLS INTERlOR� �, �.�„ � .� � �� r� � FRAMI�GNENTING�. �„� * � � ,��, �� ,�, .�� ,� � pROUGH Ei�CT#�ICAL � ��,� � '�� '�a � �a�� ROUGH MECHANICAL�° � �° � ��'" '�� ,� ��,� ROUGH'MECHANICAL�� ' : � '��'�` ROUGH ELECTRICAL W(.;��a� � ' � '�� °�"�,� �� ,�� iAS�TEST�� r�� - � �,� �" �� . , «m�ar � �r 3�x�. ..� <PRE GUNIjE�� .�.�� .�� .,a�� .a� t� �._ � HOUG#i PLUMBING�� - o� K�� . ,...� , , ,� ` . �,., �� _ � . � INSULATIONWALL � ,PDOLPRE�'�DECKBONDINf�_`� ��,-�� " � �" ��"�`�' �� . �_ � � �. INSULATIONCEILING �F��p ��`�� °��,� � � .�' �� "�� Y��' '� �.�� " �.. k- � y��rt�'�.� 3 " DRYWALL ��ENCE�I�GQ7EI�AlARM� ,� �-��p��'� � ,�� LATH(PR� ' �b a ,: �` �� ,� , �: 'FINAI POOL_r. �.�;_._� :- _� - - ��ae> LATH EXTERIOR '� � wA�� IATN INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 S'( )2"0{ )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN(SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPEGTION RO l�tAMING PI�AIdNINGAPPFiOVAL �" , �� ` �'�� FINAL,BUILDINf� , ,.�.�� , . �,��",� � `ROUGH�FIRE APPROUAL��;;�`��:� �� x� �� i � '��"� �� :` � k. � � �. � �;� : � �.,.� .��" ,��` �µ�"� ;v��°y` F(NAL FIRE QEPAFi7MENT� ��; k' _�$ �. � ;FIN{1L MECHANiCAL � � � �° _ z ' `� � � ° � � -� � �� a F(NAl-�PLANN{NG�� '�� P � ��4.� �°�� °��'�" � _. FINAI.ELECTRICAL� , �� ', F , � F�r �� : .�'r.,�,. �FItJAL�EiJ61NfERINGf�� A ��3 , � �; ; �;� FINAL�PLUMBiNG�,�'`� �r 2 �� - � _ ` ' '' � °�� '�'� � � °�� FINACGOMMUNITY SERVICES� � � � � �� T C.of OCGUPANCY �� ° ��`�� ' i � �_"" -�� =�� g� �FINAL HEAITH�DEP�T��°� � �� ° �' T� �� , 3�� ., ,CER'f;of OCCiiPAHCY� � . �,�� .�., � ��,. ��" ..��., ',.. ; »� : � �� INAL INDUSTR1Al WAST'E��. _�,. �'.��';�` .��9��,�, �e �,�,��.- . ...,h.,�� '�� COMMENTS: