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Home My WebLink About14-4566 I .�--��t"''� . . ..__ � CITY OF DIAMOND BAR �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ; =�� 21810 Copley Drive,Diamond Bar,CA 91765 F PRESS � W (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 FIRMLY F'�t'"� BUILDING PERMIT APPLICATION i JOBSITEADDRESS L `�`) K 1 O�✓G' �/�Z�'� 1'� APPLICATIONDATE: �_ /— ap�Y P/C# i ISSUE DATE:� �/ � �d f� PERMIT# j y_ �`� �6 z APN LOT TRACT yOWNER�(�I PrPc,�'�o TYPE CONST. OCC GROUP: � ADDRESS ZONING SEfBACKS J CITY ZIP TE�. O ' � FRONT RW ❑ � APPLICANT -n �� TEL. REAR ❑ n n SIDE/SIDE STREET RW ❑ Q CONTRACTORr, 1�-e � I��`� � SIDE ❑ � ADDRESS L"1 y 6 V •+'II� I 2'V( PqOPOSED USE x C I N�Q/y a/� � Z I P � b T E L. �� Z L7 � ARCH/ENG/DESIGNER � = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. DESCRIPTION SQ.FC FACTOR PSF ADJ.AREANALUATION � OWN@I-BUILDFA DECLAHATION I = I hereby afFlrm under penalTy of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFFVADD/REM - � � indicated below by the checkmark(s),I have placed next to the applicable item(s)[Sectlon 7031.5,Buslrress and Garage/Carport I Professions Code:Any city or couMy fhat requlres a permit Oo construct,alter,Improve,demolish,or repalr,a�ry I z structure,prla to its issuance,also requlres the applicaM Mr the permtt to flle a signed statemeirt Mat he or she � Patio/Deck i Is Iice�ed pursuant lo the provlsla�s of ttre Contractor's State License Law(Chapter 9)Commexl�with Sectlon w � 7000 of Divislan 3 of tlie Business and Prolessions Code]or that he or she is exempt from licensure and the basis far � P�VSpa I � the alleged exemptlon.My violation of Section 7031.5 by any applicant for a permR subjecis the applicant to a civil penalty Z Re-Roof I of not more than Flve hundred dollars($500). � (J I,as owner of tlte property,or my employees with wages as their sole compensation,will do(,all of or(�portions � Commercial - I y of the worlc,and the shucture is not intended or offered tor sale(Sectlon 7044,Buslness and Professions Code:The m � Contractors'State License law does not apply to an owner of properry who,mrough employees'or personal ettort,builds i or imprwes the pmperty,provided that the ImprwemenLs are not intended or offered for sale.If however,the building or I � Improvement Is sold within one year of completion,the Owner-Bullder wlll have the burden of prming that R was not buitt � w improved fa the purpose of sale.�. � I U I,as owner of the property,am exclusively contracting with licensed Contractors to construct the pro�ect(Sectlon Z 7044,Business and Professions Code:The Contractnrs'State LJcense Law does not apply to an owner oi property wha ValUation: Adj.Area: I n buildsorlmprovesthereon,andwhocontractsforthepro�ectswlmallcensedContractorpursuanttotheCantractors'State QUANTITY DESCRIPTION FEE I Y License Law.). I 3 U I am exempt from licensure under the Contractor's State LJcense law for the following 2ason(s): � I 1 By my signature below I acknowledge that,ezcept for my personal residence in vfiich I must have resided for at least one � I = year prior to compleUon of the improvemeMs covered by this permd,l cannot legally Sell a structure that I have 6uitt as an w owner-builder if it has not been constructed in its erttirety by licensed contractors.I understand that a copy of the appllcable � � law,Section 7044 of the Business and Protessbns Code is available upon request when thls application Is submitted or at I i The folbwing Web slte:http/�nwcleginfo.ca.gov/calaw.htrnl. _ = DATE: SIGN: � � �e I — LICENSED CONTflACTOH'S DECLANATION � � I yI hereb affirm under en p p ( g � I y p atty of per�ury that I am Iicensed under rovisbns of Cha ter 9 commencin wlth Section 7000) � � of Dlvlslon 3 of the Business and Pmfesslons Code,and my Iicense Is In full force and effect. I � � � p n 7 �l 9 ;� LICENSE C SS: L � C.NO.: � Z � � I Z DATE: � �� CONTAACTOR:�f pQ,y = U a WOA1�1'S COMPENSATION DECLAHATION � �� I � I HEREBY AFflRM UNDEA PENALTY OF PERJURY ONE OF THE FOLLOWING DECLNiAT10NS: y � I have and will maintain a Certificate of Consent to Sett-Insure for Worker's Compensation,as provided by CONSTRUCTION: = Section 3700 of the La6or Code,for the perfamance of the work for which this permit is issued. p�.,qN REVI EW: j � I have and will maintain Worker's Compensation Insurance,as requlred by Section 3700 of the Labor Code,for ELECTRIC: � me pertormance of the work for which this permtt Is Issued.My Worker's Compensatlon Insurance Carrier and ¢ Policy Numberare:�'/�re 3� PLUMBING: /�� y CAARIFA Y MECHANICAL: � POLJCYNUMBER �IsrlUO�LU S�I�3I INSPECTION FEE: � (IHIS SECTION NEED NOT BE COhWLETED IFTHE PBiMR IS FOR ONE HUNDR�DOLLARS($10�OR LESS). ISSUANCE: ,�.I'�7 � I certity that in the perfarmar�ce of the vrorlc for which this permit is issued,I shall not emplo9 any person In any manner so as to � become subjec[to the Workers Canpensation Laws of Calltania Md agree that If I should becane su6ject m the Workers SMIP: � Campen n pmhsions of Section 3700 of ihe laba Code,I shall firthwith campty wtth those provisions. ENERGY P/C: i DATE:_�`'�APPUCANi: ENERGY PERMIT: � WAANING:Fallure to secure Worker's Compen tion coverage Is unl ul,and shall subject an empbyer to criminal RETENTION FEE: a� y penalties and civil fnes up to one hundred thousand dollars($100,000),in addition to the cost of the compensaUon, i damages as provided for in section 3708 of the labw code,interest,and altomey's fees. PRE-ALT FEE: � i CONSTfiUCTION LENDING AGENCY BSAF: y I hereby aKrm undar penalty of perjury that there is a Constructlon Lending Agency for the performance of the work for � which this permit Is Issued(Sec.3097,Civ.C.�. LENDER'S NAME: = LENDFA'SADDRESS: i I certfy that I have read this application and state ihat the above Infwmation Is correct.I agree to compty with all city and TOTAL FEES � county ordinances and state laws relatlng to bullding construction,and hereby authorize representatives of this county to COMMENTS: n� enter upon the above-men6oned property for Inspectlon purposes. �l vn � i/) S� u r.� � PFAMITfEE NAME(PRINn L � = SIGNATUREOF E ' DATE � RECEIPT# >"'�/�`'7 PAID BY: '� VALIDATION: WHITE—Department Copy,YELLOW—Flnance Copy,PINK—F�ssessor Copy,GOLDENROD—Ffle Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTIUN REC�RD . � � . • � - • � � . � . ,SETBACiV<LEfTER �°"' d #�� ,.,,� . s::��°�� e ��' TRACTANQ LEDGER FOOTihlGS-FORMSy.�,.�,�:��.$��„�.� '- „ ��-��.5�'�� SWITCH GEAR `Slpg'' � '°"' ��°'�' �• . ..�...� � „�;�:�,�� . °��. �=i COMMERCIAL HOOD ' �.�:��:� ,�„� �� UG,�PLUPABING�� .��, ,� . . �°��a�� T-BAR UG"ELEG,T,RICAL�`�y�.,, �� >� ��,��" INTERCEPTER UFER GROUND��'"°�� ' "� ��.�� " °,'��' ��'��,; HOT MOF/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATNING ROOF DRAINS FLOOft SHEATHING ROUGH CONDUIT �SH�EARzWALLS IXTERIOR� ��.a��°� ��` �� .� �POflI'%SPA y �:»:d' ,��„ �� 3�� ,.. . _ a,� e :_ .� . _�� y. a, , � ,� .. . _; .�„.�a � � � n m.+a� -r �., .r,z��- �,�_ SHEAFt�WACLS INTERIOR;a� �.:: ��.�'��.: .j.... .�� A�.. � �ROUGH PLUMBING.,��, , .�:z�� k , .�,�;� -',� � 4� �� 5 �� FfiAMINC�/ENTi�iG ;,��u ��'Y �° �,� �_ �s�u ,��.�f �-� —�. a��_ � � € ��"`� "� �� R€?UGH=ELECTRICA�� `�`�� ,��, � �� ROl�1Gli MECHANIGAL. ��,�,�.,�'��„��'; ,� �� 'ROtJGIi MEGNANICAL� ,„��.,��'� ,;� �• �� `� :.,�»� �� .. '� ��>."" a I �.e �'' �. r ,�� -�,u ��s��- ' �i� ��=�, �R,OUGH ELECTRlCAL�W(��1�G(.�) ' �� .�., t ��;'� �G¢S�TEST>;'�� ..�. ��.�� , .� s:�� ;�.,� ROt1GHtPCUM6ING t��,. {� � r ��z�- `$�� _:� PflE�Gt1NiTE .g��.� e_ �;��'�. � �'.� � � �'��.� � ��.�:�� : s „ . ,. �� = x �. � . _ _.� . � INSULATION WALL �POOL P,RE`DECK BONDING'� " '��' � ,� ��; ��._,� ��-�� .�a,.�� .-. � .�.�� INSUlATION CEILING � P,�TRRR�'�:�-��;� ��, � �,.��`�� "�� '�,:, �� DRYWALL FENCE/�GATE/ALARM F��<....;��;�_�'. .._.,�q...., �` �� , ,,.. , ��„ �, ��.�� . LATH(PRE) §F1NAL.P40L ��- ;.�� , � �� LATH EXTERIOR WALLS:. LATH INTERIOR WALL FOOTINGlSTEEL GAS TEST WALI.STEEL 1 sT( )2"0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL ,, �� SPECIAC INSPECTION �� ¢� �� ~ RO.FP,AMINGPL§�U1NItdGAf'PRDVAL ;�;� _�a ,.��.�,�,� ��# FINAI'a BUIL°DING��='.��„ ,+� m m, �: ��, ��: ��¢ ,�«� "�} � �ROUGFI"FIt3EAPPROUAC r �``��"��'�' � �' �� $.r � ��" ° Y �'� %R� ,°�� .��°'"� FlNAL FIRE�DEPARTMENT � '' � � �"�� *�� F.INAL MECNANICt1L , , � �� tt , & �� _ . �� . .�� INAL,EL,ECTRtCQL�: �'�� f, �f.x . ..�,� ��.� ,FINAL4PpL1tNNING� �� ..��,�,�� ' �� x� � .��_: � �� .� � � � � _ FINAL,PLUMBItdG� k��a.` � .,�°�� '` ..„�<, ��;�. � . .� °FINAL;ENGIM1IEERINfI,RNt�� ,� : �"�:'�"�;� >:�� TC:of OCCUPANCY.�` "` ��,� , ��°�� `�£' �� ' �* FiNAL�CtIM�NItINITY'SERVICES�� ..rr� s� '� � �� °� � � _��a � � �»�� ; �� ; �,� � �. ,CEii'f.of OCCUPAIdCY' �� :�� X; °�.�°'T �� FlNAL�HEALTHgDEP7 , °`��'� �.��, �� r ;r � � _. r� . . _�� _��_ � �� " ` FINAL INDUSTRIAL�WASTE��: �.. �� .,�.�;��.� �°� ;�:,�a�_°�_'i.. ...�� . �� COMMENTS: