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Home My WebLink About14-5269 .......,...� =--*�,� �.. ,.�;,,,.„; CITY OF DIAMOND BAR � � ,- , ,. _ � �; 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 APPLICATION DATE: 1aI�� I,A— P/C# � g� i JOB SITE ADDRESSX �/ � 1 ISSUEDATE: �0��p�'JT/ PERMIT# �� p� I j APN LOT TRACT � OWNER � TYPE CONST. OCC GROUP: — ADDRE �5 J CITY �IP TEL. ZONING SEfBACKS Q FRONT Ry�/ p s APPLICANT TE . - Q REAR ❑ � n SIDE/SIDE STREET RW ❑ � CONTRACT SIDE p � ADD SS � , I�S PROPOSED US - � CITY ZI TE . ' O r � ARCH/ENG/DESIGNER .P y C. z ADDRESS ' � #DWEL.UNITS #STORIES #B DROOMS z CITY ZIP TEL. Q -OWNEH-BUILDEH DECLAflATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � = I hereby affirm under penally of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s�,I have placed next to the applicable item(s)[Section 7031.5,Buslness and Garage/Carport I � � Professlons Code:Any city or county that requires a permit to construct,alter,improve,demolish,or repair,any z structure,prior ta ifs iuuance,also requlres the applicant for the permit to file a signed sfatement that he or she � Patio/Deck ( nis licensed pursuant ta the provisions of the Co�actar's State License Law(Chapter 9j Commencing with Section w � 7000 oT Division 3 of the Business and ProTessions Code]or that he or she is ezempt fmm licensure and the basis for � Pool/Spa I n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit suhjects the applirant to a civil penalty C7 I I' of not more than five hundred dollars($500�. Z Re-Roof � I � U I,as owner of ihe property,or my employees with wages as their sofe campensation,will do()all of or(J portions -� Commercial y of the work,and the strudure is not intended or offered for sale(Section 7044,Business and Professions Code:The � � Contractors'State License Law does not apply to an owner of property who,through employees'or personal eftort,builds m i I . � or improves the property,provided that the improvements are not intended or ottered for sale.If however,the building or I improvement is sold within one year of completion,the Owner-Builder will have the 6urden of proving that it was not huilt � � or improved for the purpose of sale.). I i, "� I,as owner of the ro e am exclusivel contractin with licensed Contracturs to construct the ro ect Section � U p p�� y 9 P � ( Valuation Ad Area: Z 7044,Business and Professions Code:The Contracfirs'State License Law does not apply to an owner of property who L I I � buildsorimprovesthereon,andwhocontraclsfortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y Ucense law.). I � (�I am exempt from licensure under the Contmc[or's Sfate License law 1or the following reason(s): a � � � I � 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � � � I Z � = year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w I owner-builder if it has not been constructed in its entirety by licensed contradors.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 I I X the following Web site:http/www.leginfo.ca.gov/calaw.html. ' � I � z � DATE: SIGN: � — LICENSED CONTIIACTOfl'S DECLARATION � � I a I � I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � ot Division 3 of the Business and Professions Code,and my license is in full force and effect. J I � Q nj LICENSE CLASS LIC.NO.: a I � ATE: CONTRACTOR � Q w WOBI�fl'S COMPENSA � I y I HEREBY AFFIRM U ER PENALTY OF PERJURY ONE OF THE F ING DECLARATION . i � I e and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: ��y � ection 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�p,N REVIEW: �, . �� I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for n � the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: f�jr , ¢ PoIi�yNumberare: �� ('� PLUMBING: Z � CARRIER J MECHANICAL: � POLICYNUMBER INSPECTION FEE: '� (THIS SECTION NEED N E MP D IF1HE PFA IS F9R ONE HUNDRFD DOLLAAS($100)OR LESS�. ' ISSUANCE: ��r�'y = I certify that in the performance of the work for which this permit is issued,I shall not employ an erson in any manner so as m SM I P: �.� become subject to the Worker's Compensation Laws of California.Md agree th ' ould be e subject to the Worker's JCompensati n p sions oi Section 3700 of ihe labor , s co ly with those isions. ENERGY P/C: J DATE: D APPLICANT: i ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation cove ' vrful,and shall bject an employer to criminal RETENTION FEE: ^ .00 y penalties and civil fines up to one hundred thousand ollars(5100,000),in additio to the cost of the compensation, i damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTION LENOING AGENCY BSAF: „�,Q� y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the pertormance of the work for � � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: � LENDER'SADDRESS: TOTAL FEES p�.,, ,'3g ,/�O�� i I certify that I have read this application a e that ihe ve information is correct.I agree to comply with all city and —\ � 7 Z county ordinance e laws 'ng building cons c[ion,and he2by authorize represenTatives of this counry to� COMMENTS: i � enter upon th ove-mentianed prope for urpases. � � ¢ PERMI E PRI � '(� ./ � �G �►a.3at� l�SrJ� �'Yl n J T� I � ` ` � 1 � = GNAlUREOFPERMfTTEE DATE RECEIPTq .}�0/�,�__ PAIDBY:� �`�7 VALIDATION: _ T�d WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD . � � . � • - • � r � . e . �SETBAGK/LEfTER_�" �� '� �� -�� , � TRACT AND LEDGER �.� < __. --- �e 3��, ^, FOOTINGS FORMS�_, ,'��`�' SWITCH GEAR S�qg COMMERCIAL HOOD UG.PLUMBING . : T-BAR �UG.ELECTRICAL INTERCEPTER ;UE€R GROUNQ HOT MOPJSHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL _ MAIN WATER LINE � HERS REPORT RECEIVED SEWER CLEANQUT DEMOLITION RQQF SHEATHING ROOF DRAINS FLQOR SHEATHING ROUGH CONDUIT � 'SHEAR WALLS EXTERIOR POOUSPA � � �� ' '�' �ROWGH PLUMBINGv„ ' ` ".� �y� ��, ;SHEAR WALLS INTERIOR =� ,_ �� "' FRAMiNG/VENT�NG, :�" iROUGH ME HANIGAL �� ., �,�_ �� ,� � �ROUGH MECHANICAL �� - rw�_, � °� �°� ` ` "� - ; ' � ��, - _� ,w,; �ROUGH ELECTRICAt W( )C( ) GASTEST �> �� —_ �� IROUGH PLUMBING PRE GUNITE �a' INSULATION WALL ��POOL PRE DECK BONDING ��'�' " ' � � INSUlATION CEiLING �_F-TRAP �.��- ,�,�:, � ;=q«� ��' a �� DRYWALL ��FENCE/GATFJ ALARM;.,;� � � ,� , �� " ,��+:c ,,��.,:'. . ,-� - �� LATH(PRE) '�FINAL POOL '"�.� ,�� .�� .�� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WA��DRAIN/SEAL GAS METER RELEASE WALL FINAL I SPECIAL INSPECTION R0.FRAMING PLANNINGAPPROVAL ��~��:" � _ _ 4;,_. ` � ��,FINAL BUILDING � �ROUGH FIREAPPROVAI, � �<�� <'` �`�� I 'FINAL MECHANlCAL FINAL FIRE DEPaRTMENT e i �FINAL EIECTRICAL �.. �� '� �FINAL PLANNING� ' - ' M � � � ;FINALPLUMBING �`��; ,,,"a .>� =` �INALENGINEERING/�P!W�,, a` . ' ��;.. < _ �. T.C.ofOCCUPANCV � �°�' �FINALCOM�AUNITY SERVICES ��°�� „, �CERT.of OCCUPANCY FfNAL HEALTH DEPL �.��_ FINAL INDUSTRIAL WASTE COMMENTS: ' i