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Home My WebLink About15-1344 (8)r , � C�ia/�i�s- �;;;W:;,., ,�_�.,�,..- ._,�_ , CITY OF DIAMOND BAR ' , 1, ; 1 DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ,; '��` -'"� 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ;,� . (909)839-7020 Fax:(909)861-3117 Building Inspection Aotline(909)839-7027 FIRMLY \`'�"°l BUILDING PERMIT APPLICATION g APPLICATION DATE: Q6�O 3�� p/C# ��- I 3�1 y x JOB SITE ADDRESS ��o a e AY�, �/ i ISSUE DATE: �/�C�f�S PERMIT# I S� 13�-7 z APN�� OT ZO TRACT �'Z�/lI � OWNER F�EU/S[ L� TYPE CONST. OCC GROUP: I � ADDRESS i 72 Li9�.�.I�.�rl A�/F.. J CITY�Q�'� �_ZIP�TEL. ZONING F ONT KS RW ❑ � APPLICANT TEL. � r r REAR ❑ � � SIDE/SIDE STREEf RW ❑ � CONTRACTOR X!?IWb.I��-�✓Ltt l:i�i=,12 • SIDE ❑ � ADDRESS PROPOSED USE E� 0 O GO s C�TY ZIP TEL. q�. p�,,�{� �/ � ARCH/ENG/DESIGNER � ��A' F�t-�v��,��p.k�s� "�N{ �� D7�p G'�_ � = ADDRESS ��r�-�r-T r�'��«!� �� #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. Q DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION I OWNEH-BUILOEfl DECLAHATION = I hereby affirm under penalty of perjury that I am ezempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I L indicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and Garage/Carport � I Professions Code:Any city ar county that requlres a permit to construct,alter,improve,demolish,or repair,any z structure,prior to its issuance,alsa requires the applicant far the pertnit to file a signed statement that he or she � ati Deck y I � is Iicensed pursuant to the provisions af the Contractor's Sfate License Law(Chapter 9)Commencing with Section w �� n 7000 W Division 3 of ttie Business and Professians Code]or that he or she is exempt from licensure and the basis for � PooVSpa I n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 I s of not more than five hundred dollars($500). ZQ Re-Roof � U I,as owner of the property,or my employees with wages as their sale compensation,will do(,all of or(�portions -� Commercial � y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The � —u1 , I ,- � Confractors'Sta�License Law does not apply to an owner of property who,through employees'or personal effort,builds m Q{��Q N y ri�`d�� '�� ' I I � or improves the pmperty,provided that the improvements are not intended or offered for sale.If however,the building or �y�, � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built �G��Q ��Y � �� I � or improved for the purpose of sale.). � "� I,as owner of the ro e am exclusivel contractin with licensetl Contractors to construct the ro ed Section � U P P nY, Y 9 P 1 ( � 7644,Business and Professions Code:The Contractors'State License Law does not apply to an owner of properry who �- V81Uation: Adj.Area: � I Z builds or im roves thereon,and who contracts for the ro ects with a licensed Contrac[or ursuant to the Conhactors'State I n P P 1 P QUANTITY SCRIPTION FEE Y License Law.�. � � U I am exempt from licensure under the Contractor's State License law for the followinp reason(s): � , I ¢ I '—' By my signature below I acknowledge that,ezcept for my personal residence in which I must have resided for at least one c~.� I � 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 6y licensed contractors.I undersTand that a copy of the applicable � law,Section 7044 of the Business and Professions Code is available upon requeft when this application is submitted or at I K the following Web site:htt/www.leginfo.ca. Z I = DATE: SIGN� � — LICENSEO CONTpACTON'S DEC N � I a I� 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 8usiness and Pmfessions Code,and my license is in full force and effect. J � I n U � LICENSE CLASS: LIC.NO.: � Z DATE: CONTRACTOR: � I ¢ WOHI�H'S COMPENSATION DECLAMTION � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: y� qc y � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: y (�j 2' y � Sedion 3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVIEW: � ��c•�� I have and will mainTain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � •� Z the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumberare: PLUMBING: � CARRIER MECHANICAL: � POLICY NUMBER INSPECTION FEE: ,� �7.� � (IHIS SECTION NEED NOT BE COMPLEfED IF1HE PFAMfT IS FOR ONE HUNDRFD DOLLARS($t00)OR LESS). ,�,r. ��y ISSUANCE: O '7��4�i• = I certify that in the perfortnance of ihe work for which this permit is issued,I shall not employ any person in any manner sa as m � O � become subject to the Worker's Compensation Laws of Califomia.Md agree that'rf I should become subject m the Worker's SM IP: L Compensation pmvisions of Section 370 he-EeHe de,I shall fo compty with those provisions. ENERGY P/C: J i DATE;t�4��PPL1CABt�xi " ENERGY PERMIT: � WAHNING F lure to secure Worker's Compensation coverag � unlawful,and shall subject an employer to criminal � '�Y O� I y penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cos[of the compensation, RETENTION FEE: '1 damages as pmvided for in section 3708 of the labor code,interest,and attorneys fees. PRE-ALT FEE: � i CONSTHUCTION LENDING AGENCY BSAF:_ � ( �'� 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: Y LENDER'SADDRESS: � i I certify that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES 6_�' � 1 q , \O Z counry ordinances and state lavrs relating to building construc[ion,and hereby authorize representatives of this counly to COMMENTS: � enter upon the above-mentioned property for inspection purposes. J � _ �� 9 ¢ PERMITTEE N E(PRINn � � a ,,,� � C QS �`'� :n � D E ` RECEIPT#O� �I PAID BY:CGS I = SIGNA7URE 0 E `'� VALIDATION:_ �'� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy . , CITY OF` Di;AMC-ND BAR INSPEC710N RECORD • • � � • • - • � � � • • - � _. a � . . SETBACKi LE,TTER _ ��:, ; �� _ � � � � � � - ° � ° TRACTAND LEDGER 1 � / � . � ., . . � ' � SWITCH GEAR ��. > . �FOOTINGS`.FQRMS' ; � ;�� « ps��9� . ; � ��F. ��:�� A.ia�,� � .,, �-� �''r' , # � COMMERCIAL HOOD UG:�;PLUMBING � �e��, � ' � �� ``� � � , ., , � ��4 � :. �,��, T-BAR _ �� UG:,ELECTRICAL , �� , . . . �� ' � ; ' .� � m s e INTERCEPTER ,UFER G€iOUNp�° ' �� T �� ` ,�� ._�� HOT MOPISHOWERPAN SEWER IATERAL SEPTIC/CESSPOOL MAIN WAi ER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION RQOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CQNDUIT �SH�AR WALLS 67(TER� ` , _ � �IOR , , s . . , POOUSPA � � g � . . � � s . E � `SH�A(��'VALLS,INTE�IO�t .� .�; �� ` � � . . � � � . ROUGH PIUMBING � � � � �� , = � � , . . ERP,"NI�NGi17�N�TIN� °� �� _ � - �� a �� ,�;��. ��,. � � �,�. � ROUGH ELECTRiCAL ° ' ` _` P TM � , _ _ FiQIJ„�'iH NIEGHANICAL'�.` ; ,�, ' � � � a v ��ROUGH MECHANICAL �ROUGH�ELE � • � ��GAS TEST - � � � �TRICAL��1!(�1_C�(`r� � � � �� ri � � � , � < _s _ _ �ROCIGH PIUMBING' � `M ��"'' � �� , � � �. � , . � � � �PRE GUNITE � � � ~ _ ��., . INSULATION WALI � POOL PRE QECK BONDING INSULATION CEILING P-TRAP . e x � DRYWALL 'FENCE J GATE/ALARM � LATH(PREI i -- — FINAL POOL` . ' tATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAINI SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.FRAMINGPLANNINGAPPROVAL FINAL°BUICD;ING ` . ��`' � "� '� " � . � �� , � � ROUGH fIRE APPROVAL - � ; � � , : _ � FIt�AL'°MECtf�iNIEAL�'� � - � �" � � � ` � � ` , , . � FINAL FIRE DEPARTMENT � � � '�FINAL ELECTft1CAL �� T � �� `" � � ° � � � � _ � FINAL PLANNING �� _.�.v ° FIt�AL PLUMBIPtG��-� �� ' � '� ' �� " � " �� " ' � FINAL ENGINEERING/PW , ,_ f ' �-��..,�� e� � _ _ � �� °�� FINAL�COMMUNITY SERVICES �T C'.of OGGt1P,ANCY � � ,�, - .. 9 _ _ �.��. CEliT�ofFOCCUPANCY ��- e�� ° � � � ` � �FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE , , . � � COMMENTS: