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Home My WebLink About14-4161 _ _ � -----� ��;;:'� CITY OF DIAMOND BAR I I I I ' ' � DEPARTMENT OF COMMUNITY&DEVELOYMCNT SERVICES ��II� - v� " 21810 Copley Drivc,Diamond Bar,CA 91765 PRESS , ,� (90I)839-7020 I'ax: (909)861-3ll7 Building Inspection Hotline(909)839-7027 FIRMLY ��'"'"'" BUILDING PERMIT APPLICATION � � JOB SITE ADDRESS g 3 S L V (J�Ci 1'�; 5 S Olr APPLICATION DATE �� d�'`��y P/C# � ISSUE DATE: � �� / PERMIT�7 j�� 6� z APN�-LOT TRACT wOWNER_ �t1A f�U 1 .M e�'YGl TYPE CONST. �� n OCC GROUP: � ADDRESS ZONING SEfBACKS � CITY ZIP TEL. �O N-7 3 Z'x 3 S�� FRONT RW ❑ OAPPLICANT �i/� l �TEL.�`� 3 L U 3 Q(( REAR ❑ Q CONTRACTOR R e � e � SIDFJSIDE STREEi RW ❑ SIDE ❑ � ADDRESS T��Z.6 e�'q��G � If+'� 2 V i PROPOSED USE oc CITY��an a ZIP "�t 3 5 G TEL. �1 Y�� 2Q1 T 0 o ARCH/ENG/DESIGNER w o ADDRESS tl DWEL.UNITS k STORIES k BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION owra�s-euan�oe�xananox o I hereby atfirm uMer penatty of perjury that I am e�mpt from the Coniractor's State License Law fm the reason(s) SFR/ADD/REM p indicated bebw by the checkmark(s),1 have placed next to ihe apDlicable item(s)[Section 7031.5,Business and Garage/Carport o Professions Code:Any dty a couny Nal requ(res a permit to consiruct,alter,improve,demolish,a repair,any w strucWre,D�or to its Issuar�ce,a!w requires ihe aDPlicant lor the permit to file a slgned statertrent ihal he or she � Patio/Deck a is Iicertsed pursuant to the pravisions of the Co�aCtor's Sfate LicenSe Law(Chapter 9)Commencing wiM Seclion w � 7000 ol0ivisfon 3 of the Business and Professlons Codej or that he w she is exempt ham Iicertsure and the basis for � PooVSpa N Ne alleged exempibn.My violation of Section 7031.5 by eny applicant lor a pertnit subjects ihe apDlkxnt to a civil penalty � of rwt more than five hundred dollars(5500). Z Re-Roof � � o (,I,as owner of t7ie property,a my employees with wages as iheir sole compensation,will do(,all 01 or(,portions � Commercial � of ihe xrork,and the strucNre is not Intended a ottered lor sale(Section 7044,Business and Protessions Code:The � � Contractors'State License Law dces not a ro an owner of r who,thmu h em lo ees'a m Z PPty p operry g p y personal eftort,builds w or improves the property,provided�ha[ihe improvemerrts are not intended or oflered for sale.If however,the building a � Improvement is sold within one year of completlon,ihe Owner-Bulltler will have the burden of proving that i[was rwt bultt pa imprmetl fa the purpose of sale.). - � (,I,as owner of Ihe property,am axWuslvely conlracGng wilh Ilcense0 ContraCtors to construct the project(Seclion z 7044,Business an0 Professions Code:The Contractors'State License Law does not appty ro an owner of properry wlro Valuation: Adj.Area: � buiids or imprwes Nereon,and who contracts Im ihe projects wiN a Ilcensed Contraclor pursuant to the Contracrors'State QUANTITY DESCRIPTION FEE Y License Law.). o U�am exempt hom licensure untler the ConVactnr's State Llcense law for the lollowing reason(s): � � � LL By my signature below I ackrrowledge ihat,except for my personal residence in which I must have residetl lor at least one � Z year prior to completim oi Ne Improvements covered by mis permit,l cannot iegalty sell a structure that I have buitt as an � o ,�, � owner-builder i(it has not been cauWcted in ih entirety by licensed contractors.l untlershand that a copy of the applicable law,Section 7044 of ihe Business and Profe55lons Code is available upon request when ihis applicatlon is submitted or at X the following Web site:http/www.teginfo.ca.gov/calaw.htrnl. z Y� a DATE: SIGN: � l` 2 �'� � LICENSED CONTRACTOfl'S DECLARATION � 3 �F""V/C 5 a � I hereby affirm untler penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) w � of Division 3 of the Business and Professions Code,and my iicense is in full force and etfect. J � � �, ��: � 3 t� ��.No.: 92 7 9 Z Q o DAiE: 7�( S(I�I CONTRACTOR: � � WORKEti'S COMPENSA ON OECLAHATION g � I HFREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: . , o I have and will maintain a Cedinate ot Consent to Sett-Insure ror Worker's Canpensation,as pmvided by CONSTRUCTION: � �Section 370D of the Labor Code,tor the periwmance of the work fw which this permit Is issued. p�qN REVIEW: � I have a�wi11 maintain Worker's Comperisatiw�Insurance,as required by Section 3700 of the Labor Code,(or Z the pertormance ol the work ror which this permit is issued.My Worker's Compensation liuuranca farrier antl ELECTRIC: a PolicyNum6erare: (' PLUMBING: c�0/•63 � CaRRIFA ��e �e S"� MECHANICAL � POIJCYNUMBER 7�7 UUI�^ S� I INSPECTION FEE: � (f}flS SECf10N NEED NOT BE COMPLETED�T}E pERMff I$Fpq ONE HUNDRED DOLLMS(5700)OR lES57. �= ISSUANCE: ...Ir o t certity tlwt in Ihe peAortnance of the work lor which this pertnit hs is:afetl,I sl�Ml rrot employ arry person in arry manner so as to 0 beoome subJect to Ihe Worker's Compensation Laws of Calttomia Md aqee Ihat if�stmuW 6ecome subject tn the Wakefs SM IP: � Cmnpensation Wrn'sians of Section 3700 of ihe Laeor Code,�shan toru�wim compty wim ihose a��siora. ENERGY P/C: _� DATE: I� I� APPLICJ�NT: � LL �� ENERGY PERMIT: J wARNING Failure to secure wakers cAmpensatlan coverage is unlawlul,and shall subject an employer to criminal REfENTION FEE: �n „� penatties and chril fines up to aoe hunOred thousand dollars(3100,000),In atldllion to the cost of the compensaUon, a r��—_ o damages as pro+dded ta In section 3708 of tha labw code,interest,and atlomey's tees. PRE-ALT FEE: a CONSTHUCTION LENDING AGENCY BSAF: � I hereby amrm under penalry ot perjury that there is a Co�truction Lending Agern,y tw Ne perlormance ot the vrork for = which ihis permit is issuetl(Sec.3097,Civ.C.). � LENDER'S NAME � LENDER'SADORESS: 9' a I certity that I have reae this application and state ttiat the above infwmatian is correctJ agree to wmpty vnth all ciry antl TOTAL FEES � z counry ortlinances antl state taws relating tn Wildirig conswcdon,antl hereby authorize representatives of this county to COMMENTS: p enter upon ihe above-mentioned property far inspection purposes. m `�i�h Ki �19s � an �1 ¢ PERMfrlEE NAME(PRINn � 7ffg/ r•I � SIGNATURE OF PFA! pATE RECEIPT k PAID BY: '�� VALIDATION: WHITE—Department Copy,YELLOW—Fnence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy � CITY OF DI�►IVIOND BAR INSPECTIOI�d RECORD . o o . e - • � � . � . SETBACK/LETiER ' - ` � � -_ ;' TRACT AND LEDGER F06TINGS'FbRMS � �' .� , ,>=4, .�r:� ',,u;°: . �: , :� � `, SWITCH GEAR ' �"�'��-�� COMMERCIAL HOOD � SLAB"� � ,, _ UG.PLUMBING,�';. � ,. _��` ..`� r., - ��, <FL� ``; T-BAR UG.ELECTRICAL; , . - '� � � '�� INTERCEPTER � UFER GROUNp,'i,;, 'i,-�,��', � ,::'.rtia . ._ :;�. � `' :'' "_ '"��,�'i HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMdLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �: = s SHEAR WALLS;'EXTERIOR•.9 .�, ; , 'n,�`_ .;� �a'' POOUSPA ,, �_ .� �� - �.; � ROUGH,PLUMBING., ` w" '� �t t ;Nr ; , SHEAR WALLS INTERIOR -- -, � � FRAMINGNENTING �� : ° � � �� } � �� ° ROUGH ECEGTRICAL� r'' ` � ` " �` ROUGH MECHANICAL {� := '� i .`- > �� ` f�. .... �� { .,,; - ROUGH MECHANICAL; _ _ � '� } �� `:� j-, ; ROUGH'ELECTRICAL-W(';;j,C(�) � - '�`� ,,` - GAS TEST _ �, �_s �' r ,v - , :, , ,. ; _ Y_ , r . ,, . PRE GUNI7E ,.? ; ROUGH PLUMBING ';`�� . � �� _ _ � ` v INSUlATION WALL � POOL PRE'DECK BONDING ' •i f � :� - �n �:� INSULATION CEILING �P-T�P '�-' � �� DRYWALL FENCE�/�GATE!ALARM - - � � LATH(PRE) fINALPDOL _ ._ - � �� - LATN EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2"D( )LIFf SCRATCH COAT � WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.�iAMWG PLANNINGAPPROUAL � ` ' _ _ FINAC BUILD'ING ' 4 '`' '" 'ROUGH FIREAPPROVAL '�" � ` r ' - �' ; �FINAL��MECHANICAL� , v . �`s � � FINAL'FIRE DEPARTMEN'f �� _f � :-';,, FINAt ELECTRICAL � a � 9 FINAL PLANNING ' t' ;� `,; ' �, FINAL�PLUMBING � � I Z!i, �' . FINAL ENGINEERINGI PW :�� T.C.,of OCCUPANCY _ '�; ° FiNAL`COMMUNIfY_SERVICES - ,r' � -' '� r, CERT,of OCCUPANCY :�;, .t '-, FINAC HEALTH.DEP.T . `. -;r ,�,: �>t ,E� , ��, � .�� _� 4.:: 1 r FINAL INDUSTRIAI:INASTE;��' �^ ;: �� + `�� ` � � COMMENTS: