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Home My WebLink About14-2892 �� CITY OF DIAMOND BAR (/�//� / ' d� I i I I I I ' I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES f� �,�p��,� ; 21810 Coplcy Drivc,Diamcind 13ar,CA 91765 FCG� �j�'� .}-ic��<� PRESS ��,�, ,,,,�� Y (909)839-7020 Fax:(909)861-3117 Building Inspection Hotlinc(909)839-7027 � ��""'�'°��. BUILDINGPERMITAPPLICATION �� Sl�� FIRMLY � JOB SITE ADDRESS �r �� d �/�. APPLICATION DATE: PiCk /� 1/ / � (� � ISSUE DATE: _�/�� PERMIT# !'��G!J 7 Z z APN LOTg�TRACT �p OWNER �il L��/1TT � TYPE CONST. ��D� OCC GROUP: � ADDRESS 0��✓�G� � ZONING SEfBACKS aCITY ^ ZIP��TEL. i7�� FRONT RW ❑ � APPLICANT TEL. ��'�� REAR ❑ 0 , SIDE/SIDE STREET RW ❑ o CONTRACTOR - � . i(J!3 . �D�! ' SIDE ❑ c� ADDRESS - o CITY ��GI/)� ZIP CO� TEL. � PROPOSED USE �i7'J ' �j o ARCH/ENG/DESIGNER � o ADDRESS Ec��J f 1�" ' ri DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION OWNER-BUILDEA DECLAflATIDN o I hereby attirtn under penatty ol Derjury that I am exempt irom the ConUactnr's State License Law tor the reason(s) SFR/ADD/REM p iMicated below by fhe checkmark�s),I have placed ne�T to the applicable ilem�s)[Section 70315,Buslness and Garage/Carport o Professions Code:My city w caunty that requires a permit ta construct,alter,improve,demolish,a repair,any w structure,prior tu its Issuance,aha requires the applicant for Ne Dermit to flle a signe0 stalement that he or she � Patio/Deck a is licensed pursuant to ihe provisions of the CoiMreclor's StatO License Law(Chapter 9)Commencing with Section w � 7000 of Dlvision 3 of the Business and Professions Code]or that he w she a exempt hom Ilcensure and the basis for � P�VSpa � the alleged exemption.Any vidatiwi of Section 7031.5 by any applipnt for a pertnit subjects the apDu�t to a civil penalry C7 � ol not more than five hurbretl dullars($500). Z Re-Roof � o (�I,as owner of the propeRy,a my employees with wages as their sole compensation,will do()all 01 a�1 porlions � Commercial � 01 ihe work,antl the strucNre is not intended a oftered tor sale(Seclion 7044,Business and Professions Code:The � U m Z Contracturs'State License Law does not appty to an ovmer of property who,through employees'or personal ettort,builds � w improves Ne property,provided that the Improvements ara not intended or oflered for sale.If however,the building or � improvement Is sold within one year of compleUon,Ue Owner-Bulltler will have ihe burden of praving ihat it was not Euitt p or improved tor the purpose of sale.). � ()1,as owner o1 the properry,am exGusively conVacUrtg with Iicensed CanVactors lo cans6vct ttie project(Section tt � 7644,Business and Professions Code:The Contractors'Shale License Law does rwt appy to an owner of property wtq Valuation: CZ.i Adj.Area: Z builds w improves ihereon,and who contracts tor ihe projecls with a licensed Contractor pursuant to ihe ConVxt�rs'State QUANTITY DESCRIPTION FEE � Y License Law.). p (_J I am ezempt hom licensure untler the Coniractnr's State Llcense law tor the following reason(s): � �i ¢ LL By my signature below I acknowledge IDa[,except for my personal residence In wMch 1 must have reslded for at least one � o year prtor to canpletion of the improvements covered by this permit,l cannot legally sell a structure fhat I have built as an � w i= owner-builder if It has irot been constructed in its entirety by licensed contractors.I understantl ihat a wpy ol the applicable � law,SecUon 7044 ot ihe Busi�ss and Professlons Code is avallable upon request when this application Is submitted or ai a�c the idlo � s : tt .leginfo.p.gov/ w.hhnl. � uJ Z o �ATE: SIGN: � � LJCENSED CONT OR'S DECLARATION � a w I hereby affinn under penaliy ot perjury thal I am licensed under provisions of Chapter 9(commencing with Section 7000) � of Division 3 ot the Business antl Prolessions Cotle,and my licertse is tn fullptorce and effect. J y LICENSE C S: `-'� LIC.NO.:_1'"�� z '�� oaTE: ' CONTpACrOR: L�F Csy�S f-f'c�i A ` � WOHI(EA'S COMPENSATION OECU1flATI0N g w I HEREBY AFFlRM UN�ER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLMATIONS: ¢ 0 1 have and will maintain a CertiFlnle of Consent to Sefl-Insure tor Worker's Canpensation,as provided by CONSTRUCTION: a Section 3700 0l the Labor Code,for Ne perfamance o(ihe wwk tm whkh this permil is issued. p�qN REVIEW: > I have and wi0 maintain Worker's CompensaUon Insurance,as reQuired by Section 3700 M Ne Labor Code,for z ihe performance ot the vrork tw which this permit is issued.My Worker's Compensatlon Insurance Carrier and ELECTRIC: ¢ PolicyNumberare: L � PLUMBING: zCARRIER ✓S C�- !t c�'S MECHANICAL: � POLJCYNUMBER c:�� '—�O� 1 INSPECTION FEE: � (T}tlS SECTION NEED NOT BE COMPLETED IF THE PERMR IS FOR ONE HUNDRED DOLLMS(S7 D�OR L.ESS). � ISSUANCE: � I certity that in tlie perlortnar�ce of llre work Iw which Nis pertnit is'ssuetl,I slnll rot empbY anY person in arry manner so as to become subjecl to ihe WakerS Canpeardtlon Laws o1 Calttomia.Mtl agree Ihat il I shwld become subjecl to the warker's SM IP: � y� � Campensa of Section 37DD of the�La�bor�Code,I s�h I(oruwiifh comply wilh ttqse provisbrrs. EN ERGY P/C: ,� DA7E:1��aaPUCarrr: ,�/-�.�/✓ ENERGY PERMIT: � WARNING:FalNre to secure Worker's Campensa' erage is unlawtul,antl shall subject an empfoyer to criminal REfENTION FEE: � � w penatties and avil fines up to one hundred thousand dollars(E700,000),in addibon to the cost of the compensation, o damages as provided ror In section 3708 of the labor code,interest,and attomey's tees. PRE-ALT FEE: a CONSTRUCTION LENDING AGENCY BSAF: � OO � I hereby alfirm under penalty of perjury that there is a Construction Lertding Agenq for t�e pedormance W the work lor • = which this permit is issued(Sec.3097,Civ.C.�. � � F LENDER'S NAME � LENDER'SADDRESS: a I certify ihat I have read this apD��h��d sfate mat the above informa6on is cortect I agree to wmpty with all aty and TOTAL FEES /�,/� � � / GL Z counry ordinances and state laws relating to building construcUon,antl hereby auttiorize representatives of this county to COMMENTS: � / / p enter upon ihe above-mentloned property tor inspecfion purposes. m <O�S��r,.cfr:�'' ¢ PERMtTT ME(PRI . N � � SIGNATURE OF PEflMITTEE DATE - RECEIPT H PAID BY: VALJDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—Applicant's Copy CITY OF DIAMOND BA►R . INSPECTION RECORD . . s � , . s . . e � . � • - SETBaGK!LETTER , - ` TRACT AND LEDGER ..�. �� , ;�� 5 FbOTINGS F06NIS�� - - WITCH GEAR S�pg �� '�� - �� COHIMERCIAL HOOD �� UG.PL'UMBING:`` - � '-� " �` ' _ �' T-BAR .� UG.EL'ECTRiCAI:" �`�_, � "�` �' � - ° �' �'' WTERCEPTER UFER GRDUND�". � °''i� ` _ - " HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT ' DEMOLITION ROOF SHEATHING �S � ROOF DRAINS FLOOR SHEATHI NG ROUGH CONDUIT SHEARWALLS EXTERIOR..:� �� - � POOUSPA�`;� , �Y � � SHEAR WALLS INTE810H ` �. T ` ; -` , � ROUGH PLUMBIN6_ �; - ss `ti,' � ` r Y s� , � . , : "' i:_ i4_ �- . . . � . - - � . .- .. _... . — �'-`. Y:j s` '.'" 1 t t l ,Y; ' T Y '�i � t - FRAMIFIGNENTING - - ` � ' '` �' ' � �ROUGH ELEGTRICAL:; ,��°� � , � ; , _ a; ,� 'ROUGH MECMANICQL'� ' < i "`" u f a r _ ,�;, E,iOUGH MECNANICAC` z `�} � + �i r;: - -' ' � ' �- ,,,- ' GAS TEST ` ' - < �� ROUGH ELECTRICAL W(�:;)_C( ') - ��' ROUGH PUIMBING. � � _�:��z PRE GUNITE� ;� t �: ' ';` "' - , � � _ ..� . , .,. , - . . _ __ . _ . _. . , , INSULATIDN WALL POOL PRE DECK BONDING : � � ` -1 � s� '_� � INSULATION CEIUNG P-�P .T= ' -` � ` � ` ' J ''�' DRYVJALL FENCE(GATE/�AtARM = ` - �� a LATH(PRE) FINAL POOL; _� ' - _ - ��`' LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2ao� )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0:F�iAfN,ING PLpNMNGAPf?ROVAL c;: F f ;, �T, ` _ FINAL�BUILDING , { � ROUGH FIRE APPROVAL '� �` t� ' FINALr:MECHANICAL , ; ' � °�r- FINAL FIRE DEPARTMENT � ` 4 ` t a� �� FINAL ELECTRICAL ; EINAL PUINNING Fr r '� = �" � '�� _'� FINAL-'P,LUMBING . ' ; ,s� FINAL ENGINEERING/PW ` ` _ ' � : f T.C.ofi OCCUPANCY �: ,FINAL COMMUNIT1f SERVICES F � _� . ��' �` : . � � �_ 7 i�7 r: CERT.'of OCCUPANCII,�.: FINAL HEALTN DEPT. ` ` � � FINAL INDUSTRIAL�WASTE�-: ' '' '', t � "� d `=" �'- i'. COMMENTS: � '