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Home My WebLink About14-5094 L � '�x� DEPARTME T OF COMMUN � ITY&DEVELOPMENT SERVICES "• =�G 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ;h�,v�„�� (909)839-7020 Fa�c:(909)861-3117 Building Inspection Hotline(909)839-7027 � FIRMLY �''�""J BUILDING PERMIT APPLICATION 11�\�� 1�-l- Pica g , APPLICATION DATE: 0 TC y JOB SITE ADDRESS �� i ISSUE DATE: /�l�I Y PERMIT# �1��y = APN LOT T ACT �— � OWNER O TYPE CONST. OCC GROUP: y � ADDRE �, J CITY ZIP EL. ZONING SEfBACKS FRONT RW ❑ � APPLICANT TEL. REAR ❑ � � SIDE/SIDE STREEf RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS � � PROPOSED USE x CITY ZIP EL. � — � ARCH/ENG/DESIGN R y = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS za CITY ZIP TEL. � OWNEA-BUILDFA DECLAMTION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � = I hereby affirm under penalty of perjury ihat I am exempt from the CoMrador's Sfate License Law for the reason(s) SFR/ADD/REM I L indicated below by the checkmark(s),I have placed next W the applicable item(s)[Sectlon 7031.5,Business and Garage/Carport � I � Professlons Code:My city a couMy that requires a permit to canstruct,atter,improve,demollsh,ar repair,any z structure,prla to Itv issua�e,also requires the applicairt for the permit to flle a slgrred stetement tliat he a she � Patio/Deck I i Is Il�d pursuairt M the provislo�of the Contractw's State Llce�e Law(Chapter 9)Commencing with Sectlon W � 70W of Dlvlsion 3 of the Business and Prolesslons Cade]or that he or she Is exempt from licensure and ihe basis for � PooUSpa I n the alleged ezemptlon.My vidation of Sectlon 7031.5 by any applicant for a permit suhjects the appllcaM to a civll penalty C7 I 'n of not more than five hundred dollars($500�. Z Re-Roof s I � (J I,as owner of Vie propeRy,or my employees wMh wages as their sole compensaUon,will do(�all of or U portions � Comme1cial y of the work,and the strudure is not irrtended w offered for sale(Sectlon 7644,Business and Pmfessions Code:The � I > m Contractors'State License Law does not appty to an owner of propeRy who,through empbyees'or personal effort,bullds y or imprwes the pmperry,provided that the Imprmements are not intended or offered for sale.lf however,the building or I � improvement Is sold within one year of completlon,the Owner-Builder will have the burden of proving that tt was not bultt � or improved for the purpose of sale.). I � I,as ownar of the ro (_.) p perty,am excluslvely corrtracting with Ilcensed Contractors to construct the project(Sectlon Z 7044,Business and Professlons Code:The Contractors'State License l.aw does not appty to an owner of property who Valudtion' Adj.Ar88: I � bulldsorimprovesthereon,andwhocoMractsfatheprojeclswtthalicensedContractorpursuanttotheContractas'State QUANTITY DESCRIPTION FEE � ��- Y License Law.). . �... � � U��exempt from Ilcensure under 4he ContractoPs Siate Llcense law for Ne follovnng 2ason(sp � V^ S i ¢ I Z By my signature helow I acknowledge that,except for my personal residence in which I must have resided fw at least one � I = year prior to completion of the Imprmements covered by this permit,l cannot legally sell a structu2 that I have built as an w I owner-builder if It has not 6een constructed in tts entirety by Ilcensed conUactors.I understand thata copy of the applicable � law,Secdon 7044 of the Business and Professions Code is avallable upon request when this application Is suhmitted or at I 'i the following Web site:http/w�wi.leglrrfo.ca.gov/calaw.h4nl. = I jDATE: SIGN: � — LICENSED CONTNACTOfl'S OECLApATION � I y I hereby aftirm under penatty of per�ury that I am Ilcensed under provislons of Chapter 9(commencing with Sectlon 7000) I � of Divislon 3 of the Business and Professions Code,and my Ilcense is in full force and eftect � I � LICENSE CLASS: � �;V L1C.NO.: l___�'�t Z DATE: � CAMRACTOR: � i ¢ . WOfll�A'S COMPENSATION DECLANATION � I y I HEREBY AFFIRM UNDER PENAL7Y OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � I e and will malntaln a Certificate of Consent to Sett-Insure for Wwker's Campensation,as prmided by CONSTRUCTION:_ /.r�-•d� � ection 3700 of the Labor Code,for the peAormance of the work tor which this permlt Is issued. p�qN REVIEW: � I have and wlll maintaln Worker's Compensation Insurance,as requlred by Sectlai 3700 of the Labor Code,for � � the pertormance of the work for which thls permit Is issued.My Worker's Compensation Insurance Carrler and ELECTRIC: � ��_ � CP.RRIEAmberare:�'�r n^G`�� . PLUMBING: / 1J �'L MECHANICAL: � POLJCY NUMBFA �� .-` ' INSPECTION FEE: n (iFilS SECTION NFED NOT BE COMPLEfEp IFTHE PfAMfT IS FOR ONE HUNDR�DOLLARS($10�OR LESS�. I ISSUANCE: � I cerMy ihat in the perfurmance of the waic for which ihls pertnit Is fssued,I shall rot emplo9 any person In any manner sp as to — � � � become subject to the Worker's Canpensatlon Laws of Califomia.Md agree that If I should becotrie sub�ect to the Worker's SMIP: iL Compensa nq�lons of Sectlm 3700 af or Code,I hall t � ' co ty vrith 1h e isions. EN�RGY P/C: OATE: � �O APPLICANT: ENERGY PERMIT: � WARNING: lure to seCure Worker's Compensati coverage is unlaw(ul,and shall sub�ect an employer to criminal y�� y penattles and civll flnes up to one hundred ihousand dollars($100,000),in additlon lo the cost of the compensation, RETENTION FEE: � damages as provided ror in secuon 3�08 of ine labw code,Interest,and attomey's tees. PRE-ALT FEE: i CONSTNUCTION LENDING Af�ICY BSAF: J,�i? = I hereby affirm under penalty of perjury that there is a ConsWctlon Lending Agen�y for the performance of the work for � which this permtt is issued(Sec.3097,Civ.C.). LENDER'S NAME: x LENDER'SADDRESS: i I certify that I have read this application and state that ihe above information is correct.I agree to compty with all city and TOTAL FEES ///!!! � county wdinances and shate laws relating to bullding consWction,and he2by authorize representatives of this county to COMMENTS: ��•�� z � enter upon the above-mentioned property for inspection purposes. J b O ¢ PERM E(PRI � n � �0�� PAID BY:_��.�VALIDA710N:__�__ x SIGNA RE OF P ITTEE DA1E RECEIPT# WHITE—Department Copy,YELLOW—Flnance Copy,PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITV OF DIAMOND BAR INSPECTION RECORD s � � a � � � � � � � .. .................. �SETBA�KI�LETrTER��`�.:; ��""��` �� ,�, �� _��, ,u,�,�..��. °^ ' "�° "� � TRACT AND LEDGER FOOTINGS`FORMS�°�`�°��",��y��Y}��"�=��'� �' SWITCH GEAR ;SLAB��"� �.�4��. ' �•'` '�� " _ .�`� �� COMMERCIAL HOOD �� 1G�PLUMIBING�� ',�� ° ,� �'�` ,_ :��, �. `�'::j� T-BAR ,UG'.ELECTR(GAL �; � �� "��.'�� `°�«�� -.' � "�� INTERCEPTER � � � ��. ,��":� HOT MOP/SHOWERPAN �UFER,GR�UND�� y�4� ...., . • SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANQUT DEMOLITION ROOF SHEATHING ROOf DRAINS F100R SHEATHING ROUGH CQNDUIT , � .. � m �,, t�;'.� a �}� � � � F k�" '�' .,� qat s � { 'SFtE4R WALLS,F�(TERIOR� �y �"� � ,� ,POOUSPA�� a �� y ,. , y_� �° � �' � ��,;,��.�� `��:.�� k�� "`ROUGH.PLtJMBi(�G ��..,��, KK ;..�� ,, :':�s�� ° �� u`��" �- � >SHEAR WALLS'tNTERiOR � ;� ` y � o�, . � ,xe �� .. �� .+��-,: � �_",*- .a ..��,. �, t �',� ��:'e �za"1.��.: FRAMiNGfVENT(NG� � �, '�: �,� � �� ROUGH ELECTRICALn � � -� �� .�M � ,iiOU�H MEGHqPV�CAL�°��.�'� ��"'�� , -=�.�'a��.��;b��:��Au �' ROUGH MECNANIGAL '�'� � � :��:� �� ; ��;. '�°�`� ��°,; � ROUGH ELEGTRlCAL IN(�)�t =,1� �� `�',�� ` � ;�A�TEST�� ,� �� a� �� :� � .<� °� �� +'� zur � �' -.,. �� ... �r� � ��a°e � �.� y� sgtt +,� '�� ,�s� � " �. �,.. 'ROUGH PLUINBlNG, �a'.��, �,,.�� ;�� 4.�� :��. �PRE GUNiTE "�`�� x � � i .�.�$�. '� .,.�� . � � . _ . :.�� ., , �� , � INSULATIONWALL `I?OOL;RRE_dECK�BONDING� � �� f�;��.�4� ��.`;�� `�s. � �P�7RAP��'�� .,� �� ; �;� :� �;��:"�� INSULATION CEILING � - � DRYWALL 'FENCE,/GA7E/ALARM� _�=,.� � � -��` �':�v = ' ;�;;��„°: ��'�. LATH(PR� 'FINAL,POaL�� . „� �°�"� _� �� -�°� �;� `a LATH EXTERIOR 1'2r �'� WALLS: � LAThI INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2"�( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE t Z I WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSRECTION #HO FRANfQiIGPI°{WMNGAPPR�I%A�� .`�-- ��f.�� ; � °"� � �� "�� '�` , �,.: , � 3 � �� . _- �.� �F3aUGH�FIRE�APPFiOUAL �� '`� s, � s_ �� * +,�� +: FIt�AL BUII-DING��-� � : �`�� -- � � - .a, �, ��,��>� , �'9 `�°'; '��%� ,��F,,„�� FINAl�FI MENT�`.��'° � � r"� �...;` ��'�4 �,�� FINAL MECHANICAL � } �, ,� �RE DEPAftT r,� ��,� , � � ""`:``� �` .,�. + �' �FINAi..P NNING �� .s�� ':� � �;�¢� ��,� ,,� FINAL EL�CTRICAL��,� � �� _� � � ' � 'FINAL PLUMBING,,;�� .:;� � �� ,� . d��' f�iNAL,ENGINEERItJGI P'W �'' �� ` .� �' �'�� ' .�� : T.C:'ofyOC€UPANCY�� , � ��' � � �,��."��..' �,:�� ;FINAL�COMMUNI7�1'SER1110ES�� . P ` � � � �"��` �." ;GE[iT`of,OCCUP,ANCY�� ,�� `� °�'��•`�� ' � �,�� 'FINAL�HEALTH�DEPT r r � � �� °��",�;:� ;-��,� - ,„ . . ,FtNAE INDIlSTRiAL�WASTE�s,��m� �°�',"� .:':��,� `'��'�� r,�=-�� ,�,', COMMENTS: "' I