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Home My WebLink About14-4608 (8) _____ _ � . -1► W.,.....�;�,,,.,...� 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 �'�°'" BUILDING PERMIT APPLICATION FIRMLY � s JOBSITEADDRESS a eh�ll �� APPLICATIONDATE:� '� � P/C# � ISSUE DATE:�11� � PERMIT# � �' y ud z APN LOT TR,4CT � OWNER d Y �() Yl li.- TYPE CONST. OCC GROUP: n ADDRESS � I J CITY ZIP L. L '-S g-- 3-` ZONING SEfBACKS FRONT RW ❑ � APPLICANT 1'1 06 �Il TEL. REAR ❑ �n D�\S �� DO ��d SIDE/SIDE STREEf RW ❑ � CONTRACTOR �> J SIDE ❑ � ADDRESS S /•�� Ofl V x CITY 1� BY1 L7W ZIP C�91�L. � �- �- � 8-� PROPOSED USE e � O G' �V� M e.Y� � `�- �Jc�.�er ,3u . 1�1-• �..11 i� w - � ARCH/ENG/DESIGNER .�.. � = ADDRESS ��'e 1 � #DWEL.UNITS #STORIES #BEDROOMS zd CITY ZIP TEL. I � DESCRIPTION SQ.FG . FACTOR PSF ADJ.AREANALUATION , ONRIEN-BUILDEIi OECLAqATION = I hereby aftirm under penalty of perjury that I am exempt hom the Contractor's Slate License Law for the reason(s) SFR/ADD/FtEM I � Indicated below by the checkmark{s),I have placed next to the applipble item(s)[Sectl�7031.5,Business and Garage/Carport � Pratessions Code:My cHy a county that reqWras a pemdt to construct,alter,Improve,demolish,or repalr,any y structure,prior to Its Issuance,also requlres the applicarrt}a the permtt to flle a signed statemerrt that ha w she � Patio/Deck i Is Ilcensed pursuaM to the provlsla�s of the Cantracta's State Licenae Law(Chaptar 9)Cammencing wflh Sectlon w � 7000 at Ulvlslon 3 of the Busi�ess and Prvfessb�Cade]or thffi he or she Is ezempt from licensure and the ba51s for � P�� I nthe alleged exemption.Any violation of Sectlon 7031.5 by any applicant for a permlt subject5 the applicant to a civll penatty C7 I of not more than flve hundred dollars($500). Z -Roo � � O I,as owner of the property,or my employees wlth wages as their sole compensation,will do(J all of or(,portions � Commerdal I 'y of the work,and the structure is not intended or ottered tor sale(Sectlon 7044,Business and Professions Code:The � m I = Conhactors'State License Law does not apply to an owner of property who,through employees'or personal ettort,builds y or imprwes the pmperty,provided that the Improvemerrts are not intended or offered for sale.If however,the bullding or I � Imprwement is sold within one year of completlon,the Owner-Builder wlll have the burden of prming that it was not bullt � or improved for the purpose of sale.�. � I '..) (�I,as owner of the property,am exclusivety conhacting with Ilcensed Conhactors ta consWct the proJect(Section Z 7044,Business and Professlons Code:The Contractors'State Llcense Law does not appty to an owner of property who Velueti0 Adj.Area: � buildsorimprovesthereon,andwhocontractsfortheproJectswithalicensedCoMractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). � U I am exempt from licensure under Me Cont2ctor's State License law for the(ollawing reason(s): � I � �J' By my signature below I ackrrowledge that,except for my personal residence In which I must have resided for at least one I � year pnor to completion of the improvements covered by this permtt,l pnnM legally sell a structure that I have built as an � . — owner-builder If it has not been consWcted in its e�2ty by licensed contractors.I understand that a copy otthe applicable I � law,Sectlon 7044 of ihe Business and Professions Code Is available upon request when this application Is submitted or at I � the following Web site:http/vnvw.leginio.ca.gov/calaw.htrnl. � z = DATE: SIGN: � — � LICENSED CONTRACTON'S OECLAflATION � yI hereb affirm under en p p ( 9 � I y p atty of perjury that I am licensed under rovislons of Cha ter 9 commencin with Section 7000) � of Divisiat 3 of the Business and Professions Code,and my Iicense is in full force and effect. I n CENSE CLASS: � v L1C.NO.: . '�"'�' �� ATE: �)in�— CONTRACTOR: �� I �� . WOHI�H'S COMPENSATION DECLAHATION � I y I HEAEBY AFFIRM UNDER PENALTY OF PEAJURY ONE OFTHE FOLLOWING�ECLAAATIONS: � I have and will maintaln a Certificate of Consent to Self-Insu2 for Worker's Compensatlon,as provlded by CONSTRUCTION: �J"� Q? � Section 3700 of the Lahor Code,for the pertormance of the work for whlch this permit Is Issued. p�,qN flEV I EW: � �I have and wlll maintain Worker's Compensatlon Insurance,as reqWred by Section 3700 of the Labor Code,for � the performance of the work for which this permlt is issued.My Warker's Compensation Insurance Carrier and ELECTRIC: Zd Polic,yNumberare: nl �� PLUMBING: � CARRIER S`l �� M EC HAN I CAL: � � PouCVNUMeER_ `� INSPECTION FEE: '� (I}iIS SECTION NEED NOT BE 0 'LEfED IFTH P9iMfT IS FOR ONE HUNDRED DOLLAAS($100)OR LESS�. ISSUANCE: � I certily that In the perfortnance of the wak tor which this permit is Issued,I shall not employ any person in any manner so as tn `'�y � becorne sub�ect to the Worker's Canperrcatlon Laws of Califomia.Md agree that rf I should became sub�ect m the Waker's SMI P: �� Compensa p visbns of Sectlm 3700 oF the labor Code,I shall with compry wlth ttws¢provlsbns, ENERGY P/C: DATE: I6 1 qpp��; ENERGY PERMIT: � WARNIN : ailu to secure Worker's Compensatlon coverage Is unlawful,and shall subject an employer to crlminal 0� y penalUes and civil flnes up fi one hundred thousand dollars($100,000),in addlUon m the cost of the compensation, RETENTION�FEE: � = damages as provlded for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i � CONSTIIUCTION LENDING AGENCY BSAF: ` ()Q = I hereby affirm under penalty of perJury that there is a Construction Lending Agen�y for the peAormance of the work for � which thls permit is issued(Sec.3097,Gv.C.�. LENDER'S NAME: � r LENDER'SADDRESS: � I certlty that 1 have read this appllcation and state that me a6ove information is correct.I agree to comply with all city and TOTAL FEES Z crounty ordinances and state laws relating to huilding cansWcUon,and hereby authorize 2presentatives of this county to COMMENTS: � enter upon the above-merrtonad property for fnspection purposes. � �'� �� Q�r � � ¢ ERMITTEE NAME(PHINn 1 Q � � � = IGNAIURE OF PERM DATE RECEIPT M �JV�'' PAID BY: L G,(�_a VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR , , INSPECTION RECQRD ,� � . • ' . e - • � � o - �SETBAGK/�LETTER �� '��` �.�� .. �.��h�_�.,��;��.°'��. � TRACT AND IEDGER FOO,T�IPIGS FORMS��`�.W�.�.�, . �`..;:.� °, '�� '�`��£ :� ��3"`�' ' � ��°°�`� SWITCH GEAR `g��AB^�� '�.�__��«o a �„,� „�;�� "� � � COMMERCIAL HOOD UG�PLUMBING�,`� �� °�� '�` ��: �� T-BAR _ , r � .� �-,.� ' �'�' ��`"`=" � � ��"� INTERCEPTER _UG,ELEC7WGAt �,�� .��.��_ . ,,.a�, � .,� UFER"GROUNb�'��" .,�` �'°�.� :�" � ��a .�� '>� � HOT MOP/SHOWERPAN SEWER IATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING � � Cu ROOF DRAINS FLQOR SHEATHING ROUGH CONQUIT ,SH�AFi;WALLS�EXTERiOR.�'��a .;� '' ��`�� . ��,�, �a., � POOLlSPA�''� �s�.. ..��..� �:� ��4 a�.� �'�$� ��-�, `SHEAR'WALLS�INTERIOR� �'��;�„�„�`'" 'r ` �� RDUGH PLUMBING�� " �.�^�: �� '�� "�' a`"�� - � �� x �, � �� _ ��_� .�� „�� ,: FRAMINGNENTIN�� ` � � ��;� � �� '�� ..�� ROUGH ELEC7RICAL�� ; �_ �,� '��^n �, �`�� `� � �ROUGN,MECHAPIICAL ��,��'��"� � ��`;,�a� �� ' .,.R"�.��.. ,�°,.� "ROUGHME�HANIGAI� �� °�' �� a�°� �" �� g.,�,.r �� A ROUGH EL'EGTRICAL V+1( `)C"i�w) �� ,:� �'��;��°, �GAS TfST,� � � �� .��°"��" �. `'' �� 4 � �,��,::� 'ROUGH,PLU�MBING. ��, � �� ,,:,� ,�>�, �s� x�� : `PRE GUNlTE� �w " �� ;�� ,:z ��.�::: � ��P,� � �� €,,r-��' ��., �,�. �.��..�e� INSULATION WALL �9f: pF?OOL�PRE�b,EC„K BONDING, '�"� �� ;,M A� �^d�� .�,��°. INSULATION CEILING P=TRAP .�,��,�'� ��,��.�, ��--°;� }R,�k �� . �.�'� ��'�� : DRYWALL €�ENCE l�G,4TE/-ALARM ; �'�� °�: �`� ' °"� �� '� : , ��` � � � :�� m LATH{PRE) FINAL.�POOL_ , � °�` ��"' � � Y N;,�� ,� 4�:.�� 4«� �� ..�A�g�sxv: LATH EXTERIOR WA�� LATN INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2"0( )LIFT SCRATCH COAT WALL BOND BEAM ELEGTRIC METER RELEASE WALI QRP,IN/SEAL GAS METER RELEASE WALL FINAL ;FiO�FF�A(VIINGPI.ANNINGMPRtIVAI��; Y� �'�' �"�� SPECIAL INSPECTION -- - �° „ �_ �� „„ "� �_� °��I�NAL�BUILUING � � `�f �%�� '�'�� `� " � `R�OUGH",FIRE/rPPROVAL ,,.� � �';�, � �� ,�� `� '�� ' FINAL:IUIECHAtdIGAL�� "��:��-..��°`�� :;�� ?�3� �, m .��_ � � , � � �;�� -� ��._ FINAE F1F3E DEPAHTMENT�� , ,� � �� r' ��'°` � � �� :_° � � '.; � �� FINAL PL{tNNiNG �'" �� :�� s �� e ..�: FINAL�ELECTRI�AI - ,� � �� .� � . ��- � t � �. � �„;,� , , � � ,"�` �� ` �� F�NAL�ENGINEERINGf PW �� ' .�' �� PINAI PLUM8ING��--` �� ,� � �. _ _ � ��,. �„�: �, �� 7 C:of OQ�CUPANCY�°`�:� � �'��' ��" '� � �"a'"��U�«1 . �� `� �FINAL�CUMMUNITY,SERVICES� �;��° ��'�� '�``° �� ° � �� ^� �_ �. � ��. �,� > �� .: `'� �°��'"��".�`�� ,FtNAL HEALTH£DEP7�� , � ,��'.¢,� �' �� ` ....�.� � a �- � . CERT=of OCCUPANCY �, ..e,,,. ,� �. ', � FtNAL�INUUSTRtAI.�WASTE �_� a ��.�.;;`'�`�`�" �� °"��`��,� COMMENTS: � �1iw (,� �