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Home My WebLink About14-5228 (8) ___ _ ; �"'��. _ CITY OF DIAMOND BAR � '-: � ;�� ' DEPARTMENT OF COMMUNITY'&DEVELOPMENT SERVICES ��'�� W : �= 21810 Copley Drive,Diamond Bar,CA 91765 PRES�; `,,,,Y �,,,,;; (909)839-7020 Fas:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY `'�R"" BUILDING PERMTT APPLICATION � s JOB SITE ADDRESS Z APPLICATION TE: � �( `Z � � # �� z N BZ�2l-OZ6•� OT TRACT ISSUE DATE: � �� PERMIT# f �r � WNER 3�1�N � ��-��B�/ TYPE CONST. OCC GROUP: � ADDRESS ��uZ Y�ENS�F-/-! C"T• n CITY �IAMo�.1p F�ATZ ZIP ZONING F ONT KS RW ❑ �J,�TEL.��°l'Z40• Zopo = APPLICANT o O TEL. �S I� �-�_'�6� REAR ❑ � SIDE/SIDE STREEf RW ❑ � CONTRACTOR �S �O!^E �'F�JE LoPE�S 1�C_ SIDE ❑ � ADDRESS `��3�' \)EtJTI�R-A gL�l� ��`t j CITYW�C�I,F�C�P �'�1�1.�IP �o�I TEL.f�l�c1�� -�-5�"C7 PROPOSED US T1 � o C DiT/�h1 � �EMoh��, oF Ex�sT�N� a�. 1 ARCH/ENG/DESIGNER STU'Dlo �jv� '�C�(E��1 y �-r Af�o�"T�otJ o� �LEv PPr'�-�a !'a�/E2. z ADDRESS 0�13 C �lt,c..:o T I � #DWEL.UNITS #STORIES #BEDROOMS z CITY 1-' ZIP l(QO�TEL.��11'S��'��""I Q OwNEH-BUILDEII DECLAHATION SC IPTION SQ.F7. FACTOR PSF ADJ.AREANALUATION � � I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(5) SFR/ D /REM �5(p I � 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 or cauMy that requlres a permit to construct,alter,improve,demolish,or repair,any � strucWre,prior to fls issuance,also requires the applicant for the pertnit to file a signed sTatemeirt ttiat he or she � Pati�/Deck I S I 2 is licensed pursuant to the provisions of the ContracMr's State License Law(Chapter 9)Commencing with Section w j 7000 of Division 3 oi the Business and Professions Code]or that he or she is exempt from licensure and the basis for LL Pool/Spa i � the atleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 Tof not more than five hundred dollars($500). Zo Ae-Roof I � (,I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or(,portions � Commercial I y of[he work,and ihe struc[ure is not intended or offered for sale(Section 7044,Business and Professions Code:The � I Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds m O �Z t�T�" � or improves the pmperty,provided that the improvements are not intended or oftered for sale.If however,the 6uilding or � I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built � or improved for the purpase of sale.�. i '� (�I,as owner of the property,am exclusively contracting with licensed ContracMrs to construct the project(Section Z 7044,Business and Professions Code:The ConVactors'STate License Law does not apply to an owner of property who V8luatio O C�v Adj.Afea: � buildsorimprovesthereon,andwhocontractsforthevrojeclswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I License Law.). O� I � U I am exempt from licensu2 under the Contractor's STate License law for the following reason(s): � � I 1 x ' By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � 3 `„� �} 5 w`,�L� 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 conshucted in its entl2ly by licensed contradors.I understand that a copy of the applicable � � law,Section 7044 of the Business and Protessions Code is available upon requeffi when this application is submitted or at Z C I �� I K the following Web site:http/www.leginfo.ca.gov/calaw.html. Z � � I � DATE: SIGN: � � , — LICENSED CONTfiACTOH'S DECLAHATION � TV I a ' ' I hereby affirtn under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � '�\L�"''(` I � of Division 3 of the Business and Professions Code,and my license is in full force and effed. J n J I G� a �— � LICENSE CLASS: � LIC.NO.: ` ��SU� a _I I � DATE: S. �7I-I CO CONTRACTOR: �S (__ -F��}'��[�1/ELO'(��—QS \rl� � I ¢ WORI�fl'S COMPENSATION DECLARATION g I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF 1HE FOLLOWING DECLARATIONS: I � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: �¢I�a �— � SecUon 3700 of the labor Code,for the performance of the work for which this permit is issued. PLAN REVIEW: • � > �I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for Z the peRormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: � ¢ Polic,yNumberare: PLUMBING: 7r j�' ,�, CARRIER sTR'T� CUl`�PF��fF�RO� IN�uY-+4�NC�c MECHANICAL: ��'{' � POLICYNUMBER °tOboS�S INSPECTIONFEE: n (fHIS SECIION NEED NOT BE COMPLEiED IFTHE PFRMfT IS FOR ONE HUNDRFD DOLLAAS($100)OR LESS). �a1i 1 y ISSUANCE: --F O�a � I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as tn 6ecome subject to the Worker's CompensaGon Laws of Califomia.Md agree that'rf I should become subject to the Worker's SMIP: J CompensatJi n provi'ns of Section 3700 of the Labor Code,i sna�i rormvdm comPiy wim mose Provisions. ENERGY P/C: � d.• y DATE:��`_.APPLICANi: �W��f� 14(��I ENEFlGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subjed an employer to criminal s RETENT�ON FEE: i penalties and civil fines up to one hundred thousand dollars(5100,000),in addition tn the cost of the compensation, � damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTRUCTION LENDING AGENCY BSAF: �1 L „l, = I hereby attirm under penalty of perjury that there is a Construction Lending Agen�y for the performance of the work for / Q/) RQ y'I�►� �7/� � which this permit is issued(Sec.3097,Civ.C.�. LENDER'S NAME: z LENDER'SADDRESS: i I certity that I have read this application and state that tl�e above information is correct.I agree to comply with all city and TOTAL FEES ��,`[� ,a R] u � Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COM MENTS: J� � enter upon the above-mentioned property for inspection purposes. n C'D�1�4'R� � �`M /��1 ¢ PERMITT IN� n I n O = SIGNATURE OF PERMf1TEE DAT RECEIPT It�_�L�___ PAID BY:��.I�7� VALIDATION:��_�_ I � a � rrd �� a fi . . WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy ,- �� CITY OF DIAMOND BAR � , .� � INSPECTION R�ECORD '� ,� . - i . � � , . v . . � � , . � . i �SET}BA�Ki,EETTER ` � ��,��. �-�e� n-- � � TRACTAND LEDGER FOOTINCiS F�RMS � _ : � � �� ;�� R, .• .. . � � � �� SWITCH GEAR gt:A�`�°°- _ ,a��.��.: . �� . ��. ,a r --,— e a..,r.- x� � ° � COMMERCIAL HOOD � , �� - UG.��PLUMBING� �� ,�:� �,�� „� . ��° � T-BAR �UC�.�pELEGTRiGAL z�� .'� . � � �� _�� INTERCEPTER � • Q ,, ,.;_ _ � , �UFERaGROUM1fi� � g o��a�s. R t HOT MOP/SHOWERPAN ' � � SEWER LATERAI SEPTIC/CESSPDOL ` MAIN WATER LINE ' HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING i "� �� ROOF DRAINS FLOQR SHEATHING ROUGH CONDUIT ! SHE4R WALLS EXTERIOR� � �; �� ._� :� � � ��POOUSPA � � �� ` ; � � � , , ..,. � __ _. _ �HEARWAliI�INT,ERlO�R� � � _ �� 's'"� � �ROUGH PLUMBING � ' � i e'..r.a., . e . . . . v o' ...... .. . . . . . . ..�. a. ........_ ... ... ,FR�Nik�fGI4VENTING �=�Q �A��«�� '�,� '' • °�''` ROUGH ELECTRICAL �� ° r,. _ ROi��H`MECCiANiCAI�:-�°� `` �� ROUGH MECHANICAL � � � .. �RQI�GN�ELECTRICAL�.)N('j'C(-•�� lj� � � � ;- . — � GAS TEST . ��a�,-, ��9 , ROUGH PLIIMBING,� �� ' � /�_-�� a�. PRE CUNITE _ •� I INSULATION WALL " / "� ' � POOL PRE DECK BONDING � ' INSULATION CEILING - � j'— � � P-T�P DRYWALL � �� FENCE/GATE/ALARM LATH(PRE) -� FINAL POOL � °� � � tATH tXTERIOR /5 WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST �,� y WALL STEEL 1 ST( )2N°( )LIFT SCRATCH COAT `7 �J � 4 WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMWG PLANNINGAPPROVAL F�INAL,BUtLQiNG �,��: °E� _, � ,� � ROUGH FIRE APPROUAL : , FIWIlL'NIECHANI�AL„�� ' �Z° � FINAL FIRE DEPARTMENT ' ,_ �u�, .� °� � . � �INA�.�ELEC'fR1CAL :" :�n� � n=� _ � FINAL PLANNING � � �L�`l�' � _ � �:�,.. ro.;�� , ,_ e ._ ftNA�:PLUNIBING` .��$�° . -`` t �� FINAL ENGINEERING/PW 1. �i �� ' �� , ,,` � � �� FINAL COINMUNITY 5ER1110ES � � .� TgG of OCCUPANCY �.�,,E- a ,° ' � � '. � �E. � .- GEIiT.of'OG�CUPANCY�,�."��' � ��`� � � � � FINAL HEALTH DEPT. - __ FINAL INDU5TRIAL WASTE ` - COMMENTS: