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Home My WebLink About15-0214 ...._�,_ x'�'.�� ........_.. CITY OF DIAMOND BAR � i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . ,: x'� c 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ,,; (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � � FIRMLY '�"�"' BUILDING PERMIT APPLICATION i JOB SITE ADDRESS � 1 r APPLICATION DATE: I 'Z Z— K P/C# �,r' O a �y I z APN LOT T ACT ISSUE DATE:��^Cf6�� PERMIT# �� T � � OWNER TYPE CONST. OCC GROUP: L n ADDRESS �� f, CITY ZIP TEL. ZONING F ONTCKS RW ❑ � APPLICANT '� � TEL. REAR ❑ :n SIDE/SIDE STREET RW ❑ � CONTRACTOR �� SIDE ❑ p ADDRESS e� V ti � PROPOSED USE � G.. x CITY ZIP TEL. � � ARCH/ENG/DESIGNER = ADDRESS ` #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. Q oWNEB-BUILDEN DECIARATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � SFR/ADD/REM I hereby attirm under penalty of perjury that I am ezempt from the Contractor's State License Law for the reason(s) � indicated below by the checkmark(s�,I have placed neM to the applicable item(s)[Section 7037.5,Business and Garage/Carport I � � Professions Code:Any city or county that requires a permit tn construct,alter,improve,demolish,or repalr,any ' z struclure,prior ta ifs issuance,also requi2s the applicant for 1he pertnit to file a signed statement that he ar she � Patio/Deck i � is licensed pursuant to the provisions o1 the Contractar's STate License Law(Chapter 9)Commencinp with Section w I � 7000 af Oivision 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for LL Pool/Spa I n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 s of not more than five hundred dollars($500). ZQ Re-Roof I � (�I,as owner of the property,or my employees with wages a5 their sole compensation,will do(]all of or(,portions � Commercial I y of the work,and the strucNre is not intended or oftered far sale(Section 7044,Business and Professions Code:The � I =� Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds m � or improves the property,provided that the improvements are not intended or offered for sale.If however,the building 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 purpose of sale.). I ' U I,as owner ot the property,am exclusively cont2cting with licensed Contractars ta construct the project(Section Z 7044,Business and Professions Code:The ConVactors'State License Law does not apply to an owner of property who ValuatiOn: Adj.Ar2a: I n buildsorimprovesthereon,andwhocontracLsfortheprojecCswithalicensedContractorpursuanttotheContractors'State QUANTITY CRIPTION FEE I Y License Law.). � I � (�I am ezempt from licensure under the Contrac[or's State License law(or the following reason(s): � � � I 1 By my signature 6elow I acknowledge that,except for my personal residence in which I must have resided for at least one � I � year prior to completion of the improvements covered by this permit,l cannot legally sell a s[ructure that I have built as an � I owner-builder if it has not been constructed in its entirety by licensed cont2ctors.I understand that a copy of the applicable w I � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I K the following Weh site:http/www.leginfo.ca.gov/calaw.html. Z = DATE: SIGN: � I — LICENSED CONTlIACTOH'S DECLAHATION � I a I' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � of Division 3 of the Business and Professions Code,and my license is in futl force and effect. "� = U b�`0-I ;n V I � LICENSE CLASS �___LIC.NO.: ¢ I Z DATE:__�� CONTRACTOR: � I ¢ WOHI�H'S COMPE AT N DECLAHATION g I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF T LLOWING DECLARATIONS: � I have and will maintain a Certifirate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: f.� � Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�,qN REVI EW:_��9 � �have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ^ y� Z the performance of the work for which this pertnit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: J � if ¢ Policy Numberare:_ PLUMBING: � CARRIER � - L M EC HAN ICAL: � POLICY NUMBER - " INSPECTION FEE: 'n (IHIS SECIION NEED NOT BE CAMPLEfED IFhIE PFAMR IS FOR ONE HUN�RFD DO (5100)OR LESS�. �1 j'I, � I certify that in me performance of the work for which this permd is issued,I shall not employ any person in any manner so as to ISSUANCE: _ ' � become subject to the Worker's Compensation Laws of Califomia.Md agree that rf I should become subject to the Worker's SMI P: �o f'' � Compensatio�ection3700of orCode.lshallforthwimcomplywithlhoseprovisions. ENERGYP/C: i DA7E: PPLICANT: ENERGY PERMIT: � WARNING:Failure to s� ure Worker's Co sation coverage is unlavrful,and shall subject an employer to criminal � �p ,�n y penalties and civil'fines up to one hundr housand dollars($100,000),in addition to the cast of the compensation, RETENTION FEE: .t _��a -3"_=v- = damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTBUCTION LENDING AGENCY BSAF: J,/� f = I he2by affirm under penalty of perjury that there is a Construction Lending Agency for the pertormance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: r LENDER'S ADDRESS: i I certiTy that I have read this application and state that me above information is correct.I agree to comply with all city and TOTAL FEES ',� yn� /�t v $� z county ordinances and state laws relating to building construction,and here6y authorize 2presentatives of this county to COMMENTS: � enter upon the above-mentioned property for inspection purposes. J _ �� 1 �pQ� � ¢ PEH E NAME(PRI :n � � / = SIGNAlU Of ERMITTEE DATE RECEIPT# .1�y pqlD BY:V VALIDATION: �9 a-o�'"D�l �'z T-- WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMC?ND BAR � INSPECTION RECORD � • � � • . � • • e y ° . � SETBACKi IETTER: ' ;� �� "� � , . , ,w k m �� _ : 4 TRACTAND LEDGER .FQOTINGS FORMS��..: �,��,e� `_ ` � � , ° � ° , �� SWITCH GEAR ' t a S�-k . �, a:_� ; . _ >. .. _ .. . _ : � . . .. . SL�l6_ ,,� ��.i • - - � � �� ° � �` ^ ` ` ` ` COMMERCIAL HOOD UG�;PLUMBI ' � �� , � . � f �, . , � _ , NGm , . 3�.�,�.�� .�r �" "a "" ' � o � . . ., . �� T-BAR ,UG:��ELECTRIGAI� � • �� " � � �� ` " � " � � a INTERCEPTER UPER GR011ND ° �' ` , � �. �, _ , ,� " " ' p a�� ' �; , . � ��; �� '�� HOT MOP/SHOWERPAN �� <� SEWER LATERAL SEPTICr"CESSPOOI MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOQR SHEATHIN6 ROUGH CQNDUIT _ ��r . �.��. �.,_, _ -_ ._ ;SHEAR WALLS FJ(TERIOR � �� ` ` " ° ' � POOUSPA� � °.� �_e = �3 , ' ` ` _ �� > A �� 9 > , , . . `SHEAR�WALLS INTERIOR ° � � � �� " ° g °� � . � ` ��ROUGH PLUMBING � . . . �� ' � ' ��ROUGH ELECTRICAL � °' - ' ' �o�� . . FRAMIN6JVENTIN� ;� ' � " � � � � � �_a. � , » ,_� . _ .� � , , , , , `ROUC�H MECHANICAL� ` � �� ' ' � � � � ` �� AOUGH MECHANICAL � � ' � � � � y _ . � � , _ a e, _ GAS TEST ROI�GH,ELEGTRICAL W �)C( '"5 ,�� . � � - � � - � � �ROl7GH.PLUMBING �� .� �� e a ,�� , ; ' '; ' t : PRE GUNITE � � � 4 . INSJLATION WALL � POOL PRE QECK BONDING INSUlATION CEILING P-TRAP DRYWALL FENCE/GATEIALARM LATM(PRE) FINAL POOL ° � ° � � LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sT( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN!SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION H0.FRAMING PLANNINGAPPROVAL ° ` ��r,.,,,; ._ FINAL BUILQING� � :�� : M s a � � ; .,.° � � R�UGH FIRE APPROVAI " ` , � mw_ FIf�AL M6CNAI�ICAL° � ` ��. °' : � ; ��' > � • � FINAL FIRE DEPARTMENT � � �_ '�It�tiL'ELECTRICAL��,�;. � � , , , r � FINAL PLANNING 3 ' �� 1 � _ . _ � _ � �' �� - � FINAL ENGINEERING/PW � � � � � 'FINAI�PL„UtVIBING��,.m y- _;��a�<: _ � R � . � 4 � � . ��A , �_ � e� ; FINAL COMNtUNITY SERVICES � , , �.G,of OCCUPANCY��_��. ..��.< , -'' ` �� u�� r ��° � FINAL NEALTH DEPT, ;CERT..of OCCUPANCY � ` �� ' _ _ . _ FINAL INDUSTRIAL WASTE • e > � COMMENTS: