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Home My WebLink About14-5315 +��'� .-x-.:!w��,, .... CITY OF DIAMOND BAR � 't� DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES _ ,� _:_ , � K 21810 Copley Drive,Diamond Bar,CA 91765 PRESS \.8�� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION i JOB SITE ADDRESS �u�V �w �UN� � ,� Sr APPLICATION DATE: P/C# z APN LOT TRACT ISSUE DATE:`J_�� PERMIT#�'��fJ�� OWNER t�2 G�N TYPE CONST. OCC GROUP: � � ADDRESS Ji: J�/� I jo�n� ,�� i t(� 1., n CITY � ZIP � TEL.�� " S�CI S'�c'.y� ZONING F ONTCKS RW ❑ = APPLICANT � L�� II TEL. �7� Y"G�UU-!/K� _ REAR ❑ � f�' r- SIDE/SIDE STREET RW ❑ a CONTRACTOR �t,`� � ` 'v"��J �` Q��{ SIDE ❑ � ADDRESS �Y�� 'L`/� A'�� Z J J ,c CITY�V`rA ��ti�( ZIP �- TEL ��I�/�GV��Il�� PROPOSEDUSE � � ARCH/ENG/DESIGNER � = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS Q CITY ZIP TEL. I � OwNEH-BUILDEH DECUIHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION a SFR/ADD/REM I 'Y I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) L indicated below by the checkmark(s),I have placed next to the applicable item(s)[Sectlon 7031.5,Business and Garage/Carport I Professions Code:My city or county that requires a permit in construct,alter,improve,demolish,or repair,any I z struclure,priar to its issuance,also requires the applicaM for the pertnit to file a signed statement that he or she � Patio/Deck i fs licensed pursuant to the provisions of the Contractor's STate Llcense Law(Chapter 9)Commencing wiUi Section w I � 7000 of Division 3 of the Business and Professions Code]or that he or she is ezempt from licensure and the basis for � Pool/Spa � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof I of not more than five hundred dollars($500). � � (,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 the work,and the structure is not intended or ottered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'Sta�License Law does not apply to an owner of property who,through employees'or personal effort,builds � 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 '� (,I,as owner of the property,am ezclusively contracting with licensed Cantract�rs to construct the project(Section z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who Valuation: Adj.Area: I n buildsorimprovesthereon,andwhocontractsfortheprojeclswithalicensedContradorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I Y License Law.�. I � U I am exempt from licensure under the Contractor's State License law for the tollowing reason(s): � I �i 2 �' By my signature below 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 structure mat I have built as an w I owner-builder if it has not been constructed in its entirety by licensed cont2ctors.I understand that a copy of the applicable � law,Section 7044 of the Business and Pmfessions Code is available upon request when this application is submitted or at I � the following Web site:http/www.leginfo.ca.gov/ralaw.html. �' I � DATE: SIGN: ? �� / _� f'X I — LICENSED CONTIIACTOR'S DECLAf1ATI0N � d r y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) I � of Division 3 of the Business and Professions Code,and my license is in full force and effec[. � I n LICENSE CLASS: C�� LIC.NO' �Z�}� z � � DATE:�L�Z Z�I y CONTRACTOR: � I ¢ WOHI�H'S COMP SAT DECLAMTION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE fOLLOWING DECLARATIONS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � � Section 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 ELECTRIC: � the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ PolicyNumberare: > PLUMBING: �- � y CARRIER ��` MECHANICAL: � PouCY NUMBER INSPECTION FEE: —1 � (TFiIS SEC110N NEED NOT BE COMPLElED IF1HE PFRMR IS FOR ONE HUNDRED DOLLARS($10�OR LESS). ISSUANCE: �f.J / � I cer6fy that in the performance of the work for which ihis perm'is issued,I shall not employ any person in any manner so as m become subjec[to tl�e Worker's Compensalion Laws of Cali� u� agree that'rf I should become subject to the WorkeYs SMIP: JCompensation provisions of Section 3700 of the labor Co Ral�vnth comply with those provisions. ENERGY P/C: i DATE: 'L�'�� APPLICANT: ENERGY PERMIT: � WARNING Failure to secure Worker's Compe coverage is unlawfu,and shall subject an employer to criminal RETENTION FEE: �� y penalties and civil fines up to one hundr� ousand dollars($700,000�,in addition to the cost of the compensation, 1 damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTION LENDING AGENCY BSAF: y I hereby affirm under penalty of perjury that there is a Construdion Lending Agen�y for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: = LENDER'SADDRESS: i I cerGfy that I have read this application and state that the a6ove information is correct.I agree to comply with all ciTy and TOTAL FEES �_ � Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: � enter upon the above-mentioned property for ins�p�ection purposes.�� Q/1 ��l(cl�� 7—l�/,l�(f�yG I ¢ PERMITTEE M (P I � � —2•Z��L n = SIGN R E EE DATE RECEIPT# PAID BY: I S�7 VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy , CITY OF DIAMOND BAR •�. IiVSPECTION RECORD ' ' ' ' a � � • • - • • rl . � . , �� , ;�� . �. � �n��, �,.o. S�TBtSCKi�LETTER� ' � � � `� �r - � � � � � ° � � TRACTAND LEDGER , .., . _ �� FOOTINGS6FORMS��, ' � , � �� : . � . SWITCH GEAR ,� SL�AB� �� ,� E � � �� w , , � . � w,.� � , � � �� COMMERCIAL HOOD � x � , ` n = � �� - . � � ,� � � , � UG�PL�U�IBIi�FG�� , �� T-BAR UG.ELEGTRIGAL �� ' �� INTERCEPTER a , _ _ a � � � � , � � � � . . HOT MOP/SHOWERPAN UF��R GROUND r,�,��,. g< � � � , �� SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANQUT DEMOLITION ROOF SHEATHING ROOf DRAINS FLOOR SHEATHING ROUGH CQNDUIT -�a : � ,. ., � _ � ��: z .� � � - _ _ , � � � �..�.� : �� POOIlSPA � . _ � . � SH�,4R WAL:LS�EXTERIQR _ ,�� .4 � > . — -: � �• . � �, , � _ ;SWEAR WALLS INTERIOR�� ' � '` � " � k 'e�F � ROUGH PLUMBING $ ° " � A ' ' ` � ;' z � � � . � �� ` �� _ . �� _ � � , _ . � � _ �-, F�RANIIN6t1!€t�TtNG , ° ` � ROUGH ELECTRICAL Y ° "� ' � ° �ROUGH�MECHANICAL �� `� �� ° � � ' ` ° �' �" � �ROUGH MECHAN(CAL � � � � � � ._ � , . __ `R�I�UGH�ELEC�RICAL Vi�{�)'�C( �)� � � � ., � � ' � = � GAS TEST , �. � - � . � , . ROUGH PL,UMBING;, r '_ � ' �� 2' ' y - PRE GUNITE INSULATION WALL POdL PRE DECK BONDING ' '° ' � INSULATION CEIUNG .P-7RAP� � � �� DRYWALL FENCE/GATEIALARM � - - LATH(PRE) FINAL POOL � a � LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 s'( )2"0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL � GAS METER RELEASE WALL FINAL . SPECIAL INSPECTION R0:FRAMING FLANNINGAPPROVAL w " '' , , _ FIN� - _ : �.� � �. , �� AL BUILDING� � �� ROUGH FIRE APPROUAL ° � � - � ' ` � � .. . _ _ � , . _ � _ � FINAI:M�Ct{ANICA� ; �'�� - ` � ° . " " ° � ; , . _ EIt�AL FIRE DEPARTt�IENT � . � � x = � � _ � _ � - _ . , .: � ,�;. a, „ � ,: �� INt�L.ELECTRtCAL � � � �.� - � _:. �. m � ; � � FINAL PLANNING � .�� .. -�,,, , _� , ° �INt�L PLUMBING :�., t . , . Z � � � � - � FINAL ENGINEERINGI PW " m s � � � b : . � � w . � � � � � " ` ` �` � �' �� ,� - �� - FINAL COMMUNITY SERYICES T�bf OGGUPANCY�� :, � � _ '�, �„ , r _ , _ GEF�T of�UPAMCY�� ; ��` � �° ' `� � " ' : � ' FINAL HEALTH DEPL FINAL INDUSTRIAL WASTE � � �� _ � � � � COMMENTS: