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Home My WebLink About14-5247 �_ _.,.. -�'""� ...,.._ CITY OF DIAMOND BAR •� I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 11J0 � I -- • G 21810 Copley Drive,Diamond Bar,CA 91765 p�(O�I pRESS �, (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �°', BUILDING PERMIT APPLICATION s JOBSITEADDRESS2t�� dKl�:�/\U �L. APPUCATIONDATE: �.Z `T �� P/C# i ISSUE DATE: PERMIT# I�I�f�� = APN LOT TR,4CT � OWNER� . �4y � AJ b�.1C y TYPE CONST. OCC GROUP: f, ADDRESS Z� �Z e� 1 L '' CITY�c��^•� � ZIP ' l��1 TEL �� b� — �31v ZONING SETBACKS a APPLICANT �0 n�� (-��+ d 7E ��I � 2S FRONT RW ❑ I = REAR ❑ � SIDE/SIDE STREEf RW ❑ � CONTRACTOR 't�1�4 v-( SU C-�n �� G� SIDE ❑ � ADDRESS 6��( V4.� �� cs.y� Clv.( . � CITY eJ� ZIP� �4� TEL. �b6 ' S�� ' (1.1 � PROPOSED USE � ARCH/ENG/DESIGNER L = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. OwNEH-BUILDEH DECLAHATION DESCRIPTION SQ.FT. FACTOR PSF AW.AREANALUATION = I hereby affi�rm under penalry of perjury that I am exempt from the Contractor's State LJcense Law fw the reasan(s) SFR/ADD/REM I � indicated bebw by the checkmark(s�,I have placed next to the applicable item(s)[Sectlon 7031.5,Business antl Garage/Carport � Professlons Code:My cfry or cowrty that reqWres a parmR to consWct,alter,Improve,demollsh,ar repalr,arry z struchue,prior to ifs Issuance,also requlres the appllcaM 1or the permit to flle a sipired statemairt that he a she � Patlo/Deck I i Is Ilcensad pursuaM to the provislare of the Contractor's Stale License Law(Chapter 9)Commencing wMh Sectlon w � 7000 of Dlvlsion 3 of the Buslness artd Profeulo�re Code]or that he or she is exempt hom licensure and the basis for � PooVSpa � the alleged exemption.My violatlon of Section 7031.5 by any applicant for a permit subJects the applicant to a Gvil penalty Z Re-Roof ,� of not more than five hundred ddlars($500�. � � U I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or(,portions J Commerclal � of the work,and the structure is notintended or offered for sale(Section 7044,Buslness and Professions Code:The m I = Contractors'State lJcense Law does not appty to an ovmer of property who,through employees'or personal eflort,builds y w imprmes the property,provided that the Improvements are not intended or offered for sale.If however,the building or I � improvement is sold within ane year of completion,the Owner-Builder will have me burden of proving that it was not buitt � or Improved for the purpose of sale.). '..) I (��,as owner ot the property,am exdusively antracting vnth licensed CoMractors to consWct the proJect(Section � 7044,Business and Professions Code:The Contractors'State License Law does not apply to an mmer of property who Valuation: .Z-� 'Q� Adj.Area: I Z builds or improves ihereon,and who contracts for ihe proJects with a licensed Contractor pursuant to the Contractors'State I :� QUANTITY DESCRIPTION FEE LJcense Law.). '�� Y � L 1 I am exempthom Iicensure under the ConGactor's Sffite License law lorthe following reason(s): � � ��r C (Y� C� � � " O�! ti. �5 � 1 By my slgnaNre below I acknowledge that,except for my personal residence In which I must have resided for at least one � w I � year pdor to completion of the improvements covered by this permit,l cannot legally sell a structure Nat I have built as an � 2�' ��"' "�'�"� owner-builder If It has not been consWcted In Its errtirety by Iicensed contractors.I understand that a copy of the applicable w � �- k� D G SO�Gn/ `�V 5 I � law,Sectlon 7044 of the Business and Professions Code is available upon request when Mls application is submttted or at � .r�� _ I i the folbwing Web site:ht�/www.leginfo.ca.gov/calaw.htrnl. = I � DATE: SIGN: � LICBISED CONTHACTOH'S OECIAFIATION � I yI herehy affirm under en p ( y � � p alty of perjury ihat I am Ilcensad under rovlsions of Chapter 9 commencin wtth Sectlon 7000 I � of Divislon 3 of the Business and Protessions Code,and my license is in tull force and effect. J I � LICENS�: ( �� LIC.NO.: Ct�D �.�t�O s . � DATE: I.Z. CONT}WCTOR: T�R�1*i SOui. Y� G!� � I � WOHIffJi'S COMPENSATION DECLAHATION � I y I HEREBY AFFIRM UNDFA PENALTY OF PERJURY ONE OF hiE FOLLOWING DECLARATIONS: � I have and will malydain a Certificate of Consent to Self-Insure for Worker's Compensatlon,as provided by CONSTRUCTION: ��J f`� Sectlon 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�,qN REVI EW: � ��I have and wfll mair�tain Worker's Compensation Insurance,as reqWred by Sectlon 3700 of the Labor Code,for �,, " � the pertormance of the work for which this permlt Is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: Z¢ Po�Ic,yNumberare: ? 1 PLUMBING: ,�., GNRIER ��t �M� S�-��—y� S M s�Yc�['v �'�+-�f MECHAN ICAL: � POLICYNUMBER D�� ' INSPECTION FEE: n (THIS SECiION t�NOT BE COMPLETFD IFhIE PH1MR IS FOR ONE HUNDR�DOLLARS($100)OR LESS�. ISSUANCE: I_( = I certify that in the pertamance of the work tw which this pertntt Is issued,I shall not emplv9 any person in any manner so as to � becane subject to the Nbrker's Compensation Laws of Califania Md agree tliat"rf I should 6ecane subJect to the Worker's SMIP: � L Compe wsions ot Sectlon 3700 of the Labor Code,I sha�l fi with compry vnth tt�use prwisions. ENERGY P/C: J }�0.5B i DATE: � I APPLICANT: ��QG�C. �L V't� ENERGY PERMIT: � WARNING:Fa' re to secure Worker's Compensation coverage Is unlawful,and shall subJect an employer to criminal J� � penalties and civil flnes up to one hundred thousand dollars($100,000),In addRion fi the cost of the compensation, RETENTION FEE: = damages as provided fir in sectlon 3708 of the labor code,interest,and attomey's tees. PRE-ALT FEE: i CONSTIiUCTION LENDING AGENCY BSAF: ��D(y kr— y I he2by afflrm under penalty of perJury that there Is a ConsWction Lending Agency for the pertormance of the work for = which Mls permit is issued(Sec.3097,Civ.C.�. � LENDER'S NAME: = LENDER'SADDRESS: ' i I certify that I have read this applicatlon and state that the above informatlon is correct.I agree to comply wtth all city and TOTAL FEES � county ordlnances and state laws relating to 6uilding construction,and hereby authorize representatives af this county to COMMENTS: � enter upon the abme-mentioned property for inspection purposes. J b � 2.�� v C7 ¢ PERMITfEE NAME(PRI ''—' - c� �'Z / �r � = ATUR PERMfT�fEE DATE RECEIPT p PAID BY:�� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—AppllcanYs Copy CITY OF DIAtVIOND BAR INSPECTION RECORQ . � , . • e - • � � • ' ,5E tBACKl�LETTER�'.` '�_�s��.�'_��.�. ��,,. T �.r, ,� TRACT AND LEDGER �,, � �9 � : � __ w.. , , E�,� �FOOTIMGS FOR,{VIS �� r,�, �` �: ; ..� . � � '� �„` � SWITCH GEAR !S�' R��,�� e,* � �-, �,.� ��, ,A�. � �� COMMERCIALNOOD ,� � •�� llG��PLUMBING��;� � ��'��.. ��._�'�, � � ;�,.�e�z� T-BAR ;UG:ELECTRICAL �� ` �' �''� �� INTERCEPTER ,tJ�ER'GROUND��;x��ps�.��^��"'"`�� , �� ,, ��. �*zg,� 4 HOTMOP/SHOWERPAN SEWER LATERA� SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT QEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SNEATHING ROUGH CONDUIT � , ..� �SHEAR WALLS�EXTERIOR_;�._ �.�, R 4��, � � �k �� "��"� PUOL/SPA �� , � :� �� '� a ��, , � s ' ' �SNEAFtWALLSIN7ER10R ._��, ��''� � .�� r:e �a " ,RDUGit,PLUMBiNG� �� A; � .., ��,�'� >'� `��.�' FRANIINGNENT`{NG�'"��r;;, �,..�� r�� y� t ,,.� � ,,� `ROUGH ELEC?RlCE1� �§ �, ��_'` ,,� �� °" � �' � __ 3. � . _ „._ : � � ,�-- -��`.. z�a�w«� ��.'� E�- �� .., � _, . ROUGH�MECHANICAL� 6� �" �� ,��.„�� '�"'�' a�d�1GHMECHANIGAL �. �;�a � :'�,� � ° �� '�" � � � e �� _' � � r� - `�� ,� �� ,. � 5�rv� ROUGt+,��LECTRICAI,„W(��)C( } :� a� �x � �� . � �GAS 7EST� � �. � �� '�"- �" -.� . � �w.,�.� �. � �vN � a"' '�� a� 'r �€ �� .� �'� �' .� s�� -�-. .� t� „ �a�' �` , ��s�.. � �»� RQUGH�PLUMBlNG��x�. _�,:�� d °`�_� _ �� - - � �FREGUNITE �� ' � - INSULATION WALL �POOL PRE�D6CK�BONDING� �� .,��4�� x�� x_ �� -r�n .�a� .� �{�'� ��:� �° ";��a�p�"y � as INSULATION CEILING P T�P��}�� • �'` a� _�� °�� DRYWALL - ;�ENCE�,tGA'CFJAIARM °x ' �3�,,._�r�, �� ' �x�`. ' ,.� LATH(PRE) �FINAL�P�QOL � � ��°;� � ��- «� �� . �°'t`��°°� ,��_ �,.�._ f ��o LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �pNe� �� SCRATCH CQAT WALL BOND BEAM EIECTRiC METER RELEASE WAIL DRAIN/SEAL GAS METER RELEASE WALL FINAL �-; `� �� ,', �: , ,�" ' SPECIALINSPECTION 'R��F��- � �� " ""� � � � �� <.��.3�.r n�� '�>� _� � �ROUG FREAPPROVAL�� rt�� . �� ,'� �.�� IN{�L BUILDING �� " � � �INAL�MEC ANICAI� �' �� ':� .�� ''' � '�INAI�FIR�DEPARTMENT ��,`��, '� � � " �'„� �� ' � _ , <._: _ � �w � ` � � . � �� FINAL�FL:AAtNING� '�� G �� ,� ��.,-� �1N�iL E,LEGTf�ICAL�'.�c 4. � ��Z�1:� � �i'. ° ��z' � �� - - �`° =� ,,.. � � � � .�. l. ��",y� � �K� ,� �FtN11L'ENGINEERING/PW" R,�� °� �� °� P EINAL PLUMBING � , _ - �� "� � ��' ��;' ,TG.oPOCCUPANCY °`�:��'� � '' F .� }�:' ,r FINAL�CONtMUNIT,YSERVICES�� `" �. .,,�� T :�� Y�� • . , � � �_ a� � � �'° ��'�' � ,` ti��'�� t� � a�� ` � � � "GERT of OCCUPANCY�-x,�� _��-�,�, .,, �-�:�„� .��'��.:,�. � „ ,FINAL HEJ�LTH DEP-T � >� � � . � �. . �. .. , d �- �� ,�� .�:-��_.��m �, d.�.:�� FiNAL:iNDUSTRtAI WASTE„��._. ��` .. COMMENTS: