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Home My WebLink About14-4721 . _ •-'"'-- CITY OF DIAMOND BAR , ... �, # DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES -- "" 21810 Copley Drive,Diamond Bar,CA 91765 PRESS � „a �,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � �''e"'� BUILDINGPERMITAPPLICATION FIRMLY � 2�-I�(Z3 I�JI.�-, l ��' APPLICATION DATE: � � —'`"� P/C# y JOB SITE ADDRESS /� i Lr �� ' 1 ISSUE DATE: Y�a��,�Q j y PERMIT# ! z APN LOT TR CT �— � y OWNER (�(�J"e TYPE CONSL OCC GROUP: � ADDRESS 'I�' J CITY �L � � ZI TEL. ' — ZONING SETBACKS � APPUCANT TELRc�-�ro-�-�-r 3� R�RT RW ❑ ❑ n (� SIDE/SIDE STREEf RW ❑ � CONTRACTOR C�,I� d�n�O\�Y�C7�I CCC� SIDE ❑ � ADDRESS �� 0.r� � f'cSl,l � �P • _ _ � CITY��V�YS(Q e ZI Z�^TTEL. `L—�2(� PROPOSEDUSE ' t5 � L' " �FIT � ARCH/ENG/DESIGNER � �Q� S y = ADDRESS #DWEL.UNITS_/� #STORIES� #BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION OWNBI-BUILOER DECIAHATION I = I heretry affirm under penalty of perJury that I am exempt from the Contractor's State llcense Law for the reason(s) SFFVADD/FtEM � indicated below b the checkma s),I have placed neM to the O[ I � Y �( applicable Item s Sectlon 7031.5,Business antl 9 � Gara e/Ca rt � Prolesslons Code:My city or county that requires a permit to canstruct,alter,Improve,demolish,a repalr,arry z structure,prla to fts Issuance,also requlres ttie applicarrt fa the permR to flle a signed shatert�ent}hat he a she � Patio/Deck • I nIs Iicensed pursuarrt to the provlsions of the Caitractor's State License law(Chapter 9)Commancing with Sectlon w . � 7000 of Dlvislon 3 of the Business and Professians Cotle]or that he or she is exempt from Ilcensure and the basis for � P�VSpa I n the alleged ezemption.My violatlon of Section 7031.5 by any applicant for a permit subJects the applicant to a civil penalty C7 I oi not more than five hundred dollars($500�. Z Re-Roof s I � U I,az owner of the property,or my employees with wages as their sole compensatlon,wlll do(,all of or(,portions � Commercial y of the work,and the structure is not intended or offered tor sale(Sectlon 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,bullds m � or improves the property,provided that the Improvements are not intended or ottered for sale.If hrowever,the building or � improvement is sold wllhln one year of completlon,the Owner-Bullder will have the burden of proving that d was not buitt j or Imprwed for the purpose of sale.). I (,I,as owner of the D�Perty,am exclusivety contracting with licensed Contractors to consWct the projec[(Section Z� 7044,Business and Professlons Code:ihe Contractnrs'State LJcense Law dces not appry ro an owner of property wha Valuation: - Adj.Area: I � builds or improves mereon,and who crontracts fa the prqects with a licensed Contractor pursuant to the ConVactors'Slate QUANTITY DESCRIPTION FEE I Y LJcense law.). j U I am exempt finm licensure under the ConVacror's State License law fir the following reasan(s): � I 3 � 1 By my signaWre below I acknowled e that,exce for m g pt y personal residence In which I must have resided fw at least one �i � yrear prior to completlon of the Improvemerds crovered by thls permtt,l cannot legalty sell a struclure that I have bultt as an w . I owner-builder if it has not been construc[ed in tts entirety by Ilcensed contractors.I understand that a copy of the applicable � law,Section 7044 of the Business and Profe e Is available upo equest when this application is submitted a at I � ihe folla 'g Web site�httphwnv.legirrto. gm/ w.h Z = DATE: SIGN: m I � — LIC D CON TOH'S OECLAflATION � I a I y I hereby aTfirm under penatty of perjury that I am Ilcensed under provisions of Chapter 9(commencing with Sectlon 7000) � � � of Division 3 of the Business and Professlons Code,and my license is in full force and effect. J I n 3 Z � I ;q LICENS CLASS: C.NO.: � DATE: '`I '-'ILI CONTRACTOR: •� A�� WOHI�fl'S COMPEIJSAT N DECLMATION g I y I HFAEBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I � I have and will malntain a Certlficate ot Conserrt to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � 7�0 Section 3700 of the Labor Code,for the pertormance of the work for which this pertntt is issued. p�,qN REVIEW: �� r'� � �,_I have and wlll mairdain Worker's Compensation Insurance,as required by Sectlon 3700 of the Labor Code,fur ELECTRIC: � the perfwmance of the work for which this permit is issued.My Worker's Compensatlon Insurance Carrier and a PoIi�yNumberare: (� PLUMBING: � CARRIEA S�T�TE C�C7 M-"� �y1�5 +C�1,�� MECHANICAL: � PouCY NUMBER �O 2 9SZ I INSPECTION FEE: 'n (THIS SECiION NEED NOT BE COMPLEfED IFTHE PERMfT IS FOH ONE HUNDR�DOLLARS(570�OH LESS). ISSUANCE: �f � I certify tha[in the pertortnance of the work hx whlch this permit is issued,I shall not employ any person In any manner so as to .. _ � becorne subject tu the Worker's Com Laws ot Califania Md agree that if I should becane subject to the Workers SMIP: I !— � Com ga,ti�o�{provlsions of Section 371 II—V��abor Cod� sh fo with cwnp with ttrose provisfons. ENERGY P/C: , o� 1 DATE: L3`I APPLJCANT�( ENERGY PERMIT. � WARNING:Fallure to secure Worker's Compensation�erage Is unlawful,and shall subl�t an employer ro cdminal �,a� = RETENTION FEE: y penames and civil fines up to one hundred thousand ddlars($100,000�,In addiUon N the cost of the compensation, - � damages as pmvided tor in secnon 37oe ot the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTpUCTION LENOING AGENCY BSAF: �� = I hereby affirtn under penalty of perjury that there is a ConsWction Lending Agency for the performance of the work for � which this permft is Issued(Sec.3097,Clv.C.). LENDER'S NAME: s LENDER'SADDRESS: i I certify that I have read Nis applicatlon and slate that the abwe intormation is correct.I agree to compty wtth all city and TOTAL FEES � crounty ordinances and state laws relating to bullding construction,and he2by authorize representatives af this counly to COMMENTS: z � enter upon the above-mentioned prope for Inspection p�ose� � a MI ME( fJn n _ _' n /` ` = SIG REOF � MfTTEE DATE RECEIPT# PAIDBY:✓�Ip J�J,� VALIDATION:�� WHITE—Department Copy,YELLOW—Finance Copy,PINK—,4ssessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD . A , . • - • � j e ' SETBACK(LETTEti� � ��` � ;�, ��,�� '` N" ' � �� .�;��:'� TRACT AND LEDGER �� ' "' "�' '�'"""��` SWITCH GEAR FOOTINGS FORMS _:�° � �':�f� �'y r�x..�'� � H,�: � ; P ,,. . SLABV °' � ;��'��.� �.-�� `�� '�s� 6��J _.;� COMMERCIAL HOOD UG�FCUMBING�� "� ��'�- � �� ' �� T-BAR �° � � � .. �,°"'� � F"� 'UG.ELECTRICAL�' � • ��'"�,�" „� �"�� INTERCEPTER ,LIFE�i�GROUND �' �� "'� ��'�`� �'. � �� x��fi � ��; � '�' ,��° HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIUED SEWER CLEANQUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS,EXf'ERIOR t , _ ��N�� s� . ,�� z ' � , � 6 . .� � � �; �`� � F� � � POOUSPA � � � - � � °� �� p.� �� .:° -� :� ,,�. �. � �� r��p�" " � �� SNEARWALLS(M1$TER10R� �� '�;�� ' � '` � ��`� ROU�H PLt��IBlNG �� ,� � �� ERAMING/VENTlNG�"a��,�"��'�� - �a��'��w°'' `�'�' �,� RQUGH ELECTRIGAL� �°��°�� ffi ��",�£,�:°�� ' �' �� ;�,�, �. .�: ;�� ,�;,`� . �,��,�� ; fiOUGH MECHANiCAL'�'� :.• �-�� ,�� `� ROUGH t�ECHANiCAL � ,� ,-� ,� � - � - ' � -_ ' �' �: � _ �a _�,, a.- , �� .„` � �r� ,�,-; �. _-`� s�,� a ��' �� G,4�ST€ST;� a�; � �� '��.r� � �� 3� �a„�3', � ROUGH ELECTRICAL�W(��;)G( )v� .� �� .� a�-� �~ _ � ROUGN�PLUMBIM13G�" ��.>,;' �,�,, .�� RftE�GUNITE� ;��.��` � ��' �� : � �� , INSULATION WALL �POtlL�PRE�bECK BQhIDING,�_�� ;P�,TRAP r., � � �� "��'�� INSULATION CEILING -� � ' � � ��^ ��°� �� DRYWALL �FENCE I�GATEI�ALARM��R �� ..'��. � :''�" ,�` '�rt � �� FINAL PQOI.,..� ��i �.`�Y � �:aa �".�"'�� .•. _ °`'� LATH(PRE) - LATH EXTERIOR WA�� L4TH INTERIOR WALL FOOTING/STEE� GAS TEST WALL STEEL 1�T( )2NQ( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE � WALL QRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION �RO FRAM�VG C'LANNINGAPf?(iOyAL�� ''' �s��;" �� °=-� �. �� ,. . �p �;, �.: �� ' � ` � � �° FINAL BUILDING �� `� ��: . � � �� ' �� " � '�� ROUGN�FIRE APPRdUAI ,��„�,� �� FIN,4L MECHIWiCAL�� =�' :�, ��`:�� : �.� ' A��y �� FINAL�FIRE D£PAFi?MENT _ ��"� ,,��" �:��:;� ..,r. °: � .��,�� r �� ,��;��, .�" �r ; a�^ .�+ � �� ",' � FIh111L�ELECTRICAL `�` � a -;��`„� �°' :� ,FlNAL PLANNING "., .� � � � : �� : � � �� ,.. �� . ,� �;�� a � �"" '� FINAL�ENGINEERItJG/PW •: � � � � �, �� , ,FINAI PLUMBING��.�� :� �' � : �'r•a� ,, � . � ' �; �T�C:'Of aOCCUPANCY "��, � �".«�` ;� �'�r� ,�.,�`� ��°��'��.�-�� FiNAL�C"ONIMUNITY�SERVICES� ��,_��.� �"� � "� � � � � 3 � �� a�» ;GERT�6f OGCUPAMCY� `� ��. =��_,,�- ��:ra��.�'�� ,FINAL�HEALTH�DEPT b��,,�d��,�� : ��.z �°�� "� ,.,��t�,� �FlNAL_INDUSTRIt1L WASTE�'; �, ��`x;��`�,..� �� + �� +_� �-�;� COMMENTS: I