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Home My WebLink About13-01828 ��i5, MONDBAR �E�S RA1�'E ,�..,.� C1TY OF DIA � ( 1 I I � � DEPARTMENT OF C01�9MUNITY&DEVELOPMCNT SERVIC�E�u��E� �,�j14„�; 21S1Q Copley Drivc,Diamond Bar,CA 91765 '� �„�� .l (909)839-7020 Fax:(909)861-3117 I3uilding Inspection Hotline(909)839-7027 FIRMLY `�''��+"". � BUILDING PERMIT APPLICATION � APPLICATION DATE: ��(�I I� P�C# ¢ J08 SITE ADDRESS Q w ISSUE DATE: 1 n I 2Z I �3 PERMIT#�� 1 8 2 u a ��— T z APN OT TRACT o OWNER A • TYPE CONST. OCC GROUP: u� .�-f1. �i��►.� '1�Q y ADDRESS I II ZONING SEfBACKS � CIIY rv�w*� a.ZiP � STEL. b L� � FRONT RW ❑ � � APPLICANT iJ K.s TEL. ' �Z REAR � o SIDE/SIDE STREET RW ❑ N � L.-� SIDE D �' CONTRACTOR o � o� ADDRESS (-"�• U I ��i -J�~ J �� (+/ lt y-�lo� J'f M PROPOSED USE � CITY V►2_A'1�J� ZIP t1 TEL. � ~ �V t � �- ��'- 0 " ARCH/ENG/DESIGNER 0 o ADDRESS #DWEL.UNITS �1 STORIES It BEDROOMS a CITY ZIP TEL. pESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNfA-BURDEfi DECLAFtAT10N ¢ I hereby affirm uMer penalry of Derjury that I am exempt hom the Contractar's State license Law fw the reason(s) SFR/ADD/REM � fntlicated below by the checkmark(s),I Irave placed next to lhe appllcaDie ilem(s)�Section 70315,Buslness artd Gara e/Carport 0 9 w Protessions Code:My ciry or county that requires a permit ta cronshucl,alter,improve,demolish,o�repalr,any z struclure,pdm to its issuance,also requires the aDP��fw IAe permit to liie a signed statement thal Ae or she � Patio/Deck a Is Iicensed Dursuant to the provislans of the Cantracta's Sfate lJcanse Ww(Chapter 9)Commencing with Section w N 7000 of Division 3 ot tha Business anA Protessions Code]or that he or she is exempt from Iicensure and Ihe Dasis for � PO��«a � � N U�e allegetl exemption.My vblation of Section 7031.5 by any applicant fa a pertnit sub�ects the apDlicant to a avil penalry Z Re-Foot � of rwt more than five huntlretl tlollars�$500). � o U I,as owner of the propeRy,or my employees wlth wages as ihelr sole compensaHon,will do(J all 01 a(.�partbns � Commercial � of�he wark,and the struc�re is not intendetl a ottered lor sale�Sectbn 7044,Business and Rofessions Code:The � • m � Contractnrs'State License Law dces not apply to an ovmer ol property who,through empbyees'or personal ettort,build5 w a improves the D�oPerly,provitletl�hat the ImprovemeMs are rrot intended w offered 1or sale.If however,lhe buildi�ar � improvement is mld vrithin one year ot comple8on,Ne Owner-Bullder will have the bmden oi proving that i[was not buitt aor imprwed tor�he purpose of sale.). V I,as owner at the r Y 9 P 1 ( � U P operry,am exclusivel coniracun wilh Ilcensed Contracmrs to wnswct the ro ect SecUon Valuation: Adj.Area: O �pq4,g�mess and Professions Cotle:The Coniractors'Stale License Law does noi appty to an avmer ot Droperry who z builtlsorimprrneslhereon,ar�dwhocontractstmthepro�ectswitbalice�edCantraclorDursuantlotheContractors'State pUANTITY DESCRIPTION FEE � Y License Law.). o U�am exempt hom Ifcensura under ihe Conbactor's Stale License law tor 1he Iollowinq reason(s): � � � LL By my signalure below I acknowledge thal,except lor my personai residence in which I must have resided for at least one W Z year Drior to completlon of the imprwements cwered 6y this permit,l canrrot legally sell a structure that I have buifl as an w 0 Q owner-buil0er ii It has nol been consWcted in iLs entirery by licensed contractors.i understantl ihal a copy of ihe applipDle � law,Section 7044 0l the Buslness and Prolessions Code Is available upon repuest when this application is submitted ar at a tl�e follow)ng Web si�e:�ttplwww.leginfo.ca.gov/calaw.html. z w °� DATE: SIGN: � � � IJCENSED CONTNACTOH'S UECLARATION a U w I hereby aflirm under penalry ot Derjury that I am ticensed under pravfsions ot Ghapter 9(commencing with Section 7000) m of Division 3 0l the Business antl Protessions Code,and my licerxe is in full force and etfect. � ` N"' ucens�cuss: J !_ � G Z� ��.tio.: �o l?_3�S Z o DATE: CONTRACfOR: �F� �I�R._. Li_s-�»� , �"� _ d' WORKER'S COMPENSATION OEClAF1AT10N � � I HEREBY AFFlRM UN�ER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARA710NS: w ¢ I have and will malntain a Certificate oi Consent to Selt-Insure 1or Worker's Compensa6on,as provided 6y CONSTRUCTION: � �ctlon 370D of lhe Labor Code,fw the eAormance af the work far which this rmit is issued. � P ce PLAN REVIEW: > I have and will malMain Worlcer's CamD�sa��on�nsurance,as requlretl by Section 3700 0l the laDor Cade,ta ELECTRIC: � o the perfortnance of ihe vrak lar which this permit Is issued.My Worker's Campensation Insurance Carrier and ¢ PdicyNumberar�r /�� •�� C PLUMBING: o �ai�y J'�""1� � /- l_►�'�"'� p ��" r `�^' n MECHANICAt� ��. � POUCYNUMBER �Q � �,Q� � INSPECTION FEE: � (7}iS�CTION NffD NOT BE COMPLEfED IF1T1E PERMR LS FOR ONE HUND (S7(10)OR LESS�. ISSUANCE: �� 1 certity thal In the peAormance of the wak for which mut Is issued,I stall rro ploy airy e�any manner so as to � become subject to tne Workers Campertisatlon vs of Md agree th e subjcr.t ro the Wmkers SMIP: � Compermtion prwrsiort at 3to0 ot Labor Cod t ' PN��those provisia5. ENERGY P/C: �� LL oarE: r� �� ENERGY PERMfT: � WARNING FalNre to secvre Workers Compensati verage is unlawlul,an0 shall subject an employer to criminal RETENTION FEE: � � penatties and civil fines up to me hundred thousan dollars($tOD,WO�,in addition to the cost ol the compensation, d dama9es as pravitled tor in sectian 3708 ot the taDo�code,iMerest,and attomey's tees. PRE-ALT FEE: � CUNSTFIUCTION LENDING AGENCY BSAF: � I hereby amrm under penaly of perjury that there(s a Consuuctfon Lending Agency fa the pedornu�nce of tbe woM lor = which ihis perm%4s issued�Sec.3097,Clv.C.). � LENDER'S NAME � LENDER'SMDRESS: a I certiry Nal I have read Ihis appiica�ion ane state that the above fniormalion is cortecL I agree to wmply vntl�all city and TOTAL FEES � counry wdinances and sfate laws relatlng to building construction,and hereby authorize representatives of this counry to COMMENTS: � enter upon Ihe a ve-mentioned properry for Inspec�ron purposes. � � m ¢ PERMITTEE (PRINn ��'?Z^( cn � SIGNATURE OF P RECEIPT N�_ PAID BY: � VALIDATION: � OATE WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fla Copy,GREEN—Applicant's Copy ��;,� ��'�CITY OF DIAMOND BAR � �� INSPECTION REC�RD . � � . • - e � � . � . ,SETBACKI LEnER - > TRACT AND LEDGER �FOOTINGS,FORMS _, � - „"� ; =.4; '. .; SWITCH GEAR �'' COMMERCIAL HOOD SWB�: ' - �.., >, � UG.PLUMBIt�G>�� "� '� '� ti T-BAR s4' UG.ELECTRICAL� - � � - `= `r _ INTERCEPTER UFER GAOUND��` �� ':x� _ �� ; - ��`;-"�':`�� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDU�T SHEARWALLS",EXTERIOR�� k � , �;� P�� > _ _ - _ � OOLISPA-� r ts � i ;; � �: SHEAR WALLS INTERIOR:. ROUGH PLUMBWG ,, ' : �� FRAMINGNENTING j _ � � ROUGH ELECTRICAL` ,�� ' - ' ' �' � '' ` � : 5 �. , _ .� .. ROUGN MECHANICAL� �� ' ,�, , �' Ts �t s ROUGH MECHANICAU �� . � � f -� ' �,� �� x ,� , ��5 •�, , �� . � �, �;,� , ��.�� i �o ,� �� > � �� , 'ROUGN'ELECTRICAL W(.�)C( ) '' s; � '- GEISTEST�;m � � = - t `: � � PR6GUNITE ' ' :, s ;. � �r �r � . ROUGH PLUMBING . �`:- ,�- - _ _< � r> INSULATION WALL `-POOL,PRE'DECK BQNDING =� , :- " � . ��'�r'�� r ��# INSULATION CEILING P��P �-' � `' � � , ' '�' '� ;� F�N6EEGATEl�1tARIVI '� ` ` - ,* h k' �`; �r" lr DRYWALL � � ` �` ' '� � � LATH(PR� -FINAL POOL j , ,�,�,^. ,,_'' t �'�` K�� r,.r.� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1sT� �2No� ��FJ SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION ;RO FAAMING Pl.ANt�NGAPPROUAL � ` � '',s ;� �� FINALBUILDI�NG -- ,�1 �4��`` � `b<�-: ' � �� ROUGH�FIREAPPROVAL ' '�* 4 .�s =.. � ' ` '��' F�NAL MECHANICAL FlNAL FIRE DEPARTMENT ,_. - 1-�t F` �r , FINAL ELECTRICAL � �, �-2 ` :FINAL,PL'ANNIN� - " ` - ' � s �, :FINAL PLUlVIBING , ��;��y � FINAL�ENGIPIEERING/PW- ,, �'� � ^' " '`� LC:of OCCUPANCY " � �i !;i r f .� '`,,a . `FINAL COMMUNiTY SERUICES r, i � ` ` �� CERT.of OGCUPANCY:'., , - �? ` - - FiNAI HEALTH DEPT - �- ` � 'FINAL'INDUSTRIAL WASTE:--_ , ''}� s � _;_ � �=', � _ COMMENTS: