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Home My WebLink About14-3864 (8) _ � -�� ___ '"`��,f�`E ►'w�,As��nfi', � �' ,�:��':_'.__ CITY OF DIAMOND BAR �, I I i ' I DEPARTMENT OF COMIYIUNITY cCc DEVELOPMENT SERVICES �1111 '`� 21810 Copley Drivc,Diamond Bar,CA 917fi5 PRESS � �' L� ,,,� (909)A39-7020 Fax:(909)$61•3117 B�ilding Inspection Hotline(909)839-7027 FIRMLY � � ��"%�''. BUILDING 1'ERM1T APPLICATION � APPLICATION DATE:, 6,— J�� P�C� � � JOB SITE ADDRESS 6^ �i- d�'JLj PERMITB �t� � f�T/ __ w ISSUE DATE: a n /� zo pN LOT ^ TRACT 7ypE CONST. �C �D D{� OCC GROUP: o OWNER— w � ADDR ZONING SEfBACKS � C�Ty � ZIP � TEL� — FRONT RW Cl a APPLICANT � TEL. REAR � o SIDE/SIDE STREET RW � r CONTRACTOR SIDE � a 0 � ADDRESS PROPOSED USE � b' ¢ CITY ZIP TEL � 0 " ARCH/ENG/DESIGNER ' ' o � � o ADDRESS #DWEL.UNITS �l STORIES� t�BEDROOMS a C�7y ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION � � QWNER-BUILDER DECIMATION ¢ I hereby affirm under penatty ol perjury ihat I am erzempt from the Contractor's State Liceiue Law for ttie reason(s) SFR/ADD/REM � indicated betow by the checkmarkls),i Aave placed nezl io ihe appl�cable ilem(s)[Section 70315,Buslness artd o Garage/Carpat �'-� Professions Code:Anq city or county t�at requires a permit to cor�struct,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires the appl'�cani for the permil to file a signed statement thal he or she � PatiolDeck a Is licensed pursuant to ihe provislons af ihe Cantractor's Slate License Law(Chapter 9)Commer�cing with Section w N 7000 of Division 3 oi tha Business and Proteuions Cade)or that he or she is exempt hom licensure and Ihe basis iw LL P��Pa � � the alleged exemDh��Any violation of Section 7031.5 by any applicant tor a Dermit subjects Me apD�icant to a civil penalty � j y � of not rtrore than five hundred tlollars(5500). Z Re-Roof 7_ � o � I,as awner of the property,a my employees with wages as lhelr sole compensation,will do U all of or(1 poNons � Commerc(al 0 ot ihe work,and the strucNre is not interrded a oRered lor sale(Section 7044,Business and Protesswns Code:The m , � ConVactors'State License Law dces not a{�ly M an owner of property who,thmugh employees'a personal eflort,6uilds w w improves the Woperty,prwided Nat the Improvements are not intended or oftered for sale.If howaver,the builtling or � improvement is sold within one year of completion,ihe Ovmer-Builder will have the burden of proving that it was rrot�ultt � a improved for t�e purpose of saleJ. 0 � (�I,as owner o1 me praperty,am excluslvely contractlng with Ilcensed Cantractors to conshuct the project(SecGon 0 7pq4,Business and Professims Code:The CoMracrors'State Licertse Law tloes not appty to an owner of property who aluatiOn: Adj.Area: Z builds a improves Nereoq end who contracts tar lhe Drojecls with a licensed Contracta pursuant to the Contractars'Sbte QUANTITY DESCRIPTION FEE � Y License LawJ. o U�am exempt hnm Ifcensure untler tlie ConVacNr's State License law tor the Toflowing reason(s}: � . � � LL By my signafura below i acknowiedge ihat,excepl for my personai residence In which I musi have resided ta ai least me � z year prlor to completlon of the ImprovemenLs covered by this pertnit,l Cannot legally sell a strucWre ihat I have buil�as an u, 0 Q owner-builder ii it has noi been cons�mctetl In its entirety by licensed con7actors.I understan0 ffia�a copy ot Ne applicable �� law,Section 7044 of the Business and Professi Code is available upo equest when this application is submitled or a[ a thefolbvri si�e: ttp7vnvwJegintv.ca.gov w.html. z �. wm DATE: O� I SIG ' � � LICENSEO CONT OH'S DECIARATION � U w I hereby aflirm u�Wer perelty af Dequry that I am lice�ed untler pravisions of Chapter 9(commencing with Section 7000) m ot Division 3 ot the Businass and Protessions Code,and my license is in full Porce and eflect. � � N y LICENSE CLASS: LIC.NO.: _ oZ DATE: CONTRACTOR: � ¢ WOHI(ER'S COMPENSATION OECUIRATION '� � ' � I HEREBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE F6LLOWING�ECLARATIONS: 'y w ¢ I have and will malntain a Ce�cale of Consenl to Sett-Insure fw Workets Compensa6on,as pmvidetl by CONSTRUCTION: � - �� Section 370D of lhe Laba Code,far Ihe petfamance of ihe work tor which this permit is issuetl. p(p,N REVIEW: � � 1 have and will malntain Waker's Compensation Insurance,as revuiretl by Section 3700 of the Laba Code,lor ELECTRIC: o the periarmance ot the work lar which this permit is issued.My Workers Compensatlon Insurance Carrier antl ¢ Polic/Numbaare: PLUMBING: o �y�Eµ MECHANICAL z PouCVNUMBER INSPECTION FEE: � (f}ES SECfION Nff0 NOT BE COM%.EIED IF'iHE PFAMR IS FOR ONE HUNORED OOLLARS($10�OR LESS). ISSUANCE: � '�' — � I ceAi(y that N ttie P�ortnance ot tlm wotk(a wtdch this 9�fl is ii5uetl,I shall�Ot emP�Y�Y ce��in anY tnaru�er so a5 to r� e SMIP: ° o becnrne subject to the WorkerS Compensatian Laws ot Caln«nia.Mtl eqree that il I shoukl hecomo subject to the woiicer's u� Compensauon prmisims ot Section 3700 ot 1he l.aha Ca�e.t shall Ialtnvith compy with tlrose Provisia�s. ENERGY P/C: J DarE: nrruClwT: ENERGY PERMIT: � � WARNIN6:FaiNre to secure Wwker's CampenSaGon coverage is unlawful,and shall sub�ecl an empluyer to cnminal RETENTION FEE: � �� w penattles and civll fines up to me hundred ihousand dollars(3100,000),in addition to lhe cost of the compensation, d damages as provided lor in section 3708 ot ihe labw cade,interest,antl anomey's lees. PRE-ALT FEE: � CONSiRUCT10N LENDING AGENCY BSAF: ��0 w I hereby affum under penalty of perjury lhat there is a Construction Lending Agem,y Iw the Dedormance ol the work for � which ihis permit is issuetl(Sec.3097,Clv.C.). � LENOER'S NAME o � LENDER'SADDRESS: a I certity Nat I have read fhis appllqtion and state that Ne above informatlon is rnrtecL I agree to compty wiN all city and TOTAL FEES � counry atlinances and state laws relatlng to buiiding consWcfion,and hereby authorize representatives of this county to COMMENTS: z o enter upon the above-mentioned properry lor inspection purposes. J � m a PEHMfI7EE NAME(PRINT) � � RECEIPT k � � PAID BY; G� C VALIDATION:� = SIGNATURE OF PfAMI1TEE OATE r-1 WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—Fle Copy,GREEN—AppllcanYs Copy CITY OF DIAMOtVD BAR • y � INSPECTION RECORD . � � . • - s � � • ' ,SETBACK/LETTER , - 1 �; = TRACTAND LEDGER FOOTINGS FORMS� < ''�' ``' ' .„';�-,f �=;� ;-�' SWfTCH GEAR SLAB� � — ,�` � ��, ,`�I . ,%i._ix� •��' �� COMMERCIAL HOOD �UG::PLf1MBIN6.;, .. ,- , u ,�� t�`" _ �� T-BAR 'UG:�:EL'ECTRICAL� ' . ��'` � �� '� �`�` �?' . `' '�' INTERCEPTER �:: UFER'GROUNQ:.` ? ; .'r;� i�i`- 't , _ ' `,' �:�,J.:r HOT MOP/SHOWERPAN �, �;�. . _.. � ,� ; , . SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER UNE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SMEAR'WALLS<EXTERIOR'; - POOUSPA- �`3 " `- ''�"< � � - SHEAR WALLS INTERtOR.< Y ` � ROUGH RLUMBING �,t ' ` �+ } ' ''' s � ' `� � '" ° Y � F ,s �- ,ROUGH EL`EGTRICAL�� '� �� i ` , -'' �Z.� a' � -�' " � FRAMINGNENTING r � ''' �. ' ° � y - ` � ROUGH MECHANICAL' � '" � � �� ' � � ` ROUGN MECHANIGAL <� � r r , � "�' --� �' P� �r{ ''. � z ` '� GAS TEST ° y ; ,� r x � ' �� ' .��. , ROUGH ELECTRICAL W( --)C( } : ' ROUGN PLUMBI.NG�-• . ,`" ' `�;^,� � '� PRE GUNITE '' , , � �� . :' - ' -'- . ._. �:r . - � r��: �u � � � r : INSULATION WALL P.00L,PRE DECK BONDING ;T _ � ' ` � `� � a, a. INSULATION CEILING 'P�=TRAP +'_� ` �' �, ' �� ."" ��`�� '. �� x„ DRYWALL FENCE,l,GATE/ALARM '� `� � �` LATH(PR� FINAL,POOL- , J �, � , ;' ,,, ;' - -r'? IATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL 6AS TEST WALL STEEL 1ST( )2'm( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL _ SPECIAL INSPECTION � �� RO FlRAMING`PLANNINGAPPROVAI. j � -� -�� - ..._." I ";�{ • ��,. `':1 k . FINAL BUILDING � '�D ��.�;`� r ,+� �-, ' ROUGH'FIRE APPROVAL �� ' � FINAL MECHANICAL � - � � FINAL FIRE DEPARTMENT ` � ` � r Q-� _ _ _, . � � '' � G�.:ST `., ' _ t dp�`� { *t FINAL ELECTRICAL . ' ': , ' FINAL PI:ANNIN , } :FINAL PLUMBING ;� F - r;9 iF �`. , �, ?i FINAL ENGINEERING/PW 'r,Tr ' `+' ' , FINAL COMMUNIi'Y:SERVICES f``� �� T.C.of OCCUPANCY ; � . , ` ` '` ` CERT.of OCCUPANCY.r;• ., . _ `�� F.. ='� „'+' , :' `' ` FINALcHEALTN DEPT �'a e ' i� ' F `� !A �k `� : „�� ; _ , _ ._. : �,.,�� . , .,. ,. , , � �, FINAL,INDUSTRIAL:WASTE.�r Y `� `'' . 4•�� '` `F '' 1 �- �-. , � ,a_ . ._. COMMENTS: i� �'�� .