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Home My WebLink About14-4337 w�f�E ►wan�g� M�Ant .:__— .J'�:,:_�, C1TY 0[+DIAMOND BAR �i I ( I i ' DEPARTMENT OF COMMUNITY&DEVEI.OPM�NT SERVICES �`�+ �lllly� �_ 21810 Copley Drive,Diamond Bar,CA 91765 pRE�� _. „ l� (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 FIRMLY "'"�='" BUILDINGPERMITAPPLICATION I ¢ JOB SITE ADDRESS APPLICATION DATE: �^ � �P� P/C# w ISSUE DATE: .d ^ D � �� / ��^ /�,� � z APN LOT TRACT PERMIT# 0 o OWNER O TYPE CONST. OCC GROUP: � ADDRESS,� �/I a. �,�QV�� LI�)`iF d�,/ D - ZpNING SETBACKS I, � CITY Di✓��hd/v1� 1q'1� ZIP TEL.�C��— 7�0�0 FRONT RW ❑ i a APPLICANT TEL. REAR ❑ � y c SIDE/SIDE STREET RW ❑ o CONTRACTOR �RD GE-N�2ATe17N QDDFfNI) SIDE Q oro ADDR SS .��7� (i��'�'�"��}�� PROPOSED USE � L� � oCITY�/IN��f'0 wc.��/hm6e ZIP I� TEL. ! �g �7 G" �9�� . � o ARCH/ENG/DESIGNER I��{, �i�'T/Lr►/�O ��o � S,"�1n/f�T � QADDRESS #DWEL.UNITS #STORIES l #BEDROOMS� z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OWNEH-BUILDER DECLARATION ¢ I hereby attirm under penalty oi perjury that I am exempt from the ConhacNPs State License Law for The reason(s) SFR/ADD/REM pindicated below by the checkmark(s�,I have placed next to the applicable item(s)[Section 7031.5,Business and �'-� Professions Code:An city or coun that r uires a Garage/Carport o y ty eq permit to construck alter,improve,demolish,or repair,any w structure,prior to its issuance,also requires the applicant for the permit to file a signed statement that he ar she � PatiolDeck a is licensed pursuant to the provisions of the COMractor's SWte License Ww(Chapter 9)Commencing with Section w � 7000 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa Nthe alleged exemption.Any violation ot Section 7031.5 by any apD��cant tor a DermA subjects the apDlicant to a civil penalty Z Re-Roof �� of not more than tive hundred dollars(E500j. � o U I,as owner of the property,or my emptoyees with wages as their sole compensation,will do(J all ot or(1 portions � Commercial w ot the work,and ihe struciure is not intended�or offeretl for sale(Section 7044,Business and Professions Code:The m Z Contractnrs'State License Law does not apply to an owner of property who,through employees'or personal etfort,builds � or improves the property,provided that ihe improvemen[s are not intended or oflered tor sale.If however,the building or � improvement is sold within one year of comple6on,the Owner-Builder will have the burden of proving that it was not built p or improved for the purpose of sale.). � u I,as owner o1 the property,a�n exdusivety conVacUng with licensed CanVactors to construct the project(Section d Z 7044,Business and Professions Code:The Contractors'Skte License Law does nat appry to an owner ot property who Valuation: �� n. Adj.Area: � builds or improves ihereon,and who wnUacts for the projec�s with a licensed Conhactor pursuant to the Contracmrs'State pUANTITY DESCRIPTION FEE Y License Law.). o U�am exempt trom licensure under the ConVactor's State License law lor the following reason(s): � � — � ZBy my signature below I acknowledge that,except for my personal residence in which I must have resided for at least o�e w � year prior to completion oi the improvemenLs covered by this permit,l cannot legalty sell a sWcture that 1 have built as an ,� a owner-builder if it has not been constmcted in its entirety by licensed contractors.I understand ihat a copy ot the applicable � law,Section 7044 ot lhe Business and Professions Code is available upon request when this application is submitted or at X the following Web site:httphwrw.leginfo.ca.gov/calaw.html. z p OATE: SIGN: � � LICENSED CONTHACTOR'S DECLARATION � � f- a w I hereby aftirm untler penalry of perjury that I am licensed under provisions of Chapter 9(commencing wfth Seclion 7000) m of Division 3 01 the Business and Protessions Code,and my license is in fuU force and effed. J � UCENSEE C l�� 9 LIC.ND.: �lo O 101 6 z oZ DATE:�� CONTRACTOR: �G.�v/ C VSS�G/ � a WORNER'S COMPENSATION DECLARATION g � I HEREBY AFFIRM UNDER PENALTY OF PEPJURY ONE OF THE FOLLOWING OECLARATIONS: 0 1 have and will maintain a Certificate of Consent to Self-Insure for Worker's ComDensation,as pmvided 6y CONSTRUCTION: i� � Seclion 3700 of the Labor Code,for the pertormance of ihe work for which this permit is issued. p�qN REVIEW: > �I have and will maintain Worker's Compensation Insurance,as required by Section 3700 ot the Labor Code,tor ELECTRIC: � the performance of the work tor which this Dermit is issued.My Worker's Compensation Insurance Carrier and a PolicyNumberare: ,/� PLUMBING: � CARRIER�r�� V�'/1 MECHANICAL: � POLICY NUMBER /'g�Z�i- INSPECTION FEE: ^� � (THIS SCCTION NEED NOT BE COMPLEfE01FhIE PERMfT IS FOR ONE MINDRED DOLLARS($10D)OR LESS�. (SSUANCE: 1 •'�� o I cediry that in ihe peAormance of ihe work lor which ihis permit is issued,I shall not employ any person in any manner so as to SM�P: �� o become subjecl to Ue Wakers Compensalion Laws of Califomia.Md aqree that if I shoul�become subject to ihe Worker's J Compensati rwisions of Section 3700 ol lhe bor Code all foMwith comply with those pmvisions. EN ERGY P/C: � LL DATE:�APPLICANT: �_ I� �� ENERGY PERMIT: � WARNIN :Failure to secure Worieers Compensalion coverage is unlawtul,and shall subject an employer to criminal REfENTION FEE: �OQ w penalties and civil fines up to one hundred t�ousand dollars($100,000),in addition to the wst of the compensation, d damages as provided tor in sectian 3706 of ihe labor code,interes[,and attomey's tees. PRE-ALT FEE: 0 /y a CONSTflUCTION LENDING AGENCY BSAF: f' D V w I hereby amrm under penalty of perjury that there is a Cons[ruction Lending Agency for the peAormance of the work for = which this permit is issued�Sec.3097,Civ.C.�. � LENDER'S NAME: � LENDEfl'SADDRESS: �r iJ" a I cediry ihat I have read this applica6on and state that the above information is cortect I agree to comply with all city and TOTAL FEES counry ordinances and state laws relating ro buiiding consVucfion,antl hereby authorize representatives of this counry to penter upon the above-mentionetl pmperty far inspection purposes. COMMENTS: J � m a PERMfTTEE NAME(PRINn � N n�y � SIGNATURE OF PERMITfEE DATE RECEIPT N J'�LIA'� PAID BY:� r VALIDATION:� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR _ � INSPECTION RECORD . . � o . . . � � ^ . � � , . � . SETBACK/LETTER ' �, , .:: ` � -'' >' TRACTAND LEDGER FOOTINGS FORMS - SWITCH GEAR SLAB;; L .;: ' - COMMERCIAL HOOD UG:PLUMBING�i - - T-BAR UG.ELECTRICAL , • ` INTERCEPTER U,FER:GROUN��` ; `� �; � -�� _�:'� '��' 'i.' ��,:::'� HOT MOPISHOWERPAN ... . SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT � DEMOLITION ROOF SHEATHING � "l L�/" ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �SHEA(i�WACLS�EXTERIOR�� ., . � - �PQOL/SPA i �`�` $��, � ' .. � , . , ;-._. . - ,. � � � ` SHEARWALtS INTERIOR'. :' . .. >.. :,. ; . ',: , ; ' ROUGH PLU.MBING'. . �'` ` -:` " %� ;-- _ FRAMINGNENTING ��;` '�� :r . . -_ �, :_ _ ' : ROUGH ELECTRICAL.'. _ ��= � '", ;;�n f - ' _ F ROUGN MECHANICAL, `_.' ;;., i` .;. ` � :.; , ' - � �ROUGH MECHANICAL � ._t'.t +z',. ;:�, � •�:� ROUGH'ELECTRICAL WG.;)C( ) :.�. ; �,:; �'.` � �=- . =' " 'GAS TEST, _ � - � ';, ROUGM PLUMBING :.: ' :- �: ' ':; . . ..-' _ _ -- _ FRE GUN17E ;".. � ` ,"` , ,: : -_ , INSULATION WALL �POOL"PRE'DECK BONDING�� '�'. ,'. :�;, a �� - INSUlATION CEILING 'P=TRAP , ��"� ;:i - DRYWALL FENCE'/GATE/ALARM LATH(PRE) ,FINAL POOL�� "-, � ��;� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1ST( }2N0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WA�L DRAIN!SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION ;RO.FRAMING PLANNINGAPPROVAL, ' INAL:;BUILDING :' �' � •'' � . =� ,: ' ROUGH FIRE APPROVAL= f fINAC MECHANICAL °-, FINAL FIRE'DEPARTMENT - - �� - .:; , 5- FINAL,ELECTRIGAL - � FINAL PLANNING : FINAL PLUMBWG � y': `FINAL ENGINEERING/`P.W � " : T.C.of OCCUPANCY ; - - fiNAL CUMMUNITY SERVECES � CERT.of OCCUPANCY`.. FINAL HEALTH DEPT; `:: �. � - 'FINAL INDUSTRIAL�WASTE . R .. ; ' " ` ' � � = z COMMENTS: n0 ��d Ca�d - CGljp�( �n+rr�:tD�' ra 1ri�a Jo � . CG�� D L��y l�A/I ,,.�.