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Home My WebLink About14-4367 � �aJ'�Q, Mr�� 1 ' '�� .';� _ CITY OF DIAMOND BAR � Q�T �� I1�. I I i . i �' DEPARTMENT OF COMMUNITY&DEV ELONM�NT SERVICES �7/�'�J j 4 ��Ip„�i�.�� 21810 Copley,Drive,Diamond Bar,CA 91765 p(;ESS �; � � ' ,,,,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY - � �'"'"'"�" BUILDING PERi1�11T APPLICATION � g APPLICATION DATE: "I� '�a�.�J I y P/C# w JOB SITE ADDRESS �i- / l �y f� a y�6�� z APN T TRACT ISSUE DATE: � T �"d-{i I�`I PERMITM 0 o OWNER TYPE CONST. OCC GROUP: w � ADDRESS r ZONING SETBACKS � CITY s ZIP TEL. FRONT RW ❑ oAPPLICANT TEL. REAR ❑ �n SIDE/SIDE STREET RW ❑ a CONTRACTOR ,fliy'�� SIDE ❑ o ADDRESS � � cc CITY ZIP,��TEL. •—� � PROPOSED U Y�r � 0 o ARCH/ENG/DESIGNER — w o ADDRESS #DWEL.UNITS �1 TORIES�_ #BEDROOMS z CITY ZIP TEL. a oWNER-BUILDER uEC�AxATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION °C I hereby affirm under penalty of perjury Ihat I am c�empt irom the Coniractor's State License Law for the reason(s) SFR/ADD/REM 0 p Intlicated below by the checkmark(s),I have placed neM to the aDDlicable item(s)[Section 7031.5,Business and Garege/Carport o Professians Code:Any city or counly that requires a permit to consUuct,alter,improve,demolish,or repair,any w strucNre,prior to its issuance,also requires the applicant for the permit to file a signed sfalement that he or she � PatiolDeck N is licensed pursuaM to the provisions oithe Contractor's State License Law(Chapter9)Commencing with Section w � 7000 of Division 3 of the Business and ProTessions Code]or that he or she is exempt ham licensure and the basis for LL Pool/Spa � the alleged exemption.Any violatian of Sec6on 7037.5 by any apDlicant tor a permit subjects the applicant to a cNil penalty C7 N Z Re-Roof .a�.� � af not more Nan five hundred dollars f$500). Q o U�,as owner of the property,or my employees wi[h wages as their sole compensation,will do(J all oi or(]porlions � Commercial � ot the work,and ihe strucNre is not intended or offered for sale(Section 7044,Business and Professions Code:The m � Contractnrs'State License Law does not appty M an avmer af property who,through employees'or personal ettort,huilds � or improves tlie property,providetl that the imprwements are not intended or offered for sale.li however,the building or � � improvement is sold within one year a1 complelion,ihe Owner-Builder will have the burden of proving that it was not built p or improved for me purpose of sale.). U U I,as owner oi the properry,am exclusively conVactlng with licensed ConVactors to cansWct the project(Section 0 7044,Business and Professions Code:The Contractors'Stale License law does not appty to an owner of pmperty who �ValuatiOn: Adj.Afea: z builds w improves thereon,and who conhacts for the projects with a licensetl Cantractor pursuant to the Contracrors'State cn QUANTITY DESCRIPTION FEE Y License taw.). 3 O I am exempt hom licensu2 under the ConVactor's State License law for the tollowing reason(s): � ¢ LL By my signature below I 2cknowledge that,except for my personal residence in whic�I must have resided for at least one � o year prior to comple5on of the improvemen6 covered by this permit,l cannot legally sell a sWcNre ihat I have built as an � W a owner-builder if it has not been constructed in its entirety by licensed contractors.l understand mat acopy of the applicaGle � law,Section 7044 ot the Business and Professions Code is available upon request when this application is submittetl or at X the tollowing We6 site:httpAwnv.leginio.ca.govlcalaw.html. Z o DATE: SIGN: � � LICENSED CONTHACTOH'S�ECLARATION � � a W I hereby aftirm under penalTy of perjury thal I am licensed under provisions of Chapter 9(commencing wiih Section 7000) m of Division 3 01 the Business antl Protessions Code,and my license is in full force and ettect. J �I, N� ��/ /, /��a ¢ LICENSE=;j ft�,S� LIC.NO.: �Jf/ 7��fUCrJ z ��`:t �—_ ¢ � DATE: � 3r C CONTRACTOR: i� _ � � WORKEfl'S COMP�ENSATION UECLAfiA 0! � � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: /►�/-7 "" oI have and will maintain a Cert�cate oF Consent to Seli-lnsure for Worker's Compensation,as provided by CONSTRUCTION:�� W 1�� J /� / fi ,�,� � /Seclion 3700 0l the LaDor Code,for the peAmmance of the work for which this permit is issued. p�qN REVIEW: � � I have and wiil maintain WorkeYs Compensation Insurance,as repuiretl by Section 3700 0l the Labor Cade,for Z the peAormance of the work for which ihis pertnR is issued.My Worker's Compensation Insurance Carrier anA ELECTRIC: ¢ PolicyNumberare: PLUMBING: � CnFiR1ER MECHANICAL: � POl1CY NUMBER INSPECTION FEE: � (fHIS SECfION NEED NOT BE COMPLEfED f hIE PERMR IS FOR ONE HUNDRFD OOLLARS(St DO)OR LESS�. �� ISSUANCE: o I certify that in the peAortnance oi the work fa which Nis permit is issued,I shall not employ any person in any manner so as to ` � � o become subjecl to 1he Workers Compe�ation Laws of Ca�ilomia.Md agree that if 1 shoultl become subject m the Waiker's SM I P: + � Compensa6 prwLsions of Section 37Do of ih�e °�r C�ad�e,j sh I fo compty with those provisions. ENERGY P/C: J DATE:t��_APPUCANT: ►L"✓',�L�� ENERGY PERMIT: LL r T—_7— � WARNI G:��re to secure Worker's Compensalion coverage is unlawlul,and shal�subject an employer to criminal � w penatties and civil fines op to one hundred thousand dollars($700,000),in addition to the cost ot the compensation, RETENTION FEE:_ �� o damages as prwided for in section 3708 of the la6or code,interest,and attomey's tees. PRE-ALT FEE: a CONSTRUCTION IENDING AGENCY BSAF: � � � � w I here�y affirm under penalry oi perjury ihat ihere is a Construction Lending Agency for the pedormance ol ihe work for = which this permit is issuetl(Sec.3097,Ci¢C.). � � LENDER'S NAME � LENDER'SADORESS: � a I certify that I have read this application and state that the above intormalion is crorrect.l agree ro comply with all city and TOTAL FEES county ordinances and state laws relating W building construcBon,and hereby aumorize represenfatives of this counTy to penter upan the above-mentianed pmpe for inspeciian purposes. COMMENTS: J � m ¢ PERMfTTEE NAME{PRINn � a � �✓ � /� r` F SIGNATURE OF PFAMITf DATE RECEIPT H�__ PAID BY:�<.!�S�Fl VALIDATION: � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy r � CITY OF DIAMOND BAR � � ` INSPECTION RECORD '`" � ��' . � � , � � - • • � • � • - SETBACK/LETTER ;,: , TRACT AND LEDGER FOOTINGS FORMS . , � ,. : . - SWITCH GEAR SLAB % COMMERCIAL HOOD UG.RLUMBING - T-BAR UG.ELECTRICAL ; � '�<' ' INTERCEPTER UFER.GROUND ' 's � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT ,� % DEMOLITION AOOF SHEATHING �'��'-%'� � ; ROOF DRAINS FLOOR SHEATHiNG ROUGH CONOUIT SHEAR WALIS EXTERfOR POOL/SPA - SHEAR WALLS�NTERIOR ROUGH PLUMBING � . : . FRAMINGNENTING'.; ti ;: . � ROUGH ELECTRICAL ' � ROOGH MEGHANICAL:`-., . ,,:: = ' ' . � ROUGH'MECHANICAL .. • ":. •� ROUGH ELECTRICAL'.W( )G( )" •�' GAS TEST ` � . , . ROU6H PCUMBING , :PRE GUNITE -,: INSULATION•WALL POOL PRE OECKBONDING -.-. - > � WSULATION CEILING P-T�P . DRYWALL FENCE/GATE/ALARM LATH(PRE} FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1sT( )2"0( )LIFf SCRATCH COAT WALL BOND BEAM ELECTRIG METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNINGAPPROVAL FINAL'BUILDING , �:, �^ : �, . ,_. ;: � ROUGH FIREAPPROUAL ,. , , :. , . . , 'FINAL MECHANICAL `` ` FINAL FIRE DEPARTMENT � FINAI.ELECFRICAL ,,;�� : ;. ' , ,, . � FINAL PLANNING. , ,' FINAbPLUMBING ': ` ' FINAL ENGINEERING/PW ` '"• . ' T.C.of OGCUPANCY � , FINAL COMMUNITY SERVICES `CEF�T.of'OCCUPANCY ' . ' , FINAL HEALTN DEPT. FINAL INDUSTRIAL WASTE .:.-.,. �: . COMMENTS: ' `F ► �