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Home My WebLink About14-4550 �:. -;,�r'� .........., CITY OF DIAI�+IOND BAR I DEPA1iTMENT OF COMMUNITY&DEVELOPMENT SERVICES {�'- ' 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS ,y) (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 �'�""" BUILDING PERMIT APPLICATION FIRMLY s JOB SITE ADDRESS APPLICATION DATE: /� �y P/C# � /1 / t y PERMIT# �� -r.I_� 1 ISSUE DATE: � ? APN—p—LOT TRACT y OWNER � '�' � TYPE CONST. OCC GROUP: n ADD SS J CITY�� 0 ZI��TEL. ZONING SEfBACKS � FRONT RW ❑ = APPLICANT I TEL. REAR ❑ � � � \ (� n V��Y�il,� �,rO�S i�-OV t�l(1GI SIDE/SIDE STREEf RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS S PROPOSED USE � CITY�Q,V!�,Q��(�„��',ZIP��TEL. —d � ARCH/ENG/DESIGNER � ? ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. I DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDFA OECLApATION I = I hereby affirm under penalty of perjury that I am ezempt hom the Contradar's State License Law for the reason(s) SFR/ADD/REM I L indicated below by the checkmark(s),I have placed next to the applicahle item(s)[Sectlan 7031.5,BuNness a� Gara e/Car ort Prolessions Code:M ci ar cou that r ulres a ermtt to construct,atter,Im rove,demolish,or r y 9 P � Y H �h' eq D p epalr,an y structure,prlor tu ifs Issuance,also requlres the applicarrt for the pemdt to file a signed statemeirt that he or she � Patio/Deck I � Is Ilcensed pursuaM M the provislans af the Corttractor's Sfate Llcense Law(Chapter 9)Commencing with Sectlon W I � 7000 of Dlvision 3 of the Business and Professio�Code]or that he or she is ezempt hom Ilcensure and the basis tor LL PooVSpa � the alleged ezemptlon.Any violatlon of Section 7031.5 by any applicant for a permlt subjects the applicant to a civil penatty C7 I of not more ihan flve hundred dollars($500). Z Re-Roof I � ()I,as owner of the property,or my employees wfth wages as Meir sole compensation,wlll do(J all of or(J portlons � Commercial � v � of the work,and the sWcture is not Intended or oifered tor sale(Sectlon 7044,Business and Professions Code:The � L m I� Corrtractors'Sta�IJCense Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the properry,prmided that the improvements are not Intended or offered for sale.If however,the building or � I � improvement is sold withln one year of compleUon,the Owner-Builder will have the burden of prwing that it was not buitt � or Improved for the purpose oi sale.). � � I,as owner of the ro U p perty,am exGusively contracting with licensed Contractnrs to construct the project(Section Valuation: � Ad.Area: � Z 7044,Business and Professlons Code:The Contraciurs'State License Law does not apply tn an owner of properry who ) � builds or imprmes thereon,and who contracts fw the proJects with a Iicensed Contractor pursuarrt ro the Contractors'State QUANTITY DESCRIPTION FEE , I Y License Law.). � U I am exempt hom Iicensure under the Contractor's State LJcense law for the following reason(s): � � y By my signature below I acknowledge that,except for my personal resldence in whlch I must have resided tor at least one c~.� I � year prior to completlon of the improvemerds covered by thls permR,l cannot legally sell a structure that I have built as an � — owner-builder If tt has not been consWcted In iLs entirety by licensed contractors.I understand that a copy of the applica6le w I � law,Section 7044 of the Business and Professbns Code is available upon request when this application Is submitted or at X the follovnng Web site:http/www.leginfo.ca.gw/calaw.hhnl. . _ � � DATE: SIGN: m I � � — UCENSfD CONTpACTOH'S DECLAHATION � I a ' I here6y affrm under penalty of perJury that I am licensed under provisions of Chapter 9(wmmencing with Sectlon 7000) . . ' � I � of�ivlslon 3 of the Buslness and Professions Code,and my Ilcense is In full force and effect. � LICENS S: ��3� LIC.NO.: D J�O �l0� `3� � DAlE:�'SI�/) COMRACTOR:�1V . U I � WOflIffA'S COMPENSATION DECLAMTION � / . i AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLAR4TIONS: � have and wlll maintain a Certifipte of Consent to SeK-Insure Por Worker's Compensatlon,as provlded by CONSTRUCTION: ' ��q� �j � = i Sectlon 3700 of the Labor Code,for the pertormance of the work fw which thls permR Is Issued. PLAN REVI EW: > ` I have and wlll mairrtain Worker's Compensation Insurance,as required by Sectlon 3700 oF the Labor Code,tor ELECTRIC: � The performance of the work tor which this permlt Is issued.My Worker's Compensation Insurance Carrier and Zd PoIIcyNumberare: � PLUMBING: � CARRIEA a h.�-- �Cll ''�� MECHANICAL: � POLICY NUMBER � 3 d,� �—� INSPECTION FEE: n (THIS SEC710N NEED NOT BE CO�viPLEfED IFTHE PH1MR IS FOR ONE HUNDRED DOLWiS($10�OR LESS). ISSUANCE: ,�%,S � � I certify that In the perfortnance of ine work for which 'is Issued,I shall not employ any person In any manner so as to � hecane subject m the Nbrker's Campensatbn Laws o ffomia.An ree that If I should become subjact to ihe Worker's SMIP: � �� L Compen �n visbnsoFSection370(�uiip �t6o shallf � a ywiMtlwseprovisions. ENERGY P/C: DATE: `3 � qpp��: ENERGY PERM�T: � WARNIN Fall re to secure Worker's Compensatlon coverage is wful,and shall sub�ect an employer to criminal a.DD y penaltles and civll fines up to one hundred ttwusand dollars($100,000�,in addltlon to the cost of ine compensation, RETENTION FEE: = damages as provided for in sectlon 3708 ot the labor code,interest,and attomey's tees. PRE-ALT FEE: i CONSTFIUCTION LENDIHG AGENCY BSAF: f /}.A = I hereby affirm under penalty of perjury that there Is a Construction Lending Agency fw the performance of the work fw 61-«— � which this permft is issued(Sec.3097,CIv.C.). LENDER'S NAME: � LENDER'SADDRESS: � � r T i I certify that I have read this applicatlon and state that the ahbve Informatlon Is correct.I agree to comply wlth all city and TOTAL FEES Z crounty ordinances and state laws relating to building consWetion,and hereby authorize represenlatives of this county to COMMENTS: � enter upon the abwe-mentloned pmperty for inspection purposes. . � n a PERMITfEE NAME(PRINn :n = SIGNANRE OF PERMf1TEE DATE RECEIPT tF�/� p,q�D BY: ✓�J �D� VALIDATION: � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—Applicant's Copy ' � CITY OF DIAMOfVD BAR , � INSPECTION REC�RD ' "� '�� ' �` . O d . � ' • � � ' � . � � � ;e�u, w�� . �SETBACKI LETTER�� , .�.F� �" �'`� � '<' ��t': ._ a��°, �_ . ::; TRACT ANQ LEDGER jF(}OTINGS�FORMS��'�� r''.�`�«�m�.� ��' �", '`"�"� �� SWITCH GEAR , ;,, ,.. . � � "� �`� '�`�� COMMERCIAL HOOD _ . , �S�� ° x�� ,a��.,��_ �� "�� ,�>�� . �e�' g",�� '..: .� i,UG:PLUMBING� „�;9��; �. �, �.�,� ��- . ,.� 3W�'�� T-BAR �'� � � ��° °�� :� ��"�� - INTERCEPTER „� � _UG.ELE�TRICAL", ��°�,�� " �� ; � " � � � � �°� � "�""� �� -�`�" ��` ��>''"' HOT MOP/SHOWERPAN ;UFER GROUND�.`"�- �_ .�,.�� .� �� -�� e�. � �� __�� SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVEO SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CQNDUIT � �� 3 �. �� r.�� °� �� #&� °� r o ,1E'"' E �.�� +�.. ��'�: sw'�.� K �..9'R h± _� SHEAR WALLS�EXTERIOR� ` � � ,`�� " �` � '. PDOUSPA _ ,"SHEAft 1fUALL�`INTERIQR�� a �,,;��." � �.� ��."�� : �a °ROUGH�PLt1MBiN6 m��t� �R;, �`„� ��_ � � „ � � �FBAN1fNGNENTING* � �� a�� '� '. �_. �n °ROUGH�ELECTRiCqI� �� '�`; � .. .. ,� +��P`Y" . �� , - -y-�,..,,�- �� ::��-�-. .;_, . ��,.,�,'._.��v-�.'S��i .,e'�.�� n7��. ROUGH�MECHANICAL ��"g� .� �.� �, `� �.��° � % � ROt}GNMECHAfiIi�AL �, � � a,«� � .^ �>, : �� ,.a�� ,:�` �" �" �. .. . �� ROUGH ELECTEtICAL�W(�^�)C( 1'�� `�� ; � GAS�?EST ; � .' �. �° : � � � �ROUGH�PLUMBIN„G'_�,�. r,��, � ' �� ;�' ;FRE GUNITE ��. � �� <.� �' � ��-�� .�; ��. �.,��'��f � �,�.��.�.»�� .,� .� �� ,�e. � ,� � _ WSULP;TION WALL POOC PREdECK660NDiNG,�„,,;�, +`� �� "� -'�`�� :�� INSULATION CEILING P=TRAP��': �.,:�� __� s`� �'�'"�'° � ��.�� ,� � �< DRYVJALL �F,ENCE/¥GATE/A�ARM�a�*,�r ��'� �� ° ��r �«� ` —�. w,�- ,� +• � �.s �.� �,� '*�' �,� � . �";.� �` a�: LATH(PRE) '�INA4.�Pt30,�., � ,� � ��` " � , , � � .< <- ., � .� n. ��. �� u T � LATH EXTERIOR WA�� IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�Tt }2D10( )LIFT SCRATCH COAT WALL BOND BFAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER REIEASE WALL FINAL SPECIAL INSPECTION sRO�FRfiM�IG PL�WMNGAPPROVAL �� o� � `� �� -� �� ` �� FINAL"�BUII�ING� ' � � ;� � � � � �� '�-��;.�� ,ROUGN FIREAi'PROUAL�'`� �� ;� � � . �'�^, � ��'� q.�. } p3 �;,r t w�{§e$ �.�+,++ ��4t. �- � �� , r� <' �,�' � FINAL�FIRE DEPAFiTMENT� `��" " � �, �,��' ¢9 �'.�,� EINAL�MECtfANiCAL?��;� ��.�a�«� ��": �� :. � " �-. � � �� "` " ` `� '� F.INALPLANNIN��, � ,� � � ��,:�;�' �� :�� ' FINN.ELECTRICAL,=. ,� �.: � .� ��`� . � � .� _ �� _. � � �r� �'�� '� <.. FINALENGINEERINGlEPIN� +�. ��' � `�' � FINAL,PLUMBING _� �, � � � _��.� �-. �� °_ _ , � � �� `"` ,-4 ��, �%'�� : '�� FINAL`GOMNIUNITY SERVICES�� xi:�� "� ��"� » �� p� � �TC ofOCCUQANCY��, �,F�� _�� . �� , ,� �._.. . , ix.�""�'..,.,��'��°',�, �.�"��' � INAL�NEALTH�Q PT�'�� .. � � �'� , ��,, �� 6ERT of OCC!lFANCY�,,,, ��. � �``` � � �� ,�- �� ,��- �� FINAL�I,NQUSTR1Al_WASTE�w. ,a ' u � �� .��. �. .,,�� COMMENTS: a��y' CO��C'�%4/1 nOfi�CQ 1eFf` M��J'lr`I11, ��A� P_ Ce� D� ra� Cr- ��.� ba�K v� � � � I,aL,�,� �