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Home My WebLink About14-4620� - .,,,,��rr�'�"„'�-�_�. .;_._....... CITY OF DIAMOND BAR ' E DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � I � �_ _�_ , � _ 21810 Copley Drive,Diamond Bar,cA 9i�6s PRESS ,, (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 `� `'�"°'� BUILDINGPERMITAPPLICATION FIRMLY � APPLICATION DATE: � `�� P/C# y JOB SITE ADDRESS ISSUE DATE: 7 /II�d D/� pERMIT# �� /t7+�a z APN LOT TRACT � yOWNER SE/2��d �vTG.q TYPE CONST. OCC GROUP: n ADDRESS �b W D. � CITY�t�4MdKA7 I�iI'}1�_ ZIP �?6� TEL. O — — � � ZONING SEfBACKS FRONT RW ❑ = APPLICANT F��iO �� TEL._ � REAR ❑ � n t�C,� �vl� / SD'.`^ SIDE/SIDE STREEf RW ❑ � CONTRACTOR `�«/ Es�r •�-�� SIDE ❑ � ADDRESSO 9O /�/T7 T �j T7��( S T = CITY_V/�L�M7 ZIP�TEL.�O�r�g/'�I Z�� PROPOSED USE � C � � NiE� �� MA+�i /�� [J G/t.K� � ARCH/ENG/DESIGNER DR'LE C✓HM�+� = ADDRESS �IO� S�TU�/C /�+-v�w�i. A/Z p DWEL.UNITS #STORIES #BEDROOMS � CITYI�A+�tMO L�fK/4/A�t.I�Z4P /I7 7TEL. _9D9—.'L.�.�J^D�'T� OWNEH-BURDFA OECLAMTION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREA/VALUATION , = I hereby afflrm under penalty of perjury that I am ezempt hom the Conhactor's State License Law for the reason(s) SFR/ADD/REM I I � Indlcated below 6y the checkmark(s�,I have placed next to the applicable Rem(s)(Sectlon 7031.5,Buslnass and Garage/Carport I � Prolassions Code:My ciry or county that requlres a permit to construct,aRer,improve,demol{sh,a repafr,any z struch�re,prla fi Its(ssuance,also requires the appllwrrt fa the pertnit to flie a signed statemerrt that he or she � Patio/Deck I i Is Ilcensed pursuarrt to the provisions af the Ca�actor's State License Law(Chapffir 9)Commencl�with Sectlon w I � 7000 of DNlsion 3 of the Business antl Protesslons Code]or that he or she is exempt from Ilcensure and the basis for � PooVSpa . I � the alleged ezempUon.My violatlon of Section 7031.5 by any applicant tor a permlt subjecis ihe applicant to a civil penalry C7 I of not mwe than five hundred ddlars($500). Z Re-Roof s I � U I,as owner oi the property,or my employees wtth wages as their sole compensation,will do(J all of or(,portions � Commercial y of the work,and the structure Is not intended or offered for sale(Section 7044,Business and Professlons Code:The � I :� m Contractors'State Ucense Law does not appty to an owner of properry who,through employees'or personal effort,builds � or improves the pmperty,provlded that the Improvemerrts are not intended or offered Por sale.If however,the building or I � Improvemerit Is sold wiMln one year of completlon,the Owner-Bullder will have ihe burden of prwing ihat It was not bullt � or Improved for the purpose of sale.). I :� (J I,as owner ot the property,am exdusively contractlng wiUi licensed ConMacmrs to consWct the proJec[(Section � 7044,Buslness and Professions Code:The Contractors'State License Law does not apply to an avner of properry who Valuation: Adj.Area: Z buildsorim rovesthereon,andwhocontractsforthe p QUANTITY DESCRIPTION FEE I n P projecfs with a Ilcensed Contractor ursuaM to the Contractors'State Y License Law.). � I � (�I am exempt trom licensure under the Corrtractor's State License law ror me tollowing reasan(s): � . � 1 By my signature below I acknowledge that,except for my personal residence In which I must have resided for at least one c�i I Z year pnor to completlon ot the improvemeMs covered by this permtt,l cannot legalty sell a sWcture that I have built as an w � _� I ¢ owner-bullder It R has not been constructed in ils entl2ry by licensed contradors.I understand that a copy of the applicable Y law,Sectlon 7044 of the Business and Professians Code is available upon request when Mis application is submitted or at I � the following Web site:http/www.leginfo.ca.gov/calaw.htrnl. � z I � �AlE: SIGN: � — LICENSED CONTpACTOH'S DECLAHATION � I � � � y I hereby afflrm under penalty of perjury that I am licensed under provlslons of Chapter 9(commencing with Sectlon 7000) � of Dh�lslon 3 of the Business and Professions Code,and my Ilcense is In full lorce and ettect. � I � LICENSE CL.ASS: • �!^�� C.►�'�_LIC.NO.: 7%i7 I D� � � DATE:�II—I y CONTRACTOR: 'j � I z w ¢ WOHI�H'S COMPENSATION DECLApATION � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ,l y � I have and will malntaln a Certlflcate of Consent to Self-Insure for Worker'S Compensation,as provided by CONSTRUCTION: �7�� Sectlon 3700 of ine Labor Code,ta the pertormance ot the work for which this permit is Issued, p�qN REVI EW: � � �I have and will malntain Worker's Compensatlon Insurance,as requlred by Sectlon 3700 of the Labor Code,for � the performance of the work for whlch this permtt Is Issued.My Worker's Compensation Insurance Carrier and ELECTRIC: zd PoIIcyNumberare_ �v� PLUMBING: � CARRIER MECHANICAL: � � PouCY NUMBFA J�O$�tl�Z�I 3 INSPECTION FEE: 'n (1FiIS SECTION NEED NOT BE CAMPLFfm IFTHE PERMfT IS FOR ONE HUNOR�DOLLMS(5700)OR LESS). • 1 I� � I ceiUfy that in me perhxmarxe of the wak for which this rmit Is Issued,I shall not em I an ISSUANCE: Pe p o9 y person in any manner so as in � becane sub�ect m the Worker's Camperaation Laws of Callfania Md agree that N I should becane subject m the Wakers SM IP: � j� � Compensatlon pro�islons af Section 3700 of� be e, I fo can ly wtth tlwse prwlsbns. ENERGY P/C: 1 �A�� _, t ��' ENERGY PERMIT: � WARNING:Fallure to secure Worker's Compensatlon coverage Is unla I,and shall subject an employer to criminal ' y penaltles and clvil fines up to one hundred thousand dollars(5100,000�,in additlon to the cost of the compensation, RETENTION FEE: � � damages as provided for in section 3708 of the labor cotle,interest,and attomey's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGfNCY BSAF:_ ' I r Q�D = I hereby affirm under penalty of perjury that there is a Constructlon Lending Agenc.y for the performance of the vrork fa . � which thls permit is Issued(Sec.3097,Civ.C.). LENDER'S NAME: � A� � LENDFA'SADDRESS: 6 Y x i I ceNfy that I have read this appllcation and shate that the above Information is correct I agree to comply with all ciry and TOTAL FEES � crounry ordinances and state laws relating to bullding construction,and hereby authodze represerrtatives of Mls county to COMMENTS: z J enteruponthe above-mentioned ropertyforinspection purposes. _ /� �2 vG�G- � ¢ PEA " 9—//— n = SIGNANRE OF PERMIITEE DATE RECEIPT# PAID BY: I � VALIDATION: WHITE—Department Copy,YELLOW—Flnance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplfcanYs Copy CITY OF DIAMOND BAR � INSPECTION RECORD • � � • - • � � o - �5E7BACK/CET�TER �,:� ��x °° �,,,,.,. �., �� , � � _ a�� ,:;..,.;,, TRACTANDIEDGER �F>ODTINGS FORNIS,��:�n��r�°;�� _�;��.a �� :��.s�� z�,s: SWITCH GEAR �StAB�'��,.,a�'.,.. � �z��. p��s��a� �.��;�`.��.�� COMMERCIAL HOOD ;UG�PIllMBING��'��,��`��°m ��`•.� 'S� . ��'��,��. 4� T-BAR �' � �� "��`' � ' � INTERCEPTER �G.ELECTRtGAL `�:�, � �a � `� � ' _ ,UF6R�GROUND�� `fi� �� `� �'' � '� � $�'` $`` HOT MOP/SHOWERPAN �.�� 6, " . �.r�. : y�� ..,�� '.r�€...,��.��.:^�� , SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE � HERS REPORT RECEIVED SEWER CLEANOUT � DEMOUTION ROOF SHEATHING ROOF dRAINS FLOOR SHEATHING ROUGH CONDUIT >SHEAR�WALLS EXTERIOR��'$� ��`' �� :' R,�' �� 'POOUSPII� �� "�" �� ,� ��`.� �,� � '� � � � � � � ,�� ° �� ,�«,�: � .� ,�� A .A� �� ' ROUGH�PLE1M64A�G, �� .�.a�`�� ^`� ,_ �; SHEAR WALLS i(�7ERlOR�� , ' � ,� �' � �� .. ;l�,�� ,, � ;, ,� ROUGH°ELECTRiCAL� �..�:� �'�" . �.�� R��_ � �FRAMiNC�/VENTfNG� ��,� � � . _ �'�` �'�� n ��. ROUGH M�GHANICAI,�'��$ � �_��3ry ° �`�-� -.� _°�� » �ROUGH MECHANICAL�"�. �� ,: �.,��'"'� ,'', �� .. � � � � t � �� . , � , .4#, �., � ��,�� GAS TEST;� �� . �� "�`` ��. P �.' �� : � � RQUGH ELECTRICAL�W(,�}C( 1 � ��` �� . � � '� ' ro�� '�"- ' °-' � ' 3 � a� e�'' � �,�� ro �,�u, �' s �� a �'°�` �„`. �ROUGH P'LU11flBING ,a� ��`��:"�"� ...�'�.��e',` e��,� �, :� � �PFtE GUN(TE� �,� ..: ° .., �; � �* �� . � � INSULATION WALL �POOL�PRE��ECK�BONDING�� °�� `�.�� ...� �� INSUTATIQN CEILING �P=TRAP�� '.�� ';� �' ,�4x ,��.� � .�� DRYWALL FENCE!GATEfRAtARtUI '� :� � . 'i: '�� „��:A� �a �3 �� LATH(PRE) ,FINAL�P�QOL�°a�:,� ..�.,.;' �. �„�� .��... � , " LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 ST( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DFiAIN!SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION xR0.FfiAMQ�iG PLAhlNIN6P.PPBOVIaI�� _ ` ��:��* �� `�" � �� ,� �� „ .ROUGH�FIRE�APPFiaUAL ��. +�� . � �, , � , �,x°�� ` FINAL BUILDit�� .. n � � _,� "` ��. �� #FINAI MECH/ttti#1CAL�°�� `� �,� �� ;�`� �� -�., ��`:��. � 'FINAl"FIRE DEP"ARTMENTa w""�� " � .�� "` �'��, 'FINAL�ELECTRICAL�...�:.�,,,,�. ,`,� � W; ,�"� `� �� jFiNAL9PLANNiNG � �' �� ,� � °�� ,� �,; ,��,- �� "��- �3 ;�� - �� ff�d '' �� ,�� fINAL�ENGINEERING/�PW��" '�� ` � �� d` FINAL PLUMBING,,� „�� - : "�� ;FINAL COPAIJItINITY SERVIC�.S��°�` '�` � �` .{��'� �,,�^�`.��`� �T.C.o'f OGCUPRNCY� �„s �° :�� d � � � �, '� � � � �� ..�y�� .� � �` � s� °�� `FINAL,MEALTH�dEPT�" � 'x�- -�� . " � ��.�`�� , CERT Of:C1GC11PIWCY*��'�`��'M . �€�`� �� ::«,a�..� � af,INAL�INDUSTRIAC�WASTE�,�� `�u" _ �� '� x,.� ;� COMMENTS: .