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Home My WebLink About14-4638 -=' CITY OF DIAMOND BAR I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � >~- 21810 Copley Drive,Diamond Bar,c.a vi�6s � PRESS � - � ,] (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 �'��' BUILDING PERMIT APPLICATION FIRMLY g APPLICATION DATE: /�� d`/{�y P/C# y JOB SITE ADDRESS `J /�/�q i ISSUE DATE: 91�E/' �� PERMIT# ��1 ' "10.Y� z APN LOT�—TRACT � OWNER Ct t O L�3 "L TYPE CONST. OCC GROUP: � ADDR Z Z `Y� C � � ZONING SEfBACKS J CITY � 0 h �r ZIP��' TEL. �� FRONT RW ❑ � APPLICANT�„ TEL. � � ( REAR ❑ n t �` SIDE/SIDE STREEf RW O ¢ CONTRACTOR ��qG«2�+ � I�CT�� SIDE ❑ � ADDRE S � O � f4\v�+►'\C ' G��' � � CITY i� ZIP�ai� '�V 7 7 7,�q�'��] PROPOSED USE � ARCH/ENG/DESIGNER y = ADDRESS � � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION OWNEH-BUILDEII DECLAHATION = I hereby affirm under penalry of perjury that I am exempt from the Contrador's State License Law fa the reason(s) SFR/ADD/REM I � indlpted bebw by the checkmark(s),I have placed nezt to the applicable ftem(s)[Section 7031.5,Buslnese and Garage/Carport I � Professlans Code:My city or county that requires a pemdt to construct,alter,improve,demalish,or repalr,any y strucNre,prla to ifs issuance,also requlres the applicant for the permR to flla a slgired statement that tre or she N Patio/Deck I 'I � is Iicensed pursuairt to tice provisloos of the Cantractors State License Law(Chapter 9)Cammencing wfth Sectlon w � 7000 of Dlvlsbn 3 of the Business and Professlons Code]or that he or she Is exempt fmm Ilcensure and the basis for u. PooVSpa � the alleged exemption.My vblatlon of SecYion 7031.5 by any applicant for a permit sub�ects the applicant to a clvil penalty C7 ,—'n= of not more than flve hundred dollars($500�. ZQ Re-Roof I � U I,as owner of the pmperty,or my employees with wages as their sole compensatlon,will do U all of or(�portions � Commerclal y of the wwk,and the structure is not intended or oftered for sale(SecUon 7044,Business and Rofessions Code:The � I Z Contractors'Sta�License Law does not apply to an avner of property who,through employees'or personal effort,bullds m y or impmves the property,prmided that Me Imprmements are not Intended or oflered for sale.If however,the bullding or - I � improvement Is soltl within one year of completion,the Ovmer-Builder wlll have the burden of prming that it was not bultt ja improved for Vie puryose of sale.�. I '� I,as owner of the ro (J p perty,am exclusively contrading wIM Iicensetl Contractors to cansVuct the proJect(Section Z 7044,Business and Professions Code:Tha Contractors'State License Law does not apply to an owner of property who Valuation: Adj.Area: I r, bulldsorimprovesthereon,andwhocontractsfortheprojectswilhalicensedContractorpursuanttotheCorttractors'State QUANTITY DESCRIPTION FEE I s License Law.). 4 w�� I � U I am exempt hom Iicensure untler the ContractoPs State lJcense law for the following 2ason(s�: � � � �i � 1 By my signature below I acknowled e that,ezce t fw m Z g p y personal resldence in which I must have reslded for at least one � Q �' I = year pnor to completlon of the improvemerhs covered by this pertnit,l cannot legally sell a shucture that I have buitt as an � I owner-builder if it has not been consWcted in its er�tirety by Ilcensed contractors.I understand that a copy of the appllcable � law,Sectlon 7044 of the Businass and Professlons Code is avallable upon request when this appllcation is submitted or at I � the fdlowing Web site:http/w�vw.leginfo.ca.gw/calaw.html. = I = DATE: SIGN: � UCENSED CONTHACTOfl'S DECLARATION � I ' I hereby affirm under penalty of perjury that I am licensed under prmisions ot Chapter 9(commencing wlth Section 7000) I � of Division 3 of the Business and Pmfessions Code,and my license Is In full firce and eNect, J I � LICENSE CL4SS: \�I u .NO.: �� 1 �� I � DATE:�fa._1�t CONTRACTOR: C_ •LL��C `� � � � �— WOflll�fl'S COMPEN TION DECLApATION "' I � � I HEREBY AFFIRM UNDER PENAITY OF PERJURY ONE Of THE FOLLOWING DECLARATIONS: � � I have and will mairdaln a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: ��.� Section 3700 of the Labor Code,for the pertortnance of the work far vfiich this permit Is issued. p�qN REVIEW: � �I have and wlll mair�tain Worker's CompensaUon Insurance,as required by Section 3700 of the La6or Code,for � the pertormance of the rk tar wh'h th� permR' Is�{�,M y Worker's Campensation Insu2nce Carrier and ELECTRIC: zd Policy Number are: ��f� 1 ._ .U.(Q hC� PLUMBING: � CAFiRIER G C V •"t•�1J L M EC HAN I CAL: � POLICY NUMBER Q- � INSPECTION FEE: n (fHIS SECTION NEED NOT BE COM%_EfE01FTHE PEAMR IS FOR ONE HUNDR�DOIJ.MS($10�OR LESS). ISSUANCE: �,/r.� = I certify that in the perlorrnance of ine vrorlc for which mIs permit is Issued,I shall rrot employ any person In any manner so as to � becane subject to the Wo�k Canperaati La f mijj��Md agree that if I should becane subject to the Worker� SMIP: � Compens�n,p�v�4nsd�ro'on 3700 of I Cad I sh�e�jorihw�t�¢ornpry w�m ttiose prwisians. ENERGY P/C: DA7E: � �� ,AppI�CAN7; 1 U aJ ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to crlminal ipenalUes and civil fines up m one hundred thousand dollars($100,000),in addttlon ro the cost oi the compensation, REfENTION FEE: �.�j/� = damages as provided for in section 3708 of the labor code,interest,and attomey's 1ees. PRE-ALT FEE: i CONST(iUCT10N LENOING AGENCY BSAF: y I hereby affirm under penalty of per�ury that there is a Constructlon Lending Agency for the pertormance of the work for � which this permit is Issued(Sec.3097,Clv.C.). LENDER'S NAME: = LENDER'SADDRESS: i I certify that I have read this application and state that me above iniormaUon is correct.I agree to comply with all clty and TOTAL FEES Z county ordinances and state laws relatlng to building consWction,and hereby authorize represerrtatives of thls county to COM MENTS: � enterupon e we-mentloned prope forinspectlan pu ses. J '` c Q� � ' V Q`�l a PEAM E (PRI � = SIGNA RE DATE � RECEIPTri � �I�Q PAIDBY: � VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTI�N RECORD � � � ° � � � � � • � � { ,r .. . �' �-. �, �� ,�� _�<_�R�' x' .� � .,�s . SETBACKf,I EfTER �.��',„�w g- _ ,�a.,��-� :.�a�� 3� __ �� :aa,�� TRAGTAND LEDGER _ � � � �,:� �� ,:� �,"��`��`�� SWITCHGEAR FOQTINGS FORMS ' �� eb�,. ,. � � � �" ..A gj�g �r �' �`��'��'� �� COMMERCIAL HOOD • � � 4 � � �� ' �� , � � � � ;UG.PLLIMBING�.- � � �'' f� .�� ,�"'�� ,�E T-BAR 'UG°�ELECTRICAL 'rv�� ' "�„�,� ��«�.at.�� " ' I�._•� � � � �� ,�� _,,.� � ,.�;�` �� INTERCEPTER �UPER GRO,i1ND' "� ..,�s,� ' �.�� :�v=,b. ��,,�, ' �.�,�� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOUTION ROOF SHEATHING ROOf DRAINS fL00R SHEATHING ROUGH CONQUIT �- ��. ,,<,. � �� "� PDOL/SPA � . � ' � � � � ,� � �� SHEAF3 WALLS�EXTERIOR ,�q� �� :� � � ��- �3 � �� ROUGH PL'UMBINGs°:� �, �� ^�" ..� � ,�� ,��`� `� ��IiEAR WALLS�INTERIQR,, � � ��.,. , � �" � �` ` �, � �° � ERAMI(dCifVENTING ��' � '� �r��'r� ��,.�, �"`�z�� r�� RQUGHELECTRIC�IL � "� ,�'.•�`; � �'�� F'W s ,. � : �' �s"� �'�.�, 4� � 3` � � � .� < , � �,� � ��; �'t „ ,ROUGIi'M�CHANICRL� � � ,��,�= ��,�� '��; �� ROUGH MECHANICAL .� �A �,� �.� „ �E _ � � � _ - � ^� RO GIi EL"'ECTFtiCAL�W(�,�}„'C�( �) "� � �� E .��;R�s �;�� GAST'EST,��g � �� m�, .... �� ° >�,... .� ��= �� ROUGH PI:UMBING�� ; ,.��,� �` �� 1,�� _ `� � �PRE�GUNlTE�� r�' � ��.�" �� '�' _.��:�, � °��.� t �.�. - ��.,�, ,....� -� ; ' «.�, � �- INSULATIONWALL � �- ��E� �� °,°� �� POQk.PRE DF�K BONDING � ,� .�� . INSULATION CEILING � P-TRAP �' o� �:�� ,�� «: �� `�'��'� DRYWALL :F,ENCE J�G{iTElAIAF{M � '� �� '�� '�°�` e� � '` �" �i �� ,��'�� LATH(PR� sFINAL POOL. " �� ,�� .�w'y �� :�Nr ` �„ LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2"°( j LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL QRAIN/SEAL GAS METER RELEASE WALL FINAL � a�P, r �- � �� ,�� SPEC�AL INSPECTION RO�FRAMINC�PLANNIt��APRROVaL� �E� - ��`,� � ��"� � �.'�� FINEIL BUILD'ING �''>`��`� �� - _'�� "�`` � M'' � �� ROUGH EIRE APPR�QUAL� .�,�� ' '� �� b� �� _ � �� , �� , =FINAL MECHANICIIL � " �`� � '��'��u �" � .r� '��'�'e�� FINAL.FlRE DEPARTMENT�"� � �'� ��m�; ' �° �� ; "",��4�U, FIN11L°ELECTRICAL� � �� ' � 4��:� �- :;�. ��` �`, �FINAI PL:ANNING�� ,� ' '��_�"� �� , .�� FINAL PL`UfU1BING��.,�,��,�.�� s_M .� ,'�� '� `` �FINAL ENGINEERING/PW�'x;� ��'� ��'- ��y�."` � �' ,�� ,��-� �� ` �FINAL'GOMMUNI7Y�5ERVICES ��_'�� "�'" �`' �� ' T.C.�of OCGUPANCY �- � . � � ,�� ,� �. ..�� 8 'CERF.of�OCCUPMlCY � �� ' . „� `��"�<� •,�'�' `'..x� � �� FINALEHEALTN dfiPT ��,� �`»�� : �"� �� _____ _ _�__ _ . , _ . �e - - ° a: ,�. .��- �,�� '�`;, �`,� �� ' �.� � �FI�IAL ENDUSTR4AL�W,ASTE,� �4;. �.�;�. ��,w�.: „. r-�„;,�,�. ,,�:5. COMMENTS: