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Home My WebLink About14-4662� �"' �..V W. CITY OF DIAMOND BAR �� : DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES � -``= -tiG 21810 Copley Drive,Diamond Bar,CA 91765 �� L` PRESS � ,, (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY I 1''�"''� BUILDING PERMIT APPLICATION � APPLICATfON DATE: /j g! I � P/C# i JOB SITE ADDRESS � I 7 �y/� PERMIT# �'y— y�'b"'�� z APN LOT TRACT ISSUE DATE: � � OWNER 1YPE CONST. OCC GROUP: n ADDRESS � n CITY 1 • ZIP TEL. - � ZONING FRONT KS RW ❑ ¢ APPLICANT�N w! P_. � TEL. ' - REAR ❑ s � Q CONTRACTOR -' SIDE/SIDE STREEf RW ❑ � SIDE ❑ � ADDRESS y � � PROPOSED USE = CITY � �l IP TEL. � ARCH/ENG/DESIGNER S� •� I z ADDRESS _�✓Y�� ' � #DWEL.UNITS #STORIES #BEDROOMS zQ CITY ZIP TEL. I � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNEfl-BUILDFA DECLARATION x I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � I � indicated below by the checkmark(s�,I have placed next to the applicable item(s)[Sectlon 7031.5,Business and Garage/Carport 1J Professians Cade:Any city or couMy that requires a permit to construct,alter,Improve,demolish,or repair,any z structure,priar ta its issuance,also requires the applicant for the pertnit to file a slgned sfatement that he ar she � Patio/Deck I i is licensed pursuant to the provisions of the Contractor's State License Law(Chapter 9)Commencing with Section W n7000 of Dlvislon 3 of the Business and Professions Cade]or that he or she is exempt from licensure and the basis for � Pool/Spa I � the alleged exemption.Any violation of Section 7037.5 by any applicant for a permit subjecCs the applicant to a civil penalry Z Re-Roof ' o�f�/not more than five hundred dollars($500). I � � lX4 as owner ol the property,or my employees with wages as their sole compensation,will do�all ot or(,portions � Commercial . � y bf�e work,and the strudure is not intended or oftered for sale(Section 7044,Business and rofessions Code:The m I Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built � or improved for the purpose of sale.�. I � (,I,as owner af the property,am exclusively canVacting with licensed Contmctors to construct the project(Section Valuation: Ad Area: z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who �� I � buildsorimprovesthereon,andwhocontractsfortheprojecLcwithalicensedConhadorpursuanttotheConRactors'State QUANTITY DESCRIPTION FEE I Y License law.�. I � (�I am exempt from licensure under the Contrac[or's State License law 1or the following reason(s): � I • � U � ' 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w I Z year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w � owner-builder if it has not 6een constructed in its entirety by licensed contractors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professions Code is available upon request hen this application is su6mitted or at � n I � the following W si :h www.leginfo.ca.gov/ I�w tml. �' � I z . )' � DATE: SIGN: — � — LICENSED CONTM H' DECLANA � '�(7 I a I y I hereby affirm under penalty of perjury that I am licensed r provisions of hapter 9(commencing with SeQion 7000) � of Division 3 of the Business and Professions Code,and my license is in full force and effect. I � a � LICENSE CLASS: LJC.NO.: Q I � DATE:� WNTRACTOR: = I U a WOHI�H'S COMPENSATION DECUIHATION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF hiE FOLLOWING DECLARATIONS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�,qN REVIEW: � I have and will maintain Worker's Compensation Insu2nce,as required by Section 3700 of the Labor Code,for ELECTRIC: � the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and z ¢ Polic,yNumberare: PLUMBING: rQ.� � CARRIER MECHANICAL: z POLICY NUMBER � INSPECTION FEE: � (fHIS SEC110N NEED NOT BE COMPLETED IFhIE PFAMfT IS FOR ONE HUNDRFD DOLLARS($100)OR LESS). ISSUANCE: . J..r = I certify that in lhe pertarmance of the work for which this permit is issued,I shall not employ any person in any manner so as to � become subject to the Worker's Compensation Laws of Califomia.Md agree that if I should become subject m the Worker's SM IP: J Compensation provisions of Secbon 3700 of Ne Labor Code,I shall forihvdm compty witl�Lhose provisions. ENERGY P/C: i DATE: APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: �•�D y penalties and civil fnes up to one hundred thousand dollars($100,000�,in addition to the cost of the compensation, i damages as provided tor in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i , CONSTHUCTION LENDING AGENCY BSAF. � y I hereby affirm under penalty of perjury that there is a Construction Lending Agen�y for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: r LENDER'SADDRESS: 7� i I certify that I have read this application and ffiate that U�e above information is correct.I agree to comply with all city and TOTAL FEES z county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: � enter upon the a6ove-mentioned property for inspection purposes. J � b ¢ PERMIiTEE NAME(PRINn � = SIGNATURE OF PERMITTEE DATE AECEIPT# �J PAID 8Y: �a VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF D1�IMOND BI�R INSPECTION REC�FiD � ,� o , . � . . � � , . � . SETBACIf,�L_�'ET�TER �<.�.�;` ��,.�F:'"'�'�a '��°' ��:�.��'� � �~ ° ':�� TRACT ANQ LEDGER FOOTINGS�FORMSe,.u. t� & �� ,��. ,��"`"" `� `�`��` �� SWITCHGEAR SI�A$�'� � � � �� ` �,�� .�� COMMERCIAL HOOD , UG PLUMBWG___ � � � �� _ � E _, ��`";��,. r,_ �� .,� `� ��. ��Q�r� T-BAR I ,UG ELECTRIGAL��` `a� �� „ ,',' ��`�A; < ..��; INTERCEPTER i � � �� 9 _. ld'x` _. Fz....� � ..... .__.... . UFE CR ROUND�x., �u .*a � �� -, r�:��4�.� �� HOTMOPISHOWERPAN SEWEH LATERAL SEPTIC/CESSPOQL � MAIN WATER LINE HERS REPORT RECEIVED ; SEWER CLEANOUT DEMOLITION � ROQF SHEATHING ROOF DRAINS ' FLOOR SHEATHING ROUGH CQNQUIT I ; i«�-y_ �=a a � ��. �. r ,:��:; �� <e� ;�-_._ _, _ : �__ SHEAR WALLS,E7(�TERIOR ��;� �' �� ° OOC/SPA� ,,. ��__: -�-� � .� ��°„" �� P.� �"� ,�� : � � . �, � � � - y�„ �� _ _ . _� _ _ �_�� _ � .. ,SHEAR�WALLS'INTERlOFi� `` ' « n f'.. � �-•, , �"`s� ROUGN FLt1MBING; ��:'�� ' � ; FRANiING1UENTING ��>�_e_ x'� g�ti��z�� ..��. . °' • ROUGH.ELECTRIG,4L��,�.-._r-- -- � " �� - �� _.. � --�-� - � �� , ,� _> _ `��,;, RQl1GH MEGHANICAL �� . , ,:,,: ' �.� , `��°�,�.,� f ROUGH MECHANIGAI b-`"��6��:_ -� � �� _ � , ,-:�� :_ : ��_�=-. : �._m � . .� F,p. .-�-E _ ,� , �,�__ �; y ;��' GAS,TEST�`` � � �;�� , � ROUGH ELECTRICAL�W( )C.( 'j'��`�"�� . . .� ,. �� -�` �o� ,�«�� _�� -��z - � - - - � � �_.__ . . ' ^°; � : _� ,RdUGH PLUMBING ��e . �� '; r . �,�� ` PRE`GUNITE_s� ��_�a�� _ ' : � __ �_.�= �� -" , � � � INSUlATION WALL POOL PRE�DECK�BQNDINGs � - --- ��--��-� -= � �� .x - = .,,y-, � ,:: <<, � �: INSULATIONCEILING f?�TRAP,� �,�r_�- _r� � ,, ��„��„�,y„ �,�' DRYWALL �FENCE,/GATfJ ALARMI ��,. ��`,',H�,:W ,,.�x°� �,� `' LATH(PRE) �F1NAL P(?�OC� , �,. .y� ��=.- ` `�� "� � `� `��, LATH EXTERIOR WALLS: � � LATH INTERIOR WALL FOOTING/STEEL � GAS TEST s� WALL STEEL 1 S`( 12"°( j LIFT _' � SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE � WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0,FRAMNVG�PLANNlNGRPP�iOVAL ' �; �� €� �`- `� �� , �� y�� "�: ��4��d - �—.. 5 g,� �� . , w� �� : .�,�,�.. �y�� , �1NA1:��UILDIN� '' � � ..�. ,. , ,�� "�� '�� . � �''�� .;�� ROUGH:FIRE�APP�iflY� �� "� . � FINAi MECHANICAI�� ,� `�` , �s �� INAL FIflE�DEPART � �� _ � _ �; E `� a a�. s�` fi� ��` � �M��T - �Y�'° �r � , " R t a : �s ,�, - � �� . �� 4� ;�� s �� ?FINAL�NG �£�:�� .��., i ��,:r:^� 9'' �iNAL ELECTRICAL �� ' � � �' � �� k '; �� . __ FINA PLUMBING��. ��, �'' ,�a. .��,'e�� :. �� , ""''E., '` ', �� 'FINAL EPIGINEERINGI�PN1, � ,'�_.�.� .�:� ,.� �,,,,, �_� � �� , �� GOIV� C S` T�G;of OCCUPANCY ��s _ ' ;�� .�' ,�;,; �� ;'�:''�� <�`�r, "�,� ,��' � � =FINAk:' ....MUNIfiY'��SERVI E �r�� ' � ,� � °_.. , . , CERT�of��O�GCllPRFiCY ^,, ,�, �, . �� .��,,, � ,. ��:�". _�. '� � a „d �FINAL HEALT DEPT. . � R� �� : �� . � „�� , -, : � �� „�. � ��IAL II�p�1ST,RIAL�tIt�1STE-�: ��..z''��.,,,., „ � a.,.�'� ,��,�, ,��r r C(�MMENTS: CL '{' �o �