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Home My WebLink About14-4672 i,.�qf fQ t'wan a�� v�►@ h�, ==:�"'� CITY OF DIAMOND BAR 1 DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES , �_ __ �- - 21810 Copley Drive,Diamond Bar,CA 91765 �,/ PRESS ,, (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIIRMLY '�'��''� BUILDING PERMIT APPLICATION � APPLICATION DA�E: ��Z z— � / P/C# L JOB SITE ADDRESS /1 r� i ISSUE DATE: �'r�-a��y PERMIT# j�'� y0 / � z APN LOT TRACT � OWNER IZn�Ll��e C�IF'i ri Sh� TYPE CONST. OCC GROUP: � J, ADDRESS 3 y"'✓ Cc1 r vo��) 71�. � n CITY �i�a.r.�w� �vw ZIP �/7 6 STEL. 9 y 7 7�5 "/3 S(� ZONING F ONTCKS RW ❑ = APPLICANT TEL. REAR ❑ n SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS PROPOSED USE tCs�i o � WedG{ S�i�,.n�t � / tstv�r = CITY ZIP TEL. /� � � D7�+� C O/1�l, 1.75/r� ��i�q-.✓' �N/�r'�r � ARCH/ENG/DESIGNER �YSC; A'ht� jr1SaGII I'1�w Ga,�s+� r;�j��s z ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. n DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � OWNEH-BUILDEH DECLAHATION z I here6y affirm under penalry of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � � indicated below by the checkmark(s),I have placed nezt to the applicable item(s)[Sectlon 7031.5,Business and Garage/Carport I L Protessions Code:Any city or county that requires a permit to construct,alter,improve,demolish,or repair,any z structure,prlor to i1s Issuance,also requires the applicairt for the permit to tile a signed statement that he or she � Patio/Deck I i is licensed pursuant to the provisions olthe Contractor's State License Law(Chapter 9)Cammencing with Section w � 7000 of Divisian 3 of the Business and Professions Code]or that he or she is exempt from licensure and the 6asis for � Pool/Spa I = th�Ilegedexemption.AnyviolationoiSectian7037.5byanyapplicantforapermitsubjectstheapplicanttoacivil enalty Q Re-Roof of ot more than five hundred dollars($500). 2 2�v I � ( I,as owner o1 the property,or my employees with wages as their sole compensation,will do(�all of or portions � Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m Z Contractors'State License Law does not appty to an owner of property who,through employees'or personal effort,builds � or improves Me property,provided that the improvements are not intended or offered for sale.If however,the building or � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built jor improved for the puryose of sale.). I � (,I,as owner ot the property,am exclusively contracting with licensed Cont2ctors to construct the project(Section Valuatio 3!7 Ad Area: Z 7044,Business and Professions Code:The Contracmrs'State License Law does not apply to an owner of property who 1� � � buildsorimprovesthereon,andwhocontraclsforlheprojeclswithalicensedContractorpursuanttotheCantractors'State QUANTITY DESCRIPTION FEE I Y License Law.). I � (�I am exempt from licensure under the ConVac[or's State License law for the tollowing reason(s): a . � � I 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 � 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 been constructed in its entirety by licensed cont2dors.I understand that a copy of the applicable I � law,Section 7044 of the Business and Professions Code is availabl upon request when this application is submitted or at I X the following Web site:httpMvvw.leginio.ca.gov/ �^ I � z � DATE: "'ZZ� IL SIGN: _ � — LICENSED CONTIIACTOH'S DECLAl1ATI0N � I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) I � of Division 3 of the Business and Pmfessions Code,and my license is in full force and effect. J I � U � LICENSE CLASS: LIC.NO.: a I � DATE: CONTRACTOR: = I U ¢ WOflNEH'S COMPENSATION DECLARATION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: �/ � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: ��7•"7 � � 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 Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: � the Dertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ PolicyNumberare: PLUMBING: ,�, CARRIER MECHANICAL: � POLICY NUMBER INSPECTION FEE: ' �? (IHIS SECIION NEED NOT BE CAMPLEfED IFTHE PFRMR IS FOR ONE HUNDRFD DOLLPAS($100)OR IESS). ISSUANCE: �f.,.��I � I certlfy that in tl�e performance of the work for which this pertnit is issued,I shall not employ any person in any manner so as to �� become subject to the Worker's Compensation Lavrs of Califomia.Md agree that'rf I should become subject to the Workers SM�P: ' 6� � Canpensation pmvisions of SecBon 3700 of the Labor Code,I shall forthwith canply with those provisions. ENERGY P/C: J i DATE: APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: •�•�b y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the cost of the compensation, i damages as provided for 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 penalry of perjury that there is a Construction Lending Agency for the pedormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: I Y LENDER'S ADDRESS: �� i I certity that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES Z county ordinances and state laws relating to 6uilding construction,and hereby authorize representatives of this county to COM MENTS: � enter upon the above-mentioned property for inspection purposes. � �O'J�1�- V�+�ii � PER E (PRINn �y�Z 2 / � l �----- �� y I _ �SIGNAlURE OF PERMITfE DA1E RECEIPT# �� PAID BY:�J G�J^ VALIDATION: � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR ItVSPECTION RECQRD � � � s - • r � • � . ;SETBACIV�,�LE fTER4� � ., ��d "� �.' ' M' ' . ...a.v " ;TRACT AN�LEDGER I �__.,, ,.�� _._..—�— ------ FOOT`INGS��ORMS ,ro � = a� ��" ��. � SWITCH GEAR ��,�A_ ��:,, SLAB'', �� R��. �� " `�;,, ��,, ��,:��'�''; �COMMERCIAL HOOD UG�PLUMBING� �� a,r�. s�f� � 9,i,':i,'�, �"' T-BAR ------ - -- tJG.,ELECTRICAL, �,', ��'� ��'' ,, � � ,' ��`�� INTERC�ER _ �°��° ; � �- �3 �� e ��=�=,. �� ,�, �I�ER��,GROUNQ „� °_. : - �.,��, . ,�_ �..w��„� . �<�� ..w _ �HOTMOP/SHOWERPAN SENJER LATERAL ; 'SEPTICiCE5SPDOL MAIN WATER LINE NERS REPORT RECEIVED SEWER CLEAPJOUT � DEMOLITION ROOF SHEATHIhG � � ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ;SHEAR�WALLS�EXTERIOR ' `,' .: �'� � � , ��3 ��` � " ;� ;�POOL/SPA� ID"`,� ,� "°'�'� � � �. .� ,��__ ��. �, �, � _.�. � � � � �°�� . � :�; ��,�� - - �"��" �� , 4. . ,.: �„ . _ ,. , ,SNFAR WA�LS�INTERIOR� �,, �. �:.. � - �iOUGH PLUMBING�'',,�� ,x�Pg��, � ��<..e �,��;,.,�,�' � FRAMING�VEMTING.�- = � �y. . ;` _ �9��-� ` ` ROUGH;ECECTRlCAL�� „�' � `� �'p� R ` �� `•'� '� �� ROUGHsMECHANIGA�� r �_� �'�; �,,��<,,_ � `�� flOUGH�MECHANIGAL�T� � ��<a°�.��,h��, �'' �``�, � _ � _ _ � � Fi0t1GHyELEGTRICAL W( ),C(�) ��_°�', ,�� ,:� , �-; $�. '� GAS�TESTr ��.•,�� ^ t, x�� RQUGH.FLUMBING�� sk`A�' °��,�-,x 3� �,$� - „� � .�- F?FiE�GI�,��INITE .t. � ��%:;�"� � ��;i�` � �;� "�'.a _ _ e t � ,�� v. ... -_x : . INSJLATION WAIL ( POQL„PRE"DECK BONDING�� '�'- �"d"`�' � � - 6 ' r � ..� �.�_�e., : ..t � �;-..:�;.. . �� INSULATION CEILING �P.-TRAP,��': �� '`�; ,��_ ,�' � �'"'�� '�'�� ,'::��;� , :�f�� DRYWALL '.FENCE/GATE/AIARM �F�� °��c uR ; r. ` , „��W L �ya a,da;�. ,�u F_ t LATH(PREI ; �FINAL PQOL� .•,-�� :�..,,_ RE ��,1 �.°�, �-.. � � �,� , LATN EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1S'( j 2"Q( )LIFT SCRATCN CQAT WALL BOND BEAM ELECTRIC METER RELEASE � WALL DRAIN/SEAL GAS METER RELEASE , WALL FINAL ._�� ,. ,,tt��. _. ,-_ SPECIALINSPECTION � �RO:FFiAMWGPI;ANNINGAPP#iOVAI�; �,�� '�'�� FINAL�BI.IELOING� . .�. , -, m� �-� .,.�. ,t� � o�,. E-� > ..�.` �:ROUGH FIRE,APP,ROVAL '. �P;-.�'. �a , ��.. � ,�;'�s . � �.-�._- _ , w .. _ FINAI MECFfANIC�AL� � > ;, �f� � `:�,��' ,� �`� �FINAL FIRE UEPARTMENT `�_�v ��a, �r�� ',,,.,� , �� _..��_. _. . �:�_; ° � rv ' � �>_ . E,INAL`ELECTRICAL �;` �� `'��;�� , '��', =z « ;� � .-�;_ ftNAL PLAN(VING?� �,:: ��:.. °�� `��; `��:� -. _ e.. ,� . . � ,� __ , £ � « _ _ _ ;. � : . .�.,� : ;�s�� `FINAL PLUMBING . ��, ,��;.� _- �;�� . `� <e - � FINAL ENGINEERING/PW <;��;P -� ��_ - _ .. . �,�. �7=G.�o.fOCCUPANCY�,:' `��.. " �` �`;,: . . .=�xk;;. ��'� ' ��° °FiNAL COMMONITY SERUIGES`��` � � . ,��,��;, .� ��: �.� �,��;� : �� ,�� .. �e _.. , _ � CERT of,OCCUPANCY: �d� "��, � ;fiNAL HFALTH DEPT. �. � � `�� 8„�� r=�� ,�; �°�. - �,. � � � , . __ . r. � w�...; .�,„��, � .,e �- "`�-� �,° ,:. �� FINAk:INDOSTRIAL�WASTEY`� , `�� ,,,� � < �� COMMENTS: