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Home My WebLink About14-4725� - �, ...��°��'-- � . CITY OF DIAMOND BAR ��I�yp'?�� (I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . � � ,� � 21810 Copley Drive,Diamond Bar,cA 9i�6s PRESS ,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � ''�"" BUILDING PERMIT APPLICATION FIRMLY � APPLICATION DATE: / ��/ "`w� 7 P/C# x JOB SITE ADDRESS ,n /�! i ISSUE DATE: �/�/�IJ/�'Y PERMIT# � �� z APN LOT TRACT o-��—� � y OWNER TYPE CONST. OCC GROUP: ADDRESS O � J CITY ZIP��TEL. ZONING SETBACKS I FRONT RW ❑ � APPLICANT TEL REAR ❑ ?n C%_1�� .r��O fJ ;1 1 i �X SIDEJSIDE STREEf RW ❑ CONTRACTOR dVl J y�U 1cS� `� QQ ��G SIDE ❑ � � ADDRESSI�I�Z ��VjCi �hl�i— u PROPOSEDUSE e � � iCITY Ol'G�V1,4 P� ZIP�zT,r�TEL. `1 ve �� ARCH/ENG/DESIGNER �� y = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS � CITY� ZIP TEL. OwNEH-BURDFA DECWHATION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREA/VALUATION � = I hereby afflrtn under penalty of perjury that I am ezempt hom the ConVactor's State IJcense Law for the reason(s) SFR/ADD/REM I L Indicated below by the checkmark(s),I have placed nezt to the applicable Item(s)[SecUan 7031.5,Business artd Garage/Carport I � Professlons Coda:Arry cfty or county that requlres a permM to construct,alter,Improve,demolish,or repalr,any z etruclure,pria M its Issuance,also requlres the appllcaM fw the pertnit to flle a signed sTatement that he or she � Patio/Deck I � is Iicensed pursuarrt to the provlsions of the Contracta's S�License Law(Chapter 9)Commencing wftli SecUon w � 7000 oi Dlvlslon 3 of the Buslness and Professlo�Code]or that he or she Is ezempt from Ilcensure and the basis for u. PooVSpa I n theallegedexemption.MyviolatlonotSection7037.5byanyappllcantforapermitsubJectstheapplicanttoacivilpenalty C7 I n of not more than five hundred dollars($500). Z Re-Roof I � U I,as owner ot the property,or my employees with wages as thelr sole compensation,will do(J all ot ar(J portlons � Commercial y of the work,and the structure is not Intended or offered for sale(Sectlon 7044,Business and Professlons Code:The � � Contractors'Sta�License Law does not apply to an owner of property who,through employees'or personal effart,bullds m I y or Improves the pmperty,provided that the improvemerrts are not intended or otfered for sale.lf however,the building or I � Imprmement Is sold within one year of completlon,the Owner-Bullder will have the burden of proving that it was not bultt � or imprmed for the purpase of sale.). I "� I,as owner of the ro U p perty,am exclusively contracting wlth Iicensed Contractars to construct the project(Section Z 7044,Business and Professions Code:The Corrtractors'State License Law does not apply to an owner of property who Valuatio � Adj.Area: I � buildsorimprrnesthereon,andwnocontractsfwlhepmjeclswtthalicensedConVactorpursuanttotheContractors'State QUANTITY r DESCRIPTION FEE � Y License Law.). � (,I am exempt hom licensure under the Contrec[or's State Llcense law lor the following reason(s): � � � � � I 1 By my slgnahue below I acknowledge that,except for my personal residence in which I must have resided for at least one ' � year pnor to wmpletion of the imprwements covered by this permR,l cannot legally sell a structure that I have bultt as an `w I owner-builder rf tt has not been constructed in its entlrety by licensed contractors.I understand that a copy of the applicable I � law,Sectlon 7044 of the Business and Professions Code is available upon request when this application Is submitted or at i tlte following Web site:http/www.leginfo.ca.gov/plaw.htmL c� I 'y� Z I = DAlE: SIGN: � — UC91SE0 CONTHACTOH'S DECLAHATION � I y I hereby affirm under penalry of perjury that I am licansed under provislons of Chapter 9(commencing wRh Sectlon 7000) I � of Dlvision 3 of the Business and Professions Code,and my Ilcense is in full force and eHect. � I � n I � LICENSE S: LIC.NO.: Z � DATE: CONTRACTOR: � � � I WOHIffA'S COMPENSATION DECLAHATION � y I HEREBY AFFIFM UNDER PENALTY OF PERJURY ONE OF THE f-0LLOWING DECLARATIONS: I � I have and will mairrtaln a Certificate of Consent to Setf-Insure for Worker's Compensation,as provided by CONSTRUCTION: �y�d� � /�Section 3700 ot me Labor Code,tor the pertormance of the wark for which this permR is Issued. p�qN REVI EW:_ 7 � ✓ I have and will malMain Worker's Compensatlon Insurance,as reqWred by Section 3700 of the Labor Code,for r�� the pertormance of ine wwk for which this permit is issued.My Worker's Compensation Insurance CaMer and ELECTRIC: K�� zd PolicyNum�yr-ar � PLUMBING: y CARRIER -�rG ��_�'15U��Q��[yx� MECHANICAL: � POLICYNUMBER�(Z6 � n� n INSPECTION FEE: _ (THIS SECTION NEED NOT BE COMPLETED IFTHE P61MR IS FOR ONE HUNDRED DOLLARS($100j OR LESS). ISSUANCE: ,�� I certify that in the performance of ine work for whlch this permR is issued,I shall not employ any person in any manner so as Il� = hecome sub'ect tn the Nbrker's Cam SMIP: �. � I pensation Laws of Calffomia.Md agree that"rf I should become su6ject Oo the WorkeYs �� Compensatlo provis ns of Section 3700 e Laba Code, shall th compry wlth tlrose prwisions. ENERGY P/C: DATE: APPLICANT:�.+- �a�4�� ENERGY PERMIT: � WARNING: ailure to secure Wwker's CompensaUon coverage is unlawful,and shall subject an employer to criminal rr � y penatties and civil flnes up to one hundred thousand dollars($100,000),in addttlon to Me cost of the compensatlon, RETENTION FEE: J � damages as proWded tor in sectlon 3708 of ine labor code,Interest,and attorney's fees. PRE-ALT FEE: i CONSTNUCTION LENDING AGENCY BSAF:_ � �n = I hereby amrm under penalty of perjury that the2 Is a Conshuctlon Lending Agen�y fir the performance of the work for � whlch this permlt Is issued(Sec.3097,Gv.C.�. LENDER'S NAME: = LENDER'SADDRESS: � I certlfy that I have read this applicatlon and state that the above Information Is correct.I agree to wmpry wRh all city and TOTAL FEES Z county ordinances and state lavrs relatlng to huilding construction,and he2by authonze represerrtatives of this county to COMMENTS: J enter u on the above- ention p erty for Inspectlon purposes. n (MI,PJ� N Q PERMITTEE P n = SIGNA7U DATE� RECEIPT# ,J�� PA1D BY: �� VALIDATION: �� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—AppllcanYs Copy CITY OF DIAMOND BAR INSPECTION RECORQ � � � • � � � , � ° � � ,`SET6,4CK1 LETTER�'" �� '�`'�� ~��` " TRACTAND LEDGER ;FOQTItUGSzFORMS��" '� �° .� �� .E�_`:�� .��. "�r ��,�'� SWITCH GEAR ?S�� uW,��- a� x�' � _ �� °'� COMMERCIAL HOOD :UG:PL�UMBING;. �.e,__� � � Ja�. �.,� ��,��.�� T-BAR - �_ ,; - �,.., • ' r�� .��.<<,: ',, INTERCEPTER �UG.ELECTR(CAL� �` � �� = o.� �� , � ��":� _ �� :x�� HOT MOP/SHOWERPAN UFER'GROUND�ia �~ °�t �� _.� �.� � SEWER LATERAL SEPTIClCESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT QEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �SHEAR WALLS�EXTERIOR� � � `�� '� �,�°^ �� FOOUSPA� � � �' �`ft,"4 �" � � � �� aa� �,� � � ��r � � � a � � :� i ., a� ,� e"„ � �",, � E�r�. "`a'" ��"��•�� ,SHEAR WAlLS�INTERIOft; � �`,�,� „ � ;�' � ,� �'�� R30UGH t'Lt1MBING �� WFRAMINGNENTiNG `�� :� � �Fit}UGH E�C7RICAl:� �� '�a'�"�� _.r ,..,: _ ; �'"� ... " �: �,.� - ,� �� ROUGH ElECTR CAL-W( � � �� RQUGt{�tV(ECHANICAL�� , �* <. � �° � . � ��G� �� ` � � �� . : GAS TEST-0 :�� ;., � � .,� �:� �� F,a �, � , � : ,. � , g.. . =� - � � � � � � �� E �,�-;_.; R�0�CH PL�UM61N��,.�;�,� � ..,,, �' .�� -'��`�� _�.��_.�.�z. �,�� ° PRE QUNITE� � � � �� ..n � ' �..�s��- % m ��m �b� �� LATIQN WALI POOL PRE(7ECKBONDINC�� - � ' .a,�` ��- �. _ INSUTATION CEILING �P TRAP ::� ��,� ,N�'"�°��.:; ��; �� .� � 4� �� : DRYWALL >FENCEl;GATE/ALARM$ �ws� �=� "'�, "�� .. EINAI P001� `� �'9,� ��a�" �`�� ,',� � �; UaTH(PRE� a. �. . .. . � �.. ,. _ ,� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTiNG/STEEL GAS TEST WALL STEEL 1�T( )2NQ( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RE�EASE WALL FINAL SPECIAL WSPECTIdN ;RO�FF�AMQVGPIANNIN�APPRil11Al�°��=r�`�� ` ` ;� 9 >: �� ' '� �� 3�. ' ROUGH�FIRE APPRQVAI � � m " �' �� FINAL BLlILDING �. -� �h� �� e� � " g �: � m. � °'� � .FlNAL FIRE,DEPARTMENT c�� e.� �� {� ��il°`� �'�'°� fiM1kAi<MECHA_NICAL . �� .�'��. �'' ' �� -� � ,� , _ � , �, £FINAL ELEC7RICAL_�, ��. �; � .� �' ��`� y �INAL PIANNING� �� ''`� � �� ,�'° '� ��s � � � ^ �g �, � �� t� � � � � �� x�� ,;�„ '°�,�t°� _ ;� �; , FINi4L PLUMBING f ;� � � � � � � �� ` � FlNAL�ENGINEERING!P�W�� '� �., �� '; '"� ; � ��; ��,; �" � � � " " =LC,'of OGCUPANCY�� =� � �� _ �� `�� :FINAL_CO�I�ItINl�1�SERVIC�S .R �� n� ��` �_�,�.�� CE[i'f.`of�OCGUPANCY�;. ,.,� �°:� :� �� -'� ��:� ��,-;� ,FINAL HEALTH'DERT � ,:� � � � � ,� � � , : A� , . `F(NAL�.INpUSTfilAL�1NA$TE��k�,� '"��" '�_ °` '� �� -�� ;� �� COMMENTS: