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Home My WebLink About14-4755 :. , ��f .�.. __ r-;-� �,_._.__._._..., CITY OF DIAMOND BAR `` DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES r'' `�- 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ,,w; �,�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY `��°J BUILDING PERMIT APPLICATION � APPLICATION DATE: ��q�d�ll �y P/C# x JOB SITE ADDRESS i ISSUE DATE: PERMIT# �� 7 ��J1 z APN LOT TRACT L OWNER TYPE CONST. OCC GROUP: I � ADDRESS � CITY ZIP TEL• ZONING FRONT KS RW ❑ a APPLICANT TEL. REAR ❑ s � SIDE/SIDE STREET RW ❑ n � CONTRACTOR SIDE ❑ � ADDRESS PROPOSED USE + � s CITY ZIP TEL. � � ARCH/ENG/DESIGNER z ADDRESS � � #DWEL.UNITS #STORIES #BEDROOM�_Q�� Q CITY ZIP TEL. I . � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION Q OWNEH-BUILDEH DECLAFIATION = 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 �� indicated below by the checkmark(s�,I have placed next to the applicable item(s)ISedion 7031.5,Business and I Garage/Carport Professions Code:Any city ar couMy that requires a permit to construct,alter,improve,demolish,or repair,any z sVucture,prior M its issuance,alsa requires the applicant for the permit to file a signed statement that he or she � Patio/Deck I nis licensed pursuant to tlie provisions of the Contractor's State License Law(Chapter 9)Commencing with Sectian W � 7000 of Oivision 3 of Me Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa � theallegedexemption.AnyviolationofSec[ion7031.5byanyapplicantforapermitsubjectstheapplicanttoacivilpenalty Z Re-Roof 2 o�f p7ot more than five hundred dollars($500). � I � (�,as owner of the property,or my employees with wages as their sole compensation,will do L)all of or(�poRions -� Commercial I � y �t�work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal ettort,builds y 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 of the property,am exclusively contracting with licensed ContracTors to construct the project(Section z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who ValuBtiOn: � Adj.ArBd: I � buildsorimprovesthereon,andwhocontractstortheprojeclswithalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE Y License Law.). I � (�I am exempt from licensure under the Contractor's State License law tor the following reason(s): a � Q 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w 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 I ' � 2 owner-builderifithasnotbeenconstructedinitsentireTybylice ontractors.lunderstantlthatacopyoftheapplicable � Y law,Section 7044 of the Business and Prof ' vailable upon request when this application is submitted or at I K the follo W it ttp/ o.ca. aw.ht I � DATE: — C° � I � ICENSED FIACTOfl'S TION � � a I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � of Division 3 of the Business and Professions Code,and my license is in full force and effect. J I � a :n U I n LICENSE CLASS: LIC.NO.: a � DATE: CONTRACTOR: = I U ¢ WOHI�H'S COMPENSATION DECLAHATION � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � �L yy q I have and will maintain a Certificate of Consent to Self-Insure for Worker'S Compensation,as provided by CONSTRUCTION: � Section 3700 of the Lahor 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 performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ¢ PolicyNumberare: PLUMBING: �� L CARRIER MECHANICAL: � POUCY NUMBER INSPECTION FEE: � (TFiIS SECTION NEED NOT BE COMPLEfED IFTHE PFRMIT IS FOR ONE HUNDRFD DOLLAAS($100)OR LESS). ISSUANCE:__ ��S = I certify that in the perfortnance of the work for which this permit is issued,I shall not employ any person in any manner so as to SM IP: i•�� I � become subject to the Worker's Compensa6on Laws of Califomia.Md agree that if I should become subject to the Worker's L Compensation pmvisions of Section 3700 of the Labor Code,I shall forthwiN comply with those provisions. ENERGY P/C: J i OATE: APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: p .�� 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 CONSTNUCTION LENDING AGENCY BSAF: J I�� y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: z LENDER'SADDRESS: i I certify that I have read this application and state that the above information is corcect.I agree to comply with all city and TOTAL FEES =� county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMM ENTS: � enter upon the above-mentioned property for inspection purposes. J � b ¢ PERMITTEE NAME(PRIPlT) � n = SIGNATURE OF PERMITfEE DATE RECEIPT# ��_��_ PAID BY: VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy � ._ CITY 4F DIAIVIOND BAR � `'`' INSPECTION RECORD . � � , e . e � � , . mo �. �, m �`�� TRACTAN�LEDGER � � SETBAGI(/LETTER ��:� � �� `�` ��'�.�.��= ; _ _ FODTINGS FORMS �; �-=- ��;;,��. ;.�; . ��, SWITCH GEAR ` z- _ 4. � ,,� . .-. Stl18�� r ' ��°�_ ,�-" : " �� . COMMERCIAL HOOD � i1G.PLUMBIN'G^ � �R: , �.,. < " �. � �� F�� - � T BAR I UG..ELECTRIGAI. �F �,•,� ��a,; „�,�'� ",' , �� INTERCEPTER UF R ROUND� ,�v��-'� , �,M��_. �'x� B � � ��y HOT MOP/SHOWERPAN � SEWER LATERAL SEPTIC;CESSPOOL � MAIN WATER LINE HERS REPORT RECEIVED ; SEWER CLEANQUT DEMOLITION � ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �,,. . k� "' �r:;'; � �� PO�OLISPA� -- ��r�y��,,�� ,.,,,,,,�� , �� ,R, �� a "� ry ��: " "�NEARaWALLS�EXTERIOR' ;�a�a,a.� ��,;; Q ,,.r z� __ � � �,_ _� _ �. p._ -�_ ,., _ __ _ SHEAR,WALLS INTERIOR . �,� �� < ,� ��u�.. .;'� `,s'. ROUGN PLl1MBiNG : ,� ��n ,;, �,�, .�. ; gFRAMjNGNEtVTiN� � `�' ;` ��' ` °�' �ROUGHELEC7 IRGAL ��' 3' �� ; �� " � � ��- �� • �k�,., '�. _�� '� . ..... �.� ri� ��a,� ,,,�,",��.� � er`� �.� a� ROU� ,q�. _ . _ _ , ; �- � ��, � �� ,� � �� GH,MECHANICAL � ,e'= . . ROUGH N1ECH,ANIGfiL _� �_; ,P�,,��' „� �. _�� ' �� " �� `� o��> P .� �� — _ =` �_ �':As.T � ,.a � ,�,� a ��;�,, �: �°,Fx GASTEST "_ RQUGH�ELECTRICAL W( }C(':) H � RQUGH;PLUMBING F;a ,.:; °� ,�, � �._� �. PRE GUNITE a�:9 ��%�,. a� - � � _ -:� INSULATION WALL POOL�PRE�DECK BONDING - � ��'� ��'�a�:.,. INSULATION CEILING R'-TRAP�' �� ' '��- `� �'� � � �,�� .��._, �r.�. DRYWALL F,ENCE�/GATE/AI.ARM � '' ` "F�� ,`' ;� LATH'(PREI . FINAL PdOL .. °a� � � LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL __.. —.-- GAS TEST WALL Sl'EEL 1 s�( i 2ND( j LIF7 — - --.... —--------�--._.....-----------� SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL ; GAS METER RELEASE WALL FINAL i SPECIAL INSPECTION fl0.F NIRAM G PLANNING�AFPROVfiL �,��a�� '� a� � � � q ,FINAL�BUILDIMG /� ` �„'�, .,.,„.,JP�„��v�a �ff,� R6U�H FIRE ARPRO!lAL�,,=. ��;;;� . r�,,y" yW°�,..��z��3 w� g�P ��_ � - .. �� ` ��:�� . FINAL FIRE-DEPARTMENT �u �� .. °�� ,,�, m. ��",�;�� w, FINALMECHANICAL �._.: . .�,�:�. , _. :�. . ., �t;�_ . , : '�. .,.�� .�.� � <�<� -== �. ,- . - �_ _ . � � ,PINAL,ELECTRICAL_ °. ,�. .,: �---� �` �,� a��:��. � �FINAL PLANNING' 'f�;��a �F � a__�� . _.�� .r��_ x;�:�., � '�" � . .. � .;�. :� �, 9,: � -- �- - e ��, _. FINA[,PLUMBING $` '��`_ � _=' � FINAL ENGINEERlNGI�RIN� � _E�,�� ' 'R '" �TC�of¢OCCUPANCY � - "��Q° FINAICOI�IIMUNIT,YiSERViCES , :-�- ' �e§� `�� , - _.��,��;= - ��-- - _ �. .�_ . - _,. � _�� _�w,�,� Q� f� � r a�� , GERT.�of 4CCUPANCY � � � �-� �� ,- u �� °� �.�s FINAL HEACTH DEPT. ; � � � � �.�.- �, � - _ = �.. FfINAL iNQlfSTRIAL�WA�TE� � ��.� `�.,,:` , �. .,,� w ��z�"�;„` ,,"� COMMENTS: