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Home My WebLink About14-4985 .�.��'�,�,-, ,�.....,,.� CITY OF DIAMOND BAR il. DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ^„ - '�" 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �,�,�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � FIRMLY BUILDING PERMIT APPLICATION � � APPLICATION DATE: P/C# � s JOB SITE ADDRESS p pt� z APN LOT TRACT ISSUE DATE: �D��f�� PERMIT# I L� �70� � y OWNER L—r L%bCC.4.1 �1T�V E R..S TYPE CONST. ' OCC GROUP: n ADDRESS � . J c�rv �awb+-� qp.�t- ZIP � TEL.409 "11 7�� ZONING F ONTCKS RW ❑ � APPUCANT li.l TEL."3t0 Sc^;�{ac.Gd� REAR ❑ � n SIDE/SIDE STREEf RW ❑ � CONTRACTOR C"�� 1.. w SIDE ❑ � ADDRESS S�r�l LEA9A�atfi HvLj PROPOSEDUSE x CITY , ZIP�L.3�O�c3�c�dg � ARCH/ENG/DESIGNER y = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. I OWNFA-BUILDEA DECLAIIATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � 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 � Indlcated helow by the checkmark(s�,I have placed next to the applipble item(s)[Sectlon 7031.5,Buslness and Garage/Carport I � Protessiore Code:My clty ar courrty that requlres a permit to construct,alter,Improve,demolish,a repalr,any z strucWre,prior ro its Issuance,also requlres the appllcaM for the permit lo file a slgned sfatemaM that he or she � Patio/Deck I i is Ilcensed pursuaM to the provlsions of the Contractor's STate License Law(Chapter 9)Commencing wfth Sectlon w n7000 ot Divislon 3 of ihe Busirress and Professlons Code]or that he or she Is ezempt from licensu2 and the basis tor � P�VSpa � the alleged ezemptlon.Any violation of Section 7031.5 by any appllpnt for a permR subjects ihe applicant to a Gvll penalry Z Re-Roof I oF not more than five hundred dollars($500). 0 I � U��as owner of the property,or my employees with wages as melr sole compensaUon,will do(�all of or U portions � Commercial y of the work,and the siructure is not intended or offered for sale(Section 7044,Business and Rofesslons Code:The � I � Contractors'State License Law does not appry to an owner of property who,through employees'or personal effort,bullds m i or Improves the property,provided that the improvements are not intended or oftered for sale,lf however,the building or I � Imprmement is sold within one year of completion,the Owner-Builder will have the burden of proving that It was not bullt � or improved for the purpose of sale.). � I � I,as owner m the ro e U p p rty,am exclusivaty contracting with licensed Contracfors to construct ihe proJect(Sectlon Z 7044,Business and Professions Code:The Conhactors'State License Law does not apply to an owner of properry who Valuation: Adj.Area: n bulldsorimprovesthereon,andwhocontractsfortheprojectswiMalicensedContractorpursuanttomeConVactors'State QUANTITY DESCRIPTION FEE � Y License Law.). � (,I am exempt hom licensure under the Contractor's State LJcense law for the following reason(s): � 3 1 By my signaWre below I acknowledge that,except for my personal residence In which I must have resided fw at least one � z w I � year prlar to crompletion of the Improvemerrts covered by thls permtt,l cannot legally sell a shucture that I have buitt as an w owner-huilder if tt has not been consW c[ed in its errtlrety by licensed contractors.I understand that a copy of the applicable � law,Section 7044 af the Business and Professions Code Is available upon request when this application Is submitted or at i the following Web site:http/www.leginfo.ca.gm/calaw.htrnl. _ ��`��— � = DAlE: SIGN: � � I — LICENSED CONTFIACTOfl'S DECLARATION � - I � � I y I hereby affirm under penatty oi perJury that I am licensed under provislons of Chapter 9(commencing wtth Sectlon 7000) � of Dlvislon 3 of the Business and Professions Code,and my license is In tull force and effect. J I � LICENSE CLASS: ff�� LIC.NO.: �'�]�i�l 1S 3 I � DATE: � i�-f CONIAACTOR: �— y� � I lro- t- � WOflIffA'S COMPENSATION DECLAHATION � y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF hiE FOLLOWING DECLARA710NS: = I have and vnll maintaln a Certifipte of Consent to Self-Insure for Worker's Compensatlon,as provided by CONSTRUCTION: = Section 3700 of the Labor Code,for the pertormance of the work for which Mis permit is Issued. p�qN REVI EW: j �G I have and will maiMain Worker's Compensatlon Insurance,as required by Section 3700 of the Labor Code,for � the pertormance of the work for which this permft is Issued.My Worker's Compensatlon Insurance Carrier and ELECTRIC: 7d PoIi�yNumberare: PLUMBING: a � y CARRIEA _ C�L � l�ZafF.4VR�U C_ MECHANICAL: � POLICYNUMBER CI�I' �i'l�'V3 INSPECTIONFEE: n (THIS SECTION NEE�NOT BE COMPLEfED IFhiE PHiMR IS FOR ONE MINDRED DOLLARS($100)OR LESS�. ISSUANCE: _ � ("� � I certify that in the pertortnance of the work for which thfs permR is issued,I shall not employ any person In any manner sa as m � becane sub{ect to the Nbrker's Compensation Lavrs of Califomia Md agrae that If I shauld becane subject to the Workers SMIP: . J Campensafion provisions of Section 3700 oi tha I.abor Code,I shall torthwlth compy with those prwlsbns. ENERGY P/C: _'� DATE: �APPLICANT: L ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation cwerage is unlawful,and shall sub�ect an employer to criminal a �� ipenaltles and civil fines up to one hundred thousand dollars(5100,000�,in addftlon to the cost of the compensatlon, RETENTION FEE: � damages as proWded for in sectlon 3708 of the labor code,Interest,and attaney's fees. PRE-ALT FEE: i CONSTFIUCTION LENDING AGEMCY BSAF: = I hereby affirm under penalty of perjury that there is a Construction Lending Agenq for Me performance of the work for � which this pertnit Is Issued(Sec.3097,Civ.C.). LENDER'S NAME: s LENDER'SADDRESS: � I certily that I have read this application and shate that me a6ove informatlon is correct.I agree to compty with all ciry and TOTAL FEES (��/y Z counry ordinances and state laws relating ro building construction,and hereby authorize representaUves of this counry to COM MENTS: / � � eMer upon the above-mentioned pmperty for Inspection purposes. n �CY,fu ��i�gl/+�S ¢ PERMf17EE NAME(PRI� ; , ,� - i�- ��ti = SIGNATURE OF PER E DATE � RECEIPT# PAID BY:^ VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicenYs Copy CITY OF DIAMOND BAR INSPECTION RECORD � � a � � � 0 � ° � . SET8;4CI(%LET1'ER r� � ��-��,��-��..�.� ? ��:�� TRACTAND LEDGER ' ��,� � w �•�� : � ;;,��" ; �.�-,�� SWITCH GEAR FODTINGS FQRMS�„,�. ,,,,�� '" � � � �,��. ,gj:qg..° � , ��.�.��.�� :;�r�� ,�. �'� COMMERCIAL HOOD ,UG.PLUMBINGe��., ''��' _� �� f.::', ,_� _.;: ��.. �. T-BAR � ` �� -� � �, A{� >.�'� �� `;��''��`' INTERCEPTER ,UG:�ELECT�t(GA! �,� ��a �y� � _� �� . ��. .� �� ` ��' �� `� � '� "� � ��, HOT MOPISHOWERPAN UFER GROUND� � �� `�� _��'� ��.� � SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER C�EANQUT DEMOLITIQN ROOF SHEATHING ROOF DRAINS FLQOR SHEATHING ROUGH CONQUIT ��SHEAR VJAt1S EXTERIOR'�� k� ; "�� i � ,;� POOIJSPA�� w. . ,�� ;,�»��x �� Mw�� , � �,� �� ,, ;SHEARV+JALLSJtdTER1'OR��r.m' � � µ �;�� ;�� R011GN PLtlMBtNG�+� ��r� �� '"-.� � �� ` � �� ,�, ,� � � �� ' x�+`�" �" `� � _ � ��fIGH EL"`€CTRICAL�� . �" �� ` � `��,.,,� � � �°� ��`� ,� �: . �RAM,INGIi(Et�TING �., � � 4 " : � � �� ROUfHMECHANIGAL�,�� ' �� '� ..� .�.�� ": -� x.�� (iOUGH�MECHANiCAL�� , � � � � � t �;, ; s �.-�� .>�� °�'"� ��. �=.,�� .n ' � :f� a ��w� � ,� � � �. s�'�- �(i0t'1GF1 ELECTRICAL W�'}C�(��"��' y-� � � GA5 TES7, � � �� „�� '�� _ ��,' ROUG.HPIUMBING�� ,'��,� ��°��4�. _ a,��' �.. �, � � "' � ' � `� ��` �� '� �` �PRE�GUNITE� ��. <.� � �, � -� �� . ,, � 4 _�•� �� , � � � � INSULATION WALL � `POOL PRE DECK"BONDING��E �� -'*� � � �� ,s,� �� a d�r �=r" '� ,� r .� �; INSULATION CEILING ��`��'�'� �� 'u�" `� �'�� ° DRYWALL � �.,�� `.,,� � ; �� '�� ;��' ��NCE I�GI�TE/ALAF�M� „ ��_ � , LATH(PRE) � � r��. � 4. h �" �� „� ., � �� F.It�AIPOOL. �. : ��. .�. , : � , LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST ' WALL STEEL 1 sT� �2r+e� �� SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DFiAiN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION �RO FFIAM�GPLAI�JNINGA�PPROI�L �� _�� EINAL BUILDIMG�Y, . .�,��° ',:��,N�a� �� , �� -ROUGIi FIEtEAPPRQVAL��'��„; � r'� ��`��` � � � ' � �"`� �"� � � ,��ru ,�, -; �" �'�` � ' ,` �`�-r�r ��"� �°� " "�' , ' r � �" FINN.�MECHANICAL .,� � �� °��..'�� , �� _ ' FINAL�IRE�DEPARTMENT� ��_� � �� . .�� flNtll,,ELEC7RiCAL '��•,';� , � - �� , a �� : ��`,�� ;�� , .: ,�� .��- ,� � �_�� _:;��°� �� ,�� HNAL RUINNING �� `, � ��"�� ,.� � , � � � ... � ; � y_,., � . � ��.. �- a�:: ' � � �'w, , '�-��a��" ��_..�' FINAL PLUMBING �� o� �� ,�"�� FINAf:gENGINEERiNGl�PW � �.��' , .� � _ . R , � � � '� �°°�.,� �: � `` � �� FtNAL�COMFflUNITY SERYICES�� -�;� ��° � � � �� .�� '� 7C,�ofOCGUPANCY � � « � �� .� �� - � � �� ' � � �� , .,��_,��.,��. .��..�a�� 'FINAL HEALTtI DEPT� .��`�� ' � _�: � � �� ,CEI#T,.of�OCGlIPA61CY,� ,_ � �, �� . , _ . �.. - R,�.�:� `_ FlNA�INDUSTRIAL WASTE�,,,�, .'"�"�� `��"`"��'�, ��' �,.. ..m.,� COMMENTS: