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Home My WebLink About14-5014 -� _ _ _ __ CITY OF DIAMOND BAR � ., `_ �_ � I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21810 Copley Drive,Diamond Bar,CA 91765 SS `R�,,� (909)839-7020 FaJc:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION i JOB SITE ADDRESS APPLICATION DATE: P/C# z APN LOT TRACT ISSUEDATE: II `J � dD�� PERMIT# �`1'—��JI� � y OWNER � ��' TYPE CONST. OCC GROUP: � ADDRESS A✓ � CITY ' ZIP �� TEL.�"E�d"+ZI� ZONING SETBACKS FRONT RW ❑ = APPLICANT • TEL. REAR ❑ � � / SIDE/SIDE STREEf RW ❑ ¢ CONTRACTOR CiL/�C ��y►i h,=nc Cd� SIDE ❑ � ADDRESS GIS � WASLI.��►�S Q�/��rr PROPOSED USE x CITY �crn¢� q�►f ZIP��2 TEL._��`f��S �7�—G'�'�r � ARCH/ENG/DESIGNER � y = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. I OWNEH-BURDFA DECLAFlATIOH DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION j I hereby afflrm under penalty of per�ury that I am exempt from ihe Contractor's State LJcense Law for the reason(s� SFR/ADD/REM L indicated below by Ne checkmark(s�,I have placed nezt to the applicable Item(s)[Secllon 7031.5,Buslness and Garage/Carport I � Protesslons Code:My cny or cawrty that requires a permit to canstruct,alter,Improve,demolish,w repalr,any z structure,prla to ifs Issuance,alsa requlres the applipM for tha pertnit to file a slgrred sfatement that he or she � Patio/Deck I i is Iicensed pursuant to the provislons ot the Caitractors State License Law(Chapter 9)CommenGnp wlth Section w � 7000 of Ulvislon 3 of the Buslness and Profasslans Code]or that he or she is ezempt from licensure and the basis for � PooVSpa I _ � the alleged exemptbn.My violation of Section 7031.5 by any applicant for a permit su6Jecfs the applicant to a civil penalty C7 'n of not more than five hundred dollars($500). 2 Re-Roof x � (�I,as owner of the property,or my employees with wages as their sole compensation,wlll do(,all ot or(,portions � Commercial y of the work,and the structure Is not intended w oBered for sale(Section 7044,Business and Professions Code:The � i ' Contractors'State Llcense Law dces not I to an owner of in e who,thmu h em lo ees'or m aPP Y p p rtY g p y personal effort,bullds .Zu or Improves the pmperty,provided that the Improvements are not Intended or ottered for sale.If however,the building or I � Improvement Is sold within one year of completion,the Owner-Bullder will have ihe burden of proving that it was not buiR � � or Improved for ihe purpose of sale.). ', '� (,I,as owner of the property,am exclusively contracting wtth licensed Contractors 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 1• � buildsorlmprmesthereon,andwhocontractslortheprojectswlthalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE � Y ucense Law.>. _ (J I am exempt from licensure under the Contractor's State License law for the following reason(s): � � � U Q 1 By my signalure below I acknowledge that,except for my personal residence in which I must have resided for at least one � I � year pnor to completion of the Improvements covered by thls permit,l cannot legalty sell a structure that I have buitt as an w I ovmer-builder if tt has not been constructed in tts entlrety by Iicensed contractors.I understand that a copy of the applicable � law,Sectbn 7044 of the Business and Professions Code Is available upon request when this application is submitted or at I i the fdlowing Web site:httphwrw.leginfo.ca.gov/calaw.hfrnl. � � I = DATE: SIGN: � — LICENSED CONTHACTOfl'S DECLAHATION � I J G. I y I hereby affrm under penalty of perJury that I am Ilcensed under provisions of Chapter 9(commencing wIN Section 7000) /rY�I�CL G` � ��/• � of Division 3 of the Business and Professions Cade,an/d�my Ilcense is In full torce and effed. J � n �t Lq_ C3V Z �A�� c`s ;q LICENSE CLASS:/..�,��7/FL�CZOCL� L1C.NO.: ��i � DATE: l��-ly CANTAACTOR:�r C Y6 � I � WOHI�H'S COMPENSATION DECLAAATION � I y I HEREBY AFHRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECIARATIONS: � I have and will maintain a Certlflcate of Consent to Self-Insure for Worker's Compensatlon,as provided by CONSTRUCTION: � Section 3700 of the Labor Code,tor the pertormance of the work for which this permlt Is issued. p�,qN REVIEIN: � �I have and will malntain Worker's Compensatlon Insurance,as required by Sectlan 3700 ot the Labor Code,for Z the perfomiance ot the work for which this pertnft Is issued.My Worker's Compensatlon Insurance Carrler and ELECTRIC: ¢ PoIi�yNumberare: PLUMBING: Q�Q y CARRIER 13��.n Q...� j.3Y+�an MECHANICAL: � POLICYMIMBER_�f{/G1TplSGO�GJ� � INSPECTION FEE: (1H5 SECTION NEED NOT BE COMPLEfEp IFTHE PHiMf!IS FOR OFE HUNDR�DOLLARS(5700)OR LESS�. ISSUANCE: (� �� = I cerlify that in the peAomiance o}the work fa which ihis permit is issugd,I shall rrot empoy an;•persan in arry manner so as m +�-�---� � becane sub�ect to the Worker's Compensation Laws of Califania Md agree thffi if I shald becmie subject fu the Worker's SMIP: JCompensatbn nr�visbns oi Secbon 3700 of ine Laba Code,I shall lorthwith compry witti those prwisbns. ENERGY P/C: i DA7E: APPL1CANi: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall sub�ect an employer to criminal � D � penalUes and civll flnes up to one hundred thousand dollars($100,000),in addltlon to the cost of the compensatlon, RETENTION FEE: Q = damages as provided tor In section 3708 of the labor code,Intarest,and attomeys fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGBiCY BSAF: y I hereby affirm under penalty of perJury that there is a Conshuction Lending Agency Por the performance of the�rork for � which thls permit is Issued(Sec.3097,Civ.C.). LENDER'S NAME: Y LENDER'SADDRESS: � I certify that I have read thls applicatlon and state that the above Intormatlon Is correct.I agree to comply with all city and TOTAL FEES /� �.,�l.f Z counry ordinances and state laws relatlng to building consWctlon,and hereby authorize representatives oi this county to COMMENTS: ( � enter upon the above-mentioned property for inspection purposes. � � ¢ PERMITTEE NAME(PRINn n n = SIGNATURE OF PFAMRIEE DATE RECEIPT#� pA�D BY:._,rQ,3�_VALIDATION: — _� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—ApplicanYs Copy CITY OF UTAMOND BAR INSPECTION RECORD t s � � � � � � � ' ;SETBACK/LETTER� �"��:,�`" �y� �� = TRACTAND LEDGER �. � ` ~ ��s , �'� �k=.; ��•W SWITCH GEAR FOQ�INGS FORlNS,��` ��_ � � -- �•- - e, �� .��, �„� ��_�= COMMERCIAL HOOD r>�:� fUG'.PLUMBING�,��.t;, .� „ :'" '.� ,� �,,..�'. � ,� �,� T-BAR � ,UG.ELECTRICAL ��`� � "�,��.� � INTERCEPTER UFERgGROUND��6: �'' �� '� �°r �� .�µ�� '"' ' HOTMOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPQRT RECEIVED SEWER CLEANQUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT � ��. . ,�,. : , .� ,�� SNEIfii�WALL�,EXTERIOR� �� > �� ,POOUSPA�� ,k��" � �� A� �� :� ��< ROUGH P�LUMBI�SG... � �� '. ��'��x � -�� SHF.aR WALLS IN?�RIOR � �_� �A .,- a �FRAtVIINGNENT(NG�� „ � �� ,�� >ROUGHELECTRICAL� "� �� ` � � � �� r�� . ;RQUGH MECHAEVICAL , .�� '� -'-� �:' ,RQUGH tV1ECHANICAL r �`�� h ,�� - _ � � k .- �-� ...as ,�. .. �� ' � a. . �� } �" °b"�� .ROUGH ELECTRIEAi. W( ,)C( 1 `, �"�� "� � „� GASTEST _ ,�,� �� ° �� ROUGH•PLt1M�BING� � .�� '�`' � , � „�� ..,�,�� <x�, �PFiE GUNITE �="., �� ' �,� � . � �'�� _�.� ' . � INSUlATION WALL 'POO�PRE�bECK BfINbING,� a' ';�� A ,,�� ..,.� INSULATION CEILING P.-7RAP'°�.��'q��"`� �� ,:� ,.��k'"'` �,": DRYWALL hFENCE I°GATE/AIARM A� �rp�°°��R ��„"P ; m. �FINAL POOL��" ..��;;�� ..� � _� *`.,` �� LATH(PRE) �a. LATH EXTERIQR WALLS: IATH INTERIOR WALL FOOTING!STEEL GAS TEST WALL STEEI 1 ST( )2r'o( )IIFT SCRATCH COAT WALL BOND BEAM ELECTRIC MEfER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSREGTION gR0�iAMIN��PL�ANMNGAPPROVAL �"�a � ��'��"�� (N;4L BUILDIN� ��''�'�"� '� � �"�".. ` ',.�`� �-�� "ROUGN�FIRE APPRUUAl.�'�' 'r � ��"�'" °�� ,��- ��.'�� . �� a9, ,�,�� N��' , e „� . ..�,� _ � - �, ; „.,� � °a"�� r �'�' �� :�� FINAI MECHANlGAL mQ�,� - � = �� r ��: ; _ �� .�� °. FIN{1L�FIRE EPAR7MENT�,,��'"� „� � � �' � - FINAL ELECTRiG,4L�`:g'� Po��` ��u' �� `��;� °'�,� FINAL'�F'IANNiNG � �a F �� .,�4�''� � �°A�' '�� gFINAL PLUMBING�� '� , ��_��< �� FINA!ENGINEERiNG/PW�'��, �� " ":�� w 1'.C:af DCCURANCI'�; � �'� �� -- ti � �°� �"`� .�r E� FtNAL CIIMMUNITY S,ERVICES ��`�=��- � �g� �� <� � � .� � �;� � :, �� ..-�, �� F1NAL HEALTH DEPT� �� '� ` �� , CERT of OCC1tFAbIEY �� .�.�� ,�� ..�., r��;.. , ..� � �tNALINDUSTR1Al t ^�� p�� y � =WASTE,��.�a � ��. � ,�.�, COMMENTS: