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Home My WebLink About14-5034 ::/ �. -�"'_ ....- , CITY OF DIAMOND BAR , DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES , �`- ' G 21810 Copley Drive,Diamond Bar,CA 91765 PRESS .,,,,w ,.�,� � (909)839-7020 Faat:(909)861-3117 Bailding Inspection Hotline(909)839-7027 � �'�"' BUILDING PERMIT APPLICATION FIRMLY I � APPLICATION DATE: ��/"/ P/C# �L��Y� � x J SITE ADDRESS —` '1 4Tu— 1 w N. L��_TRACT ISSUE DATE:��IT_PERMIT# '"1 '—S O 3 J � y OWNER TYPE CONST. OCC GROUP: � ADDRESS � '' CITY 1u ZIP9I��jTEL. ZONING F ONT KS qW ❑ � APPLICANT TEL. REAR ❑ ' ¢ CONTRACTOR �J I(�L I AU� 1�'4� SIDE/SIDE STREEI' RW ❑ � SIDE ❑ � ADDRESS O� C PROPOSED US � I — � CITY V II� V��I P1CY ZIP I O TEL. - ' � ? ARCH/ENG/DESIGNER � y � ADDRESS • � #DWEL.UNITS STORIES #BEDROOMS � CITY ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREA/VALUATION a OWNFA-BUILDEN DECLAFlATION I � I hereby afflrm under penalty of perjury lhat I am exempt fmm the Contractor's State Llcense Law for the reason(s) SFFUADD/REM I � Indicated below by the checkmark(s�,I have placed nezt to the applicable ftem(s)[Sectlon 7031.5,Busl�cess aiM Garage/Carport I = Professla�a Code:My city or county that requlres a permft to canstrucf,atter,Improve,demolish,or repair,any z strucWre,prlpr tp Its issuanca,also requ(res the appllcaM fa the permit to flle a signed statement that he or slre � Patio/Deck I i Is Iicensed pursuairt to tl�e provislons af the Contrac[or's State Lice�a Law(Chapter 9)Commencing wtth Sectlon w � 7000 of Dlvlsbn 3 of the Buslireas and Professlons Code]or that he or she is ezempt hom licensure and the basis for � PooUSpa I � Me alleged exemptlon.My violation of Sectlon 7031.5 by any applicant for a permit subjecLS the applicarit to a civil penatty C7 I n of not more than five hundred dollars($500�. Z Re-Roof s I � (�I,as owner of the property,or my employees wlth weges as thelr sole compensatlon,vnll do(�all of ar(J portlons � Commercial y of the work,and the structure is not irrtended or offered fw sale(Sectlon 7044,Buslness and Professlons Code:The � � Contractors'State License Law does not appry to an owner of property who,through employees'a personal eftort,builds m I i or Improves the property,provided that the improvements are nat Irrtended or oftered for sale.If hawever,the bullding or I � improvement Is sold withln one year of completlon,the Owner-Builder wlll have the 6urden of prwing that It was not buitt � or Improved for the purpose of sale.). . I � (_)�,as owner ot the property,am exclusively contracting with Iicensed Contractnrs to consWct the proJect(Section Z 7044,Business and Professions Code:The Contractors'State License Law does not appty to an owner of property who Valuati0 ^ Adj.Area: � builds or improves thereoq and who contracts for the projects with a licensed Contractor pursuant to the Conhacrors'State QUANTITY DESCRIPTION FEE Y LJcense Law.). j U I am exempt from licensure under the Contrector's State License law for the following reason(s�: � � � I By my signature 6elow I acknowledge that,except for my personal residence in whlch I must have resided for at least one ..c��. I = year pnor to completion of Ne Improvements covered by this permR,l cannot legally sell a structure that I have bultt as an � I owner-builder if tt has not been constructed In Ks er�irety by Ilcensed contractors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professlons Code is available upon reques[when this application is submitted or at I � the following Web site:http/vnvw.leginfo.ca.gov/calaw.htrnl. _ � DATE: SIGN: � — LICENSED CONTNACTON'S DECLAHATION � I y I hereby afflrm under penalty of perjury that I am Ilcensed under provisions of Chaptar 9(commencing wiM Section 7000) � of Divlsion 3 of Ute Business and Professions Code,and my license Is in full force and effect. J I � LICENSE CLASS: B G Il(�_LIC.NOn.: ��pr-1� �� I � DATE: ��. J�f .�U . CONTRACTOR: S(ZI 1[�/ (Z{fJ Z U Q WOflI�H'S COMPENSATION OECLAqATION � I y� HEAEBY AFFIRM UNDER PENALTY OF PERJURY ONE OF hiE f-0LLOWING DECLARATIONS: � I have and wlll maintain a Certificate of Consent to Setf-Insure for Worker's Compensation,as provided by CONSTRUCTION: Z�-�} � Section 3700 ot the Labor Code,for the performance of the work for whlch this permtt Is issued. p�qN REVIEW: �'• � � �_I have and will maintain Worker's Compensation Insu2nce,as required by Section 3700 of the Labor Code,for �}'� � the performance of the work for which this permit is Issued.My Worker's Compensation Insurance Carrler and ELECTRIC: zd PolicyNumberare: n c - PLUMBING: � CARRIER C.J MECHANICAL: y � POUCY NUMBEA INSPECTION FEE: 'n (THIS SECTION NEED NO BE COMIPLETEp IFTHE PEiMR IS FOR ONE HUNDRm DOLLMS($100)OR LESS), .}�� ISSUANCE: � I certify that in the perhxmance of the work for which ths pertnft's issued,I shall not employ any person in any manner so as to - � 6ecome subject to me Workers Compensation Lavrs of Califomia.Md agrea that if I should becane subject h�the Worker's SMI P: �" � J Can satl provisbns oi Section 3700 oi the Labor Code,I shall tormwith canpty with those prv✓fsbns. ENERGY P/C: _ i DATE: APPUCANl�,t1�� ENERGY PERMIT: � WARNING:Failure fi secure WorlcePs Compensatlo ve ' nlawlul,and shall subject an employer to cdminal �O• 0^ y penalties and civil fines up to one hundred thousand dWlars($100,000),in addition m the cost of the compensatlon, RETENTION FEE: _ v = damages as pmvided for In section 3708 oi the labor code,Interest,and attomeqs fees. PRE-ALT FEE: i CONSTFIUCTION LENDING AGENCY BSAF:__ �QD = I hereby afFlrm under penalty of pehury that there Is a ConsWction Lending Agency for the pertormance of the work for � � which this pertnit is Issued(Sec.3097,Clv.C.�. LENDER'S NAME: s LENDER'S ADDRESS: '� I certiTy that I have read thls applicatlo`and state Nat the above irrf aUon is correcL I agree to comply wRh all city and TOTAL FEES � +�� O 2+ / � e� Z crourrty ordinances and state lavrs relatln ilding construction, hereby authodze represenlatives of this county to COMMENTS: � enterupon the above-mentloned propertyforinsp urposes. � � n ¢ PERMITTEE NAME(PRIFlT) y r L' . �� yC1 1 a� :n n �f,z� = SIGNANRE OF PFAMfT�fEE pAlE ' RECEIPT# �'Z� _ , �_ PAID BY: ✓ 4,}09 VALIDATION:_�.� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY �F I�'�AMOND BAR INSPECTION REC�RD e � � � � , . � � , . � . � � `° � ��-�� `��„�.,;:.,,�'�,; TRAGTANDLEDGER =SETBACK/'LETFER, ,� ,�- ¢ �,. �; ,� ,�,� f �'W��°�" � � �,.� ' SWITCH GEAR FOOTINGS�FORMS� �, ,�. ..��,:��°i_� ��. ,� . ,, SLi��x ' � � ' ;��` -��,, ,��`.��`��` , COMMERCIAL NOOD � UG:;PLUMBING��n a�.� `� �:.�`„��,� �.»� »z a ;�� ` T-BAR UG:'�ELECTRICAL � "��`�,�°�'��,�: � w.:�, �� "�� . ��+� .. :`:�a�a: INTERCEPTER UFER'GROUND .�°�°'� �«'"��"� � ��;a'� "`�� ,sa��T" HOTMOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL � MAIN WATER LINE NERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SNEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUlT � �;_ . a:� �-� a, � ° � ;SHEAR WAl1S�EX7ERI0R�'°�'��°�;• �, ` P � �'" �:�'�r��•��"� �POOVSPA;.�� "� �°: ,�` �°' ��«�"� �$,"�� ' � _ � �3.° �, .�� ROUGH;PlU4ABING��,�`�� ' � �n � �� ;. SNFARWALLSiNTE�iIOR� °� �s` :� ,� � '�� °�Y�� . � ��. � �- � FRAM(NGNENTING �� °� �, "` �`� �', ``Y �� ,. �` �`,�a'�"��' !R GH�ELEGTRIC,4�� ,�" ; ��"' .. � '� �.. ,�`�... �� OU ` � � � �s � �� ,; � � �,� � ;, ��'�� ..��k� �� ' ROU�H MECHANICAL �� ,9 � �, �� - � � ROUGH MECMAPIICAL � �_ �� . � � � � � � �° �� s � E ,� w .� �-r , . . � . � ROIJGH�E�ECTRIC,4L� �tl"`f��9�s��" �"�� GASTEST ,�:�'� �� ,�^ 4 � RQl1GH PLUMBING � �-�_� .� � � �`W � .:�_�. �� .�x,� �` � �PRE�Gt1NiTE ,�;, �•. '� �� . �::�. �.�� _o< �: �� ,. - - � INSULATION WALL � � � �� ,�� FOt}L PRE��i7ECK BONDIN�'„ �� ,9 '...�� . � � � � � INSl1tATI0N CEILING � - �~ �� .�� " � � �� : ''� � �' � � ',�� P TRAP�,a �� - DRYWALI FENCE�(GATEf ALARIVI �� ;=o� � � ` � � �` � '��., � ��" �,°�,��`�� .� LATH(PRE� �FINAL�OOL'��"' ..,fi��.��:��. ._� '� �M..�� g` ° LATH EXTERIOR WALLS: IATH INTERIOR_ WALL FOQTING/57EEL GAS TEST WALL STEEL 1 sr� �2rie� )LIFT SCRATCH COAT WALL BONQ BEAM ELECTRIC METER RELEASE WALL ORAIN(SEAL GAS METER RELEASE WALL FINAL �,r�o�- .� -� �� a,��,.' `��z,��' .�.�..'��. a�� SPECIAL INSPECTION flQ fRpA11�lG PLIWNINGAPi'ROVAL��,� �� ,� y � �� '� _ � � F � '''` � � ' " �° � � �RO,UGH�FIRE�APPROUAL� � »��:� ��' �� ",�` '�-�� F1,NAL�BUILDING �a=_.�� " ,1 '�,�� ,: �r� ��' � .� .� _ � � ,` 'FINAL MECHAtdICAI„,�� ,�_�.� `�� fi�� ,�'�, �.�� '� �FlNAL,�IRE DEPARTMENT'�� ' �'��' " � °��*,� �: :� � ��' �� ' � �� ° � a� �^ , ,�°�� 'F�INAL ElE(;TRtCt1L� �� ' > �,��„� ��a� � "� �INALgPLANNING... „�� ,� �� _ �' ' � �FINl1L PLUMBING� � � � <�" ��' � � �_;��'`..,� �, � ��' FINAL�ENGINEERING!P,W '�µ �� '.� ��d � � �� _� �� - �� . � �„� � _ ' � ,� � " ° � r �� .. �� ...� � � � , ��, ��;� �a�� FC:�of OGCUPAWCY ,.-� �� , . � r �° � FINAL GQMNIUNI7E1'�SERVICES�� .�. � �� , � 'GERT.of O{xUPANCY��_� � � � � �.��r,.:.��.��.�� `� ;FINAL�NEALTH�DERT� � �� °� `��`� " �°�.,� ,..,�� .:. ,F.,INAL�INUUS7RIAL,WASTE,'��f�� '�� -a �.� � ��.z �� COMMENTS:�;/,�0� PA-n�tc. o/S P�4�ar�t � �fFrrO � 5�-�ac..c� - L J