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Home My WebLink About14-5235 ��,�1'K. �,"'_�„ CITY OF DIAMOND BAR •--.- �� 2) I . I� DEPARTMENT OF COMMUNITY&DE't'ELOP�+1ENT SERVICES �� .��: ~ 21810 Copley Drive,Diamond Bar,CA 915765 ► PRESS (909)839-7020 Faac:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �> . � ��''�"' � BUILDING PERMIT APPLICATION — APPLICATION DATE: P/C# s JOB SITE ADDRESS �y �/ ? y ISSUEDATE: �d'�� POI� PERMIT#�7� �a'J� — i = APN LOT TRAGT � OWNER TYPE CONST. OCC GROUP: y � ADDR SS � � � � ZONING SEfBACKS � C�Ty Z�P TEL. FRONT RW � � APPLICANT TEL. REAR � � � j� 1 L �.�C SIDE/SIDE STREET RW � Q CONTRACTOR�� iTT' `�O M�G� ^J 1%�V I�J SIDE � � ADDRE � 1� p� PROPOSED USE ��n � = CITY ZIP - TEL.U�D-S�'�I14.3 , Wl � ARCH/ENG/DESIGNER ` z ADDRESS #DWEL.UNITS #STORIES �' #BEDROOMS� � a CITY ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUR09t DECLARATION I SFR/ADD/REM � I hereby afflrm under penalty of per�ury that I am exempt from the Contractor's State License Law for the reason(s) I � Indiratetl below by the checkmark(s),I have placed nezt to the appllcable Item(s)[Sactlon 7IXS7•5,Buslness and Garage/Carport �'-� Professlons Code:Any cky or county tliat requlres a permft to construct,atter,Improve,demolish,or repalr,arry I z strucWre,prior to fis issuance,also requlres ihe applicant for Ure permit to flle a slgned statemaM tliat he or she w Patfo/Deck � Is Ilcensed pursuarrt to the provislom of the Cantractor's State License Law(Chapter 9)Commencing wlth Sectlan � p��Spa I 7000 at DMislon 3 ot tl�e Buslness a�Professiais Codej ar that he or she is exempt irom IlCensure and the basis fa n the alleged exemption.My vlolation of Section 7031.5 by any appllcant fa a permit sub�ects the applicant tn a civil penalty Z Re-Roof ` � n of not more tltan five hundred dollars�5500). � I � (J I,as owner of the Droperry,or my employees with wagas as thelr Sole compensatlon,will do(,all of or(,partions ? Commercial � ot the work,and the structure is not Irrtended or offered fir sale(Sectlon 7044,Business and Professions Code:The m I '-�� Contractars'Stale License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the property,Provlded that Me improvements are not intended or offered far sale.II�owever,the bull0ing or I � Improvement Is sold within one year of wmpletion,the Owner-Builder wlll have the 6urden of proving that It was not bultt � or Improved for the purpose ot sale.). I '� (�I,as owner af the property,am exclusivety corrtractln0`��Iicensed Contractors to construct the project(Section = 7044,Business and Professions Code:The Contracinrs'State License Law Ooes not appry to an owner of property who ValuBtion: � Adj.Area: n bulldsorimprovesthereon,andwhocontractstartheprojectswlthalicensedContraccorpursuarrttotheCoritracrors'State QUANTITY DESCRIPTION FEE � ,� License Law.�. _ (,1 am exempt trom Iicensure under the Corttnctor's State License law far the tallavnng reason(s): � � I � By my signature below I acknowledge that,except tor my personal residence in which I must have reslaed tor at least one � � z year pdor to completlon of the improvements coveretl by this permtt,l cannot legally sell a structure that I have bull[as an „� I � owner-bullder ii it has not been constructed fn iis entirety by licensed crontractors.I understand mat a copy of the apvtica6la � law,Section 7044 of the Business and Rofesslons Code is availa6le upon request when this applicatlon Is Submitted or ffi ' � i the following Web slte:h[$hvww.legiMo.ca.gov/calaw.htmt. z I � �ATE: SIGN: m � � � — LICENSED CDNTHACTOB'S DECUIHATION � a I � 1 hereby atflrm under penalry of pe�lury Mat I am Ilcensed under prwisions ot Chapter 9(commencing with Sectian 7000) L � of Dhilsion 3 of the Business and Professions Code,and my Ilcense is in full force and effect. � � LJCENSE S: ' UC.N .: O�� I �Z DATE:� � CANTMCTOR: C3 � I ¢ � WOHI�H'S COMPENSATION DECLARATION � I � I HEREBY AFFIRM UNDER PENALiY OF PERJURY ONE OF THE FOLLOWING DEGIARATIONS: y � ¢ 1 have and will mainiain a Gertiilcate of Consent to SeM-Insure fir Worker's Compensation,as prmided by CONSTRUCTION: � �'r � �Section 3700 of the Labor Code,for the pertormance aF the work far which this permit is Issued. � PLAN REVIEW: i I have and wlll maintain Worker's Compensation Insu2nce,as required by Section 3700 of the Lapor Code,Tor ELECTRIC: � the peAortnance of the work for which ihls permit is lssued.My Worker's Compensatlon Insurance Carrier and Zd Policy Number r /�� r�, PLUMBING: � CARRIER �� Y.�T�� I.FJ MECHANICAL: �' 1�A .�1')�1161 RSC2 � POLICYNUMBER � INSPECTION FEE: /w � (THIS SEC110N NEFD NOT BE COMPLETED IF7HE PHiMfT IS FOR 01�HUNDRED DOWWS($10010R LESS). ISSUANCE: t�'`� � � I cCNfy that In the perh�rmance of the work for which thls pertnft s issued.I shall not emplq any per5on in any manner so as m SMIP: � 7� � becorne subJect to ttie Workers Canpensation Lavrs of Calilomia Md agree that if I should becon�e subject tn the Waicers � � Compen p sio of Section 3700�the Labor Code�.I shall forthwi� c PN�_�1�e Prwisbns. ENERGY P/C: J � DATE:_�j�APPLICANT:� UI� �CJJ ENERGY PERMIT. 1 � WARNING: ailure to sewre Woricer's Compensalion coverage is uniawful,and shall subject an empioyer ro criminal RETENTION FEE: �� r penatties and ciWl flnes up to one hundred thousand dollars($100.000),In additlon to the cast of the compensatioq � damages as pmvided tor in section 3708 of ine laow code.Interest,and attaney's tees. PRE-ALT FEE: icoNsrnucnoN�uoiNc ar�+cr BSAF: �'Q'� y I hereby aflirm under penalry of perjury that there is a Construction Lending Agen�y for the perfomiance of the work for = whlch ihis permlt is issued(Sec.3097,Gv.G�. � LENDEA'S NAME: Y LENDER'S ADDRESS: TOTAL FEES Q/► i i cerory Nat I have read this appllcatlon and state that the above intortnation Is correct I agrae to comply with a1V cITy and / /,/ a�� caunty ordinances and state laws relating to bullding wnstruction,and hereby authaize representatives of Nis county to COMMENTS: z .� eMer upon the above-mentioned yroperty foc fnspection purposes. J 1 W,�r '` ^ 1] r1��ry� �� a PERM E E(RAI I = SIG ANRE OF PEAMfTTEE DATE RECEIPT# .�a�y_I PAID BY: ''�� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Pssessor Copy,GOLDENROD—Flle Copy,GREEN—ApplicanYs Copy CITY OF DIAMQND BAR . - INSP�CTI�N RECORD 4 .r • � � o - • � � o ' ;`"�" �., ' � � ��„ ��- `�`�L`,� : �`° , " � TRACTANQLEDGER �.. �5E76AGK/LEfTER � � .� '_ �. y,,� �-� � _ � _ - ��;�'�� . �FOOTINGS FORMS .��, �� d � A�. � ��' � "��°"�� SWITCH GEAR �g�qg�";' �.:,; ��.�� :;� ��.:;�� --��, GOMMERCIAL HOOD ;UG.�PLUMBItJG�� :� ��° �' �,� �`� �="> �` ;�; T-BAR EUG:�ELECTRlGA� ��.��. � },�� '�-� INTERCEPTER ,. �._ .� �.� �UFER,GftOUND � " �� '��;. �'.� � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLdOR SHEATHING ROUGH CQNDUIT iSHEAE?WALLS�EXTEFiIOR` ��`�`�£ �� '� yi � .; -,"� PODUSPtI'.��, _;,��;�,,, �`�'��' &� �`�� - �, „SHEAR WALLS INTERIOR �� ,� �* -.� � �'� � �� ROUGH,PLUMBING � � � � '� `�� FRAMfNC�U€NTING�� '��"�� k�= �� .� ��a fiOU�H ELEGTRiCAI.�� „„ �' �� " ' �_�� ,� °"�� , � � • � � � �� .� '� `� �� `ROi1GH MEGHANICAL �' � �� , ,� � "� �ROUGH MEGHANICAI- � . � '� �� ' �.a }�, RO[��M ELEC,TRfCAL.W(�,)�Cx_t.�} ' „� : �' � ��.�,� ,, � �� "�� x 'g��.,,�� ' 3�'� "��'�yn��+— � �' �U .S�E�JT"x�P��,�+� .�aA..�,�z.:� � M e� �� .. _� " , �Y _�., �,, �,,, � .,�� :` ��' b �'�` �: PftE GUNlTE �-�� ,� �� x� � ; ROUGH PLUMBlNG ,�. _ .� � � � ��~ � � INSUTATION WALL �{?qOL PRE;,O!EGK BONDING�� «',, � � � � `�� =� � ., �� ;„�;��-�" INSULATION CEILING � P-��` � „�. �� ;�: ��'`�� DRY4NIALL :FENCE/GATFJALARM� .�� :. �� LATH(PRE} FINAL�P00 ��'.�� ,�:� ` :��,��:. �",�� `� � LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 s�( �2wo� )LIFT SCRATCH CQAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DFiAIN!SEAL GAS METER RELEASE WALL FINAL 'RO�F(�AM�lGPL1WNINGAPPROVAL� � ' �s�'" � SPECIAL INSPECTION � '� -�� ` �FINA1:BUILpIN6�w.��%pa!i�.;K 3/�%.Y� .' p_ .. . � �., RE�A OVAL�� ,9 ��r•Y ,�,� ��,� ��„ � �„�,� RiIUGH�I PPR„ �� '� �fINAI'MECHAtJICAL�� n � ": �� ,� �``:��' ,�'; �� FINAL�FI(iEQEPARTMENT�,' �� ,� � �- `"' �� d'�� _ �EINAL ELE�'TftICAL��.�, ��,�,��`�' �� 'ri�.� FINA��PLANNING�,�� 9� .�� ' ��m�' � �' ,t�`�� FIN 1 PLUMBING °° `��.° �� ,� � ��`, ' �y� 3FINAL�ENGINEERINGI�PW��,F,��,. � q�`,� �,� �^� �,� �' � � L` .�" �', � '"�� " ;�' �y�, FINi�ICOMMUNiTI'�SERVICES .��: ��, " � � � � ;T.C�of OCCUPANCY�"�� _ �;�$ , ;� r, �� . . `. .��. `'FINAL HEAL7NaDEP'T :,�.� ;�, h�" �� ' w � ; CEIiT of UCClIPAPICY.:� ,�, �.� ��e .rt�„� � �-, . �� r� '�.'' � �' ' _ �, �.. . „ FINAI,INDUSTRIAL�WABTE� �, �� { � ��,. ,F r � �� COMMENTS: __-_� �j%`�5,�:��1� :��;2� -- �'��391�,�SS ��—i�..—/ '�sr �"� z�or � �� `�f��'� �� `� �� ;$� CITY C1F I�:F•.`'��'r,�;,:, s�<,°�,R THESF �!.�;'v'; �t�1�a �;T`t��'s�,.� �,RE . , � �;;�;�,;,T�:`} °"' -,,. BY � ��'' _ . �� . �� 10� 18 2094 �� - THE APf`r;��;?..!�i• ��•�_..,:�..,.,.� ..�-�....40T BE �C.�� . CONSTRJ'c:�, '�;"sc :;"c' � ��2.,:,r.;:`,,;.�LA710N ' �� 'tj�� ..li ti OF Atv i��e+'_C'rC:�'?G�.i+:�,P::_C� `'-�S C(TY, ' �� i'Hfia��=_�.��,ar-,-.;_:.°��v 1'NE J06 �,r �- ��'q�:_�. .,:;,.:,.:t3TrE3;4SPECTiOh18 �� c�� . .. �� . ��fi � �� ..��-��j � � v^'''�,,�, �+i +��.a.,�; �� "�s'� � . �'�`+`G � �� { ��-r ..�;�,�,� �'.`�' ��_ . �i� � , � �3: ,: �� +,� �• . � ` f �'�' �i�,il�,� �U�I�. ��-b��y�"� ��✓ �� '��.� �� .�,� �cr� ' / � "-�-� "� ��f� � �i,��c.,��ts- `�� —.�., �-�---�.. -.�—_., ""'~--,.._.'�'-�ri:� '��ba�,, �.-�. �,� �"�CP�.��.�5 ,� t��- - �,�,. .�.-�f�� ,�