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Home My WebLink About14-5242 ----=,_- __ ____;�-;9 �>,,._. CITY OF DIAMOND BAR j � i 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: I c�-� 7� dD r LI P/C# s JOB SITE ADDRESS �jc u �/ ' z N—�� , ��OT—�TRAC ISSUE DATE:��'7 �� PERMIT# � /��e� 7� ' LOWNER f�rJ I'/j�i0,' N��^n�{„�s �. 4 �^�a Z-S �A �3 .,� TYPE CONST. OCC GROUP: I n ADDRESS � � � ZONING SEfBACKS ' -' CITY ZIP��TEL.�K'P—�-Z-�"�,��S �� FRONT RW Cl I 2 APPLICANT � �- � .`�r ^'� r' REAR ❑ n �,p , ^ � SIDE/SIDE STREE� RW ❑ ¢ ONTRACTOR �1��O�Vh'Y+�Cf� � �C(�l�� ZS�Q �^. � SIDE O I o ADDRESS � ' r' <� � � PROPOSED USE � � CITY ZIP�f(�TEL.��G "Z2�"`�L��' = ARCH/ENG/DESiGNER � ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCf11PTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ¢ OWNER-BUILDER OECLARATION x 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 � IL indicated below by the checkmark(s�,I have placed ne#to the applicable item(s)(Section 7031.5,Busineu and Garage/Carport Protessions Code:Any city or county that requires a permit to CansUuct,alter,improve,demolish,ar repair,any z structure,prior to its issuance,alsa requires the applicant tor ttie permit to file a siyned statement that he or she rp Patio/Deck I�' i is licensed pursuant to the provisions of the Contractor's State License law(Chapter 9)Commencing wiUi Section W j 7(100 ot Divisioo 3 ot the Business and Professions Code�or that he or she is exempt trom licensure and the basis for u. Pool/Spa � the alleged exemption.Any violation of Section 7031.5 by aoy applicant tor a permit subjects the applicantto a civil penalry Z Re-Roof I of not more than five hundred dollars($500}. � • � 'as owner of the propeKy,or my employees with wages as their sole campensation,will do(�atl of or(�portions -� Commercial I y M the work,and the structure is not intended or otlered fir sale(Section 7044,Business and Professions Code:The m =� Contractors'State License Law tloes not apply t�an owner of property who,through employees'or personal effort,builds I y or improves the property,provided that the improvements are not intended or offered for sale.It however,the building or � improvement is wld within one year of compietion,the Owner-8uilder will have the burden of proving that it was�ot built � � or improved tor the purpose of sale.). � � '� O I,as owner of the property,am exclusively contracting with licensed Contracfirs M construct the project(Section Z 7044,Business and Professions Code�The Contractors'State License Law does nM apply to an owner of propeKy who Valuation: Adj.Area: � n builtlsorimprovesthereon,andwhocontractstortheprojectswithalicensedContracrorpursuanttotheContracrors'State QUANTITY DESCRIPTION FEE Y License Law.). �� L)1 am exemDt from licensure untler the Contractor's State License law for the following reason(s): �� ( � � I 1 By my signature bebw I acknowledge that,ezcepi for my personal resitlence in which I must have resided tor at least one w f��Y �..0 i / ..7 fl � = year prior to completion of the improvements covered by this permit,l cannM legally sell a stmcture that t have built as an w I owner-builder if it has not been constructed in its entirety by�icensed contractors.l andersiand that a copy of the applicable °� law,Section 7044 of the Business and Professbns Code is available upon request when this application is submitted or at .. O b � J � X the tollowing Web site:http/www.leginfo.ca.gov! w.html. Z . � i � DATE. "L—C �- SIGN: ' � � t � — � UCENSEO CONTRACTOR'S DECLAilAT10N � 'T'd�. '� I a. y I ereby atfirtn under penalty of perjury that i am licensed under provisions of Chapter 9(commencing with Sedion 7000� � a of Division 3 of the Business and Professions Code,and my license is in tuil force and effect J i � U � ;n 110ENSE CIASS: LIC.NO.: � ( Z DATE: CONTRACTOR. W I ¢ WORI�R'S COMPENSATION DECLARATION g I L I HEREBY AFFIFiM UNDER PENALTY OF PERJURY ONE OF THE FOLLDWING DECIARATtONS: � I have and will maintain a Cedificate of Consent to Self-Insure for Worker's CompensaUon,as provided by CONSTRUCTION: � Section 3700 of the La6or Code,for the performance of the work for which this permit is issuetl. p(,,qN REVIEW: n � 1 have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the La6or Code,fur ELECTRIC: ,r/,� � the performance ot the work tor which Ihis permit is issued.My Worker's CompenSaBon Insurance Carrier and ¢ PolicyNumberare: PLUMBING: � CARRIER MECHANICAL: � � POLICYNUMBER INSPECTION FEE: �? (lHIS SECiION NEED N0T BE COMPtEfED IF THE PEAM(T IS FOR ONE HUNDRED DOLLARS($100)OR LESS�. ISSUANCE: � Ir.�T� j I ce�ity that in the performanCe ot the work hx which lhis permft is issued,I shall not employ any person in any manner so as to SMI P: becrome subject to the Worker's CanpensaGon Laws of Califomia.Md ag2e that if I should become subject fi the WorkeYs i � Compensation pmvisions ot Section 3700 of the Labor Code,I shall forthwith comply with those provisions. ENERGY P/C: i i DATE. APP�CANT: ENERGY PERMIT. I � WARNMG:Failure to secure WorkePs Compensation coverage is unlawful,antl shall subject an employer M criminal RETENTION FEE: ,�,_m� � ipenalties and civil fines up to one hundred thousand dollars(5100,000),in addftion fi the cost of the compensation, ( � damages as provided for in section 370B ot the iabor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTfON LENDING AGENCY BSAF: y I here6y affirm under penaiTy ot perjury that there is a Construction Lentling Agency for the pertormance of the work for � which this permit is issued(Sec.3097,Civ.C.). � _ LENDER'S NAME:_ � x' LENDER'SADDRESS: I i I certity that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES a counry ordinances and state laws relatinq to building construction,and here6y authorize representatives of this counry to COMMENTS: �� 1 � enter upon t�e above-menUonetl property for inspection purposes. J � � 1]] d PERMITTEE NAME(PRINn � � _ q'1. I �SIGNATURE-0F PERMf1TEE DATE RECEIPT# PAID BY: VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Appficant's Copy CITY OF DIAMOtVD BAR , INSPECTIQN �tECORD , . . � p . . � e . � � � , � , '�� SE7BAGK/LETTER„ :_ �` � x „ ,�, ,,,, �; b' TRACT ANO IEDGER ��O�1TIE�Ga��F�lRhtiS r�.�' ;��„ SWiTCM GEAR�.�� __�� "a� : ` �' � „�,� COMM�RCIAL HOOD _ � UG.;PGi.IMBlt�a �� ` � �� T-BAR t�G:'�ELECTl�K�t1L.��_ �� ,.E,w� �'� �'� � �IP1TEflCEPTER �_ .- � U � _ _� o-, :_ _-- ��R"GROUI�D.. �^�� ..�..,; .. _.: .., .-,.� .., „� ,,�� ,,.,.,� ,� ..,... .a��'��,�, b�s,s HOT MOP/SHOWERPAN -- SEWER LATERAL SEPTIC/CESSPOOL �_�� MAIN WATEfl LINE i _`� _ � v� � HERS REPORT RECEIVED _ i SEWER CLEANOUT DEMOl.lTION � � ROQF SHEA7HING__ I _` �^_�! _ ROOf DRAINS _ � _ FLOOR SHEATHING ROUGH CONDUIT ...;:� . - - � -�. � 5H�AR;t'�ALL�IX1��RkOR ' �� ,� ��"�� POOLJSPA �', �' ,� � � �� ; � ,,r„ �� ^�� '� =SNEAR�NA��S INT,ERIOR _ ; �,: . „ ,,,;;,,,,,,, ,,' .r, `ROUGH:PLUMBING'� x ;�'� x �� '� � � FRAMING/ilENTING x' zw RdUGH ELECTRICAL„ � � x + � �` ` } z `� �a - � � �� t,=„ �.�,., . :w �„e..�: , . � , � . , �`. ,... R(7t�GH fv9�C�1�AIVtC�il:.� yt �. ` � �ti� „„ �� .� �`RQUGH�[N�CNANIGAL � ` �� . ,. ,r ` � ,r. ..: � ; , . � � ,.. . . �� ., .. F � �Y: ROLGN Ei.EG7RiGAL.:Wyy'�(�� ,A. ka:�l'.�, �' . , .,,.. - , 'GA�TEST � ,F � �' r :. f, R(IUGH�Pt.UMBliUG �� .� � y;�.,,,; `PRE'GUNITEE. '�� + v� `� ` � �., , , ., „ . �. ,..,.,, r�, _�,. ,_,_.. ., �� r � .� � INSULATION WALL � :FODL'PfiE DECK BONDING�. _,c� ,; �, „_��„�� _ ; ' � �.;.. ; :� �NSULA710N CEILING ;P,TRAP�=�` � � � DRYWALL I �FENCE�Z��ATEIALARM" � ��` �� . ------- --- +-------- -------^,_^ . . � 1ATN lPREi �'�FINAL.POQL � � <_� Y' ��` , , _ �--=-- . �' � '` � ' ...� _._� .__�__�_. ,� _ .. � . , �� _: .. a._-_ .A _, �„� F ..w�.��_r. LATH EXTERIdR I WALLS: LATH INTERIOR � WALL FOQTING/STEEL GAS TEST ��^ ___ � � WALL STEEL 1 S�( )2N°( )LlfT SCRATCH COAT � � WALL BON�BEAM - ELECTRIC t�IETER RELEASE WALL DRAIN/SEAL -----_ _� �L'�—d _- ----------.�. GAS METER RELEASE ' WALL fiNAL �__ _ �_-- -r--- --- ��. SP�CIAL INSPECTION ' �RO:ERAMINGPI:AIUNINGAPPROVAL =. " ' ' � � �s. _. � = FII�fA1:.�BU1Lt�lh}6 ,'� � ; , , , _ " ` ; � � � " " ��.IiOUGH�IRE APPF�OUAL�. _�� `�' �' �a c �a FIWAI-t��#ANiCAC. �i ,.� . . .,.' � � : � �., .._ „ } 'FlNaI�FIRE DEPARTMEN�' , z , . « ... .,� �i et.. ,,,-, � , F . , , ... _.- , . . , .w �,��.� " ,�'';r, ' �INAL EI.EC7t?tCAL�.. *.�,. :.:: , �1. ` _ 5 �.,..� - .-..:�. ��r ��INAL:PL�INhlIAIG: `� ` ,<.f�'.Y� �i FlNAL PIUMBINf,.,, :.`, ,";, � Y '` .;� . , . � 7' _ ;FIMk1 ENGINEERINGI FW - ; ' , � �, E .:, ..� a -.� a x z s� .:._ ...,-. t _ . . . . . . .... .. "' ..... � i� z � { . �. .«- �, r �. F,��:��of"OCCUPAPIGY�._��. .� . .. � .. , �. . ..�, ��. ��-:��. .. . .F� . � - �� , .:° 'FINAL GO�MNiUNITY SERYIGES . �'�'. ' � , ., �---- , G�I� o�OC�UPAi�I�Y��_ , _� r..` `, .._ �.� �;� - �.:��, �_-�' „F. �,_" v,�.,��:.. �.` �FINAL HEAL7H D€PT. � ..s.��. � ,_.� . � �;FINAL"'INDUSTRII�L.WASTE�� .., �g, a.,,. ;;�� .r..� z � �� "'�� COMMENTS: �_._ -___ -_--------------�=- � _��--------- I