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Home My WebLink About14-5314 � � �� o�-�/,� •' �+..__;,,, ,�:'�'.,;�. CITY OF DIAMOND BAR �� ` - '-` ' DEPARTMI�NT OF COMMUNITY&DE�ELOI�MENT SERVICES � _�: �` — 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �`„ � ] (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY '�R"" BUILDING PERMIT APPLICATION g APPLICATION DATE: ��-/� / P/C# �7'�� y � JOB SITE ADDRESS v/ 1,�- J� z APN LOT TRACT ISSUE DATE: I /a' / �I1I,I1 pERMIT# � '�'�� J �� OWNER ��I I TYPE CONST. OCC GROUP: � . � � ADDRESS QS ZONING SETBACKS f, CITY IP�_TEL. L Z � Z`Z� � FRONT RW ❑ Y APPLICANT /,-� TEL. REAR ❑ � . ! Y CONTRACTOR � I LS -r 2�L��'� L G SIDE/SIDE STREEf RW ❑ r� SIDE ❑ � ADDRESS ` �/I�.�LL10�k ^ ('; ✓. �0 - 'O PROPOSED USE I - � s CITY Dj'n-111av�d �(��LZIP�_TEL. - �'Z� � � ARCH/ENG/DESIGNER f,� = ADDRESS `�'d -�{� G✓��- #DWEL.UNITS '#STORIES #BEDROOMS z CITY ZIP TEL. Q OwNEB-BURDEH DECLABpi�nu DESC �ON SQ.FT. FACTOR PSF ADJ.AREANALUATION � = I hereby affirm under penalty of perjury that I am exempt from the Contrador's State License Law for the reason(s) SFR/AD RE I L indicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and Garage/Carport I � Professions Code:My city ar county that requires a permit to construct,alter,improve,demolish,or repair,any y structure,prior M iTs issuance,also requlres the applicant for the permit to file a signed statement that he or she � Patio/Deck I i is licensed pursuanita the provisions of the Contractor's State License Law(Chapter 9)Cammencing with Section W � 70W of Division 3 of ihe Business and Professions Code]or that he or she is exempt from licensure and the basis for � PooVSpa I � the alleged ezemption.Any violation of Section 7031.5 by any applicant for a permit su6jec15 the applicant to a civil penalty C7 = of not more than five hundred dollars($500). ZQ Re-Roof I � (,I,as owner of the property,or my employees with wages as their sole compensation,will do U all of or(,portions � Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I � Contractors'State License Law does not apply to an owner of property who,through employees'or personal ettort,builds � or improves the property,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-Builder will have the burden of proving that it was not built � or improved for the purpose of sale.). I � (,I,as owner o(the property,am exclusively contracting with licensed Contractors to construct the project(Section Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who ValuBtiOn:��.�Q 1� Adj.Area: I � buildsorimprovesthereon,andwhocontraclsfortheprojeclswithalicensedContractorpursuantrotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). I � (�I am exempt from licensure under the Contrador's State License law lor the following reason(s): � r �� ' � v � c � I ZBy my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one `�� W I � year pnor to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w I owner-builder if it has not been construc[ed in iTs entirety by licensed cont2ctars.I understand thata copy of the applicable ' � law,Section 7044 of the Business and Professions Code is available upon request eaapicapplication is submitted or at � i X the following eb site:h p/www.leginfo.ca.gov/calaw.html. 1 Z I = DATE: I L SIGN: � � — . LICENSED CONTiIACTON'S OECLAMTION � I — a � ereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Sedion 7000) I � of Division 3 of the Business and Professions Code,and my license is in full force and effect. , I n LICENSE CLASS: � LIC.NO.: ��7 ��G"J C U � DATE: CONTRACTOp: �� I U I , ¢ WOHKEN'S COMPENSATION DECLARATION � I REBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: �, X' i � Section 3700 ot the Labor Code,for the performance of the wark tor which this permit is issued. p�,qN REVI EW: 7 � � I have and will maintain Worker's Compensation Insurance,a5 required by Section 3700 of the Labor Code,for ' � the pertormance of the work for which this pertnit is issued.My Worker's Compensation Insurance Carner and ELECTRIC: / � k � ¢ PolicyNumberare:/� I,`, PLUMBING: �.Q"�k� y CARRIER TI /r L J �D j�i sK sciZ v�ctS 1I�G , �, , MECHANICAL: -(�/.� X�-. � POLICYNUMBERI� �•��Q�r �(-9� INSPECTION FEE: '� (THIS SEC110N NEED NOT BE CAMPLETED IFTHE PFAMfT IS FOR ONE HUNDRFD DOLLARS($100)OR LESS�. ISSUANCE: J y�� yQ' i � I cedify that in the performance of the work for which this pertnd is issued,I shall not emplay any person in any manner so as to S M I P: ,�'�,�YG' � become subjed tn the Worker's Compensation Laws of Califomia.Md agree that if I should become subject tn the Worker's J Com nsati - visions of Section 3700 af ine La6or Code,I hall fo'-wi�comply with those provisions. ENERGY P/C: I TE: 'l+J PPLICANT: . ENERGY PERMIT: � W RNIN :F ure to secure Worker's Compensation coverage is unla u,and shall subject an employer to criminal y penalties and civil fines up to one hundred thousand dollars($1 0,000�,in addition to the cost of the compensation, RETENTION FEE: /,�.�� 1 damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTflUCTION LENDING AGENCY BSAF:_ � •,1,•bD y I hereby affirtn under penalty of perjury that there is a Construction Lending Agency for the pertormance ot the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: = LENDER'S AOORESS: i i I certify that I have read this application and state that ihe above intormation is conect.I agree to comply with all city and TOTAL FEES � � '7� �/��, r� z county ordinances and state laws relating to building wnstruction,and hereby authorize representatives of this county to '� V � COM M ENTS: � enter upon the above-mentioned property for inspection purposes. -. �D/, ��a��n �/��n'A� � _ (� J � �L ) �� 27 / �G S ' �LC L l �� C. e- ��{l ¢ PERMITTEE NA (PRI6fT) �� r/ qi � ! �e/ ��.. � •. . i Z �t. d a v � :� ^ = S GNATURE OF PER ITfEE DATE RECEIPT#�_�� pAID BY: (�I� ,��VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF D�AMG•ND B�1R � _, �, -- INSPE��'I�i� RECORD � Q �� '� -" - . � � , . � . . � � , � . ,SETBAGKlaLEfTER � � � �� TRACTAND LEDGER ,, ,�,�, �,, , �Ot��'(NGS`FO�iMS _ �Q ; � ��''�� j . _, °' SWITCH GEAR �S�qg � `�"3 �' � �� 'N � r� �' COMMERCIAL HOOD ,UG�PLUMBING � � � � . E��. � .. . ,: �� T-BAR 9 ,�,. � � �� .� UG._ELECTRIGAL� �, INTERCEPTER � , � ., a �:� .� � . UFER GROUN�,� ,` , .� � ,; � ;� 8� �,� HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE I HERS REPORT RECEIVED SEWER CLEANQUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SNEATHING ROUGH CON�UIT - � ��. .� �.. ,. ,;. . � � `SH�tR WAL"LS EXTERIOR� '` ` �° "�' �� " � � �� 'POOUSPA � ` , ' : N, g _ __ SHFAR WALLS' `� .� �. e d �, � �� , e ; INTERi�R _� ��IiOUGH PLUMBING .�; � � � �.,�� ° _ ,. , � ,, �.. , :,�, -� FRAMINCil1/ENTING ° -0 � RQUGH ELECTRICAL , �.�, . ,. _ ROUGH MECHANICAL� ; �� . � ROUGH MECHANICAL ' �_. ; , .,,,,. _ GASTEST � ROUGH ELECTRICA� W( }CO � a . �ROUGH,PLt1MBING � . �, � � _. ,. � � � PRE GUNITE � � � _ ..� � , INSULATION WALL POOL PRE DECK BONDING � � � INSULATIpN CEILING P-T�P ° DRYWALL y /QiG�J4.� FENCE I GATEI ALARM � LATH(PRE) ��F1NAL POOL � ° � � ` LATH EX7ERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sT� �pr+ei ��FT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WAIL DRAIN/SEAL GAS METER RELEASE WALL fINAL --__---- — ----- SPECIAL INSPECTION R0.FRAMING PLANNINGAPPROVAL . k --._ fINAL BUIL01�4G� �, . ;� �. � �s, „ .� � � . �ROUGN FIRE APPROVAL � �. ��INAI MECHANICAL�- . � __ � �FINAL�FIRE DEPARTNIENT � � � fiNAL ELEGTRICAL �; �,� � ; � �� ,� �, �� FINAL PLANNING � FIN,AL�PLU�IBING�� ',�� M� FINAL ENGINEERING!PW � ` �� T.C�of OCGURANGY � �� '� �� ° � °° � � ° ��FINAL�COMMUNITY SERVIGES � �� " � ;GEF�T."of OCCUFANCY� , ' °�; � - ', ` ��' � � FINALflEALTH DEPT, ,� , �` `FINAL INDUSTRIAL WASTE� ° � � �'� � � COMMENTS: a..., �- r� CITY OF DIAMOND BAR •� , �.- - �'� � � � ':. DEP.ARTMENT OF COMMUNITY&D�i,'L'bPi1IENT 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 i JOBSIT RESS A � APPLICATIONDATE: "��7��T/�� P/C# 1�/-f� I� � z _��{L4aeOT � TRACT ISSUE DATE: PERMIT# WNER_�,+-((�ry� TYPE CONST. OCC GROUP: n ADDRESS •� � CITY ZIP TEL. ZONING F O TCKS RW ❑ Y APPLICANT � � TEL. � REAR ❑ � r, � SIDE/SIDE STREEf RW ❑ � CONTRACTOR G` �C �v SIDE ❑ � ADDRESS I � ' e3D � CITY � A ZIP�EL.�y j�—Zj�� PROPOSED USE r� r�rL �� A �`t J l ARCH/ENG/DESIGNER ` � l�. �c a� ��.�y1 � ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. ¢ OWNEfl-BUILOEfl DECUIHATION 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 � indicated below by the checkmark(s),I have placed ne#to the applicable item(s)[Section 7031.5,Business and Garage/Carport I � Professions Code:My city or county ttiat requires a permit to construct,alter,improve,demolish,or repair,any z structu�e, rior to its issuance,also re uires the a licant for ihe pertnit M file a si ned sNatement that he ar she � P Q PP 9 w Patio/Deck I nis licensed pursuairt ta the pmvisians of the Contrac[ar's STate License Law(Chapter 9)Cammencing wlth Section W � 7000 aT Division 3 of the Busineu and Professions Code]or that he or she is exempt fmm licensure and the basis for � Pool/Spa I � the alleged exemption.My violation ot Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty� C7 I = of not more than five hundred dollars($500). ZQ Re-Roof � ()I,as owner of the property,or my employees with wages as their sole compensation,will do(�ali of or()portions � Commercial y M the work,and the stmcture is not intended or offered for sale(Section 7044,Business and Professions Code:The � I � Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds m � or improves the property,provided that the improvements are not intended or offered for sale.If however,the huilding or I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not 6uilt � or improved for the purpose of sale.). - I � (J I,as owner of the property,am exclusivety contracting with licensed Contractors to construct the project(Section Valuation: Ad Area: � � Z 7044,Business and Professions Code:The Contractors'SWte License Law does not apply to an owner of property who 1� I � buildsorimprovesthereon,andwhocontracLsfortheprojeciswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.�. � U I am exempt from licensure under the Contmctor's State License law for the following reason(s): � I ¢ I '-- By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � � I = year prior to completion of the improvemenLs covered 6y this permit,l cannot legally sell a struc[ure that I have built as an � owner-builder if it has not been constructed in its entirery by licensed contradors.I understand that a copy of the applicable w I � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I X the following Web site:http/www.leginfo.ca.gov/ralaw.html. � y Z_ I = DATE: SIGN: � — LICENSED CONTNACTON'S OECLAFIATION � � I a I ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � of Division 3 of the Business and Professions Code,and my license is in full force and effed. J I ' � LICENSE CLASS: (,�I� L1C.NO.: /%.S�� z a I � DATE:1��7�� CONTRACTOR: _ Z � U ¢ WOHI�q'S COMPENSATION DECLAMTION � I y I HEREB AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: = I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: �n � �Section 370D of the Labor Code,for the performance of the work for which this permit is issued. p�qN REVI EW: y 7, /y � v I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � • z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumber re: /� � /��/�� • PLUMBING: � CARRIER_�I�I�� I�D ��i� JG/��S �N� L � M EC HAN ICAL: � POUCYNUMeER " l V� � INSPECTIONFEE: � (THIS SECTION NEED NOT BE COMPLETED IF 7HE PFAMR IS FOR ONE HUNDRED DOLLARS(3100)OR LESS). ISSUANCE: = I certify mat in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as tn � become subjed to the Worker's Compensation l.aws of Califomia.Md agree that if I should become subject to the Worker's SMIP: � Compensation mvis'ns of�on 3700 of the Labor Code,I s4�ll forfhwith comply ith�� e mvisions. ENERGY P/C: i DATE: Z- � PLICAN7: ENERGY PERMIT: sWARNING.Failure to secure Worker's Compensation coverage is unlawful,and shall u t�n employer to criminal RETENTION FEE: y penalties and civil fnes up to one hundred thousand dollars($100,000),in addition the cost of the compensation, � damages as provided for in section 3706 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTAUCTION LENDING AGENCY BSAF: y I hereby affirm under penalty of perjury that there is a Construction Lending Agen�y for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.�. I � LENDER'S NAME: s LENDER'SADDRESS: i I certify that I have read this application and state that the above informatlon is correct.I agree to comply with all city and TOTAL FEES '�'�,++, Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: ,I � enter upon the above-mentioned property for inspedion purposes. � �c�/G S�� `��f%�-�, L L C a P E ME(PRI � � Z�� Za�f- �33Gi�a Cnf� /1-T :� x SIGNA7URE OF PERMITfE DATE RECEIPT# PAID BY: VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF l�IAMC'.ND B�►R � INSPECTit3N REC�RD „ . �. �� = � _ ' i � � • / ' • • � � . o . ;�ETBACK/LE7TER ��`� �� ' � �� ` . �. _ . TRACTAN�LEDGER � ' � � , FO,QTINGS FORyMS � -�� . « �- - - SWITCH GEAR • �Sl�� "�' , ° � � ,�� "' � � � � COMMERCIAL HOOD " � � . UG;�PLUMBING � � � � ' :;� � � ., �: .� T-BAR UG�ELECTRfGAL.�,.�.�. �`� s � . „� ., °� � " INTERCEPTER , . ,UFER GROUND " "� ' �� '` � �' � ` ' e , , HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOQR 5HEATHING ROUGH CQNDUIT r ,. �, �. , , .. _ SHEARWALL'SEXTERIOR � �� POOL/SPA � �� ° ' �SHE{1R WALLS INTERIOR �� '�ROUGH PLUMBING�� ° "' � `� '� " ` � � � FRAMINGIVENTING � '' � ° � �� ; � � � �" - ,ROUGH ELECTRICAL , � �� ROIJGH�MECHANIGAL� , ' . � ",: �. �� , �ROUGH MECHANICAI - � � � � 'R�OUGH�ELEC�TRICA�UU(.,,)•C( 1 � � �� GAS TEST � � ` � � 3ROU6W PLUMBING� ��" � �� .PRE GUNITE _ INSULATION WALL POOL PRE DECK BONDING a ° INSULATION CEILING I P_f�P � DRYWALL � - �"� FENCE/GATEJ ALARM � � LATH(PRE) FINAL POOL � ° " LATH EXTER!OR WALLS: IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sT( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.FRAMIN�PLANNINGAPPROVAL ....� . ��. ,� e u _ � � FINAL BUILUING �,,. "� � � �� < ROUGH FIRE APPROUAL � � 'FINAL MECHANIGAL �°� ° FINAL FIRE DEPARTMENT — .. .� � "� ; .- �v ° � _ FINALPLANNING �FINAL ElEC7RICAL � .� ' � a � � �" �� '� �� %'' � _ : s FINAL ENGINEERING!PW � ` � � FIt�ALP�LUMEiIN6� �>>��, ,.:; 3 �,y � � C�. . ` � T.�:of OG�UPANGYg- ;°° �'�_` ` ` - & � " FINAL COMNiUNITY'SERVICES r � � �_ ;, � � �..rv �_ � _ GER'�of`ItCCUPANCY= �. � �� PINAL HEALTH DEPT, � FINAL INOUSTRIAL WASTE� � � � COMMENTS: �