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Home My WebLink About14-5319- __,__ _ __ w�.�'tF �"'►�!a,,o-�Q �'��l' ,�;,�. :.. CITY OF DIAMOND BAR �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � - 21810 Copley Drive,Diamond Bar,CA 91765 ! ` JO,'�6��S PRESS s,;;, (909)839-7020 Fax�9)8(�,1-3117 Building Inspection Hotline(909)839-7aEfi' FIRMLY �F"��""� BUILDING PERMIT APPLICATION I = APPLICATION DATE: P/C# i JO SITE ADDRESS ISSUE DATE: ��il �`7 , �� y PEFiMIT# � � / I 1 - Z pN LOT TRACT yOJVNER � 1 TYPE CONST. OCC GROUP: I n ADDR S e r ZONING SETBACKS � CITY � IP ( � TEL.� �q --� FRONT RW ❑ APPLICANT EL. REAR R � SIDE/SIDE STREET RW � '' CONTRACTOR SIDE � a � � ADDRESS PROPOSED U = CITY ZIP TEL. � � ARCH/ENG/DESIGNER � ADDRESS #DWEL.UNITS #STORIES if BEDROOMS a C�7y ZIP TEL. DESCRIPTION SQ.FL FACTOR PSF ADJ.AREA/VALUATION � '� OWNER-BURDEH DECLAMTION' j = I erebY atFlrm under penalty oi perjury mat I am exempt from the Contractor's State License Law for the reason(s) SFFUADD/REM i � indfcat€d balow by the checkmark(s),I have placed nezt fi the applicable Item(s)[Sectlon 7031.5,8uslnesa and 1 � Garage/Cerport �-' Proiesslons Cade:MY ciry or cowty tliat requlres a pemdt to coostruct,alter,Improve,damolish,or repalr,any z structure,prlor to Its fawance,also requirea the appllcartt tor ttce permit to tlle a slgned stateme�rt thai he or she � Patio/Deck I ,i Is Iicensed pursuant to tlre provisions of the CaMracta's Stale Lice+�se Law(Chapter 9)Commendng wHh Sectlon w I � 7IXq ot Divislon 3 of the Business and Profesaions Code]or that he or sha is exempt fmm licensure and the basls fw � Poo a � the alleged ezemption.My viWatlon of Section 7031.5 by any applicant fa a permit subjects the applicant to a civil penatty � � Re-R - of not mo2 than flve hundred dollars($500�, p I � (.fl,as owner of tlie property,or my employees with wages as their sole compensation,wlll do�all of or(,partions � ercial � � of the work,and the structure is not intended a ottered for sale(Section 7044,Business antl Professions Code:The � I m "-L� ConVactors'State(Jcense Law daes not apply to an owner of pmperty who,through employees'or personal effort,builds y or Imprwes the pmperty,pmvided that the improvamenGs are not intended or ottered for sale.If however,tha 6uilding or I � improvement is sold within one year of completion,the Ovmer-Builder wlll have the burden of proving that it was not built jor Improved for the purpose of sale.). � I '� (,I,as owner of the property,am exclusively corrtracting wRh licensed CorrtracMrs to constn�ct the project(Sectlon Valuatio . G Adj.Area: s = 7644,Business and Profassions Code:The Contracto5'Stafe Llcense Law dces not apply to an owner of properry who n bulldsorimprovesthereon,andwhocontractsfortheprojec4withalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE � License Law.). I � �)I em ezempt trom licensure undar the Contractor's State License law tor the following reason(s): � I � By my signature helow I acknowledge that,except fa my personal residence in whlch{must have resided for at least one � � Z year prior to completlon of the Improvemerds cmered by this permit,l cannot legally sell a structure that I have built as an w � owner-bullder if it has not been consWcted in Its entirety by Ilcensed crontractors.I understand ihat a copy of the applicable � law,Sectlon 7044 of the Business and Professlons Code Is availabl upon rapuest when this appllcation is submitted or at I 'i Ne following Web slte: leglnio.ca.gav/ H z � DATE:� SIGN: � I � � LIC CONTNACTOH'S DECLAIiATION � , a I � I hereby atfirm undar penatty at parjury that I am Ilcensed under provisions of Chavter 9(wmmenGng with Sectlon 7000� 1 L � of Division 3 01 the Buslness and Professions Code,and my license Is in full force and effect. � � n I � LICENSE CLASS: LIC.NO.: � DATE: CANTAACTOR: � I =d WOfll�H'S COMPENSATION DECLARATION � � � I HFAEBY AFFIRM UNOEA PENALN OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � �,�-y1�1 ¢ I have and wlll mainiain a Certiflcafe of Conserrt tn Self-Insure fir Worker's Compensation,as provided by CONSTRUCTION: �= Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�p,N REVIEW: ? I have antl will malntain Wwker's Compensation Insurance,as required by Section 3700 of the Labor Cotle,for ELECTRIC: � the performance of the woric for which this permit is Issued.My Worker's Compensation Insurance Carrier and Z¢ PolicyNumberare: PLUMBING: � CP,RRIEFl MECHANICAL: � � Z POt1CY NUMBER � INSPECTION FEE: ' n - (T}iIS SECIION NEED NOT Bf COM%.EIID IFTHE PERMR IS FDR ONE M1NDR�DOLLAHS(510�OR LESS). ISSUANCE: �J`�'' j I'certily that In the peAart�ance of the wak for which this pertntt is issued,I shall not emplq any person in any manner so as to SMIP: � ^� � becorne su6Ject tn the Worker's Compensation Laws ot Califomla Md agree that if I should becane subl��me Worker's �+ Compensation provisions ot Section 370o of the Laba Code,i sha�l rorttrn�ith compy v,dth mose provisions. ENERGY P/C: � DATE: APPLICAN7: ENERGY PERMIT: � WARNING Failure N secure Worker's Compensation cwerage is unlaw(ui,and sha�l subject an amployer to cnmina� RETENTION FEE: �"d�— y penalfies and civil flnes up to one hundred thousand dollars(8700,000�,in add'Rion tn the cost of the compensation, i damages as proaded lor in sectlon 3708 of the laba code,Interesi,and attomeys lees. PRE-ALT FEE: � i CONSTRUCTION LENOING ACENCY BSAF: y I hereby affirm under penalry of perjury that there Is a ConstNctlon Lending Agenq for the performance of the vrork for � which Nis parmit Is luued(Sec.3�97,Gv.C.�. — LENDER'S NAME: — - I r LENDER'SADDRESS: . �i' I certify mat I have read this appllcation and siate that the above intormatlon is wnect.l agree to comply wiM all city and TOTAL FEES � t 9�� county ordinances and shate lavrs relating to bullding consWction,and he2by authorize represerdatives of this crounty fi COMMENTS: z 3 enter upon the above-mentioned property tor inspectlon purposes. ¢ ��.A�R � � k� IJ R►��F � n � 1 �/ = SIGNA F PERM E ATE RECEIPT# ��T PAID BY: �'7� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—AppllcanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD . . ,j.. � m � • o ' � � ' � � ,SETBAGK/sLETTER ,,�_:. � „��,�� '�.�;' TRACT AND LEDGER �FOOTIN,GS�FORMS " `.,� � ` �. ��t�� "'� � � SWITCH GEAR �SLAB �� :� ,��4 $ `�$��'� '� �;�� COMMERCIALHOOD UG.f'�UMBING� � �;��.: A�.�� .', �`'�R; � s' ' �,R„��aK�n�,��' T-BAR ,UG.ELECT#3tCAL � �""`��,�� '°%` �°°°e�..,,a,�. � --,�. , i°�; INTERCEPTER UFER GROUNp � :. �y.' ��- �A�.� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVEO SEWER CLEANOUT DEMOLfTION ROQF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �SHEAR WALLS EXTERIOR` '�� `�� . '`�' POOUSPA"` ,,,�Y ,�� ,� ;�'� ��'�� - � �� .'� ,� � � , , ��' �� _ � �b SNEAR V�+ALLS INTERIOR�� e �� `�,� ROUGH�PLUPABING�� 8 �� °� ,� �I � � : ` "�� ; �A �� , �^� ,��h �k. �Mf � �,,. � ,�� z�r� � FRAMIhlG,N�NTIN� �_ � �'��.,��,�..� �� .t � � ��.� �� ROUGH,ELECTRICAL��^°�� E �� ` ROUGH MECHANICAL ��° `��,� ' ��`. �r�c r�� a� � � �' �� ROU�CzH'.MECHANICAL� �� _ ° �P��?�'��.� '�.��' �� ,�� _.= � � a�*� � � �� ,� ��' � � ;�� °'� GAS�TEST� ��a ,� '��' .��`�� ,�� q��, ROUGH EtECTRiCAL�Ud( �-)C( l.�� . .�.' � � a � ,� � ,� �� -- - ROU,GH�PLt1MBING �',�r� �'.. '�� r�� _. � -�, �re, ;�r� a� PRE Gk�!!TE �,s �� -� y � INSULATI4N WALL POOL�PRE��DECK�BO�iDING '�� `� �' �� T � :. a # � ;' » �, s. - �. ,_ e,.=� ,��_,� �;�r�� _ �� INSULATION CEILING �'`�P �'�� `� � FENCE I�G;4TEl AL'AR�Nt^� �� " �� '�� { ° DRYiNALL � _ . . .., � ,,� �� _ a �� .�,� �' � � �� LATH(PRE) FINAL POQE. "�'.�>�.," �,�_„° ` ��,`��`«�„ �'� R,�,.�:� r� e ,�� IATH EXTERIQR WALLS: LATH INTERIOR WALL FQOTING/STEEL GAS TEST WA�L STEEL 1 Sr� �2rm� )LIFT SCRATCH COAT WALL BOND BEAM EIECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION � �� ` � � �RO FflAMHVG PI/WMFfGAPPROVAL� ��'� �� v; � � ��'E _ ,__ �,,� , ,��_�• �� ,� ;� - >-• "'r " �ROUGH�FIREAPPR€}UAL �� ^ � � �� ' ��;,° - �" � , FINAL BUILDING " � _ �� °� � � -� - "' �� ,�, . - ,� i �� - � ��` _.,�� .� � �°,,� � a. � ��= FINAL MECt111NICAL �� °�- � _�, FINAL FIRE DEPARTMENT� � � � � ,� � � �' � v �� °„'`g � „� �-��.. �� L ." , .FINAl,PLANNING�' �� ,,, � �,; '; � �'�, FINAL ELECTRICRL��< ��. �, � ��:�� _ . _ �, , �,. , : �� ,�� "` � a , � ' �"`" � �INA�.�ENGINE�RINGI^PW�`� `'� ��" �� ;FINALPLUMBIN6 ,�� - � , , �� x �"_� � �� : �, � �� $�' �� ,� � � FINAL GOIUIMUNITY SERVICES�� ,�� ' �� ;T.C.of OCCUPANCY��" � � � � . _ � � ��.� ` ~ fFINAItND,,,U,STRi{►LWA.STEA� � .��a'Y t ��:��.,_ ��.2., �__��y �� ,CERT af,�CCUPANCY#"„� � ._: ��'� ,��," �i �, .. ��A: �� FtNAt NEALTH DER"f �� COMMENTS: