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Home My WebLink About15-0555 (8) � _ . .� -=.:. CITY OF DIAMOND BAR ?i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � �y 21810 Copley Drive,Diamond Bar,CA 91765 -- PRESS ��,�8^�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION �}� APPLICATION DATE� P/C# I i JOB SITE ADDRESS v 1 �y /�- z APN T TRACT ISSUEDATE: J'�%��'J PERMIT# �f' - 6�,rr � OWNER TYPE CONST. OCC GROUP:_ � n AD SS ZONING SETBACKS aCI TE - FRONT RW ❑ s APPLICANT �CC- T L. O REAR ❑ I � ;� SIDE/SIDE STREEf RW ❑ I Q CONTRACTOR ` SIDE ❑ � ADDR S OD C I s CITY Z TEL O �-�•- PROPOSED USE � � ARCH/ENG/DESIGNER y = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEH-BUILDEH DECLAHATION r I hereby affirm under penalTy of perjury that I am exempt from the Contrac[or's State License taw for the reason(s) SFR/ADD/REM I � I � indicated below by the checkmark(s),I have placed ne�R to the applicable item(s)[Section 7031.5,Business and Garage/Carport 1J Professions Code:Any city or county that requires a permit to construd,alter,improve,demalish,or repair,any z struclure,priar to its issuance,also requi2s the applicant for the permit W file a signed statement that he or she � Patio/Deck I i is licensed pursuant to the provislons oi Vie Contractor's State License Law(Chapter 9)Commencing with Sectlon W n7000 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa I n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof Y of not more than five hundred dollars($500). � I � (,I,as owner of the property,or my employees with wages as their sole compensation,will do(,all of or O 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 � Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,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 '� (J I,as owner of the property,am exclusively contracting with licensed Contractors to construct the project(Section Z 7044,Business and Professions Code:The Contractnrs'STa�License Law does not apply to an owner of property who Valuation: Adj.Area: � � buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I Y License Law.). I j U I am exempt from licensure under the Contractor's State License law for the following reason(sj: � I � � 'L By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w I � year prior to completion of the improvements covered 6y this permit,l cannot legally sell a structure that I have built as an � I owner-builder if it has not been constructed in its entirety by licensed contractors.I undersTand thata copy of the applicable w � 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/calaw.html. Z I � DATE: SIGN: � LICENSED CONTIIACTON'S DECLAflATION � I d I y I hereby aftirm under penafly of perjury that I am licensed under provisions of Chapter 9(commencing with Sedion 7000) � of Division 3 of the Business and Professions Code,and my license is in full firce and �Sf�d. I J � LICEN LIC. z I a � DATE: — CONTRA � = I U a WONI�H'S C SA ON OECLARAT � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLO ING DECLARATIONS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. � p�qN REVIEW: � 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'a Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumberare: PLUMBING: /� Q�, ,� CARRIER_��YI'P�'�L?J✓ MECHANICAL: � POLICYNUMBER �� INSPECTION FEE: n (THIS SECTION NEED NOT BE COMPLEfED IFTHE PFRMfT IS DR DOLLPAS($100)OR LESS). 1 f,,f,� .ISSUANCE: 1 = I certify that in the performance of the work for which this pertn'� ued,I shall mploy any person' SMIP: = become subject to the Worke' mpensaUon Laws mia.Md 's J Co tlon 'ion ection 3700 af the de,I sh i those provisions. ENERGY P/C: i D � APPLICANL ENERGY PEFiMIT: � WARNING:Failure t m ation coverage i ,and shall subject an employer to criminal y penalties and civi ines up to o ed tho ars($700,000),in addition Tn the wst of the compensation, RETENTION FEE:_ ",�,�� damages as p�ovided for in secti 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: y I hereby affirm under penalty of perjury that there is a Construction Lending Agenc,y for the pertormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: s LENDER'SADDRESS: i I certiTy that I have read this application and state that me above information is correct.I agree to comply with all city and TOTAL FEES /��_�� 7 Z county ordinances and state la s relatin building construction,and hereby auth rize representatives of this county to COMMENTS: � enter upon the above-mention pr for inspedion os J � � a PERMITTEE NAME I = SIG EE DATE � RECEIPT# � O/ PAID BY:✓I�� VALIDATION: I — I WHiTE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR � � � INSPECTION RECORD � � � j • , � • • , ` • . � ,SETBACK!LE7TER�'�� TRACTAND LEDGER FOOTINGS FORMSS �� ,,, � ` `" �' ' SWITCH GEAR ,��`= : '��'�`�; � �. „� > . � " ,� � , ' COMMERCIAL HOOD I ,�� _� � q _ . ��,�a - , ,�_., : ��.,,. UG;PLUMBING� �. � ��> �.� ' . � " � �� I T-BAR �UG;�ELECTWCAL u,,�;.,' `" ��" � � �� INTERCEPTER _ _ ,. r � � � : � _� �_ ; `(�FE(��qu�D � �; HOT MOPISHOWERPAN SEU�JER LATERAL SEPTIC/CESSPDOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONQUIT S�� HEAR WAL[.S�EXT'ERIOR� �` 'tl `� � Ty ,�' � � � � A POOL/SPA � � � ,. ; � �� SHEARWAt1SINTEFt10� � � _ '� �`� � ,� � �_ � `�� ' � �RQUGHPLUMBING _ _ R � ,� :.� $ r�, �FRAMINGNENTING � � �� '� ` �` � ' �ROUGH ELECTRICAL ` � � 5 "F . . . -. Y; -. ` �,. .` _ `e �u. _ �..... � .a .Y ROUGH.,M,ECHANICAL�_ ,, RQUGH MECHANICAL � � - .:. .�. : �. . , . „ GAS TEST � ,,. � � ROUGH ELEGTRICAL W(„�)C( � � �_� RQ4�GH�PLUMBING, �F�.,�.n , �,� � ° E _ `PRE GUNITE � � ° � � . INSULATION WALL POOL PRE DECK BONDING ' � � INSULATION CEILING P-TRAP . . ' � DRYWALL FENCE/GATE/ALARM LATH(PRE) FINAL POOL t _ LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2N°( )LIFT SCRATCH COAT WALI BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE ! WALL FINAL SPECIAL WSPECTION RO.FRAMINGPtANNINGAFPROVAI � �FI�JAL�BUI�,D�(dG�``°� . �� '.� . -r-�`�� a ROUGH FIREAPPROVAL ' � � ,FINAL MEGHi4NICAL; � � =s° �°� � ., � ��x �,��.� -� �, � FINAL FIRE DEPARTMENT � � �, � - �� 'fINAl.�ELECTRICAL��` � "�� ` � ''� "; :'� �' � . FiNALPLANNING � � � � - . m- �� FINALENGINEERINGI�PW� � � � �IhlA�PLUMBING '�� " '� ;�. ,�� T.C:of OGCUPANCY�°�'�� = ;� � ��' � � �� ` '� °� � � �FINAL COMMUNITY SERVICES � �. . � � � �"" � ��" ��` � " �' "� � _ ` FINAL HEALTH DEPT. ,CERT,of OCCUPANCY � § �PINAL INDUSTRIAL WASTE � � �� - � �+ �. COMMENTS: