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Home My WebLink About14-4270 ..,�,'`''� C1TY OF DIAMOND BAR � i I I i ' I DEPARTMENT OF COMMUNITY&DEVELOPM�NT SERVICES � �lIII��'�:- 21810 Coptey Drive,Diamond Bar,CA 91'765 PRESS , . �` ,�,,�� (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 F�RMLY ��'a"'�� BUILDING PERMIT APPLICATION � JOB SITE ADDRESS I � � � �� ' APPLICATION DATE: � r�� P/Cq z APN LOT T CT ISSUE DATE: ,f"�� 'V I� PERMIT# iN-�/a-�d o OWNER TYPE CONST. OCC GROUP: w N ADDR S aCITY . ZI TEL. ZONING F ONTCKS RW ❑ Q APPLICANT TEL. REAR ❑ N ��' SIDE/SIDE STREET RW ❑ o CONTRACTOR * 'f�+ SIDE ❑ c� ADDRESS PROPOSED USE o� CITY ZIP TEL. 0 o ARCH/ENG/DESIGNER � � , 1 w o ADDRESS k DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TE�. � DESCRIPTION SO.FT.. FACTOR PSF ADJ.AREANALUATION OWNER-BUILDER DECLAlIATION o I hereby aflirm under penatty of perjury fhat I am exempt hom the Contracta's State License Law for the reason(s) SFR/ADD/F?EM 1p intlicatetl betow by the checkmark(s),I have placed next to Me aDPlipble ilem�s)[Section 7031.5,Business and Garage/Carport o Professiom Cade:Arry city a county that requires a permit to construct,alter,improve,demolish,or repair,any z structure,Drtw to its issuance,also reqWres ihe applicant Por tha permit to file a signed stalement thal he or she � Patio/Deck a is licensed pursuant to the D�ovisions at ihe Coirtractor's Sfate LJcense Law(Chapter 9)Commencing with SecUon w � 7000 of Dlvision 3 of the Business and Prolessions Code]or that he w she is exempt hom Ilcensure and ihe basis for � P��Spa N the alleged exemption.My violation of Section 7031.5 by any appl{cant lor a permit supjects ihe aDP��t to a civil pe�lty y � � of rwt rtrore than frve huntlretl dolWrs(5500). ZO Re-Roof o (]I,as owner of the property,or my employees with wages as ihelr sole comperaation,will do()all of or�1 porllons � Commarciel � oi ifie worlc,and the structure is not interMed or ottered tor sale(Seqion 7044,Business and Professlons Code:The m � Contractors'State License Law dces rwt appty to an owner ot property who,ihrough empbyees'or personal effort,builds w or improves the property,provided that ihe Impravements are not intended or oftered fa sale.R however,ihe building or � improvement is sold within one year af wmpletion,the Owner-Buiider will have ihe burden of pmving that R was not 6ullt pa imprrned for the purpose of sale.). � U I,as owrrer ot the pmpeAy,am endusivety conUacting with Iicensed Cantractors to construcl the proJect(Sectlon 0 7044,Business and Professions Cale:The Contractors'State License Law does rrot apply to an owner ol property wtro Valuation: Adj.Afea: Z builds a improves Nereon,and who contracts for the projects with a licensed Contractor pursuaN to the Contractors'Stale N OUANTITY DESCRIPTION FEE Y License I.aw.). o U��exempt hom Iicensure under ihe Coniractor's State Llcense law for the idlowing reasoMs): � � �i ¢ �—` By my signature below I acknawledge tha4 except for my personal residence in which I must have resided tor at least one c~.� � year prior to compleUon oi the Imprwemen�covered by ihis permit,l canrrot legalty sell a strucNre that I have built as an —w+ Q owner-builder if it has rwt been constructed in its enti2ry by Ikensed contractors.l wderstarM that a copy olme appliphte w Q law,Seclian 7044 ot the Business and Professions Code is avallable upon request when this application is submitted or at �- X the following Web site:http/www.leginfo.ca.guvlcalaw.htrnl. � w = o DATE: SIGN: � F' LICENSED CONTHACTOH'S DECIARATION � t � H w I hereby affirm untler penalty of perJury that I am IicenseA under prwisiorrs ot Chapter 9(commencing with Section 7000) � �'��'� • • � • � _ . � ol Division 3 a1 Ne Business and Professions Code,and my licerrse is in full force and effect. J � �� , �, uc�se cu�ss: uc.No.: _ OZ DATE: — CONTqqCTOR: � a WOHNEH'S COMPENSATION DE N g � 1 HEREBY AFFlRM UNDER PENAL7Y OF PERJURY ONE OF 7HE f-0LLOWING DECIARATIONS: �/, oI have and will maintaln a CertKpte of Consent to Self-Insure Ia Worker's Compensation,as provtded by CONSTRUCTION: � SecGon 3700 of the Labor Code,tor Ihe perfwmance at the work tor which this permit is issued. p�qN REVIEW: � I have aM will maintain Worker's CompensaUon Insurance,as requlre0 6y Section 3700 of�he Labor Code,for Z the performance oT the work fu which this permit is issued.My Worker's Compensaflon liuurance Carrier antl ELECTRIC: a PolicyNumberare: � �� PLUMBING: � �� MECHANICAL: w � POLICY NUMBFA INSPECTION FEE: � (f}d5 SECf10N N�N0T BE COMPI.EfEU IFi}�PERA9R LS F-0R ONE FRINDRED DOLLARS(?70�OR LESSJ. � issunNCE: r.!� o I cer6ry that in the pertormance ot the vrak for which this parmit is issueQ I shall rot emqoy arry person in any manner so as to SM I P:_ r b1'" o hecane sut�ect to the Worker'S Campe�salion Laws ol Califwni�.Md agree thal II I shadU become sut�ject tp the Waker's � 6 � Comper�satlon{uovisbrrs ot Section 3700 of�he Labor Code,I shau Iwthwith compy wilh those provisior�s. ENERGY P/C: LL DarE: npPLlCar�r: ENERGY PERMIT: � WARNING:Failure to secure Workers ComperGca4on coverage is uNawtul,and shall subject an employer to criminal REfENTION FEE: � � penattles and civil fines uD to one hundred NousarM dollars(3100,000�,in additlon to t�e cost of the compensation, o damages as provided(or in secUon 3708 ot the lahor code,interest,and attomey's fees. PRE-ALT FEE: d CUNSTRUCTION LENDING AGENCY BSAF: � I hereby effum under penalry of perjury Mat lhere is a Cortstruction Lending Agenq Iw tJ�e pedormance of the work for = which this perml�is issued(Sec.3097,Clv.C.). � � LENDER'S NAME ^1 � LENDER'SAD�RESS: rI /I a I certify ihat I have read this applkxtion and state ihat Ne above Information is correct.l agree fn compy wltl�all city and TOTAL FEES � counry ordinances and state laws relating to building construcfion,and hereby authorize representatives of this counry to COMMENTS: Z enter upon e-mentbnetl � P PertY� i�spec�ion purposes. J `- � �NN m ¢ PERMfT�fEENAMEIPRIFIT) ' J�. N �� ' / �17/� � SIGNATURE ITTEE DATE RECEIPT p PAID BY: �/ p�'O�!h VFW DATION:� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplfcanYs Copy CITY OF DIe4MOPVD BAR a � INSPECTION REC�RIQ . o � . s - o s � • ' SETBACKI�LEl'TER � 2 ,` ,. , ,r ` ` v':,,, � ` ^- TRACT AND LEDGER FOOTItd�GS FOF?MS �� ': �,.°`'� A�� ` SWfTCH GEAR g�p,g;� -. �, - , �s'� rr� - COMMERCIAL HOOD UG.PLUMBING` ''� ` , 't :` T-BAR UG.EGECTRICAL `� '� INTERCEPTER s ' � '' HOT MOP/SHOWERPAN UFER GROUND`�" �::.�, . �;� ,..� �' _ ° . z SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ��/ ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR'WALLS EXTERIOR�. , � POOUSPA:` ' � SHEAR:WALLS�INTERIOR,�` , _- �.'�` �,F �.� . - ROUGW PLUMBING�F�`� � ��;�� + ,": ` � '� ° �' FRAMINGNENTING_ - � ?:, �' .�tr. �-_ '� - , i ` RQUGH ELEGTRICA[==v . ,,=. �- ` - � -- ' - ',;< ROUGFi�MECH,4NICAL ` ` ,� {�;r r` { r;,, � ' �,. _'�� R011GN MECHANICAL' ,,`, ;�,t �, € � > ��s � '�' � � �,; � t�.,uY :" � F t GAS_TEST:; ��;` z �-� ti t` �� ROUGH ELECTR.ICAL W( rj C( ) �a � : ' ROUGFI,PL'UMBINf.� j ' � i�:'7, : ,�;w� „,.ti `PRE GUNITE. ' .,.f y r? >:� . ,_��.. ��.�, � � ...- «. _ _. . , � : INSULATION WALL POOL PRE,DEGK:BONDING � ',=� ,,_', _ ��, �a` ��' INSULATION CEILING � P-=T�P°�� '� '��" � �'`� �� DRYVJALL EENGE!GATEl ALARM � � " �`: } '' ; �„ '� � ` �� LATH(PRE) FINAL:POOL- ` - ,' .�' 2 LATH EXTERIOR WALLS: LATH INTERIOR WALI FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE ; WALL FINAL SPECIAL INSPECTION R0:FRAMIN�PLANNWGAPPROVAL, =` ' FINAL`BUILDING . �'` '�:7 °. „ ;: ,;, ,,`:. ry R'OUGH`FIRE'APPRQVAL . '`". �; � ,� •' h ,, ,,-; �.;:, F,. :� FINAL`MECHANICAL FINAL FIRE DEPARtMENT ;; _> , • -<i FINALiELECTRIGAL- �� ;� ; � _ _ FINAL•:PL`ANNIN6 =- _ �>: ,,- r ' ';; . . � ; ,: _ ,- .- . .: �� ,u �;: �. �. , _�.k. k � . . _. FINAI:'PLUMBING � FINAC ENGINEER{NG/PW =,.. _ � L �� T.C:o_fOCCUPANCY �- �; � � - � � ` FINAL-COMMUNITY�:SERVICES �� __ - -_ -�v„l S P .. . 5� .r �LL i. i, .�. � 'd CERT.`of OCCUPANCII_�� .�� ` FINAL HEALTH'DEP_,T _, � _', �� .�� ,. ,.,, , r : - . . �. _ �, � .. . . ._ .._ „ � ,. ,,. , � : � FINAL":INDUSTRIAL`WASTEt•`, � - ` COMMENTS: