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Home My WebLink About15-0572 ��=��.:,......,,,. CITY OF DIAMOND BAR ...,,. , � .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 I BUILDING PERMIT APPLICATION s JOB SITE ADDRESS �-l Z� T�-�1T1�1/l� ��'I�U.� KL, APPLICATION DATE: /O /S P/C# ��L �7'QS�2 I ('� z APN T TRACT ISSUE DATE: � ��1 PERMIT# �� Df 7 � y OWNER � �—N/ TYPE CONST. OCC GROUP: I � n ADDRESS 2� � aCITY ZIP TEL. ZONING F ONT KS RW ❑ = APPLICANT TEL. REAR ❑ = SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ ADDRESS � = CITYI V ZIPYSLy�_ � �� PROPOSED USE TEL. -f�/ � i � � b � ARCH/ENG/DESIGNER y z ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS Q CITY ZIP TEL. I � OWNER-BUILDEH OECUIRATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION = I hereby affirm under penalty of perjury that I am ezempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM � � indicated below by the checkmark(s),I have placed nezt to the applicable item(s)[Section 7031.5,Business and Garage/Carport . I Professions Code:Any city ar couMy ttiat requires a permit to construct,alter,improve,demolish,or repair,any z shuctu2,prior to its issuance,also requlres the applicant far ttie permit to file a signed statemeM that he or she � Patio/Deck -I i is licensed pursuant to the provisians of the Contractor's Sfate License Law(Chapter 9)Commencing with Section w � 7000 af Division 3 of the Business and Professions Code]or that he or she is exempt fmm licensure and the basis for � Pool/Spa � � 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 � 2 of not more than five hundred dollars(8500�. � I � U I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or(�portians � Commercial . I � o(the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I ZContractors'State License Law does not apply to an owner of property who,through emplayees'or personal effort,builds � - � or improves the property,provided that the improvements are not intended or oftered fur 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 p or improved for the puryose of sale.). .. � � p p rty,am exclusively contmcting with licensed Contractors to construct the pmject(Section (�I,as owner of the ro e Valuation: j. rea: � Z 7044,Business and Professions Code:The Contractors'Sta�License Law does not apply to an owner of property who � buildsorimprovesthereon,andwhocontractsfortheprojectswithalicenSedContradorpursuanttotheContracNrs'State UANTIIY DESCRIPTION FEE I License Law.). � (,I am exempt from licensure under the Cont2ctor's State License law for the following reason(s): � . I � ¢ I 1 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 6uilt as an w owner-builder if it has not 6een construded in its entirety by licensed contractors.I understand that a copy of the applicable 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/calaw.html. '� I z = DATE: SIGN: � LICENSED CONTNACTON'S DECLAflATION � I d I' I hereby affirm under penalty 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 force and effec[. � I � / Q nj LICENSE C� LIC NO��/�'��y7� 1 Q I � DATE: CONTRACTOR: /,�J�v��--�+c(i� , � I ¢ WOHI�R'S COMPENSATION DECLAMTION � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: L /� ` � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: �J �.��1 I � �Sedion 3700 of the Labor Code,for the peRormance of the work for which this permit is issued. p�,o,N REVIEW:��.'d'��„�� a � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for z the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumber.r3.�(-p �,�,�(� PLUMBING: ZCARRiER�lf`l— r��`�1/� MECHANICAL: ;' POLICYNUMBER_I� �_ � INSPECTION FEE: 'n (THIS SECIION NEED NOT BE CAMPLEfED IF1HE PFRMR IS FOR ONE HUNDRFD DOLLAAS($100)OR LESS). ISSUANCE: �("(''] � I certify that in the performance of the work fur which this permft is issued,I shall not employ any person in any manner so as to become subjed m the Worker's Compensation Laws of Califomia.Md agree that if I should become subject to the Worker's SMI P:_ (�� JCompensation provisions of Section 3700 of the Labor Code,I shall forthwith cromply with ihose provisions. ENERGY P/C: J DATE: APPLICANT: ENERGY PERMIT: i TWARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: �� y y penalties and civil fines up to one hundred thousand dollars(5100,000),in addition to the cost of the compensation, - . = damages as provided for in section 3708 of the labor code,interest,and attorneys fees. PRE-ALT FEE: i CONSTflUCTION LENDING AGENCY BSAF: ) � a� 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.). � LENDER'S NAME: = LENDER'SADDRESS: i I certify that I have read this application and state that be above information is correct.I agree to comply with all city and TOTAL FEES 1��, )� �. � county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to ,� z COMMENTS: � enter upon the a6ove-mentioned roperty for inspection purposes. J �j � I b � PERMITT � ,�(,� i (J -J-_ ��.� ✓'y�/� T' � w /^ = SIGNAlURE aF P R DATE RECEIPT# PAID BY:✓�4 VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PiNK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy � �— CITY OF DIAMOND BAR INSPECTION RECORD �-r . � � , . � o . o � � . � . ;SETBAGK/CETTER �� ' �\ _ , � Q , TRAGTAND LEDGER � ��.,,�•• � _.� a, � , �_ , � �. SWITCH GEAR FOOT(N�S FQRM� �,��, r ;S,IAB� t ..� �_,� rf• „ .� .� .,' �� ; �� COMMERCIAL HOOD ,UG.PLUMBING � , � �,.�, . ' �.r� ,�; � .� � . , .� � T-BAR ,U�'.'fLECTRICAL ��'` '� � �� '�� `"� " �� INTERCEPTER �UFER�GROU�tb �; _�`�� "� e ��'�` .� m ,�. � � � � � , HOT MOP/SHOWERPAN SEWER LATERAL SEPTICiCESSP00L MAIN WATER�INE HERS REPORT RECEIVED � SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGN CONDUIT , ��z � _ „ POOUSPA� .� � 9F3F�tR WALLS,EXTERIOR ` _� �.,� = ,�, � -. • n, ,� � � ,� �, � . . . � _ _ � � ,� � �ROUGH�PLUMBING � �� _ g r �.,� �-- .� �� , • � �FRAMINGIVENTING' ' ��'� � � ��"�"' = �� ` � � �� ROUGH ELECTRICAL` �' � � �� `� � ' ��q�� "'� �` � � � � � ROUGH MECHANICAL � � �G ' � AL W"��}C ��, ,' � . :. � ' . GAS TE$T _ � � _ _ � _ � .a�, . ROUGH�PLUM6ING �F � � �;� a , .� �� ,� v , : � PREGUNITE ,� � � _ � POOL PRE DECK BONDING " ' IN t1LAT 0 EILING . P-TRAP D A FENCE/GATE/AU�RM �� R��Q� �� ` FINAL POOL LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1sT( )2"0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL WSPECTION R0.FRAMING PLANNINGAPPROVAL ° � " " e , �I�IAL`BUIL�F7ING �� :G� �� ,� �� > , ROU�H FIRE APPROUAL � ,�� .,;� - . � � �,� � ,�-� . � „ � � FINA�ME�HANICAL� - ` r _ ,w _ " FINAL FIRE DEPARTMENT , � , ; ;. � FINAL E�ECTRICAI �,r �, . FINAL PLANNING. FINAL�PLUMBING� �� . � �� , �^ � ', � FINAI ENGINEERINGI PW � �° � � ° : : 6; . . � � �T.��of OGC�PANCY = �� : � � � '," ` � � � � ° � ' �FINAL COM�fUNITY SERVICES '� ' CE`i(T.of�0,�� - . � �, , A e� �� , � � � CGllPA�ICY � ` � FINAL NEALTH DEP7. � �� •• FINAL INOUSTRIAL WASTE a. , � COMMENTS: