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Home My WebLink About14-4815 _ �--- —i6-- -�'"`- � CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES G 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS �,�,�� (909)839-7020 Faac:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION g � O �� APPLICATION DATE: P/C# x JOB SITE ADDRESS ��y U (� p z APN LOT TRACT ISSUE DATE:�[�(� j �_PERMIT# �?� y d �J � � OWNER TYPE CONST. OCC GROUP: y � � ADDRESSZ-- J CITY '��A�OV�aI �U� ZIP TEL. O ZONING SEfBACKS FRONT RW ❑ � APPLICANT TEL. REAR ❑ � SIDE/SIDE STREEf RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS � � 'r . • PROPOSED USE � s CITY G ZIP 0 EL. � ` � ARCH/ENG/DES NER '1 U, � Q � n y t = ADDRESS • #DWEL.UNITS #S IES #BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FC FACTOR PSF ADJ.AREA/VALUATION I OWNFA-BUILDEN DECUIHATION � I hereby afFlrm under penalty of perJury that I am ezempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM � I � Indipted below by the checkmark(s�,I have placed naxt to the applicable item(s)[Sectlan 7031.5,Buslness and Garage/Carport � I � Rofesslw�s Code:My cFty a counry that requlres a pertnR m conshuct,alter,Improve,demolish,or repelr,any z structure,prlw to Iffi iseuance,also requlres the appliwrrt for the permft lo file a slgned sfatement that he m she � Patio/Deck I �i is Ilcensed p�usuarrt to the provisla�s of the Contractor's State License Law(Chapter g)Commencing wtth Sectlan w � 7000 of Dlvision 3 of tice Business and Professlons Code]or that he or she Is exempt hom licensu2 and the basis for � Pool/Spa I � the alleged exemptlwi.My violatlon of Section 7031.5 by any applicant for a permit subjects the applicaM to a cNll penatty C7 I of not more than five hundred dollars($500). Z Re-Roof s I � U I,as owner ot the pmperty,or my employees with wages as their sole compensation,will do(J all 01 or(�portions � Commercia� y of Ne wark,and the structure is not intended or oNered for sale(Section 7044,Business and Professions Code:The � � Contractas'State License Law does not apply to an owner of property who,through employees'or personal effort,bullds m I y or impmves the property,provided that Me ImprmemeMs are not intended or oBered for sale.If however,the building or I � imprmement is sdd within one year of completlon,the Ovmer-BUllder wlll have ihe burden of proving that R was not buitt � or Improved for the purpose of sale.). I � U I,as owner ot the property,am exclusively contractlng with licensed Conhactors to construct the project(SecUon Z 7044,Buslness and Professlons Code:The Contracturs'Shafe License Law does not apply to an owner of property who Valuation: � Adj.Area: n buildsorlmprovesthereon,andwhocontractsforthepro�ectswlthallcensedCantractorpursuanftotheContractors'State QUANTITY DESCRIPTION FEE ,� ucense Law.). � (�I am exempt trom licensure under the Contractor's State Ucense law for the tollowing reason(s): � 1 By my signature below I acknowledge that,except for my personal residence In which I must have resided for at least one � I = year pnor to completlon of the improvemenLs covered by this permit,l cannot legally sell a structure that I have buiR as an W I ¢ owner-bullder If it has not been consWcted In tts entirety by Ilcensed conUactors.I understand that a copy of the applicable S Y law,Sectlon 76q4 ot the�Business and Professlons Code is avallable upon requesf when thls applicatlon Is submitted or af ' � the following Web slte:M�/vnwi.legi�o.ca.gov/calaw.htmL � � � DATE: SIGN: � I — LICENSED CONTHACTOR'S DECLAHATION � I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing wlth Section 7000) � I � of Division 3 of the Busines,/s a�nd Professions Code,and my license is in full�force and effect. I ;� LICENSE C 1.� LJC.NO: w� -1� Z . I Z DATE: I� COMAACTOR: 7 I � � I ¢ WOfl1�H'S COM ON DECLAAATION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � I have and will malntain a Certifleate of Consent to Sett-Insure for Worker's Compensation,as provlded by CONSTRUCTION: � , Section 3700 of the Labor Code,for the performance ot the work for which this pertnR is issued. p�,qN REVIEW: � I have and will mtiMain Worker's Campensatlon Insurance,as requlred by Sectlon 3700 of the Lahor Code,for � � ihe peRormance of the w �for ich this permlt is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: �d PoIIcyNumberare: /�Tm PLUMBING: ��f� � ' CARRIER ��1 ' �' POUCYNUMBER MECHANICAL: f � INSPECTION FEE: � 'n (TFiIS SECTION NEED NOT BE COMPLETFD IFTHE PHiMfT IS FOR ONE HUNDRED DOLIARS($100)OR LES57. i D n' � ISSUANCE: b = I certify that in the perfomiance of the waic fa which mis permR is issued,I shall not emploq any person In any manner so as to � became sub�ect m the Wakers Compensatlon Laws of Califomia.Md agree that tt I should become subject to the Worker's SMIP: L Compensation pmVa'ions ot Sectlon 3700 of the Labor Code,I shall formvAN canpy wlth those prwisions. ENERGY P/C: � DATE: APPLICANT: ENERGY PERMIT: � WARNING:Fallure to secure Worker's CompensaGon coverage is unlawful,and shall subjed an employer to criminal D y penaltles and civll Flnes up to one hundred thousand dollars($100,000),in additlon to the cast of the compensatlon, RETENTION FEE: a d = damages as pmvided Por in secUon 3708 of the labor code,Interest,and attomey's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: y I hereby aKrm under penalty of perjury that there is a ConstrucUon Lending Agency for the pertormance of the vrork for = which this permit is issued(Sec.3097,Gv.G�. � LENOER'S NAME: ` = LENDER'SADORESS: �- . / i I certlfy that I have read this application and state that the above Informatlon Is wrrect.I agree to comply with all city and TOTAL FEES Z county ordinances and state lavrs relafing to bullding construction,and hereby authorize representatives of this county to COMMENTS: � enter upo abme-mer�ti ed pmpe for Inspe[ctio(n purposes. � �� C.�.�� b ¢ PERMITTEE NAME IPlT) � n I n /� = SIGNAIURE OF PERM DATE RECEIPT# y _ PAID BY_�6�"�_ VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION REC�RD o n � e • s s � � - .. SETBACKI LEFTER��`` �'� : � . . �, �, < � �„`_��. �� :M; �� TRAGT AND LEDGER FOOTINGS�FORMS ��,� ` ` ` ' �.. � m �� ,... � ,�� -�_� .,�._ �,-�� ., �,r .� � SWITCH GEAR SLAB '� ,�, ��.��,� COMMERCIkL HOOD ,UG.PL`UMBING '� � n��` " � .:�E ' ��,�''� T-BAR �UG.ELECTRIGAL � 4v" � " �' �"' '� ��` �� "'�'� INTERCEPTER �UFER°GROUND � �� '� �' � ��, �° "; �� s HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATEi�LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOl.1TI0N ROOF SHEATHING ROOF DRAINS FLOdR SHEATHING � ROUGH CQNDUIT SHEAR WALLS EXTERIOR � "� �� _ � � � � '� � , ��'� :° P00l.ISPA < �� `�� „ �'. � .� ��`, � SFIEAR WALLS INTERIOR ��,, � �: � � �' �;';: ' ,. `.�• .g, �m' 'R�QU�H-f'CUMBING �`� �'� �°:�'� ' '�r �� ', tFRAMlNGlllEidTING ��: �� ;�"; � . �� ..�..�� :: ,' ,��- �� ; , .�. � � r .�= ROUGH ELECTRICA�� , "`:.t � �,. :,: �.,,�-°�� . < ��;. � �ROUGH MECHANIGAGG � �°� �° ;"� �� `� ROl1Gli'MECHANIGAL-� ER^� �"� � � *'�'�'� „_ , ' ' ". ' y x� N bei �. ;ROl1�f,H ELEGTEiIC;4L hIV( )=C(�1 #' 'W 1��, � ". ��"�� ,�' �'�� ;� `� � , , . � GAS TEST � . �� ` ",�� ` � � � �-� , � � �ROUGf'I Pl:E1NIBIfJGg'_�:� . '. ,.N � . �, ��6 � .�... �. �: � ' PRE'GUNITE�� ,h� �= i;a�'.�� ' ";<. � _� � '�_ a . ,�`'� ,�. ., �. �a . 4, : , INSULATION WALL P„OOL PREp�CK BONDINGti: '�� _„� ��.��m �y �� '�" INSIIIATION CEIUNG P.:TRAP` ' � ' � n 'Y e.: a4a'e 5' ,v.� .w�^ a� U.�n� 'H'�'. ��•V vL, :.�y! _�": DRYWALL � FENCE L,GATEi ALARM% � �� < . � ., . " : _- LATH(PRE) FlNAL P0�'OL �. �� ;� � �y .r�' ;�� :�,�. �.4. .. �,.�; LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEI GAS TEST WALL STEEL 1 ST( }2ND( j LIfT SCRATCH COAT WALL BONQ BEAM ELECTRIC METER FiELEASE WALL ORAIN/SEAL GAS METER REIEASE WALL FINAL._ SPECIAL INSPECTION RO �AM�IGPLA1dNINGAPPfi�V�iL �- � �, � �; � �� FtN1tL BUI,LDING�� - ��' .��.�`� ,� �, �; '��;�� ROUGH FIRE APPROVAL ' �.: � �. " �FINt1L MECNANICAE.. � " Y� '� `� ��'�� ::�� `� FINAL FIRE DEPARTiNENT.: � °� � � � � 'FINAL EL"ECTRiCAL� �• �;_A� �,�, ��°<� ;�``�� " � �. ��. � .�� .,� ,• � .,;�<. iFlNAl�'PLUNIBING'�' � �'',r� ,� �� ,�. ,;s4 .. '��' ,;z �;. ,�� :,��? � ;� � . "� t�� ""� FINAL ELAMIVING� �` FINAE.P -,� �. � . � NGINEERINGI�PW�' � � , � � �� 3 iT.C.,�'Of OCCUPANGY "�� °�x�° ,�<. `. '� �x�z�� . �: � �FINAi:.COMi19UNITY`SERVIGES" � „r,< '� .� �" � ya� �` e�''��,� �,�� , � . �CEIiT�of OCCUPAIdCY� � �,�� .. �-� � � � ` , ,.. y.�: � .�. ..; � �. ��,�� ,�;� � �';� ,EINAL�NEAITH DEPT� ��;°� ,�, "` � '�.:.� ,�;� :. .;, ��. '�-;� �;� � FtNAL INDUSTRIQL 1MASTE .. :� -�. . �»�, � „� N,"'��-� ��a�; COMMENTS: