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Home My WebLink About14-3989 ...�`�..,� CITY OF DIAMOND BAR ��11 y �S I . ,�,�,_ � • DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES r .�- .- - - - 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �;;�,,,;: (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION x JOB SITE ADDRESS Z � � ' APPLICATION DATE:7—�'�ZO�Y P/C# �7^.�%�9 � z APN LOT TRACT ISSUE DATE: PERMIT# � OWNER (a .S� �f GI� TYPE CONST. OCC GROUP: y ,, ADDRESS y�O .S/.✓��G,�n,.0 .�/1 .S� �ir'�� J � ZONING SEfBACKS ¢ CITY ��,4.�{ �� ZIP�9c�7 TEL. FRONT RW ❑ = APPLICANT �- � TEL. REAR ❑ � n SIDE/SIDE STREEf RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS PROPOSED USE � ' �_ � ` s CITY ZIP TEL. � � ARCH/ENG/DESIGNER � _ ' �• T+ r� ,$' � G = ADDRESS i'��Y 5�,� 5...�L?�__— ,c-��/ _�F�ti_'t/�— - , � #DWEL.UNITS #STORIES #BEDROOMS z CITY� _r f i��_ZIP��TEL.� �cs� � ¢ OWNEB-BUILDFA DECWIATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � = I hereby affirm under penalty oi perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � indicated below b the checkmark s I have laced next to the a lirable item s Sectlon 7031.5,Business and I y Y (�� P PP (�� Garage/Carport � Professions Code:Any ciry or caunty that requires a permit to construc[,alter,Improve,demolish,or repair,any I z structure,prlor to its issuance,also requires the applicant for the pertnit to file a signed sfatement that he or she � Patio/Deck i is licensed pursuant to the provisions of the Ca�ac[or's Sfate License Law(Chapffir 9)Commencing with Section w � � 70W af Division 3 of the Business and Prafessions Code]or that he or she is exempt fmm licensure and the basis for LL Pool/Spa I n the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjecTs the applicant to a civil penally C7 s of not more than five hundred dollars($500�. ZQ Re-Roof I � (_)I,as owner of the property,or my employees with wages as meir sole compensation,will do(�all o(or(�portions � Commercial I y of fhe work,and the struc[ure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds y or impmves the property,provided that the improvements are not intended or offered for sale.If however,the building or I � improvement is sold within one year of completion,the Owner-Builder will have the 6urden of proving that it was not built � or improved for the puryose of sale.). I � (,I,as owner of the property,am exclusively contrading with licensed Contractnrs to construct the projed(Section Valuation� Ad Area: Z 7044,Business and Professions Code:The Contracmrs'State License Law does not apply to an owner of property who 1� I n 6uildsorimprovesthereon,andwhoconhactsforlheprojeclswithalicensedContractarpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I License Law.). � (�I am exempt from licensure under the Contrador's State License law for the following reason(s): � I 2 I 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 prior to completion of the improvements covered by this permit,l cannot legally sell a struc[ure that I have huilt as an W owner-builder if it has not been constructed in its entirety by licensed contradors.I understand that a copy of the applicable � . � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I � � the following Web site:http/www.leginfo.ca.gov/calaw.html. Z I � DATE: SIGN: � — LICENSED CONTHACTON'S DECLAMTION � I a I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � of Division 3 of the Business and Professions Code,and my license is in full force and effect. J I a � LICENSE CLASS: LIC.NO.: � I Z DATE: CONTAACTOR: � I, ¢ WOHIffA'S COMPENSATION DECLAHATION � i � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: y � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: e ?� � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�qN REVIEW: /• 7 � � � � I have and will maintain Worker's Compensation Insu2nce,as required by Section 3700 of the Labor Code,for ,�P„� �r Z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ Polic,yNumberare: PLUMBING: � CARRIER MECHANICAL: � POLICY NUMBEH � INSPECTION FEE: (THIS SECIION NEED NOT BE COMPLEfED IFTHE PFRMR IS f-0R ONE HUNDRFD DOLLARS(5100)OR LESS). ISSUANCE: = I certify that in the performance ot the work for vfiich this permft is issued,I shall not employ any person in any manner sc as to � become subject N the Worker's Compensa5on Laws of Califimia.Md agree mat'rf I should become subject to the Worker's SM IP:_ �j10 L Compensation provisions of Sectlon 3700 of the Labor Code,I shall forthwith comply with those provisions. ENERGY P/C: J � onrE: aPrucaNT: ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal � �A ipenalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the cast of the compensation, RETENTION FEE: = damages as pmvided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTflUCTION LENDING AGENCY BSAF: ��p y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: r LENDER'SADDRESS: Z TOTAL FEES ''I �.%�l/� � �f�� i I certfy that I have read this application and state that the above information is correct.I agree to comply with all city and J county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: � enter upon the above-mentioned property for inspection purposes. J � S] Q PERMITTEE NAME(PRIf� `OD 1 ✓,/�y� � :n �� , :n = SIGNAlURE OF PERMITfEE DATE RECEIPT# PAID BY: VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy � CITY OF DIAMOND BAR �t � �� ' INSPECTION RECORD • a , � • � - • • � j � - ,� ,.��. , .� ,� � ,_ . ,�� _ SETBAGK/L_E,TTE(3 � ,; ;� ° � � ',� �_ • TRACTAND LEDGER � -�_ <�; - - ��_ <$� �_ �FOOTINGS FQRMS � � � � � SWITCH GEAR �.5�� ;,.��_ ;: - �� .,°`. �� , �� ` , �� °�� COMMERCIAL HOOD �UG,PLU�MBING �W�,' ' � � ti� �;. $ � -�.: °�- 3 T-BAR . wUG�ELECTR[GAL,,,. � -, `�' -;� �m� ��` � � � � INTERCEPTER �UFER�GROU�D , � R � �� m;� �..� . HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATNING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ;SH,�ARINALLS�EXTERIQR. � ,""'� �. "� POOL/SPA : � �~ v ° � �` SHEAR WALL,�INT�ERIQR .�. ,�,. � °y �„ �� ROUGH PLUMBING � ° � " �� . ;e �; ��. _ , U a , �� _- � � � ERAMINGNE.,NTING �, ,,„�. � ROUGH ELECTRICAL I RO�JGH MECIiAN1CAL_�� . �_ ;, 4�� „ . �� ROUGH MECHANICAL � � ROUGH El�ECTRICAL 4N( )"C( 1 . �., ` � � ., � 9 _ ��, '. ? � '��, GAS TEST Q t_ �. �•, _ � r : F , ROUGH°PLUMBING� � ��` - '.� � `� �'�� ,�� `�� PRE GUNITE �� INSULATION WALL � � �POOL�PRE DECK BONDING � �� INSULATION CEILING P-TRAP � �' DRYVJALL FENCE I GATEI ALARM � , � � IATH(PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2Ne� )��fT SCRATCN COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION �� R0.FRAMWG PIANNINGAPPROVAL _.,.�-.�_ � - � �� ' _ � , °: � _ � - � FINAL�BUILDING��'' � � � ROUGH FIRE APPROUAL FIN�1L MECHANICAL � � � � _ � � � _ � _e� _ ,� � � ,g. � " FINAL FIRE DEPARTMENT � �, �_ � �� :��.. . � . �� - � �� FINAL PLANNING � � � �INAL EL�EC�RIGAL � ��." � _ ` � r� �, _ �INAL�PIUMBING�` •`_'� �� ' �� ° FINALENGINEERING/�PW � � � ��' � T.G��.,�f�OCCIIPANGY � � � �� a� �� FINAL GOMMllNITY SERVICES � � _ � GERT,ofyOGCUFANCY�„� �, �,. .• � ,� � r FINAL HEALTH DEPT, , < -- � FINAL INDUSTRIAL WASTE, . x_ COMMENTS: