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Home My WebLink About14-4614 �� CITY OF DIAMOND BAR I � .. _ _I� DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES '� � 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �`,��y� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 F�RMLY BUILDING PERMIT APPLICATION g /� APPLICATION DATE: _,� � � y P/C# �``��7�7 y JOB SITE ADDRESS /�� u L, z APN LOT TRACT ISSUE DATE: � � PERMIT# �T,�� /��7 � --� � OWNER � TYPE CONST. OCC GROUP: � ADDRESS ��°{ iJIG/ � u� J CITY1�/G'/VUr ZIP��TEL. �I�� ,S—�� '�I,�� ZONING F ONT KS RW ❑ � APPLICANT 4]EL. REAR ❑ � n SIDE/SIDE STREEf RW ❑ � CONTRACTOR A'I ��"�IT �Y t✓!/� SIDE ❑ � ADDRESS f �I,�,�r �('J^/L./ fIl/� PROPOSED USE = CITY ��(/L)f/1 ZIP�.17Ga TEL.� ,�7 �'l�lJ � ARCH/ENG/DESIGNER y j ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FC FACTOR PSF ADJ.AREA/VALUATION � OWNEFI-BUILDEH DECLAHATION � I hereby affirtn under penalty of perJury mat I am exempt hom the Contractor's State License Law fw the reason(s) SFR/ADD/REM I � � Indicated below by the checkmark(s),I have placed next to the applicable Item(s)[Sectlon 7031.5,Busiicess and � Rofesslore Cade:My ctry or coumy that requlres a parmtt to cansVuct,alter,improve,demolish,or repair,any Garage/Carport I z sWcture,prior M Ms issuance,also requlres tl�e appl(ca�rt Por the permR to flle a signed stafement that he w she � Patio/Deck I i is Iicensed pursuarrt to the provisloos of the CoMtactor's Sfate Llcense Law(Chapter 9)Commencing with Sectlon w � 7000 of Dlvlsion 3 of the Busiiress and Professlons Cade]or that he or she Is ezempt hom licensure and the basis for twi PooVSpa I n the alleged exemptlon.My violatlon of Section 7031.5 by any applicant for a permit subjecCs the applicant to a clvll penatty C7 I of not more than five hundred dollars($500). Z Re-Roof � (,I,as owner of the property,or my employees with wages as their sole compensatlon,wfll do(,all of or O poNons � Commercial I y of the work,and the structure Is not intended or offered tor sale(Sectlon 7044,Business and Professions Code:The m � Contractors'State License law dces not appry to an owner of property who,through employees'or personal effat,builds I y or improves the D�Perty,provided that the Improvements are not Intended or offered for sale.If however,the building or I � improvement Is sold withln one year of completlon,the Owner-Builder wlll have the burden of prming that it was not buitt � or improved for ihe purpose of sale.�. • I ' I,as owner ot Me ro U p perty,am exGusively contracttng wlth licensed Contractors to construct the proJect(Section � 7044,Business and Pmfesslons Code:The Conhacmrs'State License Law does not apply to an owner of property who Valuation: Adj.Area: � builds w Imprmes thereon,and who contracts for the projects with a Ilcensed Contrac6or pursuant to the Contractors'State I Y License Law.). QUANTITY DESCRIPTION FEE � U I am exempt Irom Iicensure under the Contractor's State License law for the following reasan(s�: � � U 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least ane � = year pnor to completlon of the improvemerhs covered by thls pertnit,l cannot legalty sell a structure that I have buitt as an w I owner-bullder if R has not been consW cted In tts entirety by Ilcensed wntradors.I understand that a copy of the applip6le � I � law,Sectlon 7044 of the Business and Professlons Code is available upon request when this applicatlon Is submttted or at � the following Web slte:ht�/vnvw.leginfo.ca.gw/calaw.html. _ � � DAlE: SIGN: � I — LICENSED CONTRACTOH'S DECLAIiATION � I y I hereby afFlrm under penalty of perJury that I am licensed under provisions of Chapter 9(commencing with Sectlon 7000) � of Dlvision 3 of the Buslness and Professlons Cade,and my license Is in tull Porce and ettect. I � � � LICENSE CLASS: UC.NO� Z Z DATE: CONTRACTOR: ��_�( C.•�^ry�.Il�t,l—'L°I" 'A��y;g� � I ¢ WOHIffA'S COMPBISATION DECLAHATION / � I y I HEREBY AfFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � I have and vnll malntaln a Ce�cate of Conserrt to Selt-Insure for Worker's Compensation,as provided by CONSTRUCTION: Section 3700 of the Labor Coda,for the pertormance of the work for which this permlt Is issued. p�,qN REVI EW: � �I have and will maintain Worker's Compensatlon Insurance,as required by Section 3700 of the Labor Code,for � the pertormance of the work for which this permtt Is issued.My Worker's Compensation Insu2nce Carrier and ELECTRIC: ¢Z PoIIcyNumber?w;, PLUMBING: ' .-P �Q� � CARRIER � GJ 6Y � /�r � PouCYNUMBEa�lL y�� '��&�/ MECHANICAL: � --t" INSPECTION FEE: _ (I}iIS SECiION NEED NOT BE COMPLEfED IF7HE P81MR IS F9R ONE HUNDR�DOLLMS($100�Ofl LESS�. ISSUANCE: - -- _ �--p '3„S�S�Z � I certify that in the pertorrnance of the work for which this permtt fs Issued,I shall not employ any person in any manner so as to • � becane subject m the Nbrkers CanpensaUon laws of Calffomla.Md agree that'rf I should become sub�ect m the Waker's SMI P: � Canpensation�of Sectlon 3700 af tl�e Labor Code,I shall fathwith canpty with ttrose provisions. ENERGY P/C: i �A�' �P�� ENERGY PERMIT: TWARNING FaINre to sewre Worker's Comp co erage Is unlawful,and all sub�ect an employer to cnminal RETENTION FEE: _ ,�.X'i y penaltles and civil fines up to one hundred thousand dollars($100,000),In addiUon tn the cost of the wmpensation, = damages as pmvided for in section 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: y I hereby affirm under penalty of perjury that there is a ConsVuctlon Lending Agen�y for the pertormance of the work for � which thls permit is Issued(Sec.3097,Clv.C.). LENDER'S NAME: s LENDER'SADDRESS: � I certlfy that I have read this appliratlon and state that the above informatlon is correct.I agree to comply with all ctty and TOTAL FEES . '7�� Z county ordinances and state laws relatlng to building consWction,and hereby authodze representatives of this county to COMMENTS: � enter upon the above-mentloned pmperty for inspectlon purposes. � J n n-r��"_Lj7C�.�,/ a PERM E ME RIM) n 1 L � Q x SIGNA_ E OF P MfTTEE D RECEIPT# I�� PAID BY: ��y y/ VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—AppllcanYs Copy CITY OF DIAMOND BAR . INSPECTION RECORD • 0 � . • - • � � � • ;SETBACK/LE,f,TER � ''�� ' *'� ��'��'�`� '� ° ��",` � TRACT AND LEDGER �FQOTINGS FORfNS„�''��°;�� '� a.�";�� " � `%— �°.��" � � °"�� SWITCH GEAR � �' � � � %� �� tl'�� '�,� y�' COMMERCIAL NOOD .5��.;�;,� �m��.r� �=��..�.� �� " �� ,UG:PLUN(BING��a":�'' .� a �a� ' � �} ,�„ �,s T-BAR �' ' � INTERCEPTER �UG�ELECTRfCAL' �� '��d� �"� "' „e�� '' _"�' __ . ;� � _ � � �� ;� ��.� � �;��° �UFER_GROUND,��.,.,�,� �., � "'�� ' = ��. .,�� HOT MOP/SNOWERPAN _�_ �� SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION RQOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �SHEAR�WALLS EXTERIOR`' ,��°� ��' �, �,��`s' e��' ��<';;�� POOUSPA� � ! � :�� %�� »�;- m .., � ��, ` � �� SHF�4R,WALLS�iNTERIOR.��.� _ �� ;��' �� ,�� RQUGH RLllMBING,;;'� �� '�,�� .. .� � �� ' ` , - .�� ` �" ° � �� ,.�� ,�� ^�€�,M � .,��' ROUGH ELECTRiGAL �t..� �.,�, ��'��° �, � ��fi FRAMINGIVEN'�{NG� a - , � � �° ��"'` ��.�� '� �� '` _ �(iOUGH�MECIiANICAL ��_ �9'��.�s.��„� �',� �� ROUGH MECHANICAL � �'' � _ -.- _ �� ROUGH ELECI"FtICAL�NI('`}C(1 � � � a�� tl'�� ""� GAS TEST��,�ri �`� � �� _� �� .� '.a= � ; e,�, °` .�� .,� '��' :��. �' ��.��, tRRE GUNITE� � �a�` �, E � ��_ ��: � � � _. _� � , • _ ROUGN�PLUMBING�� . �.': , � �.. ',� � ��.. � , � x .< < �- INSULATION WALL �FOOL PRE.DEGK�BOhIDiNG��"�� ' �' :q}��.� ' �''' � �� - -- .� ° , INSULATION CEILING 'P��T��'�'�" =� � �" °� �� `� � � DRYWALL ,FENCE i G:4TE!At11RM� "'� �� ' �" °; `��. � .� ,��°� IATH(PRE) � ,F�INAL�POOL� � ��,�� .��,,�� `��s.��.� ��.�.. '�� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2Ne� )��FT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN!SEAL GAS METER RELEASE WALL FINAL �� SPECIAL INSPECTION �RO,,,FRAMPlGPtANNING_'APPRtlVAL4 x �_ * "; �� '"`� � ,,.� , �� .. �� ,,� ,�,�� : ' � FINAL�BUILDING � � ��- � ,� - � �� y ;� ROUGH F1$£�APPROVAL a �� « � , �` � � .. ,� ,`� ��" �yr , ��° ' �,.,� � q �"u . .. «w z _y # . �, . �' �� ga'� � '�t. FINAI�MECHANICAI M.x ° � ' � � �` .�F� , , .;�� FINAL PLANNINGHiMENT ., � �� ,�d� E�� . �� ' -� , � '- - � � - � ,- "� ��rvs� '� t w �.�y � .aY� y�� EINAL�ELEGTRICAL �v �� _.� � � � � '�� - _ � � `� � • �. a, .a � ,g ;t[ � � �..1' �3�' , `�" � 7 ., �� 5 FINAL PLUMBIN6� 'q Z�- �� , ;�� FINAL GOMNI N�TI' l PW ,� �� ' ��.�� . � , � i � � �1:G.af�OCCUFitNCY�� b�� -`.�r s°��'� �� SE�VICrES � �•� °� `� � � �� p: �� >�' ��, `� :.o r �� -_, ��'�� :FINAL"HEALTH,DEP't�� '� :r� ; .�. ,�� 4 :�,�;��"`�� 'CERT�of 81:CUPANCYa�„,, ��'� � -�� . _ � � = � q •. �� n � _ _ �_ . v. �� FlNAL�I,NQUSTRIAL"�WASTE°' ��'�",,:�;. ',.��.��, ,��:��. ..��" �' ,� COMMENTS: