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Home My WebLink About15-0851 , ::�"' CITY OF DIAMOND BAR � � �� ' I ; , DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ' � �"� '"r" 21810 Copley Drive,Diamond Bar,CA 91765 ��l PRESS �.,, , W,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 ��'' BUILDING PERMIT APPLICATION FIRMLY � APPLICATION DATE: �i`J �� P/C# ��Q�I y JOB SITE ADDRESS � R p- /�� 1 ISSUE DATE: 4I�a0 �\S PERMIT# �J � �tf f� z APN LOT TRACT LOWNER ��1 JN� TYPE CONST. OCC GROUP: � ADDRESS r aCITY " ZIP��TEL. ZONING F ONT KS RW ❑ .Y APPLICANT � - TEL. REAR ❑ � � .� SIDE/SIDE STREEf RW ❑ � CONTRACTOR �O�/L�l /%�iI�I�'�YZM 1d1� ' SIDE ❑ � ADDRESS ° . � CITY ZIP�_TEL{ P�OS�E�D�S � �i I / /' � ARCH/ENG/DESIGNER rn� �� pr y� v� . = ADDRESS � � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. Q OWNEH-BUILOEH DECLAl1ATI0N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION � = I hereby affirm under penalty of perjury that I am exempt from the Contractor's Sfate License Law for the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s),I have placed next to the applicable item(s)[Section 7031.5,Business and I � Roiessions Code:Any city ar counry that requires a pertnit ta construct,alter,improve,demolish,or repair,any Garage/Carport z structure,prior to iTs issuance,also requires 1he applicant far the permit to file a signed sTatement Mat he or she � Patio/Deck I �i is licensed pursuant to the provisians at the Contractor's STate License Law(Chapter 9)Cammencing wflh Sectian w , � 7000 af Division 3 01 the Business and Professions Code]or that he or she is exempt from licensure and the basis for � PooVSpa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit su6jects the applicant to a civil penalty C7 = of not more than five hundred dollars($500). ZQ Re-Roof . I � L)I,as owner of the property,or my employees with wages as their sole compensation,will do O all of or(,.�portioos � Commercial � y of the work,and the strudure 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 improves 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 burden of proving that it was not built � or improved for the purpose of sale.�. I � _ (,I,as owner of the property,am exclusively contrac[ing with licensed Contractors[o construct the projec[(Section Valuation: Ad ArBa: z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who 1• I n buildsorimprovesthereon,andwhocontractsfortheprojectswiNalicensedContractorpursuanttotheContracrors'State QUANTITY DESCRIPTION FEE I Y License Law.�. D . I � (�I am exempt from licensure under the Contractor's State License law for the following reason(sj: � � � I 1 By my signature below I acknowledge that,except for my personal residence in which 1 must have 2sided for at least one � I J � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w owner-builder if it has not been construded in its entirety by licensed cont2c[ors.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:httphwnv.leginfo.ca.gov/calaw.html. Z I � DATE: SIGN: � � — LICENSEO CONTHACTOH'S DECLAl1ATI0N � I a I ' I hereby aftirm 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 etfect. J I � /'� � LICENSE CLASS G I L/ � � LIC.NO.: ¢ I � DATE:�,L�� CONTRACTOR: � I ¢ � WOfll�fl'S COMPENSATION DECLAHATION � y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING . I = I have and will maintain a Certificate of Consent to Self-Insure far Worker's Compensation,as provided b CONSTRUCTION: ,$, 1 Q � Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. PLAN REVI EW: �.,P9 > 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 hich t' permit is� ued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumberare: � � PLUMBING: y CARRIER �fG!/` D� MECHANICAL: � POLICYNUMBER ��jr� INSPECTION FEE: 'n (THIS SECTION NEED NOT BE CA PLETED PERMR IS F9R ONE HUNDRFD DOLLAAS($100)OR LESS). ISSUANCE: ""�\, �L}.. = I cer0fy that in the perfortnance of ihe work for which ihis permit is issued,I shall not employ any person in any manner so as N ` q� � become subjed to Ne Worker's Compensation Lavrs of Califimia.Md agree that d I should become subject to the Worker's SM IP: J Compensation�Section 3700 of the.�abo CBi I shall forth�omp�with those p�dsions. ENERGY P/C: y DATE: � APPLICANT:��4;r1 �� ENERGY PERMIT: i Pn� . � WARNING:Failure to ecure Worker's Compensa�n coverage is unlawful,and shall su ect an employer to criminal b , bp y penalties and civil fines up to one hundred thousand dollars($700,000),in addition m the cast af the compensation, RETENTION FEE: S � damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTAUCTION LENDING AGENCY B$qF;_ � Op = I hereby affirm under penalty of perjury that there is a Construc[ion Lending Agency for the performance of the work for � � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: Y LENDER'SADDRESS: i I cer0fy that I have read this application and state that the above information is cortect.I agree to comply with all ciry and TOTAL FEES �e - � �^ , b 1 I � county ordinances and state lavrs relating to building construction,and hereby authorize representatives of this county to COMMENTS: d z � enter upon the above-mentioned prope r inspection purposes. J ��1 ��Y�� n< PERMITTEE NAME(PRI � �/� ✓ � � �....._._..._, � — SIGN RE OF PERM,EE DATE n�� RECEIPT# o��.eZ�E1 PAID BY: �I �O'4-�R� VALIDATION: S'Y1 �,�1, _.'.,�� - � l ' WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOtVD BAR ' INSPE,CTION REC�RD „ , � � � , � • � � s • , l • � � �� o-� ' ^Sfr � �- : . ., .� ,.. SET�,4GKI LETTER`�" '� � � � , � « a , TRACT ANO LEDGER `FOOTINGS FQRMS,�, � '� � _� — _ � � •. , � ,._ ,� �, .. SWITCH GEAR �' � � ' - a � �, �r ,SIAB , �r,� � ,.„ ,� � . .� � � ;, � COMMERCIAL HOOD �, aUC�.PLUMBIt�G �-�. v� � � � . � ,� ,� � � _� � <� � _ � T-BAR ,UG,�ELECTRIGAL, v<� �. :� `. � �� r, � '� �� INTERCEPTER ;UFER GROUt�Q ;G�- �- > -� � � � ��-�� = � �°� � � ��!�° � `�� ' HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLE4NOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATNING ROUGH CONDUIT SHEAR WALLS EX7ERIOR �� - , . � _ , A POOUSPA.,_ � � � �� . .. , , =, �SHEAR WALCS INTE�fOR� `_ „ -� � .. .� o ROUGH PLUMBING, � � ,�-, � �..�� , � � � � FRAMEN6JI�ENTING �_ �; � ,�� 's � � ROUGH ELECTRICAL � � _ � ° �ROUGH MECkIANi,CAL,. ' �,��. � � e� �. � _ �ROUGH MECHANICAL � � � � ROl1GHaEl.ECTRiGAL:W( 1 C i�) .� . � x, � � � GAS TEST � �ROUGH�PLUMBING �� '°'�� ' �� ,� � �� . ° PRE GUNITE � INSULATION WALL POOL PRE DECK BONDING ' A � a w, INSULATION CEILING P-T�P _ DRYWALL �FENCE/GA1'E!ALARM � � LATH('PREI FINAL POOL , LATH EXTERIOR �� WALLS: LATH INTERIOR WALL FOQTING/STEEL GAS TEST WALL STEEL ls'( )2Ne( )LIFT SCRATCH COAT WALL BOND BFAM ELECTRIC METER RELEASE / WALL DRAIN/SEAL GAS METER RELEASE � WALL FINAL SPECIAL INSPECTION RO.FFiAMiNGPLAlVNINGAPPROVAL ` �" � F1N�AL�BUIL-DING�� '�� „��'� � '° � ' �"" � ` `� , 'RilUGH FIREAPPROUAL _ � FI�� :- � �,,,, , ,� � �a ,�o .. . � NAI:=M��H'tINICAL' � s ' FINAL FIRE DEPARTMENT _ v _. � ��• � � � �� _ �, , FINALPLANNING ,FINAL EL°EC7R{CAL ,� �� ,�� . �_ � m ;FINAL PLUMBING, ��` � � �� _ FINAL ENGINEERINGI PW r.� . T.G�of�OG�UPAN�Y.� � ��° �_ �� = � ,, �� ., " � _ ,� PINAI:COMMUNITY SERVICES _ GERT�of OCGllPANCY_ � �' .� , � � � ;� � FINAL HEALTH DEPL - s _. __ . F . . _ � FINAL INDUSTRIAI WASTE - � � � � � b � COMMENTS: