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Home My WebLink About14-4789 � :!r.: CITY OF DIAMOND BAR ' I � i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES " c 21810 Copley Drive,Diamond Bar,CA 91765 PRESS , „ ,,� (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 FIRMLY �'a"�""- BUILDINGPERMITAPPLICATION = JOB SiTE ADDRESS �J 0 �� " `��'�- �' APPLICATION DATE: I P/C# i ISSUE DATE: I D / ►/�� PERMIT# I y'� �� APN�LOT TRACT � OWNER �/rB� p TYPE CONST. OCC GROUP: I � ADDRE S �--3��i � � �^�� ZONING SETBACKS � CITY • �• ZIP TEL. FRONT RW ❑ jAPPLICANT �.IU � � TEL S�P 3'�+ REAR ❑ Q CONTRACTOR ��-�t/ND-wk.S' N C� SIDE/SIDE STREET RW ❑ �r ^ SIDE ❑ � ADDRESS ' S�Z �i �V� � 'r Q c �� PROPOSED USE _J�" Q�J'/d � /� .. /�� ,� � CITY .✓�Cf*w�e- CZIP/2F��LTEL. GL �d� I �� _.� � ARCH/ENG/DESIGNER ,�I��Y��iQ�?�(,�,s � ADDR SS � � � � �7 �q #DWEL.UNITS #STORIES #BEDROOMS Q CITY lL+i�.1�N�G� ZIP_t�TEL. G� �!�! � OwNER-BUILDEp DECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION I s SFR/ADD/REM = I hereby attirm under penalty of perjury that I am exempt from the Contractor's State license Law for the reason(s) I L indicated below by the checkmark(s),I have placed ne#to the applicable item(s)[Section 7031.5,Business and Garage/Carport i Protessions Cade:Any ciry or county that requires a permlt to construct,alter,improve,demolish,or repair,any I z structure,prior to its issuance,also requires ttie applicant for the pertnit to file a signed sTatement that he or she � Patio/Deck �j 2 i Is Ilcensed pursuant tothe provisians of the Contractor's State License Law(Chapter 9)Commencing with Section w � 7000 of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for LL Pool/Spa I n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecis the applicant to a civil penalty �7 = of not more than five hundred dollars($500). ZQ Re-Roof � (,I,as owner of the propert/,ar my employees with wages as iheir sole compensation,will do(,all of or O portions � Commercial I y of the work,and the structure is not intended or oifered 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 ettort,builds y or improves the property,provided that the improvements are not intended or ottered 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 purpase of sale.). I � � (,I,as owner of the property,am ezclusively conVacting with licensed Contractors to construct the project(Section - Z 7044,Business and Professions Code:The Contractors'Sta�License Law does not apply to an owner of property who Valuation:_ � Adj.AfeB: I � buildsorimprovesthereon,andwhocontractsforiheprojectswithalicensedContractorpursuanttotheContractors'State QUANTiTY � DESCRIPTION FEE I Y License Law.). I � (,I am exempt from licensure under the Contractor's State License law for the following reason(s): � I 3 ¢ 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 by this permit,l cannot legally sell a sVucture that I have built as an w owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable I qy law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at �}S � � � r I � the following Web site:http/www.leginfo.ca.gov/calaw.html. , I = DATE: SIGN: � — LICENSEO CONTRACTOH'S OECLAFIATION � I a I y I hereby affirm under penally 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 eR I a � LICENSE CJ� LIC N �S� � a I Z DATE: CONTRACTOR: �� I ¢ WOHl�H S COMPENSATION DECLARATION g I � I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLAPATIONS: � �� ¢ I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: a Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVIEW: ,�n�-�� I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � �the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: � h� ¢ PolicyNumberare: PLUMBING: v y CARRIER I ^'�"��`'�x� MECHANICAL: Z PoIICYNUMBER INSPECTION FEE: � � (THIS SECTION NEED NOT BE COMPLEfED IF1HE PERMR IS F9R ONE HUNDRED DOLLARS($100)OR LESS). ISSUANCE: 7f .1, ,�,� � I certifyfy that in the pertormance of the wo whic this permit is issued,I I not e ploy any person in any manner so as� SM I P: 7�f,`�/ � beoome subject to the Worker's Compe tion La of Califomia.Md e at' hould b me subject to the Worker's J Compen ti p ''ns of Sec6on 37 0 of the or Cade,I sh 't� m ith provisions. ENERGY P/C: � oar�: f APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker' ensation coverage i wful,and shall subject an employer to criminal RETENTION FEE: -7��' y penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, i damages as pmvided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTHUCTION LENOINGAGENCY BSAF: '� (f�' y I hereby aifirm 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: TOTAL FEES � ` g p I '1 I certity that I have read this application and state that the above information is correct.I agree ro comply with all city and . 7 county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to z COM M ENTS: � enter upon�p�y^�nve-mentioned praperty f r inspection purpases. J � �' � b I ¢ PERMITTE E(PRI _A I � ` /� = SIGNAlU ERM E ATE RECEIPT# rJ-�-/ �� PAID BY: V VALIDATION: .�-�.P'4,�' �HC �� ,,9-� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy � CITY OF DIAMOND BAR INSPECTION REC�RD � • � , • • - • • e � � • - ;SETBAGKILETTER °""� �'��`�'� o , '�� ' �� . . TRACTAND LEDGER �FOOTINGS FORMS, '�,�6"�� ;� . � � , : . . g; k < � a -; , SWITCH GEAR SLAB°`��`: ;� � '' ; � " ° r ° `'�: ' ` , .� � �� , . � COMMERCIAL HOOD x , �. .. , , �JG:�PIUMHII�f�� ' � � ' 6 . � . � �,. . � T-BAR� . ,. an �� . ��,e� ,__� �UG�ELECTRIGAL � � ,,� ;� � , � � _ � � INTERCEPTER ! � �UFER�fElOUN,b��°��' � ` � � b � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALL�EXTERIOR� �� E , : ` � � �POOVSPA � � < , , � $� �` � � _ _ � v < _ , ..m , , , , .,� . . �SHFAR�WALLS WTERIOR � � `,` - � ' � ` �� " �: � � � " � � _ � 4 :� ��ROUGH PLUMBING � �� ` : ' , _ ---��v ,�, , � FRAMING/+JENTfNG�;�_ " `R w , , ; � � �; �. ' : . ROUGN ELECTRICAL � . n . , . " � � � - �� - ' �� " �' � � � � �ROUGH MECHANICAL . RQUIGH°MEGHANICAL��`� �� " � � , . _ �. . . , , , , 'ROI�GH E�EC'TRiCAL�W( )C i °)., �� `�� ° � �.�� , �; GAS TEST . m , , e ROUGH PLUMBING � r «� ., �� a. � t, �� < . . , , � a ��. , . �� , . ., � ,. , n , PRE GUNITE INSUlATION WALL POOL�PRE DECK BONDING • � � ' � � INSULATION CEILING P-TRAP DRYWALL FENCE/GATEI ALARM -- LATH(PREI FINAL�POOL a � � ' LATH EXTERIOR WALLS: LATH INTERIOR WALL FQOTING/STEEL GAS TEST WALL STEEL 1 ST( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION ��F�O.FRAMING PLAIJMNG�APPROVAL ° � ° � �� '� � EINAL BUILpIhiG� .� �� ' �''" � � ROUGH FIRE APPROVAL � FINAI MEGNANI£AL�� . " ; ,°s ; ` a � ,; � �� , �_ FINAL�IRE D6PARTMENT . � � � ._ � fIt�AL EIECTRtCAL ` �� ' '' �� - � '� 9 � `' , �� ' � � FINAI PLANNING _ _ �_. ,. ��, � _ _ - `FINALPLUMBINf �� ` .°-�'� � _ .�� :T < �� _ , �� . ��FINAIENGINEERING/PW � � � � '�� " �� - �� _ ��`a'� � �� 'F�INAL COMMUNITY SERYICES - , T G:=of OCGiJRANCY �°, ' � �� s n..� �a �� ' `� ` °" ` " �� ` FINAL HEALTH DEPL - � � 4�Fi'i,„oi�BCCUPANCY� � ��, �� _� �, < . , . . . _ ,� ,FINAL fNDUSTR1Al WASTE � n � � � � � ' COMMENTS: Z