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Home My WebLink About14-4846� ��`ljn 1`l I ,,,,,,,,,,,,, ;,�!_. y CITY OF DIAMOND BAR ��1 b ' .- !- I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �✓� ' - • 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS ,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 ��"�'" BUILDINGPERMITAPPLICATION FIRMLY � `� Q � APPLICATION DATE: �G��7�I� P/C# � - �d 7'�� y JOB SITE ADDRESS s y��!'! z APN L T TRACT ISSUE DATE: � � ��y l� PERMIT# � �Je � y OWNER � � TYPE CONST. OCC GROUP: n ADD SS EL�V{.0 J CITY �k�� Z � TEL. � Z Z�NING SEfBACKS ' � APPLICANT - TEL. �(� �Z7rI�JSf9S RE,qRT RW ❑ Q CONTR,4CTOR �-(' SIDE/SIDE STREET RW ❑ � SIDE ❑ � ADD �SS 0 G f.0� � PROPOSED USE u s CI ZIP H ��TEL. CI � ARCH/ENG/DESIGNER (' � = ADD SS ,�� V�/' .�.�l #DWEL.UNITS #STORIES #BEDROOMS ¢ CI ZIP ��-TEL. 'n �� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION � � OWNEfl-BUILDFA DECLARATION � I hereby affirm under penalty of perjury that I am exempt from the Contractor's State LJcense Law for the reason(s) SFR/ADD/FtEM I L Indicated below by the checkmark(s�,I have placed neM to the applicable ttem(s)[Sectlon 7031.5,Business and Garage/Carpwt I , � Rofesslo�Cade:My cfty or county that requlres a permR to co�truct,alter,impmva,demolish,a repalr,any z strucWre,priur to tts issuance,also requlres the applipnt for the parmit to flle a sipned statemerrt that he w she � Patio/Deck I nIs Iksnsed pursuarrt to the provislons of the Ca�tractors Sqte Llcense Law(Chapter 9)Commancing with Sectlon w � 7000 of DNisim 3 af Ure Buslness and Professlons Code]or that he or she Is exempt from Ilcensure and the basis for LL PooVSpa � the alleged ezempUon.My viWation of Sectlon 7031.5 by any applicant for a permlt subjecCs the applicant to a civll penalty Z Re-Roof I = of not more than five hundred dollars($500). � � U�,as owner of the property,or my employees with wages as thelr sole compensatlon,will do(J ell ot or(J portions � Commercial I y M the work,and the structure Is nM intended or oNered for sale(Section 7044,Business and Professlons Code:The � I '� Contractors'State LJcense Law dces not p op rty g p y personal eNort,builds m apply to an owner of r e who,throu h em lo ees'or y or improves the pmperty,provlded that the improvements are not Intended or offered for sale.If however,the bullding or I � improvemerrt Is sold within one year of completion,the Owner-Builtler will have the burden of proving that tt was not hultt � or improved for the purpose of sale.). I :� (1 I,as owner of the property,am exclusively contracting with licensed Contractors ta consWct the pmject(Section Z 7044,Buslness and Professlons Code:The ContracNrs'State License Law does not apply to an owner of property who Valuatio ' Adj.Area: I 1, buildsorlmprovesthereon,andwhocontractstorthepmjectswtthallcensedConVactorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y ucense Law.). � U I em exempt from licensure under the Contractar's Shete Ucense law for the follovnng reason(s�: � � U I1 � By my signature bebw I acknowledge that,except for my personal residence in whlch I must have resided for at least one c~.� I � year pdor to completion of the improvemenLs covered by Mis permit,l cannot legally sell a structure that I have bultt as an w . I ¢ owner-builder if R has not been consWded In K�s entirety by Ilcensed wntractors.I understand that a copy of the appllcable Y law,Section 7044 of the Business antl Professions Code is�avallable upon request when this applicatlon Is submitted or at � � the follovnng Web stte:http/vnnv.leginfo.ca.gov/calaw.htm � � z_ I = DATE: " SIGN: � -A — LICENSED CONTHACT ON � I a I y I hereby affirm under penalty of per�ury that I am licens under provislons ot Chapter 9(commendng with Section 7000) � of Division 3 ot the Business and Rofesslons Code,and my license is In full r a efte n. I nj LICENSE CLASS: i � U .ULIC.NO.� v � ' I � DATE:�, � CONTRACTOR' � I WOfll�fl'S COMPEN TI N "' f I y. B RM UNDEA PENALIY OF PERJURY ONE OF THE FOLLOWING DECLARN110NS: �.� ��'j� l � I have and will mairdain a Certifcate of Conserrt fi Self-Insure for Worker's CompensaUon,as provlded by CONSTRUCTION: �''�.�r�°,a/,,�1'-� , � Section 3700 of the La6or Code,for the pertormance of the work for which this permtt is issued. p�,qN REVIEW: �.'�9 � have and will malntain Waker's Compensatlon Insurance,as required by Section 3700 of the Labor Code,fw �,_,� �y n � the pertormance of the work fur which this permit Is issued.hry Worker's Compensation Insurance Carrier and ELECTRIC: _ �r�� zd PoIi�yNumberare: � ` � ` PLUMBING: y CARRIER � I^ �f MECHANICAL: � POUCYNUMBFA IdH7 � �� 2G�_ Z INSPECTION FEE: '� (IHIS SECTION N�NOT BE COMPLE7ED IF THE PHiMR IS FOfl Ot�HIRJDR�DOLLARS($10Q�OR LESS�. ISSUANCE: % = I cerlify that In me performance of the wak for which ihis permit is issued,I shall not employ any persai In any manncr so as to . 1 � � becarie subject to the Worker's Campensation Laws of Califomia Md agree Uiat if I should hecane subject to the Waker's SM IP: L Compensation provisi of$qctlon 3700 of the Lahor Co hall fathwith o d�wlth those pro'ci ENERGY P/C: i DATE:��ruCANT: _ ENERGY PERMIT: � WARNING Fallure to secure Worker' mpensation coverage I ,and shall subject an employer to cnminal n ipenaltles and civil fines up to one hundred thousand doll 100,000�,in addition to me cost of the canpensation, RETENTION FEE: , �� damages as pmwded for in section 3708 oi me labor code,interest,and attomey's tees. PRE-ALT FEE: i CONSTHUCTION LENDING AC�NCY g$qF; !��/� y I hereby affirm under penalty of perJury that there is a Construction Lending Agency for the pertormance of the work for {� = which Mis permit is issued(Sec.3097,Gv.C.�. � LENDER'S NAME: s LENDER'SADDRESS: i I certlfy that I have read this applicatlon and state that the above informatlon is correct.I agree to cromply with all city and TOTAL FEES � �nn ' V•' Z county ordinances and state laws relating fi building construction,and hereby authorize representatives of this courrty to COMMENTS: � enter upon the above-mentloned roperty for nspectlon purposes. J �� ' "S7 ¢ PERMf1TEE (PRItJn Q /�` � n = Tl1RE MIT'fE DATE RECEIPT#�-�f,J`��_,_ PAID BY:�ao��a/ VALIDATION: , O � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—AppllcanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD � . � � e , � . . � � , • • - ;SETBACW ETTER�� '�'^ `��"� � . .,��;�� , ' °� TRACT AND LEDGER � w..___ �,� ,,..� � _ . ; �� _�� .r�� 'FOOTINGS FORMS �`a_ � �� >�`. . T �� .s��° SWITCH GEAR 'SLAB��°= ��.; ��..� ;<:.�� a-° + ��,..� � .,. COMMERCtAL H00D ��1,� ��• ��r � ,��, � :.�^33�� 7-BAR ,UG..PLU�BING�� ,y��°. ��.:. � :�� _._� � ��. � � ,UG.ELECTF?ICAL �3 �'e `�';. �� , ��`'� ��y,�°,� ; � � �`� '� � � � �- INTERCEPTER UFER�GROUNDy, ��,��...' ' �'k�,��-:°; � � '�°"'" HOTMOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPdRT RECEIVED SEWER CLEANOUT DEMOLITION ROOf SHEA7HING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT r � � a�.- � a ,'"� �- . .�.�.,� a�' �` �" �° �'fi` �� =�� n r ,�^" ,SHEAR WA�LS fXTERIOR�, � �� ,r � ��. �POOUSPA; r � -� " � ' P� � ., `SHEAR WAE.LS 1NFER1(lR,, �''�' ' ° �� ' � ' ROUGH�PLUMBiNG ' ,� �._ - E �� y a � �,�. �� - �,� � ;a�'a' sh�° �°k+.a` t��' ��' � r� �� .;s�. v .? '�� . , ��.. m� �~� � ��, �. � r�� K, �� ROUGH'ELECTRICA�: � - �,�� FR,4MING%VENT.ING `� � `: � �� : � � � �� z �� _� � - � � - - ' �:�., ,:. �� ' "� � �ROUGH MEGHANICAL � ,��w � �„ � � �ROUGH MECHANIGAL�� , �� .'�,�' '� �� °� � � � ` � � �� ; �� ,�3 ;.� �>� � �' , � a ROUGN ELECTRICAL W(��)�C f�).� .,�� t�� , ' � ,�� GAS TEST �� _- �� _ � , .. .,. ;. r' , �r' "3 �`� �:. � �fikY�'� . +�� .�k�' � �i��' �� q��'`�€e,�. ,ROUGH"PLUMBfNG�.. ��, a�:� �°' �:��..� ��z, x,�� ,�, PREaGUNiTE,� . ��,�. ,��` �- � k INSULATION WAII POOL PRE:DECK BONDING� > �� ` �� -�� - .�� _� ��,� ` �' �� INSUlATION CEIUNG P��RAP�� ,,,.��"� �� r��: �� »��`�� DRYWALI �FENCE/G1a�E/ALARM��,� � ��' "� E, � � ' ��.; g LATH(PR� �F;INAL POOL� :r� �"r ��`• �� ,�� ":x �.a LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEI GAS TEST WALL STEEL 1�( )2ND( )LIFT SCRATCN COAT WALL BOND BEAM EIECTRIC METER RELEASE WALI DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION �R04FRAM�IG PLAlJNIN6APPfiOVAL� � °� ��'� � ,FINtIL 6UIlDING �. '' ` �� °�� ,, £ ��" .i�� F30UGH FIRE�APPROUAL � 3 � � � ` �� ; � �� `` s, i ��` s� � � � �` _ ��=' t,� ^ � � FtNAL FIRE DEPAHTMEN7 ,.� � �� fINA -hAECHANiCAL �� „�� "� _ ' �,� ;� �.� � � � �. �. - �� ' L�G�LECTRICAt,�`��,.� � ��, �r ��,;a, ��,�;.,�� .. PLAN ,4 �� _� �' � � � FINAL � NING � � 3 »� e �� ,� �� y �� E��:, ��. ., ��,,;p y,,� "FINAL E`�IGINF.ERING PrtW ;�� ' �� e-�re ; :,� :, �FINAL PLUMBWG�'`" ' �;' � �.�'�' �� _ �� a � � � �° ��. iT.C.of OGCUPANCY ��°" ��,�. �� .� �� '�FitdAL"COMMUNITY SERVICES § ��" � #� �,� >°�.��,� �� " , � �T:�� ,,:�� „ � �` wY "' � " �- t ,CER''t_�of OCCIIPANCY� t.��,� `�""��,ri�.;� �;:�` : �� FtNAI HEALTH DEPT a�� - <� � �_u .�� .� _ _ eFtfilAL INDUSTRI%IL:�`WASTE� ...,�n�� ;,� "�,.'.�� ', COMMENTS: '��