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Home My WebLink About15-1295 (8) r—"�� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES <; �� " 21810 Copley Drive,Diamond Bar,CA 91765 PRESS \w„F�y,�,; (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �''�"'i BLTILDING PERMIT APPLICATION g APPLICATION DATE: �SIZp, �' p/C# PR\S-i2�s y JOB SITE ADDRESS l ^1 U 3 R v � � r� �!'�e e ` �� 1 � z APN LOT TRACT ISSUE DATE: �r/2��S PERMIT# IS'1�.�5 � OWNER � L h G/��7(� TYPE CONST. OCC GROUP: � � ADDRESS J CITY ZIP rE�. Q�'t �S Gi ;32-k ZONWG SETBACKS FRONT RW ❑ = APPLICANT i b� (� TEL.`l l `� 1�� y I� REAR ❑ n SIDE/SIDE STREET RW ❑ ¢ CONTRACTOR R e � �y SIDE ❑ � ADDRESS l �3�-6 En k ui G 4 i �"ti-v� = CITY�f.�r�'G-n Q ZIP ��b TEL. �� 3`�2 1-�.2� PROPOSED USE � � ARCH/ENG/DESIGNER y = ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. Q OWNEH-BUILDEB DECUIFIATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � = I hereby affirm under penalty of perjury that I am ezempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I i indicated below by the checkmark(s),I have placed ne#to the applicable item(s)[Section 7031.5,Business and Garage/Carport I � Professlons Code:Any city or counry that requires a permit M construct,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires the applicant for 1he permit ta file a signed sfatement that he or she � Patio/Deck I nis licensed pursuaM to the provislons of the Contrac[ar's State License Law(ChapTer 9)Cammencing with Sectian w � 7000 of Division 3 of tlie Business and Professions Code]or that he or she is exempt from licensu2 and the basis for � Pool/Spa I n the alleged exemption.Any violation of Section 7031.5 by any applicant far a permit subject5 the applicant to a civil penalty C7 I � of not more than five hundred dollars(3500�. ZQ Re-Aoof � U I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or(,partions � Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The � I � Contractors'STate License Law does not apply to an owner of property who,through employees'or personal effort,builds m � 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 p or improved for the purpose of sale.). I � _ (,I,as owner oi the property,am exclusively cont2cting with licensed ContracMrs to construct the project(Section Z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of property who Valuation: Adj.Area: I � buildsorimprovesthereon,andwhocontractsfortheprojeciswithalicensedContractorpursuanttotheContractors'State pUANTITY DESCRIPTION FEE I License Law.). I j (J I am exempt from licensure under the Contractor's State License law for the following reasan(s): � I � � i I By my signature helow I acknowledge that,except for my personal residence in which I must have resided for at least one � � year pnor to completion of the improvements covered by this permit,l cannot legally sell a structure that 1 have built as an w I owner-builder if it has not been construded in its entirety by licensed contractors.I understand that a copy of the applira6le � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at ej [L h fl u.s e 4'j P Pk I � the following Web site:http/www.leginfo.ca.gov/calaw.html. � L Z_ I = DATE: SIGN: � LICENSED CONTFIACTOH'S DECLAHATION � I a I� 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 etterct. J I n LICENSE CLASS: �� LIC.NO.: L�1� ` � `2 � a I Z DATE: �/Z�{�� S� CONTRACTOR: R� ��P�� y � I ¢ WOHI�N'S COMPENSATION DECLAl1ATI0N � I y I HEREBY AFFIRM UNDER PENALTY OF PEflJURY ONE OF THE FOLLOWING DECLARATIONS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: . � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�qN REVIEW: � � I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for Z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumberare:W�y L J. PLUMBWG (3'�_�"4 y CARRIER MECHANICAL: � POLICY NUMBER L 3 V ( Q( � INSPECTION FEE: 'n (1HIS SECTION NEED NOT BE CAMPLEfED IF hIE PERMR IS FOR ONE HUNDfiED DOLLARS(3100)OR LESS). ISSUANCE:_ �S-5� j I certify ihat in the perfortnance of ihe work for which this permit is issued,I shall not employ any person in any manner so as tn � become subjed m the Worker's Compensation tavrs of CaliTornia.Md agree that if I should become subject m the Worker's SMIP: J Compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. ENERGY P/C: i DATE: S L �(SAPPLICANT: � ENERGY PERMIT: sWARNING:Failure to secure Worker's Compen ' coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: '2 ��.� y penalties and civil fines up to one hundred thousand dollars($100,000),in addition fi the cost of the compensation, ? damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: y I hereby affirm under penalty of perjury that there is a Construction Lending Agen�y for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: = LENDER'SADDHESS: i I certiry that I have read this application and state that the above intormation is correct.I agree to comply with all city and TOTAL FEES �ri 1�y i� � w� T Z county ordinances and sTate laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: Jenter upon the above-mentioned properry for inspedion purposes. � �TUn 1C tn q S � G., d ¢ PERMITTEE E(PRINn � S�/ �- J � n � n = SIGNATUR PERMITfEE DATE RECEIPT#._�__ pAIDBY: Zy�-� VALIDATION:_� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy r - CITY OF DIAMOND BAR INSPECTION REC�RD � � m + • � - • • � � . � . :SETBACKi�IEfTER ; �,,�, „ ,� ;� .� :. , �. � � � . TRACTAND LEDGER FOQTINGS FORMS�F.; d� �� SWITCH GEAR �S'�qB � �'.�.; �.�...� � ,� � . , •� � � � � -, COMMERCIALHOOD - �� E�.� � � � .� �,�� .� � �, � A, . ,Uf:'�,PLU�iBING �, _ : '� ` � __ T-BAR � ;UG.ELECTRICAL � ,�,.� � � � ��. � ,,,� INTERCEPTER ,UFER GROUND t •�� -�- �� F � � ° � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOdR SHEATHING ROUGH CON�UIT ,r . , e �_� . �SHEAR'WALLS��tTERIOR �� '� � � �_ . �, � . t � .�; , � � �POOUSPA � , _ � SHFARINALLSWTERIOR � _� ; ;� : .. , g g � M� �, ROUGH PLUMBING 3 � � : .3 :^ � �RAh+11t�G/VENTIt�G�`�� . � " z �� - . � � �� ROUG�1�LEC�RICAL � s �. � � ` - - �RDUGH�M6�HANICAL'°� '�� ° ° ° ��flOUGH"MECHANICAC. � � `� � �� __ . "�" , , � � $ 'GAS TEST__ _ _ �RQI'JGH`EL�CT{iICAL"�W( )�C(��Y � `� � � � � . � �;�.� �� .� . _ �, . ;.. _ ; : � �. ROUGH PLUMB�NG � '�� : �7 . `� �� . �, � ;PRE GUNITE ,z a � x INSULATION WALL I POOL PRE DECK BONDING INSULATION CEILING ' P-TR4P" ' DRYWAIL � FENCE/GATEIALARM � — --�-- --- � LATH(PRE) FINAL POOL � LATH EXTERIOR ,WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST i WALL STEEL 1sT( )2Ne( )LIFT SCRATCH COAT --� WALL BOND BEAM ELECTRIC METER RELEASE I WALL DRAIN!SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION ;; �R0.FRAMWG PLANNINGAPPROVAL t.. _ ; �� _ EtNAL,BUiLDING.��,._,,. �� '��,., ��/ri,'�. ; � .� � ROUGH FIRE APPROVAL - � �� INAL I��CHAPd(GAL�-: ��. �,. .�A �, � . � � ��FINAL FIRE DEPARTMENT � ` , �� , , _ � `FINAi.ELECTRlCAL ; ��' ��"�;. � � � �' ,' � `FINAL PLANNING __ _ ». � " `" s �� _ � -�'�`'- • . ° � � ,' �' , FINAI ENGINEERING/PW � F�NA��PLUNI�INt3�' °�� !'�) a "'' ,� � ,� .�. � . � �' � � _ � A _ . � 6isC.�nf�OCGUPANGY�� , , �,�.. � ��.� � .:�. .;. � FINAL GOMt�IUNtTY SERVICES , GERT,ot OGCUPANGY-, � `_ �� ,�.� . , , �; � �^ � � i�FiNAL NEALTH DEPT, ` � 'FINAL IFfDUSTRIAL WASTE " COMMENTS: