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Home My WebLink About15-0834 � . �.. „�41 �e y�an�y p�� ....,.,.�-.��:..-. ,�, CITY OF DIAMOND BA,R.. _._., �� ✓�h�1`'�iT � � DEPART�MENT OF COMMO1vIT,'-&DE��,LOPNT,�NT SERVICES �� -� _ . � ', 21810 Co le Drive,Diamond Bar,ca 9i�6s PRESS �,,,��,,; (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 '��'" BUILDING PERMIT APPLICATION FIRMLY x JOB SITE ADDRESS� l7 ` ✓ /? APPLICATION DATE: "� P/C# L �/ 1 ISSUE DATE: '' � I PERMIT# �� D� -7 z APN LOT TRACT T- � Reo-�-' i OWNER TYPE CONST.� OCC GROUP: n ADDRESS S w ✓I � ZONING SEfBACKS .� CITY ZIP�7��T L. � � FRONT RW ❑ ¢ APPLICANT �,��IZ.� T� TEL. a 0 4 � REAR ❑ x � � e 1 � SIDE/SIDE STREEf RW ❑ ¢ CONTRACTOR J�lt � �� W.. SIDE � ADDRESS �+ N. y�'0.�� '�"" � � " � pROPOSED US� �- �N . � f /I Ne+� = CITY ��11.k.�A� ��ZIP q 7��TEL. C-a� �� w .� .�ilG C�l^w_ t 1 ARCH/ENG/DESIGNER � � � J vl JIO�d.a.G't 4�-�o.C.�i �` ��/Z�CJ'fC:5�--�� ? ADDRESS S �►+� � #DWEL.UNITS #STORIES� #BEDROOMS J' z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ¢ OWNEH-BUILDFA DECIAIIATION = I hereby affirm under penalty ot perjury that I am exempt trom the Contrac[or's STate License law Por the reason(s) SFR/ADD/REM I �� I indicated below by the checkmark(s),I have placed ne�R to the applicable item(s)[Section 7031.5,Business and Garage/CarpoR � Professions Cade:Any city or county that requires a permit tu canslruct,alter,improve,demolish,ar repair,any z structure,prlor to its issuance,also requires the applicarrt for the permit M file a signed statement that he or she � Patio/Deck I i is licensed pursuaM to the provisians of the Co�ac[or's State License Law(Chapter 9)Commencing with Section w � 7000 af Division 3 of the Business and Professions Code]or that he or she is exempt fmm licensure and the basis for LL Pool/Spa ' I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 ,Y of not more than five hundred dollars($500). ZQ Re-Roof S I � (,I,as owner o1 the property,or my employees with wages as their sole compensation,will do(_.)all of ar(�portions � Commercial I y of the woric,and the structure is not intended or offered for sale(Section 7044,8usiness and Professians Code:The � I Z Contractors'STate License Law does not apply to an owner of property who,through employees'or personal effort,builds m � or improves the pmperty,provided that the improvements are not intended or offered for sale.If however,the building or I � impmvement 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 :.> _ U��as owner of the property,am exclusively contrading with licensed Contractors to construct the project(Section Valuation: Ad Area: Z 7044,Business and Professions Code:The Contracmrs'State License law does not apply to an owner of property who 1� I ' n buildsorimprovesthereon,andwhocontractslortheprojecLcwithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE � License Law.). � U I am exempt from licensure under the Contractor's State License law for the following reason(s): � I � � i I 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � I Z J = year prior to completion of the improvements covered by this permit,l cannot legally sell a shucture that I have 6uilt as an w I owner-builder if it has not been constructed in its enti2ty by licensed cont2ctors.I understand that a copy of the applicable � 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:http/www.leginfo.ca.gov/calaw.html. � z_ I = DATE: SIGN: � LICENSED CONTHACTOfl'S DECLARATION � I a I' I hereby affirm untler penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � of Division 3 ot the Business and Professions Code,and my license is in full force and effect. J I Q �` I a n LICENSE C S: � 1 L1C.NO.: �J `� z I � DATE: CONTRACTOR: C �� T � I Q w WOHI�H'S COMPENSATION DECLAHATION � i y I HEREBY AFFIRM UNDER PENALIY OF PERJURY 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: �y • � � �Ection 3700 of the La6or 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 performance of t�e.wor for which this permit is issued Worker's Co ensation Insurance Carrier and ELECTRIC: � PoIi�yNumberare:S � �� PLUMBING: „ CARRIER MECHANICAL: z POLICY NUMBER '� INSPECTION FEE: 'n (TFiIS SECIION NEED NOT BE CAMPLEfED IFTHE PFAMR IS FOR ONE HU DRm DOLLMS($100)OR LESS�. �i� � ISSUANCE: � I certify that in the performance of the work for which th�s permft is issued,I shall not employ any person in any manner so as to �., , � become subject tn me Worker's Compensation Lavrs of California.Md agree that if I should 6ecome subject to the Worker's SMI P: � JCompen �n avis'n Sectlon 3700 of the Labor Cod i comply with th rwisions. ENERGY P/C: y DATE: � PLICANT: ENERGY PERMIT: � WARNING: ailure o secure Worker's Compensatio verage is unlawful,and shall subject an employer to criminal D y penalties and civil fines up to one hundred tho d dollars(5700,000�,in addition to the cost of the compensation, RETENTION FEE: a i damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: � i CONSTpUCTION LENOING AGENCY BSAF: �t n� y I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for r� = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: � LENDER'S ADDRESS: I s i I certity that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES �p/� � /�,� z county ordinances and state laws relating to building construction,and he2by authorize representatives of this county W COMMENTS: ab � � enter upon the above-mentioned property for inspection purposes. J �•_� � 1] a PERMITT NAME(PRINn � � �/ = SIGNATURE OF PERMITfEE DATE RECEIPT# �-7__�� PAID BY:� L VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy . CITY C)F DIAMON�J BAR O��AMl� i rv s�'�c-►�-�N �.�co a'� , . � , � �� ° • e � • � � ...,., .� .. __ , SETBAGW,LE�TER� ; � - � ` � � � �� ' " � � 7RACTANO LEDGER �... � . . � FQOTINGS�O�iNlS�� ;�;��, � : �� a � ' � - � - � SWITCH GEAR SLAB � � � °� �`�` ` , � � ` �� COMMERCIAL HOOD . � � � , � � . �UG;�PLUMBING �� ..- � , , , _ � u _ :� T-BAR UG:'ECECTRlCAL;��s�g �� . �� <. �; � _ • � �� '�� INTERCEPTER � � UFER�GROUND ' ° -�� '° "� � � � � "`�� HOT MOP/SHOWERPAN SEWER LATERAL I SEPTIC/CESSPOOL MAIN WA?ER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING " /� 1,i,�' ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ;SHE�[iWALP;S EXTEaIOR �` �� , ; � � , , # � y POOUSPA - , ` > " _ _ ;5N�ARWAL�S�INT�RIOR � � �� ' � � �� ROUGH PLU�IBING � �� - �� - � � „� . FEiAMING/VENTING�� ROUGH ELECTRIGAL "� ' � `� � � �� , n _ _ �RO�IGH�M�CHANiCAL� � ��_�� ; � � , ROUGH MECHANICAL � � � ROUGH°E�EG�TRICAL W( )�C�( �) . � � `° �� GAS TEST , � a - I �A�.. � � �_., ROUGH�P4U�IBING tiP�.� �� ,� � �� PRE GUNITE „ ` " i INSULATION WALL POOL�PRE DECK BONDING � ° � � ' � INSULATION CEILING P-TRAP DRYWALL FENCE/GATE!ALARM � LATH(PREj ��F1NAL POOL � ° � ' � LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL '� GAS TEST WALL STEEL 1 s'( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM EIECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION H0.FRAMING PLANNINGAPPROVAL ° 'FINAL`BUILOtN��: " ^� '� �� i%�j,� �/�i: ., " � � � � � �ROUGH FIRE APPROVAL� � � , , �Aa�. � , _ � FtN�(1L MECNANICAl;.�. '�� , s �� - FINAL FIRE DEPARTMENT - ' � , � _�, , . v a _ . ,� � � � � ,� "` FINAL PLANNING � �� F,INAL.ELECT,RICF1l_� �.� �.��. . � � ;: ; � � ,� � � , � : . , � , FINAL ENGINEERING/PW , , _ _ 'FINAL PLUMBIMG�� r °� ` � � - �' ' ., . - _t �. . °7.G�af��CGUPANCY .,�, � ° �; � � �� - _ -� � � � FINAL COMMUNITY SERVICES ` > ,� � �� = . �� a.�� . � _ , , , . ` ° ` PINAL HEALTH DEPT. 'CEIt7:-of�C£llPANCYu � � � � � s � - � � ..�� „�. , , � _ � , 'FINAL INDUS7RIAL WASTE � . � , � (� COMMENTS: RQO,� �'►D�- r�Ad y 'iFG�' �I�'1•��/:�-�1 ti ��'�°`