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Home My WebLink About16-0744 (9) ____ " __ CITY OF DIAMOND BAR �- . ��j //� i � � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �,��/� ��' 21810 Copley Drive,Diamond Bar,CA 91765 V PRESS � (909)839-7020 Fax:(909)861-3117 Building InspecNon Hotline(909)839-7027 FIRMLY � �'�"'� BUILDING PERMIT APPLICATION www.cityofdiamondbar.com building@diamondbarca.gov � � � a JOB SITE ADDRESS I SD 3 S� ��y �?��-i tti APPLICATION DATE' ' ' P/C# Z ISSUE DATE: `� PERMIT#: �f 7�J � APN LOT TRACT ' � s�" � � OWNER �D�6B�✓'a-G� i�2� IYPE CONST. OCC GROUP: -� ADDRESS ��a3 S��I tJ�Gr �pi.i w_ a CITY ZIP r/!�'(o�TEL. �I,� oScope of Work �P�� ,�,•-�-6.-w�� S��Gi.✓� APPLICANT �la.{� �WYDu,TEL. C2Zro�'�`I S7�{q � �� o CONTRACTOR � �` �� ADDRESS #DWEL.UNITS #STORIES #BEDROOMS a CITY ZIP TEL. " ARCH/ENG/ z DESIGNEFI DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Z ADDRESS SFR/ADD/REM m CITY ZIP TEL. Garage/Carport ¢ OWNER-BUILDEH DECLARATION w Patio/Deck � I hereby affirm under penalry of perjury that I am exempt from the Contracror's State License taw for the reason(s) LL Pool/Spa oindicated below by the checkmark(s),I have placed nezt to the applicable item(s)[Section 7031.5,Business and Z Re-Roof w Professions Code:Any city or county that requires a permit to canstrucT,alter,improve,demolish,or repair,any � a, strucWre,prior tn its issuance,also requires the applicant for the permit fn file a signed statement that he or she .� Commercial � is licensed pursuant fn the provisions of the Cantractnr's STate License Law(Chapter 9)Commencing with Section m � 7000 af Uivisian 3 af the Business and Professions Code]or that he or she is exempt from licensure and the basis for " � the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty 0 of not more than five hundretl dollars($500). (J I,as owner of the property,or my employees with wages as their sole compensation,will do(,all of or(J portions Z of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Va/uation: ' Adj.Area: w Contractors'STate License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the property,provided that the improvements are not intended or oftered for sale.It however,me builtling or QUANTITY DESCRIPTION FEE pimprovement 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 ot sale.). � Z (�I,as owner of the properry,am exclusively corthacting with licensed Corrtractors to consWct the project(Section ¢ N 7044,Business and Professions Code:The Contractors'State License law does not apply to an owner oi property who � — buildsorimprovesthereon,andwhocontractsforlheprojectswithalicensedConVactorpursuanttotheContractors'State � oLicense Law.�. "' � (_J I arn ezempt hom licensure under the Contractor's State License law for the following reason(s): � z z m � By my signature below I acknowledge that,except for my personal residence in which I must have resitled for at leas[one � Q year prior to completlon of the improvements covered by this pertnit,l cannot legally sell a structure that I have built as an d a owner-builder if it has not been conshucted in its entirery by licensed contractors.I understand that a copy of the � applicable law,SecUon 7044 of Ne Business and Professions Code is available upon request when this applicatlon is � o submitted or at the following Web site:http/www.leginfo.ca.gov/calaw.html. � �j 110ENSED CONTlIACTOH'S DECLAHATION � � mI 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 effect. �' uCENSE CLaSS:�Lo uC.NO.: ��C C"�I CONSTRUCTION: u� Q DATE: �7 "Z�'F I�O CONTRACTOR: f�iG��`-�— � O ��-+� WORKEH'S COMPENSATION DECUIFIATION PLAN REVIEW: QI HEREBY AFFIRM UNDER PENALIY OF PEflJURY ONE OF THE FOLLOWING DECLARAl10NS: ELECTRIC: �J p� � o I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by PLUMBING: � Section 3700 of the Labor Code,for the peAormance of the work for which this permit is issued. 0 _�I have and will maintain Worker's Compensation Insu2nce,as required by Sedion 3700 of the Labor Code,for MECHANICAL: z the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and INSPECTION FEE: ¢ Policy Number are: � CARRIER Z C.w'i�il ISSUANCE:__ � �� z �+1� � POLICY NUMBER L�Gl� /S�ZD'/7�C SMIP: Q�J�� ti ? (THIS SECIION NEED NOT BE CAMPLETED IF 1HE PfAMfT IS FOR ONE HUNDRED DOWWS($100)OR LESSy. ENERGY P/C: p I certify mat in ihe performance of the work for which this permit is issued,I shall not employ any person in any manner so as to EN ERGY PERMIT: o become subject ro the Worker's Compensation Laws of Califomia.Md agree that ii I shoultl become subjec[ro the Worker's � J Compensation provisions of Section 3700 of the Labor Code,I shall torthwith compty wilh those provisions. RETENTION FEE: �e� S DAlE:71__Zyr�APPLICANT:��f��,J— PRE-ALTFEE: � WARNING:Failure to secure Worker's Compensation coverage is unlawlul,and shall suhject an employer to criminal i � penalties and civil fines up to one hundred thousand dollars($100,000),in addition ro the cost of the compensa6on, BASF. , p damages as provided for in section 3708 of the labor code,interest,antl attomeys fees. PLOT PLAN: d CONSTAUCTIONLENOINGAGENCY ZONING CLEARANCE: = I hereby affrm under penalty of perjury that there is a Conshuction Lending Agency for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: WLENDER'S A�DRESS: TOTAL FEES 9/ �� V��ya � I certify that I have read this application and state that the above information is correc[.I agree to comply with all city and Z counry ordinances anA sfate laws relating to builtling construction,and hereby authorize representatives of this county to COMMENTS: o enter upon the above-mentioned property for inspection purposes. m i�l/��TC � LYi . � PERMITfEEN�ME(PRIN 2 P/C: PAID BY VALIDATION: � - "'"""—"`�— 7 � � RECEIPT# PAID B I � � VALIDATION: � SIGNATURE OF PERMITfEE DATE � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy CITY OF,DIAMOND BAR ��,�� - INSPECTION RECORD � • � � • - • � � . • . SETBACK/LEffER TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR g�qg COMMERCIAL HOOD UG.PLUMBING T-BAR UG.ELECTRICAL INTERCEPTER UFER GROUND 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 WALLS EXTERIOR POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( )C( ) GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P-T�P DRYWALL FENCE/GATE/ALARM LATH(PRE) FINAL POOL LATH EXTERIOR WALLS: ' LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1Sr( )2"0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE ' / /� WALL DRAIN/SEAL , GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNING APPROVAL FINAL BUILDING J ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL / FINAL PLANNING FINAL PLUMBING FINAL EN6INEERING/PW T.C.of OCCUPANCY FINAL COMMUNITY SERVICES CERT.of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: