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Home My WebLink About14-4829 � ; __J _ - � � � -tx� CITY OF DIAMOND BAR ' ' „ DEPARTMENT OF COMMLJNITY&DEVELOPMENT SERVICES � 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS .� „� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �'�'" BUILDING PERMIT APPLICATION - z JOB SITE ADDRESS Z�y� V �� .�� 'j� APPLICATION DATE: `� P/C# I � 9 '. i ISSUE DATE: /��0-V��'� PERMIT# Iy� 7�fY� z APN LOT TRACT � OWNER S TYPE CONST. OCC GROUP: n ADDRESS s ZONING SEfBACKS J CITY • ZIP TEL. �� FRONT RW ❑ � APPLICANT �[.(,��Z(} TEL.�GZ �}'D7iS�� REAR ❑ � SIDE/SIDE STREET RW ❑ n Q CONTRACTOR SIDE ❑ � ADDRESS �Zi7i� I�� _ PROPOSED US� �3. s CITY DOLva�ZIP�jTEL. � � ARCH/ENG/DESIGNER z ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. I a� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNFA-BURD@I DEqAMTION 'r I hereby affirm under penalty of perJury that I arn exempt from the Contractor's State License Law for the reason(s) SFR/ADD/FtEM I � I� indipted below by the checkmark(s),I have placed nent to the appllcable item(s)[Sectlon 7031.5,Buslness and Garage/Carport Protessio�Cade:My cfty or courrty that requlres a permit to construct,alter,Improve,demolish,m repalr,arry z shuctlue,prlar lo Its Issuance,also raquires the applica�rt fa the permR to flle a sipned statemeM that he a she � Patlo/Deck I i Is Iicensed pursuairt ta the proNsiore of tlre Contractor's State License Law(Chaptaz 9)Comme�ing wlth Sectlon w � 7W0 of Dlvlsion 3 of ihe Buslness and Professlons Code]or thffi he or she is exempt hom licensure and the basis tor u_ FooVSpa I n the alleged ezemptlon.Any violation of Section 7031.5 by any applipnt for a permtt subJects the appllcantto a civil penatty �7 I = of not more than five hundred dollars($500�. ZQ Re-Roof � (�I,as owner of the property,or my employees witli wages es Uieir sole compensatlon,wlll do(�all of or(,�portions � Commerclal I y of the work,and the sWcture Is notintended or offered for sale(Section 7044,Business ind Professions Code:The m I Z Contractws'State License Law does not apply to an owner of property who,through employees'or personal effort,builds y or improves the pmperty,pmvided that the Improvements are not intended or offered for sale.It 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 bullt � or imprmed for the purpose of sale.). I '� U�,as owner of ihe property,am exclusively contracting witli licensed Contractnrs to consVuct the proJect(Sectlon Z 7644,Business and Professions Code:The Contracrors'State Llcense Law dces not apply to an owner of property who Valuation Adj.Area: I � buildsorimprovesthereon,andwhocontractsforiheprojectswithallcensedContractorpursuantWtheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). �, I � (,I am exempt hom licensure under the Contrac[or's State License law for the following reason(s): � � � , 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided tor at least one � � I = year priorto completion of the improvements covered by ihis permftJ cannot legalty sell a structure that I have built as an wJ owner-bullder If It has not been wnstructed in itv er�tiraty by licensed contractors.I understand that a copy of the applicable � � law,Sectlon 7044 of the Business and Professions Code Is available upon request when this application is submitted or at � the following Web site:ht�/vm�w.legi�o.ca.gm/calaw.html. Z I DATE: SIGN: m � I — LICENSED CONTRACTOH'S OECLAHATION � � � I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing wlth Sectlon 7000) � of Divislon 3 ot the Business and Professions Code,and my license is in full force and eftect. J I � LICENSECLA/SS: `/�`O L1C.N0.:�/�� U I Z DATE: _O[!J/�/� CONTAACTOR: �('�'iL-?^l.!^�l � I ¢ WOHII�H'S COMPENSATION DECLAMTION � I y I HEREBYAFFlRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � I have and will mainlain a Certificate of Consent fi Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: Y - � Section 3700 of the Labor Code,tor the performance of the work tor which this permR Is issued. p�qN REVIEW: i T� f3 � � I have and will malntaln Worker's Compensatlon Insurance,as required by Sectlon 3700 of the Labor Code,for ELECTRIC: ��•�� the pertormance af the work for which this permlt is Issued.My Nbrker's Compensatlon Insurance Carrier and �— ¢ PoIi�yNum6erare:�l'�•� / PLUMBING: y CARRIER �^'�C�/i�, MECHANICAL: � POLICY NUMBFA�g(��zC� INSPECTION FEE: 7I.I'y n (fHIS SECTION NEED NOT BE COMR_EfED IFTHE PBiMfT IS FOR ONE HUNDR�DOIIMS($10(T�OR LESS�. � ISSUANCE: /�� = I certify that in the peAamance of ihe wuk for which thls pertntt fs Issued,I shall not employ any persan in any manner so as to � become subject to the Worke�s Compe�sation Laws of Califania.Md a that if I s Id b e subject to the Worliers SMIP; - Com nsatbn visbns of Sectlon 3700 of the labor Code,I ca � v[sims. � Pe P� ENERGY P/C: J DATE: APPLICAM: 2 ENERGY PERMIT: � WARNING:Failure to secure Worker's Comp�� ,and s r to criminal REfENTION FEE: /�=� '= penattles and dvil fines up to one hundre6'fho an olla 0,000),i o cost of the compensaUon, = damages as provided for in section 3708 of the labor code,interest,and y's fees. PRE-ALT FEE: i CONSTtiUCTION LBIDING Af�iCY BSAF: � y I hereby affirm under penalty of perjury that there is a Constructlon Lending Agenc.y for the pertormance of the work tor � which this permlt is Issued(Sec.3097,Civ.C.). LENDER'S NAME: � s LENDER'SADDRESS: I TOTAL FEES i I certify that I have read this appliptlon and state that the above irrtormatlon Is coaect I agree to comply with all ctty and .-3 , yp�.i 6� �� Z county ordinances and state lavrs relatlng to building consWction,and hereby authorize representatives of thls county to COMMENTS: � � enter upon the above-mentloned property far inspection purposes. J � � � S7 ¢ PERMITTEE NAME(P ^L "� � / � " = SIGNAlUR DAlE RECEIPT H I PAID BY: �7 � {'� VALIDATION: J �� WHITE—Department Copy,YELLOW—Flnance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—ApplicanYs Copy . ( �ITY OF DIAIVIUND BAR . . , , INSPECTION RECORD � • � � • � � s S � � � � � ,5E7BACKILEf�TE�t.�.�.,; �� °.�`;♦_� ��,., „ � . ��.�� ,„,,,, ��-�-; TRACT AND LEDGER� ;FOOTINGS FORMS � ��,;�� .�„ -� � .��` ��' ��` �.��,�' SWITCH GEAR �SI.AB`� �.��"�`�` _ �' �� j�� Y�� ` COMMERCIAL HOOD � . � � ��=�� ',UG F?LUMBING'Y,.��„� �� .��W:�� .��..r n��;,��<�,.+�w.,a T-BAR . , ;UG..EL�ECTRICRL' ^.� � .� • ' � � - ��-�� . ' , , � . �r �? '`�' "�,�.��; � � �,.�,,�.,.�,' INTERCEPTER ,UFER�GROUND�;��,.� 9� . �",��'��,�`��,��y'w " HOT MOPISHOWERPAN ��. SEWER LATER,4L SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROQF SHEATNING ROOF QRAINS FLOOR SHEATHING ROUGH CONDUIT 'SHEAR WA1:LS EXTERIOR ;�-�� ° ��'��'� "� . ,�^- �� P.00IJSPA ��,�,„ �,��; ,�., � �f° . � ��'.��,,��... ��.��.�� , ��, �fi�UGH�PLUMBING�� ._' ��., � & � . : ,SHEA�,WALLS�INTERIaR°,;-� � - �. � �a . f�� ;�,� �.x� 'FRAMINGlVENTING� �8�� . 'z, �. � �� . ,� � � �� ;� �°�� -��:,� ��,. , � `' " ROUGH ELECTRICAIn� ��q �' _ . , � � �, _� � ��<�� . �� ..- .��, �..___ . . �a :� a: ��,��.�� LfiOUGli MECHANICAL�`�'� �� '�� . �R �� °' ° �,��,>� �� -� � � re F �°• .��.��.�, �'��.�' ;':.'. ....��,3� .��-� =ROUGH�MECtiANICAL�� k�..� �� , .'' � �.�,.� � . � �,�� ": -�. � .� �RO[��H°ELEGTRiGAt��W(�)�C,(�j��' �� ^�� . .�: � � ASTEST � �`�`� � ��+� x�� a�'�� _ ^��° �� ,� �.. .§.,� �ROUCzH PLUiVIBiNG�`��'��` � ��`��.�� .��H�,�ti��.� r', .PRE Gl1NlTE�°��P s ��y.�_.�' �'°.:��,,'�;��. .�°'� ��.��i . ��•_ . .. � �, INSULATION WALL PQ(lL Pfi�'DECK.BONDI(VG,`...' � ' � ,� � R��a��"�'�"� �°'' _��,.�^ f��ke� . _� � s= INSUTATION CEILING =P,�TRAi' °��$ ,�� w�` �-�� ` � �.��°� � �� p y '�e'-�',.i��" °Y�a:i �4 �w' "'',s` ",�'��1�'�'��: DRYWALL �F�NCE�l�GX�1'E/,QLARlVI��°� �� - :,,.,,�,��_. „��_ LATH(PRE) ;FfNAL POOL� � ��=T� - .�� '�`� �r.�-�..��'��`�� LATH EXTERIOR • WALLS: LATH INTERIOR WALL FOOTWG/STEE� GAS TEST ' WALL STEEL 1�T( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC MEfER RELEASE WALL DR,41N/SEAL GAS METER RELEASE WALL FINAL � � �:�� d � :��.�� SPECIAL INSFECTION 'R0;'FRAM�lGPL:At�JNING,APPR01tAL��„°� ,��,,�N TM �<<�;._. �„��- � �FINAL BUILDING � �*"'�.� "' � '� � '��? .�� .��i`.,,. :� � � � %RUUGH FIRE APPROIlAI�� ,'� �p �' P '�� '�� FItJAI MECyANiCAL��.�� `�. " `��'r� � "��,�� :„��g ��3� ,� FINAL�FIRE,DERARTMENT�� ;; �� ' ;: s , �' ' �� . ��. ,,� FINAL�ELECffitCAL ��`� ��' " � � ` �� Y' FlNAL�PLJ1NNiNG = �`�Y �` F�� `'9� � �� , _ ; ,�� . . , . �: . ��s� �� -��,�a�� ,��- � �.,�; �` �<,� �; �<<'a,»� � �, � �� ^: � � � ;�� .� ,FINALF'LUMBING, ,� � � , �`,�, ��,��. , v M � � � _<v�"'.�� _�'� w � ��:��.� FdNAk ENGINEERIt�GJ PW';'�;,��,�.�, ��: .��.��«��„�, � ' ;T.C.af OCCUPANCY�� ° t �� .,F,;;� ��:� � � "�"�`.�: :FINAL�GOMMUNITY�SERtiiCES�� . �;'�,��'� � ��°'��,,�� ;�� GERT"of OCCIlPA[dCY=" ��°�� L� � �;,�.':�:. �r�. �'�`��`�'' ,�, FINAL HEALTH QEPT��,... ��`� ' A ,,., �."; � �_;��'� — - . � � � ��.: <° a� �� ; � � � ., �INAI.�INQUSTRIPiL;WASTE�;:.�, ,� ,�„� ��,� �,- COMMENTS: