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Home My WebLink About15-1352 i � .....� ....:"�:��- _,.n._. CITY OF DIAMOND BAR , `� I • 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 ��—, FIRMLY �''�'� BUILDING PERMIT APPLICATION s JOB SITE ADDRESS �� S� (,', APPLICATION QATE: P/C# i ISSUEDATE:b/��4/I� PERMIT# �f � ��.I�� = APN L TRACT � OWNER /1 TYPE CONST. OCC GROUP: � ADD SS � �-fi Q ��L ZONING SETBACKS � CITY��.�!'h ZIP TEL. Z.G ��Z. �Z FRONT RW ❑ ¢ APPLICANT TEL. REAR ❑ s � SIDE/SIDE STREET RW ❑ n �, � CONTRACTOR (T!'k�G S (/ ��h SIDE ❑ � ADDR S �/'��,��,,� � �" � PROPOSED US /'�'�►' Q-� h' 6 x cir a ziP�c.f7 v_i TEL. �� -�'�S'd 5� � �, . P,�.. �� ..... � n � ARCH/ENG/DESIGNER �•rIc C'.Celb f � ADDRESS #DWEL.UNITS � #STORIES� #BEDROOMS � z CITY ZIP TEL. I ¢y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNEp-BUILOEH OECLAflAT10N I 'Y I hereby attirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFFVADD/REM � indicated below by the checkmark(s),I have laced next to the applicable item(s)(Sectian 7031.5,Business and I � P Garage/CarpoR L Professions Code:Any city ar county that requires a permit to construct,alter,improve,demolish,or repair,any z strucN2,prior to 11s issuance,also 2quires the applicant for the pertnit to tile a signed s[atement that he or she � Patio/Deck . � � . I � is licensed pursuant to the provisions of the Cantractor's State License Law(Chapter 9)Commencing with Section W . . . I � 7000 of Division 3 of the Business and Pro}euions Code]or that he or she is exempt from licensure and the basis for � Pool/Spa � the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a permit subjecis the applicant to a civil penalty Z Re-Roof � I of not more than five hundred dollars(5500). � . s I� (,I,as owner of the property,or my employees with wages as their sole compensation,will do(.)all of or(,portions � Commercial y of the work,and the structure is notintentled or offered for sale(Section 7044,Business and Professions Code:The m I � 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.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 - � �' � or improved for the purpose of sale.). �� I � '� (]I,as owner of the property,am exclusively cont2cting with licensed Contracturs to construct the project(Section Z 7044,Business and Professions Code:The ContracTnrs'State License Law does not apply to an owner of property who Valuatlon: G4 Adj.Area: I n buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY ESCRIPTION FEE � Y License Law.). � (,I arn exempt from licensure under the Contractor's State License law for the following reason(s): � � � v �� I � � ' � rr.r- I y By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w I � year prior to completion of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w � I owner-builder if it has not been constructed in its entirety by licensed conhactors.I understand thata copy of the applicable � law,Section 7044 of the Business and Protessions Code is available upon request when this application is submitted or at � I � the following Web site:http/www.leginfo.ca.gov/calaw.html. Z I DATE: SIGN: °' _ � � — LICENSED CONTfiACTON'S DECLAHATION a i y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) I � of Division 3 of the Business and Professions Code,and my license is in full force and eftect. J � jq � U I � LICENSE LASS: LIC.�_ .i•(!�"/ . zQ I � DATE CANTRACTOR� = I Z w ¢ WORI�H'S COMPENSATION DECLAf1ATI0N � � I y I HEREBY AFFIRM UNDER PENALTY 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 6y CONSTRUCTION: �� l� I � Section 3700 of the Labor Code,for the peAormance of the work for which this permit is issued. PLAN REVI EW: h a I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for ELECTRIC: ��.0 V Z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and , � ¢ Polic,yNumberare: PLUMBING: � CARRIER MECHANICAL: ' � � POUCYNUMBER INSPECTION FEE: ' ' � (THIS SEC110N NEED NOT BE COMPLETED IF1HE PFAMR IS FOR ONE HUNDRFD DOLLARS($100)OR LESS). . ISSUANCE: �I./ � I cer�fy that in the periortnance of the work for which this permit is issued,I shall not employ any person in any manner so as to � _ � become subject tn ihe Worher's Canpensation laws of ia.Md agree that if I should become subject tn the Worker's SMI P: � � � Compen ion provisions of Section 3700 of the bo e, hall with comply with those provisions. ENERGY P/C: '' J i DA��APPLICANT: �� ENERGY PERMIT: . � W NING:Failure to secure Worker's Compe sation coverage is unlawful,and shall subject an employer to criminal RETENTION FEE: �O� y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition m the cost of the compensation, 1 damages as provided for in sectlon 3708 ot the labor code,interest,and attorney's fees. PRE-ALT FEE: � i ' CONSTHUCTION LENDING AGENCY BSAF: I.��_ 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'SADDRESS: � � i i I certily that I have read this application and state that the above information is comect.I agree to comply with all ciTy and TOTAL FEES �� Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: � � enter upon the above-mentioned property r inspedion purpos s. J C b i�c� U�h��i/�/'sl ¢ PER E NAME(P � n n = SIG RE MITfEE AECEIPT# d-7`l PAID BY:�_�_VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy r� CITY OF DIAMOND BAR , . � INSPECT'il�'N �iECORD r ,-_, �" c, � ' • � � ' o - • • e � � - A: . .xe �SETBl�GKi`L�E�TTER _' . s�s+�' � �� . .". ., �a � . �� TRACT ANO LEDUER ' �m.:_ FOpTINGS�FORMS v�� ; ; " ` N,Q.. � ;. '° :. ' � � SWITCH�EAR x_� SLAB ''.,�� :��`: ;. . ; � � � .�«:x :. COMMERCIALHOOD �,�.,�, . .a ,. � . ,�l� PL`UMBING` � ��° � - � � T-BAR .��, , , �� ,UG.;'��ELEGTRIG�AL��.� � ; �s'�� ' . � � �� ; - � �� ° �� ` � � INTERCEPTER - .i.P.i� ..... ; R..% � � � . � : ,UF��t CFtOUND�� ,�� x ,�. � � f�� • � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANQUT DEMOLITION ROOF SNEATHING ROOF DRAINS FLOOR SHEATHING ROU6H CONOUIT � . __ � �SHEAR#WALt�<EXTERIOR�f>" � ��.� � . POOUSPA _ ��_x_� ._ r�� SHEARWAtIS INTERIQR .; � °��'° � � : -��'� � - �, �ROUGH P'LUMBING� � _ERAMINGNENTING� � ;a� ��.=� J.�. .'',. ✓.� � �� ROUGH ELECTRICAL � , � �� , :> �. , . ROUGH�;�ECHANICAL ; ROl1GH MECH � �� ,ANICAL a�u�.�,. '� �- , . T, ,� . . _ � . � _ ,a�� . ROUGH�ELECTRICAL;W( )C(. 1'' ^ " �- �i,��a"`-,. � � � � ��rAS TEST - - R�UGH PLUf�BING ;�� .�� , .�� a .��<.e , :�: PRE GUNITE ° _ INSULATION WALL '' ��b/;"`� ' �' POOL PRE DECK BONDING INSULATION CEILING ��"•'j'`""� %//,—''- P-TRAP . . DRYVJALL '�%(,� ' >%"'' FENCE/GATEJ AL4RM LATH(PRE) � FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 s�( )2Ne{ )L�FT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FFi�AMING PLANNINGAPPROVAL �FIT�AL�BUILDING =� ° �� . ' � ' ��a� : : e a � : � � ROUGH FIRE APPROVAL �`� FINI�l,.ME�NRNtCAL�,;,��?�� °�v � � � � � :FINAL FIR6 OEPARTMENT �INAL ELEGTRICAI� ',�,�� , b�, , ;.. ;., � . . ,_� � FINAL PLANNING , � � FINI�t,FLUMBING �'��`�� ` ,`. ' ` � � FINAL ENGINEERING/PW � � - ��-- . T�C,of�OGCUFANCY"�,� s�� , ��- �� FINAL COMMUNITY SERVICES ° �n „ ._� � e. . ;GEEtT of OC{�IPAP�CY�� ,', ; ; ,� . . � �'� � � � PINAL NEALTH DEPT, FINAL INDUS7RIAL WASTE , " ° COMMENTS: