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Home My WebLink About14-4600 _....,,... - ''��._., CITY OF DIAMOND BAR I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES -' 21810 Copley Drive,Diamond Bar,cA 9i�6s � PRESS �,��,�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � FIRMLY �"�""" BLTILDING PERMIT APPLICATION � l ' APPLICATION DATE. P/C# � JOB SITE ADDRESS 1� �P,�/ g/1Q/I y r PERMIT# � %' yb vV i ISSUE DATE: = APN LQT TRACT � OWNER TI �INAS TYPE CONST. OCC GROUP: � 1i AD SS J CI ZI 1 . TE Z�NING SEfBACKS FRONT RW ❑ � APPLICANT TE REAR ❑ ¢ CONTRACTOR L A.�� SIDFJSIDE STREET RW ❑ I � SIDE ❑ � ADDRESS � Q/ s CITY ZIP TEL. �I d-�— - PROPOSED USE � � ARCH/ENG/DESIGNER L _ � ADDRESS � CITY ZIP TEL. #DWEL.UNITS #STORIES #BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEA-BUILOEfi OECLANATION I = I hereby affirm under penalty of perjury that I am exempt hom the Contractor's State LJcense Law for the reason(s) SFWADD/FiEM I L indipted below by the checkmark(s�,I have placed neut to the applicable Item(s)[Sectlon 7031.5,Buslness and Garage/Carport I � Prafesslons Code:Any city or courrty that requlres a permit to construct,alter,improre,demolish,or repalr,any z structure,prior to Its Issuance,also requires the applicarrt for the permR to flle a signed statemeirt that he ar she � Patio/Deck I i Is Iicensed pursuaM to the provlsians of the Contractor's State Licenae Law(Chapter 9)Commencing with Section w � 7000 oT DlHslon 3 of the Busi�cess and Pro}esslo�s Code]or that he or she is exempt from Iicensure and the basis fw � P��Spa I � the alleged exempUon.My violation of Sectlon 7031.5 by any appllcant for a pertnit subJects the applicant fi a civil panalty C7 I n of not more than fve hundred dollars($500�. � 2 Re-Roof s I� U I,as owner of the property,or my employees with wages as their sole compensatlon,will do(,all of or(J partlons � Commerclal y of the work,and the struc[ure is not irrtended or offered for sale(Sectlon 7044,Business and Professions Code:The � � Corrtractors'State Llcense Law does not apply to an owner of property who,through employees'or personal effort,builds m y or Improves the pmperty,provided that the improvemerrts are not intended or ottered for sale.If however,the building or I � improvement Is sold withln one year of completlon,the Owner-Bullder will have�he burden of proving that it was rrot bultt jor improved for the puryose of sale.). � I (J�,as owner ot the property,am exclusively contracting with Iicensed Contractors to construct the pro�ec[(Section � 7044,Buslness and Professlons Code:The Corrt2chirs'State Llcense Law does not apply to an owner of property who Valuation: Adj.Area: I = bullds or improves thereon,and who contracts for ihe ro ecis wlth a Ilcensed Contractor ursuant to the Co�actors'State I n P � P QUANTITY DESCRIPTION FEE Y License Law.�. � (�I am exempt(rom licensure under the Contr-ector's State License law for the following 2ason(s): � I i � By my signah�re belaw I acknowledge that,except for my parsonal residence in whlch I must have resided for at least one � = year pdor to completion of the improvemenb covered by this permit,l cannot legalty sell a structure that I have buitt as an w I owner-builder If tt has not been consWcted In tts enUrety by Ilcensed contradors.I understand Nat a copy of the applicable I � law,Section 7044 of the Business and Professbns Code is avallable upon request when this appllcation is submitted or at I 'i the�following Web site:http/vnvw.leginfo.ca.gw/calaw.htrnl. � � I = DATE: SIGN: � LICENSED CONTRACTOH'S DECLAIiATION � I y I hereby afflrtn under penalry oi perJury that I am licensed under prwisions of Chapter 9(commencing wRh Sectlon 7000) I � of Division 3 of the Business and Professlons Code,and my Ilcense is In tull iorce and ettect. J I �j LJCENS 1p�SS: C�G LJC.NO.: /� � I Z DATE /�� CANTRACTOR: �( � , � I Q WOHI�fl'S COMPENSIITIOH DECLApATION � I � I HEREBYAFFlRM UNDER PENALN OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: y � I have and will mairdain a Certificate of Consent to Self-Insure for Nbrker's Compensation,as provided by CONSTRUCTION: � �Section 3700 of the Labor Code,for me pertortnance ot the woric for which this permtt Is Issued. p�,,qN REVIEW: _�_� I have and will malntain Worker's Compensation Insurance,as required by Sectlon 3700 of the Labor Code,fa � Z the performance of the work fw which this permit Is issued.My Worker's Compensation Insu2nce Carrier and ELECTRIC: ¢ PdicyNumberare: �4` " PLUMBING: O� � CARRIER lT �I(�' /� /� MECHANICAL: � PouCYNUMBFA lp � WSPECTION FEE: � (THIS SECTION MEED NOT BE CAM%_EfED IF7HE PBiMR IS FOR ONE HUNDR�OOLWiS($10�Ofl LESS�. ISSUANCE:_ 3�_�� I cerfiry tltat in ihe perlwmance of ihe wafc for which ihfs permit is issued,I shall not employ any person in an = becorne subject to me Worker's Compensation Laws of Calffomia. � I stwuld � �SMIP: � � Cam s on provisions M Section 3700 ot the Labor Code I torthwith can . ENERGY P/C: 1 DA APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Worker'S Compen ti ul,and shall sub�ect an emplayer to criminal � penatties and civil flnes up to one hundred rs($100,000),in addltlon m me cost oi the compensation, RETENTION FEE: 1.�� = darnages as provided for in section 3708 of the labw code,Interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY ' BSAF: y I hereby afFlrm under penalty of perJury that there Is a Construction Lending Agency for the pertormance of the wak fa � which this permtt is issued(Sec.3097,Clv.C.). � LENDER'S NAME: �,= LENDER'SADDRESS: }i' I certify Mat I have 2ad thls applipUon and state that the above informatlon is correct.I agree tn comply with all city and TOTAL FEES Z crounty ordinances and state laws r lating to ilding construction,and he authorize representatives of thls county to COMMENTS: � enter upon the above-mentloned p p or inspection purposes. n ¢ PERMITfEE NAME(P n �/n I = SIGNATURE P M DATE FECEIPT# / PAID BY: � VALIDATION:� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAIUIOND BAR IfVSPECTION RECORD � m . � - s a � e � . �5ET8ACIU�IETT�ER ��Ea� <�"" ' � '�� ' � �` � �'� " ° �� TRACTAND LEDGER � �� FOQTINGS FQRMS. ` ��,:.�.��'��' � �� ;'� �,�_; SWITCH GEAR ;Slqg,��,��..��,.�.,�x,��'� ��-';� �` .:�� .�t� �,��.m�' COMMERClAL HOOD ,�,�4. :�� _� ;�� ` s �,��,� ,.:��"� :�;: T-BAR ;UG.�PLUMBING��, � �� ` :.� �UG�=.ELECTRICAL � ��.�`Q�,�„�� , .,�� °a s��'"�"�`��' � �� _�=��:� x �� INTERCEPTER ;IJFEFi GROUND��°„� � ��:��,�� ' � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOQL MAIN WATER LINE HERS REPORT REGEIVED SEWER CLEANOUT DEMOUTION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONQUIT �SHEAR�WAL'L°SlE7;TERIQR r �F�`�� ,��,,^` �`'� �Y` � �� PUOLISPA w "A� �� 4 x� �, � � , � ��, � � °s �� Ny " � �, -�� .'EiQUGH PLUMBING_� � �� :a : � q;�� , �� `SFIEAR WALLS�INTERIQfi� �`�`� � � �� u �-a °�� ¢ � .� - � �,� g � � �� K-� � �.F � � � FRAMING/UENTING , ' °' � ''�� ,�v.;�,:� ° �.�'� ,�� >�� RdUGH�ELECTRiCAL R �� .. ; '� ;� �� ` �, �_ , � - � -�� -��.,��.� ` ,,�� e�QUGHMECHANIGAL��'� �� _�� ,�:� ROUGH MECHAN(CAL� � � ��`�� '� � !� �g..��;- �r� - �` �� ,a��tx a� ��.,� 5� � .�� '� � ��iAS�TEST�� ,.r ��..�m ��-�' �� r � � � � � ��kaH�LECiT�� . �C� ,.� �,. .� � ' .. � .. � � � �� `�,�"',�� ;'�� ` ��..,�� :PRE GUNIFf ' � a,a�.�,:�.� � � 3 ��°� �`��~'�'�� FiOUGH PLUMBING�z � . ��_ ��. �u�ti��__��. �.,,� � �� '.:; ,._ INSULATION WALL POOL PRE�[lECK�BONDiNG ," �� "�y ' °` '' s .� ��`'.� ,�� :� � INSULATION CEILING ;P TRAP_� '; � � � � � :�� °.�� '�`'�� # � ��, DRYWALL FENCE�GATEI,ALAfiht{,��,� `�� '�� .,': � '� F "�:;� � � � LATH(PRE) � �FINEIL�P�}QL�, � �� '"� �� ,''��?�w� � � s� �,,..�t.�-,�,a:�'�� a�-��°`�` ��.�* LATH EXTERIOR wA��S: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2NQ( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION `RO F8AhA6VG�PLANNItd6APPRQVALg F`�g, ��'; �,`,�� ,�� `° �FiNAL 6Uil01NG ��"`�, �� ,,� r ��. RO(iGH EIR£APPR�OVAL� ,� ¢� - <�" �`� ° a ° � � `,° �� '� � �� ,�t� � �.� � � ;F,INAL MECHANtCAL �^ �� g� `� , :'�`�"�� ' �FINAL�FIRE DEPARTMENt��"� � � M� ��`�`�''`� � '��`�" `FINAI ELECTRICAI_ �� `�,�� ' �'��, 'FINAL:Pt�AANNING�4 � `` `��r� ��'��? �.' � �;�� -n� `� a + ^ �� • # *�*"` �'� �»��` . t � � �`" d. �fIN11L PLUMBING�,��„�:� � , �; '� � ��:�" F{NAL'ENGINEERIAI�i/PW w , r�. �� ;� ��. �u � . , �,;;� TC.,;Of OCCUPANCY � �: `�"��"��,� . .;� ��" s'�� .��=��«5 � �°° 'FINAL COMMUNITY�SERVICES� « `;�� ,, � �'� �`,� � ' �'�"� �'��:'< CEliT.3of�OCCUPttNCY��;:��. ��.�_ ,_��`� ..��`��.��:, � � FINAL HFJ1lTH�QEPT�� '' � � .,,�s�� ¢ ��`�,,�� .� �INA�L�INpUSI'RIAL.WASTE� �.,,��,�°�,��«.�,�.X�`��.'��:� COMMENTS: �IVO C�� A 1 2 c.1 l�l�,�