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Home My WebLink About14-4804 ...._�"v''� s......._.... CITY OF DIAMOND BAR E � DEPARTMENT OF COMMUNITY&DEVE" P1.� �T SERVICES - 'K"� 21810 Copley Drive,Diamond Bar,CA 91765 PRESS „� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �'81j"� BUILDING PERMIT APPLICATION � �•`75 �v�M�1� 1f.l�J Q O� APPLICATION DATE: �� P/C# �y-y�� r� JOB SITE ADDRESS �n � APN��K6�S LOT�TRACT ISSUE DATE: �I/I��'1/��PERMIT# I'�7�' 'y(�D� � OWNER TYPE CONST. OCC GROUP: y n ADDRESS J CITY � A ZIP TEL. "..�... �,,.: , ZONING SEfBACKS � �� TEL:�� J�� I�� FRONT �� RW ❑ � APPLICANT NIU-`I� G�1� REAR 2�' ❑ ¢ CONTRACTOR V1a 1�f SIDE/SIDE STREEf lO� \ RW ❑ � SIDE (�'S� ❑ � ADDRESS � � CITY ZIP TEL.��I�Ov�e7� 9'� PROPOSED USE �� -�'V'�Z�`1 Gl QV-� eC- . '4- ��r OJ-e,�.a.! �-c a�S SQC� 1�G hti �A t.� -C-�f►YD t9' ;�,,, , � ARCH/ENG/DESIGNER ¢�C�0.r ��L�.��_Z�'r7� y y = ADDRESS #DWEL.UNITS 1 #STORIES 2 #BEDROOMS� � CITY ZIP TEL.(��1�-�I�� I ¢ OWNFA-BUILDFA DECLAHATION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREA/VALUATION � I hereby atflrm under penalty of pehury that I am exempt from the Conhactor's State License Law fir the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s�,I have placed nezt to the applicable item(s)[SecUon 7031:5,Busl�ress and � Professlo�Code:My ctty a county ihat requlres a permit lo construct,alter,Im Garage/Carport ( prove,demalish,ar repalr,any z struc4ue,prior to Iffi issuance,also requires tlre applicairt for ttie permit ro flle a signed statemeM tl�at he ar sha � Patio/Deck .Z Q I i Is Ilcensed pursuairt to the provislons of the Contractors State Llcense Law(Chapter 9)Cammencing wtth Sectlon w � 7(100 of Dlvislon 3 of the Business and Profasslons Code]�or that he or she Is exempt from licensure and the basis for � PooVSpa I � the alleged ezemptlon.Any viWation of Sectlon 7031.5 by any applicant for a permit sub�ecis the applipnt to a civil penalty C7 I sof not more than flve hundred dollars($500�. ZQ Re-Roof � U I,as owner of the property,or my employees with wages as their sole compensation,will do(,all of or(,portlons -� Commercial I y of the vrork,and the structure is not intended or ottered for sale(Sectlon 7044,Business and Professbns Code:ltie � r'J I Z Corrtractors'Stata License Law dces not apply to an owner of property who,ihrough employees'or personal eftort,hullds m Y`C��1 r7 �"l—1 y a Improves the property,prwided that the Improvements are not Irrtended or ottered for sale.If however,the building or I � improvement is sold within one year ot completion,the Owner-Builder will have the burden of proving that it was not buitt jor improved for the purpose of sale.). I '� U I,as owner of the ro e p p rty,am exclusivety contracUng with licensed ConVacrors to consW ct the project(Sectlon Z 7044,Business and Professions Code:The Contractors'�State Llcense Law dces not apply to an owner of pmperty who Valuation: Adj.Area: I n buildsorimprovesthereon,andwhocontractsfortheprojectsvnthalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPTON FEE . I Ucense Law.�. (�� L`Q ri`7 Q � N�'�j � � U I am exempt hom licensure under the CoMractor's State License law for the following reason(s�: � �, � U I � 1 By my slgnature below I acknowledge that,except for my personal residence In which I must have resided for at least one � I � year prior to crompletion of the Imprwaments covered by this pertntt,l cannot legally sell a struclure that I have bultt as an w I owner-builder if tt has not been constructed in ds eMirety by licensed contractors.I understand that a copy af the appllcable � law,Sectlon 7044 of the Business and Professions Code is available upon request when this appllcation Is submitted or at I � the following Web site:httphwrw.leginfo.ca.gov/calaw.htrnl. = I J DAlE: SIGN: � — LICENSED CONTHACTOH'S DECLAHATION � I a I y I hereby afflrtn under penatty ot perjury that I am Ilcensed under provisions of Chapter 9(commencing with SeCtion 7000) � of Division 3 of the Business and rofessions Code,and my license is In full iorce and effect. I � � n I n LICENSE SS: LIC.NO:: � � � DATE '� CANTRACTOR: � E � I � WOHI�H'S COMPENSATION DECUINATION � I y I HEREBY A/FFIRM UNDER PENALTY OF PERJURY ONE OF 7HE F9LLOWING DECLARATIONS: 1�� ! � �I have and will malrrtaln a Certificate of Consent to Self-Insure for Worker's Compensatlon,as proNded by CONSTRUCTION: rt �q- f/ � Section 3700 of the Labor Code,for the pertormance of the work for which mis permR is issued. p�,qN REVIEW: � V� � I have and wlll malntain Worker's Compensation Insurance,as reqWred by$ection 3700 of the Labor Code,for ;y��/� � ` Z the pertormance of the work for which this permR is issued.My Worker's Compensatlon Insurance Carrier and ELECTRIC: .t' h ri� a Poli�y Number are: PLUMBING: � CARRIFA MECHANICAL: y � POLICY NUMBER INSPECTION FEE: n (THIS SECTION NEED NOT BE COMPLEf�If THE P6iMR IS FOR ONE HUNDR�DOLLARS($100)OR IESS�. ISSUANCE: 7J,1 ? I certity that in me performance of the wak for which mis permtt is issued,I shall rot employ any person In any manner so as to � hecane subJect to tice Worker's Canpensation Lavrs of Califomia Md agree that tt I should becane subject to the Waker's SM IP:_ �� + Com satlon vrsions of Section 3700 of Labor Code,I shall toMwlth ENERGY P/C: .� � PN��i�se provisions. i DATE��App�CANT: ENERGY PEFiMIT: � WAR I :Failure to secure Worker's Compen 'on cove2ge' unlawful,and shall subJect an employer to cnminal ��,�.� �y/y ,T penalUes and civil Flnes up ta one hundred t usand dollars($100,000�,in addttion to the cost of the compensation, RET�ENTION FEE: � ��_� � damages as provided tor in sectlon 3708 of ine labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTfiUCTION LENDING Af�NNCY BSAF: �� ry y I hereby affrm under penalty of perjury that there is a Constructlon Lending Agency for the performance of the vrork for � which thls permit is Issued(Sec.3097,Civ.C.). LENDEfl'S NAME: '= LENDER'SADDRESS: � '� I certify that I have read this applicatlon and state that the above Information Is correct.I agree to comply with all clty and TOTAL FEES •��/�/�' /j� Z couMy ordinances and shate laws relating to building construction,and hereby authorize represenhatives of this counry to COMMENTS: �" ,, Jenterupon e above-mentloned propertyforinspection purposes. � b ¢ P (PRINn n = RE OF MITfEE DATE RECEIPT# a,y�� PAID BY: �1 V Q� VALIDATION: �.� f v� � r WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CI1� DIAMOND BAR . INS'��ON RECtJRD . � � . • � - • o � � • ' 5ETB�AGKr�LE7TER !�� ;�� 1 �;�'.� , �%��a TFACT AND LEDGER �FOOTINGS�FORNfS, �%�`�. �.. ..�+` ' � � � � �� r SWITGH GEAR • , �S� �,> " �""`� ;E�� ;��,�'�°�"��,' COMMERCIALHdOD ,�; � �_. UG�PLUMBING� . ,e:.��, , A� �``'`� �.�.�..;�.��. �,�' � �� T-BAR ,UG,:,ELEGTRlCAL�_, �� °��,�� `� �;�°°�' INTERCEPTER '-�` �` �"�` :�' � �' '��' �� ;�"� �� HOT MOP/SHOWERPAN �UFER`GROi1ND#�. ��.�� ;.�� »� � � � _,��:��..,,.,�'� SEWER LATERAL SEPTICJCESSPOOL MAIN WATER LINE HERS REPORT RECEIVE�. SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CQNDUIT ;SNE,4R�WALLS�EXTERIOR�� d,' �� ,:,a� �; � �`� �� : ,� �x� , ��a� f�� POOVSPA;:� � �� ,� �� „�- g� Q�� ,�:,�", �� " R�OUGH PLUMBING��W�� ; ';�" ., �� .. �� 4 �;��,. � � jSHFAR WALLSAINTERIOR �" �,�" �� _ � _�� -.�� '. " fFRAMING/VENTING ' ��` � � �� . 3� ' ,�' '�� ROI�GH ELECTRIC�AL° � ��„� '�=� � �;;� «�° ��' � �� .� �� , � . ��,� � � �� ' � `,ROUGH NIECHANICAL'� .� � '�" ��= � � s��°;� � ROtJGH MECHANICAL � �� „� � `ROIJ6H ELEC'fRICAL�IN(��)�C('�): '�" ��°� ., ��` GAST£5T„� ��,�� `� : �= � �'� '*� �� u < � - .y n ff� � �RQUGH'PLUMBfNG :��.�: °� .�'� `� " '� � �� ' �FRE�GUNITE� �' � `��„� �� ,� �.'s '� � � � � z��.,,v: . ��,�, .��.,.:. . INSULATION WALL 4FOOl PRE DECK=60NDING ;x'�_y,, �_�`�� .. a,�-,� '�' _�� INSULATION CEILING �F-TRAP�,� � � �,� � � � ' � �� °� �„ra � ; ��a, �' �s� .� � � � DRYWAIL iFENCE i GATE/�AIJ#RM��,' � '��`�� ''�� ' ,�>��'�,� �� LATH(PRE� FINAL POOL��',_ , � ��.' ��...,��.«�.,�r.. ��.� IATH EXTERIOR WALLS: LATH INTERIOR WALL FOQTING/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 WSPECTION ti0 FRAM6�IG�PLANNIFIGAPPRtlVAI�� ,, �"� ��"�"�� '� � � �RO�IGHaFIRE APPROUAL � F�N��U�� m�:,,.��z�/..� � �,1��t�'', ' � � � �' �'� .��a�' .:�� .'x° ' f� ,..&`�E staa�e FINA[:MECHAtdICA! `� �° � �� , v"'` �°,' � �,��. � 4�°' FINAL FIRE DEPARTAAENT `� � ' � �� " . � �� , �� FIN;4L'ELECiRICAL�° � �� ;� � r��' � � ,�.`� �.E� � FINAL�PIJiNNING �' `�;�� . �`� '��`�� ;: �� FINAL.�PLUMBING��°'�, `��,< �<<:., ��3�,;�.��4 ,��' ,`�� FINAL ENGINEERINGl�PW �� ,� ";� � � � � ,� � � � � ,�� y"` � ` � ' �� "� '�� fINAL COtUIMUNiTY SERVICES�� ;''� ��"`�� °`��'' ��.�:��.*� . - � , jTC.of OCGUPANCY, ,� �- �.� � GERT.�ot OCCIIPANG,��:`��.._� , ,�'^�y;�� FINAL HEALTH DEPT� � ��"°� � � a , °� �� P .�,. � ,FINALlNDUSTRiA_l,`�WASTE�� ,� .�� ° .� �� #i�� COMMENTS: