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Home My WebLink About14-4664 ..._,_ --+� _ CITY OF DIAMOND BAR ��)��,l �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICE5 � �'I� ', '- <� ' 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 sJOB SITE ADDRESS � � nSG Gf".�..SS�� '4PPLICATION DATE: / /� � L P/C# i ISSUE DATE: �/ � 7��/ PERMIT# ��r ` 9 6 y z APN LOT T�RA1CT � OWNERTC.�a+ � r1`� 'i��'^�� , �� 1YPE CONST. OCC GROUP: L ADDRESS Z3�1 S�"r'� � G�v � i� � ZONING SETBACKS J CITY b �"^o'^ ZIP�1 l�C TEL.� 1 g ' � a FRONT RW ❑ � APPLICANT TEL9 � � REAR � x � �j � SIDE/SIDE STREEf Rw � � CONTRACTOR �5�� " i r'� � SIDE � a � ADDRESS � SS �v`-� ► �"e-f" ��^ PROPOSED USE — � � �` "— s cir��--. � rvJ ZIP�) 1'7 I c'7 TEL.cl c��l � 1 �)�I L � —�',.-.. 1 .:�o SZ-, ..-,�L s es�-c r 1 � ARCH/ENG/DESIGNER �<. -�•GS' o�c" �P�SI�"� a v`+ _� z ADDRESS #DWEL.UNITS� #STORIES ' #BEDROOMS� I � � C�-ry ZIP _TEL. DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � � OWNEH-BULLDER DECLARATION I = I hereby attirtn under penalty of perJury that I am exempt from the Contrador's State License Law for Me reason(s) SFWADD/REM � Indicated below by Ne checkmark(s),I have placee ne�R to ihe appllcabls item(s)[Sectlon 7631.5,Business a� I � Garage/Carport �' Professla�s Code:Any city ar cowrty that requlres a permR tu catisWct,alter,improve,demolish,a repalr,any I z strucWre,P�a�ns Issuance,also requtres tlie aPPlicaM fm the permtt to flle a slgned statemert[that he or she w PatiolDeck � Is Ilcensed pursiiarrt to tlre provlslone of the Contractor's State Llcense Law(Chapter 9)Commencl�wlth Sectlon w p�VSpa I � 7W0 ot DNfslon 3 ot the Business and Professlwis Code]or that he or she is exempt hom licensure and the basis Eor � � the alleged ezemption.Any violation of Sectlon 7031.5 by any appllcant for a permtt subjecLs the appllcant to a clvll penatty I � Z Re-Rooi ot not more fhan five hundred ddlars($500). p I � (,I,as owner of the properly,or my employees with wages as their sole compensation,will do(J all of or(�partfons j Commerclal � ol the work,and the sWcture Is not Intended or oBered for sale(Section 7044,Business and Professlons Code:The m I '.L� ConVactors'Sbte Ucense Law dces not appty to an owner of property who,through employees'a personal eBort,bullds y or improves the pmpertY,prmided that the Improvements are not intendetl or ottered for sate.If however,tlie Dullding or I � improvement Is sold within one year ot completlon,the Owner-Builder will have the 6urden of proving that it was not buitt � or Improved for the purpose ot sale.). I :� (J I,as awner of the property,am exGuslvely contractlng wfth licensed Contractors to construct the project(Sectlon V8luation: � Adj.Area: �'�� Z7044,Buslness and Professions Code:The Contractors'Sta�Llcense Law dces not apply to an owner of properry who I n bulldsorimprovesthereon,andwhoconhactsfatheprojec�withallcensedContractorpursuarrttotheContractors'State QUANTITY DESCRIPTION Y License Law.). � _ (J I am exempt hom licensure under the Contractor's State License law lor the following reason(s): � � � � By my signature bebw I acknowfedge[hat,except tor my personal resltlence in whlch I must have�esided for at least one � � Z year prlor ro completlon of the improvements cwered by Mls permit,l cannot legalty sell a structure that I have bultt as an LL, I � owner-buil0er If tt has notbeen conshuc[ed In Ib entirety by Ilcensed contractors.I understand ihat a coDY of ihe aDD�icabfe . � law,Section 7044 of the Business and Professions Code is available upon request when this appllcation is submitted or at �- ihe following Web site:http/www.leginfo.ca.gov/calaw.htrnl. z I � DAlE: SIGN: m � � UCENSED CONTHACTOH'S DECLANATION � � I hereby aKrm under penalry of perjury Ihat 1 arn licensad under prwlsions of Chapter 9(commancing wtth Sectioa 7000) y � of Divlslon 3 of the Buslness and Professions Code,and my license is In full force antl eftect. � � LICENSE C SS: �� 11C.NO.: ��S S�l S � i � DATE: � CANfAACTOR:� w I zd WOHI�H'S COM NSATION DECLARATION � � I HEREBY AFFIRM UNDER PENALTY OF PEAJURY ONE OFTHE FOLLOWING DECLARATIONS: y 1 fy,r/ ¢ I have and wlll malntain a Certiticate of Conserrt to Self-Insure for Worker's Compensatioq as provided by CONSTRUCTION: = Sectlon 3700 ot the Lahor Code,for the pertortnance af the work Por which thls permtt Is Issued. PIAN REVIEW: > ✓ I have and will malntaln Worker's Compensation Insu2nce,as required by SecUon 3700 of the Labor Code,for ELECTRIC: � the pertortnance of the work for which this pertnit Is Issued.My Worker's Compensation Insurance Carrier and ¢ PoIi�yNumberar PLUMBING: � CARRIER �^�-'�-- �v`^� MECHANICAL: � Z POUCY NUMBER 'g�--+L"�—1 O'Q� INSPECTION FEE: � n (1HIS SECIION NffD NOT BE COMPI.t�ED IFhiE PHiMR IS FOR ONE HUNDR�DDLLPAS(510�OR LESS). ISSUANCE: ��-�� = I certify ttiat In the pertamance of the wak for which this permit is issued,I shall not employ any person in any manner so as m , �p' becane subject to the Nbrker's Compensatlon Laws of Calitomia Md agree tha[rf I shoul0 become subject to ihe Worker's SMIP: JCan n tlon m ians of Sectlon 3700 oF Ne La6a Code I shall foithwith canpry with ttiase prwislons. ENERGY P/C: i DA7E,�L�±�PUCANT: ��,� ENERGY PEFiMIT.• � WARNING:Failure to secure WorkePs Compen tion coverage is unlawful,and shall suhject an amployer to criminal RETENTION FEE: �� = penattles and civil Flnes up to one hundred thousand dollars($100,000),In addition m the cost of the compensffiion, � damages as pmvided for in section 3708 of the labor code,Interest,and attomey's fees. PRE-ALT FEE: i CONSTBUCTION IBIOIHG AffNCY BSAF: �' GP y I hereby aKrm under penalty of perjury that there is a Constructlon Lending Agen�y for the performance of the work for /� � vfilch Nis permlt fs issued(Sec.3097,Clv.C.). �-/�� LENDER'S NAME: � s LENDER'SADDRESS: i I ceroTy that I bave read thls applicatlon and siate tbat the above intormatlon is correct.I agree to comply wiih all city and TOTAL FEES, � counry ordlnances and state laws relating to bullding wnstruction,and hereby authorize ropreserrtativas of this county to COMMENTS: � eMer upon the above-mentioned D�operty for Inspeclion purposes. J � �� .5�-�-�y4. ¢ PENMITfEE NAME(Pfll �1 , �� , � /� = SIGNATUFi PERMITfEE� DATE RECEIPT# +�I�`��"' PAID BY: �4� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fl�e Copy,GREEN—P.ppllcant's Copy CITY OF DIAMOND BAR INSPECTION RECORD _ • o • • - • a � j • � . ,5ETBAGI(1 LETTER��°' .� �"�"' , ��p� � � '�� b�`¢ TRACTAND LEDGER :�,,� �° � � v: � _�� ;FOOTINGS,FORMS��`' �f�� -, �,,�.�^�� _-��.. ,� � �� .��F= � �� SWITCH GEAR �P`�� '� COMMERCIAL HOOD ,SIJ�B�.�s � 3.. � ;�� „ �� " ;UG.PLUMBING'o�� . ��, � �� '�� T-BAR �UG.�ELECTRI,CAL'�'��,�� "� A� � ��°�� -`� �,a .� INTERCEPTER �"- � " �� :�� -. ��> � - ��,; �� _� UFER��GEI4UND �- a�.e ��`"'"_ ��„ ��.�`� ,,,_�,,��, HOT MOPISHOWERPAN SEWER LATERA� SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING �I Z z /Q�n� ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �� , _ - ,, �_, � i ��=� � � -_ �,� �� '��_� '�i�''_ �� " �� ' Pfl�CfSPA��:"��. ��„� �, � �� , ��,._.�� .� ��. SHE4RpWALLS€EXTERIOR'E �; � } �� ; va°�. �' . ,� �' s$�-' , r�- 'o-�- -�� a�a_..�,��ti�` ��n�+` �� ' , ��-. . SHEAR WALLS INTERIOR�� ,,� RQUGH PLl}MBlN6 � � �- �� A �,�,�"�'��: �� ` �:�"� � ROUGHELECTRICAL,� , � ,f. `�� N�.�� FRAMiNGNENTlNG=�a� .�, � �, � �� -�� y.' ,ROUGli MECHANI�AL�� =`� t� ��" � R ��_ � ��'_� ,� . ROt#GN MECNANICAI� , � ,�� s� � � °� � � � � „+�„a�� '�,a�ia+ , �N`�:.'xV� �S�EST`�� .�,mr Y° .��' �daf" r,��E s�' ��: e.�.�� ROUGN°ELECTRICAI W( )C( 1 �, �� ,,,, � 4. `ROUGN PLUMBItVG�"�.�,°;��". �"F' �.�:��` �:��. a �«.�,... ,:.� � PFiE GlJNITE '� ��°�„ � . �� -�«'� �' 4�� .;.�, ' � INSULATION WAIL �POOL PRE�DECK�B`(INDING� �� e`�. �� 'x� � y_. ,_° :�� ` � INSULATION CEIUNG P�T�P-h � �� °�� '°�-� ��°� � DRYWALL ,F�EN�CEI�Gi4TEJAL�ARM � `�� `"�� LATH(PRE) FINAI.POOL".��,s,.�s" „�,E;�• ��.�,�, '��,.� R.. � �� J LATH EXTERIOR WALLS: LATH INTERIOR WALL FOQTING/STEEL GAS TEST WALL STEEL 1�( )2N°( )LIFT SCRATCH COAT WALL BOND BFAM ELECTRIC METER RELFJ�SE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIALMSPECTION ,RO�FRAMHVGP,t.AJ�INI,NGAPPfitIUAL� ,� .r �.� .�„'S '�� "��. � ,.�� t Cvf '.._ �' a�+'� �` �FINaLaBUiLDItJG '�� ,+� r_ �. ��'��`� ��= �Ol3GHF,I�EAPPROVAL�� : � ` � � �-�� . ��' ; -�� r _ . �-. � "� _ �� .,� �� ,,�� - _� y-', j'',EE�_,,�. - �'.' . �PINAL MECHANICAL` ° ��.� .��°'�- ��` `� �� _�" �� _ ��a, F;INAL FIRE�DEPARTIVIENT�� ,��•_ � �� . !FIN,4l.�ELECTRICAL�"� �'�� .:, . -�� '` "�` .� ��3 '"�:�. FltJAL�PIANNlNG� �,�� ,FINAL-,PI.UNIBIHG t,��'`'�°�.�`�. ��,�� '�a� � :,.d� � �FINAL�ENGINEERING/�PW� ��`�'"�g "�� 4 �� .�„� �T.C.of OCCUPANGY� � '�� '� ��`� � '�� FINAL COIVIMUNITY SERVICES��' ,� �' �� ''��.�Y �CEKf of;DCCUPAPiCYs�;_, `�` '� �;'r�� „��,�„ ,�� F1NAL�HEALTH�DEPT �� °��, �� n� � �FtNAE,iNDUSTRit1L''.WAS�TE�:: ��°�,�.�,�. ,��s��a �� ''_ COMMENTS: