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Home My WebLink AboutPR 14-3883CITY OF DIAMOND BAR f_ t 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 FIRMLYBUILDINGPERMITAPPLICATION JOB SITE ADDRESS ` 1 o APN LOT TRACT OWNER ADDRESS ti P1 CITY ZIP TEL. APPLICANT TEL. 5 CONTRACTOR vtviaeb ADDRESS L CITY N C 1 Iv i7 ZIP Q _ TEL. ARCH/ENG/DESIGNER ADDRESS CITY ZIP TEL. I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) Indicated below by the checkmark(s), I have placed next to the applicable item(s) [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair, any structure, prior to Its issuance, also requires the applicant for the permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). U I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Code: The 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 offered for sale. If however, the building or improvement Is sold within one year of completion, the Owner -Builder will have the burden of proving that it was rot built or Improved for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Gode: The Contractors' State License Law does not appy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to Vie Contractors' Stale License Law.). U I am exempt from licensure under the Contractor's State License law for the following reason(s): By my signature below I acknowledge that except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permit,[ cannot legally sell a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the following Web site: httpAvww.leginfo.ca.gov/calaw.htmi. DATE: SIGN: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force anndd'effffect. uLICENSEGLASS: V LIC. NO.: lJ q CJ l ),I DATE:CONTRACTOR: WORKER'SCO PENSAnON DECLAM N I HEREBY AFFIRM UNDER PENkTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and win maintain a Certificate of Consent to Seff-tnsure for Worker's Compensation, as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance Carrier and Policy Number are: no CARRIER d• 2 O 11`3 11 N POLICY NUMBER_ (' THIS SECTION NEED NOT BE COMPLETED IF THE PERIRIS FOR ONE HUNDRED DOLLARS (S1 D0) OR LESS). I certify that in the performance of the wore for which Uds permit is - not employdY an Y person in any manner so as to become subject to the Worker's Compensation Laws of California. d a ee that if I shoWd become subject to the Worker's Camper o pr. _ Section 3700 of the a de, I sh r com fy with those provisions. , DATE: ma T: (C WARNING: Failure hi re Worker's Compensab coverage is unlawful, and shall subject an empbyer to criminal pennies and civil fines up to one hundred th d dollars ($100,0(10), in addition to the cost of the compensation, damages as provided for in section 3708 of the labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. Q. LENDER'S NAME- LENDER'S AMELENDER'S ADDRESS: I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ve AVE13 ; c PERMNTEE NAME ( INT) SIGNATURE 0 E DATE APPLICATION DATE: ISSUE DATE: TYPE CONST. 4 PERMIT# / " 14 — -79 3' OCC GROUP: ZONING SETBACKS FRONT REAR SIDEISIDE STREET SIDE RW RW PROPOSED USE` DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM Garage/Carport r.0w Patio/Deck LL PooL/Spa ZRe Roof Commercial b0 d0 Valuation: t Adj. Area: QUANTITY DESCRIPTION FEE w w zm J L z U CONSTRUCTION: PLAN REVIEW: ELECTRIC: IV kP 9.0o A v 1 C 7, d PLUMBING: MECHANICAL: INSPECTION FEE: ISSUANCE: 4 SMIP: ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: D BSAF: TOTAL FEES COMMENTS: y RECEIPT q / PAID BY. VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy, GOLDENROD — File Copy, GREEN — Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD SHEAR WALLS EXTERIOP, SHEARWALLS IN - ! -' TRACT AND LEDGER ruvuorn ROUGH PLUMBING R 0b GH SWITCH GEAR FRAM' ' qERIOR ROUGH MECHANICAL ELECTRICAL CROUGHCA COMMERCIAL HOOD 6GH MEC HANitA GAS TEST` T -BAR ROUGH PLUMBING INTERCEPTER PRE GUNITE",',,,o' HOT MOPISHOWERPAN INSULATION WALL SEPTIC/CESSPOOL POOL 'Ot-bt 'k BONDING ti vu a HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT SHEAR WALLS EXTERIOP, SHEARWALLS IN - ! -' ruvuorn ROUGH PLUMBING R 0b GH E 7 5 FRAM' ' qERIOR ROUGH MECHANICAL ELECTRICAL CROUGHCA 6GH MEC HANitA GAS TEST` ROUGH PLUMBING PRE GUNITE",',,,o' INSULATION WALL POOL 'Ot-bt 'k BONDING ti vu a INSULATION CEILING PJAW DRYWALL fE'NCE 'k'GATE/ 'ALARM LATH (PRE) FINAL POOL, LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL l-( ) 2'D( )LIFr SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO. FRAMING PLAN " 7_N5A-PPROVAL FINAL BUIL FINAL MlEdHANICAL- ONAIL ELECTRICALIfCA-L FINAL PILOMBIWGI':':, T.C of, OCCUPANCY CERT. COMMENTS - pi Ad-A' E APPROVAL FINAL 0 1 R t-, b E PA RfM E N t, 7 FINAL IRLMNING%, ' 57 FINAC kvfpw"'. ENGINEERI FINAL "COMMUNITY, SERVICES ' 1NALMEALTWIDEPIfIF FI NALIN66§4A' WOST IgE — 'r Aix