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Home My WebLink About14-4581 � - '' CITY OF DIAMOND BAR �� Y A��I V15TP+ � € I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES :s 21810 Copley Drive,Diamond Bar,CA 91765 PRESS „�„T�,] (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 �''�' BUILDING PERMIT APPLICATION FIRMLY g APPLICATION DAT : s P/C# '� y JOB SITE ADDRESS O p , 1 ISSUE DATE: PERMIT#��5 p,I_ � APN LOT TRACT • — y OWNER �GI�� TYPE CONST. OCC GROUP: n ADDRESS J CITY � ZIP TEL. O ZONING SEfBACKS FRONT RW ❑ � APPLICANT TEL. REAR ❑ n • SIDEJSIDE STREET RW ❑ � CONTRACTOR h �� SIDE ❑ � ADDRESS l� U PROPOSED USE � CITY'rY v I Y1.0� ZIP 1G��TEL. � ' Z � ARCH/ENG/DESIGNER \� = ADDRESS #DWEL.UNITS #STORIES�_ #BEDROOMS � CITY ZIP TEL. � OwNEH-BUILDei DECLAHATION ., DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License law for the reason(s) SFR/ADD/REM L Indicated below by the checkmark(s�,I have placed next to the applicable item(s)[Sectlon 70315,Business antl Garage/Carport I � ProfesWore Cade:My ctty a camry that requlres a permit tn co�trud,alter,improve,demolish,ar repair,any z structure,prlw to tts issua�e,also requires ttie appllcarrt}a tlre pertnit to flle a sigired statemeM thffi he or she � Patio/Deck I � is Ilcensed pursuarrt to the provislons of ttie Ca�actor's State License Law(qiaptar 9)Commencing wfth Sactlon w � 7000 of Divlslon 3 of tha Business and Professlons Codej or that he or she is ezempt fmm licensure and the basis for � PooVSpa I the alleged exempUon.My viWation of Secdon 7031.5 by any applicant for a permit subjects the applicant to a dvll penatty C7 I = of not more than five hundred dollars($500). ZQ Re-Roof 3 F,'�'V � U��as owner af the property,or my employees with wages as their sole compensation,wlll do(,all of or(�portions � Commercial I y of Me work,and the structure is not Iirtended or offered for sale(Sectlon 7044,Business and Professions Code:The � I � Contractors'Shate License Law dces not apply to an owner of property who,through employees'w personal eRort,bullds m y or Improves the property,provided that the improvemeMs are not intended or offered fir sale.R however,Me building or I � improvement is sold wlMin one year of completion,ihe Owner-Builder will have the burden of prming that ft was not buitt � or improved for tha purpose of sale.�. I (�I,as owner of Me property,am ezclusively corMmctlng with licensed ConLactors to construct the pro�ect(Section � 7044,Business and Professlons Coda:The Corrtrac0ors'State License Law dces not apply to an owner of property who ValuatiOn: Adj.Ar68: I Z bulldsorimprovesthereon,andwhoconVactsforme � ucenselaw.). ProlectsvnthallcensedContractorpursuanttotheContractors'State QUq��Ty DESCRIPTION FEE I Y � (�I am exempt from licensure under the Contractor's State License law 1or the following reason(s): � I 3 �1 By my signature below I acknowledge that,except for my personal residence In which I must have resided for at least one I � year prlor to completlon of the improvements covered by this permtt,l cannot legally sell a structure Nat I have bultt as an w I owner-bullder if it has not been constructed in Its entirety by Iicensed contractors.I understand that a cropy of the applicable � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I i the folbwing Web slte:http/www.leginfo.ca.gov/calaw.h6nl. _ � DATE: SIGN: � — LICENSED CONiRACTOR'S DECWiAT10N � I � I hereby aKrm under penatty of perJury that I am Ilcensed under provisions of Chapter 9(commencing wltlt Section 7000) I � of Division 3_of the Buslness and Professlpns Code,and my license is In full force and eftect. J I n LICENS LIC.NO.: �) L7D � I �Z DATE: CONiHACTOR' I ¢ WOBI�fl'S COMPENSATION DECLApATION � y I HEREBY AFflRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I � I have and will malntain a CertfArate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: ��J�• a�j = Section 3700 of ine labor Code,tor ihe peAormance of the work tor which this permit Is Issued. p�qN REVI EW: j � I have and will malrrtain Worker's Compensatlon Insurance,a5 requlred by Section 3700 of the Lahor Code,for � the perrormance of the work tor which this permtt is issued.My Nbrker's Campensation Insurance Carrier and ELECTRIC: 7d" PoIi�yNumberare: ,,1- PLUMBING: y CARRIEfi (L1'1 �� MECHANICAL: � POUCYNUMeEA �/1f� �� 5�Q2 INSPECTION FEE: '� (IFiIS SECTION NEED NOT BE COh&LEfED IFhIE P6iMR IS FOR ONE HUNDR�DOLLAAS($10�OR LESS�. ISSUANCE: S • S'� = I certiry that in the performance of the work far whlch this permtt Is issued,I shall rrot employ any person in any manner so as to a �� becane subject to Nbrker's Canpensatbn Laws of Calffomia.Md agree that rf I should become subject to the Waker's SMIP: � Canven � n Section 3700 ot me Labor�,�/I shall formwlm c�a1npry wR�h/}��prwisions. ENERGY P/C: J DATE: APPLICANT: U V W/ �/IQrU V 1 � � �— ENERGY PERMIT: = WARNIN : 'lur to secure Worker's Compensatlon coverage Is unlawFul,and shall sub�ect an employer to cnminal RETENTION FEE: �. (jp y penattles and chdl fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensaUon, = damages as provided for in section 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: ' i COMSi11UCTI0N LENDING AGENCY BSAF: � , Q� = I hereby affirm under penalty of perJury that there is a Construction Lending Agency for the pertormance of the work fa � whlch this permtt is Issued(Sec.3097,Ci¢C.). LENDER'S NAME: = LENDER'S ADDRESS: TOTAL FEES ,1 /- i I certify that I have read this applicatlon and state Mat the above Irrtormation Is correct.I agree to comply with all city and T��-, �o(p Z county ordinances and state laws relatirtg to building consWction,and hereby authorize representattves of this county to COMMENTS: � enter upon the abme-merrtioned property for inspectlon purposes. � � � ►r ¢ � ERMITTEE NAME(PRI n n ��__ �„b Ll VALIDATION:�_ = SIGNATURE OF PERMITT 7E RECEIPT k PAID BY: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAIVIOND BAR INSPECTIC3N RECORD • , . • • - • � • . � . �SETBACIU LETTER�� `��, ��.��°"� _�� ;': ��.� ��w. ; TRACTAND LEDGER � � ; �m �- ��z. � t '� `' ``� - SWITCH GEAR YFOOTIPIGS��ORNiS � i_�' SLAB= � ,'��. .��a. ��.�A..,„ '�,�,, � �� .:.� `�� _#� � COMMERCIAL HOOD �UG:PCUNfBING .� ��,� ,�d•��'..�� ::. �J�` T-BAR ;UG�EL"ECTHlCAL��'�..`` , � , � ;� '�, ,�*�,':: � r�`. :; INTERCEPTER ;UFER GROUND ::� ��".��, :��. 3�� e:' � ��`� HOT MOP/SHOWERPAN SEWER LATERA� SEPTIC/CESSPOQL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING � D� � ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT r�., _ �� w�� =POOUSPA��'�� °� . ��€�� :�� z „� �a. �,g -� _- e SHEAR WALLS IXTERIOR � , �� . . r �� .. � � � z� �� ; fl � ��. � �.� -� .�R� � �. .�� »,�.. �E ...��.,4 �^ i�.'� .s,:�v � �F.�� ^e�.i�-�3�� ,��f� .'a�.�.a SHE4RWACLS�;tNTERIOR, . � ,�v. QFiOUGH PLl1MBiNG� , n � ,� � �- ,,� � „ a � }° � � ` �,,. r�,� �� "-� E�:,a ,'�° FRAMINGNENTIN6 � ��' '� � �`:� �` �� RQUG,H,�ELECTRICAL� a �� : � :s � �� <„<a .� �� _ ��".;,� �s�.-�" �r.� - � ', � r i^n,a � �a, �x �n"�'�'� ��„��.: �ROtJGH MECHANICAL�� . ; � a � _:� . � °ROUGH MEGHANICAL. : '°��; _� �, � � �� ,, :� �� : �� GAS TEST'� „��` � � �� ;�� a�; �ROUGH ELECTR(GAL Vit��, )C(�) . ,�, �� -� � �� ,� g . - �x ;ROUGH PL'tJMBiNG�`��: ..,��" ��. ., � ,� ;�;�:,'x . '� �� PRE°GUNI?E � � ��: ' � ;;�� ;" , � , �" �;� �� : �. .,..s INSULATION WALL POOL PREzDECK BONDING�� _�� `� �' INSULATION CEILING � �� ' � �� _ �� R TRAP�=' �_ � ��' _� ,��° '� �" m � DRYWALL }FENCE/GATE/ALARM �'�� ;� '�� _ „� � �` � �. �' � LATH(PR� �INAL�O�E, �� ` ��'��:. ��nr,�,-'�� '�, LATH EXTERIOR ' WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2N0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRA1N/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO��AM(NGPLANN(NGAPFROVAL �� . �_� �� ,. ^� . �� ,a�= . , a . ., , :,, �-._ ,,� � � � � �`�� GH FIREAPRROUAL��`�'� . � ��. ' ,� `,�` � . FINAL BUILDIN�� '°`��rJ .' /. �` .�� > �:; � .�� „� �� °�� `.�� "`� �ROU � fFiNAL MECHAI�iGAL A ,� '� ��. � �� FINAG'FIiiE�DEPAEiTMENt�,-g ��,� , �`� � � � � �` �� -� , d, __ ._ � ��' e� � . _ � �� . -� _� B� �FINi4L EI°ECTRICAL ; �" �; � � �� wFfNi4L�PLANNING� ��,�a� � � L��- � �.� ��; � . � �,��,s° '� ' '�� FINAL PLUMBI(�G �R� � ' �,� � . � � " .� �-� f . �FINAE�ENGINEERI,fiiG/PW� ._ �� ... �� , °�� , .� � � i � ,i � a ..��':��r �1��i«,�^..�e.�^.Y � .�� .��-�- ,.�` . � . p �� % ,�'� � .�� '� �,� ��°' 9. r7 C'�of OCCUPANCY � �� FINAL GOMMUNIT,Y SERVICES � � � YCERT.of¢OCCUPAWCY�''� `��' ��',�;' � �� ..�k �� ,� '� .FlNAL�HEALTH DEPET �� :�a ��`��.�� 'fblNAl INdUSTRIAL WAS7E;�� ,. �.��;w��.. �� `�� .-� COMMENTS: