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Home My WebLink About14-4553 -��-!"' _._.. CITY OF DIAMOND BAR . .... : � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � - ''� 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS I �,�,,� (909)839-7020 Faac:(909)861-3ll7 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION -�f3 s JOB SITE ADDRESS �L� �U � S / VQ n C P (� APPLICATION DATE: P/C# I 1 ISSUE DATE:�"� PERMIT# �-7 � N f�� j APN LOT TRACT �— i y OWNER_/vL (A�lr Q�Y� C�� E ✓ (� TYPE CONST. OCC GROUP: � ADDRESS � J CITY ZIP TEL.'� I�,/ � S U �"'�sY Z�NING SEfBACKS � APPLICANT � TEL.�I I��3 F U 3 C(1 I RE�qqT RW ❑ ¢ CONTRACTOR �R e p i o e i SIDE/SIDE STREET RW ❑ SIDE ❑ � ADDRESS I r13 2- 6 Vg.��'c.,r-�� f3 f -1y 7--d f � CITY�G/'Y C C� ZIP (J SEi TEL. O r Y 3 `�'Z Z� Z"J PROPOSED USE � ARCH/ENG/DESIGNER I y � ADDRESS � CITY ZIP TEL. �DWEL.UNITS #STORIES #BEDROOMS � owNER-BUi�oFA DECLAAnnoN DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � = I hereby atflrm under penalry of perjury that I am exempt from the Contrador's State License law for the reason(s) SFR/ADD/REM ' I � Indlpted 6elow by tlte checkmark(s),I have placed ne�ct to the appllcable Rem(s)[Sectlan 7031.5,Business and Garage/Carport I � Rofesalons Code:My cfry m cow�ty that requlres a permit ro construct,alter,Improve,demolish,or repalr,any z structure,prlor to ifs luuance,also requlres tlre applicaM lor the permtt ro flle a slgrred statement that he or ehe � Patio/Deck I � Is Ilcensed purauant to tlre provlslans of the Cantractor's State License Law(Chaptar 9)Cammencing wMh Sectlon w � 7000 of Divisbn 3 of the Business a�Professb�Code]or that he or she Is exempt hom Ilcensure and the basis for � PooVSpa I � the alleged ezemptlon.Arry violation of Sectlon 7031.5 by any applicant for a parmit subJects the applicant tn a civil penatty C7 I of not more than five hundred dollars($500). Z Re-Roof s I � U I,as owner of the property,or my employees with wages as their sole compensatlon,will tlo U�I of or U portlans � Commercial y of the work,and the structure is not intended or oHered tor sale(Section 7644,Business and Professions Code:The � I � Contractors'State License Law dces not I to an owner of ro m app Y p perty who,through employees'or personal effort,bullds i or improves the property,provlded that the imprwements are not intended or offered for sale.R however,the building or I � imprmemerrt is sold withln one year of completion,the Owner-Builder will have the burden of proving that it was not built j a improved for the purpose of sale.�. I J (.�I,as owner of Me property,am exclusively contracting wlth licensed Contractors to construct the project(Sectlon � 7044,Buslness and Professions Code:The Contractors'State License Law does not apply to an owner of properry who ValuatiOn: Adj.A�Ba: I .�Zj bulldsorimprovesthereon,andwhocontractsfortheprojectswtthalicensedContractorpursuarrttotheConVactors'State QUANTITY DESCRIPTION FEE I ,� ucense Law.). � C 1 I am exempt hom licensure under the Contractor's State License law for the lollovnng reason(s): � � � V I 1 By my signalure below I acknowledge that,except Por my personal residence In which I must have reslded for at least one � Z year prior to completion of the improvements cwered by this permit,l cannot legally sell a shucture that I have bultt as an `Jw` I � owner-builder if tt has not been constructed in Ifs er�irety by licensed contractors.I unUerstand ihat a copy of the applicable � law,Sectlon 7044 of the Business and Professions Code is avallable upon request when this appliratlon is submttted or at I i the folbwing Web site:httpMrviw.leginfo.ca.gw/calaw.html. z I = DATE: SIGN: m .. � LICENSED CONiAACTOR'S DECLAFIATION ? � I yI hereb afFlrm under en r� ry p p ( y � � Y p altY of pe'u that I am licensed under rovisions of Cha ter 9 commencln with Sectlon 7000 � of Divisbn 3 of the Business and Professlons Code,and my Ilcense is In full force and effed. J I nj LICENSE CLASS: `-- � � �7 .L1C.NO.: -(2 � a ��`-� � Z DATE:_�l7�� CANTAACTOR: Qi �' E .�. � Q WOHIffA'S COMPENSATION DECL.AIiATION � y I HERFBY AFFIRM UNDER PENALTY OF PEAJURY ONE OF THE FOLLOWING OECI.ARATIONS: I-/� � I have and wlll maintain a Certificate of Consent to Sett-Insure for Worker's Compensation,as provided by CONSTRUCTION: /d./ ��Q = �Sectlon 3700 of ihe Lahor Code,for the perfurmance of the work for which thls permit Is Issued. PLAN REVIEW: ' I have and will maiMain Worker's Compensatlon Insurance,as required by Sectlon 3700 of the tabor Code,for Z the performance of the work for which this permtt Is issued.My Worker's Compensatlon Insurance Carrier and ELECTRIC: � ¢ PoIi�yNum6erare:L�nr� ' �. PLUMBING: y CARRIER C MECHANICAL: � POLICY NUMBER 7 O(,(��Z CJ$ � /J/ INSPECTION FEE: '� (THIS SECTION NEED NOT BE COMPLE7Ep IFhIE PHiMR IS FOR ONE HUNDRED DOWWS($100)OR LESS�. ISSUANCE: r.r"7 � I certity that in the pertamance of the vrork fur which this pertntt Is'ssued,I shall not employ any person in any manner so as to � hecome subject Oo tlre Kbrker's Compensatlon tavrs of Califomla.Md agree that rf I should become sub�ect to the Wakers SMIP: JC«npens�qyn provisions of Sectlon 3700 of the�Code,I shall tort�m comp�tlrose provlsions. ENERGY P/C: 1 �A�� f APPIJCANT. �"�f� � ENERGY PERMIT. � WARNING:Fallure to secure Worker's Compensation croverage is unlawful,and shall subject an employer to criminal ipenalties and civil fines up fi one hundred thousand dollars($100,000�,in addition fi the cost of the compensation, RETENTION FEE: .1-�j/f � damages as provided for in section 3708 of the la6or code,Interest,and attomey's fees. PRE-ALT FEE: i CONSTIiUCTION LENDING AGENCY BSAF: y I hereby affirm under penalry of perJury that there Is a Constructlon Lending Agency tor the performance of the work for � which this permtt Is Issued(Sec.3097,Clv.C.�. LENDEA'S NAME: s LENDER'SA�DRESS: � � i 1 certity that I have read this appllcaUon and state that the a6ove informatlon Is correct.I agree to comply wlth all ciry and TOTAL FEES Z county ordinances and state laws relatlng to bullding consWction,and he2by authorize representatives of thls county to COMMENTS: � errter upon the abme-mentloned pmperty for inspectlon purposes. J � v l�r>, E�;v( 4 s I G n f� � ¢ PERMITTEE NAME(PRINn �' � � ��( � n n = SIG E OF PEHMfTTEE DATE RECEIPT#��'� pp,�D BY: � ��c I VAIIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR - INSPECTION RECORQ � � � • � o • � � � ° � � ;SETBACIU LETTER �.��„� < _�°� � ' ``�'" �� '�'� �"��` 7RACTAND IEDGER FO,OTINGS.FORMS� R� � „ `'' .�,� � � ��.�� ' �. � �� SWITCH GEAR �. � �SLAB., �. �r � � �,�_�� .,� � �� '� ..� '�, �'�"' COMMERCIALHOOD . ��,y� � � �:�: � ;�, s��,� �..v� a �;W T-BAR UC.PLUMBI�IG,; , � � � �. .��= � , . � -�.,� �, ,�� UG ELECTRiCAL� , °'"� '� �� ,,a. ��,� �' „ � �__� ��^' INTERCEPTER _,�._ � _ �,>,�-;. �� , ,:.;,��k �x �:, � �'�"'� � ,�+°i HOT MOP/SHOWERPAN UFER�,GROUND� ,�. �: .�.. ��. � �, �� ' � ��- - �� SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVEQ SEWER CLEANQUT DEMQLITION ROOF SHEATHING ROOF DRAINS FLQOR SHEATHING ROUGH CONDUIT _�,� „ ,� � � � .. �ra - � E z� �� " -� � � -*�' SHEAR WALLS EXTERIOR� � x � _ .� : ,,E�'�� ' � POOVSl�A� � �� 9 _�,� � � � ,�m� T� � . ��»� �� z ` -� �„'� �� ` � � � � � �� SHEAR�WALL`S:INTERIQR'.� ;�' � � �� ,� " � °RQUGH�PLf1MBING �., .� �� ;� � ��.�� `�� `� ROUGH ELEGTR{CAL' �`, ��,� °� � � � ,� � �: FRA�IINGNENT{NG �. � ,�� `, � �.. �.�� n�� : a } �� ; �� '� � ;,, "�� FiOUGH�NIECHANICAL �� ...� �$�� " �'�� ,� ROIJGH MECHANIGAL�� ,,�.z� ,� � �,- � �� , . � :RO,f1GH ELECTR(CAt W('��}C i�1 '��, � � x �� ,,,_ �� GAS TEST,� ' "',;� ��" � �"�' � �* � _ . �, �. �e.� �.� � � �� z� �� ' � � � t F :ROUGH�P UMBtNG�°��:��°�,, � �I'�� ` ` '� �x � PFiE GUNITE�' , � �,��.,�� '�� _ �. r�K. .��«��-_�. _. � . � _ �� re.. ,�; INSULATION WALL POOL PRE.p�CK BONDING,� ��r .,'� � „�� : �'� � �' _ INSULATIQN CEILING ,P�7FiAP;�� ,.�� '�� ;� �, � � �. �� `'� �� . ,FENCE I GATEJ AIARM „�+ � � � �� °" � �� :� e �� DRYWALL " LATH(PRE) FINAL'POOL��, �.,��. " �� a�� `��'�� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL �AS TEST WALL STEEL 1�T( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN(SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION �F30 FRAMN6 PIANNINGARPFiOVAL ,�`��'� �° " � "� �� "�' ,FINAL�BUILDING ��: '��. ��,��_ '�'� � ��< {. .ROU6H FIREAPPR,dVAL� _ � �� „ � , � �•� �' � � � � ^� g� �r `� AL�FIRE�DEPARTMENT*"• ��; ��'�$ ��,�� ?: 'FINA��MECHANICAL �� _�� .,, s �� , �,� FiN �«� � � � '� � i �. .��" ��. � � "F^s�w:n`n � � �` � a -�'" � i � �°' �y� �,� �,.. ��4 � � ,FIN�AI.EL=ECTi�ICfli. � ��a�.�, � �, �" �„�� -.�� FINAL FLANNfNG� � � -� .� ��.,� � ,� "� � a � ��4� �.�� s ;EItJAL ENGINEERING�/PW�'�` �� -��`�„ �� FA��E�� 1NAt�PLUMBING u � �.� � _ , ��: �� . ,�,� ,� __ _ � .� , �� ,s- >,,� � " ' " �"� ¢;� �� `� fi��,� €FINAL COMMUNITY'SERYICES�� :�� =� � `�� _� ,��-.' �T�C:of OC�UWANCY=� � � �, ,. � , _ �� m m � se�- � " - �, � �� ,.� .. �� '.,�� _ � . � � � �.a� 3 ��, �CERT_.o�'OGGUPAPICY: r � �� '��,. � �.:�,� ��°��_. � .. FINAL HEALTH D£PT �� '� � � �� , . _ � :.� � �� -._ �w., . �� . � � �..��„�� - , � "� �FINAL tNDUSTRIA�.�WASTE_�:�..,�,. a= _,� ,�.� �:�,,.� ��,��-�� COMMENTS: g �