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Home My WebLink About14-4582 � � va��,y v ;b-'r�. � ......,,,,�=��.�. � CITY OF DIAMOND BAR � . .... . , DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES �� 'r' 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �,�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 I �''��`" BUILDING PERMIT APPLICATION FIRMLY � ` 1 APPLICATION DATE: � P/ # y JOB SITE ADDRESS � (.� /' 1 ISSUE DATE: � I`I PERMIT# '� ,�')S'Z- z APN LO�Ty TRACT yOWNER �G+ f V S ��XT� TYPE CONST. OCC GROUP: i � ADDRESS ZONING SEfBACKS � � Y� CITY ZIP TEL. — FRONT RW ❑ � APPLICANT TEL. REAR ❑ � n SIDFJSIDE STREEf RW ❑ = CONTRACTOR SIDE ❑ � ADDRESS �A � �7 PROPOSED USE � � � x CITY'�—r V 1��_ ZIP - I TEL. — Z-Z[� � ARCH/ENG/DESIGNER �� L � ADDRESS #DWEL.UNITS #STORIES�_ #BEDROOMS �� CITY ZIP TEL. � awNEa-suaoEA DEclAaanoN DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION I = I hereby affirm under penalty of perjury that I am ezempt from the Contractor's Stata License Law tor the reason(s) SFFUADD/REM � indicated below by the checkmark(s),I have placed ne�R to the applicable item(s)[Sectlon 7031.5,Buslness and Garage/Carport I � Rofesslans Cade:Any clty or couMy that requlres a permft tu co�ct,atter,Improve,demolish,or repalr,eny z structure,prla to Ifs Issuance,also requires the appllca�rt fa tl�e permlt to Ble a slgned statement that he or slre � Patio/Deck I � is Iicensed pursuant to tha provislons af the Cantractor's State License Law(Chapter 9)Commencinp with Sectlon w � 7000 of Divisbn 3 of the Businese and Professlana Code]or that he or she is exempt from licensure and the basis for LL PooVSpa I n the alleged exemptlon.My violation of Sectlon 7031.5 by any applicant for a permit subjects the applicant to a clvil penalty C7 I 'n of not more than fve hundred dollars($500). 2 Re-Roof I � (�I,as owner of the propeRy,or my employees with wages as their sole compensation,will do(,all of or(,portions � Commerclal y of the work,and the structure is not intended or oftered for sale(Sectlon 7044,Business and Professions Code:The � I � Contractors'Shate LJcanse Law does not m � apply to an avner of property who,through employees'or personal effort,bullds y or improves the property,provided that the Imprmements are not intended or offered for sale.If however,Ne building or I � Improvement Is sold within one year of completlon,the Owner-Builder vnll have the burden of proving that it was not bullt � or improved for the puryose of sale.�. I '� U I,as owner of the ro p perty,am exdusively contractlng with licensed Contractors to construct the proJect(Sectlon � 7644,Business and Rofessions Code:The Contractors'State LJcense Law does not apply to an owner of property who Valuation: Adj.Area: I Z buildsorlmprovesthereon,andwhowntraclsformepmJectswithalicensedContradorpursuanttotheContractors'State QUANTITY DESCRIPT�ON FEE I n Y License Law.�. � U I am exempt hom Iicensure under the Contractor's Sta[e License law for the tollowing 2ason(s�: � � ZBy my signature below I acknowledge that,except for my personal residen�e In which I must have resided for at least one I � year pdor to compleUon of ihe Improvemerds covered by this permlt,l cannot legally sell a structure that I have bultt as an `Jw` I owner-builder If ft has not been consWcted In its entlrety by licensed contractors.I understand that a copy of the appllcable � law,Section 7044 of the Buaness and Professions Code is available upon request when this applicatlon Is submitted or at I i the following Web site:http/www.leginfo.cagm/calaw.html. = I = DATE: SIGN: � � — LICENSEO CONTHACTOH'S DECLANATION � ' I y I hereby afFlrm under penalty of per�ury that I am Ilcensed under provisions of Chapter 9(commencing wlth Section 7000) � I � of Division 3 of ine Business and Pmfessions Code,and my license Is In full force and eRect. J I n � ;q LICENS CLAS ' — ��__LIC.NO.: Z� � DATE: � � CONTRNCTOR:.� '1 S 1v'�(� � � I � WORII�fl'S COMPENSATION DECIAMTION � i y I HFAEBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � I have and will mairrtain a Certifpte of Consent to Self-Insure for Worker's Compensation,as pmvlded by CONSTRUCTION: q-a� . a3 � Section 3700 of the labor Code,fm the pertormance of the work for which this permR is issued. p�qN REVIEW: � 1/ I have and wlll maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � the performance oi the work for which ihls pertnit is Issued.My Worker's Compensation Insurance Carrier and ELECTRIC: dz PoIIcyNumberare: ^ PLUMBING: � CARRIER Y � \ i"� \ CUY� MECHANICAL: y � POLICYNUMBFA WC ,��3�p� INSPECTION FEE: n (THIS SECTION NEED NOT BE COMPLEfED IFTHE PERMfT IS FOR ONE FRINDR�DOL.LSJiS($10�OR LESS). • ISSUANCE: 3S•S'� = I certlfy tliat In the performance of the work for whlch this pertnR is'ssued,l shall not employ any person in any manner so as to � . b� � become sub�ect to the Nbrkers Compensation Laws of Califomia Md agree that If I should become subJect tn the WakerS SMIP: J Compen p p Ns ns ot Section 3700 of the Labor e,I shall lorthvnth compty wlth those prov�ions. ' ENERGY P/C: J DA7E: �I APPLICANT:�V�,_�j�.nprc�y 1 ENERGY PERMIT. � WARNIN :Fall re to secure Worker's Compensation coverage Is unlawful,and shall sub�ect an employer to criminal REi�ENTION FEE:_ a, Lti� penatties and civll flnes up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, = damages as pmvided for In sectlon 3708 of the labor code,Interest,and attomeys fees. PRE-ALT FEE: i CONSTFIUCTION LENDING AGENCY BSAF: �, QO = I hereby affrm under penalty of perjury that there Is a ConshucUon Lending Agenc,y for Ne pertortnance of the work for � whlch this pertnit Is issued(Sec.3097,Clv.C.). LENDER'S NAME: Y LENDER'S ADDRESS: � I certify that I have read this application and state that the above information is cortect.I agree to comply with all city and TOTAL FEES 4,,� 1_. c�p Z county ordinances and state lavrs relating to bullding construction,and hereby authorize represerdatives of this county to COMMENTS: � enter upon the a6ove-mentioned property for Inspection purposes. � a � �; ¢ PERM M RINn � � � � �]�v/��'� I @ = SIGNATURE PE fTTEE DATE RECEIPT#---`^"—f..y'`� PAIDBY:V 1—I10 p VALIDATION: WHITE—Department Copy,YELLOW—Flnance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DiAMOND BQR � �� INSPECTIOIV RECORD • � , • e - • m . • • - ;SETBACK/�CEfTER�,�;��,�,A�""� � �� , ,� . TRACTAND LEDGER ,� �: � �� , �� ` "x��`'�� '� �� SWITCH GEAR ' FOOTING��FORINS. � . ��,�,��.�� ;•r�.�. ma�_�_ .�� _ _. ,.. SI.AB�°, � � � .�< ��:*� ��$�°��,a��.x�°� �°<...,.� COMMERCIAL HOOD !l1G PLUAIIBING�`�r' � �;�„� ��'�'� �; ��`,:�F��. :a'� T-BAR ,UG.EL`ECTRICAL � '� &�a� � �.�'��`� � ��'��`�� INTERCEPTER ,UFER:GROtlNO�"=��€`�� ,,� _� '�.�<� T� ,'� _��,�`�..K�.... HOT MOPJSHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT QEMOLITION ROOF SHEATHING . ROOF DRAINS FLOOR SHEATHING ROUGH CONQUIT SHEAR°VNALLS�EXTERIOR�`.E."j �� „ • � ro r ,,a � Ai�� ,> �� ° �� `�` .� �� '� � �, �r ,� � � �POOVSP � . � �� _ � � �. ��;� � ROUGH PLUMBING �� ,� .� �� '. SHFAR WAILS�INTERIOR�,�. ��. , �� ERAM(NGNENT(NG, �..��..,� "� �� u�� -� � �' �� ROUGN ELECTRICAL�� ;�� + ° w�. �� ': �� . ��,_ ;.. ��W. � `�' ` ,y' � ROUGH'M_E,CHANICA�� '�� „��.� � � � ��° �; ROUGH MECHA�NICAL��, � �, � � �� -�- � � -� � � �.9 � � � �� " ROUGH ELfCTRfCAL W(5-}�C( �� °� � .� "� ,�' �`" � �' .�� GAS7E5� ;. � �a� ,., ��.� �� . . , �,�'. � �g ,� �a , , . . � .�� . �.� � �PRE GUNII;E�' �a.� �'�,� �� '� ��r�� a `� �� NSULATONW�A�G � �. �� ._ ' �w �� ` �' ' .;' Ll FPOOL PRE.DECIt BONpING��,� `" °"`� � �� ^� � �' INSULATION CEILING =P-TREtF. q�� .-� �"�� -� � � �� DRYWALL �F�N�E i GATF!ALARNi �� ''� �'� �� ; � �'.�_ ��. . - LATH(PRE) , ,FIN�L..P,O,OL�� ... �° �. �"�� .��^�. . �� ` �� LATH EXTERIOR '" wA�� LATH INTERIOR WALL FQOTING/STEEL GAS TEST WALL STEEL 1 sr� �2No� )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN!SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION �RO 1�AM(IVG PIANNING�APPROVAL ��`�� '�� FINAL BUILDING �� / <I � ��_ � ,;� � �k� �� ROUGH��IiiE APPRO�tAL� :' �� .µ �� '.� �� .�. -�-�� , � ; °��,�� " � �FlNlil FIRE DEPAR7MENT� �� t � �„� �, � � �� INAt MECFiAN(CAL��;: � _ . �� : � �,�� .� � , � f�: � : AFiNAL PI�ANNING„��` �.�;`� � �^�� `, �� ,� �'�' �`, FIN;QL ELEC�fRiCAL � �_ �� .� � s - � L r'' :�� 6 ,� ,�: �� - *� ;FINAL ENGINEERINGI�PW��,�� p� ��' � ��=`�` � FINAI PLUMBING ,- � �� ,, , , " r : � � ,� � �,�� ` ��`� �TC`of��CCURANCY�,., � ".� <� ° � �� r FENAL COMMUNffY SERUICE5 � � ��4a�"`� �` .� � �^° { � � �,�. �, , �.. . r �� h.�� ,FINAL'�HEALTH$DEpT,_ °`"�� ,� T��;,�� _ �a� . �. ' �`�� GEFiT of;OI;CUPANCY.,.,�� .� �� ,�',,.�� .�«��M., � �` _� � , _ ��- . � - .� :EINALL�tiJDUSI'R1AL 1�_NASTE�y �:.',�.. ��_�. :�.��• � �`� �. COMMENTS: