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Home My WebLink About14-4585 �- V a�\a.� �l �b'�� . ,��,*. ._,,,�,. CITY OF DIAMOND BAR j I� DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES � , - -� 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �-�,�,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY Bi3ILDING PERMIT APPLICATION � _L � APPLICATION D P�C �-- i JOB SITE ADDRESS � ' PERMIT# I�5�� y ISSUE DA7E: z APN LOTn TRACT �� OWNER� I I'hp��Ol/ ��d S � TYPE CONST. OCC GROUP: L � ADDRESS ZONING SEfBACKS � C�Ty ZIP TEL�OQ q�I- I� � FRONT RW �— APPLICANT TEL. REAR � � W a! / �,/YJ SIDE/SIDE STREEf RW � ¢ CONTRACTOR �'Z SIDE � � ADDRESS PROPOSED USE � � � h I x c�rv�-r�i r n e ziP G L TEL. y -�L ,y � ARCH/ENG/DESIGNER � � � z ADDRESS #DWEL.UNITS I #STORIES�_ #BEDROOMS � � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEA-BURDEH DECLAFIATION I = SFR/ADD/REM = I hereby affirm under penatty of perjury that I am exempt from me Contractor's State License Law fm the reason(s) � � indlcated below by the checkmark(s�,I have Dlaced ne�R to ihe applicable item(s)[Sectlon 7031.5,Business and Garage/Carport +� Prafesslons Code:My cfty w county that requires a permR io construct,atter,Improve,demolish,or repalr,any I z strucWre,priw to Fis Issuance,aiso requfres tlre applicartt fa tlre permlt to flle a slgned statemenl Tha1 he or she w PatlolDeck i Is Iicensed pursuarrt to the Provlsiats of the Contractor's State License Lew(ChapEer 9)Commencing wtth SeCtlon � pool/Spa I � 7000 01 Ulvislon 3 of tlre Business and Protesslons Code]or mat he or sho is axempt from Iicensure and the basis for the alleged exemption.Arry violation of Sectlan 7031.5 by any applicant for a permft subjects the applicant to a civll penalty � I n Z Re-Roof of not more than iWa hundred doilars(5500). I x � � U I,as ovmer of the properry,or my employees with wages as their sole compensation,will da U ell of or(1 portlons J Commercial � of the work,antl the shucture Is notintended or oBered for sale(Section 7044,Businoss and Protessions Code:The m I '-y� Contractors'Stahe License Law does not apply to an owner of praperty vfio,through employees'or persanal effort,builds y w improves the pmperty,provided that Me Improvements are not intended or otteretl for sale.If Oowever,the building or I � imprwement Is sold within one year of completlon,the Owner-Builder wlll have the burden of proving that It was not bultt � a imprmed fw the purpose o1 sale.�. I � I (�I,as owner of the property,am exclusively contracting wtth licensed Contractors to construct the pro�ect(Section Valuation: Adj.Area: � 7044,Business and Professions Code:The Contractors'State LJcense Law dces not apply to an owner of pmperry who Z buildsorlmprmesthereon,andwhocontractsforthepro�ectswlthallcensedContractorpursuanttatheContractors State QUANTITY DESCRIPTION FEE � n Y ucense law.). � U l am exempt trom Ilcensure under Ne Contrador's State license law for the tollowing reason(s�: � I � � 1 By my signature bebw I acknowleage that,ezcept fa my personal restdence In which I must have resided for at least one � Z year prlor to completlon of the imprmemertis covered by this permtt,l cannot legalty sell a structure that I have buill as an � � ownervbuilder fi It has not been constructed in Its entirety by Iicensed contractors.I understand that a wpy of the applfcahfe w � law,Section 7044 of the Business and Professlons Code Is available upon request when this application Is submitted or at � � � the foliowing Web sfte:M�7waw.leg{rtfo.ca.govlcataw.Mml. z I DATE: SIGN: m � � � — UCENSED CONTHACTOfl'S DECLAHATION = a I � f hereby afRrm under Denatty of per�ury ihat I am Ilcensed under prwisions of Chapiar 9(commencing wfth Section 7000� y � of Dh�islon 3 of the Business and Professbns Code,and my license is In full force and effed. � _ -- G u�No �� " uceNse n I � �ATE: COMAACT�R: n � ¢ W011l�i'S COMPENSATION OECLAHATION � I � I HEREBY AFHRM UNDFA PENALTY OF PFAJURY ONE OF hiE fOLLOWING DECLARATIONS: •4b " �1 b a I have and wiil matntaln a Certiticate of Consent to Seit-Insure for Warker's Compensation,as provided by CONSTRUCTION: � Section 3700 of the Labw Cade,for the pertormance of the work for whlch this permtt Is Issued. PLAN REVIEW: � � I have and will malntain Worker's Compansatlon Insurance,as required by Section 3700 0(Uie La6or Code,for ELECTRIC: � me pertormance af the work for which this permit Is issued.My Workar's Compensation Insurance Carrler and ¢ PolicyNumberare: PLUMBING: � CARHIEA I G ( I MECHANICAL: y Z POLICYNUMBER W C ��Fj �� GL7� INSPECTION FEE: � n (IHIS SCt�ION NFFD NOT BE COMPLEIED IFhiE PHiMR IS FOR ONE HUNDRED DOLLARS($10�OR LESS�. ISSUANCE: 3S• �i� � I certlfy that in the perfom�ance of the work for which thls permit Is Issued.I shall not employ arry persan In any manner so as m SMIP: ,' �� = hecome subJect to a Workers Compensatlon Laws of Califomia And ag2e that if I should becane subJect tu the Waker's � JCanpe sb of Sectlon 3700 of the La6or Ca I s I torthwith canpN wi ttwse Prwisions. ENERGY P/C: .. � _' DATE: APPLICMfT:�QV I��.�n.�I� ` ENERGY PERMIT: i � WARNI :Fail e to sewre Worker's Gompensatlon coverage Is unlawful,and sha subject an employer to criminal RETENTION FEE: � ' `�� s penaltles and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensaUon, � � � damages as provided for in secUon 3708 of Me labw code,interest,and attomey's fees. PRE-ALT FEE: i CONSTpUCTION LENDING ACENCY BSAF: �' � z I hereby affirm under penalty oi perJury that there is a Construction Lending Agency for the performance of the work for L � whlch this permlt Is issued(Sec.3097,Gv.G.�. LENDER'S NAME: = LENDER'SADDRESS: i f ceNry that I have read this applicatbn and state that the above information is crorrect.I aAree to compry wfih all ciry and TOTA�FEES 3�� '1 � � � counry ordinances and state laws relatlng to bullding construction,and hereby authorize 2presentatives of this counry to COM MENTS: Z enteruponthe above-merttioned propertyforinspection purposes. = r � ¢ MITTEE NA � N� = SIGNAIURE OF PE A RECEIPT# �ZQ Q�j� PAID BY:�V �—I �P � VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—AppllcanYs Copy CITY OF DIAMOND BAR �� INSPECTION RECORD � � a � � � � � e � � ;5ETBAC,IULETTER ��4w��'�� ° '�- "' �a,��,�.�� ;"`�',..: TRACTANDLEDGER _ `� _ �« � � „E��e;�,..�'� .r�.�� ` ��n�. SWITCH GEAR� �FOO,T,IN�(5 FORMS �" � � � '` �� ` � :� ' ;, � �,� n � ,�, �_ ,a ��"°'� COMMERCIALHOOD �StA$ �� ..�� F . UG:PI.UNfBING� ��"3 ,- ��„� `",€��u. �.;� T-BAR � `�" �E �`� - � '� '`� ^� ��"�� INTERCEPTER �U��ECECTRiCA�-� �� : <_:,�� ,,..�� ..�� ,UFER GR�OUND" . � `�; � �� a�"x"'��"a��M�'�� p' HOT MOPJSHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �SHEAR VJALCS.EXTERIOR m�.e��"` �� h� `" '�� POOUSP�: ��w w ' " �`.,�� `� � p� ��'� w ; -,_ ; �> � ,,,�, r � � :P , ��, � �� ,� .. , _ � " � �� .z� � � � `. �. � , �, _. � �; �� ,SHEARWA�I��tN7ERI0R'� ��,�� '��,� .��' � �*� „ ROUGH�PLUhhBiNG:�� , �' � �� " °� ,� � � ,,, ,�� Po';� .�_ � �� °FtOUGN;�E GTRICI�L� �'+� � � ��r' �� '��,eN-� �� FRAMINGNENTING�' _ � � �_ - ' � . � �- . � � �'�' ROUGH�MECIiANICAL""� � ��"��,� �`�' ��` . �� RdUGH�MECHANIGAL .� �� `,�� n�� '� ��a' ROUGN�EIECTRIC,4L'�W(,^;')'C(,�ky � ,�,�a�:. .a: �. ,�� ;,� zGASTEST. '�� ,�k`� �' � �� r��:��.�� ; �_ �,x ROUGH�PLURhBING.�. � �a � � �� .� ": �,F v �..�� .>ff"�' `��„ ��' ��' �„ �PRE GUNITE � � � �� "� ��, INSULATION WALL POOL PRE��DECK BQ�IDING�� ,�� aw��,� ^� -�� . INSULATIONCEILING ,P�TRAP��` �.<s�, ��re �A°: `�`'e �;,;��~ � `'�` . ; �,� DRYWALL FENCE�/�GATEI�ALARM� ' �� ' .;� �, � m, °`� �� x LATH(PRE) �FINAL POOL. �� ,�� '�" v�� '° �� LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sT( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM E�ECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WAIL FINAL M SPECIAL INSPECTION RD f�AMWGPIJaNFi1NGAPPROVaL � r,�� ': �� :'�_ ,� ��'�; � '"� ,�.� 3FIWiL+BUiGDiNG� � � ' �J`�,�N } ,� 5� �" �""` �� +; .�2 ROUfN FIREAPPROVAI`�� `� �� . � ,�e �� .3a� m""`"` m ��' ,a�a _�e . �� .r�.�. . �� a�, •. �" � FINAI MECFiANlCAL „� � � ,, "�� ._-� � , ��INAL FIRE DEPARTMENT�,� ,� �� :,��.. � ��,�, « �� ;� �,.,�,�,�, �' EFfNAL�PIANNING � �� `�� "� �� x�,��'� �INAI ELEC7RICAL, ;� �� ' ;,� _ �� .�� '�_ � �. �� ,. �FINAL,PLUMBING��,��'��.��° �� .�� ` ��,�� ;��> �� '��' �� .��,� �� ,.�� • �" FINAk ENGINEERIN�I PW �_ TC.of OCCUFANCY �'�°�� f ��°'�� '`_�� "�;�� '�; �'` �F.INAL¢CONfMUNITY 5E8YICE5 �r�*�� g' � R»�-`� :'.,�'��_` � � ,GER7`�of QtxUPANCY��,� ��'��' �` '� �_ °��°�" 'FINAL HEQLTH`DEPT ,'„" x� �� ..�. � �; ��`�� t ,: r �'w'� ,.. , �� ,��, � ,'�� , _ EINAt�tNQU5TR111L WAS?E�_ . ��:�'��FM� ��..�a� � �° COMMENTS: