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Home My WebLink About14-4583 �,E �a\\c� J �L�"r �F �'��'- CITY OF DIAMOND BAR ` � DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICES I N 1 �•" ' 21810 Copley Drive,Diamond Bar,CA 91765 �� PRESS `k,�,,,� (909)839-7020 Faz:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION � APPLICATION DAT : � P/C# y JOB SITE ADDRESS 1 ISSUE DATE: C � I PERMIT# I� � ��,��_ j APN LOT��-TRACT A'� y OWNER ' IYJ�I�r��/ [/G�5 � TYPE CONST. OCC GROUP: , n ADDRESS J CITY � ZIP TEL. O � ZONING SETBACKS FRONT qW ❑ � APPUCANT TEL. REAR ❑ I � � ¢ CONTR,4CTOR �S Y a �' �n SIDE/SIDE STREEf RW ❑ � SIDE ❑ � ADDRESS S PROPOSED USE - $ s CITY�rV 1� ZIP�_Z,�EL. 'G�L � ARCH/ENG/DESIGNER �/� = ADDRESS #DWEL.UNITS � #STORIES� #,BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � ONRIEP-BUILOEp DECLAHATION = I hereby affirm under penalty of per�ury that I am exempt hom the Conhactor's State Llcense Law for the reason(s) SFR/ADD/REM I � � Indicatad bebw by the checkmark(s),I have placed neM to the appllcable ttem(s)[Sectlon 7031.5,Business and Garage/Carpat I � Protassions Code:My cit7l ar courrty ihat reqWras a permit to construcl,alter,Improve,tlemollsh,or repalr,any z struchna,prior ro Iffi Issuanca,also requlres the appllcaM for the permit ta flle a signed stateme�rt that he or she � Patio/Deck � I i is Iicensed pursuarrt to the provislons of the Contracta's State Llcense Law(Chaptar 9)Commencing wlth Sectlon w n7000 of Dlvision 3 of the Busliress and Professla�s Code]or that he or she Is exempt from Iicensure and the basis fw � PooVSpa I n the alleged exempUon.My violation of SecUon 7031.5 by any appllcant for a permit subJecLs the applipnt to a civil penalty �7 0� I s of rrot more than five hundred dollars($500�. Z❑ Re-Roof � (J I,as owner of the property,or my employees with wages as their sole compensatlon,will do U all of or(,partions d Commerclal � I y of Me work,and the structure is not intended or ottered for sale(SecUon 7044,8usiness and Professions Code:The � � i � Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,bullds m y w improves the property,pmvided Mat the Improvements are not Intended or offered for sale.tt however,the building or I � improvement is sold within one year of completlon,the Owner-Builder will have the buNen of proving that tt was not built � or imprwed for the purpose of sale.). I ' ()I,as owner of the property,am excluslvely contractlng with Iicensed Cantractors to consWct the pro�ec[(Section Z 7044,Buslness and Professions Code:The Contracmrs'State Ucense Law dces not apply to an owner M pmperty wha Valuation: Adj.Area: I n buildsorlmprmesthereon,andwhowntractsfirlheprojectswithallcensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I . Y Ucense Law.�. = U I am exempt Irom licensure under the Contractor's State License law for the(ollowing reason(s): � � � U I � 1 By my signature bebw I acknowledge that,except for my personal residence In which I must have resided fw at least one � I � year prior to wmpletion of the improvemerrts covered by this permit,l cannot legally sell a structure that I have bultt as an w I owner-bullder if R has not been consWcted In tts entirety by Ilcensed contractors.I understand that a copy of the applipble � law,Sectlon 7044 of the Business and%ofessions Code is available upon request when this application Is submitted or at � the following Web stte:http/vrNw.leginfo.ca.gm/calaw.htrnl. , Z ( = DATE: SIGN: � — LICENSED CONTHACTOlI'S DECLAHATION � I � I hereb afFlrm under en of p p ( A � � y p atty perjury ihat I am Ilcensed under mvisions of Cha ter 9 commencin wIN Sectlon 7000 ' � ot Division 3 of the Business and Protessions Code,and my license Is in full force and effect. J I = 5�2 " �� b � n UCENSE C . LIC NO.: � DATE: CONTHNCTOR: � I WOHI�fl'S COMPENSATION DECLAHAiION � I y I HEREBY AFFIRM UNDEfl PENAITY OF PERJURY ONE OF THE FOLLOWING DECLARA710NS: � I have and will mainfain a Certiflpte of Consent fi Sett-Insure for Worker's CompensaUon,as prwided by CONSTRUCTION: '��J3 a3 � Section 3700 of the Labor Code,for the peAormance of the work fa which this permit is Issued. p�,,qN FiEVIEW: � > I have and will malntaln Worker's Compensation Insurance,as required by Sectlon 3700 of the Lab6r Code,for Z the pertormance of the worl for which this permtt Is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PoII�yNumberare: PLUMBING: � CARRIER Y I 1 MECHANICAL: y � POLICY NUMBER INSPECTION FEE: n (fFIIS SECIION NEED NOT BE COA�I.ETED IF7HE PH?MR IS FOR ONE MNJOR�DOLLNiS(5100)OR LESS). ISSUANCE: �JS . S"'I = I certify that In the pertormance of ine work for whlch tltis pertnR Is issued,I shall not employ any person in any manner so as to � becane subject the Worlcers Compensation Laws of Cal'rfomia.Md agree mat If I shald becane subjed m the Warlcer's SMIP: � ��p J Compensa n b of Section 3700 of the Labor Cod,I sh I foM�Nth compry tlpse prw'sions, ENERGY P/C: i DATE: APPUCANT: �(,��, �er1�G�t��I ENERGY PERMIT: sWAR :Fail re to secure Worker's Compensation coverage is unlawful,and sha I subject an employer to criminal RETENTION FEE: p�„. L�-� i penal6es and clvil fines up to one hundred thousand ddlars($100,000�,in additlon to the cost of the compensation, = damages as provided for in sectlon 3708 of the labor code,Interest,and attomey's tees. PRE-ALT FEE: i CONSTFIUCTION LENOING AGENCY BSAF: 1• l�Q y I hereby affirm under penalty of per�ury thffi there Is a ConsWction Lending Agen�y for the pertormance of the work for = which this permlt Is Issued(Sec.3097,Civ.CJ. � LENDER'S NAME: 2 LENDER'SADDRESS: � I certily that I have read this appliqtion and state that me above information is correct.I agree to comply wRh all clty and TOTAL FEES 4-�q, b b Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this courrty to COMMENTS: � enter upon the abme-mentioned property for Inspectlon purposes. J n��d = r � ¢ P E (PRINn � :n ` n O = SIGNAlURE 0 P MR7EE RECEIPT It�Q�� p,q�D BY: ��D VALIDATION:�_ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Pssessor Copy,GOLDENROD—File Copy,GREEN—App�icant's Copy � CITY OF DIAMOND BAR �� IiVSPECTIOiV RECORD . � � . • � - � r � • - �SEfBACiULETTER � '` ' n, ��' `�� "�'�,� `� ��' �'4 � TRACTAhIDIEDGER a � `FOOTINGS�FORhhS��°`��'� � �a�� ,.�<.�' �. ' B ..d,�r�.� SWITCH GEAR � �c� �` `�"�' �� `�' � COMMERCIAL HOOD SLnti;3 ;�^"� � �� n��.�,�s�+l-3cr<�'.�..�a.�a.4 ,3..�.a��.l.x<.�� UG.PLUMBING; £ � :rz�� "��'�'��'o��,h,��"� �� T-BAR }k��,na IJG.ELEGTR[CAL...��.'> �'. �;�.��_�.��` �,�µ�,,'� � ��'� INTERCEPTER ,UFER GFttIUND,'„�` � '�.��°�° � �,��'�� *�::�� HOT MOP/SHOWERPAN SEWER IATERAL SEPTIC/CESSPOOL MAIN WATER LINE NERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING � � F DRAINS FLOOR SHEATHING ROUGH CON�UIT SHF.,4Fi WALLS�EXTERIOR� �, �, �,�°�P�� ,� .�� PO�L`/SPA ��t� � �� ,� � �. � �'. � �� `� ��' SHE;4Fi WALf.S�ItdTERiOR��.�« �� ,�� `:� �" � �°" �' �� ROUGH�PLEIMBING , ��,..,;� �, � �_: � :�� ..,, ;�,. "i.a ' �r ��; ar � ��g ��',�a�`�� 5�`"¢� ��u�.> �, �; FRANIING/VEN7ING � ; �,�- '� . `�i � ROUCH ELECTRt�AL�� , �w� �"` � ' � " ;� �� `� � lidUGH MECHANIClaL� �.,� � ��` � �-�'�� ' :�� ROU�HAAE�HANIGA�� -� ,�� ,.: - � , . �ROl1GH ELEGTR#CAL V�l(`�}G�(�"�.j ��'��' -�� "� �„� ,� ,GAS,TEST��, ;�� t ��" :°�� s� =a� � , � ` � ':: � „ �- =,��; �� °� a 5 �:' � ,�. � �� PRE�GUNiTE¢ � " �'�` ' ' »� � �- ��,i ,� � � HOl`J�H PLl:kMB1NG.=��`q,�;�, � ,�a�� , �a�� :� .��x �� - � � <;� INSULATION WALL .�OL�PRE D�CK;BONDING��` '; � ��,,:;� � � �,�,�:��' °� °� INSUI�,TION CEILING ,P TRAP�� :°�� :-��'n � .�s'� ��'�� ,� <��=t' �" h�°:� � DRYWALL �FENCE.I�GATE AL�ARM� � � �� .�-��A �� -, ,t � �m. �� LATH(PRE� =�INAL�PObL�_ t .��' ��i� � �� .�c� �u�,� ..�f��; LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2N0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC MEfER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WAl FINAL SPECIAL INSPECTION � �� RO"FFiANfiNGPI.t�NNlNGAFPR(3171�11� � � ..,� � �. � � � , , .. � � - � � � f� � � � � � � � APPROVAL� ��,�-� k� � `� � sy ��. F1NAL BUILDING��_'��, ��;P �1 � �� , ��,�a� `FiOUGH�FIRE � �� FINAI.MECNANICaL` �,.��.,��.�,�,: � ,�,,,,.� �� .� ��,. "��' :�� FINAL FIRE DEPARTMENT.��, � �¢� � � :�� ' �� '�� FINAL EIECTRtCAL�,��„�� `��',� �,�_. � �� .�` ��, �INAaL PLANNING`�`��.��, �"`�� a4 �''� ,„ ` � '4`.� ,� � . ��,�' h. n�,��s �:��. � �FINAL ENGINEERING/PW�� --�"� , ��.�� "� ��"�= ;FIh1A4PLUMBINGa��_ � �� '��,�� . � � �'' �� T.0:of�OCCUPANCY �� ,'� `� ��' �_�� ;��.�� :'�� INAL�,GOMNIUNITY�SERVIGES��` � � � � � �� s�� _ � � � � ;CERT�of OGCUPAtlCI(�.� ,.n�6��_� r��...��.` �M'�_��'��:r FINAL�HEALTH,EP7�� ,,,,� � ��,�� ".. �.�� :�" ,,� :.� .�� - ��INAL t'NDUSTRIAL WASTE�� ,� .,`��„�...��.,5:;:.��.-«� � f"' COMMENTS: � �