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Home My WebLink About14-4584 �Jr �la\\� �1 :s� c�.�E- .,_.W.,�-.��£��'.'.�,�w.. CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �t �R 21810 Copley Drive,Diamond Bar,cn 9i�6s PRESS ' ,.h„ �� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ''�"� BUILDING PERMIT APPLICATION -�-�� - APPLICATION DATE: $ P/c# y JOB SITE ADDRESS ��,�`� � APN LOyT� TRACT � �^,, 1..} ISSUE DATE: a,I PERMIT# I�� r, � y OWNER ,II✓IQ�I-O/I �J� � TYPE CONST. OCC GROUP: � ADDRESS J CITY I� ZIP TEL. U � � ZONING SET'BACKS FRONT RW ❑ � APPLICANT EL. REAR ❑ � n SIDE/SIDE STREEf RW ❑ � CONTRACTOR f r r SIDE ❑ � ADDRESS = CITY�`/If7� ZIP °IZGIZTEL. - ZZZ PROPOSEDUSE - ( � � ARCH/ENG/DESIGNER I� y /� = ADDRESS #DWEL.UNITS�_ #STORIES C- #BEDROOMS I a CITY ZIP TEL. i ' OWNFA-BURDEfI DECWWTION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � I hereby affirm undar penatty of perJury that I am ezempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM 4 I i L Indipted below by the checkmark(s�,I have placed neM to the applicable item(s)[Sectlon 7031.5,Busl�ress an0 Garage/Carpat I � Professlaq Code:Any cfty a coimty that reqWres a permR to construct,aller,Improve,demolish,a repalr,airy �, z struchue,prlor to tts issuance,also requlres the appllcarrt tor tlie pertnit to Hle a signed statement that he or she � Patio/Deck I ,i Is Iicensed pursuarrt to the provislo�of the Contractor's State License Law(Chapter 9)Comme�ing with Sectlon w � 7000 of Dlvlsion 3 of tlre Buslness end Professlons Code]or that he or she Is exempt trom Iicensure and the basis for � PooUSpa I � the alleged exempUon.My violation of Sectlon 7031.5 by any applicant for a permtt subjects the apDlicant to a civil penalry C7 p I 'n of not more than flve hundred dollars($500�. Z Re-Roof I � U I,as owner of the property,or my employees wtth wages as thelr sole compensation,will do(�all of or(,portions � Commercial y of the work,and the structure Is not Intended or offered for sale(Sectlon 7044,8usiness and Professlons Code:The � � Contractors'State License Law doas not appty to an owner of property who,throu h em lo es'or m A P Ye personal ettort,builds y or imprwes the property,provided tttat Ute Improvements are not intended or offered Por sale.R however,the building or � imprmement is sold within one year of wmpletion,the Owner-Builder will have the burden of proving lhat It was rtot buitt jor improved for the purpose of sale.). ' '� (,I,as owner of the property,am exclustvely contracting with Iicensetl Contractors to construct the project(Sectlon Z 7044,Business and Professions Code:The Contractors'State License Law dces not apply to an owner of pmperty who ValuatiOn: Adj.Area: I . n buildsorimprmesthereon,andwhocontractsfortheproJeclswtthalicensedCoMractorpursuaMrotheCoritractors'State QUANTIIY DESCRIPTION FEE � Y License Law.�. = U I am ezempt from Ilcensure under the Contractor's State License law for ttie tollowing reason(s): � I � U Q 1 By my signature below I acknowledge Nat,except for my personal residence in which I must have resided for at least one � = year pdor to completion of tha improvements crovered by thls permR,l cannot legalry sell a structure that I have bullt as an � I owner-builder M tt has not been consWcted In Ks entirety by Iicensed contractors.I understand that a copy of the appllcable • � law,Section 7044 of the Business and Professions Code is available upon request when this appllcation is submitted w at i the following Web site:http/www.leginfo.ca.gm/calaw.htrnl. � I =x _ I DATE: SIGN: � — LICENSED COHTNACTOH'S OECLAfiATION � I a I y I hereby affirm under penatty of perjury that I am licensed under prwislons of Chapter 9(commencing wilh Sectlon 7000) � of Divislon 3 of the Business and Professions Code,and my license Is in full force and effed. � I � n /� n ('2/1 ;q LICENSEC "'— IJC.NO.:�(� L j"fv � DATE: COMAACTOR: f1 � I � WOfll�H'S COMPENSATION DECLAMTION . g i y I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � I have and wlll maintain a Certificate of Consent to Self-Insure for Worker's Compensatlon,as provided by CONSTRUCTION: �j3. p�3 Section 3700 of the Labor Code,for the perfortnance of the work for which this pertnit is issued. p�qN REVIEW: � � I have and wlll malntain Worker's Compensatlon Insurance,as required by Section 3700 of the Labor Code,for � the pertormance of the work for whlch ihis permit is issued.My Worker's Compensatlon Insurance Carrier and ELECTRIC: 7d' Poli�}rNumberare: I� ' PLUMBING: � CARRIERZ` IGn Y I I1 MECHANICAL: i � POLICY NUMBER �1 �-5 ,_r �2 n INSPECTION FEE: �'�. S� _ (TNIS SECiION t€ED NOT BE COMPLEfED IFhiE P9iMfT IS FOR ONE HUNDRED DOLLMS($100)OR LESS). ISSUANCE: a g(p � I certiry that In fhe pertamance of the wak for which this permit is Issued,I shall not employ any person in any manner so as to � becane subJect to the Worker's Campensation Laws ot Califomia.Md agree that If I should become subject tu the Worker's SMIP: � Comq�Sectlon 3700 e Labor I s rm�MmncanPN Provislons. ENERGY P/C: J DATE. APPLICANT:�VI ��//R�� 1 ENERGY PERMIT: = WARN :Fai re to secure Worker's Compensation coverage is unlawful,and shall sub�ect an employer to criminal RETENTION FEE: � . QrJ y penaltles and civll flnes up to one hundred thousand dollars($100,000�,in addition tn the cost of the wmpensatlon, � damages as proNded tor in section 3708 of the lahor code,Interest,and attomey's fees. PRE-ALT FEE: i CONSTIIUCTION LENDING AGENCY BSAF:_ � � y I hereby affirm under penalty of perjury that there is a Constructlon Lending Agen�y for the performance of the wak for � which this permtt is issued(Sec.3097,Clv.C.). LENDER'S NAME: s LENDER'SADDRESS: � I certify that I have read thls application and state that the above Information Is correct.I agree to comply with all cfry and TOTAL FEES 4-1� ,(o b Z courrty ordinances and state laws relatlng to building construction,and hereby authwrize representatives of this county to COMMENTS: � enter upon the above-meMioned property for inspectlon purposes. � 1 ¢ PFR I E(PRINn � n � = SIGNA7UR M / RECEIPT# � PAID BY:V��P� VALIDATION: � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—AppllcanYs Copy CITY OF DIAIIAOND BAR �� INSPECTIUN RECORQ • � . • - e � , • ' .. m. ;SETBAGK/LETTER�,, ;� ,.� � ` �° �;p °� �'w�� : X. TRACTAND IEDGER ��.�� .`, F001'INGS�FORMS_� . ., � x� �^' ��` � .��'��.� SWITCH GEAR �SLAB `a�<,fa�;��°k�-;` �-. `�� „�'`� �, `�'`�`� �;;� � COMMERCIAL HOOD ;UG;xPI:UtJIBING �� '�' �'„ �" ��' �'��.•�. �� T-6:4R UG'.EL�CTRIGAL � �� E "��"� ' R '"�� INTERCEPTER �� Q� '� �� '.._� �r m� ��=� � a�n.. �UFER GFiOUND� � „��.,�:, ��'��''�� _ �<..�d "�r��.�.a,;�.'; HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER�INE HERS REPQRT RECEIVED SEWER CLEANOUT DEMOL�TION ROOF SHEATHING �p /PiYl�� ROOF DRAINS FLOOR SHEATHING ROUGN CONDUIT SHEAR WALLS EX7ERIOR� �F ;�� ,� ;� �� :: �'`" �PDO�SPA�'� '�F ;`� ,� q�. �, ;� ��.� �`"' � _� � �� „�� ,� � �,. ROUGH_PLUlWB�Nf`"��-�� '��`�� " � � �St�EAF�WALLS I,NTERIOR� � � � � _ � � ��, a� � ,.,� �� a � ^� "' ,t�� ' �a� ��: ��{OUGH ELECTRlCF1L", �' ..:, a„, .�"� �," �� ' � FRAMING/UENTIN6 �� ` _�' � '.�� ' � ' � - ` iROUGH ECHANICAL ��;�,'�� ..� ��'�"�� ' ��, �,,� � `ROUGHBMECHANICQL�� `��-�"�� «�" �� "' „� ��, ,��, ��.� �` � �� ;"` � � `��,« GASTEST,� �� _ � ,., .�� . :�� RpUGM EL6GTRIGAl� W(:}C�i�,)�^� � �� , 3 � .��° �� ,� ,a � �� ,�� .: � � � � �u � �� .. � � � �;,,� � ROUGH�PLUMBINfa� �.��.�.�� _ ' .a,� ' �. �=�" ;_��, .,,; ��,:` � PRECi1NITf� � � ��_�� ' �as �� '� � `� INSULATION WALL �POOL PRE�dECl�"BONDING =�� .�� , '" � ^��-�� r � �`�� M INSULATION CEILING �P'�� °��"� � � �� j "�� "°�_ �„ : ��x r �� r � ,..� �u. "�n� DRYWALL - ;FENC��I GATEI AIARM� ,��' �,�" �� " - — � � �� , ,�, _' LA1H(PRE) FINAL#?04��_��+�� '�'�'�` �..,, . �'� '�� ..�� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2"Q( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIW SEAL GAS METER RELEASE WALL FINAL tR0 FP�AtViQ 16 PIRNNiNfaAPf'RRdVAL��`�'��` ; �'' �� ".� � �� SPECIAL INSPECTION � � �? r`� ;r� °' � �" s� �,�� , „ �� ROU�iH�FIRE APPRQVAL� .� , ��F � ; '; ��, , : �FINAt.�BUILDiNG,,, �- �I �� - �:�° � � �'�� _ � � ��" � � '�� . �.- `:�� J�� »FINAL;FIRE DEPAfiTMENT �, ,��,��s�� ,h„ ��:-� �` �� €� ��.3� FINAI MEGFIANICAL� �. � ,k� � � �. �,�� _, � � _._ ;�� 4`�' � �� FIt�A�L PLANNtNG,�� ,�� iNAt,t ELEG'tRICAL ., ,� � ,� ��fi��"� �� A � � x�� ,� a�. g �.' FINAL�PLUMBING� �� ., 4� , � �, ' �� FINAL ENGINEERIN�/�PW�"$` � ` � � � , ` � � � =T.C.pf OCCUPANCY ,.E�4 ^� �, �E�„��•µ�,��_ , �,'�..",� �� . �� u.� � � � � ��.� � ��.��;� °;.� � � �FINAL COMP�tUNITI`�SERYICES�� 3 �CERT of'QCCUPl1NCY"��_;. x '°�"��.,��' '`A �; �:�,� ��•� �FINA�HEAITH DEPT �s ,�;� �� ' :� � � _ , :�. , � ..� ��u�*��' ��r ' ;FINAl;INpUSTRiAL�WASTE=�a= '�� ` ��,�� u� - COMMENTS: