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Home My WebLink About14-4749 _ -=^�"�-,,., CTI'Y OF DIAMOND BAR � " "5�� t DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES -� " 21810 Copley Drive,Diamond Bar,CA 91765 ��D PRESS �,,,,y„�,,,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 �"�¢°" BUILDINGPERMITAPPLICATION FIRMLY � � APPLICATION DATE: P/C# y JOB SITE ADDRESS Z � I y_��'tr z APN LOT TRACT ISSUE DATE: �� PERMIT# 'Y—/ � OWNER��P�Rd��,�4 O (A� TYPE CONST. OCC GROUP: y n ADDRESS J CITY ' ZIP TEL. � _ i Z�NING SEfBACKS � FRONT RW ❑ = APPLICANT TEL. REAR ❑ ¢ CONTRACTOR S �i SIDE/SIDE STREEf RW ❑ � � SIDE ❑ � ADDRESS � CITY ZI�TEL. � PROPOSEDUSE � ARCH/ENG/DESIGNER y,1 = ADDRESS �� #DWEL.UNITS � #STORIES� #BEDROOMS � CITY ZIP TEL. OWN@I-BUILDEH DECWWTION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREA/VALUATION � = I hereby affirm under penalty of perjury that I am exempt fmm the Contractor's State License Law for the reason(s) SFWADD/REM I � indicated below by the checkmark(s),I have placed nent to the applicable item(s)[SecHon 7031.5,Buslness and Garage/Carport I � Rotesslons Code:My cFty w courrty that requires a parmlt to coretruct,atter,Improve,demolish,or repalr,any z strucMe,prior tn Its Issuance,also requlres the applicant for tl�e pertn(t to flle a sigrre�l stalement that he ar she � Patlo/Deck I i Is Iicensed puisuaM to the provlsiare of tice Contraclor's State Llce�e Law(Chapter 9)Co�unencing wfth Sectlon w I � 7(100 af Dlvlsion 3 of ttie Businese aiM Professions Code]or that he or she is exempt fmm Iicensure and the basis for � P��Spa , n the alleged ezemption.My violaUon of Section 7031.5 by any appllcant for a permft sub�ects the applicant to a civil penatty C7 I � of not more than flve hundred dollars(3500). Z Re-Roof s � (J I,as owner of the pmperty,or my employees with wages a5 thelr sole compensatlan,will tlo(,all of or(,portions � Commercial y of the work,and the structure is not intended w oRered for sala(Sectlon 7044,Business and Pmiessions Code:The � � Contractors'State License Law does not apply to an owner oi property who,through employees'or personal eftort,builds m y or Improves the property,provided that Ne improvemenLs are not Intended or offered tor sale.If havever,the building or I � improvement is sold wlthln one year of completlon,the Owner-Builder will have the burden of proving that tt was not bullt � or impmved for the purpose of sale J. I (�I,as owner of the property,am exclusively contrecting with Iicensed Corrtractnrs to construct the project(SecUon � Z 7044,Business and Professions Code:The Contraclors'StaOe License Law dces not apply to an owner of property who Valuation: Adj.Area: .r � buildswlmprovesthereon,andwhocontractstatheprojectswlthalicensedContractorpursuantrotheContractors'State QUANTITY DESCRIPTION FEE � "I' Y License Law.). � ()I am exempt from licensure under the Contrector's State License law tor Me following reason(s�: � � � U I � � By my slgnature below I acknowledge that,except for my personal residence in which I must have resided for at least one � Z w � year prior to completion of the Imprrnements covered 6y thls permit,l cannot legally sell a strudure that I have huitt as an w ¢ owner-builder if d has not 6een conshucted in Ms er�tlrety by licensed contractors.I understand that a copy of Me applicable I Y law,Section 7044 of the Business and Professions Code Is availa6le upon request when this application is submftted or ffi I i ihe following Web site:http/www.leginfo.ca.gov/calaw.hhnl. � � I = DATE: SIGN: � — UCENSED CONTIIACTOH'S DECLAHATION � � I a I ' I hereby affirm under penalty of perjury that I am licensed under prwisions of Chapter 9(commencing with Sectlon 7000) � of Divislon 3 of the Buslness and Professions Code,and my Ilcense is in full force and effect. J I n� ��y�/ � � LICENSE CLA%$$/� � � ` `�"'/�' L1C NO� �Z1�� I Z DAlE.�L,�—� CONTRACTOR: _�.� T(-�� I ¢ WOHIffA'S COMPENSATION DECLAHATION g I y I HEREBY AFFlRM UNDFA PENALTY OF PERJURY ONE OF hiE FOLLOWING DECLARA710NS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: �fp 3 c�1 SecUon 3700 of the Labor Code,tar the pertortnance of the work fw which this permtt is issued. pL,o,N REVIEW: � I have and will maintaln Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � Ne performance of the wo for which this permit is issued.My Worker's Compenration Insurance Carrier and ELECTRIC: � =d PollqNumberare: PLUMBING: � CARRIER � MECHANICAL: � POLICY NUMBER ' INSPECTION FEE: 'n (THIS SEC�ION NEED NOT BE COMPCEfEp IFiHE PHiMfT IS FOR ONE HUNDR�DOLLARS($1 p�OR LESS). ISSUANCE: ,s = I cerlify ttiat In me perfomiance of the wak for which this pertn8's issued,I shall not employ arry person in any manrrer so as m ,) � � � becane subject to the ers Compe�satbn Laws of Calltania.Md agree that rf I should become su6ject to the Worker's SMIP: � J Canpensatlo ransbns Section 370o Laba Code;I shall to_rthvnih canp__ y wIN those ppvlslons. ENERGY P/C: DA APPLICANT: � ��9�l�ri�� r - � 5 —�-- ENERGY PERMIT: � WARNING:Fallure to secure Worker's Compensation cmerage is unlawful, d shall sub�ect an employer to criminal y penaltles and civil Flnes up to one hundred thousand dollars($100,000�,in�addition lo the cost of the compensatlon, RETENTION FEE: Q'0 = damages as provided/or in sectlon 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF:_ �_+�� = I hereby affirm under penalry of pehury that there is a Conshuction Lending Agency for the peRortnance of the work for � which this permit is Issued(Sec.3097,Civ.C.). LEN�Efl'S NAME: r LENDER'SADDRESS: i I certify that I have read this applicatlon and state that the above informatlon is crortect.I a ree to com TOTAL FEES ,^�, g pty wtth all city and 3� Z wunty ordinances and state laws relatlng to 6uilding consWctlon,and hereby authodze represenfatives otthls counTy ro � COMMENTS: � enter upon the above-mentioned proDerty fa inspectlon purposes J � b ¢ � � n � /� = SIGNANRE OF R DATE RECEIPT# ��V C, PAID BY: VALIDATION: WHITE—Department Copy,YELLOW—Flnance Copy,PINK—Assessor Copy,GOLDENROD—Fi�e Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR a�� INSPEC�ION RECORD � � . • - • � � • ' � << ,� � � �: R�,.�p,��o��` o� m��:�<�� TRACTAND LEDGER �SETBACKI LEfTER� ' � � � � � ,� ��_�` ;FOQTIN S FQRMS�� "�`' ,�� . � Y� , `�� '-"� SWITCH GEAR �SLABr,�"..��.�� F�- .� �y ��. _�aa�.E�� '" � .�� COMMERCIALy00U UG PLl1�MBING� �� `�`,� �=. : � �+� � '�� ' � � `�� '� � T-BAR �UG"ELECTRkCAL "��'�� "� '� e � � �� INTERCEPTER `�� ' � `� HOT PAOP/SHOWERPAN UFEfi;GROUND�,��k �,�., �� '�.� e,�.v� SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION RQOF SHEATHING ,� ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHFAR WALLS.EXTERIOR� � F��' -,�� =�� ".R; ��.a. PODUSPII' `� ,�""��.� �� ' � �� ` �n'� �,' �� 4 �� : �,�,' � Q �� x�� .ROUGH�PL[JMB[NG�` �,, � �:'��*�� ,�� .� � �; SHEAR�WAL�SxiNffRIOR� �� ° ,� " .��.�, � � ��, � � .��r��,°� �� ` �°� �� -� � �HOUGH��LECTRICAL��°��,.�� '�� ...�� ,�" � � � '� FRAM(NGNEFtTING : ,� '�H � a�� °� � �.. .� ��,.r� tl�: �.p�'>�„�r�a ..5�; �� .ROUGH MECHANICAL�' ��°�, ,� � �;, ;�� ^,� . :� �a�. ROUfH MECHANIGAL,� �"�� : � �� ,�� ,_...�� ; ,,..��#�°��'� � .��'� �CaAS TEST�� ,'�^ �,, '�b'� �' ,ROUGH,ELECTRICAL W(` }C{w) �;� ,� �, ,:. ,� � �, � .' � �.,� , R(lUGH�PIUMBiNG��. 4 �� °°��g,�,=,��„ ��'��:'�,..� �� ,PRE GUNlTE,�'��'g" � ''. ��r- �� .�° ��-°``'' , _.__ , � ��. . >�. � �,,� - ,� x��'��. � ��: INSUlATION WALL POOL PRE'�DEGK BL�NDING ,� ��^� � � ;� ��E��, '� :��,��,�� ,� � � � '�� INSULATION CEILING ''P TRAP ,,, � „"µ �� :�� ;�� :�� ; DRYWALL FEN�E l GATEI ALARM �, �, �� :.�� , � �� .. IJ�TH(PRE) FINAL POOL��a�� . �`�ya�.s.�,��r�*� �a��'�� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 ST( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC MEfER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION FiQ�FRAMINGPL�lWNINGAPPROVAL� �_ ,�,�"� �";:�� `�� m�� `��" FINI#L�BUILDING � , ��,�..�� N',I � �" �'��`��": � �� ..� 'ROUGH FIRE APPROUAL � `��, �-�� ;�� " �'�°��'� ,. <s. ,.,_,. s �,�. , . � �� ., �' � ��:'�'' �'��L.- �FINAE FIiiE DEPAFiTMENT� ��.�� ` ��" �� ,„�� EINAL MECHANtCAL'� �° � .� �� - .� __ : � �� n� � �n " �. � �a`-` FIN{li..ELECTR�CAL��'.�� ": ;a+��f ��.' "��` �FINAL IANN�NG�' A;, �, � �k��r �� N 3��, �; �� 3d�n � ��:�� ,FINAL�EN�INEERINGI PW� �� ;� � � `�' � �,` �� x,; �`. ,:,' FINAL PLUMBING�,�"��=. �� o � 3 � � ' � � : ;�� ;��,. �_� �' '� ��-�,� ��INAl'.COMpflUNITY�SERYICE5� �''�` 'n��,�:;�� , �:��:'d, tT.C.of OCCUPANCY � �� ,� � �� ..� ,CERT of`'t)CCUPANCY� ��°'w`��''�� .;�� 6,FINAL HEIiL.TN�DEPT�� -$�� "`�.'" � �' �`�`., , � �"�� , � .. � �... ,. �.�� 6� �FltdAL�iNDIiSTRIAL,WASTE;'�� .�?°� `„�' '� �.,. �,� �� COMMENTS: