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Home My WebLink About14-4748 .�,,....... CITY OF DIAMOND BAR "�t V CX-�\�� V�b� � . ` � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � ,, �(�� G 21810 Copley Drive,Diamond Bar,CA 91765 �"'� PRESS ,,,� (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 FIRMLY ��'�"" BUILDING PERMIT APPLICATION s JOB SITE ADDRESS��Z v ' �( � APPLICATION DATE: /°�6 �'li f / P/C# y I J-' q�d- ld-j/!'{ i ISSUE DATE: �_PERMIT# �C I_ y ` 7�_ z APN LOT TRACT � � OWNER �'U� LS B��_L �- TYPE CONST. OCC GROUP: � ADDRESS 'J CITY ZIP TEL� � - — ZONING SETBACKS � FRONT RW ❑ z APPLICANT TEL. REAR_ ❑ � n SIDE/SIDE STREEf RW ❑ � CONTRACTOR SIDE ❑ � ADDRES � � PROPOSED USE 1' � CITY y ZI��TEL. ' ' _ � ARCH/ENG/DESIGNER = ADDRESS �� ` � #DWEL.UNITS #STORIES�L #BEDROOMS � CITY ZIP TEL. I I � OWNEH-BUILOEfI DECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION j I hereby affirm under penatty of perjury that I am ezempt from the Contrador's Shte lJcense Law for the reason(s) SFR/ADD/REM I I � indlcated below 6y the checkmark(s�,I have placed next to the applicable ftem(s)[Sectbn 7031.5,Busl�and�. .Garage/Carport I I � Profasslorre Code:Any clty or cauMy tliat reqWres a permtt to co�trud,atter,Improve,demollsh,or repalr,airy z struc[ure,prlor to Its issuance,also requlres the appllcaM Mr tlie pertnit fi.flle a slgned statement that M1e w she � Patio/Deck i Is Ilcensed pursuarrt to ttie provislons of the Caitractor's Stale Lkense Law(Chapter 9)Commenciig wNh Sectlon w � 7000 of Divlslon 3 of the Busl�and Professlons Coda]or that he or she is exempt fmm Iicensure and the basis for � PooUSpa , � the alleged exemption.Any violation of Sectlon 7037.5 by any applicant for a permtt subjec4 the applicant to a clvil penalty C7 � sof not more than flve hundred dollars($500). ZQ Re-Roof I � U I,as owner of the property,or my employees wlth wages as their sole compensatfon,will do(�all oi or(�portions � Commercial I y of the work,and the structure Is not IMended or offered for sale(Section 7044,Business and Protessions Code:The m I � Contractors'State License Law dces not appty to an owner of property who,through employees'a personal eRort,builds y or improves the pmperty,provided that the improvemerrts are not intended or offered for sale.lf however,the bullding or I � imprwement is sold within one year of completlon,the Owner-Builder wlll have the burden of proving that it was not bultt � or Improved for the purpose of sale.�. I '� I,as owner of the ro U p perty,am exclusively cont2cting wIM Iicensed Corrtractnrs to construct the proJect(Section � 7044,Business and Professions Code:The Conhactors'State License Law does not apply to an owner of property who Valuation: Adj.Area: � z bullds or Improves thereon,and who coMracts for the proJecLs wfth a licensed Contractor pursuaM to the Con6actors'State I n QUANTITY DESCRIPTION FEE Y License Law.). . I � U I am exempt hom licensure under the CoMractor's State lJcense law for the following reason(s): � I 1 By my signatu2 bebw I acknowledge that,except for my personal residence in whlch I must have resided fw at leas[one � I � year prlor to completion of the imprmemerds covered by this permit,l cannot legally sell a strucNre that I have bultt as an � — owner-bullder If it has not been constructed in its eMirety by licensed wntractors.I understand that a copy of the applicable w I � law,Section 7044 of the Business and Professions Code is avallable upon request when this applicabon Is submitted or ffi I � the following Web site:http/vnvw.leginfo.ca.gov/calaw.htrnl. = I � DAlE: SIGN: � — LICENSED CONTNACTOH'S DECLAl1ATI0N � I a Iy I hereby affirm under penatty of perjury that I am licensed under provisions of Chapter 9(cwnmencing wRh Section 7000) � of Dlvlsion 3 of the Buslness antl Professions Code,and my license Is In full force and eRect. � I n J �-� � ;q LJCENSE CLASS: �N� LIC.NO.: Z � z � DATE: 'ZL� I CONTMCTOR: � w WONIffA'S CO PENSATION DECLAMTION g I y I HEREBY AFFIRM UNDFA PENALTY OF PERJURY ONE OFTHE f-0LLOWING DECLARATlONS: 1�y�. '/( = I have and will malntaln a Certifipte of Conserrt to Self-Insure for Worker's Compensation,as provided 6y CONSTRUCTION: 'T /Q��►/ = Section 3700 of the Labor Code,for the pertormance of the work fw which this pertntt Is Issued. p�,qN REVIEW: j I have and will malntain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � the performance of the work for which this permtt is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: dz PoliqNumberare: PLUMBING: � CARRIER� f� l ` � MECHANICAL: � POLJCYNUMBER_vj��2 (Z� INSPECTION FEE: n (THIS SCCTION NEED NOT BE COMR.EfED IFTHE PERMR IS FOR ONE HUNDRFD DOLLARS($100)OR LESS�. ISSUANCE: �i•�7 = I cercfry that in the pertortnance of the wak for which this pertnit is issued,I shall not employ any person in any manner so as(o � � beoome subject tu the Worker's Compensation Laws of Califomia.Md agree that'rf I shald becane subject to ttre Worlcer's SMI P: �. � Canpe tion provislo of Section 3700 the Laha e,I shall f � �pry vrim mose p visiuns. ENERGY P/C: y DATE:�APPIJCANL � .� �F�14 ENERGY PERMIT: � WARNING:Fallure to secure Worker's Compensatlon coverage is unlawful,and shall sub�ect an employer to criminal q ipenaltles and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, RETENTION FEE:_ d.� = damages as provided for In section 3708 of Ne labor code,interest,and attomey's fees. PRE-ALT FEE: i CONSTfiUCTION LENDING AGENCY BSAF:_ '.�_ y I he2by aKrm under penalty of perjury that there is a Canstruction Lending Agenq for the performance of the work fir = which this pertnit is issued(Sec.3097,Civ.C.�. � LENDER'S NAME: s LENDER'SADDRESS: + i I certity that I have read thls application and shate that the above iniormatlon Is correct I agree to compry with all city and TOTAL FEES Z county ordlnances and state laws relating to building construc[lon,and hereby authorize represertlatives of this crounty fi COMMENTS: � enter upon the above-mentioned property for Inspection purposes. J 9 , ¢ PERMI AME(PRINn = SIGNATURE OF MI E DA ' -� RECEIPT#_��J�1i� PAID BY: ��3 VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR �� INSPECTION RECORD e � � • - s � � • e - ;SETBACiV�[ETT"EE3 `"` � �� °�� ..,,�.�� TRACTAND LEDGER � ,�,�r.•_ �,�, � � �,.. FOOTINGS`FOFiMS�',� �`��' :��.� .� ,�;�� m'°`-�` SWITCH GEAR ,5LA6 `� �°`��"'�� ' �'��'"J��'��'�''� <�"�� ,�,'�"�� COMMERCIALHOOD ,U __ �-�� «�,.� . ��aor��;.., �^ ��' =�,n,�vs�rra G..PLUMBIN�G,.:� � �� ". � �-��:,�� ' ��_� �r 7-BAR UG�ELECTRIC,4L� � "� �� '`` � �� w�`�� INTERCEPTER .�m��;�. �� ..,z, � _ __ �. . .d _ UFER GROUND �� ' °��,��,� �� __ " '` ��}"" HOT MOPlSHOWERPAN � ��_� .u:. SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING % � � �� ROOF DRAINS FLOOR SHEATHING ROU�H CONDUIT SHEAR�WALLS�EX=TERIQR` `:E� � �.�� Y �� ,-�, ,� .� P�OOUSPA�� " "W�s�� ,�w.,;N , � �� ' � ��.�.�� ,: � ��' �SNEAR WALLS'iNTERIOR�'' �� ' � � `� �� "ROUGH�PL�l1MBiNG.&.� ,'",.;a� �` � � � �� A : �.�`:,, , ��.., � �.� � ,� �. _FRAMiNGNENT(NG �� m � � .�'�� ` �,�� ROUGH ELECTRIGAL � ,.; ,� .�� ` �„; , � � � �� s�;`� � � �. ,�� .:�� ;p �ROUGH�MECHANIGAL *� � � ��`�� `� "�`� �� :��.�� ROUGH MECHANICAL �� .�� .� ��.�� -�� ,� RO.UGIi ELECTRICAL'W()�C t.v1 ��.�� .�� ,� .�,�� `� �� GAS`TEST' R � -��;��,�-��`�_ �� '��`� � . `' = � � ,� � �� ROUGH PLUMBING�� . �,.�. �'' y ,�� 4��'� , =PFt�GUNiTE «�� ,��M� � � � �` � ` v��fi �� ..� �� ti��,x� .� � �� INSULATIONWALL 'POOL�PRE;D�CKBONDIIJG�'��" "�'� ��"�` ' ° '� �r� � � ��,�� :�� INSULATION CEILING ' ��"' °�,, ��, R�,,� ��;; ��.. �.�"� "��;F�� P=TRAP '.:�_ � � ° �� .� � � �� DRYWALL �FENCEa/GATE/AIARM�: �� '�„ .�.�-�� ' " *�°� LATH jPRE) �FINAL�POOL�� .� .�� '��''��.�':� � IATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEE�1 sT( )2"0( )IIFT SCR,4TCH COAT WALL BONQ BEAM ELECTRIC METER RELEASE WALL DRAINI SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPEGTION � � � �� `RO�FRANiWGFLANNINGAPPROVAL �� ,> „L,. FINAL,BUIItaiM6�^• � ,�� 'T ,� ,� �� ^�" ROU N F1FiE�APPRQUAL ��%�`; � ��A ' � � , � ; _ _ w. �� d .- �;_ ��V= � � ;' � ,� ;� � � � � ` ¢FtNAL�FiEiE DEFARTMEN�� , � ,�� °` � � ,FINAL MECHAJVSCA� ,�,� ,� �. �a � �„ � - �� ; . � � � � � �-. �,,. �� FiNAL PLANNING�� Y.� � � �,� � �� •�. ,FINAI.EL="EGTRICAL -_��- � � �" . ..,;� ��r,� . � � .., � __ .. � � b � ,FINAL PIUMBING . ��.. �,� � � �� s:� �6�°,'�n- .� ;` " FtNAL'�EldGINEERING/PW�' ;� � �; ''�s�� '�� `�'�� ..� <,. � jT:�C.of QGCUPANCl' - ^8;�� .�� :6��'�"_�<�, �.�.��' ��.� �� FINAI.,COMMUNII'l''SERVICES��:�� r� � ��°°�"°�� B �-; ^ �� r ' ��'` �� _� � ;CERI:of OCCIIPANCYz�°:'� �"� � "�`�'�' '`��.�..�� _ � A '� „ FtNAL HEALTH�QEPT� � � .,. .� � �� ° .h � EFINAL,iNQUSTRiALIAtASTE�'��. � �'�. , '�g��.K�..��,a��a� ' COMMENTS: