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Home My WebLink About14-4747 1 \ / ]_,., � �_ =r'� CITY OF DIAMOND BAR � V Q� �S l�� + DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES t "�� 21810 Copley Drive,Diamond Bar,ca 9i�6s I PRESS �y� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839�� FIRMLY �� BUILDING PERMIT APPLICATI N � (,,� APPLICATION DATE:� �y P/C# y JOB SITE ADDRESS� 1� �L�L / , / �I 1 ISSUEDATE: g/�/��^I PERMIT# I�` ��7 � � APN�LOT TRACT i T— y OWNER(%��K-i�-�t.L O S ,O- TYPE CONST. OCC GROUP: � ADD ES J CITY ZIP TEL. �- ZONING SEfBACKS FRONT RW ❑ � APPLICANT TEL. REAR ❑ � SIDE/SIDE STREEf RW ❑ = CONTRACTOR � � � � SIDE ❑ � ADDRESS = CITY��1 L � ZI�6�Z TEL. _ ZZ PROPOSED US�E ^ ��DF • � � 1 �" = ARCH/ENG/DESIGNER fa �{,�tL `��L j ADDRESS #DWEL.UN S #STORIES� #BEDROOMS � CITY ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � � OWNEfl-BUILOEFI OECLAFlATION � I hereby afflrtn under penalty of perjury that I am exempt hom the Contractor's State license Law for ihe reason(s) SFR/ADD/FtEM I � indicated below by the checkmark(s�,I have placed nezt to the appllpble item(s)[Sectlon 7031.5,Busi�ress and Garage/Carport I � Professlons Code:My city or couMy ttiat reqWres a pertNt to construct,alter,Improve,demolish,ar repair,any z sWcture,priw to its Issuance,also requlres the appllcant for the permtt M flle a sipired sfateme�t Nat he or she � Patio/Deck I � Is Ilcensed pursuarrt to the provlslons of the Contractor's State License Law(Chapter 9)Cammencing with Sectlon W � 7000 of Divlsion 3 of the Busl�ress and Professlons Cotle]or that he or she Is ezempt from Iicensure and the basis for � PooVSpa � the alleged exemption.Arry vlolation of Sectlon 7031.5 by any applicant for a permit subJects the applicant to a civil penalry C7 I of rrot more than fve hundred dollars($500�. 2 R�Roof o-Q Y I � U I,as owner of the property,or my employees with wages as their sole compensation,will do(J all of or(_,)partions � Commerclal y of the work,and the structure is not Intended or offered for sale(Sectlon 7044,Business and Professlons Code:The � , m IContractors'State Llcense Law dces not apply to an owner of property who,through employees'or personal ettort,builds y a improves the pmperty,provided that ihe Improvements are not Intended or oftered for sale.If howaver,the bullding or I � imprwement is sold wlthln one year of completion,the Ovmer-Bullder will have the burden of proving that It was not built � or improved for the purpose of sale.�. I :J � (�I,es owner of the property,am excluslvely contracting with Iicensed CoMracOors to cronsWct the projec[(Section � 7044,Business and Professions Code:The Contractnrs'State License Law daes not apply to an owner of property who Valuation: Adj.Area: I � buildsorimprovesthereon,andwhocontract�forlheprojectswlthalicensedContractorpursuanttotheCoritractors'State QUANTITY DESCRIPTION FEE Y ucense Law.). j ()I am exempt from licensure untler the Contrador's State License law lor the following reason(s): � � By my signa4�re below I acknowledge that,ezcept for my personal residence in whlch I must have resided fw at least one I � year prior to completion of the Imprrnements covered by this permlt,l cannot legalty sell a structure that I have bultt as an � I owner-builder if it has not been conshucted in Its enti2ty by licensed contractors.I understand that a copy of the applicable I � law,Sectlon 7044 of the Business and Professions Code is avallable upon request when this application Is submitted or at I i the fdlowing Web site:http/www.leglrrfo.ca.gov/plaw.html. z I � DAlE: SIGN: m � — LICENSED CONTqACTOH'S DECLANATION � I y I hereby affirm under penatty of per�ury that I am licensed under prwislons of Chapter 9(commencing wRh Section 7000) � I � of Division 3 of the Buslness and Professions Cade,and my Iicense is In full force and eflect. I n LICENSE CLASS: � V ` LJC.NO.: :/b � � I � DATE:g � ! CONTRACTOR '��5 �j�l � I WOflI�H'S COMPENSATION DECLARATION � I � I HEREBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: y = I have and wlll mairrtaln a Certiflcate of Consertt to Self-Insure for Woricer's Compensatlon,as provided by CONSTRUCTION: �j/�a� � Section 3700 of the Labor Cade,ta the pertormance of the work tor which this permtt Is issued. p�,qN REVI EW: > �I have and will malntaln Worker's Compensatlon Insurance,as reqWred by SecUon 3700 of the Labw Code,for ELECTRIC: z the performance of the work for which this pertnft is fssued.My Worker's Compensation Insurance Carrier and a PoIIcyNumberare PLUMBING: � CARRIER � MECHANICAL: y � POLICY NUMBER � INSPECTION FEE: n (THIS SECTION NEED NOT BE CO PLETED IF7HE P6iM IS FOR ONE HIAJDR�DOLI.MS($10�OR LESS). = I certity that In the pertamance of the walc for whkh this permtt Is issued,I shall not employ any person in any manner so as tp ISSUANCE: . � becane subject Oo the Nbrkers Compensatlon Lavrs of Califimla Md agree that'rf I should become subject to the Wakers SMIP: a,dY J Com nsatlon provisb of Sectlon 37 the La6or Code,I sh foiViwith compty wi �provis�ons, ENERGY P/C: J DATE: �ZG.� I APPLICANC� � 1 � ENERGY PERMIT: � WARNING:Fa�lure to cure Worker's Compensatlon coverage is unlawtul,and shall sub�ect an employer to criminal �y� y penalties and civll fnes up to one hundred thousand dWlars($100,000),in additlon to the cost of the compensation, RETENTION FEE:_ �y_ i damages as D��Ided for in section 3708 of the labor cade,Interest,and attorney's fees. PRE-ALT FEE: � i CONSTFIUCTION LENDING AGENCY BSAF: f� = I hereby afflrm under penalty of pehury that there is a Construc[lon Lending Agency for the pertormance of the work fw � which this permlt Is issued(Sec.3097,CIv.C.�. LENDER'S NAME: z LENDER'SADDRESS: � I certify that I have read this application and state that the above infwmafion is cortect.I agree to comply with all city and TOTAL FEES Z courrty ordinances and state laws relating to buiiding consWctlon,and hereby authorize representatives of this county to COMMENTS: � enterupon the above-menUoned propertyforinspectlon purposes. J `2� b �.V ¢ ITTEE NAM � - 6- ^�� = SIGNANREOF (TTEE DATE RECEIPTH �� 9 PAIDBY: ,�`�-� VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—,4ssessor Copy,GOLDENROD—Flle Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INlSPECTION RECORD �.��3�� • • � ° � � � � SETBAGK%LET�1`ER��;,, ��,<�.��'�� ;"�� ` � �' '�'`�� '� TRACT AND LEQGER � � __,��q. — �� .=� EOOTINGS FORMS��d �° ,��- � �� "„,-,�.. ,� SWITCH GEAR , � ,$lAg; '' �� _ � F,�,,. ��<, .<<�� COMMERCIAL HOOD ��.� RS� ,-.s, .f+ h�'�."'" .��.�F�' ... . �¢`�`-d+ UG.FLUMBING�"� ��"�° �; �� "° ��,x�� " �,-�, T-B�R . k . ....Ya"�Y ._..nrv.r#�', .. �'� . ..s ...� 'L�I.,�rm �a�Att.. ,UG�E,L°EG7RICAL,�" " 'r:' ,��`��::: :'� � .� �`� "' ��a� ��i; , INTERCEPTER �UFER GROUND._ .. ,�„��A', ��:,�� '� �"��„, �,..�,�. � ��,k HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPODL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROQF SHEATHING p � � ROOF DRAINS FLOOR SHEATHING ROUGH CONQUIT �,�. ,� _ � i .;, � ro �� : � �� PO�USPA�� r�� z ��' „ � � u»�� SHEAR WALLS�F�(TERIOR' �;�� _ � � ,�,�� " � � SHEAR WALLS INTERIOR'�°� � '��''��` �'�. � �� b�� ROUGH PL�MBIP�G "� �`` �� '°� ��` a� ��`� �x ,. � d;�� = : ,�°^�" �" ��-sp- `� � � � FiQUGtiELECTRtCAL„ �"`�a��r;�;� �� ."�` ,��,�" `"_ FRAMING/VENTING� `e� ��, � �� _�� -- _ ;_ , d, _ � �_ ,` �� - ��° �� _= w �� ' ,� � � ROUGH MECHAN(CAI��_ „,. � �� ..� �,.�r��.,.� + RQUGH MECHANICAL��r ,��;ri�, �� ,; "�-�� ROIJGM ELECTRl�,4L W(�)�C�( .)�`� ��`� `��W �� § �'�� G:4S TEST��' �,�� '''� "�� , ��' � � ROl1GN�P,LUMB�Il�G�, � �� '�"�� .�. � �� .:, ,_ �.� �PEtE�GUNI E �� Ar �� "�� .� �� ,: � . ' > :,� ,;., .;. _ � -a �... �, a� : °u_��, ��,,,�� '.��, ��-�: �a� INSUII�TION WALL POOL PRE DEGK�ONDING � '� '�� , _ � �� INSULATION CEILING �P.=TRaP�m�`�� ' `v. p� �` � � �� " ��A�''�� d b�'� '.} > . 5 � � <i� DRYNlALL FENCElGRTE/ALARM�� ``� ; �� LAl'H(PRE) ��- ,� � � �- � � � �.- FINAL POOL� f. �r�q �� .��_ �,�� e_s �.,, �,�= va. LATH EXTERIOR WALLS: LATH INTERIOR WALL FQOTING/STEEL GAS TEST WALL STEEL 1�( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM E�ECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL 4 SPECIAL INSPECTION RQ��RAM6V�FLANNIt�fGAP�ROVAL �� "�� s � FINAL BUILDING� �� I .. � ��,,�'' ••� �� ' �RfJUGH�FI,R£APPR43VAL � �� .a;� " ��: �� '�` - ., , ,� ' ��, .��a�`��' �� 3� FINAL FIBE DEPAR7MENT�,� ��`�� «� � FINALMECtlANICAL �, �� ' � �� _ � � ;FINAI ELECTRICAL�;�"$� '� �� .g,. �' �, �,-�"`"� ��; � 'FINAL PL:{tNNING�� ".;� �° �&c, �� .� � �� " � � � � �` � � '� , `FINAL ENGWEEfiINGI PW�` ,„,,�a �,_� �« � .�� +� � FINAL PLUMBING �- �� , .... ,. ,�� - - � -� T � s,ss�� . � y�. . . » - � 'z`�'� � n+��, �' � �' � �� < �e �FINAL COMMUNtT�Y�SERVICES � ; �".�� T C of OCCUPANCY�' �„�, � ,�^� �� - �� -� " � � ,CERT.°of,OCCtfPANCY�� 'v �_ �� „� �,�� '�• ;' � �FINAt HEAI.TN C}EPT�� : �� °. ' " ��` � ' � �� .�u�,, � e� .. ; ��E�� .r��, �,,,-� , §FINAL INDUSTaI!lL�WASTE.,',,,. ,��,��;#:,��,� ' �� -,� COMMENTS: