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Home My WebLink About14-5054 ,....�''"' � CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� -- �tc 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ZR,�,;,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION g APPLICATION DATE: P/C# y JOB SITE ADDRESS — i ISSUE DATE: J/��Q I y PERMIT# I�y—'�D�� z APN LOT TRACT � OWNER � TYPE CONST. OCC GROUP: y � AD ESS J CITY ZIP . TEL. �- ZONING SEfBACKS FRONT RW ❑ � APPLICANT TEL. REAR ❑ � SIDE/SIDE STREEf RW ❑ j CONTRACTOR��\S ��z0-F�I�C�II�/�E/��1��^�� SIDE ❑ � ADDRESS _ j CITY ` — ZIP��TEL��—��q 222 PROPOSED USE Ei � % a �— � � ARCH/ENG/DESIGNER L � ADDRESS #DWEL.UNITS #STORIES 2 #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION � OWNEH-BUIL061 DECLAHATION = I hereby affirtn under penatty of perJury that I am ezempt fram the Contrador's State License law for the reason(s) SFR/ADD/REM O� � indicated belaw by the checkmark(s),I have placed next to the applicable ttem(s)[Sectlan 7031.5,Buslness and � I � Prolessions Coda:Any city a couMy that requires a permR m co�truct,alter,improve,demolish,or repalr,any Garage/Carport z shUclure,prla to ifs Issuanca,also requires the applicaM Por the pertntt to flle a slgned stateme�rt ttiat he or she � Patio/Deck I i Is Iice�ed pursuaM to the provisla�s of the Contractors State License Law(Chapter 9)Cammencing wNh Section w � 7q00 01 Dhislon 3 of Me Buslicess and Professlw�s Code]or that he or she Is exempt from Ilcensure and the basis for � Pool/Spa ( � the alleged exemption.My violatlon of Section 7031.5 by any applicant for a permit subJects the applipnt to a civil penalty C7 I sof not more than flve hundred dollars(5500�. ZQ Re-Roof � U I,as owner o1 the property,or my empfoyees with wages as meir sale compensation,will do LJ all of or(J portions -� Commercial I y of the work,and Me sWcture is not Intended or ofTered for sale(Section 7044,Buslness and Prafessions Code:The � I � Contractors'State License Law does not appry to an owner of property who,through employees'or personal etfort,builds m � or improves the pmperty,provided that Ne imprwemenLs are not intended or offered for sale.If however,the building or I � imprmement is sold wlthln one year of completlon,the Owner-Bullder will have the burden of proving that tt was not bultt � w improved tor the Durpose of sale.). I '� U I,as owner of the property,am excluslvely contracGng with licensed Contractors to cronshuct the project(Sectlon � 7644,Business and Professions Code:The Contracmrs'Shte llcense Law dces not apply to an a,vner of property who Valuation: Adj.Area: � Z builds or Improves thereon,and who contracts for the projecfs vnth a Iicensed Contractor pursuaM W the CoriUactors'State I � QUANTITY DESCRI PTION FE E Y IJcense taw.). � (�I am exempt from Ilcensure under the ConVactor's State Ucense law tor the tollowing reasan(s): � � � U 1 By my signature below I acknowledge that,except for my personal residence in whlch I must have resided for at least one � � year pnor to crompletlon of the improvemenb cmered by thls permd,l cannot legally sell a structure that I have built as an -w-� I — owner-bullder If R has not been conshuded In Its er�tirety by Ilcensed contractors.I undersland that a copy of the applicable w � law,Section 7044 of the Business and Professions Code Is available upon request when this applicatlon Is submitted w at � the following Web slte:http/vnvw.leginfo.ca.gm/calaw.htrnl. � z_ I � DATE: SIGN: � — LICENSEO COHTFIACTOH'S DECLAHATION � I y I hereby aKrm under penatty of pehury that I am licensed under provislons of Chapter 9(commencing wtth Section 7000) I � of DiWsion 3 of the Buslness antl Professions Cotle,and my Ilcense is in full force an effect � I n LICENSE CLASS: LIC.NO.: I = oA�: �or�rr��oR Akns ef I i.4la � I � ' . WOfll�1'S COMPENSATION DECIAflATION g I y I HEREBY AFHRM UNDFR PENALTY OF PER,IURY ONE OF THE FOLLOWING DECLARATIONS: � I have antl will malntaln a Certificate of Conserrt ta Sett-Insure for Worker's Compensation,as provided by CONSTRUCTION: '�,�� Section 3700 oi the Labor Code,for the pertormance of the work for whlch this permlt is Issued. p�qN REVIEW: I have and wlll maintain Worker's Compensatlon Insurance,as required by Saction 3700 of ihe Labor Code,fa � the perfamance of the work for which this permtt Is Issued.My Worker's Campensation Insurance Carrier and ELECTRIC: Z¢ PoIIcyNumberare: A PLUMBING: � CJNRIER�lJ��,� ./t _G�� MECHANICAL: y � POUCYNUMeER �_U �^S��pL� INSPECTION FEE: n (I}iIS SECTION NEED NOT BE COMPLEfFD IFTHE PH1MR IS FOR ONE HUNDRED DOLLMS($10U�OR LESS). ISSUANCE: = I certily that in the perlortnance of the wak for which this permtt is issued,I shall not employ any person In any manner so as to � � � become subject to the Worker's Compensation Laws of Califomia And ag2e tliat If I should become subject to the Worker5 SMIP: J Canpensatbn pmvisb s of Section 37 the Labor Code,I shall forthwAh wmpty tt�ose provlsiony. ENERGY P/C: i DATE: I' Z' liPPLICANT��L�7�JZ�}.C�`'i ENERGYPERMIT. = WARNING:Fallure to cure Worker's Compensation coverage is unlawful,antl shall subject an employer to criminal RETENTION FEE: „�-� y penattles and civil 8nes up to one hundred thousand dollars($100,000�,in addltion to the cosi of the compensatlon, � � damages as pmvided for In section 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: f.D!f d i ' CONSTIII�TION LENOING AGENCY BSAF: y I hereby aifirm under penalty of perjury that there is a Construction Lending Agency for the performance of the vrork for � whlch this permlt Is Issued(Sec.3097,Civ.C.�. LENDER'S NAME: x LENDER'SADDRESS: i I certify that I have read thls applicatlon and state that the above information is crorrect.I agree to comply wtth all city and TOTAL FEES . ��,'�� I � crounty ordinances and state laws relating to building consWction,and he2by authorize 2preserrtatives of thls county to COMMENTS: •'� z � eMer upon the above-mentioned property for inspection purposes. J _ �1 b ¢ PER E PRINn n �-�z" /`�' = SIGNA OF fTTEE DAiE RECEIPT#�7�_ PqID BY:j/`�Q6� VALIDATION: � WHITE—Departrnent Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—ApplicanYs Copy � - � CITY OF DIAMON'D BAR INSPECTION RECORD o � . • - � � � • - �SETBAGK/LEFTER��°" �,„ ��,��,�� .,e, ��'a;�-a ` " � TRACTANQ LEDGER 3FODTINGSFORMS�°; .R �,��m�;� �_;�'4`�� '�"��'��` SWITCHGEAR rSLAg.� � .�� "�:��.��:?�s� �-�.��. ,��.��;, COMMERCIALHOOD UG�'PLUMBtNG��e :�� '. .,�: n�=.� � 3�.��a, T-BAR UC.ELECTRIGAL�° �� " .,x„�� .��sati -��'�� ',`.��,.,,' INTERCEPTER , , .:q��" '��, ,: , . - ,� ��: '�`� �°�'�: �"�r"" ^:�� HOT MOP/SHOWERPAN UFER GROUND�� _,��,�-� .,��.�. _��,. SEWER LATER,4L SEPTIC/CESSPOOL MAIN WATER LINE HERS REPQRT RECEIVED SEWER ClFANOUT DEMOLITION ROOF SHEATHING �/ ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ;SHE4R WAI.LS�EXTERiOR �� __�� F,� � POO�LiSPA �� . ��`� � "�..��' � F � � � �� ;SHEAR WAtCS tt��RIOR� �� x�°�� E �' �� ROUGH PL,`�1MBING�� ., � �Q, �RA��NGlVEN�M1�G � °�' � ��. �� -� ;'. � � sy �� ,�� , , �� GH�EI��CT�RICAL'�� .� R�l� w ri �' _ , � �� ROUGH MECHANICAL�, �'� ' ,� � ��,�. � ` � t� ' GAS�?EST�� ' ��'r � �� 4� �� ROUGH ELECTRIC,,4L W }C(�)� � � �� ' 41��H MECHANI�L �,,t� + ��,�� ' � � ; �� ° � � . f 1 + F ..�L� ROUGNPLUMBlNG�� :�,� a�'��r� xa � - �_�-_�"°,� _�,.��: ;P.RE�GUNlTE �� _.: ' � : " � �� .:. �� INSUlATION WALL �POOL�PRE,dECK;B�ONDING�;:� ��,'��3.� � �.�t��g�� , �...,� �� , r � t�, ��:� INSULATION CEILING P'�P�,' � �� .. �.�,� �.�«, .:+y�"�g�az��« �,� „? ri�_ ��, ; DRYNlALL �fPJCEI�GATFJ�AIAHNt ,°�°� , ,.,...� � ; „�� "�' �� ^' �'"��'�� LATH(PRE� ,FiNAL'POOL� �a�, �`� � ��«�"� � ��.3�'r�'.�.��. << LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPEGTION �RO h�AMIVG('L�ININGAPPFiDVAL ��_� ��',� ��'� �� a ',, ,�`�� -T` � E t,�"' €�. "" � . r -�" � R��;`,�4 v�"". � E�, �� FINIIL�BUILDI(dG � s�� /� a" �� .� a�;� RC►UGH FIRE APPROVAL,� � � ��N � �,� � � FINAL MECt{ANtGA,L t�s"� �� "� � � � FINAL�FIRE DEPARTMENT�'��,. � � �" ��`� �'�'��' , � �� a,�� „ � �� s � �� s< r,i ��, ��» ,,�% � � A ,� ��' � _ 3 � '� � �"``� �`"�� . � "F�(NAL�P�ATJNi�Tf.<��_� � ��' . � .' ^�` � 3�:,� �, �� ,, FINAL ELECTff[�AL ,��, �, _�� FINAL PLUM�BING� ,:�. �� .� . � �: � }' �� » - �� '� �� 'tNAL.ENGINEERING/�PW� "" � � � , . .�, � � - ?# �. �� ,��. . 5r.�. - � � �� , � r, �'�iFiAL�GOMftARUNITY�SERVICES� �.�� , � " - �'�� T.C.of OCCURANCY ~�` ��'„��. � F . � � �n �_ ,��- g�� " ' ��'�' ' FiNAL�HEALTH DfPT _ � ��e.. ,, � � �� a�e �__ ,.�. �� G�RT:�of OCCUPANCY��:_ �°' ,... ��,�.��w�. �-,�� . �� _ �� `FINAL.INQUSTRlAL''WASTE_ �� ":`�� `r,��j �.�� COMMENTS: , ,