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Home My WebLink About14-5246 -�"'-- CITY OF DIAMOND BAR � 's DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �, �K` ' 21810 Copley Drive,Diamond Bar,CA 91765 PRESS \h„k W,,�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 '�� BUILDINGPERMITAPPLICATION FIRMLY i JOB SITE ADDRESS � � / �� .J� APPLICATION DATE: P/C# I z APN LOT TRACT ISSUE DATE: /d� y� I y PERMIT# ��.r yL � OWNER �- TYPE CONST. OCC GROUP: y � .ADDRESS J CITY Z P TEL. ZONING SETBACKS FRONT RW ❑ � APPLICANT L. " Z - REAR ❑ Q CONTRACTOR � SIDE/SIDE STREEf RW ❑ � ,� SIDE ❑ � ADDRESS � ^ � l� j CITY ZIP�_TEL. ` ' Z�Z PROPOSEDUSE = ARCH/ENG/DESIGNER y � ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. I a OWNFA-BUILOEFI DECLAHATION � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREA/VALUATION = I hereby affirm under penalry of perjury that I am exempt from the Coritractor's State Llcense Lew for the reason(s) SFR/ADD/FtEM I � indicated below 6y the checkmarlc(s),I have placed ne�R to the applicable ttem(s)[Sectlon 7031.5,Business and � Professloos Code:Any ciry or caunty that requires a pemitt to conatruct,atter,Improve,demolish,or repair,any Garage/Carport I z structure,prlor to Ifs Issuance,also requlres the appllcant for tha pertnit to flle a slgned statemerrt that he w she � Patio/Deck I nIs Ilcensed pursuant to tlre provislons of the Contractar's Stale Llcense Law(Chapter 9)Commencinp with Sectlon w � 7000 of DIvlslon 3 of the Buslness and Professlare Code]or that he or she is ezempt hnm licensure and the basis for LL PooVSpa I n the alleped examption.My vlolatlon of Section 7031.5 by any applicant for a permit su6jects the applicant to a civll penatty Z Re-Roof I ,= of not more than flve hundred dollars($500). . Q � U I,as owner of the pmperty,w my employees wtth wages es their sole compensation,will do�1 all of or(�portions � Commercial I y of the work,and the structure is not IMended or offered for sale(Section 7044,Business and Professions Code:The � I � Contractors'State Llcense Law does not I to an owner of ro m app y p perty who,through employees'or personal effort,bullds i or improves the pmperty,provlded that ihe improvements are not Intended or offered for sale.B however,the building or � I � improvemerd Is sold wilhin one year of completion,ihe Ovmer-Builder will have ihe burden of prming that R was not bultt jor Imprmed fw the purpose of sale.�. I � (�I,as owner of the property,am excluslvely contracting wlth licensed Contractors to consWct the project(SecUon � 7044,Buslness and Professlons Code:The Contractors'State License Law daes not appty to an owner of property who Valuation: Adj.Area: I � bulldsorimprovesthereon,andwhocontractsforlhepro�echwlthalicensedContractorpursuanttotheConVactors'State QUANTITY DESCRIPTION FEE I Y ucense Law.�. . � (�I am exempt hom licensure under the Cont2ctor's State License law ror the following reason(s): � . I � U IQ 1 By my slgna4�re balow I acknowledge that,except for my personal residence in which I must have resided for at least one � I = year prior to completlon of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w I owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable � law,SecUon 7044 of the Buslness and Professions Code Is avallahle upon request when this application Is submitted or at I i the following Web site:http/www.leginfo.ca.gov/calaw.html. _ = DATE: SIGN: � ''�Y ' �X�"�, `Cl I — LICENSED CONTFIACTOR'S DECLAAATION � a I � I hereby affirm under penalty of parjury that I am Ilcensed under provisions of Chapter 9(commencing with Section 7000) � ot Division 3 of the Business and Professions Code,and my license Is in lull force and effed. I � LICENSE CLASS: � LIC.NQ.: 7 / /�I� � _ � � r1� �,�.,, y � Z DATE: — CANTAACTOR: �I�.-- �-- �1../��v�v cr5 I ¢ •WOHIffA'S COMPENSATION DECLMATION � � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � ` I have and will malntain a CertlFlcate of Consent to Sett-Insure for Waicer's Compensatlon,as provided 6y CONSTRUCTION: Sectlon 3700'of the Labor Code,for the performance of the work for which this permtt is Issued. p�,o,N REVI EW: � I have and will maintaln Worker's Compensatlon Insurance,as required by Sectlon 3700 of the labor Cade,for Z the peAormance of the work for which this permit Is Issuad.My Worker's Compensatlon Insurance Carrier and ELECTRIC: ¢ Polic,yNumberare: ' PLUMBING: �,D�Q� � �R�� MECHANICAL: r y ' POIJCY NUMBER INSPECTION FEE: � (THIS SfCT10N NEED NOT BE CAMPLETED IFhIE P6iMR IS FOR ONE HUNDR�DOLLARS($100)OR LESS). ISSUANCE: f r �" 'J � I certify that In the performance of the wak fa which this pertnit is issued,I shall not employ any person In any man:�er so as to � beoome sub�ect to the Worker's Canpensatlon Laws of Califomia.Md agree that'rf I should 6ecane subJect�the Waker's SMIP: J Compensation visions Sectlon 3700 of the Lahorcqae,I shallr�rtfnviN PN vpth tlwse prwislons. ENERGY P/C: J DATE_I��naPucaNr: �1_L�)�+4�1. �` ('.��5 r✓ 1 �. ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlawful,and shall subJect an employer to cnminal � � penaltles and civil fines up to one hundred thousand dollars($100,000�,in addlUon to the cost of the compensation, RETENTION FEE: = damages as provided tor In section 3708 of the labor code,interest,and attorney's tees. PRE-ALT FEE: i CONST(iUCTION LENDING AGENCY BSAF: y I hereby atflrm under penalty of perjury that there is a Conshuction Lending Agency for the pertormance of the work fir = which this permlt is issued(Sec.3097,Clv.C.). � LENDFA'S NAME: s LENDER'S ADDRESS: � i I certify that I_have read this application and state that the above informatlon is cortect.I agree to comply with all ciry and TOTAL FEES ��, S� � county ordinances and slate lavrs relating to bullding consWctlon,and he2by authorize representatives of this counry to COM MENTS: J z � enter upon the abme-mentioned proparty for inspection pur�Oses. J � �� b ¢ PERMI E NAM (PR � — n = SIGNAlURE F DATE RECEIPT# PAIDBY: VALIDATION: WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy � CITY OF DIAMOND BAR INSPECTION RECORD • r • � ' ' • m ' • ' �,� . e ,��a��t„..�� w,r:E �`�,��,� -- � TRACTAND LEDGER - s�- �, SETBRGKi LEi7iER��.: �_ >_ �� ,� s=� � �F001'INGS'FtIRMS.,�... , ��:�� : � '�"" ,��' ��_��a��'� SWITCH GEAR �SL�g� � i° ��:� �' ��' �� ',�� z��.�"�� COMMERCIAL HOOD 3�' � � � �UG>RLUMBING�� 9 � �� d:.: t� ��t,..�� ,�� T-BAR `� ,,z�'� � >�� w� �, ��r-„��', a � .. :.� . _ . 'UG.;ELECTRICAL ��" '� � .,r�� ` �>-� �.,.,: k Y.':' fr. INTERCEPTER �UFER GROUND.�' �� . ;�� '- ��. ��_: aa�.� �� ''�L�, � «,�'� `�: HOT MOP/SHOWERPAN SEWER LATER,4L SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ;SHEAR WALL'S�EXT�RIOR �' �� '��E�� `� "`�:��:"�x � POOF./SPA�� :, �� ,� � � �' � �SHEAR.WALLS(NTERIOR�� ,�� . �� ..� � � � . . � '�� "' R�OUGH RLUMBING �" �"�� "� �' �°"� ��` �� 3� � ��- � �, _ � ��' � � ��„�° r OUGIt�NEhtTIN6�;� �` �`�_ �� : �� :� �, � � �_ � ROUGH ELECTR4CAL � � �� ;��.5�� °,;� .°� �� ` ; �a' : Ii�MECHANiCAL��.. , '`` R(lUGH MECHANICAL� - � �` � �. E � s � �,� * � �� +� � � y ,�„".„ �� .�A='s �� F..: � �� .��. � . .. ROUGH ELECTRiCAL<W(.��C(�� . `�: � �. �� , � G;4S+TE5T� � � �<<. �� .�'' �� _„ ,ROUGH_PLtJMgING�'�.� �z",A� r.�.,,, ��`"�� ' �` „;' �� .,� .� PRE GUNlTE�� :.� �� } ,c �� z�a �:. �� M� e, � - �,,� �� z� INSULATIONWALI ROaLgPR��DECKBO�IDING ,q ,�� `� � ��' � 3 INSUlATION CEILING �� "� � � � � �;�� P TRAt?� ;�� -�, ��, _�.'' . �. � �, DRYWALL =FENCE�I G'ATE!ALARNi� � � �;�� ' ' � z � �� -�� ,, ��.- �3 . � : .�� LATH(PRE) �F1NAL`POOL ��_�v, ��.: � ;�. � .,.,� �� LATH EXTERIOR WALLS: IATH INTERIOR WALL FOOTING(STEEL GAS TEST WALL S7EEl 1 sr� �2No� �� SCRATCH COAT WALL BOND BFAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL .RO�FRAM�IGPIANNINGAPPROVAL'� q.� �",�� „'' � ' � �� "� SPECIAL INSPECTION � � � � ��, � , : �.. �� '�`, "� �'s fit1UGH F�IRE APPR4VAL ��' �';� �.�; ' �.�N �..y ��E: � � � � �FIN{4�BUILDING � _ � � � � ~ � � � �� .�..w �� " �� m �,� ..., �� RFINAL�FIRE DEPARTME,NT�'� .. ��,�` �� ,�'�,��' - �' �INAI MECNANICAL �`� '�'�� _.�� , , �� z �� ., � ,�� , = � ,�,��x� �°�„ ;��.� ��. E{idALPLANNING� '��,�� `'��'`'�` �� -�� , r 'FINAt;FLEGT1ifCl�l. .,�,� � ." ��,�s .,. . FINAL�PLUM8ING� �� " �' �l � ` ' � �� ''�'"��''�:�� "FINAL�ENGINEERIHGI^PW`." � ; � �,� ��`� , � � _�-� T C.of OCCUPANCY� ;�� °�< � y �"�„ ��'�� '��a�� .�� sF{NA!GOMMUNITiI'°SERYICES��^ '�� ° � • � �. �� , �� , �ffE .� ��,'�rt�°' FiNAI HEALT#I,dEPT�` ,� `,��;� ��'> �, ��``�� CERT�of,OCCUPANCY-_�, �Q�� ,�� .�� A� .� �� ,FiNAI ENDU&T(ilA!WASTE��.u��, ��.`��,.,�.�� _�.� COMMENTS: