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Home My WebLink About14-5059 .,,.,,.,_�ed°��,._.,,.... CITY OF DIAMOND BAR . �/ s DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ' �` 'K� 21810 Copley Drive,Diamond Bar,CA 91765 DPRESS �„u�;,�� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ''a""" BUILDING PERMIT APPLICATION z JOB SITE ADDRESS ZO LV APPLICATION DATE: P/C# i ISSUEDATE:_I��.l�oNl� PERMIT# I�� -' ✓J � = APN LOT TRACT �� OWNER TYPE CONST. OCC GROUP: y n ADD SS '� CITY ZIP TEL. - - ZONING SEfBACKS � FRONT RW ❑ = APPLICANT TEL. REAR ❑ ¢ CONTRACTOR SIDE/SIDE STREEf RW ❑ � SIDE ❑ � ADDRESS � CITY ��1 ��ZIF'-/Go/Z TEL. ` - - 2ZZ PROPOSE l�� _ I � ARCH/ENG/DESIGNER �� L = ADDRESS #DWEL.UNITS #STORIES � #BEDROOMS � CITY ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION � � OWNFA-BUaDEfI DECLAHATION = I hereby affirm under penalty of per�ury that I am exempi from the Corrtractor's Sfate License Law for the reason(s) SFWADD/REM I L indicated helow by the checkmark(s�,I have placed next to the applicable item(s)[Sectlon 7031.5,Busl�ress and Garage/Carport I � Prolessia�s Code:Any city a couMy that requlres a permR to construct,alter,Improve,demolish,or repair,eny z etruchrte,prlor to Iffi issuance,also requlres the applipM Mr tl�e pertnk to file a slgneA statemeM that he or she � Patio/Deck I nIs Iicensed pursuarrt to the provisla�s of the Contractor's Sfate Ucense Law(Chapter 9)Commencing with Sectlon W � 7000 of Divlsion 3 of the Business antl Prafesslore Code]or that he or she is exempt from Iicensure and the basis for LL PooVSpa I n the alleged exemption.My vldatlon of Section 7031.5 by any applicant for a permit subjects the applicant to a civll penalty C7 � of not more than flve hundred dollars($500). 2 Re-Roof s I � U I,as owner of Ne property,or my employees with wages as their sole compensation,will do�1 all ot or(�portions � Commercial y of the worlc,and the structure is not intended or ottered for sale(Section 7044,Business and Protessions Code:The � � Contractors'State LJcense Law does not appty to an owner of pmperty who,Nrough empbyees'or personal effort,builds m I y or Improves the property,prmided ihat the Imprmemerds are not Intentled or offered for sale.If however,the bullding or I � improvemerrt Is sold within one year of completlon,the Owner-Builder wlll have the burden of proving that It was not bultt � orimprovedforthe purpose ofsale.). J (J I,as owner of the property,am excluslvely corrtractlng wtth Iicensed Cantractors to consVuct the projec[(Sectlon Valuation: Z 7044,Business and Professlons Code:The Contractars'State LJcense Law does not appty to an wvner of pmperty who � Adj.Af@8: I n builds or improves thereon,and who contracts for the pro�ects with a Ilcensed Contractor pursuant to ihe Contractors'State QUANTITY DESCRIPTION FEE I Y License l.aw.). � (�I em exempt hom Iicensure under the Contractor's Siate License law for the following reason(s): � I � U I1 � = By my signature below I acknowledge that,ezcept fa my personal resldence in which I must have resided for at least one � � year prlor to completlon of the improvements covered by this permit,l cannot legally sell a structure that I have built as an w owner-builder if ft has not been construded in its entireTy by licensed contractors.I understand that a copy of the aDPllcable � law,Section 7044 of the Business and Professions Code is avallable upon request when this application is submltted w at i the fWlowing Web site:http/www.leginfo.ca.gw/calaw.htrnl. _ � = DATE: SIGN: � I — LICENSED CONTAACT011'S DECLAqATION � ' I d y I hereby affirm under penalry of perjury that I am licensed under provislons M Chapter 9(commencing with Sectlon 7000) � of Division 3 of the Business and Professions Code,and my license Is in full force and effect. � i � UCENSE CLASS: � uE LIC.NO.:�Z�� I z DATE:; ' Z• CONTAACTOR:_�L�T 1�7 �_��F (I([� � I ¢ WOHI�A'S COMPENSATION DECLAHATION � y I HFAEBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � I have and wlll maintain a Certlficate of Consent to Sett-Insure fir Worker's Compensation,as provided by CONSTRUCTION: � . o � Sectlon 3700 of the Labor Code,for the performance of the work for which thls permit Is Issued. p�qN REVI EW: > I have and will malnlain Worker's Compensatlon Insurance,as required by Section 3700 of the Laba Code,for � the pertormance af the work fa which thls pertnit is issued.My Worker's Compensdtion Insurance Carrier and ELECTRIC: 7d" PolicyNum�be7rar�e�: � ��y PLUMBING: � CARRIER_{��/�-�� jy�R-�� M EC HAN ICAL: � POLICYNUMBER��t`'{�S��'S'S�pZ� INSPECTION FEE: • n (THIS SECIION NEED NOT BE COMPLEfED IF1HE PHiMR IS FOR ONE HUNDR�DOLLARS($100)OR LESS�. � ISSUANCE: �;r7 ? I certify ihat In the pertorrriance of the work for which thls pertnd's issued,I shall not employ any person in any manner so as to � become subject to the Worker's Canpensabon Laws of Califomla Md agree that'rf I should becane subject Oo the Waker's SMIP: }� � � Canpensatlon provi�o ot SecUon 370q,p e laba Code,I shall fo�th�com�p�ty with�`plrwislons, ENERGY P/C: �— 1 �AT�"'—`--'—�—�� E'J'd--r'/� _I ENERGY PERMIT: = WARNING:Fallure ro secure Worker's Compensation cwerage is unlawful,and shall su6ject an employer to criminal RETENTION FEE: � b� y penattles and civll Bnes up to one hundred thousand dollars($100,000),in addition tn the cost of the compensation, = damages as provlded tor In secUon 3708 of ine la6or code,Interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LBIOING AGENCY B$qF;_ �,O y I here6y affirm under penatty of perjury that there is a ConsWction Lending Agency for the pertormance of the work for � which this permlt Is Issued(Sec.3097,Civ.C.). LENDER'S NAME: = LENDER'SADDRESS � i I certiry that I have read this applicatlon and state that the abme Information Is correct I agree to compty with all clry and TOTAL FEES �/�/�� county ordinances and sTate laws 2latlng to building construction,and he2by authorize representatives of this county to COMMENTS: z � enter upon the above-mentioned property for inspection purposes. J � 1� ¢ PERM E E(Pfll . '� l 1 n j� = SIGNATU F MIT'fEE DATE RECEIPT# �t PAID BY: �T Y 1 � VALJDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR �� INSPECTION RECURD . � � . • A - e � � � ' ,_ _ �� a. �_ � s � , ,SETBACKI LETTER�`� �_ �.`� ��."� �'- � � "`�" TRACT AND LEDGER .� F�OQTINGSFORMS Y �� .��`�. . .,,'��f�'�`� � .�� °`; ' SWITCH GEAR � � �� _� � � �.� � � ,SLAB'�-��,,.�"' �� .v�� „,.��' ,�8�� .��,L �� ;a,: ;� COMMERCIAL HOOD ;UG.PLUMBING� �. � o��,,, ' .,��, ..�_��" ..�� T-BAR UG.E�ECTRICAL , r«,�� ;� �� ,�s�� `e��, ,:,'<�; INTERCEPTER ' ��''�� ' �"�'� � �� `�� H4T MOPISHOWERPAN � UFERGROUND,, �°� �� °%' SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEpNOUT DEMOLITION ROOf SHEATHING !I � ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT } �, _ � � -� :� �'�"�,�� ;,� ��`� � ,� : �� PUOUSPA''' �� a�� r` � � � �SHEARWALLSEXTERIOR'� �_ ,�..- __ �_ -� _ � � � � `�'� �� _ =. $ SHFAFt�VdALLS INTERIOR •„��°� ��, '�� :�z= "� � �� 3PQUGH PIE�MBING '��,�� 'r�� . ` � �� ,r��_-..��. a�« : � �� '„n�K�9,�7a�&� 'a . qp°� :,,,'�a7�` ��. 'q»7'. , , f� ,, FRAMINGNENTING �' �! ��3 - '� . ' ��;E' �«`', �3.',�, t�4UGH ELEC7RIC,4L� � � ��. , �.� � . �� x: � � � ROU E� `�`� �< �� ""�' �ROUGH°MECHANICAC � �.� „ „�� °"� �� '�` �� GH M_ HANICAL �� - � �'��ff� � �� ROUGH�ELECTRICAL W(��)C{�)��` u..:r fi � � ; �� ,�a, �� GASTESTr�; � �� '� ��,,.� �g`��",��;� ; a� �� ,�� rROUG LUMBlNG�� .aA�� .. � ��..�� d.�,�=�.�,�.�. „s� gPHE�Gt'1NITE �� .�'� � �a ��' �' ,N =. � - _ �' �, � . �� , � 'n �, a_� Y � - � � � _ --- :. e � INSULATION WALL _ROOL PRE�DECK BONDWG'",�� ,�� '� *� �4 �� s� � � �, � �� INSULATION CEILING �P�TRAP�.�� *� - � ._ ��',��`� � �'��a ��'- �� DRYWALL FENCE l�'GATEJ AtARM �� ' °',.,��,�,�� _ �-� . ��* "� LATH(PRE) �FINAL FOQL��,�� ''��F�� ..�,; �4� '�, .._�� ,��.�� LATH EXTERIQR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION ��n; � � Fifl FRANINU6 PLAhlNI�IG�F'PROVAL � ,,�•�a ��,,�� .��.��- �': �x,� ��= :-� �` �` _��x�`� '� `� ��'� �� FINAL BUILDING� -; �a� � �4 ' �� ;x�� ROUGH FIRE APPROVAL� � � � � � _ � ^�� '�� - �� " "� � �' -�� FItdAL FIR `D£PAR'ft�ENT `� �� r � �� FINl�E.MECHANiCEtL „ � � ��t� �� . �. �� .� - y �,� � � ;FINAL_ELECTRICAL��; ,"�� ' �� `, +� � � ��.�,�� FINAL PLANNING � ..'��..: �� .� � r 3a� ` � `FINAI�PLUMBING� v �a� `� �� rFINAI ENGINEERINGI�PW��" � �� ; -� � �.�� _� °� "�` � � � �� r,�� '�` FlNALC,OMMUNITY�SERVICES "�'� ��,�� .�;�� T C�of OCCUPAP}CY '� .,�a.�� . ;, ��- r �� ;GEI1T.of OCCIIPANCY� �� ' �* � f �� °�;°��` „�` zFtNAI HEALTH DEP�,7 ��. �� ,�� `�r �� „ .. : y, ° - ,_ < ,�, , - � ,� _ . � m FlNAL�iNQUSTRIAI;ASTE,��•;°� ��.�' ; . .�,._�� " ' �� COMMENTS: