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Home My WebLink About14-5052 ,-!'� CITY OF DIAMOND BAR I '! DEPARTMENT OF COMMUIVITY&DEVELOPMENT 5ERVICES � a - - 21810 Copley Drive,Diamond Bar,CA 91765 PRE� \ ,�Nt,,,�. (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ''�'' BUILDING PERMIT APPLICATION APPLICATION DATE: P/C# i JOB SITE ADDRESS � � ��N � � j y i ISSUE DATE: ��I l PERMIT# I' .��.r,�_ z APN LOT TRACT yOWNER C� 1{.I[ �,Pt� � TYPE CONST. OCC GROUP: ADDFj,ESS ZONING SEfBAGKS J C�Ty�l�/I�p� ZIP TEL � � FRONT RW � � APPLICANT TEL. REAR � � SIDE/SIDE STREET RW � Q CONTRACTOR S SIDE � � s � ADDRES � _ PROPOSEDi,1SE � ^ s CITY ZIP��IL TEL. Z7' � — I � ARCH/ENG/DESIGNER � = ADDRESS #DWEL.UNITS,�_ #STORIES_�� #BEDROOMS I � CITY ZIP TEL. � DESCRIPTION SQ.FC FACTOR PSF ADJ.AREANALUATION � Q OWNEA-BUILOER DECLAHATION D O '= I hereby afflrm under penalry of perjury that I am exempt fran the Conhactor's State License Law for the reason(s) SFFVADD/REM � indicatad betow by the checkmark(s),I have piaced next to the applicable itam(s)[Sectlon 7031.5,Buslness and � Garage/Carport " Prolessla�s Code:My ctry or couMy lhat requlras a parmtt m construct,alter,Improve,demolish,ar repalr,any I z structure,prbr to fis Isauanca,also requlres Uie appifcant for tha pertnft to flle a slgned statement that ha w she cn Patlo/Deck � Is Iicensed pureua�rt to the provisions of tlie Co�actor's State License Law(ChapOar 9)Cammancing wfth Sectlon w I � 7000 at Dlvislon 3 of the Business and Protesstons Code]or that he or she is exempt irom licensum and the basis tor � PooVSpa n the alleged exemption.My vlolation of Section 7031.5 by any applicant for a permit subjects the applicarrt to a cfvil penatty I � Z Re-Roof 07 not more Nan five hundred dollars(5500). I � (,I,as owner of the property,or my employees wlth wages as their sole campensation,wlll da U�I of or U PorGans � Commercial � of Ne work,and the structure is not Intended or oNered tor sale(SecUon 7044,Business and Professlons Code�The � I y m � Contractors'State LJcense Law dces not appty to an owner of property who,through employees'or personal eRort,bullds i or improves the pmperty,prmided lfiat ihe improvements are not IntenAed or offered tor sale.If however,the building or I � improvement is sold wlthin one year of completlon,Me Owner-Bullder will have the burden of prrning that it was not bullt � w Improvud fw the purpose of sale.). ' I � "� I,as owner ot the ro f ( U P peRy,am excluslvely contracting with Iicensed Contracrors to consWct the pro ect Section Valuation: Adj.Area:' = 7044,Business and Professions Code:The Contractnrs'State Ucense Law does not apply to an owner of properry who n 6ulldsorimprovasthereon,andwhocontractsiortheprojectswithalicensedContractorpursuaMmtheCoritractors'State QUANTITY DESCRIPTION FEE Y ucense Law.). _ (J I am exempt trom licensure under the Contractar's Statfl License law tor the tollowiag reason(s�: � 7 • � � r- 1 By my signature below I acknowledge ihat,axcept for my personal residence In which I must have reslded fir at least one � Z year prlor to completlon of ihe Improvemerrts covered by this permit,l cannot legally sell a structure that I have bultt as an w � � owner-builder If Ii has not been consWcted in iis entirery by licensed coniractors.I understand that a copy of the applicable law,Sectlon 7044 of the Business and Protesslons Code Is available upon request when this appllcation is submitted or at I � the following Web site:ht�/mwr.leginfo.ca.govlcalaw.htrnl. � z I DATE: SIGN: °� � I LICENSfD CONTHACTOH'S DECL.AHATION � y 1 hareby affirtn under panatty of perjury that 1 arn licensed under prmislons aE Chapter 9(crommflncing wtth Section 7000) I � M Division 3 of the Buslness and Professions Code,and my Iicense Is in lu/ll}�� and effect. � I n LICENSE'C,LASS: ' � LIC.NO.: `��Z��b I � DATE: '� CONTAACTOR: S 'F � � I ¢ � WORI�R'S COMPENSATION DECLAIIATION � I � I HEREBYAFFlRM UNDER PENALTY OF PERJURY ONE OFhIE FOLLOWING DECLARATIONS: L �i��a,� � I have and wiii maintain a Certlfiqte of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � �Section 3700 of the Labor Code,for the performance af the work for which thls permit Is Issued. p�pN REVIEW: � I have and wlll maintain Worker's Cwnpensatlon Insurance,as required 6y Sectlon 3700 of Me Labor Code,for ELECTRIC: � the pertormance af the work tor which this permtt Is issued.My Warker's Compensatlon Insurance Carrler and Z¢ PolicyNumberare: ( _ �t�� PLUMBING: y CARRIER yl/Rl��. �14�� '1,. MECHANIGAL: Z POUCYNUMBEH�L �S�i'��s.zZ— INSPECTION FEE: :� � (fHIS SECTION NEED NOT BE COM%.EIED IF1HE P6iMfT IS FOR ONE FNNOR�DOLI.NiS(510�Ofl LESS�. ISSUANCE: �r t � I certify that in the pertortnance of the wak for which this permit is tssued,I shall not emploq any person in any manner so as to SMIP: ��^ become subject to the Nbrher's Canpersaaon laws of Califomia.And agree ttiat it I should become subject tn the Waker's � Canpensatlon prowsw ot Section 370o me lab«Code,I shall torthwith compry/t� Pr islons. ENERGY P(C: � DATE://�/L�MPUCaNr:�/�� —�� — ENERGY PERMIT: w � WARNiNG:FaiWre t secure Worker's Compensatlon coverage is un�awful,and shall subject an employer to criminal REfENTION FEE: �'�s/ y penalties and civil fines up to one hundred thousand dollars($100,000),In addition to Ihe cost of the compensation, � damages as prodded for In section 3708 of the labor code,interest,and attwney's fees. PRE-ALT FEE: rt i CONSTHUCTION LENDING AffNCY BSAF: /��V Z I hereby aff rm under penalty of pehury that there is a Construction Lending Agency for ihe peAormance of the work for L = which NIs permtt Is issued(Sec.3097,Civ.C.�. � LENDER'S NAME: I = LENDER'SADDRESS: '� I certify that I have read this appiicatlon and state that ihe above informatlon is conect.I agree to compty with all cfry and TOTAL FEES �� (�/� � � Z crounty ordinances and state lavrs relating to building conshuctlon,and hereby authorize represenlatives of this wunly to COMMENTS: O U � enter upon the above-mentioned property for inspectlon puryoses. J _ ��b ¢ PEflMfTTE RI � " - 2 • = SIGNATURE F P ffTEE �ATE RECEIPT# PAID BY: _ VALIDATION: �_'�_ i �� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR �� INSPECTIUN RECQRD . � � . • a - • � � • ' �� - � � �'�.��' � .��`� 3�;y"�'��"m�� e TRAGTAND LEDGER SETBACK(LETTER u�= FOOTINGS,FORMSx.s�� .. ,��- - �; ,� � �E°�"� � n � , � SWITCH GEAR SLA$� a::��,'"' ` �v .�� V, , p_, �� . L HOOD . � : COMMERCIA UG PLUtJI61NG � � m„�• � ,e�a �,�, ��`�`,��* `� T-BAR UG�EL`EGTRlCAL ° �°� «��'��_ �� -��'�'' INTERCEPTER � �� _ � _ . __ - ffs e,� , �. ,UEER GROUND° �� ..�� . _�'�� ,,�.a .'�� HOT MOP/SHOWERPAN �.�� SEWER LATERAL SEPTIC/CESSPOQL MAIN WATER LINE HERS REPQRT RECEIVED SEWER CLEANQUT � DEMOLJTION ROOF SHEATHING l% / • ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SH,EAFi�WALLS�EXTERIOR � `' ` .�c �,�� r�a.''�� POOLISPA''t��;� T� ��``��g'�� a�°� � �. � ��-� � .�a � �r� 6� E � �� a � � ^ �, x SHEAR WAf.LS,fN�ERIOR�� `:� �°°�� '� R��GH PLUMBING� �� d�� .� ��, �� « � � � '� �' � �� e�-: `''� RQUGN ELECTRICAL��a ' ,E:,�� ' ` ' z �' FRAMIhiGNENTING _. � � . �"� �.� � � r�� a� - e,. � „� �� ` , ROl1GH MECHAIVICAL�'� ,�� 'P`��' ��`�&;��*��,�� . ` �R�UGH�NI�CHANIGAI � .�� .�� . a��« _� ��. �`�"'�� ROUGti�E�ECTRICP,L�W(�)C,i,J ,�� ,�' ; ._..,,fr� ,�� .G�EtS'TEST � �.�a �; � � �� "- f�� , „ - E�E ��° RG1l1GH PLUNIBII�IG �,�� r� '�,, � "�" .� � ;�,�.� ,FR�t'aU,"�llT� '�� g' `�� "� a��,� ��r � � � �� : ,, . M, ; , ., , ,,, ' „�� ., < , _. , . INSULATION WALL PqQ��PR�QECK BOWDING ", �" , ��`��a�.,�� . `"� �' �' '� ,�, INSUlATION CEILING P'i'RAP.. ' � �—'� � � � � �; er�� ,� "`" � ' � ��^�- � ��, �� ', � �� + DRYWALL FENCE J GATEI�AL�1#iM �" ��'�, . � f "' � ��JAC PO£l€�. �� " ' �"� �`� LATH(PR� -� � .� °'�.;'�,,�_re.�a LATH EXTERIOR � WALLS: IATN INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL ORAIN/SEAL GAS METER RELEASE WALL FINAL a , �.�a ... _ .�. SPECIAL INSRECTION RO FFI�M�CiPLANNI�GAPPROVAL��""�` n �r�: `��s * ��`"`a`��4- �„�e� FINAL'BUILDING��°��': .��µ % �� -'�� r°:'� � - '� EiOUGH EIRE APPROVAL�4�� ;�� _��° �� ";: �� '� � ;� �� PINl1l�MECHANiCAL� ;�� ` .�� ; � �� ':� "� °FtNAl FIRE,dEPARTMENT�� ,;A y �` .� �'� f � ��- �- � �� - � � �,�� «� �,� � �IN,4LELECTRiCAL � �;. '� �*��,�"' _ � � �: �� z� y ' ,� �F{Nt1L�PLANNING � � ��. � °' � � t _ ' � � v� —.�� " � � F! A ENG � � �� INALfPLUMBiNG�,��°�� ,� ��'�� N L� �INEERINGI PW� � �� z �� , � �°� � �� . � � � �� . - �� .�� TC;�of OGCURANGY�-:� �� = �_g �`�� ;�� FiNAE�COMP�tINITY�SERVICES� ��' � �� '� aCERT oi;OCCUPANCY��°.. -`�" `� ��"�>��`�M:�.��. .:'��=` � �FiNAL�HEALTli�DEP�T� � .,�� `�, . a �� '�'�� z _ _ � ' � � � _ ;FINAL�iNDUST�tiAL�WASTE�a� `�`:.��; �„�n`�>� ,� � ` � COMMENTS: