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Home My WebLink About14-5056r __ _._ . . . - — � ✓ „_.....�.:-'"' ...... CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES - '�G 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ,�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 ��""' BUILDING PERMIT APPLICATION FIRMLY � Z�� S�Lv�N �t�� APPLICATION DATE: P/C# y JOB SITE ADDRESS_ � 1 ISSUE DATE: ��Y PERMIT# �y I�G�r z APN LOT TRACT � OWNER G� TYPE CONST. OCC GROUP: y � ADD ESS ZONING SEfBACKS I J CITY I��o � ZIP TEL. " �' � FRONT RW ❑ � APPLICANT TEL. REAR ❑ � Y SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS = CITY��_�� ZIP�/�TEL. ' �Z PROPOSED USE � C C+ � ARCH/ENG/DESIGNER � � �� ADDRESS #DWEL.UNITS #STORIES� #BEDROOMS z CITY ZIP TEL. a DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNEfl-BllILDFA DECLAIiATION = I hereby affirm under penalry of parjury ihat I am exempt fran ihe Contractar's State License Law for the reason(s) SFR/ADD/REM � v I � indicated below by the checkmark(s�,I have placed ne�R to the applicable item(s)[Sectlon 70315,Busineas and Garage/Carport I � Professlons Code:Any cfty or courrty Mat requlres a permlt b construct,alter,Improve,demolish,w repair,any z struc[ure,prior ro tts Issuance,also requlres the appllcaM for the permR ro file a slgrred statement that he ar ahe � Patio/Deck I i Is Ilcensed pursuarrt to the provislons of the Co�acta's State License Law(Chapter 9)Commencing wlth Sectlon w � 7000 of Dlvlslon 3 of the Buslness and Profasslo�Code]or thffi he or she Is ezempt from licensure and the basis for � P�VSpa I � the alleged exemption.My violatlon of Section 7031.5 by any applicant for a permit subjects the applicant to a civll penalty C7 I ,= of not more than flve hundred dWlars($500). ZQ Re-Roof � U I,es owner of the properry,or my employees with wages as their sole compensation,wlll do U all ot or(J portions � Commercial I y of the work,and the structure Is rrot Intended or offered for sala(Section 7044,Business and Professions Code:The � I Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds m y or improves the property,provided that the improvements are not intended or offered for sale.If however,the bullding or I � Improvement is sold wlthln one year of completlon,the Owner-Builder will have the burden of proving that it was rrot bultt � a Improved for the purpose of sale.�. I � I,as owner of the ro U p perty,em exclusNely contracting with Iicensed COM2ctors to conslruct the proJect(Section Z 7044,Business and Professions Code:The ContracNrs'State License Law does not apply to an owner of property who Valuation: Adj.Area: I � bulldsorimprovesthereon,andwhocontractsfortheproJectswtthalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y ucense Law.). I � U��exempt tmm Ilcensure under the Contractor's State LJcense law tor the tollowing reason(s): � 1 By my signature below I ackrrowledge that,except for my personal resldence in whlch I must have resided for at least ane � I � year prior to completion of the improvements covered by thls permit,l cannot legally sell a structure that I have buitt as an � I owner-builder if it has not been cons W cted In tts entirety by Iicensed contractors.I understand that a copy of the applicable I � law,Section 7044 of the Buslness and Professlons Code is available upon request when this appllcation is submitted or at I � the following Weh slte:ht�/www.leginfo.ca.gov/calaw.html. � = DATE: SIGN: � I LICENSED CONTflACTOH'S DECLAHATION � I � a I y I hereby affirm under penatty of per�ury that I am Ilcensetl under provlsions of Chapter 9(commencing with Sectlon 7000) � of Divlslon 3 of the Business and Professlons Code,and my Ilcense is in full lorce and etfect J I � LICENSE CLASS: �✓ � LIC.NO.: l LZ� O� � � DA7E: �� Z— ( CONTRACTOR rL5 OF� � I z w a WOHI�1'S COMPENSATION DECLAqATION � I y I HEREBY AFFIRM UNDER PENALiY OF PERJUflY ONE OF THE FOLLOWING DECLARATIONS: = I have and wlll maintain a Ce�cate of Consent to Self-Insure for Worker's Compensatlon,as pmvlded by CONSTRUCTION: �'7� �. �}� � �Section 3700 of the Labor Cade,for the pertormance of the work for which this pertnit Is Issued. p�,qN REVIEW: � I have and vnll maintain Worker's Compensation Insurance,as required by Sectlon 3700 of the Labor Code,for � the pertormance of ine work for which this permtt Is issued.My Nbrker's Compensation Insurance Carrier and ELECTRIC: d7" Po�IcyNumberare: ( � �� ,�/� �� A� � PLUMBING: � CNIRIEA I�PiLi�C,• /rWl.�'—`�/'�D�- MECHANICAL: � POLJCY NUMBER pJL '"�'7�j� rj"��p� INSPECTION FEE: � (1}iIS SECTION NEED NOT BE COHPLEfED IFTHE PHiMR 5 FOR ONE HIRJDR�DOLLMS($100)OR LESS), ISSUANCE: )�'. f" = I cerlify that in ihe perfortnance of the work for whlch th's permit Is Issued,I shall not emplo�any person in any manner so as to � �� becane subject to the Nbrke�s Comper�sation Laws ot Califania Md agree mffi if I shald becane subject tn the Worker's SMIP: J Compensatlon proWsbn�of Section 3700�the Labor Cod shall forthwlth comp wlth tl�yse provislons. ENERGY P/C: i DATE:��'LZ l�"V APPUCANT: � _ `I ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensatlon coverage Is unlawful,and shal subJect an employer to criminal � O ipenatties and civil fines up to one hundred thousand dollars($100,000�,in additlon to the cost of the compensation, RETENTION FEE:_ = damages as provided for in sectlon 3708 of the la6or code,interest,and attomey's fees. PRE-ALT FEE: i CONSTIiUCTION LENDING AGENCY BSAF:_ �.D� = I hereby af�rm 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,Gv.C.). LENDER'S NAME: s LENDER'SADDRESS: i I certiry that I have read Nls application and state that the above Information is cortect.I agree to wmpry wtth all city and TOTAL FEES ��a� �� counry ordinances and state laws relatlng to building consWctlon,and he2by authonze represenhatives of this wunry to COMMENTS: � enter upon the abme-mentloned property tor inspectlon pu . � �R�� a PERMITTEE NAME(PRINn n — Z - � n = SIGNAlURE OF E , DATE RECEIPT#� PAID BY: �� VALIDATION: �� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION EiECORD ' e � � e - ° • � ' • ' �_ �SETB;4CK/�LETTER;,.� ��_��, � �^;; ..� °". �., ' ,` �,. ,;� TRACTAND LEDGER � ��'� SWITCH GEAR ,FOOTINGS FOfiMS �' ;` �� `�� qg�, w� � � ��`' COMMERCIAL HOOD i � � � � �a� �� <;a.° r �r, ,UGrPLUMBING=_�, `� >� ",� �� .::�""` �.,�� :� � T-BAR ,UC�.aELECTRICAL `�R��,�� '�� ""��% . �,.,�� INTERCEPTER , ;: W .�� ,ri,. � �._� '��;� ��s� .�� •` �`� �� HOT MOPISHOWERPAN ,UFER�GROUND�� ° SEWER LATERAL SEPTIC/CESSPOQL MAIN WATER LINE HERS REPORT RECEIVED � SEWER CLEANOUT DEMOUTION ROOF SHEATHING !I ZS / ROOF DRAINS FLQOR SHEATHING ROUGH CQNDUIT �SHEARWALt.9'�FXfERIOR'` � . ,„�,�,�� , � .� �� ROOUSPA� ,� ., �a� "��'�� .� � � �� ,�..:. �, � `��. �� '� '� � ,�,. '� �'�, �.�`� =�i ��;,, ��^�; !SHE�R WALLS WTERIOR� �+� �" a ; � � ��. �,,� RQUGH PL�IMBING ,� � �.�� E �� FRANIINGlVENTIt�G , � K��''' ��.�sa�r�� f .��'� �� A_� <ROUGH�ELECTRICAL��,,� , ' ,�„��s,��'F �� .� .�� .�� '°� , �__ � �� ; �ROUGH MEGHANICAL�, �� ' �' � ��k,�'�,� ROUGH�PtIEGHANIGAL� `�' � � ,� �` - � �: '° °`� � � � �� P �`� '� � �« x .��' �� a °�„ ;RQUGH El.ECTFiICAL�W��)��i�l . �g�.; � � �� G:4S TEBT'T ��. ��, �'� � � ,� Y �" � ;, �,a� � ,,; , � � ��-.'� ,�,.� ,• �,� � � � �� T� �� -� �� : ,ROUGH PCUMBING. �' .. , � ��t �- � _.�, " ,.�a�� PR UNI _ _,- � �, � �� r� " � �' _,�, � ' �+ `� _ ;, � � „�„B� � � � �,r _ :� � • ,�-� �� - � �� ,_;li .� ,� �� INSULATION WALL ,PC}D{.PRE dECK BQNDIPIG '; �� ex»�� , ' '� , �. �� - � =. �. INSUWTION CEILING P=Tti{�P _�'--.�a.��.tt��, _�°� � .� " �s �� .. � " w��'`� FENCE'l,GATE1 Al1ARM,�''�,��..� . '� �� `� `�>` .� �� DRYNIALL _ 1a � , . ,,.,. LATH(PRE� ��: �, �;.� �� r,"�� ^;'�- � ��, � .'� =FINAL PQOL .� �� - .� _ � LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 S'( )2"0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL WSPECTION RQ��VGPLAN�iING/iPPROVAL �� <' �� FINt1L�BUiL01NG��° .�, :/��.l�f.»,`f;, �.�"'��,.. ��,z � ' �RdUGN�IREAPPROVAL s� � ��; N r,��.,��;�b. �.� .r,��'�� „ M.fi : � , �.'�,�� A;�� ,'. �� _� g �� * � FINAL°�FIRE DEPARTMENT � "�� ,�.�� ,�,�•.,� ,�� FIt�f1L MECHAN(Cli1 �g ,,�� -= � °� . � �FINAL ELECTRICAL�'�'"„� �� ' ��` � ,��' �°� ��:� �� FItdAL�PLANNING�� a �� .��'�� ;. � �� a�� ' _ . . � �- � �. ,�� -� $ , �g �� - �FINAI PLUMBING `� �� ' ,. � �� FINAL ENGINEERING/PW � � ,� a �� _��„.� ,,.-� � , � ��, ,��''.,� ..� -FtNAL�COMMUNI;C�Y�SERVICES�� ' �� ,�� "�� ,. �k� .� � y .T.C.of OCCURANCY��;�.,� ' �- w� .„ ��n � �% 6CERT.of UCCUPANCY �,� ,��: �,,� �^-"` �� ;a;�� FtNAL HEIILTN DEP„T '��,�' � � � � �� ' .�� . - iFtNAl'INDUSTRi�ASTE�, � �,u,� 4�,�_' � _'•�;�. `'�:��._��; COMMENTS: