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Home My WebLink About15-847 � � %�'- ,..,_.._. CITY OF DIAMOND BAR _ • ...�:-,.,. r---�- - �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES - � � _ __: � 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ,�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY `F��B°i BUILDING PERMIT APPLICATION s JOBSITEADDRESS�/`�� /4nr$ / / APPLICATIONDATE: P/C# lS '� v�� q � ��M ��/ �r r� �) I z APN b bd`ILOT ( TRACT 9 ISSUEDATE: L ' S PERMIT# I�V`7� � OWNER G✓ / TYPE CONST. OCC GROUP: I � ADDR�ySS � CITY t/' ,o ZIP G TEL. fJ Q ZONING F ONACKS RW ❑ � APPLICANT TEL.9S�• a 4 REAR ❑ n SIDE/SIDE STREET RW ❑ � CONTRACTOR 4 h SIDE ❑ � ADDRE � J � PROPOSED USE � w �J' j CITY ZIP EL` �. ^ � �b � ARCH/ENG/DESIGNER �� L � ADDRESS #DWEL.UNITS #STORIES � #BEDROOMS z CITY ZIP TEL. Q OwNEH-BUILDEH DECIAMTION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � I hereby affirm under penalty of perjury that I am ezempt from the Contractor's SEate License Law for the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s),I have placed ne#to the applicable item(s)[Section 7031.5,Busineu and Garage/Carport I � Professions Code:Any city or county that requires a permit to construct,alter,improve,demolish,ar repair,any z structure,prior to its issuance,also requires the applicartt for the permit to file a signed statement that he or she � Patio/Deck I � is licensed pursuant tn the provisions of the Contractor's State License Law(Chapter 9)Commencing with Section w � 7000 of Division 3 of the Business and Professlons Cade]or that he or she is exempt fmm licensure and the basis for � Pool/Spa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecis the applicant to a civil penalty C7 I = of not more than five hundred dollars($500). � ZQ Re-Root � (,I,as owner oi the property,or my employees with wages as their sale compensation,will do�1 all of or�]portions � Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The � I � Contractors'State Ucense Law does not apply to an owner of property who,through employees'or personal eftort,builds m � or improves the property,provided that the improvements are not intended or offered for sale.If however,the huilding or I � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not buift � or improved for the purpose of sale.�. I � (�I,as owner of the property,am exclusively contmcting with licensed Contractors to consUuct the project(Section Z 7044,Business and Professions Code:The Contractnrs'State License law does not apply to an owner of property who V8luation: Adj.Afea: I n buildsorimprovesthereon,andwhocontractsforlheprojectswithalicensedContrac[orpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License Law.). I � (�I am exempt from licensure under the Cont2ctor's Shte License law for the following reason(s): � I � � 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one c~.� � � year prior to completion 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 hy licensed contractors.I understand that a copy of the applirable , � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I � the following Web site:http/www.leginfo.ca.gov/calaw.html. Z I = DATE: SIGN: � — LICENSED CONTflACTOfl'S OECLAfIATION � I a I' I hereby attirm under penalty ot perjury that I am licensed under provisions of Chapter 9(commencing with Sedion 7000) � � of Division 3 of the Business and Professions Code,and my license is in full force and effect. J I � LICENSE�C/�pS/g: /k'V _ N0: �(a I !(l / z � Z DATE: 7/ � CONTRACTOR� ��—�-- � I ¢ WOHKEH'S COMPENSATION DECLANATION � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: � � Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. p�qN REVI EW: �� . 3g > ��I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for •1 � �O Z the performance of the ork for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: �� ¢ PolicyNumbe re: PLUMBING: � CARRIER r � POLICYNUMBER � MECHANICAL: INSPECTION FEE: n (THIS SECTION NEED NOT BE CAMPLEfED IFiHE PFRMfT IS FOR ONE HUNDRC-0 DOLLARS($100)OR LESS). ISSUANCE: � I ,� ? I certi(y that in the pertortnance of the work for which this pertnit 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 agree that rf I should become su6ject to the Worker's SMIP: JCompen tian pmvisio af Section 3700 oF oqCode,I sb311 forthwith comply with tl�ase provisions. ENERGY P/C: •T i DATE:-�%/��SAPPLICANI ��17i� ENERGY PERMIT: � WARNING FaiWre to secure Worker's Compensation coverage is unlawful,and shall subject an employer to criminal � ^� y penalties and civil fines up to one hundred thousand dollars($10Q000�,in addition to the cost of the compensation, RETENTION FEE: �. v � damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTiIUCTION LENDING AGENCY BSAF:_ r �{Q = I hereby attirm under penalty of perjury that the2 is a Conshuction Lending Agency for the pertormance ot the work for which this permit is issued(Sec.3097,Civ.C.). � � LENDER'S NAME: r LENDER'S ADDRESS: i I certry that I have read this application and state that ihe above information is correct.I agree to comply with all city and TOTAL FEES � �,`�C � �� . �1 :7 J z county ordinances and sTate laws relating to building construction,and hereby authorize representatives of this county to COMMENTS: � enter upo the above- entioned property for inspedion purposes. J � � ]] ¢ PEflMITTEE fJn � [ - •C, � 1 1 ZI�- �' = SIGNATURE OF PERMITTEE DATE RECEIPT# 2 Z � PAID BY: � VALIDATION: C, WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY 4F DIAMOND B�►R - , ` " INSPECTION RECORD � � � e � � . � . . � , , � . `SfTBAGKi LETJER � �^� � � � � � �� a° � � TRACTAND LEDGER FOOTIN�S-.EORMS�°°�� °` �� - � � '�� SWITCH GEAR -. _ �� ; �� s� ;g -. �� .� ,�,��„ � x, ;�� "' �" ` ,�'� - � COMMERCIAL HOOD � ,UG':PLUMBING �' � � _; � � °� � T-BAR `- � . � ,: e, � "�`� � -'� � � � � � '� � INTERCEPTER UG,,ELECTRICAL,,�,� : � � � � � UF€R GROUND�,. , �.�� .;�.,�;� .: , •f,��-� � HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING � , S __ ROOF DRAINS FLdOR SHEATHING ROUGH CONOUIT <„ , _ , �SHEARWAtLS.EXTERIOR, ,; �;� � � � �POOVSPA �� -- � � �� ;SHEAR WALLS INTERIOR� �; � � � � � � � , ,P, = ROUGH PLUMBING, < � � � , �. _� . `FRAMINGIV�NTIN� _ �� "�� ' � ` ROUGH ELECTRiCAC � � � �' " � � �� " � � � � � ROU�H�NIECNANICAL� �� '; ° ' � �� ROUGH MECHANICAL �� ROUGH�ELEGTRiCAC`W(�)�� _ . o ,, ; , GASTEST _ _ _ _. . . 'ROUGH PLt1�IBING_ � �' , � � � � � � PRE GUNITE .,, a I INSULATION WALL POOL PRE DECK BONDING � - � � INSULATION CEILING p-TRAP ' m � � � DRYWALL FENCE/GATE/ALARM' ' � LATH(PRE) FINAL'POOI LATN EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1s'( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM � ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSRECTION - , 'R0.FRAMING PLEWNINGAPPROVAL r � .�,,. —� � . � , x .,�-_ e „ � � , � FINliL�BU1LDING , �`�� ROUGH FIRE APPROVAL H �. , e� .... �.. �, �. .' �. af ...� ` .�_ " p. .... ... FIt�AI M�CflANiCAL .�,_ _. �� .p , . � �_� �, � � FINAL FIRE DEPARTNIENT ,; � - -�x � _ e �- � ` _� r ._ � _ • x � FINAL PLANMING � _ � �, -�: � ;- � , -a '�t��ELECTRlCAL��;� ��. �x`:�- x. � �FINAL�PLUMBING p ' �� "� ��; ; ��, � � �°, � FINAL ENGINEERING/PW � •' ' �' � ` ` ;f:G��of�OCGUPANCY �� '' � '� � "�' ' '" � ��'` ` ��FINA�:COMPflUNITY SERVICES � � �` ' ° � � ,� �,e„ � ` � x, 'C�RT,ot_OCCUPAI�CY� , � ��,�� ,�"� ",�� ,,� � � � � FINAL HEALTH bEPT. � � �� 'PINAL INDUSTRIAL WASTE � � _ � �x � � � COMMENTS: