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Home My WebLink About14-4852 _. ___ _ - _ .; , - ,,,,,,,,,�„" ., CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . . ... . �C�. � . �€ -- 21810 Copley Drive,Diamond Bar,CA 91765 � PRESS „�„ W�,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �"'�'" BUILDING PERMIT APPLICATION � (� APPLICATION DATE: 1ol�y" I I 1' P/C# x JOB SITE ADDRESS ZZ � � !{1 i ISSUE DATE: PERMIT# � Y ' y �sZ I z APN�?�Z�DI��TRACT � - � OWNER C�,�'Pi LF�w� TYPE CONST. OCC GROUP: n ADDRESS �Z �J�� p ` J CITY �4 ov� D(J�`rZIP�TEL. Q�Iq , (�"'�'�—S�o�`' ZONING SEfBACKS FRONT RW ❑ � APPLICANT � TEL. C REAR ❑ n A ' e SIDE/SIDE STREEf RW ❑ = CONTRACTOR hwJ PJWl_.�(�l'h SIDE ❑ � ADDRESS_�ZC7S 5�G✓�a �L S�i 1� C�i s CITY�0��/�Gt ZIP�TEL. Q D�( �'DZ �{�(� PROPOSED USE � ARCH/ENG/DESIGNER N f� y � ADDRESS #DWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OWNEH-BUaOFA DECLAFIATION � I hereby afflrtn under penalty of perjury that I am exempt from ihe Conhactor's State License Law for the reason(s) SFFUADD/REM I L Indicated 6elow by the checkmark(s),I have placed neM to the applicable ttem(s)[Sectlon 7031.5,Business and Garage/Carport I � Professlare Code:My clty or cowity that requires a parmit lo canstruct,atter,Improve,demolish,or repalr,any z struc4ire,prla ta Ib issuance,also reQulres the applicant for the pertnR M Flle a signed statement that M1e or she � Patio/Deck I nis Ilcensed pursuairt to the provisiare of the Contractor's State License Law(Chapter 9)Comme�ing wlth Sectlon w - � 7000 of UlWslon 3 of the Business and Professlo�Code]or that he or she is ezempt hom licensure and the basis for � PooVSpa I � the alleged exemption.My vlolation of Sectbn 7031.5 by any applicant for a permit subjects the applicant to a civil penatty C7 'n of not more than five hundred dollars($500�. 2 Re-Roof x � U I,as owner of the property,or my employees with wages as thelr sole compensatlon,wlll do(,all of or(�portions � Commercial y of the work,and the structure Is not intended or offeretl for sale(Sectlon 7044,Business and Professlons Code:The m I � Contractors'State License Law does not appry to an mvner of property who,through employees'w personal effort,builds y or Improves the pmperty,provided that the improvements are not intended or offered for sale.If however,the building or I � improvement Is sold within one year of completion,the Owner-Builder wlll have the burden of proving that it was not buitt � or improved for ihe purpose of sale.). I '� I,as owner ot the ro e (J p p rty,am exclusivery contracting wlth Iicensetl Contraclors to canstruct the proJec[(Section Valuation: Ad Area: Z 7044,Business and Professlons Code:The Corrtracmrs'Sta�License Law does not apply to an owner of property who 1� I n 6uildsorlmprmesthereon,andwhacontractsforthepraecbvnthalicensedCoimactorpursuanttotheContracrors'State QUANTITY DESCRIPTION FEE I Y LJcense Law.). I � (�I am exempt hom Iicensure under the Contractor's State License law for the following reason(s): � 'LL�S \ �(ti � � o�,-kl�-i- S�� s I Z By my slgnature below I acknowledge that,ezcept Por my personal resldence in whlch I must have resided for at least one w � � ��s = year prior to completlon of the improvements covered by thls permit,l cannot legally sell a structure that I have bullt as an ,;, owner-builder'rf it has not been construded in its entirety by Ilcensed contractors.I understand that a copy of the applicable S � law,Sectlon 7044 of the Business and Professlons Code is avallable upon request when this applicatlon Is submitted a at i the following Web site:http/www.leginfo.ca.gm/plaw.htrnl. I � DATE: SIGN: � I — LICENSED CONTNACTOR'S OECLAflATION � y I hereby affirm under penalty ot perjury that I am licensed under provisions of Chapter 9(crommencing with Sectlon 7000) I � of Dlvfsion 3 of the Business and Professlons Code,and my Ilcense is in full force and effed. v � n LICENSE CLASS: LIC.NO.: L �� oa�:_�o—C__�._l4 CONTR/1CTOR: �S.f��( �e.� u,.� ��,tq I � WOflIffA'S COMPENSATION OECLAHATION J I y I HEREBY AFFIRM UNDFA PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: j I have and will maintain a CertiFlcate of Consent to Sett-Insure for Worker's CompansaUon,as provided by CONSTRUCTION: Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�.,qN REVIEW: U. W � � I have and will maintaln Worker's CompensaUon Insurance,as required by Sectlon 3700 of the Labor Code,for ( � the pertormance of the work for which this permtt Is issued.My Worker's Compensatlon Insurance Carrler and ELECTRIC: 7i 7 �. zd PoIlcyNumberare: �!� PLUMBING: � CARRIER 5�,� r�V�� G O,'i/� � MECHANICAL: � POLICY NUMBFA Q(}��jO((! � � INSPECTION FEE: n (THIS SECIION NEED NOT BE COMPLFfED IFTHE PERMR IS FOR ONE HUNDR�DOLLARS($70�OR LESS). ISSUANCE: 'T/ /y � I certily tlet in the per(ormance of the vrork for wh�h this permtt Is issued,I shall not emplo9 any person in any manrrer so as tn � beame subject lo the Workers Canpensation Laws of Califania Md agree tliat'rf I should become subJect ro the Waker's SMIP: � Compensation pro�,�sjoris of Section 3700 ot tice Labor Code,I shall forthwltlt�ty�prvrisqns. ENERGY P/C: i DATE: �D Ilyj=tAPPIJCANT: � �� ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensatlon coverage is unlawlul,and shall subject an employer to criminal ipenalties and civil fines up to one hundred thousand dollars($100,000),In addition to the cost of the compensation, RETENTION FEE: � 0�1 � damages as pmvided for in sectlon 3708 of the labor code,Interest,and attomey's fees. PRE-ALT FEE: i CONSTRUCTION LENDING AGENCY BSAF: y I hereby afFlrm under penalty of perJury that there is a Construction Lending Agen�y for the performance of the work for � which thls permit is issued(Sec.3097,Civ.C.�. �` � LENDER'S NAME: 1 I r LENDER'SADDRESS: �• ''�i I certiry that I have read this application and state that the above Infamation Is wrrect.I agree to comply with all dry and TOTAL FEES Z county ordinances and state laws relating to building consWctlon,and hereby authorize representatives ot this county to CO ENTS: e � errter upon the above-mentioned property for inspech'on purposes. � t C�A¢.A./� � r � ��S�t'J��r�/ n PERMITTEE NAME(PRINn _t�� _ , �� -�--� �e 1 �y 1� y C�. / = SIGNAtURE OF PERMfTTEE DAT��— RECEIPT If Z�S7 d� PAID BY:�t��.l VALIDATION: WHITE—Departrnent Copy,YELLOW—Flnance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR ' " INSPECTION REC�RD � � � • � ' • � ' • " .. , . 5ETBACIU.,LET;fER ��-� �� ;,��„ �� _,,�a �a,.;;.a��:: TRACT AND LEDGER � . „�., �� ` �"�� «� "." :�, . .��; SWITCH GEAR FOOTINGS,�ORMS �`� - ` �� „b3 8�>ti ��, , �. g _ �;: � .��.r,, F�� „�; , ��; ;S�qg� �� ,,� ,�-.��' �� ;�� • � COMMERCIALHOOD � � �� s � �4�'� a E� . �� a�,, vUG�PLUMBING�� ,�.��: . "�:� �",.�� M��°; ��a,�� T-BAR ,UG.ELECTflIGAI. `'� ��-� �� INTERCEPTER ,�� , u�. w.. �. UFER GROUND.- r� � � �� `. � �-� � •� HOT MOP/SHOWERPAN � � �� SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT "�' �, r s POOLI bA�� a�� a.� ��x 3 ��r, ��. 'SHEARVi+ALE_SIXTERIOFt':,�� ,�,�� ' ;�� # �;�� : .� . '� - 3 �i�" � .'� . 'SHEAR WALLS INTERIOR r � �.,�� - � �� ROUGH PLUMBING� � �'�'� g „� � � `� � .. � FRAI+AlNG/VEN.TiIN�� ' � ° �� " ��" �� RQUCaH�E�.ECTRICAL �`�� B� ��tt� �j� �a�� _.. . . �. . �. � '�i . � a zt a � �P � T�: .., . �, . � � _ �� rra �� '� ROUGH�MECHANIGAL� �'� , � �, � " � �,�� ROUGH�t�ECHANICAL�� ; �� , �� «'� � _ _ ��, � _'�� -, �� ..� �� ,� �� GAS TE�'JT . � `� ��s '' � �� ,,;' ��'E�" ��'� "�t �iOUGH ELECTRICAL W(�)C( �) �@,e `�L l � �_ �_ � � -� }.� �° �„ „ � �,� �� ,,��.. � �,� . �;.a `� „�__ - ROUGH FLUMBING _.'��..�., "� "�� ,., ,.� ' .,��` � -� x� �PRE 6UNfFE � �� -�� " � � '� �F�'� � INSULATION WALL FOOL�PRE�DECK BONQING � ::�z �.�' �, �� ,� ��'� i'-TH`AP En:: ��; �� ¢� ,�'��` ��'',��,..Y. ��F; r INSULATION CEILING - DRYWALL FENCE�/�GATE/ALARM� :�� '; `�� ,�� :' LATH(PRE� F[NAt'_�Pt�� -�� ,��M m�a�� °"� �� -�� LATH EXTERIOR WALLS: IATH INTERIOR WALL FdOTiNG/STEEL GAS TEST WALL STEEL 1�( }2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL �,._, .- ��„ � �� m,� SPECIAL INSRECTION ?RO FCiAMf�}G PLANNINGAPPROVAI. �� ..„�, .: '� � �°3� �,....�� _ , , ;FINAL-BUILDING �`�� w,�;.�_.i =„ g � �-. '"� �� 3 � � �:, ��a � ROUGH�FIREAPPRdVAL ;�� ` �,,� _�v �"`� �� FINAI MECitANICAL =,�� _� �� . �ffi� : � �� ' � �� '�� 'FINAL EIRE DEPARTMENT�� _ � �� :� � � �" y� � �� FINAL Pt;Ai+1NING�� ° � � �� ,�� ' � ,�, � FINAL ELECTR�CAL �'�� '� �� I � �� ' � w�°�"� �n, � � .9; �y: � . � �� i�INAL:PLt1NIBING ��: � ��'�� "�,�� 5� � ��L' � � FINAL�ENGINEERING/�PW,w � � ��` � "�`.� ,� �� w � � jT.C.of OGCUPANCY ��` k �� ,�°� �� ,�� EINAL GOMt�UNffY;SERVICES�� _> � .e- .�,�... a �,� �r�., -. . ,_ � �' `�'"-- "'� �€ �`��t+�z �� h �' . �,� � ,w�� GERT:4f�OCCUPANCY�„�„�� ' . -��_ «� ��„.�:� FINAL HEAITN DEP,T � , �� .� �� FINAI.triIDUSTRiAL,WASTE,�� ,,�z �� w;��,�� COMMENTS: � __._.-.---�_------ � �,.�," � __ . _ - - S R . �� . � .. . . ` ,M1 , , r ��.j^.�1 .. . ' ' ' ' . V � � . .. .. .. ... . � ' .. � f �/ , . . 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