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Home My WebLink About14-5065 ... -%�'�=�:..:..�,.:_...... CITY OF DIAMOND BAR �� i DEPARTMENT OF COMMU1vITY&DEVELOPMENT SERVICES -:,� __. _ . 21810 Copley Drive,Diamond Bar,CA 91765 PRESS i , �,��;; (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION g ab • �� APPLICATION DATE: I � P/C# s JOB SITE ADDRESS PERMIT# f�- J D�J i ISSUEDATE: �� d� = APN�'a��"��vD�`K TRACT � OWNER � �'+ TYPE CONST. OCC GROUP: ;n ADDRESS � �.�� cl�f�.- �L�. '' CITY p��N"�'`'d /� ZIP�(��',�TEL. ZONING SETBACKS •r� FRONT RW ❑ = APPLICANT . ' � EL. REAR ❑ � � .i SIDE/SIDE STREET RW ❑ � CONTRACTOR �(-tN (�kh ,�hl� SIDE ❑ � ADDRESS � a � � / PROPOSED USE y�l I� ,I f'jvµ-. "�� CITY��Z�P 9�yi TEL. �b - � ��E� /Lo b R,/ � ARCH/ENG/DESIGNER _ /-��/ /�/P,.tJ �.OU j4-' �4,�k. ,4O m..�,P/ y = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS ¢ CITY ZIP TEL. � � DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION � OWNEfl-BUILDEfl DECLAHATION I r I hereby attirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM � � indicated below by the checkmark(s),I have placed nert to the applicable item(s)[Section 7031.5,Buslness and Garage/Carport I � Professions Code:Any city or county tl�at requires a permit to construct,alter,improve,demolish,or repair,any z structure,priar to ifs issuance,also requires the applicant for the pertnit to file a signed statemeM fhat he or she � Patio/Deck I i is licensed pursuant to the provisions of the Contractor's State License Law(Chapter 9)Cammencing with Section W � 7000 of Division 3 of the Business and Professions Code]ar that he or she is exempt from licensure and the basis for � Pool/Spa I � the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit su6jecis the,applicant to a civil penalty C7 Y of not more than five hundred dollars($500). ., QZ Re-Roof I � (_,)I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or L)portions -� Commercial I y of the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I � Contractors'State License Law does not apply to an owner of property who,through employees'or personal effort,builds � 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 will have the burden of provinq that it was not built jor improved for the purpose of sale.�. I Ll I,as owner of the property,am exclusively contrac[ing with licensed Contractors to construct the project(Section V81u8tion: Ad Area: Z 7044,Business and Professians Code:The Contractnrs'Sta�License taw does not apply to an owner of property who 1� � � buildsorimprovesthereon,antlwhocontractsfortheprojec}swithalicensedContradorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I License Law.�. I � (J I am exempt from licensure under the Cont2ctor's State License law lor the following reason(s): � ��e � � I 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w I � year prior to completion of the improvements covered by this permit,l cannot legally sell a strudure that I have built as an w owner-builder if it has not been constructed in its enti2ly by licensed contractors.I understand that a copy of the applicable I � law,Section 7044 of the Business and Professions Code is avail�hle upon request whe is application is submitted or at I ? the following Web site:http/www.leginfo.ca.gov/calaw.htrt�{r � - � I � DATE: SIGN: D m — LICENSED THACTOfl'S DECLAHATION � I a I' I hereby affirm under penalTy of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � of Division 3 of the Business and Professions Code,and my license is in full force and effect.�/ J I n LICENSE CLASS: G-�d I G�-I` IIC.NO.: "/�`�` O / z I Z DATE: �� CONTRACTOR: �y N��l I�l . � . I i ¢ WONI�A'S COMPENSATION DECLAMTION g y I HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: y L�p I � I have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: ��a �'7/� � Sec' �3700 of the Labor Code,for the performance of the work for which this permit is issued. PLAN REVI EW: �7,,��j > have and will maintain Worker's Compensation Insurance,as required 6y Section 3700 of the Labor Code,for � � Z the pertormance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PolicyNumberare: � PLUMBING: y CARRIER 1 ' �Y MECHANICAL: Z POLICY NUMBER�� U I:�� OOD '� �� INSPECTION FEE: � (TFIIS SECTION NEED NOT BE COMPLETED IF THE PFAMR IS f-0R ONE HUNDRED DOLLARS($100)OR LESS). �l.l u - ISSUANCE: � � I ceAily that in me perfortnance of the work for which ihis pertn8 is issued,I shall not employ any person in any manner so as to � �, � become subject to the Worker's Compensation i ia.Md agree that rf I should ome subject tn the Worker's S M I P:_ J Compen 4�Section3700M LahorCo�,IsN�i'� wi omp pro ions ENERGYP/C: 1 DA7E� APPL�CANT: ENERGY PERMIT: I = WARNING:Failure to s cure Worker's Com ion coverage is unlawful, nd shall subject an e oyer to criminal RETENTION FEE: ,�.•60 y penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost�f the compensation, �. � damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTHUCTION LENDING AGENCY BSAF: '= I hereby affirm under penally of perjury that there is a Construction Lending Agency for the pertormance of the work for � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: z LENDER'SADDRESS: i I certify that I have read this appliration and siate that the above information is correct.I agree to comply with all city and TOTAL FEES Z county ordinances and state laws relating to building construction,and hereby authorize representatives of this county to COM MENTS: � enter upon�he above-mentio ed property for inspection purposes. J e, s I� � � ¢ P ITT E(PRI � (�. �G n -�-��'-�— r�� = RE OF PERMI DATE RECEIPT# � PAID BY: f��tI VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD • � , . � . . o � , . � . ;SETBACKi�IETTER�. ;� ' � ��°� ' TRACTAND LEDGER �t}QTINGS EORMS w ��` �� a°�` ��°�� SWITCM 6EAR _ _, _�,, , ,,� ,SLAB a:- ., ,, � � � � COMMERCIALHOOD 11G�`,PLUM�ING ��p -��,-�- ,� °� *'', `�' �. �. T-BAR � 4� % INTERCEPTER ,tJG.µELECTREGAI ,-_ � � �' �U�ER GRQU�Jp ,��- ��:. ,.�",, `� ��, � �:��. ��;� ��^ HOT MOPISHOWERPAN SEtiNER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANQUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONOUIT `,SHEAR WALLS EXTERIOR . - ,�;, ��; ;. �„ POOUSPA . E;��..� �:;�= ��- �, .y.: �_ .�d �_ _ -�.,�� ,._ = � ;SHF�4R WALLS IN7ERi0R �`� � �� '` ROUGH PLUMBING � `�: � �FBAMINGNENTING'.�.,_ ,�_ ��,� � �__ �:T ROUGH ELECTRICAL � , � . � �- � �m_ ROUGH'MECHANICAL �k.`` c" " �� ROUGH MECHANICAL "` __ �RO�GH ELE�TRICAL;UN(,).0( ) � � ' �� GAS TEST 5 �_ �,�� .. %c. ROUGH PGUMBI'NG�.. _� _ , � ,, " " � T� <. PR�`QUNITE "�' � �. >� INSULATION WALL POOL PRE DECK BONDING INSULATION CEIIING P-TRAP `;° DRYWALL FENCE/GATFJ ALARM � LATH(PRE} FINAL POOL� ` ° � � �. LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST " � � ' WALL STEEL 1s'( )2Ne( )LIFT SCRATCN COAT WALL BONQ BEAM ELECTRIC METER RELEASE WALL DRAIN!SEAL GAS METER RELEASE WALL FINAL -- - -- __ SPECIAL INSPECTION RO.FRAMINGPLANNINGAPPfiOVAL ` , �.� , FINAL-BUII.DING �°;�;� `� � , ,.�: :� '� ROUGH FIRE APPROVAL � °� y�,. .,, _ � �r �. - �, �.. ; �� - _ .,� _ � PINAL MECHAt�tCAL�'"� � �� ` �' FINAL FI�iE DEPAFiTMENT � � ,_. `FINAL,ELE�TRICAL �;_ °'" P � ,;, ��= �. . FINAL PLANNING ��, ��iNA��PLUMBiNG�,;x.•;.� ;��, �s �;�. .W: . , ,E �� ' � '"'� FINAL ENGINEERING/PW �F� ,T�C�Y,°of OG£t'1PANGY�, ��, -� � �� _ �. FINAL COMNiUNITY SERVICES ;GERT'of OGCUFANCY' - �&` �' � �' FINAL HEALTH DEPT, FINAL INDUSTRIAL WASTE COMMENTS: