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Home My WebLink About15-0856 „,W,�,,.,,,,, -��r"�..,�._.._,, CITY OF DIAMOND BAR I i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES -- r n.,� .;:..... ; - 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ;�,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY � `\�''��'� BLJILDING PERMIT APPLICATION s JOB SITE ADDRESS �� Jr� V”Q', �� '�',¢,� APPLICATION DATE: P/C# I � / F i ISSUE DATE: /�•� �0��PERMIT# /�^ P�1 z APN LOT TRACT � OWNER dld�l- TYPE CONST. OCC GROUP: � n ADDRESS J ZONING SEfBACKS a CITY ��GZ.c IP9l��TE 7 FRONT RW ❑ = APPUCANT TEL. REAR ❑ I = + n1 ��Q SIDE/SIDE STREEf RW ❑ � CONTRACTOR Q��1� �i 1" l`�"�S�� SIDE ❑ p ADDRESSr V � PROPOSED USE = CITY (.. � ZIP TEL. '� � � ARCH/ENG/DESIGNER � z ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION I OWNEfl-BUILDEH DECLARATION = I hereby affirm under penalty of perjury that I am ezempt hom the Contractor's State License Law for the reason(s) SFFUADD/REM I � I � indicated below by the checkmark(s),I have placed ne#to the applicahle item(s)[Sectlon 7031.5,Business and Garage/Carport '� Prafessions Cade:Any city or counry that requires a permit to construct,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires 1he applicairt far Vie pertnit to file a signed statement that he ar she � Patio/Deck I i is licensed pursuantto the provisions of the Contractor's Sfate License Law(Chapter 9)Commencing with Section w � 7(100 of Division 3 oT the Business and Professions Code]or that he or she is ezempt from licensure and the basis for � Pool/Spa I � the alleged ezemption.Any violation of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof I � of not more than five hundred dollars($500). � � (�I,as owner of the property,or my employees with wages as their sole compensation,will do(�all of or(J portions � Commercial I y M the work,and the structure is notintended or oftered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'Sta�License Law does not apply to an owner of property who,through employees'or personal effort,builds � or improves the property,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 proving that it was not built � or improved for the purpose of sale.). _ I '� ()1,as owner of the property,am exclusively cont2cting with licensed Contractors to construct the project(Section Z 7044,Business and Professions Code:The ContracTors'State License Law does not appty to an owner of property who Valuation: Adj.Afea: I � buildsorimprovesthereon,andwhocontractsforlheprojecCswithalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPTION FEE I Y License Law.�. I � (,I am exempt from licensure under the Cont2c[or's State license law(or the following reason(s): � /�, 2 (.��A I 1 By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � I = year prior to completion of the improvemenl5 covered by this permit,l cannot legally sell a strudure that I have built as an w I owner-builder it it has not been constructed in its entirety by licensed cont2ctors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at � cs I K the fallowing Web site:httphnvw.leginfo.ca.gov/calaw.html. Z i � DATE: SIGN: � I — LICENSEO CONTHACTOH'S DECLAMTION � I a y I here6y aRirm 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 � LICENSE CLASS: v�� LJC.N0. � ` �� Z� � ' Q I Z DATE: CONTAACTOfl: /� ,�..� i - = I U a WORKEN'S COMPE ION E HATION g I y I HEREBY AFFIflM UNDER PENAL7Y OF PERJURY ONE OF THE FOLLOWING DECLARAl10NS: � I have and will maintain a Certificate ot 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 REVIEW: > I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for � � the pertormance of the work for which this permit is issued.My Worker's Compensation Insu2nce Carner and ELECTRIC: ¢ PolicyNumbe7[�[e:� � �-�r /� PLUMBING: �� ) ,� CARRIER 4'��'� l � ��nC'. CC��..�_ MECHANICAL: Z POLICY NUMBER Q� �Z��=f � =-�- INSPECTION FEE: � (I}iIS SECf10N NEED NOT BE COMPLEfED IFhiE PFAMfT IS FOR ONE HUNDRFD DOLIAAS($100)OR LESS). ISSUANCE: �"'� = I certify ihat in the performance of the work for which tl�is permit is issued,I shall not employ any person in any manner so as lo � become subjed to the Worker's Compensation Laws of Califomia.Md agree that if I should become su6ject to the Worker's SMIP: L Compensation provisions of Section 3700 of ihe Labor Code,I shall forthvnth comply vAth those pmvisions. ENERGY P/C: J i DATE: APPLICANL ENERGY PERMIT: � WARNING:Failure to secure Worker's Compensation coverage is unlavrful,and shall subject an emplayer to criminal ,�/�� x RETENTION FEE:_ i penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, l � damages as pmvided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CON$THUCTION LENDING AGENCY BSAF: y I hereby aRirm under penalry of perjury that there is a Construction Lending Agen�y for the pertormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � I � I LENDER'S NAME: s LENDER'SADDRESS: i I certify that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES �r `/�-� � county ordinances and state lavrs relating to building construdion,and hereby authorize representatives of this county to COM MENTS: ✓ z � ent pon the above-mentio d property for'nspection purposes. J � ( ! � � � V ¢ I EE A (PRIfJn � n � V / :J VALIDATION:� x SIGNAlURE OF PERMITTEE �A7E RECEIPT# '� � PAID BY: � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD . � � , . � . � � , � . ;5ETBACKI�ETTER„ `� � � ' � � � TRACTAND LEDGER FOOTINGS,�FORMS;,,.�V � � � .b � i � � � SWITCH GEAR � .� a�._.a. 'SLAB� �,.__ �� COMMERCIAL HOOD ,OG�PLUMBING� � ° � �a � T-BAR �UG�ELECTRIGAL� �� `� � � - � � �� : � INTERCEPTER ,UFE(�GROUNn�"� �'" �`�""�� ` °�� HOT MOPISHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE __ HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT , �,,, i ;SHEARWAC�LSQEXTERIOR � � a� a, � � � ��POOLISPA ,;; � � � ;SH��tWAL�LS�INTERIOR, "�"�'� � ` �� ROUGH PLUMBING - � � � � � , � F A�dIINGNENTIN� ��"`� � " : � , �� `� °°, � , �ROUGH ELECTRIGA6 r � � � . ROU °�«d,. � •R � ' � � GH�M��HANICAL` '� � ;� �" � ' "' �' � ' `' 'fldUGH MECHANICAL � � ROU _ � _ ,� � ,,, � � > _ ` 'GAS TE57 ° ,e �, � GH ELEC�RIGAL,�IJ( }C( -,� � � � � , .� : .� .z « � : _ � � � , � ROUGH;PLUMBING =�, . ,a ,� �,,�. . , _ � „ � � ��PRE GUNITE �� ` ' INSULATION WALL POOL PRE DECK BONDING � `� �� ' � � F, _ e INSULATION CEILING ;P-TRAP QRYWALL FENCE/GATEJ ALARM LATH(PREI FINALPOOL � . I.ATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �2Ne� j��FT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL _ _ SPECIAL INSPECTION R0.FFiAAMIN6 PLANNINGAPPROVAL FINAL'�BUELOING `� �'"� �'k `� ", � � � ;. "° � ROUGH FIRE APPROVAi. , � FINAI MECHANICAL� � � � � �n � _° � � FINAL FIRE DEPARTMENT A � > FINi4L ELECT, .� "_` � � . r ._ „ � -< � ` 'FINAL PLANNIPIG � , � � � > RICAL � , . „ .,�_ _ �-- - _ �� , __ � �INAI PLUMBING �� ;�(��,� =(� � � � �FINAL ENGINEERING/PW ` ` ` ' �.G�of:OCCUFANCY- .�,��,�� ;�. ° �,,� ,� � �� FINAL COINMUNITY SERVICES �� ,.� ;G�tiT.,of=OCCUFANCY�. � �� , '' � , �� ; �� fiNAL HEALTH DEPL �� FINAL INDUSTRIAL WASTE COMMENTS: