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Home My WebLink About16-0701 _ '� � CITY OF DIAMOND BAIt =-�'� ��/�'I�� I I { i � DEPARTMENT UF COMMUNiTY&DEVELOPMENT SERV 10ES � �= -� 21$lQ Copley T)rive,Diamond Bar,CA 91765 PRESS �,y (909�839-7020 Fax:(909�861-3'l17 Building Inspection HoYline(909)$39-7027 FIRMLY � '�a�' BUILDINGPERMITAPPLICATION www.cityofdiamondbar.com building@diamondbarca.gov � � APPLICATION DATE: �a `� �' ��n P(C# d Jd8 SITE ADCiRESS //,, � � APN �pT T�CT� ISSUE DATE: ��a��PERMlT#: /[l� W Q� � OWNER .t.v"a-�-4^u-+ TYPE CONST. OGC GROUP: _� ADDRESS ' � � �� j� �/ /��. Q GITY '�3_.�C✓� ZIP S�5'EL.�P`� ' ?2l"e. ��"� Scope of Work �.-+2`3 � L""�' �-�•�•�^r S$""" � Q APPLICANT�i�l-�-(,�y,,�} '��sSgl. (o�-f� ��"f S'�'t`t 3 ,��! LC.-� t.tio v� r � o CONTRACTOR �d-Ctkti/ �-{� � ADDRE/SS.�`�tT�� #DWEL.UNITS #STORIES #BEDROOMS I cc C17y_Lt,a,�ti• -_�s I ,� y ZtP��7EL. fo�"—G Y'�`�' �5'�-'-t�1 � ARCH/ENG/ � DESCRIPTIQN SQ.FT. FAGTOR PSF ADJ.AREANAIUATI4N � Q DESIGNER SFFunDD1REM � RDDRESS '� ��7y 21P TEL Garage/Carpart � OWNER-BUILDER DECLAHATIqN W Patio/Deck �' i hereby affirm under penaity ai perjury that i am exempt frpm the Contractor's State License Law for the reason(sj �- P��jSpa � indicated below by the checkmaEk(s),I have placed ne#to[he applicable item{s}(Section 7031.5,Business and � Re-Roof , z professions Gode:My ciry or cou�y ihffi requires a permit M construct,a�ter,improre,demWish,or repair,any p �' a s6uch�re,prior to iCs issuance,also requires the applica�et tor the pertnit to file a signed staffimeM lhat he nr she � Commercial is iicensed pursuant ro the provisions ot ffie Contractar's State License Law(Chapter 9)Commencing with Sectipn � u�a 7plU of Division 3 ot tt�e Busioess and Professions Code]or that he or she is exempt from licensure and the dasis for m N tlre alleged exemption.My violation of$ection 7031.5 by any applicant for a permit subjects the applicant to a civi�penalry � ot nat mors than five huntlred dollars(S50Q). a � (�I,as owner of the property,or my employees with wages as their sole oompensation,will do(�all af or(J portions c� of the woric,and t�e structore is rwt imended or otfered far sate{Section 704A,Business ar�d Profassions Cpde:The YatitB#IOtI: ^ Adj.Area: w ConVactors'State License Law tloes not appry to an owner of prpperty who,Nrough employees'or personal effort,builtls ' � or improves the property,provided mat the improveme�ts are not intended or af(ered far saie.3f however,the buitding or QUANTIIY DESCRIPTION FEE p improvement is sold within one year of compietion,the Owner-Builder will have the burtlen of proving that it was not built � or improred for the purpose of saie.}. � �, � (�I,as owner of the property,am exclusively contracting with IicenseQ Contractors ta conshuct the project{Sec[ion � % � � 7044,Business antl Professions Gode:The ConVactors'State LicensQ law does not appiy to an owner pf property who � � buiftls or imprflves thereon,and who conVacts tor the projects with a ficensed Gontrac[or p�rsuant to the Contractors'State W oc License Law.�. O � �j t am exempt from ticensare under the Contractor's State Licertse taw for the foibwing reasunis). � � a � � � By my signature below I acknowledge that,except for my personal residence in which I must have resided far at least one � � year prior to compietian af the improvements cavered by thfs permit,t cannot iega(ty seI!a structure th2t I have 6uiit as an o. a owner-builder if it has not been constructetl in i1s entirety by licensed contractors.I untlerstand that a copy of the ,,x�,� applicable Iaw,Section 70dd of the Business ami Professia�s Cade is avaitabte upon request when this appticatio�is � p submitted or at the fpllowing Web site:http/www.leginfo.ca.gov/calaw.hGnl. c� H �� UCENSED GONTFtACTOR'S DECLAf1ATI0N � � I hereby a�rm under pena(iy of perjury that i am Iice�etl under provisions af Ghapter 9(commencing with Sectian 7000} � � of Divisian 3 of the Business and Professions Code,and my license is in full force and effed. � LlCENSE CLASS:��[�_LO LIC.NO.: 0`6]L l o � CONSTRUGTION: �7�+ �� DATE: 's� f'�'6� �� CpNTRACTOR: �'�d�/��..r-- t, /y WORKER'S COMPEF75AT10N DEGLARATiON PIAN REVIEW: (��5 �w ELECTRIC: ��'� i— I NEREBY AFFIRM UNDER PENALTY Of pERJURY ONE�F THE FOLLOWING DEGLARATIONS: � I have anA will maintain a Certificate pf Consent[a Self-Insure for Worker's Compensation,as provided by PLUMBING: ,,J,-� Seciion 3700 of the�abor Code,tor the performance of the wodc(or whtch this permit is issaed. � MECHANICAL: ' � _�I have and will maintafn Worker's Compensatian Insurance,as required by Section 3700 bf the Labar Code,for 4 the performance of the vrork for which this permit is issued.My Worker's Comperrsation ins��ance Carrier and INSPECTtdN FEE: Palicy Number re: � � �piER �� tt_4� ISSUANGE: �� $ � POUCY NUM6ER C�L.C��'7S '�� SM�P' �f�� (fHIS SEC710N NEED NOT BE COMPLEfED IF 1HE PERM(f IS FpR ONE HUNDRED�OLLN9S(E1IX7)OR LFSS). ENERGY P/C: p �certiry that in fhe perfortnance of ihe wark for which fhis partnit is issued,i shali not empioy any person in any manner so�to EN ERGY PERM IT: p become subject m the Worker's Compensation Laws a!Califomia.And agree that i4 I stwuld become subject trt the Worker's ,f6 J Compensation provisions of SecGon 3700 of fhe Labor Cade,l shaii torihwifh compry wifh those pravisions. RE(ENTICSN FEE: ��ZIL_—_ w oATE: � • �'rtc�APpuGtwT:�.�L—.�-�--�" PRE-A�TFEE: � WANNING Failure ta secure Worker's Compensation coverage is unlawful,and shall subject an employer ro criminal gASF: �>� w R�afties and civit fines op to tme handred thousand dottars($700,q00},in addition to the cost of the compensation, p damages as providetl for fn section 3708 of the labor cotle,interest,and attorney's tees. PLOT PLAN: a CONSTflUCT10N LENDING AGENCY ZONING CLEARANCE: w 1 hereby af@rm�nder Aenaity of perjury that there is a CAnstnactlon�ending Agency far#he performertce of the vrark ftlr � which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME _ .— �..(y �/ � tENOER'SnflDREss: T4TAl FEES ��-cd, 6 ��i +�� d I certify that I have read this appliratian antl state that the above informatio�is coRect.I egree to comply with all city and �OMMENTS: z county adinances and siate iaws retating to buitding construction,and hereby authorize representatives of this county to p enter upon the above-mentioned properry for Iospection purposes. � �t p��q m �� P/C: PAip BY: 17�[S 7 V VALIpATf ON: `� PERMIITEE NAME(PRINT) � u> // �� .,� � ��if/1/(y�tti'—' �, c u � RECEIPT N PAID BY� VALIpATION: s SIGNATURE pF PERMITTEE DATE . t-- WHITE—Department Copy,YEI�OW—Fi�ance Copy,PINK—Assessor Gopy r . ;_ CITY OF DI�;�Ni-C��D BAR INSPECTION RECORD � • � � • - • � � • - SETBACK/LETTER TRACT AND LEDGER FOOTINGS FORMS SWITCH GEAR S�qg COMMERCIAL HOOD UG.PLUMBING T-BAR UG.ELECTRICAL INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( )CO GAS TEST ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING P-T�P DRYWALL FENCE/GATE/ALARM LATH(PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1sr� \2ND� �LIFT , SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS MEfER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNING APPROVAL FINAL BUILDING S ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL � / FINAL PLANNING FINAL PLUMBING FINAL ENGINEERING/PW T.C.of OCCUPANCY FINAL COMMUNITY SERVICES CERT.of OCCUPANCY FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE COMMENTS: