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Home My WebLink About16-554 . . '�' CITY OF DIAMOND BAR " I I i I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES , _�� f I" 21810 Copley Drive,Diamond Bar,CA 91765 PRESS �, � (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � �'e"'�" BUILDING PERMITAPPLICATION www.cityofdiamondbar.com building@diamondbarca.gov FIRMLY � /53�G dJ ll �' �� f APPLICATION DATE: � P/C# a JOB SITE ADDRESS J U4� �U /��_ o ISSUE DATE: �� ERMIT#: �"— � �f' o APN LOT TRACT o-' � OWNER TYPE CONST. OCC GROUP: � . � ADDR SS � a CITY � ZIP TEL. o APPLICANT TEL. Scope of Work � � ¢ CONTRACTOR ► o �/��"� ;�.. � ADDR SS #DWEL.UNITS #STORIES #BEDROOMS a CITY ZIP �/�EL. o ARCH/ENG/ � ��'� z DESIGNER DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION Z ADDRESS SFR/ADD/REM m CITY ZIP TEL. Garage/Carport a � Patio/Deck oc OWNEH-BUILDEH DECLAHATION w ' � I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the reason(s) � PooVSpa � W indicated below by the checkmark(s),1 have placed next to the applicable item(s)[Section 7031.5,Business and Z Re-Roof WProfessions Code:Any city or couMy that requires a pertnit fn conshvct,atter,improve,demolish,or repair,any � � shvcture,prior tn its issuance,alw requires the applicant for the pertnit to file a signed statemeM that he or she � Commercial � is licensed pursuarrttn the prorisions of the Ca�actor's State License Law(ChapOer 9)Commencing with Section � �/� � 70DD of Division 3 of the Business and Professions Code]or that he or she is exempt from licensure and the basis for m ��`� � � � the alleged exemption.Any violation of Sedion 7031.5 by any applicant for a pertnit subjecfs the applicant to a civil penalty 0 of not more than five hundred dollars($500�. e (�I,as owner of the property,ar my employees with wages as their sole compensation,will do(�all of or(,portions Z of the work,and the sVucture is not intended or offered for sale(Section 7044,Business and Professions Cotle:The •V8luation: Adj.Area: � Contractors'State 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 ar qUANTIIY DESCRIPTION FEE p improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built For improved for the purpose of sale.). � Z (,I,as owner of the properry,am exclusively contracting with licensed Contrac[ors to construct the project(Section ¢ N 7044,Business and Professions Code:The Contrac[ors'Siate License Law does not apply to an owner of property who � Y builtls or improves thereon,and who contracLs for the projects with a licensed Contractor pursuant to the ConVactors'State � � License Law.). LL' � (J I am exempt from licensure under the Conhactor's State License law for fhe following reason(s): � z z o, � By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � ¢ year prior to completion of the improvements covered by this permit,l cannot legally sell a sWcture that I have built as an a i a owner-builder if it has not been constructed in its entirety by licensetl contractors.I understand that a Copy of the w applicable law,Section 7044 of the Business and Professions Code is available upon request when this application is � o submitted or at the following Web site:http/www.leginfo.ca.gov/calaw.htmL � , �j UCENSED CONTHACTON'S DECUIRATION � � mI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � N oi Division 3 of the Business antl Professions Code,and my license is in full force and effec_t. _ � � �� o LICENSE CLASS: L1C.NO.: � CONSTRUCTION: Q DATE: CONTRACTOR: !�� • I �� /�' . � 0 WORKEH'S COMPENSATION DECLARATION P�N REVIEW: � Q I HEREBY AFFIRM UNDER PENALiY OF PERJURY ONE OF THE fOLLOWING DECLARATIONS: ELECTRIC: o I have antl will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as provided by PLUMBING: � Section 3700 of The Labor Code,for the performance of the work for which this permit is issued. MECHANICAL: o I have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for z the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and INSPECTION FEE: � oPolicyNumberare: ,��. '-'-' CARRIER ISSUANCE: z � POLICYNUMBER SMIP: 1 N � (THIS SECTION NEFD NOT 8E COMPLETED IF THE PERMR IS FOR ONE HUNDRED DOLLARS($100)OR LESS�. ENERGY P/C: p I certify that in Ne performance of the vrork for which ihis pertnit is issued,I shall not employ any person in any manner so�N ENERGY PERM IT: o become subject to the Worker's Comper�satlon Laws of Cal'rfomia.Md agree at if 1 should become subject to the WorkeYs J Compensa6o provision f on 3700 of Labor Cod I shall forihwith those visions. RETENTION FEE: � � � � DA1E� PLICANT: PRE-ALT FEE: � WAR G: ailure t seare Worker's Compensation coverage is unlawful,and shall subject an employ to criminal gASF:_ � i 0� � penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, � p damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PLOT PLAN: ¢ a CONSTRUCTION LENDIN6 AGENCY ZONING CLEARANCE: �s�, = I hereby affirm under penalry of perjury that there is a Construction Lending Agency for the performance of the work for � which this permit is issued(Sec.3097,Civ.C.�. � LENDER'S NAME: � LENDEfl'S ADDNESS: TOTAL FEES �/�� /70 � � w a I certify that I have read this application and state that the above information is correc[.I agree to comply wiih all city and Z county ordinances and state laws relating to buildin9 construct'n,and hereby authorize represenTatives of this county to COMMENTS: p enter upo t above-mentioned property for�nspection purpos . � m �, ¢ PERMf1T ME(P � P/C: P;IDBY: O�O VALIDATION: � /t� � RECEIPT#7��PAID Bl�-4r � VALIDATION: � S TURE OF PERMfTTE DATE WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy �/ �/r �� 0 °' , ` CITY O'r` 'DIAMOND BAR a INSPEC`flbN�"RECORD � • � � • - • � � � • ' II SETBACK/LETTER TRACT AND LEDGER � (s 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 fL00R SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR POOUSPA SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMINGNENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( }C( ) 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 METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNING APPROVAL FINAL BUILDING � / 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: