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Home My WebLink About14-5245 (225)-.,; _`� I I , -'?'<.: • CI7`I'•�F DIAMOND BAR ,, ' • _ � DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES '-�" c 21810 Copley Drive,Diamond Bar,CA 91765 - PRESS �.\,,,rm�,�� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ''�"'' BUILDING PERMIT APPLICATION s JOB SITE ADDRESS �� -V t ��Ol� 17�� APPLICATION DATE:_,�I 4- I��. P/C# I z APN LOT TRACT ISSUE DATE:�I/f! � PERMIT# �`/',r�� OWNER t�� TYPE CONST. OCC GROUP: � n ADDRESS a CITY��L 1��,(�,Ltjr� ZIP TEL. ZONING SEfBACKS FRONT RW ❑ r APPLICANT TEL. REAR ❑ � n r _n SIDE/SIDE STREET RW ❑ ? CONTRACTOR rL SIDE ❑ � ADDRESS PROPOSED USE � s CITY � IP� � � � ARCH/ENG/DESIGNER � = ADDRESS #DWEL.UNITS #STORIES #BEDROOMS I z CITY ZIP TEL. Q oWNEH-BUILDEq DECWWTION DESCRIPTION SQ.F7. FACTOR PSF ADJ.AREANALUATION � = I hereby affirm under penalty of perjury that I am exempt from the Contrac[or's State License Law for the reason(s) SFR/ADD/REM I � I L indicated below by the checkmark(s),I have placed next to the applicable item(s)[Sec[ian 7031.5,Business and Garage/Carport � Professlons Code:My city or county that requires a permit to construct,alter,improve,demolish,or repair,any � structure,prior to its issuance,also requires ll�e applicarrt for the pertnit to file a signed statement Mat he or she � Patio/Deck �p � ,f►d I i is licensed pursuant to the provisions of the Contractnr's State License Law(Chapter 9)Commencing with Section w j 7000 of Divisian 3 of the Business and Professlons Code]or that he or she is exempt from licensure and the basis for LL Pool/Spa i � the alleged ezemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 sof not more than five hundred dollars($500�. ZQ Re-Roof I � (,I,as owner of the property,or my employees with wages as their sole compensation,will do()all of or(�portions —� Commercial I y of the work,and the structure is notintended or offered for sale(Section 7044,Business and Professions Code:The m I Z Contractors'State License Law does not apply to an owner of property who,through employees'or personal eftort,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 proving that it was not built j or improved for the purpose ot sale.). I _ (,I,as owner of the property,am exclusively contmcting with licensed ContracTnrs to construct the project(Section Valuation Ad Area: Z 7044,Business and Professions Code:The Contracmrs'State License Law does not apply to an owner of property who 1• I n buildsorimprovesthereon,andwhocontractsiortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTIIY DESCRIPTION rFEE I Y License Law.). � U I am ezempt from licensure under the ConVactor's State License law for the following reason(s): � I x I l 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 improvemenls covered by this permit,l cannot legally sell a structure that I have built as an w I owner-builder if it has not been constructed in its entirety 6y licensed contractors.I understand that a copy of the applicable I � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at I X the following Web site:http/w�wr.leginfo.ca.gov/calaw.html. �^ y � I � DATE: SIGN: � — LICENSED CONTHACTOH'S OECLABATION � � I J � y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � i i � of Division 3 of the Business and Professions Code,and my license is in full force and effect. J I � ¢ A I ;q LICENSE CLAS LIC.NO.: Z � DATE��'F�� CONTRACTOR: _ '� Z V I I ¢ WORI�R'S CO ENSATION D TION � y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I i � I have and will maintain a Certificate ot Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION: �1 p�� O' � Sec[ion 3700 of the La6or Code,for the peAormance of the work for which this permit is issued. p�,qN REVI EW: c[bS• 3� a 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 far which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: ¢ PoliqNumberare: PLUMBING: � CARRIER MECHANICAL: � � PouCVNUMBER INSPECTION FEE: �r�7 � (IHIS SECTION NEED NOT BE CAMPLEfED IF hIE PFAMIT IS FOR ONE HUNDRED DOLLARS($100)OR LESS). - � ISSUANCE: j I certify that in the perfortnance of the work for which this permit is issued,I shall not employ any person in any manner so as to , � become subjed to the Worker's Compensatio Iaws of Califo '.Md agree that rf I ould become subject to the Worker's SMIP: r.y J Compe tio rovi'ns of Seciion 3700�f Labor Cod�fCh 'th compl . ENERGY P/C: i DAT APPIICANT: C ,� ENERGY PERMIT: � WARNING:Failure e re Worker's Compensation coverage is unlawful,and shall subject an employer to criminal 11 ��p y penalties and civil ines up to one hundred thousand dollars($100,000�,in addition to the cost of the compensation, RETENTION FEE: �� = damages as provided for in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT�FEE: i CONSTHUCTION LENDING AGENCY BSAF:_ �,/� v� y I hereby affirm under penalty 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: = LENDER'S ADDRESS: � '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 �d S,�', ��/�/� i Z county ordinances and s[ate laws relating to buildi construction,and hereby authorize representatives of this county ta COMM ENTS: J y I Jenter upon th above-mentioned properry for inspe purpases. � � n ¢ PER TfEE NA G O�a,�S� , q �n n = SIGNAT F PER E DATE RECEIPT#�� pAID BY: I VALIDATION: t WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy _ _ . _ i CITY OF DIAMOND BAR �� _. ' � INSPECTION RECORD ~ � ► • s � � � e - � o � � . � . ,� ..�.� „ � _ � ,5�TBACKI l�-TTER ` �' ,�_�`�� v � �� TRACT AND LEDGER � F40TIPlGS FORMS ��ID '' . �° ;1e�� .� �� , � — ' " SWITCH GEAR � _a � . w � �� . _ : ,St�`AB�r�° � �,�� m � , � �-� �� . � � � � ` . _ � ` COMMERCIAL HOOD , � � , �� :- ��F , . , �.� � o� _ �UQ,�RLUMBIN�- ��„� � � �,,,,�,. � � g -� T-BAR � ,. � �UG.ELECTRIC x �� "�"� � � ` INTERCEPTER AL � � � � �UFER GROUND� ` �� ` ` 5 �'��; � � Q , � , HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMQLITION • ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SMEAR_ : . . � a.� �,� � �� x�� . x s = POOUSPA �_ _ . _ � �s� � . , _ `WALLS EXTERIOR �� ,� « , . �� b . � � ° � ° � � � �� -� � : : ` _ �,.� ,� � �� x. . ,<� � � _ . — _ �SH�IRWAELS INTERIOR � � � � � � � � � ° ROUGH PLUMBING � �� `�`" � , u � � . . �� , o�._ $.�,,�, .;� �.� �� 9 .. � � RdU�H ELECTRICAL ; x � _ _ x . ; � FRA�'ullf�lGIVENfit�G ..��.� ` � � � - - � F,�, � _ . . ROI�G�H M�G�;1A1V.�CRC� � � � `" ° �" ` � � ` ��' �� ROUGH MECHANICAL � � ° ° � _ • �ROUGH�ELEGTRICAL wW( }G( x� � �� >�� a � � � � ,. g � GAS TEST � � . � �ROUGN RLU�IBING �.�„,�, � � �'_. �.� ., �� "� � ; � ;f a �� ri a . �� PRE GUNI�TE y , INSULATION WALL POOL PRE DECK BONDING � _ � e � � ` INSULATION CEILING P-T�P � " ` DRYWALL EENCE/GATEI ALARM LATH(PRE) FINAL PQOt LATH EXTERIOR WA��S� LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 S-( )2Ne( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNINGAPPROVAI. ` ' � " ' t _ � . ,...,.,. � 1� � � � , _. F)NAi BUILI��fNG ._�„ � � , F . �"� � � � _ �ROUGH FIRE APPROVAL � � �, .�� . . � � � FINl1i:�M�CHANICAL r '�� - � �� - - �FINAL FIRE DEPARTMENT fINAL�ECECTRIGAL� � ��,� � �w, �;�� . � 'FINAL P'LANNING � �� FIt�AI`PL�UMBIMG�� ' � � � � � � 'PINAL ENGINEERING!PW � , ` � � � , . _ a P.�x �- fi �,. _ _ � ,s � � _ _ - � ,e �� - • ��>� �� > , _, _ T.C�.,of�OCGUPAN,CY,�� `"� � ��' ��FINAI COIVIMI�NITY SERYICES ° � � _ __, _ GERT.�f OCCUPANCY �� '�� , _ . ��FINAL HEALTH DEPT, , � - � � , _ FINAL INDUS7RIAL WASTE � x t COMMENTS: i� �� _ � �-��1��j.�:.ard. ��3�'.� �r, wp�' �lot��1(i'il��