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Home My WebLink About16-0594 I __,__._._�--,�!;��_. CITY OF DIAMOND BAR � � � � I IT ;; DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES _. —— '' �K— 21810 Copley Drive,Diamond Bar,CA 91765 PRESS ' �.,,,,�Y�;� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 i �''��'� BUILDINGPERMITAPPLICATION FIRMLY g APPUCATION DATE: P/C# y JOB SITE ADDRESS Z J^ i ISSUE DATE: �� PERMIT# '� GJ� z APN LOT TRACT �� S- � � OWNER TYPE CONST. OCC GROUP: � n ADDRESS � CITY A ZIP a �1�OsT .. ZONING F ONT KS RW ❑ � APPLICANT TEL REAR ❑ n SIDE/SIDE STREEf RW ❑ � CONTRACTOR �for�ab��ter �{e.a�-ers SIDE ❑ o ADDRESS GI.. � = CITY ZIPR1.35,5TEL O�1 PROPOSEDUSE � ARCH/ENG/DESIGNER y j ADDRESS #DWEL.UNITS #STORIES� #BEDROOMS z CITY ZIP TEL. Q OWNEB-BUILDEH DECLAfiATION DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREA/VALUATION � ? I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM I � indicated below by the checkmark(s),I have placed next to the applicable item(s)[Sectlon 7031.5,Business and Garage/Carport I � Prohssions Code:My clty or county that requlres a permit to construct,alter,improve,demolish,or repalr,any z structure,prior to its issuance,also requires the applicant far the permit to file a signed statement that he or she � Patio/Deck I � is Iicensed pursuant to the provisions of the Conhactor's State License Law(Chapter 9)Commencing with Section w � 7000 of Divislon 3 of the Business and Professions Code]or that he or she is exempt fmm licensure and the basis for � Pool/Spa I n the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty C7 s of not more than five hundred dollars($500�. QZ Re-Roof I � O I,as owner of the property,or my employees with wages as tl�eir sole compensation,will do O all of or(J portions � Commercial I y of the work,and the strudure is not intended or offered for sale(Section 7044,Business and Professions Code:The � I Z Contractors'Stabe License Law does not apply to an owner of property who,through employees'or personal effort,builds m .0 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 "� I,as owner of the ro e am exclusivel contmctin with licensed Contractors to construct the ro ect Section �� P p�' Y 9 p � � Valuation: Ad Area: Z 7044,Business and Professions Code:The Contractors'State License Law does not appty to an owner M property who 1� I n buildsorimprovesthereon,andwhoconVaclSfortheprojecLswilhalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I Y License taw.). I � (J I am exempt from licensure under the Contmctor's State License law for the following reason(s): � I � � 1 By my signature below I acknowledge that,except for my personal residence in which I must have 2sided for at least one c~.� I � year prior to completion of the improvements covered 6y this permit,l cannot legally sell a structure that I have built as an w I owner-builder if it has not been wnsVucted in its entirety 6y licensed contractors.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 � K the following Web site:http/w�vw.leginfo.ca.gov/calaw.html. Z � � � DATE: SIGN: � I'� I — LICENSED CONTqACTOH'S DECLANATION � � I a I' I hereby affirm under perialty ot 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 � I � LICENSE CLASS: L1C. 0.: Z a Z DATE: I CONTRACTOR: � I < WOHI�H'S C ENS T ON DE LAHAT�O � I y I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF hIE FOLLOWING DECLARATIONS: � I have and will maintain a Certificate of 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 Z the performance of the work for which this permit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: � ¢ PolicyNumberare: PLUMBING: y CARRIERL��rQl^1Ce Co . O.� }�e, �PS-� MECHANICAL: • � POUCY NUMBER GL� �c__�'"� (� Q n INSPECTION FEE: _ (fHIS SECTION NEED NOT BE COMPLEfED IFTHE PFAMfT IS FOR ONE HUNDRED DOLLARS($700)OR LESS�. ISSUANCE: �n� j I certify that in the performance of the work for which this pertnR is issued,I shall not employ any person in any manner so as m . �r- � become subject to me Worker's Compensation Laws of California.Md agree that if I should 6ecome su6ject to the Worker's SMIP: L Compen tion pm isions ot Section 3700 of the Labor e hall fortliwith comp with those provisions. ENERGY P/C: J � J DATE:I �APPLICANT: ,4 �- ENERGY PERMIT: � WARNING.Failur to secure Worker's Compensati n coverage is unlawful, nd shall subject an employer to criminal y penalties and civil fines up to one hundred thousand dollars(5100,000),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: = I hereby atfirm under penalty of perjury that there is a Construdion lending Agen�y for the performance of the work far � which this permit is issued(Sec.3097,Civ.C.). LENDER'S NAME: Y LENDER'SADDRESS: i I certify that I have read this application and state that the a6ove information is correct.I agree to comply with all ciry and TOTAL FEES I � county ordinances and state lavrs relating to building construction,and hereby authorize representatives of this county to COMMENTS: z � enter upon the above-mentioned property for inspection purposes. J � Y] ¢ PERMITTEE N E RINn n 1 n ('� = SI RE OF ERMI DATE RECEIPT# 7 PAID BY: ' VALIDATION: 3�g�� ,/ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Co'y,GREEN—A"IicanYs Co'y �// ��. , . , , . ...----: , , , . . , . . . ��:-. CITY OF DIl�MfJMD BAR ..K•.• � ""�` INSPECTION REC�RD q`�� . � � , . � . . � s , . � . SET,BAGIG'LETTER�;�r� , �_�e�, ��_ � �;_ ;; TRACTAND LEDGER , _� �, - ��,�,� .. ��. ; �.... ,_ _ _ -- , _ - FOOTINGSpFORMS�� ' °��` � � SWITCH 6EAR �SL�AB ,��;� � ` ,�:, :� � � . �.� � :. � COMMERCIALHOOD ,.. �,,, �. UC.PLUMBIt�G�` �" s . _ � T-BAR , .. _ r U�:`;ELECTR(C�1L.,"'..�._�� ` .r,., � INTERCEPTER � �� . ____�� ..�, �;; � �� _�� HOT MOPISHOWERPAN U�ER GROUND _ ,°� SEWER IATERAL SEPTICiCESSP00L MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANQUT DEMOLITION RQOF SHEATHING i ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ��,,, -�. �.. .�„ �- ._ �,_ ,x, ._ �; ��;� r_; ��z.�' � �:� m,�. � SNEARWACLS EXTERIOR � �'�" � � : '�POOUSPA � �� °SN�AR WALL$INTERlOR�: ,_ . :_ � � �ROUGH PLUMBING - ` FRAMIN�lVENTING� ��°�` ` �� '_ � ;�" ��ROUGHELECTRICAL �`' , �, �, �� ROUGH MEGHANIGAL ', ROUGH MECHANICAL � ��-ROUGH ELEC�. a � . __ �_ :<� �.. ,.,_ ��. �. �, , TRICAL �ii( )C( )� � � GAS TEST � � _ ROU,GH('LI�JNIBING. � �• �,; �� PRE GUNITE INSULATION WA�L POOL PRE DECK BONDING �� ' '� INSULATION CEILING � P-TRAP DRYWALL ��FENCE�IGATFJALARM � � �� LATH(PRE} FINAL POOL_,. :< � � LATH EXTERIOR I WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sr� �pNe� )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION 'R0.FRAMWG PIANNINGAPPROVAL �'� � � "' FINAL BUILDING' �' <� /�I, 6 ; ;:r ROUGH FIREAPPRdVAL � . „�._ w�, _. . ..,,�- �,._s � �� °.., `� » �� ;� FINAL M�GHANICAL� �' � FINAL FIRE DEPARTNIENT � � a � � ._� _ _ �INAI:,ELE£7RICAL ' � ' � `� �, FINAL PLANNING , _ , �_ �� ,.�.� _ _ � �,, m _ �INALPLUMBIt�G�' �� A�fi� �� L �� FINAL�ENGINEERING/PW � �T:G.of OCCUPANCY, % �: � � FINAt COMMUNITY SERVICES .. �_ ,--.��,.. �;;� �«�� _ _ �,. a � �' FINAL HEAL7H DEPL `G�ERT.of�OGCUPANGY� a� �� FINAL{NDUSTRIAL WASTE COMMENTS: