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Home My WebLink About15-0827 (8) i ..,,_�..,, ::=�,..,,_._� CITY OF DIAMOND BAR '• ' � . i DEPARTMENT OF COMMUNII`Y&D"�iVELOPMENT SERVICES `= 21810 Copley Drive,Diamond Bar,CA 91765 FINALIZEp PRESS �.,,.pn,�,,,� ; (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �''�g" BUILDING PERMIT APPLICATION ' PLICATION DATE: P/C# i JOB SITE ADDRESS � �/� � i SSUE DATE: � I PERMIT# A.l �G�r�-7 z APN LOT TRACT � � OWNER TYPE CONST. OCC GROUP: � . n ADDRE „ ZONING SEfBACKS n CITY IP T � FRONT RW ❑ a APPLI ANT TEL. REAR ❑ x _ / SIDE/SIDE STREEf RW ❑ � CONTRACTOR SIDE ❑ � ADDRES s CITY �ZIP�TEL '� � � PROPOSED USE � �.��7 � ARCH/ENG/DESIGNER � z ADDRESS � #DWEL.UNITS #STORIES #BEDROOMS Q CITY ZIP TEL. i �O OwNER-BUILDEH DECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION = I hereby aftirm under penalry of perjury that I am exempt from the Contractor's State License Law for the reason(5) SFR/ADD/REM I � .indicated below by the checkmark(s),I have placed next to the applicable item(s)[Sectian 7031.5,Business and I y Garage/Carport Professions Code:Any city ar county that requires a permit to construct,alter,improve,demolish,or repair,any z structure,prior M its issuance,also requires the applicant for the permR to file a slgned sfatemeirt that he ar she � Patio/Deck I i is Iicensed pursuant to the provisions of the Cantractor's State License Law(Chapter 9)Commencing with Section W n7000 of Division 3 of the Business and Professions Code]or that he or she is exempt fmm licensure and the basis for � Pool/Spa I � Ne alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjecLs the applicant to a civil penalry Z Re-Roof I s 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 � of the work,and the s[rudure is not intended or offered for sale(Section 7044,Business and Professions Code:The m I y Z Contractors'State License Law does not apply to an owner ot property who,through employees'or personal ettort,builds y or improves the property,provided that the improvements are not intended or offered for sale.If however,the building or � � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not 6uilt I � or improved for The purpose of sale.�. I � p p rty,am exclusivety contmcting with licensed Contractors to construct the project(Section (�I,as owner of the ro e Valuation: Adj.Area: I Z 7044,Business and Professions Code:The Contractnrs'State License taw does not apply to an owner of propert/who � buildsorimprovesthereon,andwhocontractsfortheprojectswithalicensedContractorpursuanttotheContractors'State QUANTITY DESCRIPTION FEE I License Law.). � (,1 am ezempt hom licensure under the Contractor's State License law for the following 2ason(s): � i � � i Z By my signature below I acknowledge that,except for my personal residence in which I must have 2sided for at least one W . I = year prior to completion of the improvements covered by this permit,l cannot legally sell a ffiructure that I have built as an w I owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professions Code is available upon requeffi when this application is submitted or at � I X the following Web site:http/www.leginfo.ca.gov/calaw.html. z I = DATE: SIGN: � — LICENSED CONTHACTOH'S DECLAHATION � .�•-- a I y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) � � of Division 3 of the Business and Prof sion Code,and my license is in full torce and efted� I � LICENSE CLASS: C � LIC.NO.: � a I � DATE: � CONTRACTOR: = I U ¢ WOHI�A'S COMPENSATION DECLAfiATION � I � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � � I have and will maintain a Certifirate of Consent to Self-Insure tor Worker's Compensation,a ided by CONSTRUCTION: � Section 3700 of the Labor Code,for the pertormance of the work for which this permit is issued. p�qN REVI EW: � �I have and will mainhin Worker's Compensation Insurance,as required by Section 3700 of the Labor Cade,for � the performance of the work for which this permit is issued. r' tion Insurance Carrier and ELECTRIC: ¢ Polic,yNu PLUMBING: Af r,� Z CARRIER MECHANICAL: ;� POLICYNUMBER � INSPECTION FEE: � (fHISSECTIONNEE TBE M D 7H PfAMlTIS ONEHUNDRED 31 ORLESS). ISSUANCE: ��";� I = I certify that in the pertortnance of the work for which this permit is issued,I shall not employ any person in any manner so as to S M I P: � become subjec[to the Worker's Compensation Laws of Calitomia.Md agree ihat'rf I should become subject to the Worker's J Compensation provisions of Sectlon 3700 of the labor Code,I shall forthvdm comply wim those provisions. ENERGY P/C: J DATE: APPLICANT: ENERGY PERMIT: i � WARNING:Failure to secure Worker's Compensation coverage is unlavrful,and shall subject an employer to criminal RETENTION FEE: �_bf� y penalties and civil fines up to one hundred thousand dollars($100,000�,in addition to the cost of the compensation, ? damages as pmvided tor in section 3708 of the labor code,interest,and attorney's fees. PRE-ALT FEE: i CONSTRUCTION LENDING AGENCY BSAF: y I hereby attirm under penalty 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: � LENDER'SADDRESS: � x i I cerGfy that I have read this application and state that the above information is correct.I agree to comply with all city and TOTAL FEES ' j�� Z county ordinances and state lavrs relating to building construction,and hereby authorize representatives of this counly to COMM ENTS: � enter upon the above- ioned property for' ction purposes. J ' � , Yl n PERMITTEE NAME(P Nn � � / , / n � PAID BY: v 1��VALIDATION: = SIGNATURE OF PERMITfE DA7E RECEIPT# WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy _ CITrY�OF� DIAMOND BAR � ' ��,� INSPECTIOiV RE�taRD • � � � � • - � • � � . � o ,-,�., � , _ ;SETBAGK/`LEfTER= ' �`"�` °� '� � TRACTANO LEDGER �FO,OTINGS FORMS ��` ,,� ;,,� � N SWITCH CEAR �� '� _.. � � �� , � � COMMERCIAL HOOD � -. ., �, ;;�� „�_� � UG:PLllMBI�lG ' ' ' �'� � :� � T-BAR � ,UG:�ELEGTRlGAL�, „. � � ,�,,. q =� :�' � �� ' INTERCEPTER . rd, _, a UFE '�� , R�iROUND � „ � � , �. �� HOT MOPISHOWERPAN ' SEWER LATERAL i SEPTICiCE5SP00L MAIN WATER LINE HERS REPORT RECEIVEO SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ,SHEAR�WALLS EXTERIOR, .�.: ,„�, �, , POOUSPA < .�,_ .� _�, .�. .. ��:�: . � ��,�, __� __ - _ _ EAR�WALLS INTERIOR : "� � ' �� ROUGH PLUMBING � -,_ �� , � � '' �- � ,� ��ROUGH ELECTRICAL�` � �FRAMINGNEPiTING��. °�_ �� ,e - , �� : „ �� : � �ROUGH�MECHANICAL � �� ,�� °� ,, RDUGH MECHANICAL � ;�; ;� � , , s�- � ,�,;, ;" _ _ GAS TEST h _ ROUGN�ECECl'RICA� W(� )C t�`) `� RO,u GH PLUMBING';,, �"��, ,, �' '. .la.� � , . 4. :�` � � T PRE GUNITE � ,., �. �i. �. INSULATION WAIL POOL PRE DECK BONDING ,; � ItVSULATION CEILING P-TRAP .. DRYWALL 'FENCE/GATEI ALARM Y �" " " IATH{PRE) FINAL POQL � � �, LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 s'( )2"0( )LIFT SCR,4TCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FFiAAMING PLEWNINGAPPROVAL , � ��.- _ � �. . , � ��.� �, '� � �ROUGH�IF�EAl��ROUAL �R .,. u � FINtiL`�UIl01NG�� °�`' �: �F1NAl�MECNANICAL_.�;�,p�A. <�,. �;.�. � .�,:, .. : ' ,.�. FINAL FIRE DEPARTMENT � �.. { _ _, , � ftNAL E�°ECTfiICs4L �` � �_ � � � � �� FINAL PLANNINCr �; �- �: �, , _ _ „�. ,� e o FI�IAL-PLUMBING�� ' �� J��: �i.�" � � '' �' ` ' '� " 'FINJ�L ENGINEERIHGI P'W �C.of O�C„UQANCY�_,. ,��.�,� ... . '�,�` ._� � ��. �- #> FiNAI COMNIUNITY SERVICES � � � �� GERT.�of,OCCUPANGY�; a� � ,� �' �3 � � FINAL HFALTH DEPL '�FIt�AL INDUSTRIAL WASTE �� -� � �� COMMENTS: � . - . - �_ . , , . .