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Home My WebLink AboutPR16-1426i I 1-11 Y OF DIAMO" BAR DEPARTMENT OF COM1VIi]1VITX & DEVELOPMENT sExvlcEs 21810 Copley Drive, Diamond Sar, CA 91765 <•,.h,,, (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 PRESS BUILDING PERMIT `L www.cityoldiamondbarcom building@diamondbaica.govFIRMLY a JOB SITE z A DRESS C t o APN,r%E:..`' LOT TRACT t Gl1 OWNER . ADDR SS � y F Cc CITY J _ ZIPTEL t' r CP APPLICANT o CONTRAtfOHY- cc ADDRESS ! U j t _60 F2 CITY _5P �. ry� ZIA ( _TEL. ARCH/ENS o bESIGN£3:` C ADDRESS: i, F CITYt ' ZIPC` TEL. w o0 OWNER-RUfLOER 1? CLARATioN I hereby affirm under penalty of perjury that I indicated below am exempt from the Contractors State License Law for the reasons) o by the checkmark(s), I have placed next to the applicable flem(SI [;action 7031.5, Business and z Professions Code: Any clty or ceuniy that requires a permit to enixftet, atter, improve demolish, or repair, amp structure, prier to its issuance, also requires the applicant for the permit to File a signed staEameM that he or She is licensed prlYsUant to the provisions of the Contractor's State license Law (Chapter III Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she Is exempt from Ifcensnre and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permitsubleole the applfcant to aclvil penalty 0 of not etre thar:iNe hundred doltars ($SOD). OE owner of the property, or my employees with wages as their sole compensation, will do [ j all of or L j portions cz of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: the LLI Contractors' State License Law does not apply to an owner of property, who, through employees' or personal effort, builds a( improves the property, provleed that the improvements are not intendedor offered for sate. If however, the building or O improvemeuf is said within one year of cornpfetion, the Owner-Buiidor will have the burden of proving that R was not built or improved for the purpose of sale.). F z {_) L as owner of the property, am exclusively contracting with licensed Contractors to eonMd the project (Section 7044, Business and Professions Cade: The Contractors' State License law does not apply to an owner of props ty who Y builds orimpravesdhereon, and who contractsfortheprojects with 3licensed Contractor Pursuant toOfeContrautors°State cc LlcenseLaw.);, I } I am exempt from licensure under the Contractor's State License law for the following reasnn(s): z CD BYe r p signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least ane year prior to completion of the improvements Covered by this pennit,l cannot legally sell a Structure that I have bush as an EL owner-builder!If at as not been constructed in Its entirely by Pcsnsed contracfms. I understand that a copy of the w applicable faw;;Section 7044 of the Buslnoss and Professions Code Is available upon request when this 2ppika0on Is o submitted or at the fallowing Web she: hhplwvrrr.feginfo.ca.govlcaiaw.html. LICENSED CONTRACTOR'S DECLARATION LU TO hereby affirm under penalty of perjury 11iat I am licensed under provisions of Chapter g (commencing with Section 70001 7) of 01&lon 3 of the Rosinoss and Professions Code, and my license Is in hull force and effect ICFNSE CLASS; ` �Rl UC. NO,; "DATE;i .',?' % CONTRACTOR:`$' ;Ct`I��t rr M - : - WORKER'S COMPENSATION OECLJRATION LLJ i HEREBY IRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: c y '. have and wil. maintain a Certificate of Consent to Self -Insure for Werker'B Compensation, as provided by Saclhn 2700 oftN Labor Code, forlhe performanceoffthe workforwhich this permit is issued. I have and vd[I maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation Insurance Carder and Pofiby Number aro: CAR PJER C%L7� fr-i' 1 11i e n PC.ICYNJMBEfI (THIS SEGIION NEE[] NOT BE COMPLETED IF THE PERMF IS FOR ONSHUNDRED DOLM ($t QO) OR=). I Certify thatin th'e performance of the work for which this permit Is issued, I shall not empiey any person In anymanner so as to become subject fe the Worker's Compensation Laws of CSInarls. And agree that P I should become gabled to the Worker's Compensation provisions of Sech'un 3700 of the Labor Code, I shall4erthwith comply with those provisions. i DATE: _APPLICANT: WARNING: Fal&'e to secure Worker's Compensatlon coverage as unlawful, and Shall suhjeCI an employer to criminal i panaliies and civ€[fines up to one hundred thousand duNars {$100,000), in addition to the cast of the compensation, r dafrages as provided for in section 3708 of the tabor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I I hereby Rftirm {finder penalty of perjury chat there is a Construction Lending Agency far the performance of the work for which this permit is issued (Sec. 3047, ON. C.). - } LENDER'S NAME: LL-NCEfi'S AO➢Ri;SS' u L I certify that I have read this appbcavon and state thatthe above information is Correct. I agree to comp y w fh all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to J enter upon the above-mentfaned property for Inspamon purposes. .ME (PRINT) DATE APPLICATION DATE: (43 ,4 1b- 14 4 ISSUE DATE: 1 �,) S PERMIT# TYPE CONST. OCC GFgOUP: S Scope Of Work )r 10K- �;r, ..1i:T,.._ l r # QWEL. UNiTSt # STORIES 4-- # BEDROOMS a QESCRIP I ION SFWADD/RENT Garage/Carport w Petie/Deck L" U_ Pool/Spa Z Re -Roof Commercial �Qr9 Y Vr'11, C11 SQ, FT. FACTOR PSF ADJ: -- Adj. Area: QUANTITY DESCRIPTION FEE —mon. CONSTRUCTION: } SMTP: PLAN REVIEW: ENERGY P/C:�— ELECTRIC: 2S3 RETENTION FEE: PLUMBING: , 1 22 iXs MECHANICAL: q �. q INSPECTION FEE: ISSUANCE: SMTP: ENERGY P/C:�— ENERGYPERMIT: RETENTION FEE: PRE -ALT FEE: 22 iXs BASF: two PLOT PLAN: _ Qk _ � - ZONING CLEARANCE TOTAL FEES 1 �� COMMENTS: PAID By: 1�'ES VALIDATION: RECEIPT PAID BY: 1 VALIDATION;_-�_ WHITE Department Copy, YELLOW — Finance Copy, PINK— Assessor Copy CITY OF DIAMOND RAR INSPECTION RECORD SETBAX ETTER FOOTINGS FORMS cli SLAB UG. PLUMBING UG, ELECTRICAL UFER GROUND SEWER LATFRAL MAIN WATER LINE SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING oq SHEAR WALLS.EXTERIOR SHFARALLS INTERIOR ERAMiINGNENTINGlrzff 1110 BOUGH MECHAMCAL ROUGH ELECTRICAL W( )C( ) I ROUGH PLUMBING INSULATIONWALL INSULATION CEILING ( DRYWALL " LATH (PRE) LATH EXTER[OR LATH INTEROR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FINAL BUILDING t FINAL MKRANICAL. { 1111. 1 LAP— FINAL ELECTRICAL FINAL PLUMBING T.C. of OCCUPANCY GE9�CCUPANCYY COMMENTS: TRACT AND LEDGER SWITCH GEAR CCMMERCIAL`HU[)-- T-BAR INTERCEPTER__._ - HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUfT POOL/SPA HO•UGH.PLUMBING ROUGR ELECTRICAL ROUGH MECHANICAL GAS TEST - PRE GUMTE POOL FRE DECK BONDING P -TRAP FENCE I GATE/ ALARM . - FINAL POOL WALLS: WALL FOOTING/STEEL WALL STEEL I�T( ) 2t6( ) LIFT WALL BOND BEAM WALL DRAIN/ SEAL WALL FINAL FRAMING PLANNING APPROVAL ROUGH' FIRE APPROVAL - FINAL FIRE DEPARTMENT FINAL PLANNING -2 t FINAL ENGINEERING/ PW 17/( 7: _. FINAL COMMUNITY SERVICES' FINAL HEALTH DEPT. FINAL INDUSTRIAL WASTE. ; .