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Home My WebLink AboutPR16-0449Q LUJ 0 0 LU S2 CIT)(Of DIti:MOND AL2 " i I i DEPARTNf ANT OF OMMUNITY & DEVELOPMENT SERVICES C'111) 21$10 Col; fey Drivr; Diamond liar, CA 81765 PRESS (909) 839 '7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION www.cityofdiamondbarcom building@diamondbarea.gov diamondbarea.gov FIRMLY JOB SITE ADDRESS 01 (11004 k -0 - LOT TRACT OWNER C f: ADDRESS . CA e� ; : 70 CITY V1, 'V , C, ZIPq1JL TEL. ' 'q . �� ..3 q F `i .J - APPLICANT TEL. CONTRACTOR oC ADDRESS / "-r 0. IQ EA 2 CITY Z.OeJg.ZIP... Q�a5TEL. • 7 - d ARCH/ENG/ jDESIGNER ` C CsV';.��p ADDRESS CITY ZIP TFL.Z 3 w t OWNER-SIALUER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's Slate License Law for the reasonjs) Indicated below by the checkmark(s}, I have placed next to the applicable item(s) [Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair, any structure, pr€erto its issuance, also requires the applicant for the permit to file a signed statemeatthat he or she Is licensed pursuant to the provisions of the Contractor's State License Law {Chapter 9) Commencing with Section 7004 of Division 3 of the Business and Professions Code] or that he or she is exempt from licensure and the basis for the alleged exemption. Anyv€olation of Section 7031,5 by anyapplicantfor a permit subjects the applicantfo a civil penalty of not more than five hundred dollars ($500). (_)1, as ownerof the property, or myemployees with wages as their sole compensation, wig do U all of or C-) portions of the work, and the structure is not intended or offered for sale (Sect on 7044, Business and Professions Cade: The Contractors' State License Law dues netapply to an ownerof property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sate. II 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 built or improved for the purpose of sale.). U 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contract(rs' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts forthe projects w€Ih a licensed Contractor pursuant to the Contractors' State License Law.). (} I am exempt from licensure under the Contractor's State License law for the following reason(s): Ry my signature below f acknowledge that, except for my personal residence in which I most have resided for at least one Your prior to completion of the Improvements covered by this permRJ cannot legally sell a structure that I have built as an 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 at the Business and Professions Code is available upon request Mien this application is submitted or at the following Web site: httpAvnvw.leginfa.ca.govlcalaw.hW, LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my license is In full force and effect. LICENSE LA55: _, LIC. NO,: / OATS: CONTRACTOR: WORKER'S COMPENSATION DECLARATION I RY AH+1AM UNDER PENALTY 4F PERJURY ONE OF THE FOLL4WiN6 DECLARATIONS: I have and will maintain a Certificate of Consent to Seta -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Code, for the performance of the work iorwhich this permit is issued. I have and will main€oin Worker's Compensation Insurance, as required bySectien 3700 of the Labor Code, for the performance of the work for vvhlc�l 1his permit is issued. My Worker's Compensation Insurance Carrier and Policy Number i= 9'/ CARRIER _ Sf ✓/�d PORGY NUMBER —! (PHIS SECBONNEED NOT BECOM IFTHEPERMfTISPoRONERt1NDRE OLLNLS(5100)ORLESS). I ceditythat in the performance of the work for which (his permit Is lss Il note Pic in anymanner to become subject to the Worker's Compensation Laws 3Z_ d are the ' subject er's Compensaflon rovisi ns of Section 370001 the Laborall forth ' row sl OATE� APPLICANT: WAR INC7Faitu to secure Worker's ens or all sub;e an employer to criminal penalties and civil fines up to one n4. ousand dal�r $100,00%. addition to a cast of the compensation, damages as provided for In section 3 of labor e, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there Is a Construc0on Lending Agency for the performance of the work for which this permit is Issued (Sec. 3097, Civ, C). LENDER'S NAME: LENDER'S ADDRESS: I codify that I have read this application and state that the above information is correct. I agree to comply with a€I city and county ordinances and state laws relating to building construction, and hereby author zo representatives of this county to cuter upon the bove-menlione operly for inspection purposes. 1, / EE NAME IGN R V APPLICATION DATE: /g� 1 P/C# 111-e4y4& ISSUE DATE: J��Id64 PERMIT#� "7 TYPE CONST... sF( //� ( OCC GROUP: Scope of Work # DWEL. UNITS # STORIES # BEDROOMS DESCRIPTION SQ. Ff. FACTOR PSF ADJ. AREANALUATION SFR/A€ DIREM Garage/Carport W Patio/ ck L I p x . � Re -Roo Commercial :D r r Valuation: _C Cs 0 Adj. Area: QUANTITY DESCRIPTION FEE w w S- m a J v t1 U_ x U w � CONSTRUCTION: /04. r� PIAN REVIEW: 2 d ELECTRIC: I PLUMBING: di MECHANICAL: INSPECTION FEE: ISSUANCE:�� SMIP: +(� ENERGY P/C: ENERGY PERMIT: RETENTION FEE: 1 PRE -ALT FEE: z 2, . r BASF: )1#0 PLOT PLAN: V ZONING CLEARANCE: zo TOTAL FEES f 7 (j COMMENTS: f /C: "le n PAID €3Y: �� / VAL€DATION: RECEIPT U )t! `�- PAID BY:�I �L� I� �. VALIDATION: WHITE — Department Copy, YELLOW — Finance Copy, PINK — Assessor Copy CITY OF DIAMOND ISAP, Al INSPECTION RECORD b 0 SETBACK/ LETTER CMM TRACT AND LEDGER MISS= FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD --_ UG, PLUMBING T -BAR UG. ELECTRICALINTERCEPTER -.._...___..... _ _...__..._ — m UFER GROUND _ _. ..........m HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE _ HERS REPORT RECEIVED ......... .. - SEWER CLEANOUTDEMOLITION ROOF DRAINS ROUGH CONDUIT POOUSPA _....... ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHEAR WALLS INTERIOR ROUGH PLUMBING FRAMING/VENTING ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL, W( ) C () � GAS TEST ROUGH PLUMBING INSULATION WALLPOOL . ......._ PRE GUNITE PRE DECK BONDING INSULATION CEILING - .. P -TRAM - DRYWALL FENCE / GATE/ ALARM t.ATH (PRE) FINAL POOL WALLS; LATH EXTERIOR LATH INTERIOR WALL FOOTING/STEEL LAS TEST WALL STEEL 1-(. ) ?"°( } LIFT SCRATCH GOAT WALL BOND SEAN. . ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO. FRAMING PLANNING APPROVAL FINAL BUILDINGROUGH 1-15FINAL MECHANICAL FINAL ELECTRICAL FINAL PLUMBING — T.C. of OCCUPANCY r' _ FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL PLANNING FINAL ENGINEERING/ PW _ — _ FINAL COMMUNITY SERVICES _ CERT of OCCUPANCY FINAL HEALTH DEPT. COMMENTS: FINAL INDUSTRIAL WASTE