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HomeMy WebLinkAbout1155 DIAMOND BAR BL (26) �.��-�ed '����=' C1TY OC DIAMOND BAR �s"�_ E I ' � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES _ " ' ' Y=? — ' 2181U Coplcy Drivc,Diamond 13ar,CA 91765 PRES w• �Ill�y�:- _� `�,J�n,,,� (909)839-7020 Tax: (909)861-3ll7 Suilding Inspt�ction Hotline(909)839-7027 FIRMLY BUILDING PERMIT APPLICATION �/, C� APPLICATION DATE: ��I�}' I�`� P�C� ��G � JOB SITE ADDRESS `�""r 9`�b� �e��}.. �1� pERMIT# C�Cj ��'- ��� ISSUE DATE: z APN LOT TRACT o OWNER �� � W� Ci TYPE CONST. OCC GROUP: � ADDRESS � ZONING SETBACKS � C�-ry ZIP A/�TEL.����''ti0 4S�f� FRONT RW � � APPLICANT <1 Q•iJ` TEL �2j, L.�Z �.'S"b4 REAR � - o SIDE/SIDE STREET RW � cn 1 ❑ Q CONTRACTOR rT�j.�� p rin��nr i_.fJti — SIDE � ADDRESS PROPOSEDUSE S u� UMI� un � CITY��5'eiMCti ZIP TEL Z � _�-Ct� �� 0 "- ARCH/ENG/DESIGNER 0 o ADDRESS #QWEL.UNITS #STORIES #BEDROOMS � CITY ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDEfl DECLAFIATION ¢ SFR/ADD/REM 0 1 hereby aKrm u�der penatty at Deryury that I am exempt hom the Contractor's State Uce�e Law tor me reason(s� o intlicated below by the checkmark(s),I have placed next to ihe aDDlicable item�s)f�on 70315,Business and Garage/Carpat w Protessions Cale:My dty or cuunly that reqWres a permi[to canstrucl,alter,improve,demolish,or repair,any z strucNre,prior to its issuance,also requires the applk�anl for Ne pertntt to file a signed statement that he or she V� Patio/Deck NIs licensed Dursuantta the pruvisions uf the Co�acta's Stala LJcertse Law(Chapter 9)Commencing with Section � , � 7000 of Divislon 3 of ihe Business and Protesslons CodeJ w that he or she is exemDt from licensure antl tlre basis fw � P�USpa N the alleged exemption.My vidaliun ol Section 7031.5 by any applicant for a Qermit sub�ects the aDPlican[to a civil penalry � z Re-Roof of not more than five huntlred dollars($500). O o U I,as owner of the property,or my employees wlth wages as theh sole compercatlon,wlll do U all oi or(,portions � �mmercial 0 of the work,and the structure is not intended a ottereA for sale(Sectlon 7044,Busfness and Prolesslons Code:The m w � Contractors'State Ltcense Law dces not epDry to an ovmer ot property who,through employces'or personaf ettort,Duilds w a improves the properry,provided that the imprmemenCs are not inten0etl or ottered tor sale.tt however,the building or � Impmvement Is sold within one year af comDletlon,ihe Ovmer-Builder will hava tl�e burden ol proving ihat It vras not buift . o or imprwetl for the purpose of sale.). � I,as owner o1 the m ty conUactin wfih Ilcensed Contraclors to construct ihe pro ec[Section �J p perty,am�dustve g � � Valuatio O t7 Adj.Area: 0 7044,Business and Professlons Code:The Contractas'Stale License Law daes not appty tn an owner ol property wtro Z builds or imprwes Ihereon,and who conVacis 1m ihe projecis with a Ikensetl Contracior Dursuant ro Ihe Contrxrors'State QUANTITY DES IPTION FEE � Y u����W.�. r�v, M Gr o U I am exempt lrom licensure under the ConVactor's State Llcense law for ihe.following reason(s): � 'S ¢ `� By my signature below I acknowledge ttiat,except for my perconal residence in which I mu5t have resided for at least one � z year prior ro compleBon of the improvements covered by this permit,l canrrot legally setl a structure that I have built as an w 0 � owner-builder If it has rwt been consiructed In if5 entlrety by Ikertsed Contrac�ors.I understand that a copy ot ihe applicable � �aw,Sectbn 7044 0l the Business and Professions Code is available upon request when this appllption is submitted or at X the tollovnng Web stte:http/www.leginlo.ca.gov/calaw.html. m 'L OATE: StGN: � � LICENSED CONTHACTOfl'S DECLARATION a v w I hereby aflirm untler penalry ot per�ury�hal I am licensed under prmisions of Chapter 9(commencing with Section 7000) � ol Division 3 of the Business and Prafessions Code,a�my lice�e Is in full force and eflect. � � ` I 4u � LJCENSE CLASS: � LIC.NO.: z � � DATE � CONTRACTOR: I�I h`� �,'�-w�lh �, Zd WORI�A'S COMPENSATIOH�ECV+HATION g � I HEAEBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DEqNWT10NS: W '� �O o �,I have and will maintaln a Certi�ple W Consent to Self-InSure for Worker's Compensation,as provided by CONSTRUCTION: �4"• � Seclion 370D ot the l2bor Cude,for Ihe pertormance af the wak for which this permd is issued. p�.pN REVIEW: � � � � j I have and will maintain WorkePs Compensation Insu2nce,as repuiretl by Sechon 3700 of ihe Labor Code,for ELECTRIC: s, ' �� � o the peRortnance ot the work tor which this pemiit is IssueA.AM1y Wocker's Compensation lisurance fartier antl ¢ PolicyNumberare: ,� PLUMBWG: � CARflIER Sfu�- cvYhPt�+s��-fm � � �"�1� MECHANICAL: � POLICY NLMRFR �l �4 Ct � - INSPECTION FEE: /��� � (TH5 SEC�ION NEED N07 BE CAMPLETEO IFTHE PFAMR LS FOR ONE Ht1NDRED�OIlNTS(570�OR LESS7. ISSUANCE: ����T�T� oI cerlily ihat in ttie peAormarr.e oi tlie work lu which Nis pennit is is;+�ed,I s1M nol empby arry person in arry manner so as to SM I P:. ' Sb o t�eoome suWect to Ihe Wwker`s ComPeraation La�vs of Calilomia.And agree that if I slmuld Uecane subJect to the Wrnker's � CompensaUon pr�ovisions of Section 3700 ol ihe Labor Code,l shall loritnritli canDN wilh t prm'�sio�. ENERGY PIC: -' DArE: �tl�uCnr�r: �C.� rYIU�(� �J4h ENEFIGYPERMff: � WARNING:Fallure to seare Worker's Compeiva4on coverage is anlawiul,and shali suDject an emptoyer to criminal RETENTION FEE: � �' � w pe�alties and cFril fines up to aae hundred Nuusand dollars($IUU,�QO),tn additlon to the cost of lhe compensaUon, a damages as provided for in sectlon 3708 ot me lahor code,irrterest,and attomey's tees. PRE-ALT FEE: a CONSTRUCiION LENDING AGENCY BSAF: ` ' �d w I hereby amrm under penalty ot perlury that there is a Construction Lending Agenq for the peAan�ance of the work for = whtch this permil is issued(Sec.3097,Gv.C.�. � � LENOER'S NAME � LENDER'SADDRESS: !� a I ceNfy that I have read this application and state that the above informa6on is corzect.I agree tn compty with all city antl TOTAL FEES a� a. '`'0 � counry ordinances and state laws relating to building constructlon,and hereby authorize representallves of this county to COMMENTS: Z enter upon ihe above-mentioned properry for inspection pwposes. � _ ' m JUr, m a PERMfTTE (PRINn� � � }$ � �y � SIGNATUAE DF PERMITTEE DATE RECEIPT q ��O'-��- \ PAID BY: ��S VALIDATION:_� WHITE—Department Copy,YELLOW—Fnance Copy,PINK—0.ssessor Copy.GOLDENROD—Rle Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD o � � • ' ' e � ' � " SET�ACKI I:ETTER " - ;� TRACTAND LEDGER �FOOTiNGS FORMS, ' .4 :. _ z SWITCH GEAR g�qg;; � .� x��' ;�: COMMERCIAL HOOD UG.PLUMBING.; � � ., .x ...�` �. ,. ` �:,� : �"t T-BAR `�' ' �"' ' INTERCEPTER UG.:E�ECTRICAG: ��� ,' =v. ' UFER,GRDUND�`�� '� �� ,:� ���- �-�� 't �`,; � �, �'���,�" HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONOUIT � � , _ - ;e � _ - r SHEAR WALLS EXTERIOR�� - -_ POOUSPA� �; �� - SHEAR WALLS INTERIOR - - �"-• � ': _ � ROUGH PLUMBING � � � ��� � r,-�� < ` ,, , � . . .� , . �, , , ���� , . FRAMINGNENTING � ��j - " * ROUGH ELECTRICAL ; ' "' � '' � � r �- " �� ^�` � ,. ROUGH MECHANICAL� s ` �� �� �'` ' �' �� ROUGH�.MECHAPiICAL ��� � � + - , � � � ' �: � �� ` , �ti, GAS TEST f . _ ;, ` d � ��k r, ROUGH.ELECTRICAL W(,)'C( ) � ° '� " ` `�- � ' ` ' ` `` �� ' `'� '" ROUGH PLUMBING :;= >, y.;` _ .t , , *';r ' y,=,L '� ' �PRE 6UNITE�; ' � �� INSULATION WALL PODL PRE,QECK,BONDING ;t s �:' ���r ��`• �'a» f ;,' i ,� � ' �r�y ;,_ _ " INSULATION GEILING P��P ' � '' ' DRYVJALL FENCEJ�GATElAI.ARM � � Y r ' ' ' }r. LATH(PRE) FINAL PO�OLi , ' - �� �� �' LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2"D( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL : SPECIALINSPECTION RO�FRAMINGPLANMNGAPPROVAL � =`�`�' -�� ��,� � -, '� FINAL"BU{LQING -� "i ' :�' %' F .M-" _ ;_� � ROUGH FIREAPPROVAL a :.� ` ' FiNAL MECHANICAL ' ` � ' "� _ FINAL FIRE:=DEPARtMENT `i, � � _t a y' FINAL_ELECTRICAL �` �, ' � �� ' �"� " ' FINAL PLAFdNING �� - _ � r FINAL PLUM�BING .� ` ` �� � � FINAL�ENGINEERIN�1 PW �.` � � :� ��_ �� � `s � ` '° '- ' -; FINAL'�COM.MUNITY',SERUfCES rs '` �` T C.of OCCUPANCY s - - � � ��� '�. : � � ', CERT.��of�OCCUPANCtt:;�,�, , _ -_ .r�. �.w �z :EINALHEALTHDEP.7 ; � FINAL INDUSTRIAL.WASTE__�'' . ' ' '� - g <''.A. ;` •` __ COMMENTS: � ..._� ' J " j 1 � •� ti �1 4.t �A''� � �� C + 't <.L ��p . f'•� � .._..--� `�-�. W ;} t' �� :�� X � '� � �' �� Y J � � ` s; 'Yy�,� i.� .`` ..� •` U `,�� � ,�,�/ � � � �� :) " �i�? 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