HomeMy WebLinkAbout14-3418 �'�'� C11'Y OF DIAMOND BAR
� I I I i � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERYICES
���III��;:`- 21810 Copley Drivc,Diamc�nd Bar,CA 917fi� � PRESS
,,,.�� r (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027
`�`'D"°� BU[LDINGPERM1TAPPLICATION FIRMLY
� JOB SITE ADDRESS �`� _l � � APPLICATION DATE: /� r P/Ck G
� ISSUE DATE: �ZY'I� PERMIT# `/���T�d
z APN +LOT .SRACT / ,/
o OWNER_ 4.�1 Q 5 �T F'�0.� 1YPE CONST.�Ry��/,�— OCC GROUP:
N ADDRESS
� CIIY ZIP TEL. , — � — ZONING FFONTCKS RW ❑
oAPPLICANT o� TEL 17��521-7�2 REAR ❑
cn � SIDE/SIDE STREEf RW ❑
o CONTR,4CTOR r � k C� SIDE ❑
c� ADDR/E��SS ��L 5��..3� �
o CITYLSZ,rr�T ,n, �_ZIP 7� TEL. 5��-- � �y�.� PROPOSEDUSE r�V ' .�
o ARCH/ENG/DESIGNER �J
o ADDRESS
#DWEL.UNITS ii STORIES t!BEDROOMS
z CITY ZIP TEL.
� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
OWNFA-BUILDEN DECLAHATION
� o I hereby attirm u�er penatty of Derjury that I am exempt from the Co�Vactw's State Ucense Law for the reason�s) SFR/ADD/REM
Ip indicated below by the checkmark(s).1 have placed next to ihe aDW�cab�e item(s)(Seclion 7031.5,Business and Gerage/Carpwt
o Rofessions Code:My city m aunty that requires a permft W construct,alter,improve,demolish,a repatr,any
z strucWre,Drior to its issuance,also requires ihe applicant for the pertnit to file a signed statemenl ihat he or she � Patio/Deck
� is licensed pursuaM to the provislons of the Cantractor's Sfate Licensa Law(Chapter 9)Commencing with Section w
� 7000 of Division 3 of the Business and Prafesslo�Code]w that he w she is exempt fram licensure and the basis lor LL P��/Spa
N me alleged ezemption.Any violation of Section 7031.5 by eny applicant for a permit subjects the aDDlicant to a civil penalty C7
N of rwt more than frve huntlretl dollars(5500). Z Re-Roof
�
o (J I,as owner of the properry,or my employees wlth wages as iheir sale compensatim,wlll do L)all of or(�portlons � Commercial
� of tlie vrork,and the struchue a not intended or otteretl for sale(Sectian 7044,Business and Prolessiorn Code:The �
� Contractors'State License Law dces not appty to an owner of property who,through empbyees'or personal eftort,builds m
w or imprwes the proper�y,pmvided ihat ihe improvements are not firtendetl or offered lor sale.tt however,ihe builtling or
� improvement is sold within one year of compleUon,ihe Owner-Builder will have ihe burden of proving that it was rw�built
por Imprmed for the purpose of sale.).
V I,as owner of the ro
� U p perry,arn exGusivety conUacting with Ifcensed ConUactors to conshuct the proJecl(Section Valuation: Ad fVea:
o 7044,Business and Rofessions CoUe:The Contractas'Stale Llcense Law daes not appty ro an owner o1 properly wtq 1�
� buildsaimprovesthereon,andwhocmtractsforiheprojeciswithalicensetlCantractorpursuantrotheContrxbrs'Slate QUANTITY DESCRIPTION FEE
�
Y License Law.).
o U�am exempt hom licensure untler the Contractor's State LJcense law lor Ne lollowing reason(s): �
� Q
'l By my signature below I acknowledge that,ezcept for my persm�al residence fn which I must have resided tor at least one c~.�
� year prior to completlon of the imprwemenLS cwered by thfs permd,l cannot legalty sell a strucWre that 1 have built as an �
Q owner-bullder it it has rrot been crosWcted in ifs entirery by Ikerrsed contractws.I undersfarM that a copy of the applinbte w
¢ law,Section 7044 0l ihe Business and Prolesslons Code Is available upon request when this eppllcation is submitled or at
X Ne following Web site:httpAvww.leginfo.p.gov/calaw.htrnL Z
� OATE: SIGN: �
� LICENSED CONTflACTOq'S DECLAHATION �
a
� I I�ereby affirm under penalty ot perjury that I am liceraetl under provisions of Chapter 9(commencing witb Seclion 7000)
w
� of Divisio t the Business and Protessions Code,and my license is in tult torce and eflect. J
�
� ucErase � c. . 6 �2. � Z
Z DA7E: CONTRACTOR: � �
Q WOHKEH'S COM TI�N DECLARATION �
� I HEREBY AFFlRM UNOER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS:
w
oI have sn0 will malntain a Certfticate of Consent to Self-Insure for Worker's Compensation,as provided 6y CONSTRUCTION: �� "')'S
� Seclion 3700 0l the Labor Code,for Ihe pettormance of the work fw which this permit is issuetl. p�qN REVIEW:
> I have and will mainfain Worker's Compensation Insura�e,as requiretl by Section 3700 of the Labor Code,tor
Z the peAormance o1 the work fa which this permit is issued.My Waker's Compensation Insurance Carrier and ELECTRIC:
a PWi�yNumb�/�re: , /1 II ` /� PLUMBING:
w CARRIEA /v'Q.�✓ {`y��✓1V�� ��'� �1�� �J l.�
M EC HAN ICAL:
� POLICYNUMBFA �� � � � INSPECTION FEE:
� (R�SSEC�ONNEEDNDTBECAMPLEfEDIFhIEPQA411SFORONEF0.1NfJREDDOLLARS�$10�ORLFSS�. ISSUANCE: �3S• ��
� I certiry that in tt�e performance W the work fa which I�is permit s' I shafl rrot employ any perseri in any manner so as to _ �
o become subject to the Waker's Compensatian La Califpm Md a ee that II I shoW � subject to ihe Waker's SMIP:
� Compe�s� pr aSecti«i370oat�he e,� � com pravisiorrs. ENERGY P/C:
LL DATE:N �. APPUCANC ENERGY PERMIT:
� WARNING:Failure to secure Worker's Compensation cove�ege is uNawlul,antl shall subject an employer to criminal RETENTION FEE: o�. (�p
w penatties and civil fines up to one hunAred thousand dollars($100,000),In etltliGon to the cost of the compensaUon,
o damages as provitled tor In sectqn 3708 0l the labor code,interesi,and attomey's tees. PRE-ALT FEE:
d CONSTHUCTION LENDING AGENCY BSAF: 1, �
w I hereby aKrm under penalty of per�ury thal there is a Construction LerMing Agency for Ihe peAorn�ance ol ihe work for �
= which this permil ts fssuetl(Sec.3097,Civ.C.�. '
�
F. LENDER'S NAME
� LENDER'SADDRESS:
d I certity that I have read this application and state tliat the above Informafion is canect I aqree to compry with all ciry antl TOTAL FEES - )�. ! '/�i
� T ��
Z county ordinances and state laws relating m bullding constructloo,and hereby auNaize represeniatives ol tl�is crounty to COMMENTS: � (
p enter upon the abave-mentioned p operry foIr inspectian purposes.
m h �1 D�
a PERMfTTE NAME(PRI
cn n .� �
� ��
F SIGNATURE OF PERMlTfEE DATE RECEIPT k PAID BY: VALIDATION:
. WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—Applicant's Copy
CtTY O� DIAIViOND BAR
INSPECTION RECORD
• e . � • - - • • � • � .
SETBaCK/LETTER � TRACT AND LEDGER
FOOTiNGS FORMS '=$ 3,: , " SWITCH GEAR
S�qg�:�, , - - � ` t ,-�� , � :? s �� COMMERCIAL HOOD
UG.PLUMBING�� - �� � ''" ` -` `��''� T-BAR
UG.ELECTRICAL 3 �''� ` °"' '� INTERCEPTER
UFER;GROUND_�� "��:�,';�- ' r - k �,"- ,� �, t'��'� - HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HQiS REPORT RECENED
SEWER CLEANOUT DEMOLITION
ROOF SHFATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
SHEARWALLS`EXTERIOR' . _ POOL/SPA�; ' r: d� �,::-, , ` ��.:.v �: .°
SMEAR WALLS`INTERIOR'_' ' � r , `, ' .�t.: : RQUGH PLUMBING ';, ; . � l : r" � y��`-
FRANIINGNENTING � � � ,
�� y ; �`� -��; ROUGH ELECTRICAL: � ' � ' �� �'� 3 ���
ROUGH;MECHANICAL ``� ��L ROUGH MECNANICAL + �+ f � ' ��' '=�` *�
. f
^,,
� GAS TEST� ' � j ; , ',, w ;i �, _"
ROUGN ELECTRICAL W(,")C( ) .: - , '
r '< '
ROUGH PLUMBING � - r''��'� � . � �:� ' � �,
: ; '_:, � ' =- � �' .. . o,:' ..,
PRE GUNITE � � �
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INSULATION WALL POOL PRE`DECK'BONDIN6, ;�� � ;;:;�� � I -.� �� � 'F
INSULATION CEILJNG �P-TRAP �'��� � .t�� .�.� .� , �- �'�'> -
FENCE%'GATE/ALARM ` ` .�,:- ` ' ' :< , - �.�
DRYWALL , �, ;�
LATH(PRE) FINAL POOL ` '§ - `v' _ _
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LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 15t( )2N0( )LIFf
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL ORAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL 1NSPECTION ,RO.�FRAIVIING PL'ANNINGAPPRO�fAL f ��� ��� � � � �_� � . r`
FINAL�BUILDING. = ROUGHFIRE�APPRqVAL ' ` ' �`�`�`' ` � "' �
FINAL MECHANICAL ' ' `FINAL FIRE DEPARTMENT �' '-:� ` � � '`�-
� ,��� � ... -�.. ,," �,. r' i � � ��- " �"4 n,_ f` rf�:
FINAL ELECTRICAL - -; �: '- �
FINAL�PLANNIN6 `'
FINAL PLUMBING - � � - FINALfNGiNEER�ING/PW �; ..E ,�, � ��` �'� � � ��-�
T.C:�of OCCUPANCY , ": - �, �' - �, ,'� � :FINAL COMMUNITY.SERVIGES �� 4 � �f
` .' ' ,, ', . .
CERT.�of.01�UPANCIF;�� , . . � � � _' '� �.' ���' `. ���` - ���� �FINAL IND LTH DEPT r ` - ��� t `
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��USTRIAL-.WASTE;' � _�' ` x:''�' �, '` = zy4 �``
_ _ . . , .. __ ,
COMMENTS: r s9 � r-� '1 I�i� I� �