HomeMy WebLinkAbout1217 PORTO GRANDE DR ��`� C1TY OF DIAMOND BAR
����
. � 1 { .� DEPARTMEIVT OF COMMUMTY&DEVELOPMENT SERVICES
����;n,�-.--��� " 2181Q Coplcy Drive,Diamond 13ar,CA 91765 RESS
t„� (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 FIRMLY
� � '�`%��°'. � BUILDING PERVIIT APPLICATION
' t —
� � �,� APpLICATION DATE: P�C�
w JOB SITE ADDRESS ISSUE DATE: � 1�S I� PERMIT# P�Z \dl—-33 l09
oqpN LOT TRA T
o OWNER TYPE CONS . OCC GROUP:
� ADDRE ZONING SEfBACKS �
N CITY ZI TEL. FRONT RW �
¢ APPLICANTf 7EL. REAR �
o �.� (� SIDEISIDE STREET RW �
> CONTRACTOR `- � ` ' SIDE �
a
0
oro ADDRESS PROPOSED USE
� CITY ZIP TEL.
0
`� ARCH/ENG/DESIGNER �
fl
o ADDRESS #DWEL.UNITS �I STORIES #�BEDROOMS
Q CITY ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF AD'J.AREANALUATION
� ONRIFA-BUILDEH DECLANATION
°C I hereby amrm umier penalry of perjury that I am exempt hom the Contractor's State Lfcense Law for the reason(s) SFR/ADD/REM
� {ntlicateA bebw bY the c�eckmark�s�,I have placed neut to the aDD��ble ilem(5)[Section 7(1315,Buslness and
o Garage/Carport
"' Professlorts Code:My aty m county that requires a Dermit to construct,alter,Improve,demolish,a repalr,any
z structure,Drior W Its Issuance,also reqWres the applicant for the permit to flle a slgned statement that he m she w Patio/Deck
a Is licensed pursueM to Me proWstans at the Cantractor's State Llcense Law(Chapter 9)Comme�ing with Sectlon � p�VSpa
N 7000 of Divislon 3 of the Buslness and ProleSslom Code]or lhat he or she is exempt hom Ilcensure and the basis for
� �
� Me alleged exemption.Any violation of Section 7031.5 by any applicant la a permit sub�ecls fhe aDDllcant to a tivil penatty Z Re-Roof
� of not more than five hundred dollars(5500).
�
¢
� o U 1,as awner of tha property,w my emD�uYees wlth wages as thelr sola campensatlon,wfll do(1 a0.nt or(,puNons � mmerc a
� of tlie work,arid me strucwre is not Intended or offered for sale(Section 7044,Buslness and Professlons Code:The �
� � Contracfirs'State Llcense law dces not eQpty ro an awner ot property who,through employees'or persnnal aftat,builds m
� � or imprwes the property,Drovlded that the Improvements are not intended or oflered for sale.If however,the building or
� Improvement is sold within one year ot completlon,Ne Owneo-Builder will have tha burden ot proving that It was not bultt
p m ImPrmed fa the purpose of sale.).
V 1,as owner at lhe ro ty contraclin with licensed Contractors 10 construcl the pro act(Section
U p perry,arn exdusNe e j Valuation: Adj.Area:
0 7pq4,Business end Professions Code:The Contractas'State License Law.does rrot appty to an ovmer o1 property who
� builds or imD���mereon,antl who conhacts for the projecls with e Ilcersetl Contracta pursuant lothe CoMractors'State QUANTITY DESCRIPTION FEE
�
Y ucense�aW.J. �
o U�am exempt from licensure under the Contraclor's Sta�e Ucense law lor the lollowing reason(s): �
� �
LL By my signature below I acknowledge that,oxcept tor my personal resldence in which I mu51 have resided lor at leas�one w
z year prior fi cwnpletion oi Ne fmprwemenk covered by this permlt,l cannot legalty sell a structure that 1 have built as an ,,,��
0
Qowner-Duilder If tt has irot been constructed In Ifs entirery by licensed conUactors.t un0ershand that a copy of the appllpble
aC law,Sectbn 704A of the Business and Pro(esslau Code is avallahle upon request when thl5 application Is submitled ar at
X the fdlowing Web site:httphmay.leginlo.ca.gov/calaw.htrnl. . m .
'�'-� OATE: SIGN: �
� LIGENSED CONTflACfOH'S DECLARATION a
v
w I hereby aNlrm under penalty ot perjury that I am licerned under prmisiorrs ot Chapter 9(commencing with Section 7000)
m of Dlvlsion 3 of the Business antl Protessions Code,and my license Is in full force and ettect.
� �
� z
v, ucer+s� � uc.No. C- b a
oZ DATE: � � NTRACTOR: T -- w
¢ WOPI(EH'S COMPENSAR81 ON �
� I HEAEBY AFflRM UN�ER PENALTY OF PERJURY ONE OF THE FOLLOWIN6 DECIARATIONS: ^ � 1 DO
¢ I have an0 win malntaln a Certlfiate ol Consent to Setl-Insure tor Worker's Compensation,as provided by CONSTRUCTION: �''�
� Sectlon 3700 0l the Labor Code,tor the perfamance ol Ihe vrork tor which this permrl Is issued.
� PLAN FiEUIEW:
j �have a�will maintain Waker's Compen5ation Insurence,as repuired by Section 3700 0l the Labor Code,for ELECTRIC:
o the pertormance ot the wosk tor which this permit Is issued.My Worker's CompensaTion Insura�e Carrier antl
¢ Poli�yuumbware: PLUMBING:
o �p�Eq — MECHANICAL:
z POUCv NUMBFA ��•—�"t�J"�\ INSPEGTION FEE:
c�
� (T}tlSSECfIONN�DNOTBECO IF IS RONEMmDREDooilnaslSio�Ont.ESsj. ISSUANCE: 3�' a 1
0 1 cerliry that in the perfomian:e of the vrak Iw wlixh this permit is issueq 1 shall nol emPloy arry P�m�y manner so as to SM IP: 1 � 4�
o hecome subjecl to the Worker's Compe�salion Laars ot Calitomia.Md agree Ihat it I sYwuld became subject m Ihe Wmkefs
uJ. Compensaum prwisions of SecGon 3700 or�he tabor Code,�shall�ortFnvNi compry wim those a���s. ENERGY PJC:
� DA7E APPUCANE ENERGY PERMIT:
S
� WARNING:FaiNre to secure Nbrkers CampensaUon cmerage is unlawtul,and shall subject an employer to criminal RETENTION FEE: � ' �7
°� penatties and civil fines up to one hundred thousand dollars($t00,OQ0�,In addition to the cost of the compensaUon,
a damages as prwided for In sectlon 3706 of the lahor code,interest,end attomey's fees. PRE-ALT FEE: -
a CONSTAUCTION LENDING pGENCY BSAF: �' �
w I hereby alfum under penalry of per�ury that there Is a Construction Lending Agency fa the peAom�ance ol the work for
� which 1hls permit Is Issuetl(Sec.3097,CIv.C.�.
r LENOER'S NAME
� LENDFA'SADDRESS: 1�
a I certify that I have reaA thls appllcatlon and state that the above information is correcL I agree tn compty with all city and TOTAL FEES 3�p.�0 7.
� county ordfnances and state laws relating ro building construction,and hereby authorize represenfatives M this counry to GOMMENTS:
� enter upon the abave-mentioned pro rty 1ar'spectbn purposes.
�
�
m �
a PERMRTEE NA
� SIGNAT ITTE DATE I RECEIPT# ���'�''� eT PAID BY: a��C1 VALIDATION:�
W HITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—File Gopy,GREEN—Applicant's Copy
CITY OF DtAMO1VD BAR
INSPECTION RECORD
• � � • � . . � e . • -
SETBACK/LETTER "t;"� � _ ` , TRACT AND LE�GER
'FQOTINGS FORMS, - f _.�= - � ; SWITCH GEAR
SLAB:` ` r. __ ` ,"� F ` - = COMMERGAL HOOD
UG.PLUMBING;'. , '�. -�r ' - T-BAR
'UG.'ELECTRiCAL.,. ` ' INTERCEPTER
UFER::GROUND-�;:�` ' �� ��:� , � °�t "? HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE �HERS REPORT RECENED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING �bL� ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT ,
SHEAR WALLS'EXTERIOR'', � _ POOUSPA�r' ` -� � `` �t `T `� '�
SHFAR WALLS INTERIOR'; _ - � ROUGH PLUMBIN6''_ " � '` _ `
FRAMINGNENTING ;� - � ` . � ROUGH ECECTRICAL:� ` * ` -� i
ROUGH MECHANICAL ;�. � , ; � �- ROUGH MECHANICAL "} �n : w �" �
`T � ',
ROUGH ELECTRICAL VV( ;)C( ) ;� '` �_ �� ; � {��;, � GAS TEST'_ �� � , �� �� -
:ROUGH.PLUMB!NG �,.��' , .. .�`' ,t�.>Y' � , �.��`' ,� ;i:. �� ,' . ".,.:`�.�.. PEiE GUNITE r ..., r ` � 'ry� r <Y
INSULATION WALL -POOL.PRE DEGK'BONDING r"" ' � �'� �" � ���`
INSULATION CEILING •R,-TRAP .;:' ' ' ''' `; � � , ;
DRYWALL FENCE)GATE/rAtAfiM _ t� �: ` "�
�
<F;,INAL`POOL r - - � `� rr �`�
tATH(PR� -
LATH EXTERIOR � WA�S�
IATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�T( )2ND( )LIFT
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIW SEAL
GAS METER RELEASE WALL fINAL
RO FiiAM1NG�PLANMNGAPFROVAL ' '" " i � ,
SPECIAL INSPECTION � �
s +
FINNL,BUILDING �s � }`� - `, ROUGH'FIREAPPROVAL � - '�� ' � ' `t � iY
FINAL MECHANICAL, ,�:4 r ,� r�. .� FINAC.FIRE DEPARTMENT :�'' ��Y� *a ''
FINAL`ELECTRICAL - 5:' � a':� ' FINALPLANNING ''; , Y �
FINAL'PLUMBING' €,� " �, �4 ', + ` �" ' FINflL.ENGINEERING/PW, , - f ,�
T.C..of OCCUPANCY : - �' � -� = F,INAL CQMMUNITY=SERVICES _ ' - ,� 1� = �`�--
�= l '� Y it
CERT of OCCUPANCY " r `� � FINAL H,EAITH DfP7 ` t- ' ' � �
., �. ..� ` .. ., . ��. ,� . . � �:,� =s.
FINAL INDUSJHIAL--WASTE;•�.�`',, r�_'� ` �,r�,�:?'r � ` =f` _. },::
COMMENTS: