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Home My WebLink About14-4341 � � �i';i �. CITY OF DIAMOND BAR � �Q�.��j�D�N '�I I I i ' II DEPARTiVIENT OF COMMUNITY&DEVELOPMENT SERVICES � ��p,�,��. r 21810 Copley Drive,Diamond 13ar,CA 91765 PRESS � � �``��" ��""4� , 909 839-7020 I'ax: (909 861-3117 Buildin Ins t�tion Hotline 909 839-7027 FIRMLY „�:,"y,,,'�_��,,,.,>, ( ) ) � P" ( ) ��'��N"�� BUILDING PER191T APPLICATION � (/ 2O a T'GIiJYt a�' G4�;�J"� APPLICATION DATE: 1 V P/C# t� wJOB SITE ADDRESS �- - � �y- Y��7 � a ISSUE DATE: PERMIT# z APN LOT v TRACT i o OWNER�I • L(/�'�1"I� TYPE CONST. ��QC�r,�q r OCC GROUP: � ADDRESS G �`�`� ZONING SEfBACKS � arr D� �GW- ZIP TEL. � � S FRONT RW ❑ a APPLICANT TEL. REAR �- a �` t SIDE/SIDE STREET RW ❑ Q CONTRACTOR JS vV, � SIDE � �o ADDRESS I � b PROPOSED USE � CITY ZIP��TEI. � � 0 " ARCHlENGlOESIGNER 0 o ADDRESS � #DWEL.UNITS #STORIES N BEDROOMS aCITY ZIP TEL. m OWNEH-BUitDER DECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATSON a SFR/ADD/REM � I hereby attirm under penalry ot Derjury thal I am exempt from 1he CoMraclor's State License Law lor the reason(s) 0 p indicated 6elow by ihe checkmark�s�,I have placed next to the applicaGle item(s)[Section 7031.5,Business and Garage/Carport w Professions Code:My city or county lhat requires a permit to construcl,alter,improve,demoiish,or repair,any z struclure,D��or to its issuance,also requires the applicant for the permit to file a signed stalement that he ar she (n Patio/Deck � is licensed pursuant to the proYisions ol lhe Contractor's State License Law(Chapter 9)Commencing wiN Section w - w Pool/Spa � 7000 of Division 3 of lhe Business and Professions Code]or that he or she is exempt from licensure and the basis tor LL � the alle�ed exemption.Any violation ol Section 7037.5 by any applicant tor a permit sublects the aDD��cant to a cNil penalty � � Z Re-Roof � of not more ttun live hundred dollars(5500). p o (�I,as owner of the property,or my employees wilh wages as their sole comDensation,will do(.J all of or(�porlions � Commercial � ot ihe work,and the sWCNre is not iniended or affered fOr sale(Section 7044,8usiness and Pmfessions Code:The � m � ConVactors'State License Law does not apDN to an avmer ot praperty who,through employees'or personal ettort,builds w or improves the property,prouided that ihe improvements are nof intended or oflered fw sa1e.tl however,lhe building or � improvement is sold within one year of complefion,the Owner-Builder will have ihe burden of proving that it was not Guilt por imprwed for Ne purpose of sale.). � O I,as owner of the property,am exdusively conVacting with licensed ConVactors to construct the project(Section z7044,Business and Prolessions Code:The Coniractors'State License Law does nat apply tn an owner of p�operty who Valuation: Adj.AreB: N huilds or improves thereon,and who wntracts for the projects with a licensed Cantractor pursuant to the Contracrors'State QUANTITY DESCRIPTION FEE Y License Law.). J o (�I am exempt trom licensure under the Conttactor's State License law for Ne toAowing reason(s): � � � `� By my signature below 1 acknowledge ihal,except for my personal residence in which i must have resided tor al Ieast one W Z year prior to comptetion ot the improvements wvered hy this permit,l cannot legalry sell a strocture that I have built as an „�, 0 Q owner-buiider if it has not been consWcted in its entirery by licensed contractors.I understand that a copy of the aDP�icable � law,Section 7044 of ihe Business and Prolessions Code is available upon request when this application is submitted ar at o- the following Web site:http/www.leginfo.ca.gov/calaw.�tml. z wLO OATE: SIGN: � � LICENSED CONTflACiDH'S DECLARATION � � a � I hereby aflirm under penalty ot perjury that I am licensed under provisions ot Chapter 9(commenCing wilh SeCtion 7000) w � of Division�of the Business and Professions Code,and my license is in full(orce and eflect. � � LICENSE C �'1 �� LIC.NO.: ��V� a � o DATE: / CONTRACTOR: �� w Q WOflNEN'S COMPENSATION DECIARATION � � I H�R�BY PFFlRM UNDER PENALTV�F PERJURY ONE OF THE fOLLOWING�ECLARATIONS: oj�r I have and will maintain a Cert�cate of Gonsent to Self-Insure for Worker's Compensation,as provided hy CONSTRUCTION: � Seclion 370D ol Ibe labor Code,for Ihe pedormance ot ibe work for which 11»s permil is issued. p�qN REVIEW: > �I have�and will maintain Worker's ComDensation Insurance,as repuired by Section 3700 of the Labor Code,tor ELECTRIC: J �� - o the pedormTncC ot lhe w rk lor which this Dei�y issued.My Worker's Compensation Insu�ance Carrier antl � ¢ Poli�y Number are: � PLUMBING: � CARRIER �`� ` MECHANICAL: z POLICYNUMBER INSPECTION FEE: c� ��; � (THIS SCCTION NEFD N0T BE COMPLEfED IFTHE PERMIT IS FOR ONE HUNDRE�DOLLARS(5100)OR l E5S). ISSUANCE: '�'`fr 7 oI certiiy ihal in the Dertonnance ot Oie work for which Ihis permit is issuetl,I shall not employ any person in any manner so a5 to SM I P: bemme suUject to the WakerS Compensation Laws ot Calitomia.And aqree ttiat if I shwld become suqecl ln ihe Worker's � Compen!y�'ti prov a s i Sec6on 3700 01 �bor Code shall fo�Yyv/�com ry w� ;'p _h�rose D�q`��Ions. ENERGY P/C: J DATE:]f � APPLICANT:� '�Q,Lj 1 YA ��f i � � . ENERGY PERMIT: n � WAfiNWG Failure to seare Worker's Compensalion coverage is unlawtul,and shall subjecl an employer to criminal RETENTION FEE: �--dGl=— - w penalties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost o1 the compensation, � damages as provided tor in section 3708 oi ffie lahor code,interest,and attomey's Iees. PRE-ALT FEE: � CONSTRUCTION LENDING AGENCY BSAF: w I hereDy alfirm under penalty of perlury Ihal there is a ConsVuction Lending Agency Por the pedormance of the work for = which this permit is issued(Sec.3097,Civ.C.�. �]^ � LENDER'S NAME: f t,.I / � LENDER'SADORESS: d I ceAity that I have read Nis appficatio�and state that tha above informaUan is carrect.l agree N comply with atl city and TOTAL FEES � counry ordinances and state laws relating to bui�ding constmction,and hereby authorize representatives ot this counTy to COMMENTS: z enter upon the above-mentioned pr e for inspect�pu poses. I 0 J � m d NAME(PRI �/ � � DATE d REGEIPT k '�.I�� PAID BY:� l VALIDATION:��_ = SIGNAT F P M � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROU—File Copy,GREEN—ApplicanYs Copy CITY OF DIAIVIOND BAR � -� INSPECTION RECORD . o � , � a - - • � . � � - SETBACKI LETTER . `" : TRACT AN�LEDGER � '_ ; _ . FOOTINGS FORMS„ - - _; SWITCH GEAR g�qg _ -� COMMERCIAL HOOD UG.PLUMBING r': - ,`,. . - T-BAR . UG.ELECTRICAL � - - INTERCEPTEFI UFER GRDUND' y° `.` �� HOT MOP/SHOWERPAN � SEWER LATERAL SEPTIC/CESSPOQL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS:EXTERIOR: -' : � �l ' � POOUSPA'; " � SHEAR.WALLS INTERIOR' " , - _� � ' � ` :ROU6H PLUMBING".. - :s �r � FRAMINGNENTING - - _ 'ROUGH;EL�CTRICAL= _ �_ ' = ' `-� .ROUGHMEGHANICAL_ , - k� _ ,_ : ROUGH MECHANICAL �;° , , � � �� . . . . - �� , _�< , _ :� r { �_ � ; � . � � , : _ . , , � ROUGH ELECTRICAL W(�.:)CO 'fU �{ � � AS TEST.- . �. , � . , � • � ` � �` �PRE 6UNITE � ��: �'� . flOUGH PI.UMBING _�• -� , `�'� �: ^�� ., . .� _� . , _ . .. ._ . INSULATION WALL •POO,L'FRE,DECK.BONDING ;;' � '� ' '' "' �; INSULATION CEILING P-TFL4P ",-; �`�' - - * �- DRYWALL 'FENCE!GATE!AtARM � LATH(PRE) FINALPOOL .,. :�.. " T �� LATH EXTERIOR C � WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�`( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE �'� �� WALL DRAIN/SEAL GA5 METER RELEASE WALL FINAL SPECIAL INSPECTION � �RO FRAMIN�PLANNING;APPROUAL, . - �..,. .:; `� �� FINALBUILDING.., ` i` .,.- " ROUGH•FIRE'APPROVAL � ; ` '. ` FINAL MECHANICAL ,. -'" FINAL.FIRE DEPARTMENT, : - f FINAL ELECTRICAL ' _ s. ,FINAL�PLANNING': ` ` - "' FINALPLUMBING . � �,x,- FINALENGINEERING/.PW• ,:� " ;;1,�. . �' � , ti .. .. _.. . ,, : ; � . , T.C::of OCCURANCY . ' �- � ` 'FINAL COMMUNITY SERUtGES � , . ,,, =, ,.; _ : , �� -� _ �.;� ., ,. � ,. ��: CERT.of OCCUPANCI' :' _ " � FINAL`HEALTH DEPT _. � �' FINAL INUUSIRIAL-INASTE�: � '` i ` COMMENTS: Page 1 of 2 � � CITY OF DIAMOND BAR RECVD BY: LALLEN 01000006774 PAYOR: STEVE MARSHALL ELEC TODAY'S DATE: 09/04/14 REGISTER DATE: 09/04/14 TIME: 12:42 DESCRIPTION AMOUNT CUST ID: 1.000 ELECT PERMIT FEE - RES $57.80 CUST ID: 1.000 PERMIT ISS FEE - ELECT $35.57 CUST ID: 1.000 RECORDS RETENTION FEE $2.00 CUST ID: 1.000 BUSINESS LICENSE $10.00 CUST ID: 1.000 $1 STATE BUSINESS LIC $1.00 ' CUST ID: 1.000 RETURN CHECK CHARGES $15.00 ---------------- TOTAL DUE: $121.37 TENDERED: $121.37 CHANGE: $.00 CASH . $4.00 REF NUM: CHECK . $117.37 REF NUM: CHECK 610011250 http://192.168.1.215/gas2.32/wa/ft/7dbe676e3b80dc58cled5dcfa57e189e/1/4448 9/4/2014 ,*091,000019*� .� CLOSED ACCOUNT 08/12/2014 3 3 5110 0 8 31 � Do Not Re-deposit ' Th i s i s a LEGAL COPY � , of you.r check . You can � use i t the same way � you.woulduse the � `a . - "" o r i g i n a I c h e c k . � � STEVE IVL4RSHALL ELECTRIC,INC. t��a� B�1,3 � rl \ 146 AVENIDO PELA1'0 . � rp � - SAN CLFMENT�.CA 8Y672 / . (849)2Bd-Z{36 , Drs'rP � RETURN REASON-D o � : ��+1' . • CLOSED ACCOUNT ni R � .� g,�� ., ' I. .. �� • , ..,... .. • � �- � . �: �1�(0, 3�� m a - .3 �,. . . �;.., p . . ' � LLARB lJ �G�::�... � 0 � . � V11�011�8I�G� . .. . . . � � . ... .. p�6I a ar}nY Unfon B��Icbt�tah InWudfna� ' . ' � � �OQC�lilom��9u+�1,9�n ana�co.Ck441a4 ' � � . ,�r�, � � 800.]98.6186 unbnha�kcem ' ' �v V�/�� ^ °, � . . �� ; L �' � Q" (1 !dR "�1 XON�fIG�W�TURC'--• `�J�' 0 . y � � . ii■p0�9 i�u' �:b 2 2Q00496�: 06 700 3 3090�' ---- — - -- — if�anm�asn�e — _`NMI� u'0089 L 3��' 4�: � 2 2000496�: 06 ?00 3 3090ii' ��'00000 i06 3 7��' . , � I r