HomeMy WebLinkAbout14-3962 _,�'��,_ C1TY OF DIAMOND BAR �
�� I � I 1 i ' '; DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES '
`"�`" i - 21810 Co le Drivc Diamond 13ar CA 91765 PRESS
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�� � , ���� (909)8397 020 Fax:(909)861-31�17 Building Inspection Hotline(909)839-7027 �
�`_;���',."� BuiLniNG rEx�iT aPPLicATioN � FIRMLY
� JOB SITE ADDRESS J��/ U l.(� APPLICATION DATE: i'7'��� P/Clt
a ISSUE DATE: 7�- � I PERMIT# �ZI- �7 6�
z APN LOT�TRACT �
o OWNER � TYPE CONST. � Y►'1 i ry OCC GROUP:
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y ADD. SS �L � ZONING SEfBACKS
� CITY 1r' ZI�_TEL. ' ' FRONT RW ❑
¢ APPLICANT TEL. REAR ❑
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N '� '+ ( � SIDE/SIDE STREET RW Q
Q CONTRACTOR 1 � 1 l SIDE ❑
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oro ,ADDRESS P PROPOSED USE
� CITY • ZIP TEL. "7
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o ARCH/ENG/DESIGNER
oADDRESS #DWEL.UNITS N STORIES #BEDROOMS
z CITY ZIP TEL.
� DESCRIPTION 50.Ff. FACTOR PSF ADJ.AREANALUATION
OWNER•BUILDEfl DECLAflAT10N
¢ SFR/ADD/REM
o I hereby aflirm under penatry of perjury that I am exempl irom t�e Contractor's State License Law tor the reason(s)
p intlicated below by the checkmark(s),I have placed next to the applicable item(s)[Seclion 7031.5,Buslness and Garage/Carport
'-'-' Protessions Code:Any city or county ihat requires a permit ta construct,alter,improve,demolish,or repair,any
zstructure,prior W its issuance,also requires lhe applicant for Ihe permit to file a signed sWtement that he or she � Patio/Deck
n. Is licensed pursuant to ihe pravisions of the Contractor's State License Law(Chapter 9)Commencing with Section w
� 7000 of Oivision 3 af the Business and Profeuions Code]or lhat he or she is exempt from licensure and the basis for LL Pool/Spa
N the allr;�ed exemptian.Any violation of Section 7031.5 by any aD�licant tor a Dermit subjects the aDDlicant to a civil penalty C7
� of nai n-�ure than tive huntlretl dollars($500). O Re-Roof
o U I,as awner of the property,or my employees with wages as their sole compensation,will do(J all of or U portions � Commercial
� ol the work,and ihe structure is not intended or oflered for sale(Section 7044,Business and Protessions Code:The m
Z Contracinrs'Sfate License Law does not apply ro an ovmer of property who,through employees'or personal ettort,builds
� or improves the properry,providetl that ihe improvements are not intended or ottered tor sale.If however,ihe building or
� improvement is sold within one year of completion,the Owner-Builder will have the burden of proving ihat it was not buitt
p or improved(or ihe purpose of sale.).
� ()I,as owner of the properry,am exclusively contracting with licensed ConVactors to consWct the project(Seclion
z 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of proDertY who Valuation: Adj.Area:
� builds or improves tnereon,and who contracts for the projects wiN a licensed Contractor pursuantto the Coniractors'State pUANTITY DESCRIPTION FEE
Y License aw.). �
o U�am exempt Irom licensure under the ConVactor's State License law for the foltowing reason(s): �
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�" By my signature below I acknowledge that,except for my personal residence in which I must have resided tor at least one w
Z year prior to complelion of Ihe imprmements covered by this permit,l cannot legalty sell a shucture that I have built as an w
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� owner-builder i(it has not been consiructed in its entirery by licensed contractors.I undersfand that a copy of the appliqble
� law,Section 7044 of the Business and Professions Code is available upon request when this application is su6mitted or at
X the tollowing Web site:http/wvuw.leginfo.ca.gov/calaw.html. z
o DATE: SIGN: � p
� LICENSED CONTRACTOR'S DECLARATION � JC C
H a
w I hereby aftirm untler penalty ot perjury that I am licensed under provisions of Chapter 9(commencing with Seclion 700II)
m ot Division 3 of the Business antl Protessions Code,and my license is in full force and eftect. J
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�� LICENSE CLASS: IC. 0.: � Q
o DATE: CONTRACTOR: � _ '
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a WORNER'S COMPENSATION DECLARATION g
� I HFAEBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARAl10NS:
oI have and will maintain a CertTnte of Consent to Self-Insure tor Worker's Compensation,as providetl 6y CONSTRUCTION: �
� Section 3700 ot lhe LaDor Cotle,for Ne peAormance ol ihe work for whiCh this permit is issued. p�qN REVIEW:
> �I have and will maintain Worker's Campensation Insurance,as required by Section 3700 of the Labor Code,tor ELECTRIC:
� the pedortnance of ihe work for which this permit is issued.My Worker's Compensation Insurance Carner and
¢ PolicyNumberare: ` � � PLUMBING: ��i
� CARRIER QS7 MECHANICAL
� PouCY NUMBER��In['y� �- ?.� INSPECTION FEE:
� (�HIS SECTION NEED NOT BE COMPIE'ffD IFTHE PERMR IS FOR ONE HUNDRED DOLLAH„�5100)OR LESS).
� ISSUANCE: '.A�D/
0 I certify that in the DeAormance of the work lor which Ihis permit is issueA,I shall not employ any person in any manner so as to
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bemme suhject to the Waker�Compensatbn laws o1 California.Md aqree that if I shwid me ro ihe Worker's SMIP:
� Compen im provisions ot Section 3700 ot�he labor Code,I sh o �,can with t isi . � EN ERGY P/C:
,J—L DATE:��APPLICAN7: ENERGY PERMIT: � `
� WARNING:Failure to secure Workers mpensation coue age is unlawlul,and sha�l subje employer to criminal REfENTION FEE: d���1i'
w penalties and civil tines up to one hundred Mousand dollars($t00,000),in atldi6on to the wst ot the compensation,
a damages as prwided for in section 3708 of ihe labor code,interest,and attomey's tees. PRE-ALT FEE:
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a CONSTRUCTION LENDING AGENCY BSAF:
,� I hereby aKrm under penalry of perjury that there is a Constmction Lending Agency for the pedormance ol the work for
= which this permit is issued(Sec.3097,Ci¢C.).
�
� LENDER'S NAME:
� LENDER'SADDRE55: , ��
a I cerlify ihat I have read this application and state that the above informatlon is correct I agree to comply wit�all city and TOTAL FEES
Z county ordinances and state laws relatlng tu building conshucfion,and hereby authorize represenia[ives of this county to COMMENTS:
p enter upon the above-mentianed property tor inspection purposes.
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a P E M
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� NA E OF M EE DATE / RECEIPT q�D�' / PAID BY:�� � VALIDATION:
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy
1
CITY OF DIAIVIOND �AR
INSPECTION RECORD
_._,�.
•
• • i � ' A ' ' � B � • '
.SETBACKI LET,TER ��'` `� TRACTAND LEDGER �
FOOTINGS FORMS - _ : SWITCH GEAR
SLAB�; � � �: "�"` COMMERCIAL HOQD
UG.,PLUMBING'� = �,- � `' z,.,`:. T-BAR
UG.EL'.ECTRICAL , �..'', . -3;z� INTERCEPTER
UFER�GROUNO'": - -,,, � `- ` HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONOUIT
,� ., , �< i ,
SHEARWALLS'EXTERIOR;�... �- . _��; '_� ` _:.. _�. �:, ,:. POOLlSPA.- ` � .'' {��.-� - '�
SHEARWALLS�INTERIOR.���, „ .� � '�` �� � ROU�HPLUMBING�'-__ ,
FfiAMINGNENTING. . :_ - -= � , RpUGH ELECTRICAL. '. z �- h � {
, _... . .
.... , ;.
ROUGN MECHANICAL, . -`.. - .:, ,-,: :.; .. ;, . R . ..„ '' . . ,ROUGN MEGHANIGAC' � �'=;. . , : < � s ; . ,
=� �� �� ,: � < < :; �
,ROUGH ELECTRICAL W('.)C('.,) ' �, _ '- .; . , =' _ '; ; GAS TEST�` _ ;, � „• � ;,. �
ROUGH PLUMBING ty �. "• PRE GUNITE
. - _ _ . ,. :
INSULATION WALL FOOL PRE bECK BONDING ` ' � ' '
INSULATION CEILING P=TRAP�;��. '.� � ;�� � .;-�; �
DRYWALL FENCE/GATE!ACARM _ ' ' - �'
LATH(PRE) fINAL POOL � ` 4 -
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1sr� �2en� ����
SCRATCH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
, .
SPECIALINSPECTION RO:FRQMINGPLANNI.NGAPPROVAL , ::�` ' ` ' _:�; ,
; .. , .
FINAL`BUILDING . = , ._ ;: -; ' -:_` ,':' ' ` :- RpUGHFIREAPPROVAL -. -"
FINAL.MECHANICAL �: , ::` ;' `.> :`s•� .. - :. .. .`i '�' FINAL=FI,RE OEPARTMENT . :� ` `
FINAL ELECTRICAL —z�; � FINAL'PLANNING :;:; _ �,.,._' ' ' ''
. , , ,, _ ; .
: : . .;:,� _
FINAL'`FLUMBING �Z� � � , '' , ,.> " � `.;:
FINA,L'ENGINEERING/PW, _ r
T.C:of OCCUPANCY FINAL COMMUNITY.SERYICES, � := . ,,:;:
CERT.;of OCCUPANCY;' -'. ' '; '' , - ,
,.; FINAL-HEALTH DEPT. �,,'� r, ,,,`;
. �,-. . �.,�...... , . , , , ,..
FINAL INDUSTRIAL:WASTE�;: +`
COMMENTS: