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 III�� � �� � , ���� (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: w y ADD. SS �L � ZONING SEfBACKS � CITY 1r' ZI�_TEL. ' ' FRONT RW ❑ ¢ APPLICANT TEL. REAR ❑ � N '� '+ ( � SIDE/SIDE STREET RW Q Q CONTRACTOR 1 � 1 l SIDE ❑ 0 oro ,ADDRESS P PROPOSED USE � CITY • ZIP TEL. "7 0 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): � �i- ¢ �" 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 0 � 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 � 3 a (n U �� LICENSE CLASS: IC. 0.: � Q o DATE: CONTRACTOR: � _ ' Z . w 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 0 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: 0 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. J � �m a P E M N ,,,� �7 � 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: