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Home My WebLink About14-3621 � , ��_'�.''':'_�. �,.. C1TY Or DIAMOND BAR � I ,� I �I i Ti�,, DEPARTMENT OFCO�IMUNITY&DFVELOPMCNT SERVICE5 �\ �llll��i ��:r� ' 21810 Copley Drive,Diamond t3ar,cA yi��s � PRESS �'�,, �,,�� (909)839-7020 Fax:(909)861-3117 Bailding Inspection Hotline(909)839-7027 ��"'"°j� BUILDING PERD'i1TAPPLICATION FIRMLY g � � APPLICATION DATE: S�a q�I�- P/C# �P1Q \y-' �' Z� � JOB SITE ADDRESS 'n '/ a ISSUE DATE: _6,�9��UI y PERMIT# �"��'��/ z APN LOT TRACT .�. oOWNER 1i � TYPE CONST._%. � OCC GROUP: � ADDRESS � CITY ZIP T L. ZONING F ONT KS RW ❑ a APPLICANT TEL. REAR ❑ � � /1 SIDE/SIDE STREET RW ❑ Q CONTRACTOR ��L/ SIDE ❑ o� ADDRESS S , � a PROPOSED USE � � CITY ZIP EL. 0 o ARCH/ENG/DESIGNER w o ADDRESS #DWEL.UNITS #STORIES #BE�DROOMS z CITY ZIP TEL. m DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION a OWNEH-BUILDEfl DECLAflATION � I hereby affirm under penalty of perjury that I am ezempt from the Coniractor's State ticense Law for the reason(s) SPR/ADD/REM 0 o indicated below by the checkmark�s),I have D�aced ne#to the aDDlicable item(s)[Section 7031.5,Busineu and Garage/Carport w Protessions Code:Any city or county that requires a permit to construcf,alter,improve,demolish,or repair,any z structure,prior to its issuance,also requires lhe applicant}or the permit to file a signed statement that he or she � Patio/Deck a is licensed Dursuant to ihe provisions at the Contraclor's State License Law(Chapter 9)Cammencing with Seclion w ' � 7000 0l 0ivision 3 of the Business and Prolessions Code]or that he or she is ezempt hom Iicensure and the basis for uw. Pool/Spa , � the aileged exemption.Any violation of Secfion 7031.5 by any aDPlicant for a permif subjects the apDlicant to a civil penalry C7 � of not more than five hundred dollars($500). Q Re-Roof o (11,as owner o1 the property,or my employees with wages as their sole compensation,will do(�all 01 or(�portions � Commercial S � 01 the work,and the strucNre is not intended or ottered Por sale(Section 7044,Business and Rofessions Code:The m � � Contractors'State License Law does not apply ro an owner of property who,through employees'or persona�effort,builds � or improves the property,provitled that lhe improvemenLs are not intended or ottered for sale.If however,the building or � improvement is sotd within one year of completlon,the Owner-Builtler will have ihe burden ot proving that it was not Ouilt p or impmved for the purpose of sale.). � I,as owner al the ro e y g p � � U p D rtY�am exclusivel canVactin with licensed ConVaclors to conshuct the ro ect(Section ValuatiOn: Ad Area: z 7044,Business and Professions Code:The Contractors'Stale License Law does not apply to an owner of property who �� buildsorimprovesthereon,andwhocontractsforlheprojectswithalicensedContractorpursuanttotheContractors'Sbte pUANTITY DESCRIPTION FEE Y license Law.). o U I am exempt hom licensure under the Contractor's State Ucense law for ihe following reason(5): � � � zBy my signature below I acknowledge that,excepl for my personal residence in which I must have resided for at least one w o year prior to compledon of Ne improvements covered 6y this permit,l cannot�egally sell a sWcNre ihat I have built as an W a owner-builder if it has not been constructed in its entirety by licensed contractors.I understand ihat a copy of the applipble � law.Section 7044 of the Business and Professions Code is available�pon request when this application is submitled or at X the tollowing Web site:httpMvnv.leginlo.ca.gov/calaw.html. Z o DATE: SIGN: � r LICENSED CONTHACTON'S DECLANATION � w I hereby aBirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing wilh Section 7000) � m of Division 3 of the Business and Professions Code,and my ticense is in full force and ettect. J � LICENSE CLASS: � LIC.NO.: �L a O DATE: CONTflACTOR: _ - w � WORKEH'S COMPENSATION DECLA ATION � � I HEREBY AFFIRM UNDER PENAL7Y OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: oI have and will maintain a Certificate of Consent lo Setl-Insure for Worker's Compensation,as provided 6y CONSTRUCTION: �.� a. � � Seclion 3700 of Ihe Labor Code,tor the performance of the work for which this permit is issued. p�,qN REVIEW: �� • -7 0 > I have and will maintain Worker's Compensation Insu2nce,as repuiretl by Section 3700 0(ihe Labor Code,for � ihe pedormance af the work for which ihis Dermit is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: a Pali�yNumberare: PLUMBING: � CARRIER MECHANICAL' � x � POLICYNUMBER INSPECTION FEE: � (THIS SECTION NEED NOT BE CAMPLEfEO IF THE PERMR IS FOR ONE HUhDRFD DOLLNiS�S10fn OR LESS�. � ISSUANCE: �T-i� 0 I ceAi(y that in thr,peAormance of the wark Iw which Ihis permit is issued,I shall not enploy any person in any manner so as to SM I P: .�� become subjecllo Ne Workers Compensalian laws o1 Califomia.Md agree Ihat if I shwld become subject tu ihe Worker's � Compensation o''on o( tion 3700 of Ihe}LaM Ca/l/E,I sha111aUnvith compry wifh those pmvisions. ENERGY P/C: �� ' `��' J DATE: UCANT: �V i )-�_, LL �� J'��-�-- ENERGY PERMIT: � WARNING:F ilure o ecure Workers Compensalion coverage is unlawlul,and shall subject an employer to criminal REfENTION FEE: �•D w penafties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, o damages as provided tor in section 3708 ot the labor code,interest,and attomey's tees. PRE-ALT FEE: /y a CONSTHUCTION LENDING AGENCY BSAF: / •I/O w I hereby affirm wder penalry oi perjury thal lhere is a ConsVuction Lending Agency tor ihe pedormance of the work lor = which ihis permit is issued(Sec.3097,Civ.C.�. � LENDER'S NAME: � LENDER'SADDRESS: � l� a I certify ihat I have read this aDPlication and state that the above informaUon is correct.I agree to comply vnth all ciry and TOTAL FEES dQ�. S�' Z counry ordinances and state laws relaling to 6uilding consWcUon,and hereby authorize representatives of this counry to COMMENTS: o enter upon the ab ve-mentioned pmperty lor inspection purposes. J _ m a PERMITTEE E RI n � !- �G �4 S�S �� /� � � SIGNATU OF PE DATE RECEIPT k � 9 PAID BY: C VALIDATION:_,�� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—AppiicanYs Copy r CITY OF DIAMOND BAR INSPECTIOfV RECORD ■ � �� ° � � � e�. , � l � e � SETBACKt LEiTER ' TRACT AND LEDGER , � r � • FDOTiNGS�FORMS �� t' . ��- �' SWITCH GEAR g�qg �'� � e COMMERCIAL HOOD UC:�PLUMBfNG=�= . _ - T-BAR� � �'� UG.ELECTRICAL INTERCEPTER UFER GROUND HOT MOP/SHOWERPAN SEWER LATERAL SEPTIClCESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEA7HING ROUGH CONDUIT SHEAR WALLS"EXTERIOR : POOUSPA, - - ��' . ;.. , SHEARWALLS INTERIOR,�:,` `' ` `` . '_ � ; � ROUGH PEUMBING . . : �:' FRAMINGNENTING �: '-. :. '` - . .� ..' :� . .; ; ,' ROUGH ELECTRICAL; , ` ROUGH MECHANICAL a;; .... ;.= �, . . <:;; . � '. . :: :;. ROUGH MECHANICAC ; , : • „�:;� . ,.. < < " � GAS TEST �, , - �,:. = - ,. � ,. �:, .RO�JGH ELECTRICAL W(.;:�C( ) .: _ , - . . , . , .;,. ,, ; . ; .: ' .. _ ROUGH;PLUMBWG, . � - � �PREGUNITE ' � _ � ��a ` � _ INSUlATiON WALL POOL PRE`DECK BONDING � . ' ' ' � ` ` . . „ s , _. ,_ . . ,,.� _. , : _ , ., . INSULATION CEILING P.`1�P ` � � DRYWALL F.ENCE Y GATE/ALARM • ` - LATH(PRE) !FINAL POOL - ; LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2N0( )LIFf SCRAT.f,H COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL CAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNINGAPPROVAL - - _. . FINAL BUILDING . -. '` ' <ROUGH FIREAPPROVAL FINAC MECHANICAL � - FINAL fIRE DEPARTMENT = . � _ , ,, EINAL ELECTRICAL : .; :.-' ' ' : .._ ,. �;- FINAL PLANNIN6�_-:: ' ` - _ - FINAL PLUMBING_ 'FINAGENGINEERING/PW � � � � , . . .. : , ; _ T.C.-of OGCUPANCY :�� ' -, � ; . :: ':. FINAL COMMUNIi'Y:SERVICES ..: . �. ' - - <: �. �,. :, �; CERT.of OCCUPANCY, . . -.�, FINAL HEALTH DEPT. �':: ,�,�,`i. . � - fINAL INDUSTRIAL`WASTE •' ' :- ;, > ._; . . ,� COMMENTS: