The URL can be used to link to this page

Home My WebLink About14-3904 . ______ -- -�---- I __ �"'�"'"'„�.�r_ C1TY O['DIAMOND BAR ��. I I I i ' ' DEPARTMENT OF COMMUNITY&DLVELOPMCNT SERVICES �", �lIII,�� - " 21810 Coplcy Drive,Diamond 13ar,CA 91765 � PRESS , � � +^a' � ' 9U9 839-'7020 Fax: 909 861-3117 Buildin Ins ction Hotline 909 839-7027 FIRMLY �,.,,�. " ( ) ( ) g p� ( ) ��'Je°�"�' � BUILDING PERMITAPPLICATION ¢ JOB SITE ADDRESS Z 4`'�SD CJ7rD�khlC�`' ��.� J�i G'>+2O�l.p q/ APPLICATION DATE: G� 2✓� �'/ PJCp I a ISSUE DATE: � �`L PERMIT# / L�' ��D L/ I z APN LOT TRACT {, o OWNER OG E SH S H�'H TYPE CONST. ��u I OCC GROUP: � ADDRESS 2�) 2 SD �'J"1I��D�C�.IOD D�^ ZONING SEfBACKS � CITY �)^�'>'�DY�pfi� �jcti ZIP�rTEL CT0�1—S 6�� 3SSy FRONT RW ❑ a APPLICANT S�� T TEL. �� REAR ❑ � SIDE/SIDE STREET RW ❑ a CONTRACTOR �i�G'�G)'� SIDE ❑ 0 oro ADDRESS PROPOSED USE oc CITY ZIP TEL. 0 o ARCH/ENG/DESIGNER w z qDDRESS o � �i DWEL.UNITS k STORIES k BEDROOMS z CITY ZIP TtL. a� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNEH-BUILDER DECLANATION °C I hereby atlirm under penalty of perjury Nat I am exempt from ihe CoNracror's State License Law for the reason(5) SFR/ADD/REM � intlicated below by the checkmark(s�,I have piaced next to the apDlicable item�s)[Section 7031.5,Business and o Garage/Carport p Profeuions Code:Any city or caunty lhat requires a permit to construct,alter,improve,demolish,or repair,any z strucNre,prior to ils issuance,also requires the applicant for the permit to file a signed statement Nat he or she � Patio/Deck � a is licensed pursuant to the provisions of the Contractor's Sfate License Law(Chapter 9)Commencing with Section w � 7000 of Uivision 3 of ihe Business and Professions Code]or that he or she is exempt from licensure and the basis for LL Pool/Spa � the aileged ezemption.My violation ol Secdon 7031.5 by any applicant lor a Dermit subjecls the appliCant to a civil penalty C7 � ot not more than five hundred dollars($500). � Q Re-Roof o �'�,y5 oWner of the property,or my employees with wages as iheir sole compensation,will do(J all ot or(]portions � Commercial � of ihe work,and ihe sWcture is not intended or oftered for sale(Section 7044,Business and Professions Code:The m Z Contractnrs'State License Law does not apply fi an owner of property w�q through employees'or personal effort,builds w or impmves the D�operty,pmvided that Me improvements are not intended or otfered for sale.If however,the building or � improvement is sold within one year of completlon,the Owner-Builder will have me burden of proving that it was not built por improved for the purpa5e of sale.). � U I,as owner o1 the property,am exclusively canVacting with licensed Cantractors to construcl the project(Section z7044,Business and Professions Code:The Contraclors'State License Law does not apply to an awner ol properry who Valuation: Adj.Area: � builds or improves thereon,and who contracis tor the projects with a licensed Contractor pursuant to the ConVactors'State QUANTITY DESCRIPTION FEE Y License Law.). o ()I am exempt from licensure under the ConVactor's State License law lor the lollowing reason(s): � � 2 � LL By 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 compleGon of the improvements covered by this permit,l cannot legally sell a structure that I have built as an W Q owner-builder if it has not been consWcted in ifs entirety by licensed contractors.I understand ihat a copy of Ue appliqble l � law,Section 7044 ot ihe Business and Pmlessions Code is available upon request when this apDlicalion is submitled or at � ' Y S 0. `I h e�� { . �O� wthe following Wyeb 'e:htt leginio.ca.gov/ca�aw.html.. �� ,' � r �„ � o �ATE: � �V 2�J SIGN: - f" LICENSED CONTflAC7 'S DE RATION � F- a � I hereby aftirm under penalty oi perjury that 1 am licensed under provisions of Chapter 9(commencing with Seclion 7000) w m ot Division 3 of the Business and Prafessions Code,and my license is in full force and eflect. J _ � U N � LICENSE CLAS. LIC.NO.: /''~ ¢ � o DATE: CONTRACTOR: _ z w Q . NEH'S C SATION OECLAflATION � � I HEREBY AFFIRM UNDER PENAL7Y OF PE OF THE FOLLOWING OECLARATIONS: oI have and will mai � a CeAifirate of Con to Setl-Insure for Worker's Compensation,as provided 6y CONSTRUCTION: � Seclion 3700 e LaUor Code,for the pertormance work tor which this permit is issued. p�qN REVIEW: > I hav will maintain worker's Compensation Insurance,as r by Section 3700 of the Labor Code,for ELECTRIC: � t _peAormance ot the work for which this permit is issued.My Worker's ation Insurance Carrier and a PolicyNumherare: PLUMBING: _r "� ,.�,, CARRIER MECHANICAL: � POLICYNUMBER INSPECTION FEE: �^ � (fHIS SECIION NEED N0T BE COMPLEfEO IF iHE PERMR LS FOR ONE HUNDRED DOLLARS(S100j OR LESS�. ISSUANCE: �J '�� I cerlify thalilf9l¢qeA�ance oi the work for which this permit is issued,I sl�all not employ any persan in any manner so as to � beoome subject to the W ea�e S6a nsation Lav�s ot ' mia-Md�agree ihat if I should become subject to Ne Woiker's SMIP: � CompensaUm provisions of Seclion 3700 r Code,I shall torlhwilh comply vnih those provisions. ENERGY P/C: LL DATE: APPLI ; ENERGY PERMIT: � WARNING:Failure to secure WorkeTs Compensation coverage is uniawtul,and sha s Ject-an�employer to criminal RET'ENTION FEE: �_ D'O w penatties and civil fines up to one hundred thousand dollars($100,000),in addidon to the cosl ol ihe compensation, a damages as provided tor in section 3708 ot Ne labor code,interest,and attomey's tees. PRE-ALT FEE: 0 a CONSTflUCTION LENDING AGENCY BSAF: w I hereby amrm under penalty of perju there is a Construction Lendin A en rmance of the work tor � � which this permit is issued(Sec.3097,Civ.C.. ~ �� 7 � LENDER'SADDRESS: � a I certify Nat I have read this application and state that the above informatlon is conEcGl,agree[o comply with all ciry and TOTAL FEES � counry ordinances antl siate laws relating tn building consVucUon,and hereby authorize er presentatives of this county ro COMMENTS: z enter upon ihe above-mentioned properry for inspectian purposes. � � � m Y[�G�SH S N�-'rl ¢ PERMITTEE NAME(PRIN� /� � ✓ I 1 PAID BY:f �� VALIDATION:�,�r = SIGNATURE OF PER � DATE � RECEIPT k F- WH�TE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR - INSPECTION RECORD � A � � � � - • � . � � - '-SETBAGK!LETTER• - ' TRACTAND LEDGER F00TlNGSfORMS� ". ' - S,-7 ` ' SWITCH GEAR SLAB.., -r` - ` COMMERCIAL HOOD U�:PLUMBING-:.' . , ' ''' T-BAR UG.,ELECTRICAG, . 't INTERCEPTER UFER��GROUND ' ��` �# �� HOT MOPISHOWERPAN � SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SNEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR. . - - � POOL/SPA`� - - - SHEAR WALLS,INTERIOR'.:.; ROUGH;PLUMBING ' "� ' - - _ � FRAMINGNENTING ':i- . ', :`- - ;;. .-': '.;.' , �,.._� ROUGH:ELEGTRICAL:' , ' .: F ROUGH MECHANICAL ',' '.. =, _ ,: '- ,,.�: .. ,: , ROUGH,MEGHANICAL': , :> > ' ,� ' ;, ;;, ROUGH ELECTRICAL Wf;.)C.( .) .; GAS`TEST.:= ROUGH PLUMBING : ' ;: > _, : :_° ';° , = ' - ,= .. PRE GUNITE; . ;` - INSULATION WALL POOL PRE DECK.BONDING � '�"5 � INSULATION CEILING P,TRAP .-x.: _ � '' ' `�. , j � `f { „:' DRYWALL FENCE'/GATE/ALaRM, ` , „ LATH(PRE) FINAL POOL' r A'- LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL " GAS METER RELEASE WAIL FINAL SPECIAL INSPECTION R0:FRAMING PLANNINGAPPROVAL FINAL-BUILDING - - R.OUGH,FIREAPPROVAL . `>' FINAL�MECHANICAL FINAL F(RE`DEPART;M6NT, ;�� ' - FINAL;ELECT8ICAL � ' FINAURLANNING. ` ` � ` _ FINAL PLUMBING "-�, . '. ; ,: . •<< FINAL`ENGINEERING/PW'.�.° � ,. ,. -�: T.C.of OCCUPANCX , EINAL COMMUNITY�SERVICES � `� � � ' CERT.of OCCUPANCY ,;- . ;.,.. . `" ... � ; _ :: �'.. FINAL'HEALTH DEPL .. � x' FINAL Ih1DUSTRIAI WASTE ._::, _ �<. '>. '` COMMENTS: � � il V l� � �