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Home My WebLink About14-4285 (8) -'�''�5�'"w. � C1TY OT DIAMOND BAR .• �- r�T,_.:._��r �; ` I I I i ' !; DEPARTMENT OF COMMUNITY&DTV E1.OPMGNT SERVICES �+ ��IIL�i n,,, '' 21810 Copley Drivc,Diamond I3ar,CA 91765 � `"�, , � ' PR�SS i � , „ � (909)839-7020 Fax:O09)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ��'""°� BUILD[NG PERMIT APPLICAT[ON g ' ''L2 ��1 � APPLICATION DATE: `�' �"DI P/C# W JOB SITE ADDRESS / z/ Q a ISSUE DATE: �^� O� PERMIT# � / '� �Z CJ� z APN LOT—��TRACT o OWNER ��Q.�IM �%luM'�"Y�M • TYPE CONST.��`^� ��I OCC GROUP: ' N ADDRESS L L 3 G�� , y CITY �� 'I�Ji:I • ZIP qI�TEL ��{- ZONING F ONTCKS RW ❑ � APPLICANT ^ TEL�u+ �� REAR ❑ 0 cn SIDE/SIDE STFiEET RW ❑ o CONTRACTOR �L�G l�-�� '1I�'��' SIDE ❑ � ADDRESS 'i �'S t • ��(Y1�/ I�t'V�/�� o CITY I��.M G1 ZIP�I1UZ TEL.�u�Y�L�i-R2� PROPOSED USE Y� O�7� o ARCH/ENG/DESIGNER w o ADDRESS o �i DWEL.UNITS #STORIES tt BEDROOMS z CITY ZIP TEL. Q ownen-BUan�oECu�AATION DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION °C I hereby affirm under Denatty of perjury Nat i am exempt irom the Contractor's State License Law tor the reason�s) SPR/ADD/REM 0 p indicated below by the checkmark(s),I have placed next to the apD��ble item(s)(Seclion 7031.5,Business and Garage/Carport o Professions Code:Any city ar county ihal requires a permit to consUucl,aller,improve,demolish,or repair,any w structure,prior to ils issuance,also requires lhe applicant for the permit lo file a signed stalement that he or she � Patio/Deck a is licensed pursuant to the provisions of the Contractor's State License Law(Chapter 9)Commencing wilh Section w � 70D0 0l 0ivision 3 of ihe Business and Professions Code]ar that he or she is exempt from licensure and the basis lor LL P�I/Spa N ihe aileged exemption.Any violation of Section 7031.5 by any appiicant tar a Dermit subjects the applirant to a civil penalty C7 � ot not more than five huntlred dollars($500). ZQ Re-Roof o (J I,as owner of the property,or my employees with wages as their sole compensation,will do(„)all 01 or(J portions � Commercial � of the work,and me strucNre is not intended or oflered for sale(Section 7044,Business and Pmfessions Code:The m � Contractnrs'State License Law does not apply fi an awner of praperry who,thmugh employees'or personal effort,builds � or improves the property,Drovided that ihe imprwements are not intended or ottered tor sale.If however,the builtling or � improvement is sold within one year of completion,the Owner-Builder will have ihe burden of proving ihat it was not built p or improved for the purpose of sale.J. V I,as owner of the ro e y g p � ( � (� p p rtg am exclusivel convactin with licensed Conuactors to canstruct the ro'ect SecGon Valuation: Adj.Area: z 7044,Business and Professions Cotle:The Contractors'State License Law does not apply to an owner o1 property who � builds or improves thereon,and who coniracis for ihe projects with a licensed Contractor pursuant to the Contracmrs'State pUANTIIY DESCRIPTION FEE Y License Law.). o U�am exempt hom licensure under the CanVactor's State Ucense law ior the lollowing reason(s): a � ¢ ZBy my signature below I acknawledge that,except for my personal residence in which 1 must have resitled for at least one w � year prior to completlon of Ne improvements wvered by this permit,l cannot legally sell a sWCWre tha[1 have built as an W a owner-builder if it has not been constructed in its entirery by licensed contractors.I undersfand ihat a copy of the applicable ¢ law,Seclion 7044 of the Business and Protessions Code is available upon request when this application is su6mitted or at G � � .1 ,� X the following Web site:http/www.leginto.ca.govlcalaw.html. � z o DATE: SIGN: � � LICENSED CONTRACTOfl'S DECLARATION � w 1 hereby affirm under penalry ot perjury that 1 am licensed untler provisions ot Chapter 9(commencing with Section 70D0) m ot Division 3 ot the�usiness and Professions Code,and my license is in full force and etteci. J � UCENSE CLASS: C�� Ly L uc.no.:_�1 l�5 1�.S Z z DATE.�?-• I � I�I. CONTfiACTOR: � G"'^�� Q WORKER'S COMPENSATION D LARATION � � I HEREBY AFFIRM UN�ER PENALTY OF PERJURY ONE OF THE FOLLOWING�ECLARATIONS: oI have and will maintain a CeAifirate ot Consent to Setl-Insure lor Worker's Compensation,as provided 6y CONSTRUCTION: � Seclian 3700 of the Labor Code,tor the pertormance of the work for which lliis permit is issueU. p�qN REVIEW: > �I have and will maintain Worker's Compensation Insurance,as required by Section 3700 0l the Labor Code,for � the pedormance ot the work tor which ihis permit is issued.My Worker's Compensation Insurance Carrier antl ELECTRIC: ¢ PoliqNumberare: 1�� /�. � PLUMBING: �� w CARRIEA �`�� 1',�/"��/�\. MECHANICAL � POUCYNUMBER ��G7 ' �S� � 'S��p3� '(71� � INSPECTIONFEE: � (T}iIS SECTION NEED NOT BE CAMPLEfED IFTHE PERMR IS FOR ONE HUNDRED OOLL4RS(5700)OR LESS). � �SS�AN�E: r r 0 1 certify that in ihe peAormar�ce o(Ne work lor which Nis permit is issueq I shall not employ any person in any manner so as ro , o become subject to Ne Waker's Compensation Laws of California.Mtl agree that if I should 6ecome subject to ihe Woiker's SMIP: � CompensaUm provisbns of Seclion 3700 of Ihe Labor Cade,I shall toMwilh comply with ihose pmvisions. EN ERGY P/C: LL DATE: -1-1�-1 APPLICANT: e � ENERGY PERMIT: q � WARNING:Failure to secure Worker's Campensation rage is unlawlul,and shall subject an employer to criminal RETENTION FEE: .�-U/{ w penatties and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of the compensation, a damages as prwided for in section 3708 ot the labor code,irRerest,and attomey's fees. PRE-ALT FEE: 0 a . CONSTRUCTION LEND�NG AGENCY BSAF: w 1 hereby affirm under penalty of perjury that there is a Constmction Lentling Agency for the pedormance of ihe work for = whicb this permit is issued(Sec.3097,Civ.C.�. � �.._ LENDER'S NAME � � LENDER'S ADDRESS: a I certify that I have read this appliption and state that the above information is cortect.I agree to comply with all city and TOTAL FEES z county ordinances and state laws relating to building consWctlon,and hereby authorize representatives of this counry to COMMENTS: p enter upon the above-mentioned pmDerty far inspection purposes. J �m a PERMfTTEE N1E(PRINn = SIGNATURE OF � TTEE DATE�I ' I�� RECEIPT#�p N 3 6 PAID BY: C K VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—file Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD . . � � , . o . . e e , . e . SETBACIU LETTER TRACT AND LEDGER FOOIINGS FORMS - SWITCH GEAR g�pg' - COMMERCIAL HOOD UG:PCUMBING:: `. T-BAR UG.ELECTRICAL : INTERCEPTER � UFER GROUND'-: - - : HOT MOPlSHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING RQUGH CONOUIT SHEAR WALLS EXTERIOR . ,. ROOUSPA;°: , - - -_ . � . • � . � � � � '- �� .�- ROUGH:PLUMBIN� _�, � . �� ;� ' t. � SHEARWALLS�INTERIOR�`-,� � .:�', - � �� - �� FHAMWGNENTING ,.,� , �. ROUGH ELECTRICAC;" � , - �5- - ROUGH MECHANICAL > �� ; '. � EtOUGN MEGHANICAL:�, „ r� '.. � "' , , ,. _ _ _ , - ROUGN�ELECTRICAL W( ':)C(;):' � ` ` GAS TEST>;' t,- ROUGH PL'UMBING � �_ PRE.GUNITE ,'�`� INSULATION WALL POOI'PRE DE�K BQNDiNG�`` ,' '�< 4 ,,_ � INSULATION CEILING R=TRAP `�� `"" .',,,:��-� _�.��`,� DRYWALL FENCE/,GATfJ ALARM ' =`� '�' , , LATH(PRE) FINAL POOL - 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 WALL FINAL SPECIAL INSPECTION R0:FRAMlNG PLANNINGAPPROVAL - , `"' ` L FINAL BUILQING . -' ` ". . `; ,:`:; - ` ;± : .' .. ROUGH FIRE APPROVAL'" `" ' _T_ - FINAL MECHANICAL°�.- ` FINAL,FIRE DEPARTMENT ` - - ,�:;, 'F� _ . , _ -. �. FINAL ELECi'RICAL�'�.� ' - FI.NAt PLANNING;; - � ' , ,'�;=; '. _ _ : . , � _ . . ,;: . FINAL ENGINEERING/PW : ` `� � ..�. . . ,:�t . ;. ..:. . . 5. r ,_. r :: FINAL PLUMBING " �, . - _ . : . LC.of OCCUPANCY.' `. , �'= �..- � : , �' : FINAL COMMUNIFY SERUIGES ' ` �"- ' `� ; � _ � CERT.of OCCUPANCY . -. :`; .., ' , -` .. - '�.. ;',. FINACHEALTH DEPT. : .. - x FINALINDUSTRIAL:WASTE_'_ `- '' ' `< ` COMMENTS: