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Home My WebLink About14-4265 �,'•i4i�• C1TY OF DIAMOND BAR ��`"' `�� I I �I I ' DEPARTMENT OF COMMUNITY&DEVELOPM�NT SERVICES ��IIG��;� ' 21810 Copley Drivc,Diamond 13ar,CA 917fi5 PRESS ,`,�� (909)839-7020 I'ax: (909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ��'�"'� BUILDING PERMIT APPLICATION � � /�� j�� APPLICATION DATE: 7/JD/ �'D� � P/C# w JOB SITE ADDRESS � �-(.V� � l�J►"• �+ I z APN LOT TRACT ISSUEDATE: PERMIT# �� b,� o OWNER� 1.,.�n�2 CCG 2r�1(�J� TYPE CONST. OCC GROUP: I I � y ADDRESS g�� (C /. � CITY ��cxvlr-•.t,c\ I�Ci✓,ZIP TEL. 0. ZONING SETBACKS FRONT RW ❑ ¢ APPLICANT Sc_lv�. TEL. REAR ❑ ¢ 0 a CONTR,4CTOR SIDE/SIDE STREET RW ❑ o SIDE ❑ o� ADDRESS PROPOSED USE a �� w�• o� CITY ZIP TEL. 0 o ARCH/ENG/DESIGNER , w o ADDRESS ti DWEL.UNITS t!STORIES p BEDR�OMS z CITY ZIP TEL. � DESCRIPTION SQ.FT'. FACTOR PSF ADJ.AREANALUATION OWNER-BUILDEA DECLAHATION o t hereby attirm under penalty ot perjury that I am exemD�f�om the Conhactor's SWte License Law for the reason�s) SFR/ADD/REM 1p in0ica@0 below by the checkmark�s),I have placed next to the applicable item(s)[SecOon 70315,Business and Garage/Carport o Rotesslons Cade:My city a county that requfres a permit to construct,atter,improve,demolish,or repair,any w structure,DNor to i4lssuanc&also requl�es the applicant for the permit to file a slgned statement that he or slre � Patio/Deck a Fs licensed pursuanl tD ihe provlslons of tAe Contractor's State License Law(Chapter 9)Commencing with Seclion w � 7000 ot Uivision 3 of the Business and Professions Code]or ihat he or she is exempt hom licensure and the basis for LL Pool/Spa � N Ne alleged exempfion.My viWation of Section 7031.5 by any applicant tor a perm0 subjects the apD�icant to a civil pemafly C� N of not more than five huntlretl dollars�y500). Z Re-Root o I,asownerolthe r � (_.J p operty,a my employees with wages as thelr sole compensation,will do(�atl of or(,porlioro _ Commercial � ot the work,and the structure is not intended or oRered for sale(Section 7044.Business and Prolessions Code:The � Z Contractors'State Llcensa Law does not e I to an owner o1 r e vfio,throu em b m PP Y p op rtY gh p yees'ar personal eftort.bullds w or improves the property,prodded that the fmprmemen4 are not intended w ottered for sale.II however,Me building m � impmvement Is sold within ooe yenr of compleUon,Ne Owner-BUIlOer will have the burden of proving that it was rqt buitt por improved for the purpase of sale.). � U 1.2SOWI1Bfo(th8 10 � (..) p perty,am exclusNety contractlng with Ilcensed Contractors to construct Ihe project(Section Valuati0 '� Adj.Area: 0 7044,Busfness and Professions Cale;The Contractors'State License Law does not appry ro an avmer ot property who Z bui�dsaim rnesl�ereon,arMwhotbntractstorthe � D� projects with a Ilcensetl Contracta pursuant to uie Contractors'Sete QUANTITY DESCRIPTION FEE Y ucense Law.). � o u I am e�cempt hom Ilcensure under the Contractor's Stete License law for the following reason(s): � � � �—`' m s'nature below I acknnwled e tlrat,exce t for m BY Y �8 g p y personal resldence fn which I mus[have resided lor at least one � Z year prior to completion of Ue Improvemenfs covered Dy tltis permit,l n I w p ty sell a structure that I have buitt as an � owner-builder If it has rqt been consWcted in ifs entirety by licensed tra dershand ihat a copy of the appliqhle � law,Section 7044 of the Bustness arM Prolessions Code is avall Ie u re ihis application is submitted ar at x Me following e�b snd htlFVtwny.leginfo.p.gov/calaw.htrnL Z � OATE: � J�+�� SIGN: � r LICENSED CONTRACTOH'S DECLARATI N . � w I hereby affirm under percatty o1 per�ury that I am licensed under provisians of Chapter 9(commencing w(ll�Section 7000) � � ot Dlvision 3 ot the Business antl Rofessions Code,and my licerrse is in full force and eflect. J � � � cn �CENSE CLASS: LIC.NO.: Z � DATE: CONTRACTOR: � WOflI(ER'S COMPENSATION OECLARATION � � I HEREBY AFFfRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECUUiA710NS: a I nave and will mafntain a Ceniticate of Cansem tn Sett-Inwre tor Worker's ComDensation,as pmvided by CONSTRUCTION: � � SecUan 370f10l the La6w Cade,for Ihe performance of the wak fa which this permit is issued. p�qN REVIEW: � I have and wi11 mairrttin Worker's Compensation Insurance,as required by Sectio�3700 01 the Labor Code,for Z the performance ot ihe work for which this permit is issued.My Worker's Compensatlon liuurance Carrier antl ELECTRIC: ¢ Poii�yNumberare: PLUMBING: � �R�� MECHANICAL � POLICY NUMBEA ' INSPECTION FEE: � (T}I5 SECf10N NEED N0T BE COMPLETED IFT}fr IS NE DRED DOLL.ARS�S100j OR LESS�. o �cerlifY that in the pertomance a the vrork I«which in pertnit is ed,I nol airy person in arry rnanner so as to ISSUANC E: o becorne subject ro e waker's Compe�ation larrs ot ifomia, tl agr t If d e subject to the Waker's SMIP: � Comper�sati ions Section 3700 ot the labor e,I sh � pravisias. ENERGY P/C: LL DATE: " 0 naPUCANT:' "" ENERGY PERMIT: � WAANING FaiNre to re ge Is lawlul, nd shall sub�ect an empbyer to cdminal RETENTION FEE: °� penatties and civil fines up to one hundred thousand dollars($1 000),in addibon to the cost of the compensatlm, o tlamages as provided for In sectlon 3706 ot the labor code,irrterest,and attomey's lees. PRE-ALT FEE: d CDNSiRUCTION LENDING AGENCY BSAF: = I hereby aKrm untler penalty of perjury ihat there is a Construction Lending Agen�y for the pertomiance of the work for � whicb ihis permit is fssued(Sec.309),Civ.C.). � LENDER'S NAME � LENDER'S AD�RESS: a I certiry that i have read Nis appliption and state that the above informa6on is correct I agree tu compty with all city and TOTAL FEES z county ordinances and state laws relating to huilding construcuon,and hereby authorize representatives M this cauMy to COMMENTS: 9 enter upon the above-mentioned pmperty for i ction purposes. m Q a PERM ENAME�PRIN � ( � � IGNANRE OF PERMITTEE OATE RECEIPT q PAID BY: VALIDATION: WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DiAMOND BP►R IIVSPECTION RECORD • � , • - � � � • ' SETBACK/{.ETTER`� � �� TRACT AND LEDGER FOOTiNGS FORMS , .. �{•,�- - :> SWffCH GEAR S�qg,;� 5 � COMMERCIAL HOOD � UG.PLUMBING:��`� '� � : �`' _ � _ - ` T-BAR UG.ELECTRICAG , - �� INTERCEPTER UFER'�GROUND'�` �'��' � ° �� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONQUR _ , . : �. . - ,_ SHEAR�WALLS�EXTERIOR� � - � �'` �POOLlS_P'A�, -- � `�'� SHEAR.WALIS�INTER►QR", �. <��' , ROUGH.PLUMBING � - `r�. FRA�IINGNENTING'. ' ' � ROtiGH ELECTRICALr - " 1� ` . ,., � �., . _ _ . , � ,; :' ROUGFi PAECMANICAL_ �;�,'- � - ,S.. N,;� .,. . _ �" ROUGH�IVIECHANICAI � � s ; � , ROUGH'ELECTRICAL W(';')C( ),:� -{ - GAS TEST�'` ' `�-�� - ROUGH PLUMBING . ' :;: . . PRE GUNI7E' � �_ ' . . � . s , � � � � POOL PRE_DEGK•,FJONDING� �� INSULATION WALL _ � � � �� ,., �`� INSULAT�ON CEILWG ��P'TRAP �_�= - �� DRYWALL FENCE=(GATE/ALARM ' � `�'� � ` �� LATH(PR� �FINAL POOC, � - - -� � �� LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2"D( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GA5 METER RELEASE WALL FINAL x_ SPECIAL INSPECTION R0.FRAMING PLAN(�INGAPPRbVAL - 'FINAL BUILDING ` -° ° '�� ; ROUGH�PIREAPPROVAL • ""' FINAL MECHANICAL �� FINAL FIRE DEPARTMENT '�r • , ; '; � FINAL ELECT.RICQL -` _ �� `�_� - - .:� -FINAL-P!"ANNING :� _ :�� _�'� FINAL PLUMBING ' ' � ' FINAL,ENGINEERING/PW " �` ` =`' ' T.C.;of OCCUPANGY .;�, - - �- ��FiNAL COMMUNI��SERVICES = - - CERT.of OGCUPANCY , , ,:, k� ' ':FINALHEALTH DEPT � � FINAL�INDUSTRIAG WASTE;': - COMMENTS: