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Home My WebLink About14-3542�- �'�_ _ C1TY OI+DIAMOND BAR j;ITI� I 11 i . i II DEPARTMENT OF COMMUNITY&D�VELOPMCNT SERVICES ' ��Ill�,y�:�_ 218'10 Copley Drive,Diamond 13ar,CA 917fi5 � pRE�� `,,,,y;w,,,,,�� ' (909)839-7020 Fax:(909)861-3117 Building Lispection Hotlinc(909)839-70 ��`'::JB`'=� � sulLniNGrExti�iTAPrLicATio�r FIRMLY � ¢ JOB SITE ADDRESS ��z � APPLICATION DATE: P/C# d ISSUE DATE: S S PERMIT# �4"� � �'I�Z'�' z APN LOT TRACT T— o OWNER u TYPE CONST. OCC GROUP: w " � ADDRES 3�- ' ZONING SEfBACKS y CITY ZIP Ql7�TEL. � FRONT RW ❑ ¢ APPLICANT TEL. — REAR ❑ � � SIDE/SIDE STREET RW ❑ o CONTRACTOR � SIDE ❑ o ADDRESS � � /� PROPOSED USE ry ¢ CITY ZIP �' D TEL. � ' B/ o ,y o ARC /ENG/DESIGNER _ i �%�— o ADDRESS o #DWEL.UNITS k STORIES t!BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION OWNER-BUILDEq UECLAqATION � I hereby affirm under penalty of perjury that I am exempt irom the Contrac[or's State License Law(or Ne reason(s) SFR/ADD/REM 0 p indicated below by the checkmark�s�,I have placed next to the apD��61e item�s)[Section 7031.5,Business and Garage/Carport o Protessions Code:Any city or county lhat requires a permit to construct,alter,improve,demolish,or repair,any w structure,prior to its issuance,also requires the applicant for the permit to file a signed statement that he or she � Patio/Deck a is licensed pursuant to ihe pravisions of the Contractor's State License Law(Chapter 9)Commencing with Section W � 7D00 of Uivision 3 af lhe Business and Professions Code]or that he or she is exempt hom licensure and ihe basis for uW. PooVSpa I N the alleged ezemption.Any violation of Section 7031.5 by any applicant lor a Dermit subjects the aDPlicant to a civil penalty <7 � of not more than five hunUred dollars(5500). ZQ Re-Roof � U I,as owner of the property,or my emptoyees with wages as their sole compensation,wiil do(J all of or(,porlions � Commercial 0 ot Ne work,and the strucNre is not intended or offered Por sale(Section 7044,Business and Rofessions Code:The m , � Contractnrs'State License Law does not apply ro an nwner of property who,through employees'or personal effort,builds � � or improves the property,Drovided that ihe improvements are not intended or ottered for sale.It however,ihe building or �� improvement is sold within one year of complelion,the Owner-Builder will have the burden of proving ihat it was not built p or improved for Ne purpose of sale.). U (�I,as owner o1 the properry,a�n exclusively conVactlng with licensed Cantractors to canstruct the project(Section Valuation: Adj.Area: z 7044,Business and Professions Code:The Contractms'Stale License Law does not aDD�Y to an owner of properry who � buildsorimprovesihereon,andwhoconiractsfortheprojectswithalicensedConhactorpursuanttoUieContractors'State QUANTIIY DESCRIPTION FEE Y license Law.). , o (�I am exempt from licensure under the ConVacNr's State License law for ihe Ioliowing reasan(s): a / �' � U � ZBy my signature below I acknowledge that,except tor my personal residence in which I must have resided lor at least one W o year prior to completion of the improvements covered by ihis permit,l cannot legalty sell a sWcture that 1 have built as an w F owner-builder it it has not been consWctetl in its entirety by licensed wntractors.I undersfantl ihat a copy of ihe applicable � law,Section 7044 of ihe Business and Professions Code is available upon request when this applicalion is submitted or at X the following Web site:http/wvnv.leginfo.ca.gov/calaw.html. � z o DATE: SIGN: � � LICENSED COMAACTOH'S OECLAFIATION � w I bereby afFirm untler penalty ot perjury that 1 am licensed under provisions ot Chapter 9(commencing with Section 7000) m of Division 3 ot the Business and Pr tessions Code,and my license is in full force and ettect. f1 J � IJCENSE CLASS: .NO.: ��C�" a o DATE: CONTRACTOR: a_ _ U � WOHKEfl'S COMP N DECLARATION , � � I HEREBY AFFIRM UNDER PENALIY OF PERJURY ONE 0 �FOLIOWING DECIARATIONS: 0 1 have and will maintain a Certificate of Consent to Self-Insure for Worker's Compensation,as providetl 6y CONSTRUCTION: ��•� � Seclion 3700 ot ihe Labor Code,for Ihe pertormance of the work tor which this permit is issued. p�qN REVI EW: �+� > �I have and will mairttain Worker's Compensation Insurance,as required 6y Section 3�00 0l the Labor Code,tor ELECTRIC: > /_ [� � the peAormance of the work for which this Dermit is issued.My Worker's Compensation Insu2nce Carrier and ¢ Poli�yNumberare: ��—f� �� PLUMBING: � CARRIER ��f�I MECHANICAL: � POLICYNUMBER � j INSPECTION FEE: �ID ��- � (1HIS SECTION NEED NOT BE M IFTHE PERMR I$FOfl ONE HUNDRED OOLIARS(3100)OR LESS). ISSUANCE: o I certify tliat in ihe peAormance o(the vrork lor vfiich ihis permit is issueU,I shall not employ any person in any manner so a5 to SM I P: f d o become subject to Ue Worker's Compensation taws of Calitomia.Md aqree th�,f il I should become subject ro fhe Worker's � Compen o�sions of Section 3700 ot or de,I sh onnw'� ply witn�hose pmvisions. ENERGY P/C: J DATE: APPLICANE ./ � � ENERGY PERMIT: � WARNIN .Failure to secure Worker's pe tion coverage is uNawful,and shall subjec[an employer to crimina� REfENTION FEE: �Z�QQ w penatties and civil lines up to one hu r ousand dollars($100,000�,in addibon to the cost of the compensation, a damages as provided for in section 3708 ot the labor code,interest,and attomey's fees. PRE-ALT FEE: 0 a CONSTRUCTION LENDING AGENCY BSAF: 1 OU ,? I here�y affirm under penalty of perjury lhat there is a Construction Lending Agenq for the peAormance ol the work for � which ihis permit is issued(Sec.3097,Civ.C.�. � LENDER'S NAME: � LENDER'SADDRESS: ! a I certify that I have read lhis application and state that the above informatlon is cortect.I agree to camply with all ciry and TOTAI FEES \�vO �� ✓ county ordinances and state laws relating to building consVuction,and hereby authorize representatives of mis county to z COMMENTS: o enter upon the a ' ed ro for in �9 purp��se/;/ � J /�� I�.��V m l�� a PERMITfEE NAME RINn �- � L � � � = SIGNATURE OF PERMITTEE DATE RECEIPT q PAID BY VA�IDATION: H WHITE—Department Copy,YELLOW—Finance Copy,PINK—,4ssessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR � � ItVSPECTION RECORD . � � , � . . � � , o . SETBACKI LE•iTER ° TRACTAND LEDGER FOOTiNGS FORMS - - - SWITCH GEAR SLAB;��'�-.., � '�� COMMERCIAL HOOD UG.PL'UMBfNG:; ` ' " � - ,`. T-BAR UG:ELECTRICAL- -- INTERCEPTER ; > _ UFER GROUND_:� . � - HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIUED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT . - . _ , _ . . . : -_ : ,; �. SHEARWALLS EXTER(OR .. !. . . `;: . •;�,. . ': �:- ;° , . . POOL/SPA , - `'-; ? ` �, ;SHEAR WALLS INTERIOR ` ' � ROUGH�RLUMBING .: �_ ', ` ry �i � ;�.•..•`r FRAMINGNENTING-� ��.. . '``," . . ; .'- ' �.` RQUGH ELECTRICAL:'` . - - .: f `� ROUGH MEGHANICAL: ; .:. �' . ^.. . ° r `'; ,. .. , ROUGH MECHANICAL: � . .r;:', F:� * _ ROUGH ELECTRICAL W( )C( ) `. . _ '" -: ., ' '• GAS�TEST :: ; -` �,� �'` , _. ,:; ' ROUGH PCUMBING ' ' PREGUNITE` �° _ "'ry , �� _ ' �_ .. ., ..,.. � ' , .C. -',.- ,-... .''"_' . , � ._ . �: .. . : .� : . INSULATION WALL POOL�PRE DECK,BONDiNG_'.�.��, r ``� �..�,.'�. �_;:�t, `< ��s' �' INSULATION CEILING P��P-�� '_ , � DRYWALL FENCE/GATE!ALARM , '. �'`: ` ' ,.. LATH(PRE) FINAL POOL _ _ LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 15T( )2"D( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION ROi FRAMING PLANNINGAPPROVAL - ` `' '�„ < < FINAt BUIL�ING . .` � • 3 ;( �_ ` ; ROUGH FIRE APPROUAL , - _' � fINAL MECHANICAG> FINAL'FIRE.UEPARTMENT �:' ''= , y; ` � • - . � • `,' - . .. ;. , FINAL PLANNIN� ` ` " i �' � _. '..: .. . . ... , �' . :� . ,.,. �' :3 f ....:-.. ,r! FINAL ELECTRICAL.�-�.; � , , ��,a� ,�� ._,_ r FINAL PLUMBING ` . . �", . ., .;; :`� ..< .:;: FINAL:ENGINEERING/PW;.,., .;�sa :: ' � 1;: � � ': •-� , ; LC:of OCCUPANCY : FiNAL COMMUNITY'$ERVICES �-; ,..:� , ,� CERT.of OCCUPANCY"�: - - FINAL NEACTH DEPT. , " j 4' __ • .,. .. _ 1 .- FINAL INDUSTRIAL;VIfASTE':� , ' � = ` -`� ' �'_ COMMENTS: