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Home My WebLink About14-3908 .�;'`"�� C1TY OI+DIAMOND I3AR ��.. ,�I ' I I i ' DEPARTIIENT OF C0�1MUNIT�Y&DEVELOPMGNT SERVICES �J ��III��, �=�,;,. ' 21810 Copley Drivc,Diamond 13ar,CA 9176� � PRESS ' �� ' �� 909 839-7020 ['ax: 909 861-3117 Buildin Ins �tion Hotline 909 839-7027 F�RMLY � . �:.<� �1,.�>.' ( ) ( ) g Pc' ( ) `�`"'"'��" BUILDING PERMITAPPLICATION � a/�� /�l Z�� Y/'. APPLICATION.DATE: ZL� ��' PlC�1 � JOB SITE ADDRESS Wi�� f /� l p /� a ISSUE DATE: ID"A-��'� I Y PERMIT# � L�— � /OX z APN 'UU •n T��—, TRACT /� oOWNER W K�1 TYPE CONST.��Q��'I��1G�1, ' OCC GROUP: � ADDRES�S a�' C 0.Z Ol. �- �• ZONING SEfBACKS y CITY 1 V� A� ZIP I� TEL. � FRONT RW ❑ a APPLICANT Yh � � TEL q' �� REAR ❑ � Q CONTRACTOR SU I� (�' ��. SIDE/SIDE STREET RW ❑ � SIDE ❑ � ADDRESS I � LJ S"f"�qr � �n�'I ' PROPOSED USE Y1'F � '� i C a� CIN L�SLvn � F) Zip /ZQZ� TEL. �5$• 7�y• g 0 o ARCH/ENG/DESIGNER ��,M� w o ADDRESS �i DWEL.UNITS tl STORIES #BEDROOMS z CITY ZIP TEL. m DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION a OWNEA-BUILDER DECLAHATION � I hereby aflirm under penalty of perjury that I am exempt from the Contrector's State license Law for the reason�s) SFR/ADD/REM 0 p indicated below by the checkmark(s),I have placed next to the apD�icable item(s)[Section 7031.5,Business and Garage/Carport "� Professions Code:Any city or counry that requires a permit ta consUuc4 alter,improve,demolish,or repair,any ? SVucture,prior to its issuance,also requires the applicant for the Dermit to file a signed slatement thal he or she � Patio/Deck a is licensed pursuant to the provisions oithe Contractor's SWte License Law(Chapter 9)Commencing with Seclion W � 7000 of Division 3 of ihe 8usiness and Professions CodeJ or ihat he or she is exempt hom licensure and the basis tor � PooVSpa N the alle�ed exemption.Any violation of Sectlon 7031.5 by any applicant for a Dertnit subjects the apDlicant to a civil penalty � � of not more than five hundretl dollars($500). Q Re-Roof o (,I,as owner of the property,or my employees with wages as their sole compensation,wiil do(J all ot or(�portions � Commercial � ot the work,and the struclure is not intended or oftered for sale(Section 7044,Business and Professions Code:The m � Contractors'State License Law does not apply to an owner of property who,through employees'or personal ettort,builds � or improves the property,Drovided that lhe improvemenfs are not intended or ottered for sale.If however,the building or � improvement is sold within one year of complelion,ihe OwnervBuilder will have the burden of proving that it wa5 not buiH p or improved for ihe purpose of sale.). v I,as owner af ihe ro e zU p p rry,am exclusively conVacting with licensed CanVactors to construct the project(Section Valuation: Ad� Area: 7044,Business and Professions Code:The Contractors'State License Law does not apply to an owner of properry who �� builds or improves thereon,and who contracts(or the projects with a licensed Contractor pursuant ro the Contracrors'State QUANTIIY DESCRIPTION FEE Y License Law.). o U I am exempt from licensure under the ConVacror's State License law for the following reason(s): � � � � �—`' By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one � o year prior to completion of the improvements covered by Nis permit,l cannot legally sell a structure mat I have built as an w � Q owner-builder if it has not been consiructed in iTs eniirery by licensed contractors.I understand that a copy of the applipDle � law.Section 7044 of the Business and Professions Code is available upon request when this application is su6mitted or at . i X the tollowing Web site:httpAwrn.leginfo.ca.gov/calaw.html. �' z � DATE: SIGN: � � LICENSED CONTRACTOH'S UECLARATION � w I hereby aftirm under penalty of perjury Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) m of Division 3 of ihe Business and Prot ssions Code,and my license is in full force and ettect. J � UCENSE S:_�� C.NO.:_ / � • � v a Z 'DATE: ' '�+� /L corrrrucroa: �c�f1 ��Q�f' f1L. w V a WOHNER'S COMPENSATION DECU1HATION � � I HEREBY AFFlRM UNDER PE�7ALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: � I have and will maintain a CeA�cate of Consent to Self-Insure tor Worker's Compensation,as provided hy CONSTRUCTION: � � Seclion 3700 of lhe Labor Code,for the periormance af the wark for which this permit is issued. p�qN REVIEW: � I have and will maintain Worker's ComDensation Insurance,as reQuired hy Section 3700 af the Labor Code,for ELECTRIC: o the peAormance ot the work for which this Dermit is issued.My Worker's Compensation I surance Carrier and a PolicyNumberare: L /�, PLUMBING: � CanRIER �fGt"T vV� �U MECHANICAL: � POLICYNUMBER L INSPECTION FEE: � (THIS SECTION NEED NDT BE COMPLElED IF hiE P R IS fOR 0 HU ED DOLLARS(S1IX1)OR LESS). � ISSUANCE: � o I cedity Oial in Ihe peAormance of the work for which this permil is issued,I shu�ll nol employ any person in any manner so as to SM I P: o become subject to t�e WakerS Compensation Laws ol Califomia.Md agree that if I should 6ecome subject to the Worker's R� J Compensation prwisions of Section 3700 of ine Labor Code,I shall lorthwith comply wilh those provisions. EN ERGY PlC: LL DArE: nrPLICrwT: ENERGY PERMIT: � WARNING:Failure to secure Workers Compensation coverage is unlawlul,and shall subject an employer to criminal RETENTION FEE: � w penatties and civil fines up to one hundred Nousand doliars($100,000),in addition to the cost of the compensation, a damages as provided far in section 3708 of ihe labor code,interest,and attomey's fees. PRE-ALT FEE: 0 a CONSTRUCTION LENDING AGENCY BSAF: w I hereby affirm under penalty of perjury that there is a ConsUuction Lending Agenq for ihe peAormance of the work for = which this permit is issued(Sec.3097,Civ.C.). � LENDER'S NAME: � LENDER'S ADORESS: a I certify that I have read this aDPlication and state Na[[he above information is correct.l agree to compry with all city and TOTAL FEES counry ordinances and state laws relating to building construction,and hereby authorize representatives of this county to z COMMENTS: o enter upon the abave-mentioned property tor in ection purpos s. = rn n� -YI�vr m ¢ PERMITTEENAME�PRINn ; / � N � / � VALIDATION: �` = SIGNATURE OF P I D TE RECEIPT q PAID BY: � F- • WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTIO�a �iE"�;ORD � A � j O � � � e � � � • � SETBAC'K/LETTER - ' TRACTAND LEDGER FOOTINGS FORMS - - = SWITCH 6EAR S�qg, - - - `:: COMMERCIAL HOOD _UG�.PCUMBING=�:�= . , - - �� T-BAR • • UG:ELECTRICAL .,, - �� `� �` ��' INTERCEPTER UFER;:GROUND;; 4., :' r,r , '� R �- s ': HOT MOP/SHOWERPAN . SEWER LATERAL SEPTIC/CESSPOOL � MAIN WATER LINE HERS REPORT RECENED � SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEARWALLS;EXTERfOR:: ' � � POOL(SPA�� ` , �'~: - � ` SHEAR WALLS-INTERIOR;; '`� �'� ROUGH PLUMBING '_;, - •�.;% ?�: FFAMINGNENTING '= - �'� ' ROUGH;ELECTRICAL:`` '�a ., � -. ROUGH"MECHANICAL ;; - ,�� ' ,:;: , �'; : . ;, : - "�: ROUGH MECHANICAL: ;: r` ,r'; _ ;.� ,, . `ROUGH'ELECTR.ICAL W(�-):C( ) ° - �` " GAS TEST =;' _ ROUGH PLUMBING - PRE GUNITE _ . _ . _ .. , . . _ . - , _ � -- .:� . INSULATION WALL ��POOL PRE DEGK BONDiNG :: .�= �� ' . -z, � , :�. INSULATION CEILING P"-TRAP �.�, - � �s= - DRYWALL FENCE,/,GATEI ALARM .��, ' `"' ;��::: ' +..' LATH(PRE) F1NAL POOL� _ _ _ LATH EXTERIOR WALLS: LATH INTERIOR WALL FO�TING/STEEL GAS TEST WALL STEEL 1�T( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL ORAIN/SEAL GAS METER RELEASE WALL FINAL , . . SPECIAL INSPECTION RO`FRAMING PLANNINGAPPROVAL, , FINAt.BUILDING ROUGH FIREAPPROVAL � ' '` # - FINAL MECHANICAL . �=:._ FINAL FIRE DEPARiMENT: _= ? FINi41::�ELECTRICAL,_.. .:::., < FINALPLANNIN6 `�� .' ,-;: _ FINAL'�PLUMBING „ , "� FINALEHGINEERING/PW �"�: °- "` T,C,bf OCCUPANCY ,,'.: " " _ FIN{1CCOMMUNITY'SERVICES - _ - CERT of OCCUPANCY-_ : `FINAL HEALTH DEPT:. , . � , ';� FINAL INDUSTRIAL WASTE`::: ��. _ - COMMENTS: �,.� .�"a�a.c 7/-/Y .