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Home My WebLink About14-3367 '-'��, C1TY OF DIAMOND BAR ��.k,:.�.-_.,. �� I I I i ' ;' DEPARTMENT OF COMMUNITY&DEVF,LOPMGNT S�RVICES Ulll��i ,:�- 21810 Coplcy Drivc,Diamond 13ar,CA 9176� PRESS .. ��,,,,y ;,,�� Y (909)839-7020 Fax:(909)861-3T17 Building Inspection Hotline(909)839-7027 � �'�""� ,BUI�LDINGPERMITAPPLICATION FIRMLY , �, .JOB SITE ADDRESS �3� ��Ch�1 CvMhL � APPLICATION DATE: 1 S � p/Cq O. G z APN LO �--T_R`A_CT ISSUE DATE: � �'S PERMIT# ��—�� o OWNER �C t1.� tf1�'£SY TYPE CONST. GN/NI✓ lfLf�OCC GROUP: w � ADDRESS J CIlY ZIP �� TEL. — ZONING SETBACKS � APPLICANT TEL.�I�'S�.J�7�� REp,qT RW p � SIDE/SIDE STREET RW ❑ �' "�k�Q�`��z� s � Q CONTRACTOR 2.r'V1Gl�s RC� SIDE ❑ oro ADDR S 'V � '�' S C�S O , – o CITY ZIP q�1o3TEL. JG� � j � PROPOSED USE i K r� No��-r.�4tr�F�or o ARCH/ENG/DESIGNER o ADDRESS �1 DWEL.UNITS I #STORIES� k BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OWNEfl-BUILDFA UECLAflA710N � SFR/ADD/REM o I hereby attirm under penafly oi pe�jury that I am exempt from the Contractor's State License Law for Ne reason(s) p intlicated below by fhe checkmark(s),I have placed nezt to the aDDlicable item(s)[Section 7037.5,Business and Garage/Carport � w Protessions Code:Any city or counry that requires a permit to construct,alter,impro�e,demolish,or repair,any zstructure,prior to its issuance,also requires the applicant for the permit lo file a signed statement that he or she U> Patio/Deck a is licensed pursuant to lhe provisions ot the Contractor's Sfate License Law(Chapter 9)Commencing wiN Seclion w � 7000 of Division 3 of ihe Business and Professions Code]or that he or she is exempt hom licensure and the basis for LL Pool/Spa N the aileged exemption.My violadon of Section 7031.5 by any apDlicant for a Dertnit subjects the aDDlicant to a civil penalty � � ot not more than five huntlred dollars($500). Q Re-Roof o (J I,as awner of the property,or my employees with wages as their sole compensation,will do()all 01 or()portions � Commercial � of the work,and ihe sWcture is not intended or offered for sale(Section 7044,Business and Professions Code:The m z Contractors'State License Law does not appry to an owner ot property who,through employees'or personal etfort,builds � or improves the pmperty,provided that the improvements are not intended or offered for sale.II however,the building or � improvement is sold within one year of completion,the Owner-Builder will have the burden of proving that it was not built p or improved tor the purpose of sale.). V (�I,as owner o(llie property,am exclusively contracting with licensed ConVactors to consimct the project(Section 0 7044,Business and Professions Code:The Coniractors'Sble License Law does not appty to an ovmer ol property who Valuation: Adj.Area: z buildsorimprovesmereon,andwhoconUactsfortheprojeclswithalicensedContractorpursuanttotheContracmrs'State pUANTIIY DESCRIPTION FEE � Y License Law.). o U I am exempt from licensure untler the Contraclor's State License law for 1he following reason(s): � � ¢ LL By my signature below 1 acknowledge that,excepl for my personal residence in which I must have resided for at least one w o year prior to completion of the improvements covered by this permit,l cannot legally sell a strucWre iha[1 have built as an w Q owner-builder it it has not been wnstructed in its entirety by licensed contraclors.I undershand that a copy oi ihe applipble , � law,Section 7044 of the Business and Professions Code is available upon request when[his application is submitted or at � X the tollowing Web sile:http/�wrw.leginfo.ca.gov/calaw.html. Z o DATE: SIGN: � � LICENSED CONTRACTDfl'S DECLARATION � w I hereby affirm under penalty oi perjury that I am licensed under provisions of Chapter 9(commencing with Sectian 7000) m ot Division 3 ol ihe Business and Professions Code,and my license is in full force and eftect. J � LICENSE C S: � L'IC1.NO.: �� z o DATE: I CONTRACTOR: �T R Q T�}'�/'►..C- r'V I GQ._T A G � � WORKEfl'S COMPENSATION OECLAflAiION � � I HEREBY AFFIRM UNDER PENALTY OF PERJURV ONE OF THE FOLLOWING DECLARATIONS: !— oI have and will maintain a Certificate of Cansent to Selt-Insure tor worker's Compensalion,as provided by CONSTRUCTION: J � Section 3700 ot lhe labor Code,tor Ihe pertormance o(the work for which Uiis permit is issued. p�qN REVIEW: > �I have and will maintain WorkePs Compensation Insurance,as requiretl by Section 3700 of the Labar Code,(or ELECTRIC: � ihe periormance of the work tor which this Dermit is issued.My Worker's Compensation Insurance Carrier antl a PolicyNumber e: L � �I /' PLUMBING: � CARRIER�KI ��PaiwvX�'�un��`e bKS �,O MECHANICAL: Z POUCY NUMBER �1JCj D I 'V � INSPECTION FEE: i � (THIS SECTION NEED NOT BE COMPLEfE�IFTHE PEAMR IS FOR ONE MINDRED DOLLARS(5100)OR LESS�. ISSUANCE: o I ceAify ihat in the peAormance M the work for which Nis permit is issueq I shall not employ any person in any manner so as to SM IP: o became subjed to the WakerS Compensation laws of Califo '. �agree Ihat if I shoultl become subjecl to the Worker's � Compen tl pro'ions ot Sc�ction 3700 01 th .bo Code shall f Invith comply ' p65e pmvisions. ENERGY P/C: � DaTE:�nPPucnNr: / il� . ENERGY PERMIT: � WARNING Failure ro secure Worker's Comp�6on coverage is unlawlul,and shail subjecl an employer to criminal RETENTION FEE: Zi � W penatties and civil fines uD�o one hundred t�ousantl dollars(§100,000�,in additlon to the cost of the compensation, a damages as prwided tor in section 3708 ot the labor code,interest,and attomey's tees. PRE-ALT FEE: 0 a CONSTAUCTION LENDING AGENCY BSAF: ��O� , w I hereby affirm under penalty of perjury that there is a Constmction Lending Agency for the pedormance of the work for � which ihis permit is issued(Sec.3097,Civ.C.�. 'i � LENDEfl'S NAME: j � LENDER'SADDRESS: �� a I certity ihat I have read this application and state that the above iniormaUon is conect.I agree to compry with all city and TOTAL FEES I county ordinances and state laws relating t�building consWc6on,and hereby aumorize represenfatives oi mis county to I z COMMENTS: p enter upon the above-mentioned roDerty for inspeclion purposes. i m ��rl�JOi1. ¢ PERMITTEE ME(PRIN p � I �-+ � � = SIGNATURE OF PERMITfEE �ATE RECEIPT q PAID BY: VALIDATION: F WHITE—Departrnent Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOIVD BAR INSPECTION RECORD � � . A � , . o . . o � , � . SETBACK!L'ETTER ' `�� - ;- � , � TRACTAND LEDGER . POOTiNGS,F,ORMS��.�. ' , ; �, ,�, � _�° �- SWITCH GEAR SLAB�.' COMMERCIAL HOOD UG.PLUMBING :.', ` F �-' � _` ' ,: T-BAR � , UG.ELECTRICAL' ., � �� " ` INTERCEPTER UFER�GROUND-,': : �: �� HOTMOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS`EXTERIOR`' _ =- - - ' `POOUSPA`_ - _ SHEAR�WALLSiNTEfiIDR ;; ,.. .: ' " 'ROUGH PLUMBING ;j: �t" ` FE�MI,NGNENTING. ' � - - RQUGH ELEGTRICAL i', ; ''= ROUGH MECHANICAL � ,� �+. � ROUGH�MEGHANICAL; ,� :� �'` ' Y- ROUGH.ELECTRICAL W( ,)C( .} ':;, ,., �r. ;� � ° ^ - GAS TEST, `_. ;� � ;:: ROUGH PLUMBING� PRE-GUNITE� , - � INSULATION WALL •PQOL PRE DECK BONDINf , . ' , �_ INSULATION CEILING P=TRAP� - - � ' DRYWALL �FENCE l GATE!ALARM - '> LATH(PR� FINAL POOL _ �;= LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2ND( j LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION `RO.R�AMING PLANNINGAPPROVAL , �' � ''" FINAL`BUIL4ING . `�. '�: _ ROUGH PIRE APPROVAL. ,�-' - FINAL MECHANiCAL - �FINAL FIRE��_DEPARTMENT .� �' �� FINAL fLECTRIGAL `� FINAL PLANNING ;=`. ` ` - ..:. . - FINQL��PLUMBING � � :�_ ,�.: �' ' ' � FINAL ENGINEERING/PW ��;, ,-, ' " ��' ` ` �` �, ; , - � ,_ . 5 .. 3 - T.C:of OCCUPANCY iFINAL COMMUNITY SERUICES CERT.'of OCGUPANCII", � f,iNAl HEALTH DEPT:. : ;,. . . � ,,,.,. , � < i: � FINAL'INDUSTRIAL;WASTE __ `- ` COMMENTS: