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Home My WebLink About14-2949 .i'"'�._—, C1TY OF DIAMOND BAR \F� i ; I I I i ' �� DEPARTMENT OF COMMUNITY&DEVELOPMCNT SERVICES 1� .. ` '�� -��-_ ' 21810 Copley Drivc,Diamond 13ar,CA 91765 PR�SS IILq,; ;s,.. ��,�„ ,,,,.�, I (909)839-7020 I'ax: (909)861-3117 B�ilding Inspection Hotline(909)839-7027 '�""'-�" BUILDINGPER?VIITAPPLICATION FIRMLY � , 2 g �/� { ' APPLICATION DATE: J P/Ck � � w JOB SITE ADDRESS�V 1G 1� 1 ? `, `�_�� `� z APN LOT TRACT ISSUE DATE: -7�7 L� PERMIT# � �}F o OWNER (°V�. TYPE CONST. OCC GROUP: y ADDRF.SS g I �,, '�,.. ( � 5( n ✓� Jj CITY.��IM.�,��r�r ZIP TEL. ZONING F ONT KS gW ❑ a APPLICANT�1/�7i: TEL. b Z�I Z' � I ,-�� REAR " ❑ � � /� � C" � SIDE/SIDE STREET RW ❑ o CONTRACTOR. �I`CtW�PiY I CQM �P.1�� 4�lj��(� } SIDE ❑ i � ADDRESS O S'� '�F ` o CITY ZIP�Zg�STEL.��b"I l�'�-�3 PROPOSEDUSE — � 1 i o ARCH/ENG/DESIGNEA w o ADDRESS #DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. m DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION a OWNER-BUILDER DECLARATION � I hereby aKrm under penalty oi perjury that I am exempt from the Contractor's State License Law for Ne reason(s) SFR/ADD/REM � 0 p intlicated below by the checkmark(s),I have placed next to the apDlicable item(s)[Section 7031.5,Business and (3arage/Carport w Protessions Code:0.ny city or counry that requires a permit ta construct,alter,improve,demolish,or repair,any � zstructure,D�or to its issuance,also requires the applicant for the permit to file a signed statement that he or she V) Patio/Deck a is licensed pursuant to the provisions af ihe Co�rtractor's State License Law(Chapter 9)Commencing with Section w W Pool/S a � 7000 of Uivisian 3 of the Business and Prolessions CodeJ or ihat he or she is ezempt from licensure and ihe basis for LL P � Nthe alleged exemption.Any violation of Section 7031.5 by any applicant tor a permit subjects the apDlicant to a civil penalty Z R�Root � ol not more than five huntlretl dollars($500). � o (�I,as owner of the property,or my employees with wages as their sole compensation,will do(J all of or(�porUons -� Commercial I � ot the work,and the structure is not intended or offered tor sale(Section 7044,Business and Rotessions Code:The m � � ConVactnrs'State License Law does not apply to an owner oi property who,through employees'or personal eftort,6uilds w or improves the property,provided that lhe improvements are not intended or oftered lor sale.If however,lhe building or � improvement is sold within one year of compleGon,ihe Owner-Builder will have the burden of proving mat it was nat 6uilt � por improved for the purpose of sale.j. , � (�I,as owner oi the proDerty,am exclusively conVactlng with licensed Contraclors to consWct the project(Section Z 7044,Business and Professions Code:The Contraciors'Stale License law does not appty to an owner of property who Valuation: Adj.Afea: � buildsorimprovesthereon,andwhocontractsiorMeprojeclswithalicensedConVaclorpursuanttotheContracrors'State QUANTIIY DESCRIPTION FEE License Law.). o U I am exempt from licensure under the ConVactor's Slate license law tor the foilowing reason(5): a � e' � ¢ LL By my signature below I acknowledge that,except tor my personal residence in which I must have resided tor at least one w s' � Z year prior to complelion oi Ne improvements covered by this permit,l cannot legally sell a structure U�at I have buili as an w 0 � owner-builder if il has not been consWcted in its entirety by licensed contractors.I understand that a copy of the applicable � law,Section 7044 of ihe Business and Prolessions Code is available upon request when this application is submitted ar at X the tollowing Web site:httpAmav.leginfo.ca.guv/calaw.html. � z p DATE: SIGN: � � LICENSED CONTRACTOH'S UECIARATION � w I hereby aftirm under penalty ot perjury that I am licensed under provisions of Chapter 9(commencing wi��Section 7000) m of Division 3 of ihe Business and Professions Code,and my ticense is in full force and eflect. J N LICENSE CLASS: L .NO.:�fO�rJ�j� . Q o DATE: �z� CONTRACTOR: � ' C' � � a WOHNEH'S COMPENSATION DECLAHATION � g � I HEREBY pFFIRM UNDER PENALTY OF PERJURY ONE OF TNE FOLLOWING DECLARATIONS: 0 1 have and will maintain a Certificate of Consent to Setl-Insure for Wo�ker's ComDensalion,as provided 6y CONSTRUCTION: � ion 3700 0l the Labor Code,for Ihe performance of the work far which ihis permit is issued. p�qN REVIEW: > I have and will mairt[ain Worker's Compensation Insu2nce,as repuiretl by Section 3700 of the Labor Code,tor ELECTRIC: � the pedormance of the work tor which this Dermit is issued.My Worker's Compensation Insurance Carrier antl a Poli�yNu rare: .� PLUMBING: � � CARRIER e • MECHANICAL: w Z POLICY NUMBER�kjQ,��P��i�±�_; INSPECTION FEE: o � co F (THIS SECTION NEED N0T BE COMPLEfED IFTHE PEHMff IS FOR ONE HUNDRED DOLLARS($100)OR LESS�. ISSUANCE: _ Q I certify ihat in ihe perfomiance of the work lor which this permit is issued,I shai�not empby any person in any manner so as ta 0 Uecome subjecl to the Wakers Compensalion Laws of Calitomia.Md agree ihat if I shwld become subjecl to the Worker's SMIP: � Campensa'm provi ons f Seclion 3700 of the bor e,I s�harll loM � comply w' those p isions. ENERGY P/C: J DATE: APPLICANT: %�'i[ � �� ! - ENERGY PERMIT: �a � WARNING:Failure to secure WorkersL'ompensa on c erage is unlawlui,and shall ject an employer to criminal RETENTION FEE: �/ w penaAies and civil fines up to one hundred thousand doliars(3100,000),in addiUon to the cost of the compensation, a damages as provided tor in section 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: 0 a CONSTAUCTION LENDING AGENCY BSAF: w I hereby affirm under penalty of perjury that there is a Construction Lending Agen�y for the pedomiance of the work for � which this permit is issued(Sec.3097,Civ.C.�. � LENDER'S NAME � LENDER'SAD�RESS: a I certify IDat 1 have read this application and state iha[the above information is correct I agree to campty with all ciry and TOTAL FEES �J 7�L ��6 Z county ordinances and state laws relating to building consVuction,and hereby authorize representatives of this cnunTy to COMMENTS: - p enter upon he above- entioned pmperty 1ar inspection purposes. - _ .w�b m a P RM (PR n L � � = SIG TURE OF P MfiT E DA RECEIPT N PA�D BY: VALIDATION: � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BA�i INSPECTION RECORD � . e � . • o - � • � � • e - SETBACK/LETTER` ' � = - - ' TRACT AND LEDGER F,OOTINGS FORMS;�. . ' t�,, �;.; - ` SWITCH GEAR gLA6'? �� `�>` � �; COMMERCIALHOOD ,} �' �UG:PLUMBING ;; t. ` ` � r' ' ' T-BAR UG.'ECECTRICAL_:•. � � H- �� ` INTERCEPTER `UFER,GROUND, _` „ -- '":- �� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER�INE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SNEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONOUIT , � , : , - ,� .,_ _ : SNEARWALLS;EXTERIOR r =� �'� ' �POOL/SPA:,: ,� ., .3; , � . . '. ..,:� ,. `SHEARiWALLS INTERIORi: _� ' ` , :;;„ :;' .. �. , �- . , , �°r y .� ROUGH FLUMBiNG .:_ >. ` �.A.;. ': `-h'" �'. ,.' ,.'x. s �: FRAMWG/VENTING. '.,'°. � '`s ROUGHELEGTRICAL,"<r ' � - - 'ROUGH.MECHANICAL" .>�' � � .:°'� - ` ' ' � .ROUGH MECHANICAL':; _ S , ,.:; : ROUGH.,ELECTRICAL W(-)�C( ) ; . `- ;- . ."= .. '.:;: , �AS TEST, ,�' , ` ' _ .: , , . . �. . ' .._ . ,.• : : ROUGH PLUMBING . .,, �, . � '8 "-:1� _ � ..��:.t „,. :�.� �� PRE GUNITE; , _: . �:, � . „.,, �,, .. .; . ,:. ': _ �-' INSULATION WALL PQOL PRE.DECK BONDING ''-r . " �:`� 4 INSULATION CEILING P-1�RAP . - ' '�� DRYWALL FENCE/�GATE/ALARM = LATH(PRE) FINALPOQL _ LATH EXTERIOR ' WALLS: tATH INTERIOR WALI 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 . ; y � SPECIAL INSPECTION RO;FRAMING:�PLANNINGAPPROVAL ` ''" a�. �� >., FINAL BUILDING' '� - - ROUGH FIREAPPROVAL - _ . FINAC MECHANICAC . - - FINAL FIRE:DEPARTMENT °FINAL ELECTRICAL'. ` � � FINAL PLANNING � FINAL.PLUMBING , :.' ._ ;'�'. • �" i ,t,' � ... ' � �' FINAL,ENGINEERING/'PW� ' ; � � ' TC..of OCCUPANCY ' :` ` � , ,' :�. . ' :' � ' ": �`.�: FINAL�COMMUNITY.SERVIGES CERT.'of OCCUPANC� - FINAL.HEALTH DEPT..',. � -` ` - °-= . . . -.. ., , -:.. � �FINAL INDUSTRIAL;WASTE •- ',i;� " COMMENTS: � � �. �I, � i �