The URL can be used to link to this page

Home My WebLink About13-1471 i - �� C1TY OF DIAMOND BAR � � i ( I I i ' '� DEPARTMENT OF COMMUNITY&DEVELOPMGNT SERVICES ��i��p„�;;:,�.� 21810 Copley Drivc,Diamond 13ar,CA 91765 ESS �� ~ 909 839-7020 rax: �,,,,a w,,,,� ( ) (909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY ''�"""� BUILDING PERM1T APPL1CATION � JOB SITE ADDRESS� APPLICATION DATE�• � �� P/Clt z APN LOT TRACT ISSUE DATE: ( " � PERMIT# '� t o OWNER�� 'C TYPE CONST. . OCC GROUP: � y ADDRESS ��A C�rJ wA130 G� � ZONING SETBACKS / , � CITY aA aHnlnd�� ZIP�TEL. FRONT ��[� RW ❑ ¢ APPLICANT TEL. REAR ❑ � N 1 SIDFJSIDE STREET RW ❑ a CONTRACTOR ��n�n_ �l ry�w`C�-C�SG�7-�rov► SIDE ❑ o� ADDRESS �O�FS C9�.p��_�l7CJd �v1C o CITM� � ��r, ��} PROPOSED USE �-��f� ZIP A��65 TEL.� t, i o ARCH/ENG/DESIGNER w o ADDRESS q DWEL.UNITS #STORIES #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION OWNEH-BUILDER DECUIHATION °C I hereby aflirm under penalty of Derjury ihat I am exempt from the Contractor's State License Law for the reason(s) SFR/ADD/REM � O p indicated below by the checkmark(s),I have Dlaced next to the applicable item(s)[Seclion 7031.5,Buslness and Garage/Carport '-'-' Protessions Code:Any city ar county ihat requires a permit to consVucf,alter,improve,demolish,or repair,any wstructure,prior to its issuance,also requires lhe applicant Por lhe permit to file a signed statemenl thal he or she � Patio/Deck o_. Is licensed pursuant to the Drovisions oithe Contraclor's Sfate License Law(Chapter 9)Commencing with Section w � 7000 of Uivision 3 af the Business and Prolessions Code]or that he or she is exempt from licensure and the basis for LL Pool/Spa � the alleged ezemption.Any violation of Secfion 7031.5 by any apDlicant tor a Dertnit subjects the applicant to a civil penalry Z Re-Roof � of not more than live huntlred dollars($500). � o (,I,as owner of the property,or my employees with wages as their sole compensation,will do(_J all 01 or(J portions � Commercial � of the work,and the struclure is not intended or ottered for sale(Section 7044,Business and Professions Code:The m � Cuntractors'State License Law does not appty ro an owner o1 property who,ihrough employees'or personal e(tort,huilds � or improves the property,provided that the improvements are not intended or oftered for sale.If however,ihe building or � improvement is sold within one year ot completlon,the Owner-Builder will have ihe burden o1 proving mat it was not�uitt p or improved fir the purpose of sale.). � � I,as owner o1 the ro e � U p p rty,am exdusivety conVactlng with licensed ConVactors to construct the project(SecUon z7044,Business and Professions Code:The Com2ctors'Shle License Law does not appty to an owner of property who ValuatiOn:� Adj.At'ea: � builds or imprrnes thereon,and who contracts tor the projects with a licensed Contractor pursuant to the Contractors'State QUANTIIY DESCRIPTION FEE Y License Law.). o U I am exempt from licensure under the Contractor's State License law for the followinq reason(s): a � ¢ � Z By my signature below I acknowledge mat,except for my personal residence in which I must have resided for at least one w o year prior to completion of Me improvements wvered by this permit,l cannot legally sell a sWCWre that I have built as an w Q owner-builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applipble � law,Section 7044 of ihe Business and Professions Code is available upon request when[his applicalion is submitted or at . X the tollowing Web site:httpNnvw.leginfo.ca.gov/calaw.html. � z o DATE: SIGN: � � LICENSED CONTRACTOfl'S�UECLAHATIOH � w I hereby aBirm under penalry oi perjury that I am licensed untler provisions of Chapter 9(commencing with Section 7000) �� m ot Division 3 at ihe Business and Protessions Code,and my license is in fWl farce and effect. J , N LICENS-E�CILASS: �I��LIC.NO.: �V I `b V l z o DATE: 1"Z6�[�� CONTRACTOR: ��'�1�,��,� CO N S�.T. _ . Z w a WORNEH'S COMPENSATION DECLARATION � � I HEREBY AfFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING OECLARATIONS: w oI have and will maintain a CeAficate ol Consent to Setf-Insure for Worker's Compensation,as provided by CONSTRUCTION: � Seclion 3700 0l the Labor Code,tor t�e Derformance ot ihe work for which this permit is issuetl. ' p�,a,N REVIEW: � �� I have and will maintain WorkePs Compensation Insu2nce,as requiretl by Section 3700 0l the Labor Code,for � the pedormance of the work far which this pertnd is issued.My Worker's Compensation Insurance Carrier anA ELECTRIC: � z i a Poli�yNumberare: p � /� PLUMBING: � CARRIER T �J e`G'�`S KOP'u�}Y l'AStC\t'�./ MECHANICAL: w z POLICY NUMBER �-S�.,P�=�iF'A ,3�=�Z ' � INSPECTION FEE: N (THIS SECTION NEED NOT BE COMPLEfED IF THE PERMfT IS FOR ONE HUNDRED DOLLARS($100)OR tESS�. i � ISSUANCE: �� o I certAy that in the DeAormance of the work for which Ihis permit is issuetl,I shall nol employ any person in any manner so as to �I o become su6jecl to t�e Waker's Compensalinn Laws ot Califomia.Md agree that if I should become subjecl to 1he Worker's SMIP: I ' � Compensalion provisions ot Sec6on 3700 of ihe labor Code,I shall lorlhwith comply wilh those provisions. EN ERGY P/C: t.� J .) - C� LL DATE:��APPUCANL , �.w (�C,L�'� ENEAGY PERMIT: � / � WARNING:Failure ta secure Workers Compensation coverage is unlawtol,and shall subject an employer to criminal REfENTION FEE: w pena�ies and civil fines up to one hundred thousand dollars($100,000),in atlditlon to the cost ot the compensation, a damages as provided for in section 3708 of the labor code,interes[,and attorneys fees. PRE-ALT FEE: 0 a CONSTRUCTION LENDING AGENCY BSAF: w I hereby attirm under penalry of perjury Ihat ihere is a ConsVuction Lending Agen�y lor t�e peAormance ot the work for = which this permit is issued(Sec.3097,Civ.C.). � � LENDER'S NAME: � LENDER'SADORESS: � a I certity that I have read this application and state that Ihe above information is cortect.I agree ro comply wi[h all city and TOTAL FEES , counry ordinances and stale laws relating to building consVuclion,and hereby authorize representatives o(ihis caunty to � enter upon the abave-mentianed property far ins ection u ses. COMMENTS: p P P�W J � m a PERMfTTE (P n D � `� - � 3 � � SIGNATUR DATE RECEIPT k � ID BY:� _VALIDATION: - WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR ' INSPECTION RECORD • e � � • e - • m e � • � . SETBACK/.LETTER - ,f-; TRACTAND LEDGER FOOTiNGS FORMS , :S. ' - {`' � SWITCH GEAR SLAB.� ',.-; COMMERCIAL HOOD UG:FLUMBING: . ' ` ' ' ' T-BAR UG.ELECTRICAL' , _ - ��;;�� _ INTERCEPTER UFER,�GROUN��% , - - .�� , , �:�.� :�� HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING RDUGH CONDUIT . , SHEAR WACLS�EXTERIOR'�, , , �`�', '� � � PQOLISPA=;,, , - ��* � SHEA'R�WALLSINTERIOR�`; „ , � ` � ROl1GHPL[JMBIN�.�� '; �" FRAMINGNENTING : `�: ° ' .- , ' ; ;' ..;' � ROUGH"ELECTRICAL` _ ` ° = h _. ,: _ ., . ROUGH MECHANICAL. .•::.:..:': . `= ' ,;'. ... ''. :` ' ;ROUGH MEGHANICAL; , : .'x .: ; .. - ROUGHELECTRICAL W(,:=).C(-')' ` 6A5TEST';-' ='' _:_ , , ROUGH PL'UMBING .`° , `.... .�.� i ;; �; ..: PRE GUNITE. . , ' ` `; _ INSULATION WALL POOL,PRE DECK BONDING;;`- � , �Z. . INSULATION CEIUNG P-TRAP ` � -�3 ;;: DRYWALI FENCE,/GATEFALARM � �� 4 ,�"�. .. _„ LATH(PRE) FINAL POOt = - ,;�� _ LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1sT� �2No� �� SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN!SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLl�1NINGAPPROVAL- ' ' 'FINAL BUILDING - 'ROUGH FIBE APPROVAL FINAL MECHANICAL - FINAL FIRE DEPARTMENT� `` '=; � _ 'FINAL:ELECTRICAL .,.. :. : : '. . . , ' . � . ',, , , ;,' .�. FINAL PLANNING '. r FINAL';PLUMBING ,:,, ., i .: FINALENGINEERING/PW� �,',y T.C.of OCCUPANCY , ~ " ` - . � d ; FINAL COMMUNITY:SERVICES � � '., ;; - � r , ,�°.;:�. _ . . . �_. � ; ,' � CERT.�,of OCCUPANCY;;��. . - FINAL NEALTH DEPT.„ . �- �� _ fINAL;INDUSTRIAC-WASTE ;; � �' COMMENTS: