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Home My WebLink About14-4351 � ITI, I ' �'�'''.�"� , C1TY OF DIAMOND BAR �F " i� 1 I I i ' ' DEPARTNIENT OF COMMUNITY&DEVELOPI�?i:I�PT SERVICE5 �� II�� =� �j 21810 Copley Drivc,Diamm�d Bar,CA 91765 i PRESS �'�� (909)839-7020 rax:(909)861-31'17 Building Inspection Hotline(909)839-7027 � �°"., '` l FIRMLY `'� �'Ng°-�� BUILDING PER�IIT APPLICATION � ` ( APPLICATIONDATE �� P/C# �-7^ ��I W JOB SITE ADDRESS i 1.� ` . �y 1 Y� p� a ISSUE DATE�� / l�PERMIT# �.�J � z APN��LOT ��(O _TRACT o OWNER �fO W�V��C TYPE CONST. OCC GROUP: w ADDRESS 10�� I� . Q�AyY�p�JQ ��"r � � CITY�1�lhA�wl� �ZIP TEL. O- `� ZONING F ONT KS RW ❑ � APPLICANT TEL. REAR ❑ 0 cn SIDE/SIDE STREET RW ❑ o CONTRACTOR SI�NC KEr�1► CON S�R.uCTI�� SIDE ❑ � ADDRESS ' � � PROPOSED USE o CITY��TI/� ZIP + � �TEL. G 7 o ARCH/ENG/DESIGNER w o ADDRESS � o #DWEL.UNITS � t1 STORIES q BEDR�OMS z CITY ZIB TEL. a _ DESCRIPTION SQ.FC FACTOR PSF ADJ.AREANALUATION OWNER-BUILDER DECLAflAiION � t hereby aMrm under penalry of perjury that I am exempt from the Cont2ctor'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 applicable item(s)[Section 7031.5,Business and Garage/Carport o Professians Code:Any city or caunty lhat requires a permit M construct,alter,improve,demolish,or repair,any �z strucNre,prior to its issuance,alw requires the applicant for the Dertnit to file a signed sfatement that he or she � Patio/Deck � N is�icensed pursuanl to the provisions�at ihe Contractor's SGte License Ww(Chapter9)Commencing with Section W � 7000 0(Division 3 of the Business and Prolessions CodeJ or that he or she is ezempt irom licensure and the basis for � Pool/Spa � the alleged exemption.Any violation of Secfion 7031.5 by any applicant for a Dermit subjects the aDD�icantto a civil penalty Z Re-Roof ¢ ol irot more than five hundred dollars�$500). � o (�1,as owner ot the property,or my employees wfth wages as their sole compensation,will do()all ot or(J poAlons � Commercial � of the work,and ihe sWcture is not intended or oifered for sale(Sec[ion 7044,Business and Professions Code:The � � Cuntractors'State License Law does not apply to an ovmer of property who,through employees'or personal effort,builds m � or improves ihe property,pmvided that the improvements are not intended or oftered for sale.It however,the builtling or � improvement is sold within one year of comple6on,the Owner-Builder will have the burden of pmving iha[it was nat huilt p or improved for the purpose of sale.). � (�I,as owner ot ihe proDerty,am exclusively conVacdng with licensed Contraclors to construct ihe project(SecSon z 7044,Business and Professions Code:The Contactors'State License Law does not apply ro an owner oi pwperty who Valuation: - Adj.Area: � builds w imprwes thereon,and who contracts tor the projects with a licensetl Cantraclor pursuant to me Contracmrs'State QUANTIIY DESCRIPTION FEE Y License Law.j. o (�I am exempt hom licensu2 under the ConVactor's State License law for the tollowing reason(s): � �O V r � Q �: zBy my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one w � 0�� o year pnor fi completion oi the improvements covered by mis pertnit,l cannot legally sell a structure that I have built as an w � a owner-builder it it has not been construc[ed in its entirery by licensed contrac[ors.l understand ihat a copy of the applicable N�� 1 C`T StCr✓ Q law,Seclion 7044 oi the Business and Professions Code is available upon request when this application is submitted or ai � X the loliawing Web sRe� ttp/w�ww�.le info.ca.gov! w. ml. Z � b �r� o DATE:'��LO GN: � SI ' � � � LICENSED CONTRACTOH'S DECLAflAT10N � J � a � ,�TIN S a w 1 hereby affirm untler penalty oi perjury that I am licensed under pmvisions of Chapter 9(commencing with Section 7000) [ON/�IG��" K �q . T D � m o1 Division 3 of the Business and Professions Code,and my license is in full torce and ettect. J � ��t ,� , , y LICENSE CLASS: � LIC.NO.: L�� I�G ^ Q • � ��. z DpiE:I 2-��•Lolt/ coNrrwcron: � A N ��a e�L C q�.�S � � a WOHNER'S COMPENSATION OECLARATION g , � I HEREBY AFfIRM UNDER PENALTY OF PEflJURY ONE OF THE fOLLOWING DECLARAl10NS: � / � oI have and will maintain a Certi6cate oi Consent to Self-Insure for Worker's CompensaUon,as provided by CONSTRUCTION:� ,� Section 3700 oi the Labor Code,for the pertormance o(the work for which Nis permit is issued. p�,qN REVIEW: � 0� > I have and will maintain Worker's Compensation Insurance,as required 6y Section 3)00 of Ne Labor Code,for z me performance oT the work for which this Dermd is issued.My Worker's Compensation Insurance Carrier and ELECTRIC: � � a PoIi�yNumberare: PLUMBING: .� ' � CARRIEn MECHANICAL: � POLICY NUMBER INSPECTION FEE: � (T}flS SCCfION NEED NOT BE CAMPLEfED IFTHE PFJiMR IS fOR ONE HUNDRED DOW�RS($700)OR LESS). ISSUANCE: IG ��/ o I certiry that in the pertormance oi the vrork lor which IMs permit is issued,I shall not employ any person in any manner so as to �.�� o become subject to the Worker's Compensalinn Lavrs of Califomia.Mtl aqree ihat it I shouid become subject tn tlie Worker's SM I P: J Compensation pmvisions of Secfio�3700 oyei�px Cqde,i shal hwith comply with ihose pmvisions. ENERGY P/C: �[... � DATE: � • 'ry�;nnT:1�� ENERGY PERMIT: � WARNING:Failure to secure Worker'S CompensaliDn cove2ge unlawlul,and shall subject an employer to criminal �y� w penatties and civil tines up to one hundred t�ousand dollars($100,000�,in addi6on to the cost of the compensation, REfENTION FEE: o damages as provided for in section 3708 ot the la6or code,interest,and attomey's tees. PRE-ALT FEE: a CONSTRUCTION LENDING AGENCY BSAF: �� _ = I here�y affirm under penalty oi perjury ihat there is a Constmction Lending Agenay for lhe pedormance ol the work for � which this permit is Issued(Sec.3097,Civ.CJ. � LENDER'S NAME � LENDER'SADDRESS: � a I certi t fhave read lhis applica6on and state that the above information is correct.I agree ro compry with all ciry and TOTAL FEES �L/` /�� z county rd ances antl state laws relating to building consWctlon,and hereby authorize represenfatives of this counry to � Y p enter u n e above-mentloned property tor inspection purposes. COM M ENTS: m (� C��.c�a�� a PERM E(P �� N �� Y � \ � SIGN TUR PER fTfE DATE RECEIPT k `�'_�� PAID BY:'//f A�VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy;PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY O,F DIAMOND.BAR ~ � - IN�r�Eti!TION RECORD . � � , . � . � � , . � . SETBACKI LETTER _ ` TRACTAND LEDGER E0071N�S EORMS ' ' SWITCH GFAR ;., . , , , SLAB , COMMERCIAL HOOD �` � q � ' � UG;PLUMBING T-BAR UG.ELECTRICAL . . INTERCEPTER UFERGROUND ..' '.: ` .:'"-". . � HOTMOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEP,90LITION � ROOF SHEATHING ROOF DRAINS I FLOOR SHEATHWG E ROUGH CONDUIT SHEAR�WALLS EXTERIOR . ` . POOUSPA _ , SHEARWALLS'INTERIOR • . : ' � . ROUGH;PLUMBING .- ' . , FRAMINGNENTING ; � ,; I.�' -`'I�' ;':;- �' ` : ROUGH fCECTRICAL , . ;-. : . ' . , . � . . .. . , , ;.. . : ,.• ROUGH MEGHANICAL ;:.. . . :; �; ' • ROU6H`MECHANICAL ; , , ROUGH ELECTRICAL'W( )�� ) I' - ,_ .. , 'r :�v'f-� GAS�'TEST . ,- ROUGH PLUMBING . .. , , , , - PRE GUNITE ., , '', INSULATION WALL P�OL PRE DECK BONDING INSULATION CEILING P-TRAP - , DRYWALL B 2-3 r-r Y FENCE/GATE/ALARM ' LATH(PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2N0( )LIFT SCRATCH COAT WALL BOND BFAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO`FRAMING PLANNINGAPRROVAL _ ' , ; ' ` , � ROUGH fIREAPPROVAL . .. : - FINAL BUILDING, . :. ,. , - FINAL'MECHANICAL.:_, . '+, . FINAL FIRE DEPARTMENT FINAL ELECTRICAL ,-°; �: . ..: r- , e� fINAL PLAPINING ,_ , ' � ` , FINAL PL:UMBING .,,, ' ` � . , FINAL ENGINEERING/PW ` ' .: , _ T.C`of OCCUPANCY , FINAt COMMUNITY SERVIGES CERT:of OCGUPANCY , � . FINAL HEALTH DEPT. : � _ : ,. . . FINAL INDUSTRIAL WASTE ' � . � � . .. COMMENTS: ��:�-.� h