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Home My WebLink About13-01909 ;_.�,T��;,_—_, C1TY OF DIAMOND 13AR i I I I i ' ';� DEPARTMENT OF COMMUNITY&DEVELOPM�NT SERVICES �� 21810 Co le Drivc Diamond 13ar CA 91765 �tio,,, ;`: p y , , PRESS - ,,�� Y (909)839-7020 rax: (909)861-3117 Building Inspection Hotline(909)839-7027 ��'��^"�� BUILDING PERMIT APPLICATION FIRMLY ~ a �� 'J L� �!1 �.�o Q � APPLICATION DATE: I� � ( P/C# � JOB SITE ADDRESS �� ► --�K� ` ., �1 � a ISSUE DATE: �� PERMIT# 1 � V��D z APN LOT TRACT - 0 o OWNER � 4 G► C� TYPE CONST. OCC GROUP: w � ADDRESS � - � CITY I�,�TEL. O ^ . Q� ZONING F ONTCKS RW ❑ ¢ APPLICANT TEL. REAR ❑ � 0 � � � (�` SIDE/SIDE STREET RW ❑ Q CONTRACTOR � SIDE ❑ � ADDRESS u DF�� P'E:� �� PROPOSED USE .Q�✓ � CITY L� ZII�D�TEL. w 0 o ARCH/ENG/DESIGNER "• w o ADDRESS ri DWEL.UNITS #STORIES k BEDROOMS z CITY ZIP TEL. � DESCP.IPTION SQ.FL FACTOR PSF ADJ.AREANALUATION ONMEH-BUILDER DECLAflATION °C I hereby atlirm under penalry of perjury that I am exempt irom the Cantractor'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�icahle item�s)[Sectian 7031.5,Business and Garage/Carport o Professions Code:Any city or county that requires a permit to construct,alter,improve,demolish,or repair,any w sVuclure,prior to ils issuance,also requires ihe applicant for the Dermit to file a signed statement that he or she � Patio/Deck a Is licensed pursuant to the provisions of the CoMractor's State License Ww(Chapter 9)Commencing with Section w ' � 7D00 of Oivision 3 of lhe Business an0 Professions Code]or that he or she is exempt from licensure and the basis for � Poo��Spa � the alleged exemption.Any violation of Section 7037.5 by any applicant for a Dermfl subjects the applicant to a civil penalry � � ol not more ihan five hundred dollars($500�. ZO Re-Roof o U I,as awner of the property,or my employees wi[h wages as their sole compensation,will do()all of or(�portions � Commercial � of the work,and ihe struclure is nof intended or offered for sale(Section 7044,Business and Professions Code:The m Z Contracinrs'State License Law does not apply fo an ovmer of property who,through employees'or personal eftort,builds � or impraves ihe property,provided that ihe improvemenLs are not intended or oflered for sale.It however,the building or � impmvemenl is sold within one year of completion,fhe Owner-Builder will have the burden of proving that it wu not built p or improved(or the purpose of sale.). U ZU I,as owner o1 the properry,am exclusively conVactlng wilh licensed Cantractors to canshuct the project(Section Valuation: Adj.Area: 7044,Business and Protessions Code:The Contractors'State License Law daes not appty ro an owner o1 property who � builds or improves lhereon,and who wnhacts tor the projecis with a licensed Contractor pursuant ro the Contracrors'State QUANTITY DESCRIPTION FEE Y license Law.). o (�I am exempt from licensu2 under the Coniractnr'S Stale License law Ior the tollowing reason(s): � � s `—` By my signature below 1 acknowledge that,except for my personal residence in which I must have resided ta at least one w o year prior to completion oi the improvements covered by this permit,l cannot legally sell a shucture mat I have built as an W Q owner-builder il it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable � law,Section 7044 of the Business and Professions Code is available upon request when this application is submitled or at X the tollowing Web site:�ttp/www,leginfo.ca.gov/calaw.html. z w DATE: SIGN: � � LICENSED CONTRACTOH'S DECLAHATION � � �'Z" H a. w I hereby aftirm under penalty of perjury that I am licensed under provisions ot Chapter 9(commencing with Section 7000) m of Division 3 01 the Business and Professions Code,and my license is in fuil force and eflecL J S / N LICENSE CLASS: G 3� LIC.NO.: � -1 �O� v Q i . 10 o DATE[I� 1�l 1�_ CONTNACTOR: _ U a � � WORNEfl'S COMPENSAT 0 ECLARATION � w I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: oI have and will maintain a Certifipte oi Consenl to Self-Insure for Worker's Campensation,as provided by CONSTRUCTION: . � Section 3700 of t�e Labor Code,tor the pedormance ol the work for which this permit is issued. p�qN REVIEW: > I have and will maintain Worker's Compensation Insu2nce,as repuired by Section 3700 of the Labor Code,tor ELECTRIC: � the pedormance ot the work for which this pertnit is issued.My WorkePs Compensation Insurance Cartier antl a PolicyNumberare: - o � PLUMBING: �� CARRIER P�-('. C�in � �-�• e0.'� MECHANICAL: � POLICY NUMBER �b��`�C�9' INSPECTION FEE: N (INIS SECf10N NEED N0T BE COMPLEfEU IF THE PEAMR IS fOH ONE HUNDRED DOLLARS($100)OR LESS�. � ISSUANCE: 35��Z o I certity that in the peAormance M Uie work for which ihis permit is issued,I shall not employ any person in any manner so as to 0 6ecome subject to IDe WakerS CompensaGon Laws of Calitomia.Md agree Nat it Id 6ecome subject ro ihe Worker's SMIP: J Compe��'on prwisions of Section 3700 af Ihe all forthwith y wi�n those Provisions. EN ERGY PlC: _� DATE:�APPLICAN7: ENEFlGY PERMIT: � WARNING: ailure to sewre Worker's Com lio c erage is unlawlul,and snall subject an employer to criminal RETENTION FEE: Z t Vfl w pena�ies and civil fines uD�o one hundred thousand dollars(3100,000�,in addiGon to the cost ot the campensation, n- damages as provided for in section 3708 ot ihe labor code,interest,and anomeys tees. PRE-ALT FEE: 0 d CONSTAUCTION LENDING AGENCY BSAF: w I hereby affirm under penalry of perjury that ihere is a ConsUuction Lending Agency for the pedormance ol the work for - = which this permit is issue ec.3097,Civ.C.�. � F LENDER'S NAME: v `S �^ � LENDER'SADDRESS: a I certify that I have read this application and state that the above information is wrrecL I agree ro compty vnth all ciry and TOTAL FEES � county ordinances and stzte laws relating to 6uilding consWctlon,and hereby authorize representatives of this counTy to COMMENTS: oenter u the above-mentioned p erty for in ection purposes. m � C/�J�'T S �-lJ� a PERMITTEENAME RINn I� � t � � � � = SIGNATURE OF PEflMITT �ATE RECEIPT p PAID BY: � VALIDATION: � , WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD . � � , . � . . s � . � � - SETBACKILETTER '- ` TRACT AND LEDGER _ , FOOTIN6S FORMS . � - ;� SWITCH GEAR SLAB,=, - - COMMERCIAL HOOD UG.PL'UMBING �; - . . � <: T-BAR UG.-ELECTRICAL � INTERCEPTER UFER`GROUND '`' '�� r. #. � '� HOT MOPlSHOWERPAN .. . .. SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR� y � POOL/SPA,,' , . , '�.,..�� SHEARWALLSINTERIOR+ - ROUGH,PLt7M61NG:.'; , ,,.,;`� ` ', � : FRAMING,NENTING ' ";.:. �� "' - 3 ; ; ' RQUGH ELEGTRICAL.';, . �'. ': . _,: .._ .. +�}, .: ROUGIi MECHANICAL , - �� : ;' A-;,, :, RQU6HlU1EGHANICAL` ;:• a . ,," k � ,.;i ,.,. :�. ':r ` : {.,y.+Si �OUGH ELECTRICAL,W{ :)C( ') ,'" - - � GASTEST ,.; ; �' - ROUGH PLUMBING. __,„';�; _ �, PRE GUNITE; '' - ' INSULATION WALL , , , � POOL PRE REGK BONDING ',„ :' , �� . ...;� . s'-:� �.;; ,. . > INSULATION CEILING P-TRi4P " '_ - � C DRYWALL FENCE/GATE/,Af.ARM , , �; :;;, ' ` LATH(PRE) 'FINAL POOL` , ;,$ "�� j'- , , , _; �` LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1sr� �2eo� )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN!SEAL GA5 METER RELEASE WALL FINAL . , �. 1 � : : : SPECIAL INSPECTION R0.FRAMING PLANNINGAPPROUAL , . `:'• • �` � � < � � . . ' `'� ' ` .> ROUGH FIREAPPROVAL � fINAL'';BUILDING, �,:: � -^ ' , ' � '�� FINAI:'�MECHANICAL �:�.�� • FINAL'FIRE'DEPARTMENT-'�'�� „�� "; - - - FINAI.�'ELECTRIGAL � - ", - ; FINAL PIANNING `_ � - FINAL PLUMBING '� FI,NAL ENGINEER{NG/,PW , �'- ' � ..+,.; `� �-. , T.C,of OCCUPANCY. '.t � . . . � < . , � , , , > FINAL:COMMUNIT1f`SERUICES ' k `��, , , . ,.; , , 1. , ':1 . ; CERT`.of OCCUPANCY' :` . - FINAL HEALTH DEPT.`, � ` � .=, ,, �- FINAL,INDUSTRIAL WASTE �;.:' , ��, ( -/� ,��, - - - - = COMMENTS: —�1