HomeMy WebLinkAbout13-1821 r , • � O��'�79,ZA1'S
� `. _ , ..
, ,,. .
.,,.
,� �. ,
:GiTY OF DIAMOND BAR. . .
i o 1 I� 1 1 ��i7EPAR'I'MENT OF Ct?MMLTNITY&DEYELUPMENT SERVICES
� 21810 Coplep Drive,Diamond Bar,CA 91765 •. � � pREs�:. �
~ �� - (909)839-7020 Fax:(5109)861-3117 Building Inspec6on Hdtline(909)839='7027 ' FIRMLY
. �`�'8' BLIILDING PERMTT APt'LICATION
F= /,�., (� APPLICATION AT i� P/C#
� JOB St7E A4DRESS Y/'�v ��n'�� �� ��• ���/ �./jjL�/ n
a �,� 7 ISSUE DATE:���:�L--: ..• ! PERMfT# l.P�' �d c�J+
z� APN LQT C
o OWNER T11�6^c'411"/ L J�'1�W "� TYPE CONST. OCC GROUP:
� ADDRESS �4� �i'1ZQ�1T '�Q ZONING SEfBACKS
"� CITY �Dt�Y�btV��-�.—Z3P 1LZ•�2,�TEL.-r,iS��S��'�-.Z C7+"� FRONT RW ❑
a APPLICANT TEl:. REAR � d
�
� SIDE/SIQE STREEf - RW. - �
a GC}h2TRACTOR i� *� SIDE C)
0
o� ADDRESS PROPOSEp USE
� CITY ZIP TEI.. ��1'�:�i j�j—P '"�'— �,'.�Pal� � �'
o.
a ARCH/ENG/DE5IGNER
o ADDRESS #DWEL.UNiTS #STORIES #BEdRQCTMS
QCITY ZIP TEL.
� mvxst-au�wm oEtxannnoH 4ESC�tIPT1QN SQ.FT. FAGTOR PSF ADJ.AREIWA�UATldN
� 1 hereby aKrm under penetly ot perjury Uiat I am e�mpt ham tlae Contractor's Slata Lfce+�&e taw ia llm rea�n{s} SFR/ADOlREM
� indicated below by the iheckmazk(s),I have piaced ndt M the appikabis flem(s�FSecBon 70315,B�nese erp! Gerege/Carport
0
W Protesskoos Code:Any city or couMy that reqWres a pertnft to eonsUact,alter,Imprcr0.demopali,a�repak,a�ry
I z sbvclure,prirn to Ihs Issuance,alw requlres ihe applipirt tqr fhe permft fi ftle a dgned atalement CiM he or ahe (p PatlWDeck � �
a Islicensed pnrsuant to the prnvis�ons at Vre CoMracla's Stste LFcense lax(Chaphi�fAmmet�cfig with S� W
I � 7tl00 oi Division 3 of the Business and Prolesslons Ca1e]or thal hd or she is exempt hom Ilcensu�e arid tlx basis lar �- Poa1�pa
� the atleged exemp3ron.Any violatioo ot Section f037.5 by anY apptica�t ipr a pemdt suDjecis tbe appifc�nt�a d�1t penatly Z Re-Fioof .
of rwt more than five hundreA tloilars(5500).
I � � Commerciai
o (}t.as owner of t6e property,oc mY employees wlth wages as theNsote t�ampensation,w�!do{}ail of or(}pori�ira
�' Q ot l�e work,and the strucNre is not Mtend2d ar dlfeted Tar s01e(Sectbrl 70A4,BIt5111B3!811d ROf9�sMN�3 Code:The � �
v Cantracmrs'state Ucense tanv eoes nut appiy to an wmer ai yroqe+iy whn,thm�gh emquyees'or Personai eifat.l�uVitls �
' w or improves the property,provided that the imprwements'are not Intended or offered fa eale.111rowaver,the bulldl�ar
� improvement is soid withi�ane year af comDietlon,tl�e Ovmei-Buiider anli have�re W�rden of pra�tnp Uset 3tw�nat 6uHt
.p� or improved for the purpose ot sale.). � � �
c3
� �.(.,,}1�,as uwner'ot the properry,am exGusivety contractlnp with ricerreed GoMractas W cdrstmct tlie proJect(58�,1Ion Valuation: - Ad�.Area: � �
�'��. o. :74d4.9uslness and f'mtessions Code:Tt�e CoM2ctas'State L�ensa Law Uoes not ap�fy tn an ovmer ol propetly who
z°�-buiidsorimprovesthereon,andvfiocontractsfartliepro]ectswRhellcensetlCantrecfirD������T��s� OUAMTfY DESCRIP1lQN. FEE
cia
x ticense Law.). .��,,,
'. �a' (,�I am'exempt from licensure under the Cantracbar'S S18i8 LIC8115818W Iqf tl1910110Wh1g fC9S011(6): � .
�, _ - � A �Ld fi.�t
`—` By my signature below I anknawledge ttra4�p�tor my petsonal resWence in which I mtat have reslded ta at least one
z year-p(iar t�compietion af tt+e improvemeirts Cweted by ihts petm�,t r�nnot legaily seil a strucbrte that f have bulit as an W
� owner-builder If i[has rrol6een conshucted in Ib emirety by licensed ccmtractors.l tmde�sfind 9ml a t�ry otthe eppfkabla
� Iaw,Sectian 7644 ot the Business and ProFessions Gode te availabte upon request rfien Ciis applEcaBon Fs aubrnftted a at
X the iollmwing W sfte:h .legirrfa.ca.gov/alaw.hdnl. Z
W DATE:fD SIGN: °�
�
�� LIGENSED GOHTMCT4R'S OECiARAAiEOM �
�
W I herehy affirm under penalry ot perjury ihat I am Iicensed�mder piovisfons ot Qiapter 9(comrnencfnp w0h Section 700(� _
� oi Ditision 3 oi the Business and F'rofessions Code,and my 6ce�tse is M fiuit imce�d eff8ct. J
� �
�
� UCENSE CLAS5: UC.NO.: �
t� DA7E: CONRWCTOR:, �
z4' WOHIfER'S CqMPENSATtON OECLARATION �
� t HFAEBY AfFiRM UNOER PEM1IALTY OF PER,iGRY ONE OFTHE FOtLOWfN6 DEQAMifONS.
¢ 1 hava and will maintain a Gerttllcate af Cansent to SelRfiscrte la Wakets tbmpe�atbn,aa pmvided by CONSTRUGT1t7N:
_ . Seclion 3700 of ihe Laba Code,lar Ihe pertarmance ot the wak tar whkh tMs permR is issued p�qN REVIFN: � -�
> I have afld wil!maErtain Wrnker's Compens�insura�e,as re¢dred by SeC6an 3700 ot fie I.amr CAdt,ftlt ` EI.ECTRIG:
o fhe peAormance of the work for which this pertnd Is Issued.My Waker"a Comperis�tion trrsuanca Cer�fer and
¢ vottcyNam�are: P�UMBING:
,.a,,, CnAeieA MEGHANICAL:
� POl1CVNUMBER INSPEGTION FEE:
� (i}dSS£GiIONNffONOTS£COMPlETEDIF7tiEP9iMiTISFOR�NEtRIt�Fi@OQllAtiS(SSOfl��t1.�5}.
ISSUANCE:
� I cerlify that in the performance of the war}c ta which Ihls peimdls}ssued.l shatl�wt emqoy_mry peism M aay mmar�er aoas to
abecome sub)ecY.lo ihe Worka,r's CornpeinmUon taws oF Catitomia.Md agree that n i shoidd becane sub(ect to me ihbiker'� �. SMIP: � � . .
. � Campensauon w�s ot Sectian 3700 a1 the Laba�cAde,I sh wfih tlqse prwlslas. � fNERGY P/G:
Laba
LL oArE:4 O'L nPruGwr: . ''L "� ENERGY PERMIT:
� WARN3NG:Faitnre to secure Warkets CompensaUon caverage ts untavsfiil,�d shait subject an empiayer to�tniai. _ RETENTION FEE:
,a,a penatties and civil fines up to one hundred thousanA dolWrs($100,pp0),In additlon M tt�e cpal ol Me compet�satlon, -
Q damages as prouided for in 5ectia�37D8 of the Iabor e�de,3Meresi,�d attomey's tees PRE-ALT FEE:
� COMSTRUGT30M LEHDIN6 A691CY,' . � BSAF:
q , ._..
W I hereby affirm urider pen8lty of perjury that there is a Cortstuction Lending/1�en4y Mi.tlte petlomranCe oi the wak la
�� �hicR this permit is issved(Sec.3R97.qv G.). � _. . .
F. LENDER'5 NAME � � . .
..� tENDER'SADpRESS ;"� > �
.. a I certify ihat I have read thls appttption az+d state that the abwe irttormatron is cateC[.:I ag�¢e�campry with a8 dty and TQTAL FEES :
county ordinances and sfate laws relating to huildng consWctlan,and hereby a��rtze teprexerdaWes af this co�mty to
z GOMMENTS:
�o e�ter upon the abwe•memiorred propetty r inspection Qorposes. _
J
`m !"'�- cs—N� L.�,k,S
� � ' PERM�ffEE N PRltin � � � � ..
v� � �Z J ��
� S3fiHA7tfRE OF PEfiMtT7EE OATE. f1EGEIPT#..,�,y��,�y�_PAtCY BY:�I��VALiDAl10N:
W HI7E—Department Copy,YELLOW—Flnance Copy,PINK—Assessor Copy,f30LDENR00—Flle Copy,GREEN—AppllcenFs Copy
� � � CITY�Of DIARIIOND BAR . `
INSPECTION RECORD �
' � � � ' � - • • r � � o -
SETBACKt LE1�f,ER��'����{w'�'� t�'�`'�;;��'�s� �•� '' TRACT AND LEDGER
SFOOTINGS,�FO, MS;�x},���',r�s.,�f�� �' "",� �; ���' . SWITCH GEAR :
9lAg y�`s` *''*��`l�;�;'���- '` { ���`�' `� , COMMERCIAL HOOD.
,.�.
,�.z�.,..�t��,. _w:���, �'�� :I ,�
UG�`PLUMBIN.G'.���.�,��'!�r��� ���r�",-s, '� .,.;.' �
�� � T-BAR
U�'a,�ELECTRICAL��rx�n�'„��,�;�'�. ; �.:ij�'�;��a����'� � - INTERCEPTER
.. .
U�E{��7��U�rtr{�"�e�kt�"� 'F 7 �� �i H�'�?sT',�'i�'�A � .,��.3 - . � ,.m._ . -
_ �.7 ;�`%r�„�1�Y�.�����,�;��x �;�;d,�s�`"..� � � HOT MOP/SHOWERPAN �
SEWER LATERAI • SEPTIC/CESSPOOL
MAIN WATER LINE HERSAEPORT RECEIVED
SEWER CLEANOUT DEMOUTION ;
ROOF SHEATHING ROOF DRAINS
� FLOOR SHEATHING ROUGH CONDUfT
�SH�R�`WA�It"S�F�CrERI(���!��;2��?�� `I� �., j.. �,`�- u'"7M+ .`".#' ,� - �'r'��"�� y�'„�'f,i
, y
SFIEAR W�ILL'��iN1'Eiil��t�;��`�„�"��;��;� ' ;� � .rN; ,-a .. � . �`�. F� ��� ������ F����E `� .�n� -, :��' �``J��P�a�i�'fr��¢`���_`�
' �.
'FRANIiNGNENT�NG�� ��'.�� � ...� �� , �' - � ll '�'-� ���,, � ' ��'X° , ��^�n�'����,,;
� u . �v1����'�T� v �` °N r. M _� �y�g t .. �'ds� �� l.� +F� ry 4 xi�,N�a � � _ .
ROl1GH M�CHAN�CAL >>� � .r�i�`� � r ')�!� W ��', `f t0���� rk���r��,��'•r �� a:°�f� ^�'�rx���f4.�^i:�'
y" '-k-It 1.0 tiC'f'» - �'' .. .� . W
,RbUGH���ECfiR��AL�i�I���'���''). r�'�`a���s�?,.�.� �'�.�"�,� .`." ',. n- ' �� �� � �r.� k,,i+ ��'� ,�5�'�',.�.s�'Y,�rit�'"` +� • "t �:����j�`�q �"E`� ��;"
V�i i� } *i � S� f � y� �r ww..,,. :.
b� .�'Ly't� "fCiH,fi��F!';*u !��ri�4���it� .fi -�:� �L.�l '�4i�y1rF,:
/ ~ Y 1:`'. � � -c�k��'"ffv�ts�-r�i� �.���u�,^� � -�- � � ���, �r `k'�,'�r."� °�i.f iu*Y J'1 j vd 3; -1"�� � �.'�'�Hr'�T+�:r,,��. .
F{OUGN:�PLUMBIN� ;.��'.��;�r'.:?�'s��-;a�%,�4a.��' �k.'k�'.:..,w't�rs .;,.:, "• _;1��"��. _ `' �P �s U 1�.r:�� liM�'a".��*�s-�';��5,:ss��r��l:�`,'�'s.�.���'�� :�c��'�`�.E�'a,�k,�.�S{�z.;;,d��c�1���
- - �
INSULATIONWALL � ������1�E� �F��� INO�''; �' C:�:+��, �t�Wa-,a�fk� �;��ktcrr.�+*,"u'�+5'r�. "�,`���r Ba.Y� �
��r . .. .�-....... �, . �� r .�!i�� d ' !, 'lE.� � ++�4 ?^e� ,<i�b,>�vc`S...rr....'�::
INSULATION CEI�ING '�� �'�`y i� "�:�`3},*e�' 3'eh rx��,�rfl.�.,�r �'x�.;fr�";r�s � ti�r c �� �r��� fa4�r ;
.J:c-� ..„�. �13:;'������ r�',i1..�1"75:�.'.�l��r � � �" �Y��i[iwq:,. �i��i„�;..1915�n��.R.�TsF
'S"- � � 7 f�� 1�Y l i� S" � �a.�t�4.�.7:.Ey r,.�Y rr�-;
DRYWALL ���(._,.iIy.A1''.�/�1LA Rk�''�•�� ,�`Y�' t, n�� ,� � �,� a� 4 z :i�- � '
e � 5.. .,.ia...,l,.., '.r;C..�{L...� s¢ �j�j'�.. 2 ..�'���v��,�i..,. 'i�... r's. �.��'.:i�
.+,�9k t iiJ �.i��k. ��i}:"f h an"�',._.. i� z�.' .;,Q., � ytIs4 ,u� �.�. �e hz�. i a . .
LATH(PRE) ; ���':���z��rF.,..."�y�''r`�,'l�,����51i ��i$:'�i:��'h>x.i�3�5�-r,.���w''�i's5,�"i,��r��i�"''y�i��F�aA.;.�'�<a
LATN EXTERIOR . WALLS: �
LATH INTERIOR WALL FOqTING/STEEL -
GAS TEST - WALL STEEL 1�( )2"p( )LIFf
SCRATCH COAT WALL BOND BEAM . . -
ELECTR(C METER RELEASE WALL DRAIN/SEAL �
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION . .. .��. � _'. y ��� �, ,��Y �,,�p��a¢�,� ,�,� �,� Y�{ ' �'�f, .,�aY;�� -
y� {� .a.. ,�r 3��rt:.�� t ��,:; r,i �Y::y i' � '�;*.
� .,..a u�;. +4{� Th v.- a �.`3�'� �:'•k .+�u<,r} � �►1� IFf'� —e r N.i� � Y�s.-�.J'S. R � �� .t� fi:.,
FII�}{�L.$UILd1�G�' ���v!2���a2. .s.�!��.F �� ` � ��, �s���� �#ii``S� r•x�• 3��1' � L�'�Yy�.�i'�'�' �r.� ;�'3i� �fit
. _ .nr7�i:�frLL `�i�. �F1[n .����L�R�Sx�� ,l�t'�.3� tia ���;
�sr� � .a4 �r . til � �..... .+ft'KH�` � y � �+•��i ° .�`j"��p �' +rY .Jr:��'� �r'"� �Y� 4 i �,��-'
.
„ _.
rFl�lAl.MEGHAN�GAL`K�t�'����(�- �4��s�,w��^��tt��`.•.. " '� ' �y�., .� �F`,'I�t '��F� EP4d� r�,��,�����r�;'.���.�:+�, y"k°� �r,x�� +�� �c * + k�;�
. . .
�
.. ,... ,,, .... ,. . , � . �r
. _, _ � .. . . . . . . � .....,. �..� .. M,_: .....S ��� :L .'�k.�. i.f �1 ._ (�o�.,4
'.:.:.� .:.�� 3J W 2 i� t�!'., tly��(?�I'�n .y. .�.... .�y.. : � (-y�j�+�s n.rr,, y:....r�.�+�4R !J q.� i I ' ! .Y-' f V H -
F{N�.�'E�E.�ri{��.,"`� ��ikrhki14.�5�� i�` i � �4y . , , i' � ;PIIY(AL'ft ��I�17�) +t �j���t 3�S a��,"Cr��yy�� fr,�M z�,�.t��`i'�i`1�� p�)�` ,t�R_�;� 3��,�',�;
i .,�.. .,.,a.l.�- �E'.. �r.: , a.. ..r r_. .� �d. .2 a�i h�i• ,rs..� .Y �?.L�� ..suf�17u� �k .�.[.t. _t.
„
.y ,
E � � �f wr r r c��, �a.�--".,..^�� .y. . .,, . � � �'. a .� � "'7"al�} � � ��','E. �Y+"�t � r� � '�ed"%'}N'� .�'G� ,K `! �J,:::
�FfNALPLUMBI�IG,.�m�'�,�r� ka �4��'„�n:�'�� .,�: � • .. .. , ;�� a���l NE�,��'��II:�: k�;��u�'��`'`�,h ���+,�?d„ �:z:�s�� �Gtin�'L'.�ii��o.i�4'J��r�
.,.
.
rT,Ct'Of OCCUPIINCY �7?��t��"h # r ` ':`2�',�,�:u '� °. � i .� I��j�4'''� M�l,�li�'.�i�'�iV(� �r�`'�� - ����r�-�'��`,� ����r��"r�-.='.
, _
--_.., . 7*,ss.a��,�r._�r. .r� . �.r�,c�. � � •.:� " �,� � �.. !+l .�. .,�..,''..., w.. ,.� �i+'�d'e .:n?-k. r3�.•. Y{��K - � �;�"� ,�,Fiii
.a.. ,.� n u �x Yy�y, �:, . . .
�CERT of Q�GUPANC����, vr:.���i �t����-�r.t� z .;k, - T .��(� L" E��. :.:r��P�'� ,�., �,�,:�'�a��� a�����rF:�Y�,���.����^r�'+r �'f�'` �a�.� .,a
� r 3x � TnA' ,' � .�,��� �� J�'� t�' s�"4 �t$.�.�:�'� iti.�.��
i' '"P �.9' "`L �t;,'I , tv �.}:'� �ti+ ;i.:
� �'II�Ip,�INb���ldL�1114�,1;�'�a�.�.���� �`��'��.������:�s�-,�A�`�����}rs���=.
COMMENTS: � '��✓��y.����► _
e ��
� . _.
' ' r.�_:_�:->.'_,,'•�'t',�s.=-,�, CITY OF DIAMOND BAR
�; I I I i ' '' DEPARTMENT OF COMMUNITY&D�VELOPM�NT SERVICES
����iib� ` 2181U Copley Drive,Diamond 13ar,CA 9176� PRESS
` ,,, �� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027
' 'se" " BUILDINGPERMITAPPLICATION FIRMLY
� JOB SITE ADDRESS� ��5 F��='��T A JZ• APPLICATION DATE: 1oI o1\ I�3 P/C#
w ISSUE DATE: ,��a� �\a pERMiT# PCZ �3 ' �'Q o�L �
z APN LOT TRACT
wOWNERX %�Itie, `� L �S TYPE CONST. OCC GROUP:
y ADDRqE�SS�O S e I�2.�' P/T ��L.
� CIIY V►f�rroND �W� ZIP Q E� ZONING F ONT KS RW Q
��TEL
oAPPLICANT TEL. REAR ❑
cn SIDE/SIDE STREET RW ❑
¢ CONTRACTOR ul..�Y�tV•- �ol.A� �c�L;/� SIDE ❑
0
� ADDRESS
PROPOSED USE
o� CITY ZIP TEL.
0
o ARCH/ENG/DESIGNER
w
a ADDRESS -
ti DWEL.UNITS #STORIES t!BEDROOMS
z CITY ZIP TEL.
Q DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
OWNEN-BUILDEH DECLAIfATION
o I hereby aflirm under penalry of perjury that i am exempt hom the Contractor's Sfate License Law for the reason(s) SFR/ADD/REM
p indicated below by the checkmark(s),I have placed next to the aDDlicable item(s)[Section 7031.5,8usiness and Garage/Carport
o Professions Cade:Any city or county that requires a permit to consVuct,aller,improve,demolish,or repair,any
iz strucNre,prior to its issuance,also requires lhe applicant for the permil to file a signed sUtement that he or she � Patio/Deck ��
� is licensed pursuant to the pravisions of the Cantrador's Sfate License taw(Chapter 9)Cammencing with Section W
� 7000 0(Division 3 ot the Business and Profess�ons Cade]or that he or she is exempt from licensure and the basis for LL Pool/Spa
N the aileged exemptian.Airy violation of SecBon 7031.5 by any applicantfor a Dermit subjects the aDPlicant to a civii penalty C7
� ot not more than five hundred dollars�$500�. � Q Re-Roof
o (�1,as owner of the property,or my employees with wages as their sole compensation,will do(,all of or(�portions � Commercial
� of the work,and the structure is not intended or oftered for sale(Section 7044,Business and Professions Code:The �
2 Contracrors'State Ucense Law dces not apply ro an ovmer of property who,through employees'or persona�effort,6uilds m
� or improves the property,Drovided that the improvemenfs are not intended or otfered tor sale.If however,the building or
� improvement is sold within one year of comple6on,fhe Owner-Buiider will have ihe burden of proving that it was not built
p or improved for ihe purpose of sale.).
� � I,as owner oi the m e ty g p � (
I o 044,8usiness and Professions CodecThe Coniractors'Sta e L ce'nse L w does not a t I cto�uc�ee oro e�cteSecWhn� Valuation: Adj.Area:
Z PP Y P P�h'
� builds or improves ihereon,and who contracts tor Ne projecis with a licensed Contractor pursuant to Uie ContracMrs'State QUANTITY DESCRIPTION FEE
License Law.).
o (�I am exempt trom licensure under the ConVactor's State License law for the following reason(s): a 1 Z�0
3 � t T'�
LL By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one �
o year prior to completion of fhe improvements covered by this permit,l cannot legally sell a structure that I have built as an w
¢ owner-builder if ii has noi been constructed in ifs entirery by licensed conhactors.I undersTand fhat a copy of the applicable
¢ law,Section 7044 ot the Business and ProTessions Code is available upon request when this appliration is submitted or at �
X the foltowing W site:h .leginfo.ca.g v/calaw. I. � �
z
o OATE: d Z� �SIGN: � � � �
� LICENSED CONTRACTOR'S DECLANATION �
a_
W I hereby affirm under penalty M perjury lhat I am licerrsed under provisions of Chapter 9(commencing with Section 7000)
m of Division 3 of the Business and Professions Code,and my license is in full farce and eflect. J
�
� U
y LICENSE CLASS: LIC.NO.: z
Z DATE: CONTflACTOfl: �
a WORNER'S COMPENSATION DECLARAiION g
� I HFREBY AFFIRM UNDER PENALIY OF PERJURY ONE OF THE FOLLOWING DECLAHATIONS: .
o I have and will maintain a Cert�pte of Consent to Self-Insure for Worker's Compensation,as provided by CONSTRUCTION:
� Seclion 3700 of the LaDor Cade,for Ihe pertormance ot the work far which tliis pennit is issued. PLAN REVIEW:
> I have and will maintain Worker's Compensation Insurance,as reQuired 6y Section 3700 01 the Labor Code,for
Z the peAormance M the work for which this permit is issued.My WorkePs Compensation Insurance Carrier anA ELECTRIC: S, . �ti
a PolicyNumberare: PLUMBING:
� CARRIER MECHANICAL:
� POLICY NUMBER � ' �
INSPECTION FEE:
� (THIS SEC�ON NEED NOT BE COMPLEfED IFTHE PERMR IS fOR ONE MINDRED DOLLARS(S7 p7)OR LESS). ,�S a a
ISSUANCE:
� f certAy that in the peAormance M fhe wark for which this permit is issued,I shall not employ any person in any manner so as to .
o become subject to the Workers Compensalion laws ot Califomia.Mtl agree Ihat il I shwld become subject to the Worker's SMIP: �
J Compensation p �sio f Section 37D0 of ihe Labor C,ode �ort�'N�i crompty wifh those pmvisions. EN ERGY P/C: � �
,—'—L DA7E:X /O 2.1 PLICANL�. 7_ ��w..i�—� ENERGY PERMIT:
� WARNING:FaiNre to sewre Workers Compensation coverage is unlavAal,and shall subject an employer to criminal �
w penatties and civil fines up to one hundred Nousand dollars($100,000),in addiGon to the cost ot the compensation, RETENTION FEE: a .,F�
o damages as provided for in section 3708 of ihe labor cade,interest,and attomey's tees. PRE-ALT FEE:
d CONSiAUCTION LENDIN6 AGENCY BSAF:
w I hereby affirm under penalry of perjury that ihere is a ConsVuction Lending Agency tor Ue pedomiance ol the work for
= which ihis permit is issued(Sec.3097,Gv.C.�.
�
r LENDER'S NAME
� IENDER'SADDRESS:
a I certify that I have read this application and state mat the above informatlon is correct I agree to comply vnth all ciry and TOTAL FEES �, �
Z counry ordinances and state laws relating to building constmction,and hereby authorize represenfatives ot this county to COMMENTS:
o enter upon the above-mentioned property for inspectian purposes. '
m �( �"tc-rt�fy ��i4wKS
N �RMITTEE NAME(PRI� r .
Z � �l iC� �i � �13
� SIGNATURE OF PERMITTEE DATE RECEIPT N �1O q �S PAID BY: I�q VALIDATION:_�_
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—ApplicanYs Copy
CITY OF DIAMOND �AR � ' � ` •
INSPECTION RECORD
� O , � o • � � • , � • • �
SETBACKlLETTER _, � ,' - TRACTANDLEDGER
FDOTINGS FORMS SWITCH GEAR
SLAB -,,.. , ' . . . , . ' COMMERCIAL HOOD
UG:PLUMBING . , _ :. , , ; . : T-BAR
UG.ELECTRIGAL - INTERCEPTER
UFER GROUNp .', '< =' HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIClCESSPOOL
MAIN WATER LINE HERS REPORT RECENED
SEWER CLEANOUT DEMOLITION I
ROOF SHEATHING ROOF DRAINS ,
FLOOR SHEATHING ROUGH CONDUIT
, . ; ,
SMEAR WALLS EXTERIOR. , POOUSPA : . : .
_ _ . ,.
SHEARWALLS"INTERIOR . ` . ; �, : ROUGM PLUMB,ING . �"
FRAMINGNENTING ; ,... : ;: ; _ , ROUGHfLECTRIGAL � , : ;-
_ ,. � -
ROUGH MECHANICAL , , �, ';, . , ' . : �: ` " ROUGH MECHANICAL . `
ROUGH ELECTRICAL"'W( )C(') ' GAS TEST °
ROUGH PLUMBING ,. , . ... ` PRE GUNITE: `:' _ ; ; :.
INSULATION WALL "POOL PRE DECK BONDING _
.�
INSULATION CEILING P-TRAP � -'' ``
DRYWALL �FENCE/GATE/AIARM _
LATH(PRE) FINAL POOL - •
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�T( )2ND( )LIFT
SCRATCN COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
, , ;
SPECIAL INSPECTIdN RO.FiiAMING PLANNINGAPPROVAL
, :.�_ - :
FINAL BUILDING � � . ,' ..�� ' . ROUGH FIREAPPROVAL
FINAC MECHANICAL _': FINAL FIRE DEPARTMENT
FINAL ELECTRICAL ' '' ' FINAL PLANNING
FINAL PWMBING .. � ` � FINAL ENGINEERING/PW , � ` ` `
,. ,,
T:C:of OGCUPANCY ,` ` - . � FINAL COMMUNITY SERIlICES - ; :
. . -, .
CERT.of OCCUPANCY .,, , • FINAL HEALTH DEPT. ; ` ;'
FINAL INDUSTRIAL WASTE � ` ' ` '` , `
COMMENTS: