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Home My WebLink About14-5011 ',t� C1TY Or DIAMOND BAR ��ITF I �I i . i :', DEPARTMENT OF C01'1MUNITY&DEVELOPM�NT SERVICES �NAL� �t�p�,;�,,�-,� 21810 Copley Drive,Diamond 13ar,CA 9176� PRESS ' _� � � O � Z"� f5 �,,.�; (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 � / FIRMLY ��'��'�" BUILDING PERMIT APPLICATION g — ` APPLICATION DATE: P/C# I w JOB SITE ADDRESS � Jtf� �!� p� 1 a ISSUE DATE: ��J�P�L/ PERMIT# lL�- rc I� z APN LOT TRACT • 0 o OWNER �M {`CUY� O A I�� TYPE CONST. OCC GROUP: w � ADDRE�SnS � l ¢n J CITY 'U.H��I.;� ZONWG SEfBACKS � ��.r ZIP TEL. FRONT RW ❑ a APPLICANT TEL. REAR ❑ ¢ N n \ . ` SIDE/SIDE STREET RW ❑ o CONTRACTOR 1'�nP�pa ��t(��'t�lY� �nd �h�t,�_ SIDE ❑ oro ADDRESS ��o�J L'SO P�'an/�Z� D( . / PROPOSED USE I� � cirvSv�,,.�, ZIP�QTEL. "1(��l- `la�- 1��c� � ' o _fpo..�r ana ;�ol�c�. � o ARCH/ENG/DESIGNER w ^ zo ADDRESS #t DWEL.UNITS� #STORIES oC #BEDROOMS z CITY ZIP TEL. � DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION OVYNEFI-BUILDER DECLAFtATION � I hereby attirm under penatty of perjury that i am exempt Trom the Contractor's State License Law for the reason�s) SFFVADD/REM 0 p indicated below by the checkmark�s),I have placed next to the aDD�icable item(s)[Section 7031.5,Business and Garage/Carport � o Professions Code:Any city or county ihat requires a permi[to construct,alter,improve,demolish,or repair,any iz structure,prior to its issuance,also requires ihe applicant for the pertnit to file a signed statement that he or she � Patio/Deck a is licensed pursuaM to lhe provisions of ihe Co�rtractor's State License Law(Chapter 9)Commencing with Section w � 7000 of Division 3 of ihe Business and Professions Code]or that he or she is exempt hom licensure and lhe basis tor LL Pool/Spa N the alleged exemption.Any violation M Secdan 7031.5 by any applicant for a Dermit subjects the applicant to a cNil penalry C7 � of not more than five hundred dollars(y500). Q Re-Roof o (1 I,as owner of the propeAy,or my employees with wages as their sole compensation,will do(�all ot or(�portions � Commercial � ot the work,and the structure is not intended or oifered for sale(Section 7044,Business and Professions Code:The m Z Contractors'State License Law does not apply m an avmer of property who,through employees'or personal ettort,builds � ar improves ihe property,pravided thffi the improvements are not irrtended or offeretl for sale.It however,the building or � improvement is soid within one year of completion,me Owner-Builder will have the burden of proving thai it was not built p or improved for the purpose of sale.). U (�I,as owner ot the property,am exdusively coMracdng wiN licensed Contractors to conshuct the project(Section 0 7044,Business and Pmfessions Code:The Comrac[ors'Slate License Law dnes not apply to an owner of property who Valuation: 0- Adj.Area: z builds w improves thereon,and who contracts tor the ro ecis with a licensetl Contractor ursuani to the Contracrors'State cn P i P QUANTITY DESCRIPTION FEE Y ticense Law.). o (�I am exempt from licensure under the Contractor's State Ucense law 1or the following reason(s): � � ¢ LL By my signature below I acknowledge that,except tor my personal residence in which I must have resided tor at least one c~.� Z � � year prior to compleHon of Ne improvemenis covered by mis permi[,I cannot legally sell a sWcture mat I have built as an ,y a owner-builder if it has not been constructed in its emirety by licensed contractors.l understand that a copy ol the applipble � law,Section 7044 oi the Business and Professions Code is available upon request when this application is submitted or at X me tollowing Web site:httplwvnv.leginto.ca.gav/calaw.html. � z � DATE: SIGN: � � LJCENSED CONiRACTOfl'S�ECLARAiION � a w I hereby affirm under penalty ot perjury that I am lice�ed untler provisions of Chapter 9�commencing with Section 7000) m of Division 3 ot the Business antl Protessions Code,and my license is in full force and eflect. J � LICENSE CLASS: ` J 7 LIC.NO.: ��"1 -I�a z x o DATE: CONTRACTOR: � � WORI(ER'S COMPENSATION DECIAflATION � ��, � I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARA710NS: oI nave and will maintain a Cert�nte o(Consent to Setl-Insure lor Worker's Compensation,as provided by CONSTRUCTION: � .� � Section 3700 0l the Labor Code,tor Ne peAormance ai the work for which this permit is issued. p�,qN REVIEW: 7,� � I have and will mairttain Worker's Compensation Insurance,as repuiretl 6y Section 3700 of the Labor Code,for � the performance of ihe work for which this permit is i55ue0.My Worker's ComDensation Insurance Carrier and ELECTRIC: z a PoliqNumberare: ^ PLUMBING: � CARRIER /'�1h2f��W n ��nfiL�. w MECHANICAL: � POLiCv NUMBER��'I- VI�' Pi �� U 1 INSPECTION FEE: � (THIS SCCTION NEED NOT BE COMPLEfE�IFTNE PERMfT IS FOR ONE HUNDRED DOLLAFIS(�70(�OR IESS�. � ISSUANCE: r:� o I certify fhat in the Dertormance of the wark for which N's permit is issuetl,I shall nol employ any person in any manner so as to SM IP: o hecome subject to me Waker�Compe�ation Laws of Calilomia.Md agree that it I should become subject to ihe Worker's � J Compensatim pro+nsions of Section 3700 of the Labor Code,I shall toMwilh comply wilh tfrose provisions. EN ERGY P/C: LL DATE: APPLICANT: ENERGY PERMIT: � WARNING:Failure to secure Workers Compensation coverage is unlawlul,and shall subject an employer to criminal RETENTION FEE: y� � w penatties and civil fines up to one hundred thousand doilars($100,000),in addition to ihe cost ol the compensation, a damages as provided for in section 3708 of the labor code,interest,and attomey's fees. PRE-ALT FEE: 0 d CONSTHUCTION LENDING AGENCY BSAF: � e D� w I hereby affirm under penalry of perjury that there is a ConsVuction Lending Agen�y for ihe pedormance of the work tor = which this permit is issued(Sec.3097,Civ.C.). � �. LENDER'S NAME: � LENDER'SAD�RESS: ��I a I ceRiTy that I have read this applicatlon and state that the above intormatlon is correct.l agree N comply vnth all ciiy and TOTAL FEES z county ordinances and siate laws relatlng to building consWctlon,and hereby autharize representatives of mis county to COMMENTS: o ente�upon Ihe above-mentioned property for inspection purposes. J 1' m i n.n�/ !J an us✓� a PERM NA E INn = SI �T E OF�ERMI� � �A�� RECEIPT k ��I��__ pqlD BY: �7 7 VALIDATION: WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy .�-- CITY OF DIAMOND BAR �� INSPECTIOi�i RE�ORD • � � • � - � � � � • - SETBACK/LETTER ' TRACTAND LEDGER FOOTfNGSFORMS� ... '' `, ` ', ` '. SWITCHGEAR SLAB COMMERCIAL HOOD UG.PLUMBING . : < . � ;,.: T-BAR UG:ELECTRICAL ° , `,; - � . '`: , INTERCEPTER UFER GROUND ` � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT �I SHEAR WALLS EXTERIOR ` . POOt/SPA . , SHEAR WALLS INTERIOR � ROUGH PLUMBING , ';,. - -. FRAMWG�G /� � • ,�,1 ,�il� ' ROUGH ELEGTRICAL ` _ ROUGH,MEGHANICAL . .. : � % ', `. : . ROUGH MECHANICAL . � ' ::., ', '; _ _ ,, . r,... �'. ROUGH ELECTRICAL W(')C(''.) � GAS TEST. ° - ROUGH PLUMBIN6 '` .: ' PRE GUNITE - INSULATION WALL POOL PRE DECK BONDING ,_ , • _ ; INSULATION CEILING P-TRAP ' � " DRYWALL FENCE/GATE!ALARM LATH(PRE) ,/ � FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�( )2N°( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE ' WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNINGAPPROVAL - FINAL BUICDING� 1�,}7 / ROUGH FIREAPPROVAL ' FINAL MEGMANICAL``. 'FINAL FIRE OEPARTMENT FINAL ELECTRICAL' �FINAL PLANNING - FINAC PLUMBING - FINAL ENGINEERING/PW T.C.of OCCUPANCY: FINAL COMMUNITY SERVICES '" EERT.�of DCCUPANCY FINAL HEALTH DEPL _ , _ FINAL INDUSTAIAL WASTE COMMENTS: