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Home My WebLink About14-3988 „,+''��^� CI'CY OF DIAMOND BAR- ' ; i I ( I ' �, D�PARTMENT OF COMMUNITY&DEVELOYMGNT SERVICES • ��' ��`p;;�;";� ' . 21870 Copley Drive,Diamond t3ar,CA 91765 PRESS ' �'„�� (909)839-7020 [�'ax:(909)861-3117 Bailding InspecCion Hotline(I09)839-7027 ` F�RMLY `'��'��P`'” BUILDINGPERMITAPPLICATION � APPLICATION DATE: '� a'�� P�C� /�� ¢ JOB SITE ADDRESS O � �" v" ��y PERMIT# � I ' ��6 � ISSUE DATE: o RPN LOT TRACT I o OWNER NPE CONST. OCC GROUP: w � � ADDRE ZONING SETBACKS � � C�Ty fLIP � TEL. FRONT RW ❑ � a APPLICANT TEL. REAR �— o - • SIDE/SIDE STREET RW ' � a CONTRACTOR� �{� �� SIDE � oro ADDRE S�O"/q GI/�Y/��i�^/r , � �y� PROPOSED USE Q CI7Y � � IP�/ rE�. 9//i•�h��-9�r11Y � �t / -f/7 �1 � `� ARCH/ENG/DESIGNER "�/� o /- � . z ADDRESS �/ r /' /L�yr q DWEL UNITS_�� k STORIES� �BEDROOMS z CITY ZIP TEL.�ID` 7(/I/'h 7'r//7 DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDEft DECLARATION � I hereby atlirm under penalty of perjury that I am exempt Irom the Contractor's State License Law tor the reason(s� SFR/ADD/REM 0 o Indicatetl below Dy the checkmark(s),I have O�aced next to ihe applicable item(s)[Section 70315,Buslness and Garage/Carport w Professlons Cade:Any city a county that requires a permit to construct,alter,Unprove,demolish,a reDair,any z struclure,prior to its Issuance,also requires ihe applicant fm lhe D�it to Hle a signed statemenl tha�he or she tq PatioJDeck � Is licensed Dursuant to the provisians ol the Contractor's Sfate Uce�e Law(Chapter9)Commenc[ng with Sectlon w � 7000 of Divislon 3 ot Ihe Business an0 Protesslons Code)or Ihat he or she is exemD�hom Ikensure and ihe basis lor LL PooVSpa �� the alleged exemption.My viotafion o1 Sectlon 7031.5 bY any applicant for a permit subjects the applicant to a civil penalty Z Re-Roof � of rrot more than five hundred dollars(5500). � o U I,as owner of the property,a my employees wlth wages as iheir sole compensallon,will do(J all ot or(]porlians � Commercial 0 of the work,antl the swcNre is not intended a ottered lor sale(Section 7044,8usiness and Prolessbns Code:The m � Contractors'State License Law does not apDN to an ownu al property whq through employees'or Dersonal eflort,huilds w w improves the Droperty,ProviOed iha�Ihe imprDvemenis are not intended or oflered for sale.If however,ihe building or � improvement is sold within one year of completion,the Owner-Builder will have the burden ol Droving t�at It w�s not Ouitt por Improved tor the purposo of sale.). � � 1,as owner ol the ru J � (, p perty,am exGusivery cuntractlng wtth Ifcensed Convactors m canstruct the oro ecl(Section Valuation: Adj.Area: 0 7pqq,Business and Protessions Cale:The Coniractors'Stale License Law does not appy to an owner ot property who Z hullds a improves thereon,and who contracls for the projecis wilh a licensetl Cuntractor pursuant to the CanVacmrs'State OUANTITY DESCRIPTION FEE cn Y License I..aw.). o U��empt hom licensure under the ContractoYs S1ate Lfcense law im ihe tolbwing reason(sy: � � � ¢ "-- By my s�gnature betow I acknowledge that,except for my personal residence fn whicb I must have resided ior ai least one � Z year prior to comdetlon ot the improvemenfs covered by this Dermlt,l canrrot lepally sell a sWcture that I have built as an ,;, 0 Q owner-builderil ii has rwl been constructed in its enGrety by licensed contrac�ors.l untlersta�tliat a copy ot Ne appiicable pC law,Sectbn 7044 0l the Business and Protessions Code is available upon request when Nis apDlkation is Submitted or at X Ne tollovn�Web stte:httplvuvnv.legin(o.ca.gov/ptaw.html. z w DATE: SIGN: � � � IJCENSED CONTRACTOH'S DECLARATION � U w I here6y a�rm un0er penatry of perjury tbat I am Ike�ued under provisions ot Chapter 9(commencing w{tR Secliai 7000) � ot Divlsion 3 0l the Business and Prolessions Code,and my license is in full fwce and effect. � cn � /��1/� , � LICENSE CLASS: LIC.N0.' (/`7"G' z oZ DAiE: CONTRACTOR: � � � � ¢ WORKER'S COMPENSATION OECIAHATION� � � I HEREBY AFFlRM UNDER PENALTY OF PERJURY ONE OF hIE FOLLOWING DECLARATIONS: 4�} ¢ I tiave and witl maintain a CeAificale oi Cansen�to Sefl-Nsure iw Worker's Compensation,as provided hy CONSTRUCTION: �� • / � Sectian 3700 of Ihe LaCa Code,for tha performance of ihe wark im vAiich ihis permit is Issuetl. p�.qN REVI EW: � > �I have and will malntain Worker's Compensafion Insu2nce,as required by Section 3700 of tM1e Labor Code,fw ELECTRIC: o the periwmance of the vrork ta which this permit is is5ued.My Worker's Gompensation Insurance Carrier antl ¢ PolicyNumberare 1�t y- PLUMBING: � CARRIEA ��/!9 f C l�Ii1 rJ� - MECHANlCAL: w /(// /�i�/�� ' � Z vouCv NUMe�x_�,T T�� ,� INSPECTION FEE: y � (T}tlS SEGTIDN NEED NDT BE COMR.EtED IF 7HE PERMR IS FOR ONE FRINDRED DOLIAHS($10(p DR LES$). I SSUANCE: - �-�/ oI certify that in ihe peAortruv�ce of the wnrk fa which this permit is ,I shM rrot employ arry person�any manner so as to become subl�la Ne Workerk Compensation Calilorn. tl agree that If I should hecame subject m Ihe Wakei's SMIP: -a `>7 �� Compen ti ot Section 3700 0� Cade,� � ortU� pN with those D�ovisias. ENERGY P/C: DA7E: APPUCAN7: � ENERGY PERMIT: '1 n � WARNIN :Fal re to secure Waker's Com,nsatlon rage is uNawtul,and shall subjec[an empbyer to cdminal RETENTION FEE: '"`V� w penallies and civil lines up to one hundred ihousantl dollars($100,000�,In eddition to the cost of the comDer�sation, - �- damages av provided la in sect�on 3�08 ot the iabor cotle,interest,and attomey's fees PRE-ALT FEE: � . CONSTRUCTION LENDING AGENCY BSAF: � I hereby affum untler penalty of perjury thal there is a ConsVuction Lendirg Agenq lor Ne perlomiance ot the vrork for � which ihis permit is fssued(Sec.3097,Civ.C.�. � LENDER'S NAME ��•�J� � LENDER'SADDRESS: d I cerliry that I have read this application and si21e Nat the above intormaUon is correct I agree to comply wflh all city and TOTAL FEES � counry ordinances and state laws relating to buildinq consWctlon,and hereby authorize representatives of this counry to COMMENTS: z enter upon th bov+�nlione pe i lor ylsp tion�es. 0 J � m L a PERM (PRIN = SIGNA F PERM DA REGEIPT H_l!/I!r I PAID BY: ✓ �d�V VAL.IDATION:��• � / WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR lNSPECTION RECORD � , � � . � . , � � , . � . SETBACK%:LETTER ' " , ' `' " " TRACTAND LEDGER _ �� _ �" SWITCH GEAR FOOTINGS FORMS " ` l.+. . , ..`r..�.j a-'",hr:��; ��°s '''' ' , COMMERCIAL HOOD 'SLAB:��' z: fi 'v , ` _ UG.�PLUMBING� � - = �� T-BAR � UG.ELECTRICAL ` " ' INTERCEPTER ,UFER GROUND '�'�',.�:: ' -" ; HOT MOP/SHOWERPAN SEWER LATERAL SEPTIClCESSPOOL MAIN WATER IJNE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SNEAR WALLS€XTERIOR �' _:h� �PUOUSPA;- _�� •SHEAR WALLS:INTERIOR::��. - � �ROUGH PLUMBING��:_ _ "�� - _ . � ,; _ ;�.: -. :� �. ; , , - , , 1 _ FRAMINGNENTING a` . �` ` : ROUGH ELECTRICAL�= �' � - ROUGH MECHANICAL - �*� - .� 60UGH�MEGHANICAL � ' ` `��x = _ 7 ..'� ...y . . ROUGH_ELECTRICFlL W(�;)C( ) ,� - ; �` L = - GAS TEST'= `�'' ' ;` �ROUGH PLUMBING '� • _ �' - PRE GUNITE a �' �.,�,.� � �. . _ �. ,� . _ .. . . . � _ � INSUlATION WALL POOL'PRE:DECK.BONDING = " ' ;`� ' i % INSULATION CEILING P��T�P�� ` � ,- ;, � � DRYWALL FfNCE I�GATEI ALARM � �� _ ` `�` LATH(PRE) FINAL`-POOL � - _ �+�. ` � ;`: LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS.TEST WALL STEEL 1�T( )2"0( )IIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS MEfER RELEASE WALL FINAL SPECIAL INSPECTION RD:FRAMING PLANNINGAPPROVAL � "-�t` � ' ��' �` ' - ... _. ,_ ;� . .:: -: ,� • ,. :' r . FINAL BUILDING . . _`,T ; ' '.: i '� �{�. �`, . .f - ROUGH FIRE APPROVAL � ' ` ' _ fINAC MECHANICAI ' :`• - - ~; �, _ : ?:FINAL FIRE DEFARTMENT ;: �=r �� `:: FINAL ELECTRICAL =r �';'�:� fINAL PIANNIN6 ":�` �� ` `~ ' FINALPLUMBING ,�.>ti � �'a' � ' .' �, �:�` : ;FINALENGINEERING/PW }� r ` � �� Fx; LG.�of OCCUPANCY �� ` - � FINAL COMMUNITY�SERViCES � � ° CERL'of OCCUPANCY !; , . ,, i ,�,r _ �:� _- ` l ,. 'FINAL HEALTH DEPT 4 x � r ' � �� .x � . � � ,FINAL�INDUSTRIAL WASTE�:�� ;, '� � _�,-;' a * '';=a , .�� < < �.a a =�; COMMENTS: