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Home My WebLink About14-3989� � - CITY OF DIAMOND[3AR � I� �F'yl i ' � DEPARTMENT OF COMMUNITY&DEVELOPMGNT SERVICES � Ill�i `�- '� ' 21810 Coplcy Drivc,Diamm�d 13ar,cA y»�s PRESS 1 � ," � (909)839-7020 Fax:(909)861-3117 Building Inspcction Hotlinc(909)839-7027 FIRMLY �'�"'�"' BUILDING PERMIT APPLICATION ¢ JOB SITE ADDRESS D • �//� APPLICATION DATE � ^ —�y P/Ck w ISSUE DATE: �^ r`� a� PERMITtt �Y'J g Jf 7 z APN LOT TRACT 0 o OWNER TYPE CONST. OCC GROUP: w y ADDRESS � CITY ZIP TEL ZONING F ONTCKS RW ❑ OAPPLICANT TEL. REAR ❑ cn • SIDE/SIDE STREEi RW ❑ Q CONTRACTOR/�in fias L'on�Lz�n��n .�iir��A/h-� �7 n,- �/�� /� SIDE ❑ c� ADDRESS�O /9 .VLf/�/�/.� I`� �YL//� /�/I�'J�I pROPOSED USE � ciTv ziP 9�G! �J/G3///U'94l'7 ' a `� ARCH/ENG/DESIGNER • '��7 o ADDRESS ZfiGh� hYAn vi A � q DWEL.UNITS #STORIES , #BEDROOMS I a CITY / ZI � TEL. � — , � owri�s-euiLoeq oEaannnox DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION o I hereby aKrm under penalty ot perjury that I am exampt hom the Contractor's State License Law(or the reason�s) SFR/ADD/REM p intlkated below by the checkmark�s�,I have placed neat to the aDDlkxble item�s)[Section 70315,Buslness and Gerage/Carppt o Professions Code:Any city a county that requires a permit ta conshuct,alter,improve,demolish,or repai�,any z structure,prior to its Issuartce,also requlres ihe applicant for Ihe permit to file a signed statement ihat he or she � Patio/Deck a is licensed pursuant to ihe provisions ot ihe Cortlractor's Sfate License Law(Chapter 9)Commencing with Sectlon W � 7000 of Division 3 of the Business and Professkns Cade]w that he or she is exampt hom Iicensure and the basis for � P�I/Spa N the alleged ezemptbn.My vblation ol Section 7031.5 by any applicant tw a permit subjects ihe aODlkant to a cNil penalty C7 N of rwt more than live huntlretl dollars($500). Z Re-Roof ¢ o (,I,as owner of the proporty,w my employees with wages as thelr sole compensation,will tlo(,all ot or(]porilons � Commerclal w ot the arork,and the strucNre is not intended a offered for sale(Section)044,Busine5s and Prolessions Code:The � U m Z Contractnrs'State Llcense Law dces not appty to an owner of property who,ihrough employees'or personal ettort,builds w or improves the properry,pmvidetl that�he Improvements are not intendetl or offered lor sale.If however,ihe building or � improvement is sold within one year of canpletion,ihe Owner-Builder will have the burden ol proving ihat It wa5 rrot buitt p or imprrned far ihe purpose of sale J. � � (J I,as owner of the pmperty,am exclustvely conVacting with Iicensed CanVactors to consWcl the project(Sectlon � 0 7044,Business artd Pro�essions Code:The CoMractrns'Shate License Law tloes rwt appty to an owner of Droperry who Valuation: Adj.Area: � Z bullds or imprwes thereon,end who conVxts for the prqecls with a Ilcer�sed Contracta pursuant to the Contractors'Stale QUANTIIY ' DESCRIPTION FEE cn Y License Law.). o U�am exempt hom Iicensure under the Contractur's State License law lor ihe lollowing reason(s): � � � `L By my signaWre below I acknowledge that,except fw my personal residence in which I must have residetl for at least me � Z J o year prior to compledon of the imprwements covered by this permit,l cannot iegalry sell a strucNre that I have buill as an w � owner-builder i(it has rwt been cansWctetl In ifs entirety by licensed contractas.I understaM mat a copy of ihe aDPlirable taw,Section 7044 0�the Business and Professions Code is available upon request when�his appliratbn is submitted a at � tha following Web site:httpNrvrw.leginfo.ca.gov/calaw.html. � z � DATE: SIGN: � � LICENSm CONTRACTOfl'S UECLARATION � n. w I hereby a�rm untler penalty of per�ury that I am licensed untler prmisions ol Chapter 9(commencing with Secfion 7000) � ot Division 3 ot the Business and PrMessions Code,and my license is In fWl force and eBect � J N /J/ � LICENSE CLASS: LIC.NO.: v� _ oZ DAiE: CONTRACTOR: � . ¢ WOflI(ER'S COMPENSATION OECIARATION � � I HEREBY AFFlRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS � oI have and will maintain a Certtficate ol Consent to Setl-Insure for Worker's Compensation,as providetl by CONSTRUCTION: ��.9 7 � �on 37�of the La�a Code,tor Ne pertormance o(ttie wmk fa which ihis permit is issued. p�qN REVIEN/: > I have and will maintain Worker's Compensatim Insu2�e,as reqWretl by Section 3700 of the Labor Code,for ELECTRIC: � the peAormance of the work tor which this Dermif is issued.My WorkePs Compensation Insurance Carrier antl Z P�UMBING: ¢ Poliq Numher are�� MECHANICAL w CARRIER � POLiCVNUMBER 7 �j � INSPECTION FEE: � (fH5 SECTpN NEED NOT BE COMPLETEU IF THE PERMIT IS FQR QNE HUNDRED DOLWIS(^y10�OR LESS�, 0 1 certify ihat in tlie perfamvice ot�he vmrk lor which this permit� ,1 sha0 rrot empby any persan in airy manner so as to ISSl1ANC E: �(��7 o becane subject to Worker�Comper�sauon Calif ' d agree that n I snaum hecome subject t�the Wake�•s SMIP: �j/� ake � Can o on37000t Cade t DNwiththoseamvisians. ENERGY P/C: J DATE: APPLICNJT: '� ENERGY PERMff: � wARNING: ai re ro secure workets Com nsatio�coverage is unlawlul,and shall subject an emproyer to criminal REfENTION FEE: �. w penatties and civil fines up to one hundred thousand dollars($100,000�,In addidon to the cost of t�e compertsation, . o damages as pra✓itled for in section 3706 of the labor code,interest,and attomey's fees. PRE-ALT FEE: a CONSTRUCTION LENDING AGENCY� BSAF:__ /�,Q� w I hereDy affum under penalry of perjury that ihere is a ConSVuction Lending Agenq lor Ne perlormance o1 ihe work lor = which t�is permit is issued(Sec.3097,Cfv.C.�. � � LENDER'S NAME /, � LENDEfl'SADDRESS: 'Y�. PI a I certiry Nat I have read this applicaUon and state Nat the above intormabon is conecL I agree tn compry with all city antl TOTAL FEES Z counry wdinances and state laws relatlng ro building constructlon,antl hereby authorize representatives of mis counry lo COMMENTS: p enter upon e abole-mentioned p rty fa insp purposes. J 1 � f7 a] � /`�/ a PERMfTTEE INn � � SIGNA EO ERMIT'fEE a�Q'� �a�� . � E RECEIPT q I�� PAID BY: VALIDATION: � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Rle Copy,GREEN—ApplicanYs Copy CtTY OF DIAnIIOND BAR IfVSPECTION RECORD � � . • - • e � • ' ,SETBACW LETTER ' - - TRACTAND LEDGER FOOTINGS FORtVIS - - -_ SWffCH GEAR S�g;��. �; - � �"^`�_�-� COMMERCIAL HOOD , UG.PLUMBING ; . =' T-BAR UG.ELECTRICAC - "-' INTERCEPTER ,UFER 6ROUND-� _ � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SNEATHING ROOF DRFJNS FLOOR SHEATHING ROUGH CONOUIT 'SHEARWALLS'EXTERIOR'`� � � " � POOUSPA: �r _'i � i � . �� ,. : � r ; � SHEAR WALLS INTERIOR:�_ . �; „ µ ROUGH PLUMBING ,� r � � 'FRAMINGNENTING > -;�4�' � ROUGH ELECTRICAC' ` s f - '' ROUGH MECHANICAL ,..,,'�,',. , } - ' ROUGH MEGHANICAL �� .o� '" ' � ':s'� o- 1 i ' : ROUGH ELECTRICAL W('-)C.( ) `;�, f _ '� GAS TEST -'' ' �- ,' ' , , *` ��:, `�` � PRE GUNITE� -'i ; ' � " ' �'`'' " ROUGH PLUMBING. � �� -� � INSULATION WALL POOC PRE_DECK BONDING � � - < �� t = INSULATION CEILING P-�P' ° �' DRYWALL FENCE/�GATE/ALARM � • . � � � � . �, LATH(PRE) / FINAL�POOL � !`� �r'�� - ,' � �- - � LATH EXTERIOR i : ` WALLS: LATN INTERIOR WALL FOOTING/STEEL GAS TEST WALI STEEL 1�( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIPU SEAL GAS METER REIEASE WALL FINAL RO FiiAMING PLAAJMNGAPPROVAL - ` L , r' ` � . SPECIAL INSPECTION � �" � "' � ` ��FINAL BUILDING -_ ` ��ROUGH-FIR,E APPROVAL� ": - - � n �� r �' FINAL MECHANICAL °'{ 1,,. , . '';" � FINAL FlRE DEPARTMENT ' ` `�` `' � �+ FINAL ELECTRICAL r_, Y`' � , - FINAL PI:ANNING`' t �" ��`� F,INAL PLUMBING _ " FIfVAI ENGINEERING/PW �` - ' ' �' �'� T.C.ofOCCUPANCY ' '- _ � FINALCOMPAUNITY'SERVICES - � :�� '�' CERT.of OCCUPANCIf �" ` � M1x , �;, .. "�=' ' FINAL HEALTH DEPT �r a r'�� ,�'�` �: � '��, FINAL��INDUSTRIAL:��WA3TE�� -, _ '�,`� � -' �� '` f" , .: .-t COMMENTS: