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Home My WebLink About14-4162 "t' + .�s,_.. , oz�oy�7.ot r �� C1TY OI'DIAMOND BAR.' � �r�Nl� � � : � ._ DEPARTMENT OF COMMUNI'I":�&DEVELOPM�NT SERVICES ��p�„� � 21810 Copley Drivc,Diamond 13ar,CA 41765 � PRESS �� ;"„� � (909)839-7020 Fax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 F�RMLY <-"�„��„w, _ ��"��''"- BUILDING PERiV11T APPLICATION ¢ JOB SITE ADDRESS � N'�I�ArIU/ /T��T/ APPLICATION DATE:�7- �� / P/C# z APN LOT TRACT ISSUE DATE:�I- �d � ^�� I PERMIT# f y' �� o OWNER PE CONST. OCC GROUP: w 7 � ADDRESS N CITY IP TEL. ZONING F ONTCKS Rw ❑ � APPLICANT TEL. REAR ❑ N �,� nn' SIDE/SIDE STFEET RW ❑ a CONTRACTOR ,/��nI,�'7!/l.Lr �G�DI�It��/�/�j'7�y/,/l�G�� SIDE ❑ oro ADDRESS�4�9 d�1rIYI YG �� PROPOSED USE . � f-ZI 1 ti d o CITY� �� IP C��EL._J�f�9��/ � o ARCH/ENG/DESIGNER • i ,S�/ o ADDRESS A #DWEL.UNITS #STORIES #BEDROOMS z CI / Q / ZIP '!� EL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OWNEH-BUILDER DECLAflAT10N °C I hereby aflirm under penalry ot perjury Nat I am exempt from the Contractor's State License law for ttie reason(s) SFR/ADD/REM 0 p indicated below by the checkmarWs),I have piaced next to the aDD�icable item(s)[Seetion 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 z strucWre,prior to ifs issuance,also requires the appiicanl for the pertnit to file a signed statement that he or she � Patio/Deck a is licensed pursuant to the provisions of the ConVactor's State License Law(Chapter 9)Lbmmencing with Seclion w � 7000 of Oivision 3 of the Business and Prafessions Code]or that he or she is exempt hom licensure and ihe basis tor � P��Spa N tl�e alleged exemption.Any violation of Section 7031.5 by any applicant for a permft subjects the apD�icant to a civil penatty � ot not more Than(ive hundred do�Iars($500). Q Re-Roof o ()1,as owner of the property,or my employees with wages as their sole compensation,will tlo()all oi or(_.)portions � Commercial � of the work,and me strucNre is not intended or offered for sale(Section 7044,Business and Professions Code:The m z Contractors'State License Law does not apply to an avmer of property who,through employees'or personal eflort,builds � or improves the property,provided that the improvements are not intended or otlered for sale.ll however,the building or � improvement is sold within one year of completion,the Owner-Builder will have the burden ol proving that it was not built p or improved for the purpose of sale.). � I,as owner at the ro e 0 (� p p rty,am exclusively conVactlng wilh licensed Contracrors ta construct the project(Section Valuation: Adj.Afea: 7044,Business and Professions Code:The Contractors'State License Law does not apply to an awner of Droperty who Z builds or improves t�ereon,and who contracts for tbe projects with a licensed Contractor pursuant to the Contracfirs'State rn OUANTIIY DESCRIPTION FEE license Law.). a � � � o (._j I am exempt trom licensure under the ConVactor's State License law for ihe following reason(s): � 'S ¢ LL By my signature betow I acknowledge thal,except tor my personal residence in which I must have resided tor at least one W a Z. 1J f/ ' o year prior to compledon of the improvements covered by Nis permit,l cannot legally sell a structure that I have built as an w �7 a owner-builder if it has not been consiructed in its entirery by licensed contractors.I understand ihat a copy nf the applicable G-.� / �� 7 `— ¢ law,Section 7044 ot the Business and Professions Code is available upon reduest when this application is submitted or at X the tollowing Web sfte:httpAwnv.leginfo.ca.gov/calaw.html. '� z � OATE: SIGN: � � LICENSED CONTRACTOR'S�ECLARATION � a w I hereby affirtn unAer penalty of Derjury that I am licensed under provisions of Chapter 9(cammencing with Section 7000) m of Division 3 of ihe Business and Protessions Code,and my license is in fuli farce and eflect. J � U � LICENSE CLASS: LIC.NO.: � z rY1/ a o DATE: CONTHACTOR: �-, v = Z U ¢ WOHNEfl'S COMPENSATION DECLARATION � � 1 HFREBY AFFIRM UN�ER PENALTY OF PERJURY ONE OF hIE FOLLOWING DECLARATIONS: 0 1 have and will maintain a Cert�cate of Consent to Selt-Insure lor Worker's Compensalion,as providetl by CONSTRUCTION: � Section 3700 of the Labor Code,for the pertormance ol the work for which mis permit is issued. PLAN REVIEW: > �I have and will maintain Worker's Compensation Insurance,as repuired by Section 3700 of the Labor Code,for J �/� z the performance ot the work for which this permit is issued.My Worker's Compensation Insurance Carrier antl ELECTRIC: _ j � a PoiicyNumberare: ,J � PLUMBING: � CARRIER lt rJ _ 2n � � MECHANICAL: � POLICY NUMBER � —� �� INSPECTION FEE: N (fHIS SECTION NEED NOT BE fAMPLETEOIFTHE PERMR IS FOR ONE HUNDRED DO W�RS($100J OR LESS). � ISSUANCE: �.r.�7 0 I cedify that in the performance of llie work lor which this permit is issuetl,I shail not employ any person in any manner so as to SM I P: � become subject lo Ne Worker5 Cumpensation Laws ol liforni d a ree tha[if I should become subject to me Worker's J Compensati nP� ions�(Sectirn 3700 of the ,I mpy wiU those pmvisions. ENERGY P/C: ,i DATE: �I 7 APPUCANT: ENERGY PERMIT: � WARNI :Failur to secure Workers Co en tion cmerage is unlawful,and shall subjeci an employer to criminal REfENTION FEE: �.D� w penalties and civil tines up to ooe hundred t�ousand dollars($700,000),in addition to the cost M the compensffiion, - -y,— � damages as provided for in section 3708 0l the labor code,interes[,and attomey's fees. PRE-ALT FEE: 0 a CONSTRUCTION LENDING AGENCY BSAF: w I hereGy a�rm under penalry oi perjury ihat there is a Constmction Lending Agency tor the peAormance ot the work for � which this permit is issued(Sec.3097,Civ.C.). F. LENDER'S NAME: ;} � � LENDER'SAD�RESS: � r� TOTAL FEES a I certity that I have read this application and state that the above information is correct I agree tn comply with ail city and � .� � county ordinances and state laws relating to building construction,and hereby authorize representatives ot this county to 4e7 f�' ��k �� 0 n A� f z CO MENTS: ��J� /'►'1� � p enter upon me above-mentioned perty for insp tion purposes. �/L�. � ��^ J � � i L/��n � 1�,�15 -� � � m (�-�dj� D,�- ¢ PERMI EE NAME(PRINn � �' ;�10 �! � SIGNATURE OF PFAMfTTEE DATE RECEIPT N�a�__ PAID BY: VALIDATION:_,�r• WHITE—Department Copy,YELLOW—Finance Copy,PINK—Pssessor Copy.GOLDENROD—File Copy,GREEN—ApplicanYs Copy � CITY OF DIAMOND�Bi'�,R .,�, . INSPECTION REEOH�i . � � , . � . . � � , . � . SETBACK/LETTER' - ` :' TRACTAND LEDGER fOdTEN6SfORMS ` SWITCH GEAR SLAB COMMEflCIAL HOOD UG:PLUMBING_ � , , � . ' T-BAR UG.ELECTRICAL � INTERCEPTER UFER GROUND ' HOT MOP/SHOWERPAN SEWER LATEHAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT ' DEMOLITION ROOF SHEATNING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR ' POOUSPA ' �= , SHFAR WALLS INTERIOR ° ROUGH PLUMBING . . FRAMWGNENTING, .' .' ROUGH ELECTRICAL : ' fiOUGH MECHANICAL ' ::. , � , = ' >`; ... ,: .>; ROUGH MEGHANICAL. :. , ` � , ,:: . . GAS TEST . - ROUGH ELECTRICAC W( )C( ) ROUGH PLUMBING PRE GUNITE INSULATION WALL POOL PRE-DECK BONDING � ' �� : � INSULATION CEILING P'-TRAP DRYWALL FENCE/GATE/ALARM LATN(PRE) FINAL POOL LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL 6AS TEST WALL STEEL 1�T( )2N0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION R0.FRAMING PLANNINGAPPROVAL - , , . . FlNAL BUILDING.'.. ' . . ` ROUGH fIREAPPROVAL � . FINAL MECHANICAL � FINAL FIRE DEPARTMENT ` - FlNAL ELECTRICAL`., 4- , • ,: :. . , FINAL PLANNING. . . .�' : ,: .:. ,. , .. �. FINAL PLUMBING '% . FINAL ENGINEERING!PW . ;. T.C.of OCCUPANCY � FINAL COMMUNITY SERUICES � � CERT.of OCCUPANCY . • , :,� - FINAL HEAL•TH DEPT. " FINAL INDUSTRIAL WASTE COMMENTS:_�,�,,, Cr�/ � 62iI�S N�