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Home My WebLink About14-3491 �'�j''�;:. CITY O['DIAiV10Nll I3AR I � � � � � � DEPARTMENT OF COMMUNITY�Cc DEVELOPMENT SERVICES � �p�j,h,;-`� 21810 Copley Drive,Di�mond 13ar,CA 91765 PRESS �.�.`1 � ; �,��;� � (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 F�RMLY BUILDING PERMIT APPLICATION � - Q G � -� . APPLICATION DATE: P/Ck ¢ JOB SITE ADDRESS t 2 — / y w ISSUE DATE: �7'� PERMIT# �� f� z APN LOT TRACT o OWNER iS TYPE CONST. OCC GROUP: N ADDRESS ' 2SS1 I G� N CITY r ZIP 91�GS TEL.9 0� — 2�3—�6�'Z ZONING F ONT KS RW ❑ oAPPLICANT �/ 1� L�- TEL._L9d�� q'�9-0��9 REAR ❑ y L SIDE/SIDE STREET RW ❑ Q CONTRACTOR ��I'i LtYol �VfRN1A U T'1'�L • SIDE ❑ o� ADDRESS l�I(� txt('�'C'X� YC d ��` lq PROPOSED USE � cin_�n;kh'�-( ziP9�6o5 TEL.SQZ'ZGO�Za45 o � � _, o ARCH/ENG/DESIGNER �� A ��,T� o ADDRESS #DWEL.UNITS q STORIES #BEDROOMS z CITY ZIP TEL. � OWNFA•BUILDEA DECLAFlATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ I hereby attirm under penalry of perjury that I am exempt hom the Contrac[or's State lJcense Law for the reason(s) SFR/ADD/REM 0 p intlicatetl below by the checkmark(s),I have placed next to the aDWuxble item(s)[Secllon 70315,Business and Gerage/Carpwt o Prafessfo�Code:My dty m county that requires a permil to construct,alter,improve,demolish,or repair,any w struclure,prim W i[s issuance,also reqWres tha applicant for ihe permit�o file a signed statement that he or she � Patio/Deck N Is licensed pursuant to ihe provisions of ihe CoMrador's SWte License Law(Chapter 9)Commencing with Secdon W � 7000 of DWlsion 3 of ihe Business and Professions Code]or that he m she is exempt hom IicerGwre and the basis for LL P�VSpa � � the atleged exemption.Any violafion ol Section 7031.5 by any applicant for a Dermit subjects the applicant to a civil perqlty C7 � of imt more than five hundred dollars(5500�. ZQ Re-Root o (,�I,as mvner of the property,or my employees wlth wages as their sole compensation,will do(1 all of or U pnrtlons � Commercial � � of the work,and the struchue is not Intended or ottered for sale(Section 7044,Business a�Pralessioris Code:The m � Contractors'State License Law dces not appty to an owner ol property who,through employees'or personal ettort,builds u77 or improves the property,pmvitled tha[the improvements are not intended or otlered for sale.It however,the building or � improvement Is sold within one year oi canpletion,tha OvmerBulltler will have the buNen of proving that it was not Guitt por imprmed fa the purpose of sale.). � I,as owner af ihe ro 0 C� P Der1Y�am exdusHety coniracUng wlih Ilcemed CanVactors to cansWcl ihe project(Section ValUation:��.d� Ad AfBa: 7044,Business and Professlons Code:The Conlractas'Stale License Law does not appty to an owner o1 Droperty who � 1� Z bullds or improves mereon,and who convacfs ta ihe prqecls with a licer�setl Contractor pursuant to tlie Convactors'Stale N QUANTITY DESCRIPTION FEE Y License Law.). � o (�1 am exempt hom licensura under the Contractor's Steta License law tor the IOIIowing reason(s): � � � `l By my signature below I acWrowledge that,except for my per^,a�al residence In which I must have resided for at least one � o year prior to completion of ihe Improvements covered by this permit,l canrrot legalty selt a structure Uiat I havo built as an w a owner-builder I�it has irot been cons4uctetl in it5 entirety by Ifcensed contractws.I untlerstand ihat a copy olihe applipble � law,Sectio�7044 ot the Buslness and Professions Code Is available upon request when thls application is submitled a at X the tollowing Web site:httpJvmw.leginfo.ca.gov/calaw.htrnL '� z o DATE: SIGN: � � LICENSm CONTHACTOfl'S DECIARATIOH � a w I hereby affrcm urMer peretty ol perjury ihat 1 am liceraed untler prwisioris at Chapter 9(commencing with Section 7000) m of Division 3 of the Business antl Prolessions Code,and my license is in full farce and eflect. Nuc�se cv�ss: C 3 6 uc.No.: �1 8S$2�— Z o DATE: S�K�I�q COMRACTOR: �N � � WORKEH'S COMPENSATION UECLAHATION � � I HEREBY AFFIRM UNOER PENALTY OF PERJURY ONE OF THE FOLLOWING OECLARATIONS: oI have a�will maintain a Certificate ot Consent ro Seu-mwre Iw Worker's ComD�sation,as provided ny CONSTRUCTION: � Section 370D ot the f.abor Code,ror the Derf«mance of ihe wark tor which tliis permit is issuetl. p�qN RE1/IEW: � ��I have and will m�inttin Worker's Compensatfon Insurance,as repulretl 6y Section 3700 of the Labor Code,for Z fhe peAwmance ot Ne wak iw which this permit is issued.My WwkePs Compensatlon Insurance Carrier antl ELECTRIC: a PoliqNumberare: 1 /� PLUMBING: � CARRIER �-f dY't?rif� MECHANICAL: � POUCY NUMBER �-�(�.v E G Gr��"3 1 INSPECTION FEE: � (THIS SECTION NffD NDT BE COMPLEfEOIFT}iE PERMR IS FOP ONE HUNDRID DOLWRS($10�OR L.ESS�. � ISSUANCE: I � I certity that in the perforrnance of the wak la whrcJi Ihis permit's iss�e41 st�all nol empby any person in any mannet so as to ', p hecome subject to ihe Waker's Compensalian Iaws o1 falifomia Md apree Ihat If I slqWd become subjecl�o Ihe Worker's SM IP: � � Cmnpensation prwisbr�s of Seclion 3700 ol tlie Laba Code,I shap fortliwtth compy wiih those provisiors. ENERGY P/C: J DA7E:S�G��4 APPUCarir: r1/��_—• ENERGY PERMIT: � � WARNING FaINre to secure Worker's Compensa6on�cm�erage Is unlavrful,and sha�l subjecl an employer to crfminal � w penatties and Gvil fines uD to me hundred thousand dollars(3100,�),in addition to the cost of the comperaatim, REfENTION FEE: ' D�/ o damages as provided for in sectbn 3706 of the labor code,interest,and attomeys fees. PRE-ALT FEE: d CONSTRIICTION LENDING AGEHCY BSAF: w I hereDy�rm under penalry oi perjury that ihere is a Cwistruction Lending Agency for Ihe pedomiance ot the work for � which this permit is issued�Sec.3Q97,Clv.C.). � LENDER'S NAME � LENDER'SADDRESS: a I certify that I have read this application and state that the ahave iniormatlon is cortecL I 2gree to compry with all city and TOTAL FEES �)/� � county atlinances and state laws relafing N building consWcfion,antl hereby authorize representatives of ihis county to COMMENTS: v[/ z o enter upon ihe above-mentioned Droperty for inspection purposes. J m Uu � a PERMfTTEE NAME(PRINn ^ , � ,,,� �_n ,-- �, �-C �1 � SIGNATURE OF PERMfTTEE DATE �— RECEIPT# PA1D BY: VALIDATION: WHITE—Department Copy,YEILOW—Fnance Copy,PINK—Assessw Copy.GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR , INSPECTIOfV RECORD . � � . • - • � � � ' ��`� `�� TRACTAND LEDGER SETBAGK/.LETTER .�`.: � - F.06TINGS EORMS -��; z , _ - _ � -E'� SWITCH GEAR g�p,g ` ' "' ' COMMERCIAL HOOD UG:PLUMBING ';t ,,� �;;,:4 . T-BAR UG.ELECTRICALS" ` �` 1; ' ' INTERCEPTER " "` ` ' ' `'' `� HOT MOPISHOWERPAN "UFER'�GROUND ':_ ��1 ��.;, �� - SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER IINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIOR_" � � POOL/SPA�; �-� �` - '� � . _ � . ° _ `� ROUGH PLUMBING� :� �';. u �Y � �SHEAR WAL'LS INTERIOR°_ ` ` � '`� � �� i �° _ � r , � _ , � ,: _ T FRAMINGNENTING ;- -� `�- � ��s �� ROUGH EL�CTRICAL � '' r� � �` � ' �k� �" �'s�= � " ROU6H:MEGHANICAL - - ,,�' ', r ' �x� RQUGH MECHANICAL`�T , �` '�_ � � k,''r,� , _ '� . i �,�'y : a � ��n + � ��a � K ��f , � ,� b ROUGH ELECTRICEIL W(„)C( ) .` GAS TEST ,� � :�� ._ :�� , � ` flOUGH PLUMBING ",.' . � r . ,' '.. ' ; ' . . " :PRE GUNITE;:. _,. r_ f °�s � 'rr '�; a _ _. _ : , .. INSULATION WALL �POOL'PRE DECK'BQNOING , ,� ' ".;,. ,�:sN INSULATION CEILING P'T�p � { � � }� �- �_� � �,. �� b_ DRYWALL FENCEPGATE/ALARM - :c =, �' �� f `t t 's;� „�: LATH(PRE) FINALPOOL� _ - _ LATH EXTERIOR WALLS: LATH INTERIOR WALI FOOTING/STEEL GAS TEST WALL STEEL 1sT� �2r+o� �� SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIW SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO FRAMINGPLANNINGAPPRQVAL 2 '�'' � '�' �` ` '�tin .�3- i �' FINAL BUILDING `A''' ;:'"� ~ 'ROUGH FIRE'APPROVAL -�4 �:� '� - FiNAL MECHANICAL '` FINAL FIRE`DEPARTMENT,, ` a R�, ' '�, }� FINAL`ELECTRIGI�L � � - ' -'� ;FINAL PL`APdNING ,� � '�=4 � .� �::y '��` � '{'"' FINAI:'PLUMBING ' - v��' ` - ' FINALENGINEERINC�/PW ' �'r . �3 �'- r �. - t �C�` T.C:6f OCCUFANCY ., !' ' ' � '' ,` t � FINAL COMMUNITX�SERVICES � ' ,;A x -� - CERT:'of OCCUPANCY ;i ' - - FINAL HEALTH DEPT. �.r h �'' ' }o�.� FIMAL'INDUSTRIi1l'WASTE ' +`-'�.E "�.E-�-- - ��`= C011/IMENTS: