The URL can be used to link to this page

Home My WebLink About14-3463 m„�^�..,,,�, C1TY OE DIAMOND BAR I I I i �� DEYARTiV1ENT OF COMMUNITY&DEVELOPMEN'C SERVICES � i ��llll��i,:�;y� ' 21810 Copley Drive,Diamond 13ar,ca�i��s � PRESS ,,,,� (909)839-7020 Cax: (909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY �`'�%�"' BUILDING PERMIT APPLICATION � �/ / APPLICATION DATE: !/� P�C� �� JOB SITE ADDRESS l�3 7 •T�"-sv^� ��• D. B. 9/?6 s� � ISSUE DATE: PERMIT# zo APN LOT TRACT -6� o OWNER TC 1 v TYPE CONST. OCC GROUP: � ADDRESS 3 f'�'JC"� ZONING SEfBACKS J CI7Y�'��"� g/�'�- ZIP ��.�1'd9�6�� 3i FRONT RW n o APPLICANT ✓T�/'�`�- �ti TEL. 7�`�- L 7�-�.r/ REAR � SIDE/SIDE STREET RW � Q CONTRACTOR F-�T✓/'c- L N��l SIDE � o� ADDRESS�l '' �'`r' �r/�`✓ ��t PROPOSED USE � 'A" �� L' Q CITY v� � q'/1� ZIP 9i�c rTEL.�/I 2 77"r�✓�� o �� ,/T✓rC �'i"."'Y� n c' �cJ �c-�sK r s/.r /.T /'�rclo J o ARCH/ENG/DESIGNER F z ADDRESS �d 7� � - � ��,�/ tt DWEL.UNITS #STORIE5 #BEDROOMS � CITY t/ ZIP 4� 7��EL. 7l/ - Z�I�-S�QJ% � DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION OWNEFI-BNLDEft DECLARATION °C I hereby attirtn under penatty of perjury that I am exempt hom the Contracta's State License Law for the reason�s) SFR/ADD/REM 0 o InUiwted below�y fhe checkmark(s).1 have placed ne�R to the aDDllcable item(s)l�tion 7031.5,Buslness and GaragPJCarport w pro}��¢:p�y�Ity or couMy lhat requires a permft ta co�truct,alter,tmprove,demolish,or repalr,any z struclure,D�w to fts issuance,also reqWres the applirant for the permil to file a signed statement thaf Ae or she � Patio/Deck a Is Ikensed Dursuant to ihe provisto�o(the Con4'actor's State License Law(Chapter 9)Commenc(ng with Sectlon w � 7000 of Division 3 0(tAe Business and Prolesslons Code]or thal he a she is exempt hom Ilcensure and the Dasis fa LL P�USpa � N the alleged exemDM1�n.My vblation oF Section 7031.5 by any applicant for a permit suUjects the apD��t to a cfvil penalty N of iwt more than five huntlretl tlollars(5500). Z Re-Roof O o (,I,as owner of Ne property,or my employees with wages as thelr sole compensation,will do(,all ot a(J portfons � Commercial 0 01 the work,and the structure Is not intended a affered ror salo(Sectlon 7044,Business arM Prolessions Code:The m � Contractnrs'State License Law dces not apDN to an avmer of property wlro,lhrough employees'or personal effort,builds w w improves the Droperty,Provided that the imprmements are rwt intended a oflered tor sale.If Iwwever,ihe building or � improvement is sold withfn one year of completlon,the Owner-Bullder will have the burden of proving that it was nat hullt � or imprmetl ta Ihe purpose of sale.). O � I,fls owner ot Ihe ro ty contractln wlth Itcensed Gontractors to construct the ro ect(Sec�on r l) P ue'ty,a'"e�cd'�swe 9 P � Valuation: � Y Adj.Area: o �7pqq,Business and Professlons Code:The Contractors'Stale License Law tloes no�appty to an owner o1 property who � builtlsorimproveslhereon,andwlwcaitracisfatheprojeclswithalice�etlCantradorpur5uanitoUteContrattors'State OUANTITY DESCRIPTION FEE .Y ucense Law.). �j ,�.- �•• o (�I em exempi hom licertsure under the Conhactor's Stale Llce�e law for Itie totlowing reason(s): � � � � By my sigreture below I acknowledge that,ezcept tm my persor�al resldence in whicn I must have resided lor at leas�one W z year prlor to completlon of the improvements covued by this permit,l canrrot legalty sell a sWcture that I have built as an w 0 Q owner-builder i1 It has rot been constructed In Its entlrery by licensed contractors.I untlersta�W that a copy ol the applicable pC law,Section 7044 ot the Business and Professions Code Is available upon request when this applicaUon is submitted or at X the following Web site:�ttphvww.leginfo.ca.gov/plaw.htrnL m "� �ATE: SIGN: � � LICENSED CONiAACTDH'S DECLARATIOH � U w I hereby alflrm under pe�tty ot per}ury ihal l am licensed untler provisions oi Chapter 9(commerwirg wiU Seclion 7000} m of Divisbn 3 ot the Business antl Professions Code,and my liceiue is in full force and ettect J � �6 3 /l � N LICENSE CU+S ��.G i y��.: ' O ¢ z OZ DATE: CANTRACTOR: T�"�t � c=.� ¢ WORKER'S CAMPENSATlON�EClAi4ATlON � � I HEREBY AFFIRM UNDER PENALTY OF PfAJUflY ONE OF THE f-0LLOWING DEG.AFiATIONS: �f w a I have and will maintain a CertiFlple of Consent to Self-Insure lor Worker's Compensalion,as providetl by CONSTRUCTION: � � � Sectlon 3700 0l the Labor Code,for Ne pertamance ot the work tor whkh ihis pertnit is is5ued. � PLAN REVIEW: j �I have and will mainhain Worker's Compensattm Insurance,as repWretl by Section 3I00 of the Labor Code,tor ELECTRIC: o the perfwma�e of the worFc lar which lhis pemiit is issued.My Worker's Compensafion Insura�e Carrier and ¢ PolicyNumberarg�� PLUMBING: o �ppq�� G yP��rl' MECHANICAL: w z POUCrNUMB�rt 33 oov� f' ��2/ INSPECTION FEE: c� [� N (htlS SECIION NffD NOT BE COMPLFfED IFl}iE PH1MfT 5 FOR ONE HUNDRED DOLIARS($10�DR LESS). ISSUANCE: D� 7 � I certily tlqt in tlie Pertamance ot ttie work la which ttvs permit's issued,I sl�all rot emqoy arry person in anY manner so as to 2 obecome suUject to the Workerg Compersation laws ol CalltomiaMd agee that If I should hecome subjeci tn the Waker.s SMIP: u� Compensatlon�wisior�ot Sectlon 3700 ot the taoor Code,�shaA fauxrim canpy wIh those pmvisiau. ENERGY P/C: LL Da�: nrPucrWr: ENERGY PERMIT: � WARNING:FaiNro to secure Workers Comperrsation coverage is unlawful,antl shall subject an emproyer to criminal REfENTION FEE: -'� w penallies and cfvil fines up ro one hundred Nousand dollars($100,000�,In addition to the cost of the compensaUon, a damages as prrnided 1or In sectbn 3708 of the labw code,interest aml attomey's tees. PRE-ALT FEE: � CONSTRUCT�OH LENUING AGENCY BSAF: w I hereby amrm unaer penalty of per1WY�t there is a ConsVuction Lending Agerrc,y fa the peAwmance ol the work fw � whic�this permA is issuetl(Sec.3097,Civ.C.). � LENDFA'S NAME � LENDEH'SADDRESS: TOTAI FEES a I certiry that I have read this applicalion an0 state that the above fntormatlon is correct.I agree to compty wi[h all ciry and � � counry wdinances and state laws reta6ng m buildirg cat5tructlon,and hereby authorize representaGves of this counry to COMMENTS: � enter upon the above-mentionod property 1w inspection porposes. 0 � Lcc k� �i6.��—J m a PERMITTEE �� y - cn f N ftECEIPT ri ` PAID BY: VALIDATION: x S1GN E OF PEflMITTEf DATE � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—Applicant's Copy � CtTY OF DIAMOND BAR INSPECTION RECORD . � � . • - • � � � ' SETBqCK/�ETTER ' , � - TRACT AND LEDGER FOOTINGS F,ORMS . `�� - � � ..��`` '''� - �` SWITCH GEAR ' ' COMMERCIAL HOOD SU18'.: , �ti ti f>+ �UG.PLUMBING�" �� _ _ - =_ T-BAR UG.EIECTRICAL" � �� -F �� -�� INTERCEPTER UFER GROUND,:�`�, `'~� ,,, � ` '': ' ''`� .�-' HOT MOP/SHOWERPAN � ��: SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT - s� `POOUSPA:,' r" � ' ' ` � � SHEAR WALLS€XTERfOR; 't }>, `� 7 � SHEAR.WALLS INTERIOR� '� n �• ROUGH PLUMBING _ �' _ �. _ z r i r a FRAMINGNENTING � - ��. '� � { � > � ROUGH ELECTflICAE�s t ��. � ` ° � � � :. ROUGH MECHANICAL ,�:� � ' " � xJ 4�+- � � �' ' �v�_ ROUGH MECHANICAI ��s �'�'�,:�� ° �� ' �� ROUGH ELECTRICAL'`W(.``)C.(_) " t =r �r r �GP,S TEST;;;� - ' �{� F t r PRE GUNITE ^� �' ROUGH PLUMBING �' � - ,. .� .F ,.� .., ,:. .: _ .� _� ��, .. ��,. -� INSULATION WALL �POOL PRE DECK BONDING ' � '�'� _ � ! � � "_ � INSULATION CEILING °P-�P `` DRYWALL FENCE�I,GATE/AtARM - LATH(PRE) FINAL POOL _ - - LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTIN6/STEEL -. GAS TEST WALL STEEL isT( )2N0( )LIFr SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIbU SEAL GAS METER RELEASE WALL FINAL SPECIALINSPECTION RO.,FRAMINGPLANMNGAPPROVAL ° € ' k - �� '' � � �; � �'-`" = ��ROUGH FIREAPPROVAL , ' �� " r �� FINAL BUILDING - - , ; . � , : ,' ` � �FINAL FIRE�DEPARTMENT � ` s � - ` ��` , �� FiNAL MECHANICAL _ - � ' , � , �FINAL ELECTRICAL'' � . �° �r � �FINAL P'��L14IdNING:"` � � ��' ��- �� FINAL PL•UMBING �' � FINAL ENGINEERING/PW `` •;, { " F : T.C..:Of OCCUPANCY �, o-;,'. � � '` ,, : ' ; MUNITY SERYICES `` ; ' ' : ' � � F,INAL COM , � � CERT.of OCCUPANCtt,;�� , . t, � _ . ` ,,,,:��. FINAL HEALTH DEPT ; z � ` FINAL INDU5TRIAL.WASTE `1 - y _� � - �' "; `�}'';. �1` ' '� - COMMENTS: