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Home My WebLink About14-3455 _ . _ _ _ ..._.� - , C1TY OF DIAMOND BAR �/�� /�i�'/� V { I �I�I ' � DEPARTMENT OF COn9MUNITY&DEVEI�OPMCNT SERVLCES �,�llll,��: -:�— 21810 Coplcy Drive,Diamond 13ar,CA 91�65 �,� PRESS ,.,,� } (909)839-7020 Fux: (�9)861-3117 I3uilding Inspection Hotline(909)839-7027 FIRMLY ��'��""'� � BUILDING PERMITAPPLICATION � APPLJCATION DATE: P�C� � � ¢ JOB SITE ADDRESS _ �y 35L�r� � ISSUE DATE: PERMIT# zo APN LOT TRACT o OWNER E� TYPE CONST. � OCC GROUP: � ADDRESS � d ZONING SEfBACKS � CITY ��r�09�6� ZiP TEL. - 1 FRONT RW � a APPLICANT TEL. REAR n o SIDE/SIDE STREET RW � N !�S � I�Od�I h� Q GONTRACTOR l , SIDE• � ADDRESS �� V � PROPOSED USE � cirv f}"LTI� �-OM� ziP 1 3 TE�. �da qyS' I7� 0 " ARCH/ENG/DESIGNER 0 a ADDRESS q DWEL.UNITS #STpRIES �F BEDROOMS a ��7y ZIP TEL. DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANA�UATION � OWNER-BUILDEA DECLAFlATION � I hereby aKrm under penatry of Oerjury that I am exempt trom the Cantractor's Stata license Law for the reason(s) SFWADD/REM � irMicated bebw by the checkmark�s),I nave placed ne#to the avDlicable item(s)(Section 70315,Buslness and Gara e/Carport 0 9 w Professions Code:Any city m county tlial requires a permit to consiruct,atter,improve,demolish,or repair,any z structure,prior to iGs Issuance,also requires the appltcant tor tha permtt to file a signed statement ttial�e m she t0 Patio/Deck a Is licensed Dursuant to the provisions of the Contraclor's State llcense Law(Chapter 9)Comme�ing wiM SecUon w � 700D of Uivision 3 ot the Business antl Professlons Codej or that he or she is exempt from Ilcensure and the basis for LL P��Spa N the alleged ezemD�ion.My violation oi Section 7031.5 by any applicant lor a permfl sub�ects the applicant to a civil penaity `� z Re-Roat ot rwt more than five huntlretl dollars(5500). p o (,I,as owner of the proDerry,or my emptoyees with wages as their sole compensatlon,will tlo(..,)all of or(,]poNorts —� Commercial 0 0l Uie work,and me strucNre is not Intended or atteretl 1or sale(Secfion 7044,Business and Professbns Cade:The � U [D � Contractors'State License law dces not apDA'ro an awner of property who,thmugh employees'or personal effort,hullds w a Improves the property,P��lhat ihe Imprwements are not iMended or ottered for sale.11 however,ihe building or � improvement is sold wfthin a�e year ot completlon,Ne Owner-Builder will have Ne buNen of proving Nat tt wa5 not 6uilt pw improved far iha purpose o1 sale.). V I,as own¢r o!tlte r0 ) � (, p perty,am ezclusfvely caoUactlng with licensed Cantractors tn consWcl the pro ect(Section Valuation: Adj.Area: 0 7pqq,Business and Professions Code:Tlie Coniractors'Sfate License Law does not appty to an owner of properly wtq z buildsorimprwesmereun,andwhocontractstarlheprojectswimaltcensetlContractorpursuanuomeContractors'State QUANTIIY DESCRIPTION FEE � Y Licer�se Law.). . o (,I am exempl irom Ilcensure under iha ConVactor's Slate License law tor ihe totlowing reason(s): � 3 By my signaNre below I acknowledge that,except tor my personal residence in which I must have reslded ior at least one � .� o year prior to wmple6on of the improvemen�cavered hy this permit,l cannot legalty sell a structure that I have built as an „�, O � a owner-Duilder if II has nol been consiructe0 In iL5 entlrery Dy Iicense0 contracims.I understand thal a copy ol ihe appllpbfo Q law,Section 7044 of the Business and Professions e�s availablQ upon request when this application is su6mitted or al �j G � C' o- Ne tollovring Web stte:httpJwww.lerynfo.w.gov/cal��hni. z � x � "-� �ATE: SIGN: � � � LIGENSED CONTRACTOR'S DECLMATION � � � I hereby aNlrm under percalty ot per�ury that I am I�censed wder provisions ai Chapter 9(commencing wiN Section 7000) w � ol Divlslon 3 of the Business and Professions Code,and my license is in fuil lorce and ettect. � = C 6 � � . LICENSE CLASS: C'�3 L�/I�.N^O.:_ z oZ DA7E: 3 C� CONTRACTOR: �/f.l � ¢ WOflNEH'S COMPENSATI OECIARA ON E � I HEREBY AFFlRM UNDER PEPIALTY OF PERJURY ONE OF THE FOLLOWING DECLNNTIONS: w � ¢ I have anA will maintain a Cen�pte ol Consent to Sel1-Insure la waker's Compensation,as providetl by CONSTRUCTION: � Seclion 3700 0l ihe Labor Code,for Ihe erformance ol the work fw which this rmit is issued. � P DQ PLAN REVIEW: � I�ave and will ma(Main Worker's ComDensation Insurance,as require0 6y Section 3700 of the Labar Code,(or � , o �the performance ol ihe xrork fw which this pertnd is issued.My Worker's Compensdtion liuurance Carrier and ELECTRIC:� ¢ PWicyNumbaare: PLUMBING: � CARRt£R �T�E �� MECHANICAI: Z POLICYNUMBER �I r INSPECTION FEE: �7 � (T}OS SECIION NFED NOT BE COM%EiED IF1TiE PERMfT IS FOR ONE WRJDRED DOLLAFIS(S1(10)OR LESS). ISSUANCE: '` � I certify ihal'm the pertorrrvvx:e d ihe waVe(a which Ws permit is issuetl,I sl�all rot employ any persa�in arry manner so as to � beoome sunject to Ine Wakerh CampensdUan Laws af Calnania.Md agree�hat il I shadd become subject m the workefs SM IP: � Compensauon prv+isiars at Sec�ion 370o at Ne la6or Code.I shaU torttnvith mmqy wiln those provisias. EtJERGY P/C: LL DATE: APPLICANT: ENERGY PERMIT. � WARNING:Failure to secure worker's CompensaUon coverage is unlawlul,ana shall subject an emproyer to crlminal RETENTION FEE: O w penaflies and civil fines up to one hundred Nousand dollars($100,000),in addition to the cost of ihe compensatlon, n- tlamages es provided for in section 3708 ot the IaDor cotle,interest,and anomey's fees. PRE-ALT FEE: 0 �1 ¢ CONSTRUCTIONLENDINGAGENCY B�F= r'O` n. w I hereby affirm under penalry ot perjury thal there is a ConsVuction Lending Agenq lor the peAomiance ol the work tor = which this permil is issuetl(Sec.3097,Gv.C.). � � LENDER'S NAME � LENDER'SADDRESS: d I certiry that I have read mis apDlfcalion ane state that the above intormauon Is conect.l agree to compiy wilh a11 ciry and TO7AL FEES ��' ZZ � counry ortlinances and state laws relating to building construcfion,antl hereby auihonze representatives of mis caunty to COMMENTS: J Z enter upon the abave-memioned properry 1w inspecibn purposes. 0 J SK�te Ps� m �a , ¢ PERMfTTEE RI �J — cn � RECEIPT q �� PAID BY: VALIDATION: = SIGNATU �OF P M E DATE � WHffE—Depariment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENFOD—File Copy,GREEN—ApplicanPs Copy CITY OF DIAMOND BAR INSPECTION RECORD : � • � � • ' ' • ° ' � � SETBACK/LETZER � � : � TRACTAND LEDGER FOOTiNGS FORMS ,,, . '-' ��: -_ �`=� ' �- ,�.: SWITCH GEAR S�B`� _ � :' E r _a COMMERCIAL HOOD � ,� -, � i. , . ` '"� T-BAR UG.�PLUMBING�:- _ .< � �` z��°` �UG:ELECTRICAL'� ��t �- `f ' � ' S � `` s �'-�,�` WTERCEPTER �`� "� ��°`" � � ` f �,s'_��_*� HOT MOP/SHOWERPAN �U�ER�GROUND�' � � �� s',u '`�`�� SEWER IATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SNEATHING ROOF DRAINS FLOOR SNEATHING ROUGH CONDUIT ,; : SHEAR WALLS:EXTERIOR. ' k '�- .' , :: ;� , -` :`` RUOL/SPA�:. - � s c SHEAR WALLS INl'ERIOR � ��,�.� ROUGH PLUMBING ': _ ,5, FRAMINGNENTING - �{ 4 �+` r;., ,�" ROUGH ELECTRICAL''- �� l _ � - ROUGH:MECHANICAL `�s � x } ; ROUGH MECHANICAL > " � " � 'z �� , ;: F ;, � ? -,� GAS TEST:.` _t ' ' ' � ;� 5 �- �: ROUGH ELECTRICAL W( ')G( ) �� ' ROUGN PLUMBING ''�� ' .�';��-�+� ,_,. �� 4� PRE GUNITE "�` ;^ ' �'• :� " �' INSULATION WALL PDOL PRE'DECK BONDING�r�� t '�s t ';;s � , ;" ' � r INSULATION CEILWG P-�P • � �' � �., DRYVJALL FENCE/GATFJ'ALARM ` y LATH(PRE) _ " ,< � � J i': . � ;` , -r� ,,FINAL�POQL_ 5 LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WA�L STEEL 1�( )2N0( )LI FT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL fINAL SPECIAL INSPECTION �RO�RhMING PLANNINGAPPROVAL ,� �; ri � ` � ` _ - � � �- � r' >'� `,R,OUGH FIRE'APPROVAL ��: a = �, r �� r r ,� � F{NAL BUILDING � � ; "`�' FINAL FIRE DEPARTMEJdT � ' "�- ` ' "�s ' � FINAL MECHANICAL. �� ' - '� � ' ' � '� FINAL ELECIRICAL. � ��, ��; 'EINAL P,CANNING�''� u ' ' ��`� '+� � � '��` �.;; �j � ,* ;;`; �' FINAI.E.NGINEERIN6/PW ; `� ` ' �r� +� FINAL PLUMBING , ' ^ . � , : MMUNITY SERVICES � ` �.. � , � ,- T.C:of OCCUPANCY,' - .� � � -� - - , __ : _ ,...• . • � ` FINAL CO CERT.uf OCCUPANCY�°;. - ` = .;�.,; ��.. .�" FINAL HEALTH DEP.T ' _ � � fINAL INDUSTRIAL'.WASTE_;_ „ '�t1 d' ={y,"` �� "' ` < COMMENTS: ��i G,�N3MOKE � ;