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Home My WebLink About14-3977 (8) _ __----- __ WA�,�� - ,,.�'�,;,'�',�a.�_ C1TY OF DIAMOND BAR �"dn h� r I I ' � , DEPARTMEIVT OF COMMUN[TY&DEVELOPMENT SERVICES �`�a;�,_-. � P SS ti�lllln�,::s 21810 Copley Drivc,Diamond 13ar,CA 91765 ",,,� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 RMLY �� "�x'". BUILDING PERMIT ANPLICAT[ON � APPLICATION DATE: ��I VC] ��1 P/C# � JOB SITE ADDRESS f�— ��' 7 � ISSUE DATE:�.�/�y PERMIT# o qpN pT TRACT � I o OWNER l TYPE CONST. f �V OCC GROUP: N ADp. SS ZONING SEfBACKS � C�Ty• .v� ^ 21P, TEL. FRONT RW � a APPLICANT �„)ATQ�1 TEL. REAR � o SIDE/SIDE STREET RW � �' ��--�t�� Q CONTRACTOR SIDE � 0 o ADDRESS �� ' � ��—� � 'rS � Q PROPOSED USE � cirv��a, A�o, ZIP ' TEL.q� l—�� iZ 0 `L ARCH/ENG/DESIGNER 0 o ADDRESS �1 DWEL.UNITS #STORIES k BEDROOMS a C17Y Z�P TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDEH OECU1flATI0N � � I heraby aflirm under penatry of perjury that I am e�mpt irom the Ca�tractor's Sfate license Law lor the reason(s) SFR/ADD/REM � I have taced next to Me applicaDie item(s [Secfkn 703i.5,Busfness and p irMicated below by the checkmark�s), D 1 Garege/Carport '-'-' Protessions Code:My dty or county that requires a permit to consUuct,alter,improve,demolish,or repair,any z strucWre,prior W its issuance,also requires iha applicanl tor Me D�i��o file a signed slatement that Ae or she V) Patio/Deck a is licensed Dursuant to the provisions o(the Cantractor's Sfate License Law(Chapter9)Comme�ing wtth Section w � )000 of Division 3 oi the Business and Protessions Code]w ihat he or she is eaempl hom I'icensure antl ihe basis lor LL P�VSpa N Ne alleged exemptan.Any violation of Section 7031.5 by eny applicant ta a pertnR subjects the apDlicant to a cNil pertalty � of rroi more t�an five hunAretl tlollars(5500). Z R�Roof � o (J I,as owner of the property,or my employees wiN wages as thelr sole compensation,will do(.,)all of or(,portlonS � Commercial � ot the work,arW the strucWre is not intended or afleretl ior sale(Section 7044,Business arM Professions Cade:Ttie � � � Contractors'State License Law Aces not apply to an owner ot property whq thrwgh employees'or personal eftort,builds m w or Improves the properry,D�ovltled�hat ihe Improvements are not intended or ollered lor sale.tt however,ihe building or � imprrnement is soltl wilhin one year of compleUon,ihe O�mer-Builder will have tt�e burden ol proving ihat it was not buitt por Improved lor Ihe purpose ot sale.). � 1,as owner ot the ra y conUactin wilh Ifcensed Coniractors to construcl the ro ct(Sectlon r. U v DenY,ar"e"dustyei 9 P � Valuatio . d Adj.Area: 0 7pqq,Business antl Protesslons Code:The Conlractors'Stale License Law does not appty ta an owner of property who z eullds or improves thereon,and who contracts tw the projecls with a Ilcensed Cantractor pursuant ro the Contractars'Sqte QUANTITY DESCRIPTION FEE � Y LICEfISB L3W.). . J o U��exempt hom licensure under the ContractnYs State License Ww for Ne following reasoMs): � � � LL By my siqnature belaw I acknowledge tha4 except for my personaf residence in which 1 musi have resided lor alleast ona � Z year prior ro compteUon oi the fmprovements covered by mis permit,l cannot legally sell a structure that I have built as an w 0 ¢ owner-bulider if it has not been consiructed In iLs entirery by Iicense0 contraclws.l understarM ihata copy o�the aDPlicable � Ww,Sectian 7044 of the Business and Prolessions e is available upon request when Uds application is submitted or at X the foilovnng site: ttplwww.leginf z w DATE� �� SIG . °� . g � � LICENS CTO DECIARATION � , U , �� , i W t hereby effirm under pe�lry ot perlury that I am licensed under provisiores ot Chapier 9(commencing with SecGon 7000) � ol Divlsion 3 of the Business antl Professions Code,and my Gcense is in full force antl eflect. _, � -��r�3��. `��4� Z � �, uc�s�c c.No.: z o DA7E:� COMRACTOR: 1 �a��"' � Z � ¢ � WORNER'S COMPENSATION OECLAFIATION � � I HERF9Y AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING OEqARATIONS: ¢ 1 have and will maintein a Certifipie of Consenl to Sell-Insure la Workei's Compensalion,as provided by CONSTRUCTION: �� Seclion 3700 of the Labor Code,for ihe pertamance af ihe vrork tor which this permil is issued. PLAN REVIEW: � I have and vrill maintain Worku's ComDensation insurance,a5 required 6y Section 37�ol the Labor Code,for ELECTRIC: o ihe performance ot the work for which ihis pertnit is issued.My Worker's Comper�sation Insurance Carrier antl ¢ PoiicyNumberare: �+ ,� PLUMBING: � CARRIER � C).� �1�1� MECHANICAL � POLICV NUMBEfi�7 �� INSPECTION FEE: � (1}OS SCC110N NEED NOT DE COMPLEfFD IF iTiE PERMR 5 FOR INJE HUNDRED DOLLARS�51 D�OR LESS). � ISSUANCE: � I ceAify that in ihe perforrr�vice of tlie wark Im whicli Ihis permil is issued,l shall not empby arry persori in any manner so as to /► � becane subjecl to ihe Waka's Comper�sation Laws ol Calttomia.Md agree Ihat il I slmuld beCane subject to the Worker's SMIP: �•U �� con,per,s,� q,aasec,;a,s� ENERGY P�C: onrEy",sZ��APPu ENERGY PERMIT: � � WARNING:faiWre lo secureWwke u ul,and shall subjeci an employer t0 Cnminai REfENTION FEE: '�-D� W penatties and cfvil fines up to one hundred 00,000),in addition ro ttie cost ol the compensaUon, a darnages as prrnritled for in sectim 3708 ot me labor code,interest,and anomeys fees. PRE-ALT FEE: o � d CONSTRUCiION LENDING AGENCY BSAF: C� W I hereby afflrm mMer penatty of perjury that there is a ConsUuction Lending Agem.y for the pedormance of the work lor � vahich this permit Is fSsueA(Sec.3097,Gv.C J. r LENDER'S WIME ��J�J, � LEN�ER'SADDRESS: a I certiry that I have read this apDlication and state that the above information is correcc I agree to compty with afl city and TOTAL FEES � county atlinances aM state laws relatlng to building cavstrucdon,and hereby auihorize represeniatives of Nls counry to COMMENTS: � enter upon Ne abave-mentioned property for inspection pucposes. � J � m ¢ PE ' . N N RECEIPT q PA1D BY: r��VALIDATION: = OATE F WHITE—Department Copy,YELLOW—Fnance Copy.PINK—Assessw Copy.GOLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOIVD BAR INSPECTION RECORD e � � • � - � s � � • ' SETBACK/LETTER,, - "�'`' � TRACTAND LEDGER FOOTiNG5 FORMS '�µ_� _ '_ ' SWITCH GEAR S�B . :'' , , COMMERCIAL HOOD ,_:• � �"�. � �,a ��,� �', T-BAR UG.:PLUMBING .' _ ,._:r UG�.ELECTRICAL�� ` - , ��; ;__� INTERCEPTER UFER'GROUND,�; , �� y' - `� '� j - {�' " HOT MOP/SHOWERPAN . ,. . . . . SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING 4= ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT ` "� � � �PQOUSPA`_ � � SHEAR•WACLS fXTERIOR_'�;, _ _ ' r ��` ��„ } ,n.� r � :- .�; ` �ROU6H PLUMBING ��. ' _ . `* '� ; ' �`�, " ` r SHEAR`WALLS�INTERIOR � , •' _ � F ��` , a t - 1 �_ �1 �� ,a �' - - � '� � � ROUGIi ELECTRICAL.; �', :: � : ' y , FRAMINGNENTING a t = s '� - '� � ` � '��'� z ��r� ;ROU��I�MECFIANICAL� �-" ;;t ^' r�F�� _ r r' .�� ' � r�� . �^� fi r�. ROUGH MECHAN�CAL� � � � ' -� .i ��-. �, � r 1 � � � � r �GAS T�ST�� 3 q � � -� �; �� „ -._.� �, � � ROUGH ELEC,7RICAL W( _��( ) T , , � ��"' y - � _ � �; � rY `, � �r' �:,�, �,� ��.4 h ��, RDUGM,PLUMBING � �..;'_ ` - ` �� PRE GUNITE �_ � � � �� , ,.. .�. � ,_..:.:,:, �.. .. __ _��. �, � , z. INSULATION WALL EP90L PRE DECK BONDING �� ' :r ` �� ' F � 1 ' _ INSULATION CEILING P-�P �� ` -"� ' �' �' ` �� DRYWALL �FENCE/GATE/ALARM � " ';: � ;`" �. '; �'; ' �� ` .�� ' "�`'`� FINAL POQL �'� '�.>, '� LATH(PRE) - � LATH EXTERIOR WALLS: LATH INTERIOR ` WALL FOOTING/STEEL GAS TEST WA�L STEEL 1n( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER REL�ASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL . - � c , , � SPECIAL INSPECTION RO FRAMIN6 PLANMNGAPPROVAL N , ;' � � `� F : ,, r FINALBUILDING - . "M -:� �' " �ROUGH:FIREAPPROVAL ,-`: ' ` `` � � ;' ' }". Y FINAC MECHANICAL �` _ � �' , ; ` �"' , L ' ,�: FINAL'-.FIRE DEPARiMENT ' '�� - , - � ;�INAL PCAfdNING �;� � �� '` � �� -� FINAL ELECTRICAL '3 S 'F f ` � � ' , ' ' '� ��ti, �,' o ' �FINi4L�ENGINEERiNG/PW "' � � ` ` � � � ' FINAL PLUMBING p° `�� "� -� � � �� . T:C.of OCCUPANCY. . , L, � �y - �- l FINAL COMMUNITY'SERVICES r` � r ' �. _ �` �� ,� ��„ �� t ��° � � - CERT.of OGCUPANCY,;: ,` : a�' ; �.. -., _. : > ..,. � FINAL HEe4LTH DEPT � : ` � ; � �, � � s x .'� � FINA6INQUSTRIAL:WASTE:;_ , �': , ,...: . T=;,. .'� .. ��,s h , _.� COMMENTS: