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HomeMy WebLinkAbout14-4269 ___ __._ . --- --- - _ - -- - _ -� � .�"�,;,*�.,,a„� C1TY OP'DIAMOND BAR �ITI;aTIT1yl i �' DEPART7IENT OF COMMUNITY&DEVELOPMENT SERViCES � � ���ll_II���;: " 2181U Coplcy Drivc,Diamond l3ar,CA 91765 PRESS � ,�,�� (909)839-7020 Eax:(909)861-3ll7 Building Inspection Hotline(909)839-7027 F�RMLY � "-��'" BUILDINGPERA'11TAPPLICATION � APPUCATION DATE+:� �� P/Ctt w JOBSITEADDRESS �� l' D� I LL PERMIT#, ��� ���j � ISSUE DATE: - o APN LOT T CT TYPE CONST. OCC GROUP: o OWNER � ADD SS ZONING SEfBACKS � C�Ty Z� TEL. FRONT RW ❑ ¢ APPLICANT TEL. REAR � o � � SIDE/SIDE S7REET RW � } CONTRACT '�" � SIDE � a 0 o� ADDRESS PROPOSED USE � C�-ry ZIP TEL. o � — o ARCH/ENG/DESIGNER o ADDRESS ri DWEL.UNITS #STORIES #BEDROOMS Z C�Ty ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDEfl OECLAFtAT10N � I heroby amrm u�er Denatly o1 perjury tha�I am exempl hom the ConiraCtor's Staie License Law for Vie reason(S) SFR/ADD/REM � InUicated bebw by Ihe checkmark(s),1 have D���next io ihe apDlirzbte ilem(s)[Section 7031.5,Buslness and � o Garege/Carport "� Professions Code:Any city ar counry that requires a permit to construc4 alter,improv&demolisn,or repair,any z structure,prior lo its Issuance,also requires ihe applicant ta Ihe permit to file a signed slatemenl thal he w she tq PatblDeck a fs licensed pursuant to ihe provislons ol the CoMractor's Sfate License Law(Chapter 9)Commencing with SecUon w . � 7000 of Uivisfon 3 ot tne Business and Professions Code]or ihal he or she is ezemDt hom licensure and tl�e basis lor � P�VSpa � � Ne alleged ezemptian.My vialation of Section 7031.5 by any applicant im a DertnR subjects the aDDlicant to a dvil peir+lty Z R�Roof N of irot more than live huntlretl dWlars(5500). � o ()I,as owner oi the property,or my em0loyees with wages as their sole compensafion,will do(1 all of or(�portlons � Commercial • 0 of tlie work,arW ttie structure Is no[Intended a oflered fw sale(Section 7044,Business and Prote55ions Code:The m � Contractnrs'Stato Lkense Law dces rwt appry ro an ovmer of p�operty who,through employees'or personal effart,buAds u�7 or improves the property,pmvMed Nat ihe impmvements are not intended or oflered for sale.tt however,the�uilding or � improvement Is sald within one yeaY a1 completlon,Ne Owner-Bullder will have the burden ol proving tha[it was not 6ullt por Improved for the puryose vf sale.). � � ()I,as owner al the property.am exclusNery cunlractlng with Ilcensed CanVactors to canstruct the proJect(Section 0 7pqq,Business and Professions Code:The COMracims'Sbte License Law tloPs no�appty to an awner of property who ValuatiOn: Adj.Afe3: z builds a impmves mereon,and who contracts tm the vrojecls with a licensed Cantracror pursuant to me Contrecrors'State QUANTITY DESCRIPTION FEE � Y License Law.). o (�I am exempt hom Ifcensure under ihe Contracta's State License law for ihe following reason(s): � 3 �`—` By my signature below I acknowiedge thal,except fw my personal residence in whicb I must have resided lor at least one Z year D�or to completim ni the imprwements covered Uy ihis permit,l cannot legally sell a structure that I have buill as an w 0 � owner-Duilder i�it has not been constructed in its enlirery by licer�sed contractors.I undersTand tltat a copy oi tl�e appiicaDle a law,Section 7044 of the Busirtess and Professions Code is available upon request when this appliration is submltted w at ¢ � a ihe tollovnng Web sfte:�ttplvuv.+v.leginfo.ca.gov/qlaw.html. z w m �ATE: SIGN: � � LICENSED CONTHACTOfl'S DECIARATION - � � a . � I herebY aflhm under penaity M perjury that I am licensed under provisions ot Chapter 9(commenting wflh Setfion 7000) w � ol Division 3 of the Business an�tl Pfrofessions Code,and my liceiue Is in full Iwce and ettect. � y LICENSE CIASS: � ` _LIC.N0.' ��� "" ¢ oZ DAlE: CONTMCTOR: w ¢ WORI(Efl'S COMPENSATI01� TION � ' � I HFREBY AFFlRM UNDER PENALiY OF PERJURY ONE OF THE FOLLOWING OECIARATIONS: �1!/��({ ¢ I havo and will malntain�a Certifiple oI ConseM to Sell-Insure for Wwker's Compensalion,as provided hy CONSTRUCTION: '� � � Sectian 3700 of ihe Laoor Code,tor ihe peAormance ol the vrork tor whkh this permit is issuetl. p�qN REVIEW: � > I liave and will maintain workers Compensallm Insurance,as repWretl by Section 3700 ot the labor Code,tor ELECTRIC: � o fhe performance at the xrork for which this permit is issued.My Worker's Compensatlon Insurance Carrier and ¢ PdicyNumberare: PLUMBING: � CARRI£R 1 �� MECHANICAL: w Z POLIGYNUMBER INSPECTION FEE: r N (THIS SECfIDN NEED NOT BE COMPLEiED IF 71f PERMR 5 FOR ONE HUNDRED DOLLMS(S100j OR IESS). � ISSUANCE: "�/1��� oI certiry thal m the P�omuvice o(the wnrk lor whicl�Ihis Pertnit is issued,I st4�ll rwt emploY�Y P��in anY manner so aS t0 SM I P: �� Y� o berome subject to the Worker9 Comper�saGon Laws ot CalHomfa And agree Ihat If I shoWd 6ecame subject tn the Wakers � CompensaGon prwisbf5 ot Sectia�3TDo ot uie I.abor Cocle.l stu�n�ortt�vrim compry wilh ttrose pmvisions. ENERGY P/C: LL oniE: APPUCr+rri: ENERGY PERMIT: � WARNING:FaDure ro secure Nbrker's Compensatlon covera8e is unlawful,ana shall subject an employer to criminal RETENTION FEE: �-� w penatties and civil fines up tn one hundred Mousantl dollars($100,000),In adtlitim to the cost of the compensaUon, �- damages as prrnided ta in section 3708 ot the laeor codn,interest,and attomey's tees. PRE-ALT FEE: d CONSTRUCTIONIENDINGAGENCY BSAF: �' � w I hereby alfirm under penalty of per�ury that there is a Constmction Lending Agency for the pedormance ol the work fm � which this permil is fuued�Sec.3097,Civ.C.). � LENDER'S NAME • 7 � LENDEA'SADDRESS: � a I certNy ihat I have read this appiication and s[ate iha�Ne above infortnafion is cortecY.I agree to comply with all city and TOTAL FEE$ � counry wdinarxes antl sfate laws retating[o�uilding constructlon,and hereby authmize representatives ol this county to COMMENTS: � enter upon Ne abwe-mentloned properry for i spection purposes. � J � � m � a PERMRTEE NAM �� 1/ = SIGNATUR RMITfEE OATE RECEIPT q ���� / PAID BY: V���,.�VAIJ�ATION: �-- WHITE—Depariment Copy,YELLOW—Fnance Copy,PINK—Assessor Copy.GOLDENROD—Fle Copy,GREEN—Applicant's Copy . , CITY OF DIAMOIVD BAR � INSPECTION RECORD . � � . � , . � � , . � . SETBACK/LET7ER ' '' � f `"�` ' '.`' TRACT AND LEDGER FOOTiNGS'FORMS �' �'- -` - �; - �;+ SWITCH GEAR �S�qg_ " � - �,�.;; �.'�, `=�� COMMERCIAL HOOD � `UG..PLUMBfNG � ''�� _ � ��� >,a�.�'� T-BAR r a-, UG:ELECTRICAL ,,, `' - . - :: � ':=`: '�` .`a INTERCEPTER UFER GRDUND,' - ,`�d - ' - `' HOT MOP/SHOWERPAN SEWER IATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOUTION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING •. ROUGN CONOUIT SHEAR•WALLS EXTERIOR', - � ` t ; , �r POOL/SPA;-. ; � SHEAR WALLS INTERIOR� �� � y � �RQUGN ELEMBIN� ':; ; �� �� , � v :., �� ;, , �r ,� � , r.� - '�� ;�s, FRAMlNGNENTING ' _ ` CTRICAL ' f.�� '� �' �`� ' � ROUGH MECHANICAL �' � '1^� '� r e.,5.; �, 'ROU�H MECHANICAL�; : 4 .. ' ` � "` � � `' �' , �';� _ -` ,GAS TEST'- ' Y � a ` n i �` ROUGH�ELECTRICAL W{ )C( ) : � � � �, i F i ?'� r 5 K PRE C7UN�TEt � z_ S� s � ROUGH PLUMBING,.;� - - � — �:' � ' � �' '�' �� .r; � �- < <. ., , > � � �..... , ; .�u , � POOL�PRE DECK�BONDING � "', , ` � �J " iNSULATION WALL ` ` _ ; `° INSULATION CEILING P-T�P ' � E ORYWALL FENCE/�GQTEJ AL'ARM ; � ` Y � t t � LATH(PR� .FINAL POOL- _ - "� � '" � � ; - �_ LATH EXTERIOR WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1sT( )2"0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DR,41N/SEAL GAS METER RELEASE � WALL FINAL SPECIAL INSPECTION RO.FRAMINGPLANPUNGAPPROVAL �"� - � r r�%` � ' ''3.t�' '' FINALBUILDING � ROUGH.FIREAPPROVAL � r � �� ;, � • F1NAL_MECHANICAL :" �" �<� ' ' �� �'- , - �FlNAL EIRE DEPARTMENT ; �a ,�'� � '� ;� �t =r `���� , FINAL ELECTRICAL ' � " FINAL PLANNING �' �,ti=� �� ' ; ��`� `� �' ' ' iFINAI ENGINEERING/PW �� 5 � � r FlNAL PLUMBING ` `; f' , T.C,of OCCUPANCYr , - - ��.��. r � � � y ,t �, , , � ,, ,�� ,�; � , ,�� ;FINAL COMMUNITI(:SERVICES ,:. .; '� �� ��_T �- k � FI�NAL NEAI � '"'' � ;r �CERT.�of OCCUPANC1f,�°;; � _ _ _TH DEPT = �� � � FINAL INDUSTRIAL<WASTE `' *�` �; , �` 4 - � COMMENTS: