HomeMy WebLinkAbout14-4269 ___ __._ .
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.�"�,;,*�.,,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+:�
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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 �
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o� ADDRESS PROPOSED USE
� C�-ry ZIP TEL.
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o ARCH/ENG/DESIGNER
o ADDRESS ri DWEL.UNITS #STORIES #BEDROOMS
Z C�Ty ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
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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
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� 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
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a ihe tollovnng Web sfte:�ttplvuv.+v.leginfo.ca.gov/qlaw.html. z
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�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.
�
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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
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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� ':; ; �� ��
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:., �� ;, , �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: