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Home My WebLink About14-3422 1 �s � ��+".;,��5. CITY OF DIAMOND BAR �i I �� DEPARTMENT OF COMMUNITY&DEVELOPM�NT SERVICES �III�;�`:=`�� ' Z1810 Copley Drivc,Diamond I3ar,CA 91765 SS ��„ � ,,,� (909)839-7020 .Gax:(909)R61-3117 Building Inspection Hotline(909)839-7027 F�RMLY '�x°'. BUILDING PERMIT APPLICATION � ^� , APPLICATION DATE:��+'1�� P�Ck � ��L Z wJOB S17E ADDRESS y � �—Zy�� PERMIT# '� �� ISSUE DATE: z APN LOT TRACT o OWNER TYPE CONST. ��/ OCC GROUP: w y ADD 5S � ' ZONING SEfBACKS � qTy 21P�6�TEL. FRONT RW fl a APPLICAN �� ` TEL.� O^ REAR � o SIDE/SIDE STREET RW � �' � S[�\O�� SIDE O a CONTRACTOR ' ` o ADDRESS 2�� PROPOSED USE � � �/_L ¢ CITY 1...a�-Y�P,��? ZI�TEL.�vc-?��-�'-�-9 O� � ARCH/ENG/DESIGNER Q �-' 0 }�, z ADORESS� 1 / " �'�� i DWEL UNITS it STORIES #BEDROOMS o • Q C�TY Y� Z� ��' DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANA�UATION � � OWNEFt-BNLDEft UECLAfiATION � I hereby affirm under penatry of perjury that I am exempt fram the Contractor's State Uceiue Law for me reasan�s) SFR/ADD/AEM � IntlicateA bebw by the checkmark(s),I�ave placed next to the apD�ipble ilem(5)f$�tion 7031.5,Buslness and o Garage/Carport w Professlons Code:My city or county that requtres a permlt to consUuct,alter,lmprove,demolish,or repatr,any z strucNre,D�or W ih issuance,also requlres the aDPlicaM ta Me Dermit to fiie a sigired statement thai he a'she w Patio/Deck a Is licensed pursuaM to ihe provislons af ihe Contractor's State lJcense Law(Chapter 9)CommencinB with SecHon � p�VSpa � 7000 of Division 3 at the Business anA Professions Code�or that he or s�e is exempl irom licensure and tlie basis fw � � fhg alleged exemD�bn.My violation ol Sectio�f 7031.5 by any applicant fa a Dermft sub�ects the aDDlicant to a ch+il penalty � Z Re-ROof of nol more than frve huntlretl doilars(8500). p o U I,as owner of the property,or my employees with wnges as thelr sola compensation,will do(1 all ot or(�pordo� � �mmercial � ol the work ar�d me StrucNre is not intended a ottered for sale(Sectlm 7044.Business and Protessbns Code:The � m � Contractors'Stata License Law tices not appty ro an owner ot property who,through employees'or personal eftort,6ullds w or Improves the property,Provided Nat tlie improvements are not intendod or otlered lor sale.I1 however,the building or . � Improvement Is sold within ane year of complotion,ihe Owner-Builder will have ihe burden ol proving.that it was rot built � pa imprwed fw me purpose o1 sale.). � � I,as ownar ot the ro � � (� p pflrry,am exGusively conVactlng wiFh licensed Contractors to Conshuct tha pw ecl(Secilon Valuation: � Adj.Ar@a: 0 7044,Buslness and Prolessions Cotle:The Contractms'Sta1e Llcense Law does rwt appty to an ovmer ot proD�Y Who Z buildsorimprovesl�ereon,endwhoconVxtsfortheD�ojeclswithalicensedContractorpursuantlotheConlractars'Shnte QUANTITY DESCRIPTION FEE N Y License Law.). o U�am exempt from Ilcensure under itie ConUactor's Stete Ucense law tor fhe tollowing reason(s): � � � `i By my signature Delow I acknowledge Nat,except Por my personal residence In which I must have resi0ed tor af leasi one � Z year prlor ro completlon ot the Imprwements covered 6y this pertnit,l pnnot legally sell a strucNre mat I have buitt as an W 0 � owner-builder I�it tias not been conSWc�ed In ILs entirery by licensed contractors.I understand tl�a�a copy of Ne applipbie law,Sectlon 7044 oi the Business and Professlons Code Is available upon request when this application is submitted w at � the 1Wlovnng WeD site:nttplv�v.leB�nto.ca.gov/cataw.ntrnl. z � DATE: SIGN: m � � LICENSED CONTRACTOR'S DECLAHATION a U w I hereby aKrm mMer pe�liy ot perjury Ihal I am licensed under provisions ot Chapter 9(commencing with Seclion 7000) � of Division 3 af the Business antl Professions Code,and my license is in full force and eftect. � � y � � `� �� uc.No.: Q N x o DATE: � �_ CONTRACfOR� '^ -•� ��u� ('�.L� � � ad WORNEA'S C�MPENSATION UECIARATION � � I HEREBY AFRRAI UNOER PFlJALTY OF PERJURY ONE OF THE fOLLOWING DECL.ARATIONS: 2 �� a � I have aml will malntain a CeriBlple ot Consent to Seli-Insure la Worker's Compensatlon,as provided by CONS7RUCTION: � Section 3700 0l lhe Labor Cade,for Ihe Derformance of the work for which this permit is issued. p�QN REVIEW: 7 � ��I have and will mainfain Wwker's Compensat(on InsuranCe,a5 required by Sec�iDn 3700 M ihe Labw Code,for ELECTRIC: o � the peAortnance af the wmk for whieh ihis permit is issuetl.My Worker's Compensatlan Insurance Carrier and ¢ PoliqNumDerare: PLUMBING: � CARflIER ��5��, !2`\ �� MECHANICAL: � . POUCYNUMBER �O p! `LZ?v\') � INSPECTION FEE: N (f}OS S[CfIDN NEED NOT BE COMPLEfED IF1HE PEM1R IS FOR ONE M1t�RFD OOLINiS(S10DJ OR LFSS�. ISSUANCE: � oI ceAify thal in 1hE perimnaru:e ol the worlc(a vrhich this permit is isnie0,I shall nol empby arry person in anY«��to SM I P: � become subject to Ihe Wakerh CanPensatiai laws ol Calilania.Md agree Ihat if I slmukl t�ecane subject tn tlre Worker's _'SI � CAmpen.�i ot$ecGon37�abarCode,lst�allfortfnvilli , wiNttase oris. ENERGY PlC: LL Da�:��arPucnrrr: fi'«�� 4,.�'� ENERGY PERMIT: � WARNING FeiNre to secure Worker's Compensatlon coverage is unlavAul.an0 shall sub�ect an employer to cdminal � RETENTION FEE: � pen�ltles and civil lines up to ane hundred thousantl dollars�$100,W0),In atltlition to lhe cost of tha compensaUon, w PRE-ALT FEE: a damages u provitled for in sectlon 3708 ot the labor code,interest,and attomey's fees. � CONSTHUCTION LENDING AGENCY BSAF: � w I hereby amrm under penalty ot perlury ihat Iliere is a ConsVuction Lentling Agen�y lor Ne peAamiance ol the work(or = which Ws permit Is IssueU(Sec.3097,Civ.C.). � LENUER'S NAME � LENDER'SADDRESS: /, //��,� a I ce�tiry that I have read this appllcaUon and stata mat tne auove intormatlon is conectJ agrae tn compry with all city and TOTAL FEES 6 Y�ri � county wtlinances and state laws relaUng tn buiidirg conswction,and hereby authodze represenhatives ot Uiis counry to COMMENTS: Z enter upon the above-mentioned properry for inspeclion purposes. 0 J 1, m 1(�j\�'7'14� i„!� h�,�,LLY�(`� ¢ P ME(PRINT) i I_ N � � � DATE RECEIPT!+ I PAID BY: � VALIOATION: � = NANRE OF PERMITTEE � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fle Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD s � , • - o � � . � . ,SETBACK/LETTER ,�� '�: �"' ° �; ' TRACT AND LEDGER � FOOTINGS FORMS�_ . �'�;. ,_. �;f ��` ° _�� . SWITCH GEAR S�qg; x - � a - ' �' COMMERCIAL HOOD UG.��P,CUMBING.:, ` ,� '� :'- "` T-BAR UG.EIECTRICAL; , `'r ` �,� , �', - ' •' INTERCEPTER . t , ; �"� '�r', ,, „; z `Y", °_ HOTM�P/SHOWERPAN °UFER.GROUND:"� � , ,_ . SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONOUIT SHEAR WAI.LS EXTERIOR'. - �, �; , ��- � ` , ' k s '�K' �`r! 's ; � r_ POOLISPA�- , � � �' ' ROUGH PLUMBING °: '� � �� SHEAR WALLS INTERIOR � ,�� r � , � - �', ` FRAMINGNENTING ' �' '� '�: _s• -; ' '� ROUGH`ELECTRICAL: _ - r •i, `� �' � °� y :, '� _: � _ - "ROUGH:MECHANICAL� �`,. , ';� �`• 'h . ,;� , . . .—� ROUGH MEGHANICAL" _ �� h �i.� r ROUGH�ELECTRICAL W(_)C( ,) ,- F ` "'` - �`` `GAS TEST °�'t - �" � RDUGIi PLUMBING� ` 7; :' °� {.% �''� r "' ,,.,,,, �1' P,RE GUNITE : , ,;� � "w� r ' �--. .. _ _ ,:? .,;, � _ .,.. � -��. � INSULATION WALL POOL,PAE�DECK BONDING . ;� .� -j ; ` ,r � }7,�� Y� INSULATION CEILING P-�P'` ' " ' DRYWALL �FENCE/GATFJ�ALARNI `,� � ` LATH(PRE) ,F,INAL POOL�, . ,� ` c •:-� :' , _ ' S �_ LATH EXTERIOR WA��S� l�1TH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1 sT( )2"0( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION ''� RO FRAMING PLANMNGAPPROVAL ' � � � ,� �� `" y��` r r F '' FIN�=BUILDING _. :�' _ �.:°l",' - ,, �,;�� , :' `ROUGH,FIBE APpROVAL � �� , ` ` s '�,� 'FINAL.MECHANICAL :'= • ` :u ' ? ` � .. . '` _' ,FINAL FIRE QEPARTMENT `' ' a '' ' ��'� �� .� _ , � . ., � . � - - �� '`�.� � ;�' FINAL�ELECTRICAL ,_= , ' .,,:;! .,; ` , �.,�`, _" 'FINAL PLANNING, °, ,� 3 FINAL,PLUMBING , - ' i� ? _ ` FINAL'ENGINEERING!PW ;r F - �' ' �' � ' "' rr TC'of OCCUPANCY . � a � 1 :r FINAL CQMMUNIrY SERUICES _ �� 7 a ��' � � ��',t,. EINALHEALTHDEP_T � ` <�_ �' �' x 4 r �� CERT,,,of OCCUP.ANCY�; . . .,., � ,. �;.,, . � �. .�_ •- r ,,��.. i �, „ �: � �z F FINAL INDUSTRIALWASTE� � 4 " „� -' ` ' ' - :3 � ,.s � — - COMMENTS: