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Home My WebLink About14-4346 ,t�,'1"�,,r_z- C1TY OF DIAMOND 13AR �yn��' I 1 i . i ' DEPARTMENT OF COMMUNITY&DEVELOPM�NT SERVICES �p�„� �� 21810 Copley Drive,Diamond 13ar,CA 9176� PRESS �,' � ' ,,,,,� (909)339-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRMLY `��'�a"�� BUILDING PERMIT APPLICATION � �� APPLICATION DATE: P/Ck a�c JOB SITE ADDRESS . � V (� �y /+ zo APN w LOT TRACT ISSUE DATE: d"/�/��y PERMIT# ��^ ��J �,h o OWNER 1 � TYPE CONST. OCC GROUP: w � . ADDR SS �� ZONING SEfBACKS � CIlY ✓ ZIP TEL 2 FRONT RW ❑ oAPPLICANT�G� �\S s�✓�TEL. REAR ❑ N SIDE/SIDE STREET RW ❑ a CONTRACTOR S � o SIDE ❑ oro ADDRESS Y � o� CITY�G1 V1� ZIP TEL. (� �, PROPOSED USE 0 o ARCH/ENG/DESIGNER � �_ (A (� w - o ADDRESS o #DWEL.UNITS #STORIES k BEDROOMS z CITY ZIP TEL. a OWNER-BUILDEA UECLAHATION DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � I hereby ailirm under penatty of Derjury ihat I am exempt from the CoMractor's State License Law Mr the reason(s) SFR/ADD/REM 0 p intlicated below by the checkmark�s),I have placed next to the aDDlicable item(s)[Section 7031.5,Business and Garage/Carport o Professions Code:Any city or county lhat requires a permit ta construct,alter,improve,demolish,or repair,any w structure,prior to its issuance,also requires the applicant for the permit to file a signed statement that he or she � Patio/Deck a is licensed pursuant ta the provisions of ihe Contractor's State Lice�e Law(Chapter9)Commencing with Section w � 7000 of Division 3 of Ne Business and Prolessions CodeJ or that he or she is exempt from licensure and the basis for � P�I/Spa N the alleged exemption.Any violation of Sectian 7031.5 by any applicant tor a DermO subieds the apD�icant to a civil penalty � of not more than five huntlred dollars(5500). Q R�Roof o U I,as awner of the property,or my employees with wages as their sole compensation,will do(�a�l ot or(�portions � Commercial � of the work,and the strucNre is not intended or ottered for sale(Section 7044,Business and Protessions Code:The � U m Contractors'State License Law does not appty to an owner of property whq through emptoyees'or personal eftort,builds � or improves the property,provided that the improvements are not intended or oftered for sale.If however,the builtling or � impmvement is sold within one year af completion,fhe Owner-Builtler will have the burden of prwing mat it was not built p or improved for the purpose of sale.). � I,as owner ol the ro e (.J p D�Y�am exdusively contracting wilh Iicensed Contractors to consWct the projecl(Section 0 7044,Business and Professions Code:The Contractors'State License Law does not appty to an owner of property who Valuation: Adj.Area: N builds or improves thereon,and who conVacts tor the projects with a licensed Contractor pursuantto the Contractors'Siate QUANTITY DESCRIPTION FEE ' Y License Law.). o U�am exempt trom licensure under the ConVactor's State License law tor the following reason(s): � � � �3� � LL By my signature below I acknowledge that,except for my personal residence in which I must have resided for at least one c~.� o year prior to completion of the improvements wvered by ihis permit,l cannot legalry sell a sWCWre ihat I have built az an W Q owner-builder if it has not been consiructed in its entirery by licensed contractors.I understand ihat a copy ot the applipble Q law,Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at X Ne following Web site:httphwnv.leginto.ca.gov/calaw.htmL z o DATE: SIGN: � •l F LICENSED CONTRACTOfl'S DECLARATION � S� a w I hereby affirm under penalry ot perjury that I am licensed untler provisions of Chapter 9(commencing with Section 7000) m ot Division 3 of ihe Business and Protessions Code,and my license is in full force and effecl. J � � a � LICENSE C LI 0� � z _ � DATE: CONTflACiOR: � WORKEH'S COMPENS LAFlAiION g � I HEREBY AFFlRM UNDER PENALIY OF PERJURY ONE OF THE FOLLOWING DECLAAATIONS: oI have and will maintain a Certifirate of Consent to Selt-Insure for Worker's Compensation,as provided by CONSTRUCTION: � Section 3700 ot the Labor Code,for the pertarmance ot Ne work tor which this Dermit is issued. PLAN REVIEW: � I have and will maintain WorkePs Compensation Insurance,as reqwred 6y Section 3700 of ihe Labor Code,(or z the performance ot the work for which this permit is issued.My Worieer's Compensation Insu2nce Carrier and ELECTRIC: a PoIi�yNumberare: PLUMBING: � CARRIER ��Y�'� W MECHANICAL: � POUCYNUMBER q � INSPECTION FEE: � (T}11S SECIION NEED NDT BE CAMPLEfED IF THE PERMR 5 FOR ONE HUNDRED DOLLARS($100)OR LESS). l IT 7I ISSUANCE: o I certify ihat in the pedormance oi Ne work lor which this permit is issued,I shall not employ any person in any manner so as to o become subject to the Workers Compensation La o1 Calilornia.Mtl agree Nat il I should become subject fn the Worker's SMIP: � Compensalio rov ' f Section 3700 ot Ne shall foritnvith compry wiln those pmvisions. ENERGY P/C: LL DATE: APPLICr,Nr: ENERGY PERMIT: � WARNING:Fa ure secure Nbrker's Compensa' is unlavrful,and shall subjeci an employer to criminal w penatties and civil fines uD to one hundred Nousand dollars($100,000),in addition to the cost of the compensation, RETENTION FEE: �da o damages as provide0 tor in section 3706 of ihe labor code,interes[,and attomeys fees. PRE-ALT FEE: a CONSTRUCf10N LENDING AGENCY BSAF: f`.�� = I hereby aKrm under penalty ot perjury that ihere is a Construction Lending Agen�y for the pedormance of ihe work for � which ihis permi(is issuetl(Sec.3097,Civ.C.). r LENDER'S NAME: � LENDER'S ADORESS: nW. I certiry ihat I have read this application and state ihat the above information is correct I agree to comply with all ciry and TOTAL FEES � county ordinances and state laws relating W building consUuction,and hereby authorize represeniatives oT ihis caunty to COMMENTS: p entei upo the above-mentio ed property for inspection purposes. J l �m � a PERMITTEE NAME(PR I` , � � .,.; � SIGNATURE OF PEflMITfE DATE RECEIPT M PAID BY: VALIDATION: • WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLOENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR INSPECTION RECORD �t� ' :� • e � � � • - � • � � . � . SETBACK/LETTER - TRACT AND LEDGER F.00TINGS FORMS- . : ;. ' ' SWITCH GEAR 'SLAB COMMERCIAL HOOD UG:PLUMBING ; . ; _ ,:, - ` T-BAR UG:ELECTRIGAL INTERCEPTER UFER GROUND '' '`.r ' :• -. . HOT MOP/SHOWERPAN I SEWER IATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED I , SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS �, FLOOR SHEATHING ROUGH CONDUIT �I ,;: SHEAR WALLS'EXTERIOR ' ', , . : _ POOL/SPA ,.: SHERR WALLS INTERIOR, . : •;.: ROUGH PLUMBING , � „ � . _ . _ - - FRAMINGNENTING '`` '� .. � �;. . � ; `:_ ROUGH ELECTRICAL ,.. .; . . ROUGH MECHANICAL , � - �Z� � � ROUGH MECHANICAL , . ROUGH ELECTRICAL W(�),'C{ ) ✓Z 4 -I� � , '::. GAS TEST , - , ;: . ;, ROUGH PLUMBING ; < , I.,ZG'�l.Y PRE GUNITE , , - : , ., INSULATION WALL POOL?RE DECK BONDING . - � INSULATION CEILING P-TRAR ' , _ . DRYWALL / FENGE/GATE/ALARM - ' LATH(PRE) FINALPOOL LATH EXTERIOR WALLS: LATH INTERIOR ZQ�. � WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2ND( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO.FRAMIN6PLANNINGAPPROVAL FINAL.BUILDING � ' ROUGH FIREAPPROVAL ' FINAL MECHANICAL FINALFIRE DEPARTMENT FINAL ELECTRICAL: ; ` FINAL PLAIdNING . � , : � ... .,;. , fINAL PLUMBING '' - FINAL'ENGINEERING/PW ' ' T.C.of OCCUPANCY " ' . - - FINAL COMMUNITY SERVICES • ' - CERT.of OCGUPANCY � � " - .. . ' FINAL HEALTH DEPT. � �: : : .. FINAL INDUSTRIAL WASTE '� ' • `' '" � ` - COMMENTS: � " !U� e�sS � �a�