HomeMy WebLinkAbout14-3976 (8)= -- - —,_ _
�,.,.� CITY OI'DIAMOND BAR
f I I I i ' DEPARTMENT OF COMMUNITY&DEVELOPM�NT SGRVICES �
�.la�j��„i,,= 21810 Copley Drive,Diamond I3ar,CA 917fi� PRESS
',�� (909)A39-7020 I'ax:(909)861-3117 Building Inspection Hotline(909)839-7027 . ' FIRMLY
��'v�''. BUILDING PERYIIT APPLICATION
� APPLICATION DATE:��� a— � �, P/CN
w JOB SITE ADDRESS ��� ' � �V ����' �Z' ,�/ 6
ISSUE DATE: �`�^ �7 PERMIT# �� ��7
z APN LOT TRACT ` n
o OWNER �bl.¢�A-RD S �e1c�s TYPE CONST. C�� Y�U�� • OCC GROUP:
� ADDRESS �330 � TZ-�� ��Q ZONING SEfBACKS
,� GITY A IL ZIP ��G TEL.J�'g6I �J� FRONT RW ❑
a APPLICANT H�rD Fr+ �5� TELYoz( 4'-IJ��'�3 REAR �
o t SIDE/SIDE STFiEET RW Cl
Q CONTRACTOR ��n � So SIDE �
oro ADDRESS �� SS in p��CL� S'1' PROPOSED USE
� ciTv �I I�Dn�e ziP �,-�'i 73ZTEL �Z� '-F4_34833 _
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`L ARCH/ENG/DESIGNER
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o ADDRESS ti DWEL.UNITS #STORIES #BEDROOMS
aC�-ry ZIP TEL.
� DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION
owra�-em�o�r+oecwianoN
� I hereby aflirm under penatty of perjury that I am ezempt irom the Contractor's Slate License Law for the reason(s) SFFUADD/REM
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p Intlicate0 bebw by the checkmark(s),I have placed next to the aDW���e item(s)fSection 7031.5,Buslness and Garage/Carport
w Professiorrs Code:Any city or county ihat reqWres a permit to consUuct,alter,improve,demolish,a repair,any
z struciure,pdor to its issuance,also requires ihe appllcant tor the perm@ lo fife a slgned statement that he or she tA Patio/Deck
a Is licensed Dursuant to the proWsions ol the Contrector's Sfate Licertse Lew(Chapter 9)Commencing wiN Sectlon w
� 7W0 of Divhion 3 ot the Business and Protesslons Cotle]or that he or stie is exemD�hom Iicensure antl the basis tor LL PooVSpa
�
N the alieged ezempfion.My violalion ot Seclion 7031.5 by any applicant lor a permit sub�ects me apDlicant to a civil perqlty .
� Z R�Roof
of not more than five huntlretl dollars(5500). p
o (_J I,as mmer oi the properry.or my employees with wages as ihelr sole compensatbn,will do(J all 01 a U poNons � Commercial
� of tlie worlc,and tlie suuc4�re is not iNenaetl a offered tor sale(SecGon 7044,Business and Rotession5 Code:The � �
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� Contracturs'State License Law dces rwt appty to an awner of property who,through empbyees'w personal etlorf,builds
w or improves the property,Provided ihat the imprmemeiris are nol intendetl or oflere0 for sale.II however,Ihe buiiding or
� Improvement is soltl within one year of completlon,Ne Owner-Builder will have the hurden ai proWng ttiat it was rrot Ouitt
pa improved for the purpose of saie.).
� I,as owner af the ro Y 9 1 (
� (� p perty,arn exGusivel contractln with licensed Contractors to conshuct Ne pm ect SecGon Valuation: Adj.Area:
0 7pqq,Business and Prolessions Cale:The CoMractors'State Lkense Law dces not appty to an owner of property who
Z 6ullds a improves thereai,and who contracts tor ihe projecls with a Ilcensed Contraclor Dursuan[to ihe Coniractors'Slate qUANTITY DESCRIPTION FEE
cn
Y License Law.).
o (�I am exempt hom Ucemure under lhe ContractoYs Stale Llcense law tor Ne loltowing reason(s): � r�5
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"—' By my signature below I acknowledge tha4 excePt tor my personal reslderxe In which I must have resided for at least one w
z year prlor to completlon of the improvements covered by this permit,l camrot legally sell a structure that I have buill as an �,-j , ��r
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Qowner-builtler if it has rwt been constructed in iLs en6rety by Iicensed contractws.I understand that a copy ot the apPlicable
� law,Section 7044 0�ihe Business and Proiesslons Codo Is available upon requesl when thls applicatlon is submitled ar a[ . ��y � ly,�-t.lhGa/
a Ne lollowing Web stte:httplwww.leginfo.ca.govJcalaw.htrnl. z .
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OATE: SIGN: �
� LICENSED CONiRACTOH'S DECIARATION �
� � a
� I herehy affirm under penalty ot per�ury fhat I am liCensed under provisiw�s of Chapter 9(commenCing wiN Section 7000)
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� of Division 3 of the Business and Professions Code.and my licertse is in tull brce and eflect.
� �
N 3�0. ►�`Z_ LIC.NO.:_
y CENSE CUtSS: _
o are:����8— ��I corirRncroA:/iA�h�� �
d —r WOHKER'S COMPENSATION DECLARATION �
� I HFAEBY AFFlRM UNDER PENALTY OF PERJURY qNE OF THE FOLLON7NG DECLARATIONS:
¢ I have and will matntain a Cert�qle of Consent to Sell-Insure tor Worker's Compensation,as provided by CONSTRUCTION:
� Section 3700 of the LaDor Code,tor the perfwmance of the work fw which this permit Is issuad. p�,qN REVIEW�
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j I have and wilt maiMain Worker's ComDensatbn Insurance,as required by Settion 3700 of the Labor Code,lm ELECTRIC: -� /��
o the pertormance ot the wwk ta which this permit Is issued.My Worker's Compensation I�urance Carrier anA
¢ Polic/Numberare: y� � ,/ PLUMBING: ' "�-N�' ��
� CARRIER �'��-/ T��Ul MECHANICAL:
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� X POLICY NUMBER ���S��`'`'I' � INSPECTION FEE: ' L'
v� .(Rfl$SECIION NEED NOT 0E COMPLEfFD IFTFfr�rif�IS f0A ONE HUNDRED DOLIAFLS(510�OR LESS1. ISSUANCE: �II�7_
QI certify that in the peAorrriance of the work la which Ihis permit is issued.I shafl rmt empby arry P����y�Mer so as to SMIP:
become subject to Ne Worker�Comper�sation Laws of Califania.Md agreo that il I shwld becarre subject t�the Worker's
o .
W Comprnsalfon provisfaa of SecUm 3700 C«�e,�st�anJaw�v canPN wilh Ubse urovisia�. ENERGY P/C: _
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—' DAiE: 7— —/ AaPUCarrt: / ENERGY PERMIT:
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� WAANING:Fallore to secure Worker"s mpensatlon is unlawty,�n shal subject an employea to criminat RETENTION FEE: ";"•V�
� penatties and civil fines up to one hundred thousand dollars($100,00oYf addlUon to the cosl of tho compensation.
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damages as provided tw In section 3708 ot the labor code,interesi,and attomey's tees PRE-ALT FEE:
¢ CONSTRUCTION LENDING AGENCY BSAF:
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� I hereby affirm under penalry of per]ury that there is a Construction Lending Agen�y lor Ne peAormance of the work for
= which ihis permit is issued(Sec.3097,Clv.C.).
� LENDER'S NAME 7� �
� LENDEA'S ADDRESS:
a I certity ihat I have read this applicatlon and state that the above informaUan is crortecL I agree to compty vnth all city and TOTAL FEES
'� counry wtlinances and state laws relating to buildirg constructlon,and hereby auttrorize representatives of ihis counry ro COMMENTS:
Z enter upon the above-mentioned pmperty ta inspectbn purposes. "
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d PERMfTTEE E(RINn
= SIGNAT E OF PE ITf , OAiE` `J RECEIPT R '�� � PAID BY:���7.L VALIDATION:��_
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WHITE— ep�tlfrr�nt Copy.YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—ApplicanYs Copy
CITY OF DIAMOND BAR
� INSPECTION RECORD
, � � , . � . . � � . • -
SETBACK%LETTER � ' '� { ' ' ' �'j�+
' � TRACT AND LEDGER
FOOTINGS FORMS j '�:, =� _ - - �:' ,'; SWITCH GEAR
- " ��` � `�` `: COMMERCIAL HOOD
'SCAB r{ �
UG.'P[UMBING_�-�� .�°: ���-� �� , '-_ �`� �, T-BAR
"� s INTERCEPTER
UG.ELECTRICAL`, ` �i ` _ ' � s
UFER'GROUND;�'' � 1 ;''- ;;" t�- _ ' , �;';, ` HOT MOP/SHOWERPAN
SEWER LATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HERS REPORT RECEIVED
SEWER CLEANOUT DEMOLITION
ROOF SHEATHING ROOF DR,41NS
FLOOR SHEATHING ROUGH CONDUfT
SHEARWAI:LSEXTERIOR'. �'r i a - �POOUSPA�` ,: �� ��� ' '' '
° �ROUGH FLUMBING ���� r� �` ' �E ` °'�°
SNEAR WALLS iNTERIOR r < ` ,,
FRAMINGNENTIN6 '� � ,`4� ' 1 f �` ` '" `ROUGH ELECTRICAL= � Y � �� ,� �
ROUGt1 MECHANICAL i ,f` , ,:' ' K �' �+ x yaz t ROUGH MECHANICAL � '" Rs, � �'. t t � a�r �`�
�i ; - ` , a.. �; Q P r fl� n
ROUGH ELECTRICAL W(;`)C( )'' ' �- 'GAS TEST'';: � ?._ � �r �
ROUGH PLUMBING ,' - "= PRE GUNITE ; -� �" �� ' ' � '
: _ � � '
INSULATION WALL POOL PRE�OECK BONDIN6��." L,' `� { '+�t
INSULATION CEILING P"=Tp,qp ry;; ` w �`y, J :'J r�
DRYWA�L FENCE/�GATE/ALARM ;'; � f`: � 3 � � �
- � ��� � � , ,;. ,��.
FINALPOQ� +.;�;; ,_ ;=: r,- i ni.:T;� Y �� N,�
LATH(PRE� � -
LATH EXTERIOR WALLS:
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL isT! 1 2NDt )LIFT
� ,
SCRATGH COAT WALL BOND BEAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GA5 METER RELEASE ' WALL FINAL
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SPECIAL INSPECTION RO FRAMING PLANNINGAPPRQVAL ; � ' °-t � L'- ' 4 � �ry�
� t;
FINAL BUI'LDING .�_ `` 'ROUGH FIRE APPROVAL' � " �s ;� � '
.:_ ': �_ ` � • .> �
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FINAL MECHANICAL..+.'�, , '`, ` � " =� '• � ��` _ �
_ , ' : ; fINAL FIRE DEPARTMENT 'r , . F ,t h ` � � �`
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FINAL ELECTRICAL - z � , } � � _ FINAL PI:AfdNING,� . ; a v �' ° ,�,
FINAL PLUMBING � �' r J. ; �yi FINAL ENGINEERING/PW `-' '' ' '�` 1 ' � �'�
T.C:of OCCUPANCY f `" — FINAL COMMUNITX SERVI6ES = � ��� y
CERT of'OGCUPANCY:, . .;� ' .,�: ,. :r „ ,.�;:. �..," :; , - ` �4:
FINAL HEi4LTH DEPT ' i �
FINAL--1NDUSTRIAL WASTE`;> ,F � .�� h�� �,, ._ '= ' ���• --"i, -`�x �:
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