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Home My WebLink About14-4382 i _ __ - -- �� CITY OI'DIAMOND BAR � � /' � . r[I�F, �t 1 i ' �, DEPARTMENT OF COMMUNITY&DEVELOPMGNT SERYICES �� `l�/ '1lS 1'FSESS ��^,�llll„��; �� 21810 Coplcy Dri��c,Diamond l3ar,CA 91765 �"„� Y (909)839-7020 Fax:(909)86]-3117 Building Inspection Hotline(909)839-7027 FIRMLY `�"�ri"' BU ILDING PERMIT APPLICATION ¢ JOB SITE ADDRESS `��`�`�" � L�'�� L6� APPLICATION DATE: � /S � P/Cli ISSUE DATE: //J/ '_` PERMIT# i � — �'�SZ a . o APN LOT TRACT � o OWNER`— !d�� O TYPE CONS7. OCC GROUP: N ADDRESS c� � ZONING SEfBACKS � C��y h�� Z� TEL �L FRONT RW � ¢ APPLICANT EL. REAR � o SIDE/SIDE STREEf RW � > CONTRACTOR l 1 � SIDE � I a 0 ow ADDR S PROPOSED USE - — o CITY ZI�TG/� TEL. ' �pp� � / t " ARCH/ENG/DESIGNER � �^ 0 o ADDRESS q DWEL.UNITS H STORIES�_ #BEDROOMS Q CITY ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANA�UATION � OWNEfl-BUILDER DEClARATION � I hereby attirm under penaly oi perjury Mat I am exempt iram the Contractor's State License Law for the reason�s) SFR/ADD/REM � indicated below try the checkmark(s�,1 have laced ne#to the aDD�icable iiem�s)(Seclion 70315,Buslness and o p Gerege/Carport w Professions Cada:My Gty ar county thal requires a permit to coroWct,alter,improve,demolish,a repair,any z strucWre,prfor tn Its issuance,also require5lAe applicant fm Ine D�it to file a signe0 sUlement that Ae m she v) PaCro/Deck � Is Iicensed pursuant to ihe pravistans ol ihe Contractor's SWte License Law(Chapter 9)Commencing wilh Section W 1�0 ot Olvlslon 3 of 1ha Busl�ss and Protesslons Code]or that he a she is exemD�trom licensure antl me basls Iw LL Poof/Spa � fhe alleged exemption.Any violation of Section 7031.5 by any applicant iw a DertnR sub�ects the applicant to a civil penalty N of not rtwre than five huntlretl tlollar5155001. Z e-Roof � � o (,I,as owner o(Me Droperty,or my emD�M'ees with wages as their sole compensatlon,will tlo(.�all of or(J portlwis d Commercial � of the work,and fhe swcture fs not intended or oflered for sale(Section 7044,Business and Rolessions Code:The � m � Contract�rs'State License Law dces not appry to an owner of properry who,thmugh employees'or personal efiort,bullds w or improves�he property,Drovided ihat the improvements are not intended ar oflered for sale.B however,ihe building or � Improvement Is sold vnt�in one year of completlon,Ne Owner-Bulider will have the burden of proving that it was not huitt por improved tor the purpose o1 sale.). . V U I,as owner of the property,am exdusivety caniractlng wilh Ilcansed Contractors to construct the project(Sectbn 0 7044,Business and Professions Code:The Contractors'Sbte LJcense Law dces rrot appty to an owner of property who Valuation: Adj.Area: Z buildsaimpmvesUerea�,andwhocaihxtstocNeD�ojeclswiNallcereetlContraclorpursuanttothaContractors'Stale �UANTITY DESCRIPTION FEE N Y License Law.). o (�I am exempt irom licensure under the Conhactnr's Stale License law 1or t�e foilowtng reason(sj: ,� � � `i By my signature belaw I ack�rowledge ihal,excepl for rtry perso��al resldence in which I musi have resided ior ai lea5t one � Z year prior to wmptetion oi the improvements covered by this permit,l cannot legally sell a structure that I have buill a5 an „�, �¢ ownerbuilder ii It has not been consWcted in its entirery Dy liCerrsed contractas.l understand that a copy of Ne aDP��e 2 law,Section 7044 0l the Business and Professlons Code ls available upon reques[when this apD��tion Is submitted or at � the iollowing Web slte:MtpJwww.leginfo.ca.Bovfcataw.htm�. z m �ATE: SIGN: � � LJCENSED CONTNACTOH'S DECLAflATION a � � I hereby afiirm under penalry ot perjury that I am licensed under provisions ot Ctupter 9(commerxi�w1h Section 7W0) w � ot Division 3 0l the Business and PrNessions Code,and my liceiue fs in full force and atlect. � � ,r `�u y LICENSE CLASS: � ' �iW LIC.NO.:�� _ oZ DATE:,.� • CONTRACTOR: .AI.1S1�'l bo�-� t � ¢ WORKEfI'S COMPENSATION UECLAf1ATI0N g � I HFREBY AFFIRM UN�ER PENALTY OF PERJURY ONE OF THE FOLLOWING OECLI�RAl10N5: � �^��.�� ¢ 1 have and will malnlaN a Certilinle of Consent to Setl-Insure for Workei's Compensation,as provided hy CONSTRUCTION: 1 � SecGon 3700 0l ihe L.abar Code,lor Ne peAormance a(me work for which ihis permit is issued. p�,p,N REVIEW: � j �I have and will maintain Worker's ComDensatfon Insurance,as required by Section 370D of the Caba Coda,for ELECTRIC: o the perfarmance of�he work fa which this permit is issued.My Worker's Campensafion Insura�e Garrier and . ¢ PolicyNumb�are:D � _ � A,^h. . A � PLUMBING: � CARRIER 1d�i— T�'�t�-��-M`C MECHANICAL: Z POLICYNUMBER„J�c__��i� , �Z� INSPECTION FEE: c� [� � (THfS SECTION NEED NOT BE CAMRETEO IFTHE P�1R IS FOR INJE HUNDRED DOLINiS�St0�10R LESS). ISSUANCE: �7�� oI certity�hal in ihe Perlamazr.e o(lhe work tor which this D�mit s'suied,I st�rot emWoY�Y Pe��in arry man�r so as to SM IP: �' �`-�-- eeconie subject to me Workers Comperaation Laws ot Ca�itania.nnd ngree mat if�slwuW becorne subject m the worker's � C�pensaiion prwis' ot Sectiai 370��t{t�he la,4�or Code I shau lonhwiUi com ry with t-hapse p`rovis ENERGY P/C: LL DATE:�:��_APPLICANT: 1�/T�C�� 'Z�.'�;�S.�iF�� ENERGY PERMIT: � WARNING:Failure to seare Workers Com�pensation coverage a ul�awlul,arM shall su6ject aT employer to cnminal RETENTION FEE: � �" �� ,� penatties and Gvil fines up to one hundred thousantl doilars($100,000),in addition to the cost o1 the comper�sation, �� PRE-ALT FEE: o tlarnages as provided for in section 3708 of ihe labor code,IMeres[,and atlomey's tees. ¢ CONSTRUCTIONLEND�NGAGENCY BSAF: # � 4� __ d w I hereby aKrm under penalty of periury Nat there is a ConsVuctbn Lending Agen�y for Ne pedorn�ance of ihe work lor = which ihis permil is issued(Sec.3097,Gv.C.). � � LENDER'S NAME � LENDER'S ADORESS: ,I a 1 cerlity tha�I have read this apDlication and stafe that the above inrormation is correct.I agree to compty with ail city and TOTAL FEES �y . �j b � county adinances and state laws reWting ro buiidirg conswcGon,and nereby auihor¢e representatives of mis county m COMMENTS: z enter upon 1he above-men6oned pmperty for InsVection purposes. 0 J � L m ¢ PER E NAME PRIN'� /��' N � y �/ ��VALIDATION:� = SIGNANHE OF E �ATE RECEIPT N LQ Z pAID BY; � ►- WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessor Copy.GOIDENROD—Fle Copy,GREEN—AppliconPs Copy CITY OF DIAMOND BAR INSPECTION RECORD �' , � � , . � . . o � . • - SETBACKPLETTER.` ' r�, �- '� TRACTAND LEDGER FOOTINGS�FORMS - ' = r_�` - ''�_ : SWITCH GEAR S�qg,,F; ..,; =x � rti; .H� COMMERCIALHOOD � 'UG.P,LUMBIN6 = ' r�:�; _ = T-BAR UG.ELECTRICAL` - - ,� ;{ = INTERCEPTER UFER GROUND- ;�� , ` � . ?�-'.� ,_. �' ��-F � HOT MOP/SHOWERPAN SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECEIVED SEWER CLEANOUT DEMOLITION ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHE,4R'WAI15 EXTERfOR, , r`� L� ,� , ` � �;� � POOUSPA ,=` � �, � ' � �' 2 " ," � � - �` � ' � ROUGH PL'UMBING ` �� ` � T - � ' `�r�� ` �� SHEAR,WALLS INTERIOR �� r �� - _ --- `� �' ` ' ` � ` FRAMINGNENTING { F f '� r r '�* � � ``' 4 RQUGH ELECTRICAL '� F�#�' 1 � �-" � r1.� G � ROUGH MECHANICAL ` ` 7 `' �<i �� r ROUGH MEGHANICAL� ' eY � �; a ;nf �' �"� ' " m?r � , � � , RQUGH ELECTRICAL W( �)C� ) : ; `� � � �;� � �, �� x - ' : u `* �` ' �1 C,AS TEST � r '`° �- � r t � , � � - � �"r , ti' k Y:�- � � � PREGUNITE, � 7� , � ; y ; ',� ''� �� '�� ROUGH PL'UMBING_ _ . . � � ' �` POOL PRE':QECK BONDING,,. ;i �` ` � INSULATION WALL '`� 4' ` `� � INSULATION CEILING p'�p ;� t; ' '"' rU � - � DRYWALL FENCE/GATFJ ALARM 3 ` �� -s` ;--'� � �`4 �'- Y� 4 Y: LATH(PRE) F�INAL�P006 _ - � _ � ` �- �� . _ ' - LATH EXTERIOR WALLS: LATH INTERIOR 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 R0.FRAMIN�PLlWNINGAPPROVAL t°: �� ` � '� � ' - " ROU�Ft PIRE`APPROVAL ��;' - ��' , � ' � '� y ��- FINAL��BUILDING '�/ ��r ` - � � ' 'FINAL�,MECHANICAL =� "� �` 7y . '`t�� ; ` �7f,�` FINALFtRE.DEPARTMENTr �� :� � � �, �� ` ' � FINAL ELECTfiIGAL � _ '^ FINAL:PIsANIdING . t.:i ` ",� �' �t � � � � _ �;: � , FINAL PLUMBING ' ` ' '` FINAL,ENGINEERING/PW�.�'� � Y, ,` "' ? , �.- .> T.C..of OCCUPANCY � ° - FINAL COMMUNITY�SERVICES _ , CERT.of Ot�UPANCY„': , ,:�� . h` FINAL HEALTH DEPT � F � r ' � ' . �� , �:; ,. �� . . . . FINAL<INDUSTFiIAL WASTE�,$� ;;?.'° , ' .�,a.''.� ,`' ��` _` '`-• �`�'� ' __ . �_ � . _ _ . _ COMMENTS: �+M E—� pI�—�3 �–.- ��f"� —