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Home My WebLink About14-4380 �'�.� CITY OF DIAMOND BAR `� � I _ i ' � DEPARTMENT OF COMMUNITY&DEVELOPM�NT SERVICES l�� .. . IIL��=" � ' 21810 Copley Drivc,Diamond 13ar,CA 917fi5 `� � ��R SS `,w„,,,,,.,,�� (909)839-7020 Fax:(909)861-3117 Building Inspection Hotline(909)839-7027 FIRML � �'�""�� BUILDING PERMIT APPLICATION w~ �� G J ( n�y 1� JOB SITE ADDRESS X J��►.1 �F�C APPLICATION DATE: P/C# z APN LOT TRACT ISSUE DATE: {Q�9 I/�II U PERMIT# � "1 —13�_ o OWNER�(��(�,�� _O. TYPECONST. OCCGROUP: � ADD ESS � —' C�TI' IP TEL. ZONING SETBACKS � ' FRONT RW ❑ ¢ APPLICANT TEL. REAR p 0 Q CONTRACTOR \ SIDE/SIDE STREET RW ❑ o SIDE ❑ c� ADDRE � PROPOSED US o CITY ZI�7�'7- TEL. — LL ARCH/ENG/DESIGNER (,^� t �� c 0 w ' o ADDRESS q DWEL.UNITS #STORIES �� q BEDROOMS � � CITY ZIP TEL. OWNFA-BNLDEA DECLAl1ATI0N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION o I hereby afffrm under penatty of perjury that I am e�cempt hom the Contractor's State License Law for the reason(s) SFR/ADD/REM � IrMicated helow by the checkmark�s�,I have placed neM to the apDlicab�e item(s)�Section 70375,Buslness and Professlons Code:My ciry ar wuMy that requtres a permit M consWct,alter,Improve,demolish,or repalr,any Garage/Carport - z5truchire,prior W i[s fssuance,also requlres the applicant for the permlt to(le a slgned stalement that he or she � Patio/Deck � Is licensed pursuant to the pravislons a(the Contractor'S State License Law(Chapter 9)Canmendng with SecUon w � 7000 of Division 3 of the Buslness antl Professlons Code]or that he or she is exempt fram licensure and the basis for LL P�USpa � the alleged euemption,My viWation of Section 7037.5 by any app6cant fw a pertnit sub�ects the apDllcant to a civil penalty N of not more than five hundred dollars($500�. Re-Roof ��y�ID ¢ 0 U I,as owner of the property,or my employees wRh wages as thelr sole crompensaUon,will tlo(,all ol or O porllons � Commercial � of the vrork,antl the strucWre Is irot intended or ottered tor sale(Sectfon 7044,Busfness and Professions Code:The � Cantractors'State License Law dces rwt appty to an owner of property vfio,Mrough employees'or personal effort,builds � � or Improves the property,provlded that the imprwements are nOt IntenOetl or ottered for sale.tt however,the building or � Improvement Is sald within one year of compleUon,fha Ovmer-Builder will have Ne burAen ol proWng tha[it was nat bull[ U a imprmed for the purpose ot sale.). � U I,as owner of the property,am exduslvely contracUng wllh Ilcensed Contractors to construct the D�oject(Section Z 7044,Buslness arM Professlons Cotle:The Contradors'State License taw does rrot appty to an owner o1 Dru0erlY wlw Valuation. Adj.Area: � buildsaimpmvest0ereon,andwhoconhactsiortheprojectswithallcensedContraclorpursuanitotheContracrors'Slate QUANTffY DESCRIPTION FEE Y ticense Law.). o U�am exempt from Ilcensure under the ConVactor's State IJcense law for the followln9 reason(s): � 3 ¢ LL B m sf nature below I acknowled e tha exce t for Y Y g A 4 P Rry Personal resl0ence In whlch I must have reslded for at least one � o year prior to completlon ot the ImprmemenCs covered by this permlt,l canrrot legally sell a strucWre that I have buill as an w ¢ owner-bullder ft It has rqt been consWcfed In Its entirety by Ilcer�sed wntractors.l undershaml t�at a copy ot the aDPlicable Q law,Seclion 70q4 of the Buslness and Professlons Code is avallable upOn request when this apDllption Is submitled or at X the following Web site:http/vrvnv.leginto.q.gov/calaw.html.. ._ W �ATE: SIGN: m o � � LICENSED CONfRACTOp'S DECLARATION � a w I hereby aftUm under penalry of per�ury that I am licensed ur�der prwisions of Chapter 9(commer�cing willi Section 7000) , � ot Division 3 01 the Bu/sin�ess arM Professions Code,and my license is in full force and effeci. y CENSE CLASS: �/ � VG�N L1C.NO.:�Z i�C.J � z oZ arE:� corrrnncron:/a 4'�S �bbF��.� � ¢ WDHI(ER'S COMPENSATION DECLARATION � � 1 HEREBY AFFlRM UNDER PENALTY OF PERJUFY ONE OF THE FOLLOWING DEpNWTIONS: w � Q �2�6. �1�� o I have and will malrrtain a Certificate ol Consent to Setl-Insure lor Worker's Compensa6on,as providee by CONSTRUCTION: � Section 3700 of the Labor Code,for the performance of the work for which this permit is a�sued. p�qN REVIEW: � I have and will maintain WorkePs CAmpensation Insurance,as requirea Dy Sectton 3700 0l the Labor Code,tor ELECTRIC: Z the peAormance of tlie vmrk f which this Dertnit's Issued.My Worker's Compensatlon Insurarice Carrier end ¢ Poiic.ytuumbe�are: PLUMBING: � CARRIEA � X POUCYNUMBER� MECHANICAL: � INSPECTION FEE: �- "'------- (T}flS SECiION NFED NOT BE COMPo.EfED IFhIE PERHIIT I$FpR ONE HUNDREO DOLLMS($10�OR L.ESS). ISSUANCE: — � 3 5 • ,5'� 0 I certily 1ha�in 1he perform,v�ce pf ttre worlc Iw whiCh thls permil is issued,I shall rqt empby arry person in any manner so as to � 1 `^ o becane subjecl to the Worker's Compensatbn Laws of Calflomh�.Md a SM IP: pree that il I shaultl h�ecome subject in tlre Wuker's Ea'i � CwnPe �1m ot Section 370o of Code,�shall�ortM�rilh comply wilA those provlgqs. ENERGY P/C: J DATE: • �— AppLIClWT: y " «"��1 ENERGY PERMIT: � WARNING FaiNre to secure Workers tlon coverage Is unlawful,and shall subject an empPoyer to cnminal w penattles and Gvil fines up to one hundred thousantl dollars(5100,000),In atldition to the cost o1 the compensaUon, RETENTION FEE: � Z.�� o damages as provided tor In section 3706 of the labor code,Interest,and attomey's fees. PRE-ALT FEE: d CONSTRUCTION LENDING pGENCY BSAF: � �„ O Q w I hereby affirm under penalty of per�ury Iha�there is a ConsVuction Lending Agenq Jor the perlormarxe ol the xrork Im � whlch this permit is Issuea(Sec.3097,Cfv.CJ. � LENDER'S NAME � LENDER'SADDRE55: a I certity that I have read thls applicatlon and state that the above Informatlon is cortecL I a ree to com TOTAL FEES �,��--L1 g pty with all city and TJ Z counry ordinances and sfate laws relafing tn buildirg conshuctlon,and hereby authorize representatives of this counTy to COMMENTS: � enter u e above-mentioned property far inspection purposes. � ` m a PERM, PRINn � F � � I /�r � � IGNATURE P fTTEE DATE RECEIPT N �,�� pAID BY:��LVALIDATION: lil` WHITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessor Copy,C,OLDENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOIVD BAFt INSPECTION RECORD . � P • ° � � � � � � SETBACIU CE'TTER .- � .- 'i.'- i`� TRACT AND LEDGER FOO7INGS FbRMS - � �r �4' , ,`j _ '-' SWITCH GEAR SLAB',> � � ' : �� :` , -�� ,--:� � . w = � COMMERCIAL HOOD .UG.:FLUMBING�� ' : " - T-BAR UG.E[ECTRICAL' , � ` .r . ` = _ � INTERCEPTER � � ,� '" a �= - + � �'�" HOT MOP/SHOWERPAN UFER GROUND__` - SEWER LATERAL SEPTIC/CESSPOOL MAIN WATER LINE HERS REPORT RECENED SEWER CLEANOUT DEMOLITION � ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING ROUGH CONDUIT SHEAR WALLS EXTERIDR,_� _ `£} '" 4 y� �F�� - P_QOUSPA;_- ` ' i ��'�'i , L: ',1 �y _� SHEAR WALLS'.INTERIOR , ` , , > a � > `� ' ROUGH PLUMBING T: ' �' '' FRAMING/UENTING �'',i ' , � '_ ��"' �'� 1j ROUGH�ELECTRICAL" ' '' �=� ' ":'1'� ''?; �,. 4 t t ^ ROUGti MECHANICAL Y� ;'` - 3�� ROUGN,MECHANICAL- � {� ' � 5 `- r ' �'1 a x „� � >: ROUGH ELECTAICAL W( ")C( ) � � , ' 'f� � '- 'a� -� ,. GAS TEST ;� ' ';, ;. h ; � - ; ROUGH PLIIMBING ` � _ � � � PRE GUNITE ` ,� ` �" �- � �y � i � INSULATION WALL �FOOL PREDECK BONDING , 5 �� ' ��, �� h r: INSULATION CEILING P�T�P T�� 4 � �r 4�� DRYWALL FENCE/�.GATFJ ALARM ' � � � � e�� " tATH(PR� FINAL POOL : z _ .� �' ' .,:�: � ,�,A,'` LATH EXTERIOR � WALLS: LATH INTERIOR WALL FOOTING/STEEL GAS TEST WALL STEEL 1�T( )2"D( )LIFT SCRATCH COAT WALL BOND BEAM ELECTRIC METER RELEASE WALL DRAIN/SEAL GA5 METER RELEASE WALL FINAL SPECIAL INSPECTION RO FRI�MING PLAPININGAPPROUAL �� ;,� -� � � � ��'�' - ' ROUGH FiREAPPROVAL ` T �` y {j' " FINAL BUIIDING � ��I �' �� . �� FINAL MECHANICAL +� ` s � FINAL'FIRE DEPARTMENT : ' c � ^ �?' ` � \ "ti .FINAL ELECTRICAL �� ` r �� ` _ F,INAL PUiNNING ,~ { ; `' - s;, Y �� <�� " FINALrENGINEERINGI PW >� � � � �,�� FINAL PLUMBING � � : � � �. �T.C:�of.00CUFANCY ��, ,.�; .FINAL COMMUNITY SERVICES ` ' � _ i� '` ,� _ CERT.of OCCUPANCY : ` FINAL HEALTH,DEPT ' '�''� � s �' � F '; {�� `� { �'•' . , , �; ,-� ..� ,� :° �., , :. '�FINAL`INDUSTRIAL�WdSTE�`= - < `+, � `- , ''� 's� �. COMMENTS: