HomeMy WebLinkAbout14-4379 �������;p�-�?Ci"`39-+��
'� i4� , C17'Y(�F DIAMONll BAR �/
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j '1 ����1]� DE1'ARTAIENT t�F CQi�1ML}NiTY&DEVELQI'MENT SERViCES ���,�i� Y ��
�����,n,-,_ � '' 21814 Copley Drive,Azamond iiar,CA 91'7fi5 PRESS
` ,,� ,,,,� (909)839-7020 Fax:(9l)9)861-3117 Building Inspection Hptline(909)839-7027 FlRML
' '��+`'." I3UILUING FERMITAPPLICATION
(,� APPLICATION DATE: � I� �� P/C�t
� JOB StTE ADDRESS� !Z� � �j {�']�
a
ISSUE DATE: PERMIT# I� "~ '"',]�
z APN LQT TRAGT
o OWNER/��M���M� ""�� u� a`� T�'�'ECQNS7 OCCGROUP:
N ADDRESS � ZpNING SEfBACKS
,� CITy ZiP TEI. ` FRONT RW Q
oAPP�iCANT 7EL. ftEAR Q
./ � ���_, �� ��t SIDE/SIDE STREEf RW ❑
Q CONTRACTOR �,a,�r,���t.+�L '3 � �� 1�,1e. �IDE �
c� ADDFtESS � q PRf7POSED USE �/ �'"
o cin �'..P�t� za� iL TEL. �I - !"�'Z"Z 4,�
"- ARGH/ENGIQESIGNER ~f
0
o ADDRESS #DWE�.UNITS tl STORIES�_ #BEDROOMS I
Q C�Ty ZIp 7EL. DESCFtIPT40N SQ.FT. FACTQR PSF ADJ.AREA/VALUATIqN
r� 6WNER-6UIlDER DECiARAflON
¢ I heretr}amrm under penatty of Oerjury Mat l am er.empt hom Me Gontracta's Stafe License Law tar the reasan(s) SFR/ADD/REM
� indrcated 4e�ow by ihe checkmark s),i have piaced next to the aDW���e item(s)(Secfion 7031.5,Business artd
o i C,aragelCarport
W prflfessions Code:My clb or county that reqWres a Dermit to construct,aller,im{rcnv&demolish,or repair,any _
zstructure,prior to its issuanee,aisa repuires ihe appiicani far Ihe D���t iu 8ie 2 signed statement that he or she w Patio/Deck
� is 13censed Dursuantto the provisions ot the CantractoPs Sfate License law(Chapter 9)Commencing with SeGtlon � pooilSpa
= 7000 oi Div�sion 3 oi ihe 8usiness and Professian&Codej orihat he or she is exemDt ham Iicensure and the basis for
� the aAeged oxemption.Any violation of Sectia�7031.5 by any applic2nt fa a permit sub�ects the applicant to a civll perralty � Re-Roof �' f._.�! �
� oi not rtrore than tHe iiundred doitars(5500}. '
o {_y I,as mvner of the property,m my empioyees wfih wages as ihefr sole compensation,will do{,)alf a!ar{�porUons ��a� -
0 ot ihe work,arNi ttie shucture is not lntended a oflered lor sale(Seclion 7044,Business and Prufessions Code:The �
m
� CanVactors'State License Law dces not apply tp an owner of property who,thrflugh emptoyees'a persw»af ettort,builds
� or impraves the property,D�tled Ihat the improvements are not intendsd or otlered tor sale.tl howeves,the building or
� lmprovement Is soltl within on¢year ot comR�elJon,Ne(Twner-B�itder will have the burden of provin9 that it was not bu4tt
o or imprwed far ihe purpose ol sale.).
� {)i,as owrtar o!ihe properiy,am ezclusfvely cantraci3ng with ticensed Contractors io construct tlre prajeci(Section
en
0 704q,Business and Rofesslons Cade:The CoMractars'Sfatp License Ww tloes rrot aDP�Y to an awner ol Droperry who Valuation: Adj. rea:
z buitdsorimprovestnereon,andwhaconVacisioriheprojectswithaticerisedContraciorpursuamtotheConiractors'State G}tJANT17Y DESCRiPTtC7N FEE
cn
Y Lfcense Law.).
p [}i am e:cempt hom ticensure arttier the Conbactor's State license Iaw far the to8owing reason(s): �
� �
`� ey my signature be�ow i aclmowledge that,except for my per5m�ai residence in which I must have resided for at ieast one
Z year prior ta completion of the improvements covered hy this pertnit,l pnnot legalty sell a sUucfure that I have built as an „�,
0
� owrter-builderitlk�asrroibeancansiructedinitsentirelybyiicensedcontractas.luntlerstandthatacopyottheappticabie
� taw,Sectlnn 7044 ol iho Business and Professions Code is available upon request when this apptication is suhmitted or at
X tha foitowing Web site:httplwvna.Ieginfo.Ga.gov/qta�v.htmi. z
w DATE: SI6N: g
1-�- LIGENSEG CONTRACTOH'S UECIARATIpN � �
v
W i hereby aftirm under penaity of pEr�ury that I am iicensed rmder provisions ot Chapter 9(commencing with Secfia��060}
"� of Division 9 of ihe Business and Prnfessions Cade,antl my license is in full force and eflect. �
m /�� ( ���j,�Q/� �
� LICEfJSE CLASS: � "' k67'iW— _LIC.NO.:��.�7Sc__L 9V =
0 oa�:d,=t�}-(� CONiRACTpR:��t'l� �t��t, �
'd WORKfR'S COMPENSATiOM DECtARAT10N �
� I HEREBY AFFIRM UNDER PENAL7Y OF PERJURY QNE OF hiE FOLLOWING DECLARATIONS:
W .� `2�b- �-1�
4 �have and wil�maintain a Certificate ot Cunsen�to Sett-insure fpr Worker's C.�mpensatipn,as provided by CONSTRUCTION:
Q Sec6on 3700 0l the Labar CoAe,tar tMe pertarmance ol�he work tor which this pemtit is issued.
� PLAN REVIEW:
j �I have and wlll maiMain Waker's Compensation InsuranGe,a9 repuired by SectNm 3700 of the Labor Code,for ELECTRIC:
o the periormance ot the work tor which this permit is iss�ed.My Worker's Compensatlon Insurance Carder an0
¢ Po�icyNumberare: � ( Pl.UM61NG:
,� CnRR!£fl 2^��t�-� ��"'��i�/�1`-`' MECHANICAI:
� POtJCY NUMBEA��„Z[,�,_��G:.��'�"f 67-- INSPECTION FEE: "'—'""—"-
� (1}dS SECTIUN NEED NOT 8E CAMPI.ETEO IF THE PEAM14R IS FOR DNE HIRJDRED DOI.LNiS(S100j OR LESS). ISSUANCE: }
� i cerlify that in ihe P�amance W She wmie tor whicii Ws Pemrit is issued,i str�311 mt emWoY�Y P�n m any ma�ner so�ta SM IP: a{ ����r-tu t
o beamie supject ro Ne Worker'�Conrpersapon Laws oi Calilornia And agrea uiat if I stroWd becorne subject ro Ihe waker's �':�.'_v--1
� Compen ifon prwks oi Section 370Q ihe t.abor Cade.#stiai�tatta+viUi crnnpty witir ttrose mvis3ons. EN�RGY PIG �
� DATE. I MPUCANi: � `' w� ENERGY PERMIT:
� WARh1iNG Faifure io secure Worker's mperrsaUon croverage is uniawtui,and siia�i sudjeci an empioyer to aiminai RETENTION FEE: ,� �7 C�
°C penaltles and Gvil tines up to one hundretl thaisand dollars($14Q,OD0),io addition to the cast of the compensatlon,
"' PRE-ALT FEE:
a damages as provided im in seclion 3706 0(the iabw cade,interest,and attomey's fees.
d C4NSTRUCTI6N I.ft�tDiNG AGENCY BSAF: � � ��
� I hereDy amrm umfer penalry oi perjury that there is a ConsUuction Lentling Agency tor the perlamance of the wark fw
w
� wtrich this permit is issued iSec.3097,Civ.C.y.
r LENOER'S W1ME
� LEN�ER'SADDRESS: b �
� t cer6fy that i have read this appticaUon and state that the above inPorma6on is correet.i agree tn compry wit�aii city and
TOTAI FEES 3� •�
� county ardinances antl state laws relating to Wllding construction,and hereby autharfze representatives of this county to COMMENT$:
z enter upon ihe abave-mentioned property for ins tion u
o Pec P rtwses.
J y
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Q PER t �Nn ^r
� '�-�)
� RECEIPT N�� PAIQ BY: f `�'Z VAtl�ATlOt+f:
= SiGNA7UR F P MI EE OATE
F-�
WHITE—Department Copy,YELLOW—Financs Copy,PINK—hssessor Copy.GQLDENROp—Flle Gqpy,GREEN—ApplicanYs Copy
-� CITY OF DIAMOND BAR Y
' tNSPECTION RECORD ti }`
• � � . � o - - s N � • e -
�SETBdCK/��EETTER �,:- ` s ,`- E ��`� TRAG�GAND LEDGER
'FOOT�NGSFf1RMS, -".. t3_�� ` ` '' .:' SWfTCFi GEAFi
�
ySLAB., " , ...:- ' � ,'`; � � - ;° ,,-> -� COMMERCIAIHOOD
IJG:`P.,LUtv1B(NG ` , < ' �� "` i" T-BAR
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UCa:;EIECTRIGA� � _ ` 5; .' ' � , r ''" � INTERCEP7Eft
UFER;,GR4UN� ' - � <t � � HOT MQPlSNOWERFAN
_ ;.
SEWER IATERAL SEPTIC/CESSPQOL
MAIN WATER UNE � -- . HERS REPORT RECENED
SEWER CLEANOUT DEMOLITION �`
ROpF SHEATHING / i 'j"° ROQF DRAINS
FLO.OR SHEATliiNG ROUGH CONDUiT
Si1EAR WALLS EXTERIOR�. � - - � {' POULJ$PAP - - ;.�.
. . �� .� "... . ." -'. .; _ - Y a�
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SHFAR WA[LS INTEREOR =. � <_. _ f
. , R(}U6H ALUMSfN� � �,<.
FRA�NIlNG11/ENT1N6 ��,�'�. `` ; ,_ ,�. ,;�: � i;'1 ° ' _� _ - �#�OUGH�ELECTRIGAL - i Q. ,.;i�'
RQUGli MEGHANI�RL��.' {� ��,�, ��k.y W t.� r.. d � �'' , � 3_5�. ,', ' �RQUC�N�NlECHP,IVIGA�",` �.:, .r;�. t; , � '.': , :.�<��, , . ;,P,y w ��;
� � r�•r,
RQUGH 6LEGTRICAL�'W{, }G;j:'} ,, '� ` " r `s '� 'GA8 TESI' L r '° ,, r ,1�- °" s`i ` ' :s;'
;HbUGFI PLUMBING ^�` �' � ��-' . ,- ` .� ��r � n
,..�; ; _ r..
_ . ' . �- `_. �� .�_ ,; � ' 'PREGUNITE '� M1, _
INSULATION WALL POpL.PRE DECK.:BONDING>N , �4; �,., -;. ,, �3; '� �'�`.:
.� �L�- i h..�..�.�:
INSULATION EtUNG P 7RAP;`` �`;` "� ;� -
DRYth1ALl. � ,FENCE/tGfiTEI ALARM r ..';, r a �;n i ��' a
'lATH(PR� '�1NAE PO{}L «` ' ' ,
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- � i>. , �.
LA3Ff EXTEREOR WAlLS:
LATH INTERIOR WALL FOOTiNGlSTEEI
GAS TEST WAIL STEEL 1ST( )2'm{ }LlFT
SCRATCN COAT WALL BOND BFAM
ELECTRIC METER RELEASE WALL DRAIN/SEAL
GAS METER RELEASE WALL FINAL
SPECIAL INSPECTION ;RO FRAMING PL�Wh11NG�APt'FiQVFit_ ' � �"
�� ��r �=r � � �.,. r
FINAL BUIL'QING 'i1 ,�-'/�'f� -�; �'' `-> - ROiJ6H-;F{REAi'F?fiOVAL. `" f " `�
�INAL:MECFIANICAL:;;r., : � r '' ;' FiNAt'FIRE f�fPARTNIENT � s�'
EINAL.EI.EGTRICAR r.;:, u- `' � - ' x --, '.FINAI:PtANNlNG`:, 4 ;, _ .t:r ` ..�;;
t=3NAL4LUN161N�s �`*`f ;� ' `' y ':;; - ','; fINAL.ENGINEERINGlPW;?',�. . ',',�` ;'`+r,i . ``� ,;�1,', ; `, ,;,;;-
TC;'ofQCCIlPANCY .< r_. - ;`,, , .. �, FINAL'COMMUNIIY�SERVICES � ' '' �r .. °i
CERT.,Of'OGCUPAHGY r � '� FINAL`NEALTH DEPT, ,' t �:'
FINAL,INDUSTRIAL WASIE�; - �_Y '�` `' 1'_;`�
COMMENTS:
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