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Home My WebLink About21119 SILVER CLOUD DR (2)0 C' m O 0Lu O Oz m 1= O Ow0 Lun.. mcom cA mO. wUZW OU H Z CrW ZLuWLuW2H C LL - ZO xd W Ot— U Lu U3 co nZQ ciW O J i z 0WZGO A O LL J 2Wfl - ccLuWd z 0 M m Cn Cn H CITY OF DIAMOND BAR I DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21825 E. Copley Drive - 909) 860-3195 Fax (909) 861-3117 BUILDING PERMIT APPLICATION ADDRIESS i C1 S r Li%is1?. CL.O J APN LOT TRACT OWNER MI/4- 4N'Q—rpt !,y-"-Ir-LVE' ADDRESS 2-IIIq SILI/yi1'L CA -010 CITY PWIL ZIP °-/, TEL. JWS — 00 APPLICANT iC114?-0 'In/Ib1ir"A/ TEL. ft 3)l- )9N CONTRACTOR RI(JOA-CLO ADDRESS I/i S- / S'>1 L CITY 14 vL'LM' ZIP 7 V TEL 9y ARCFVENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERAIRY THAT I AM EXEMPT FROM THE CONTRACTORS LL CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5 BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES PERMIT TO CONSTRUCT, ALTER IMPROVE, DEMOLISH, OR REPAIR ANY STRUC- TURE PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LF CENSE LAW (CHAPTERS (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS ($S00).): L AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGESAS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7011, BUSF NESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF, HOWEVER THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7011, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LI- CENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITHACONTRACTOR(S) LICENSED PURSUANT TO THE CONTRAC- TORS LICENSE LAW.). 1 AM EXEMPT UNDER SEC. B. & P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER Y (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS MID PROFESSIONS COOE, AND MY LICENSE IS IN FULL FORCE AND EFFECT. (, l ^ LICENSE CUSS LO. NO. L7 G3 9 5-Y DATE 3 CONTRACTOR W1'L"71 WORKERS' RATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: i HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED BY SECTION 37W OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. 1 HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SECTION 37000E THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CARRIER POLICY NUMBER THIS SECTION NEED NOT BE COMPLETEDOF THE PERMIT IS FOR OPE HIRDREDDOLLATG ($100)CR LESS) I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT I$ ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJE TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I S LD BECOME KSUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTIO 00 OF THE LABOR CODE, 1 $HILLL FORTHWITH COMPLY WITH T SEP VISIONS DATE:/IU /(%4 APPLICANT: / WARNING: FAILURE TO SECURE WORKERS'COMPENSATION CAV GEIS UNLAWFUL, AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES PTO ONE HUNDRED THOUSAND DOI1M5 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY EREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED 1SEC. 3087, CIV C.). LENDER'S NAME LENDERS ADDRESS I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. PERMITTEE NAM I / - 1 I% f7 SIGNATUPffOFPERMITTEE / DATE PRESS FIRMLY APPLICA,'[ION P/C DATE 1 NPERMITUMBER 3p q ISSUE TYPE OCC DATE CONST. GROUP ZONING SETBACKS FRONT RW REAR SIDE/SIDE STREET RW SIDE PROPOSED USE O x , NO. DWEL. NO, NO. UNITS STORIES BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREAA/ALUATION SFR/ADD/REM CO Garage/Carport WPatio/Deck LL PooVSpa ZRe Root Commercial m Valuation ADJ.AREA QUANTITY DESCRIPTION FEE JQU f— W JW C7Z JI1. Q U ZQ2 CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING o MECHANICAL INSPECTION FEE ISSUANCE it%*P SMTP SO ENERGY P/C ENERGY PERMIT RETENTION FEE: PRE -ALT FEE: TOTAL FEES COMMENTS RECPT. NO. - 77 PAID BY I O VALIDATION WHITE—Department Copy, YELLOW --Finance Copy, PINK—Assessor Copy, GOLDENROD --File Copy, GREEN—Applicanrs Copy iff CITY OF DIAMOND BAR INSPECTION RECORD SETBACK FTGS/FORMS/STEEL ELECTRIC GROUND GROUND GROUND PLUMBING SLAB GRADE TEMP POWER WATER SERVICE ROOF SHEATHING. _ FRAMINGlVENTILATION--_--------.__-_ ROOF COVER _ ROUGH HEATING --- - ROUGH ELECTRIC ROUGH PLUMBING SHOWER/TUB TEST EXT. LATH/SIDING WALL INSULATION CEILING INSULATION DRYWALL NAILING SEWER SEPTIC TANK SEEP PIT!L.L. GAS AIR TEST FINAL CONST. FINAL HEATING FINAL ELECTRIC FINAL PLUMBING COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE FLOOR JOIST FHA REQMTS UNDER FLOOR DUCT UNDER FLOOR CONDUIT FIREPLACE FOUNDATION FIREPLACE BOND BEAM MID HT. BOND BEAM 8 FT, BOND BEAM ----------- FINAL BOND BEAM _ ---- ---------------- PRE-GRADIUG-_-------_- BENCHING - ROUGH GRADING FINISH GRADING POOL ELECTRIC POOL FENCING POOL FINAL OFF SITE IMPS. DEDICATIONS t. I u ie rn Il;u: CITY OF DIAMOND BAR Community and Development Services Department 21825 E. Copley'Drive • Diamond Bar, CA 91765 Building I Planning Engineering 909)839-7020 • (909)839-7030 • (909)839-7040 CORRECTION NOTICE PERMIT NO. ZIM0 DATE: C' 30-0 CONTRACTOR/ TIME: A:C bb OWNER BUILDER / ADDRESS (Project Site) 2. S /2, Cl0 P SE CONTACT THE UNDERSIGNED LEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION REINSPECTION FEE REQUIRED PLEASE MAKE CORRECTI NS APJD PROF.EED WITH WORK INSPECTOR: print name) SIGNATURE OF INSPECTOR: