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Home My WebLink About1155 DIAMOND BAR BL (7)' CTI'1'OF DIAMOND BAR ty � � �---��` -- DEPARTMENT OF COMMUNTI'1'&.DEVELOPMENT SERVICES ��P'r�'�� 21825 E.Copley Drive �� t (909)860-3195 Fax(909)861-3117 _ _ • _ PRESS ��'-��" BUILDING PERMiT APPLICATION � ,- FIRMLY y JOBSITE # DATE CATION � v� PERMIT �7Q P/C � ADDRESS�I�_S S•��R'fAa..Na��$I.. Ci NUMBER/� ( /� # � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER � U\CF �� o ADDRESS � ZONING SETBACKS Z CITY ZIP TEL. FRONT qyy ❑ g APPLICANT TEL. REAR p zd. SIDE/SIDE STREET RW ❑ � CONTRACTOR��d1Q�EY� C`'SR11��1E�� SIDE ❑ ADDRESS��01 t�a SF ta�1�� ' o ciTv �,�u G� ZIPq�� TEL. l -� r. PROPOSED USE F\R E S�Q��C SS I C�� o ARCH/ENG/ ��l � �z DESIGNER NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM ' O p I HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT I AM EXEMPT FROM THE CONTRACTORS LI� G0f8 B/CBfPOff W CENSE LAW FOR THE FOLLOWINO REASON(SEC.7031.6 BUSINESS AND PROFESSIONS CODE:ANV CI7YOR (n 9 U COUNTVWHICHREOUIRESAPERMITTOCANSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANVSTAUG w w 7URE,PRIOR TO ITS ISSUANCE.ALSO REQUIHES THE APPLICANT FOR SUqI PERMIT TO FILE A SIGNED w Patio/Deck � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTOf75 LI� LL � CENSE UW(CHAPTER B(COMMENCWO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRP POOUSPB � FESSIONSCODE)ORiHATHEORSHEISEXEMPTTHEREFROMAND7HEBAS15FORTHEALLEOEDE%EMP� (� U TION.ANV VIOLATION OF SECTION 7031.6 BV ANV APPUCANT FOR A PERMIT SU&IECTS THE APPLICANT TO Z Re-Roof A CIVIL PENALTV OF NOT MORE THAN FIVE HUNDRED DOLURS(f500)J: � OI,ASOWNEROFTHEPROPERTY,ORMVEMPLOVEESWITHWA�ESASTHEIRSOLECOMPENSATION, 0 CORIrt18fClfll � Z WILL DO THE WORK,AND THE STRUCNRE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7011,BUSI� J � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AtJ OWNER OF � PROPERTV WHO BUILAS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR � THROUGHHISORHERONMEMPLOVEES,PROVIDEDTHATSUCHIMPROVEMENTSARENOTINTENDEDOR m � OFFEFEDFORSALEIF,HOWEVEiZTHEBUIL0INOORIMPROVEMENTISSOLDWITHINONEVEAROFCOMPIE- Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). W ❑I.ASOWNEROF7HEPROPERTY,AME%CIUSIVELYCANTRACTINGWRHLICENSEDCONTRACTORS Q TO CANSTRUCT THE PRQIECT(SEC.7014,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- V81UBI1011 ADJ.AREA W CENSE UW DOES NOTAPPLV TO AN OYMER OFA PROPERTV M?f0 BUILDS OR IMPqOVES THEREON,AND � WHOCONTRACTSFORSUCHPROJECTSWITHACONTRACTOR�S)LICENSEDPURSUANTTOTHECONTRAP QUANTITY DESCRIPTION FEE Y 70RS LICENSE UW.). Q ❑I AM E%EMPT UNDER SEC. B.6 P.C.FOR THIS REASON Q � U � DA7E OwNER H Z U � LICENSED CONTRACTORS DECLARATION w � I HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT I AM LICENSED UNDER PROVISqNS OF CHAPTER � � D(COMMENCINO WITH SECTqN 7000)OF DNISION 3 OF THE BUSINESS AND PFOFESSIONS CODE,ANO Z �� MV IICENSE IS IN FULL FORCE AND EFFECT. m � �UCENSE Cr�LASS C�O �C�� LIC.NO. 0�.1_.J�I � V DATE �{~^�� `�� CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION Q � � U � I HEREBV AFFlRM UNDEF PENALTY OF PERIURV ONE OF THE FOLLOWING DECLARATqNS: Z � _I HAVE AND WILL M/JNTAIN A CERTIFICATE OF CONSENT TO SELF�INSURE FOR WORKERS' ¢ 2 Q COMPENSATION,AS PROVIDED BV SECTION 370o OF THE LABOR CADE,FOR THE PERFORMANCE U Q OF 7HE WORK FOR WHICH THIS PERMIT IS ISSUED. � w _IHAVEANDWILLI.WNTAINWOHICERS'CAMPENSATIONINSURANCE,ASREWIREDBYSECTKKJ Q 37a0 OF 7HE LABOR CqDE,FOR THE PERFORMANCE OF THE WOR)(FOR WHICH THIS PERMIT IS ISSUED.MY WORICERS'COMPENSATION INSUR/WCE AARIER AND POLICV NUMBER ARE� CONSTRUCTION j CARRIEn��`�'5�� PUW REVIEW Z POLICVNUMBER��]�C,.�j Z. ��-k-�' ELECTRIC Q . � (rHssecrar�r��r�oraEoor.�ErEooFn-�aEar.vr�swaar�E�e000u.+��siao)oai.Ess} PLUMBING w _ � Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL - . CJ SHALL NOT EMP�OY ANV PERSON IN ANV MANNER 50 AS TO BECAME SU&IECT TO THE I�� /�/�\ ) (n WORI(ERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHWLD BECOME INSPECTION FEE \�� / I'� SU&IECT TO THE WORNEFS'COMFENSATqN PROVISIONS OF SECTpN 370o OF THE UBOF � �j CODE,I SHALL FORTHWI7H COMPLV WITH THOSE PROVISIONS. ISSUANCE I v I O �^ _ ` �.,(� � ��H� ( � f7�7 p DATF�3 T J '��.J APPLICANT: .1 1 )llNC'�`►�n��/\ SMIP .� ll( I w ENERGY P/C I I J WARNINO:FAILURE TO SECURE WORNERS'COMPENSATKKJ COVERAGE IS UNUWFUI,AND SHALL BE J � SU&IECTANEMPLOVERTOCRIMWALPENALTIESlWDCIVILFINESUPTOONEHUNDREDTHOUSMID ENERGYPERMIT ��' � DOLLARS(t1oo.000),IN ADDITION TO THE C0.5T OF COMPENSATION,DAMAGES AS PROVIDED FOR IN J SECTIDN 3708 OF THE LABOR CODE,MTEREST,AND ATTORNEI^5 FEES. [L � RETENTION FEE: ' '-' '� � - � OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: Q I HEREBV AFFIFM UNDER PENALTV OF PERJURV THAT THERE IS A CANSTRUCTION LENDINO AOENCV � FOR THE PERFORMANCE OFTHE WORK FOfi WNICH THIS PERMIT IS ISSUED(SEC.30B7,CIV.C.�. Z W � LENDER'S NAME F— LENDERSADDRE55 w ICERTIFVTHATIHAVEFEADTHISAPPLICATIONANDSTATETHATTHEABOVEINFORMATKKJISCORRECT. TOTAL FEES /�L.� O � I AGREE TO COMPLV WfiH ALL CITY AND COUNTV ORDINANCES AND STATE UWS RELATINO TO BUILDING ( � CANSTRUCTION,AND HEREBV AUTFIORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE Z ABOVE�MENTIONED PROPERTY FOR INSPECTqN PURPOSES. COMMENTS � > > S1"1 As�c= ��a c�c�ti t l m PERMITTEE NAME(PRINn � Q n�-- �n �\� QJL.� �1�5'��'�V��IN� ` Uj SIGNA�URE FPERMITTEE DA7E = RECPT.NO. PAID BY a' VALIDATION ~ � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOIDENROD—File Copy,GREEN—Applicant's Copy � (�6�8"4P �� d�� t�1� — o��-�s�� c�� - � , �. �D�l�' o � �D�`t1� � �� _ � �� . . � , , � U � " - � �Ca� � 0� o = �� SET BACK �� f �FLOOR JOIST � FTGS/F�RMS/S7EEL j^ �~ ' FHA REQMTS ELECTRIC GROUND � � UNDER FLOOR DUCT GROUNQ PLUMBING~ ~�`�- UNDER FLOOR CU�IDUIT SLAB GRADE � FIREPLACE FOUNDATlON TEMP POWER �IREPLACE BOND BEAM WATER SERVICE MIQ HT. BCJND BEAM ROOF SHEA7HING 8 FT. BOND BEAM• � � FRAMINGNENT(L(ATION �INAL BOtVD BEAM ROO�COVER PRE-GRADING � ROUGH HEATING BENCNING ROUGH ELECTRlC ROUGH GRADING ROUGH PLUi11161NG FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCiNG WAL�INSULATION � POOL FINAL CEILING INSULATION �FF SiT� IMPS. � DRYWALL NAILING DEDICATIONS SEWER FINAL EPlG. SEP71C TANK LANDSCAPE/IRRIG. SEEP PiTIL.L. ON SITE IMPS. �� GAS AiR TEST FINAL.ZONING FlNAL CONST. • FIRE DEPT. FINAL F1NAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. �EES PAID FINAL PLUMBING ENERGY .� - � 1.=n�u.uv �_"� �o� e�� ... . COi�i�AENTS SEPTIC TAfVK SIZE SEEP PIT/U SIZE — .� e a . � � ---- fi . � � �� . , o �