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Home My WebLink About17115 -- - . . _ _ . . � , — CITY OF DIAMOND BAR � �,� �� DEPARTMENT OF COIvIIvIUN1TY 8c DEVELOPMENT SERVICES �� 21825 E.Copley Drive '�` (909)860-3195 Fax(909)861-3117 PRESS ��^%� BUILDING PERMIT APPLICATION FI R M LY � JOBSITE '3iO ��"Q,.nd� f, ��T� APPLICATION PERMIT �'� � � G� P/C o ADDRESS DATE '~I �� NUMBERL—[ �1 � l N � ISSUE � �� TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER " ADDRESS � ZONING SETBACKS z CITY ' ZIP TEL. � FRONT RW ❑ g APPLICANT EL. REAR ❑ � SIDE/SIDESTREET RW p � CONTFlACTOR - SIDE p � ADDRESS � CITY ZIP TEL PROPOSED USE o ARCH/ENG/ � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES 2 BEDROOMS_� � CITY ZIP TEL v� �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BU�LDER DECLARATION SFR/ADD/REM O p 1 HEREBY AFFIRM UNDER PENALTY OF FEIWRY iNAT l MI E%EMPT FROM THE CONTMCTORS U• Gd2gB/C8fP0�1 W GENSEUWFORTHEFOLLOWINaREASON�5EC.70.716Bu5INE5SANUPROFE5510NSCO0E:ANVGTVOR (n U COUMyVh11CHREOVIRESACERMITTOCONSTRUCT,A�TER�MPROVE.OEMOLISH,OPREPAItiANYSTRUC- W PatiolDedc � TUNE.PWOH TO ITS ISSUMlCE.AL50 REWIqES THE APPLICM7T FOR SUCH VERMIT TO FILE A SIGNED w S7ATEMEM THAT NE OP SHE IS LICENSEO PURSUANT TO iHE PROVi5IqJ5 OF TME CONTRACiOHS LI� � CENSEUWI�PTERY(COMMENCINOYATHSECTION7000�OFDIYISqNJOFTMEBU51NE55M1DPfl0- LL POOVSPB iE5510N5 CODEIOR iIUT HE OR SHE IS EXEUPT THEREFRd.1 AND TME BASIS FOR THE ALLEGED EXEMP- TION.ANYVKKATIONOFSECTION70J7.68YM(YAPPUCANTFORAPE��TSUBJECTSTHEAPPLICANTTD Z RaRool A GVIL VENALTY OF NOT MORE MAN fNE HUN�RED DOLURS�SSoo).)� ' � 04��1N�EROFTMEPR07ERTY,ORMYEMVLOYEESWITHWAGESASTHEIRSOLECOIAPENSATION, � COf11TBfCf31 - MALL DO THE WORK,AND THE STRUCfURE IS NOT IMENOED OR OFFENED FOR SALE(SEC.7W1.BUSI• J � NESS ANO PROFESSIONS CODE THE CONTMCTORS LICENSE UW DOES NOT MPLY TO AN OWNER OF ? PROPEqTY W/IO BUM1DS OR IM7ROVE5 TMEREON.AND NMO DOES Sl1CH WORK MIMSELF ON MERSELf OR � THqOUCNHISORHEROWNEAIPLOYEES,DROVIDEOTHAiSUCMMOqOVEMENTSAPENOTMEN0E00R CI� W OFFEREI7FORSKEIF,MJWEVERIMEBUIDINQORIMPROVEMENTI55IXDWITMNONEYEAROFCOMPLE- Z TqN,THE ONMERAUILDER WILL HAVE TME BUROEN OF DPOVIN6 THAT HE ON SHE OID NOT BUIID OR = W PROVE FOR TME PUHGOSE OF SAIEJ. O 1115 OWNEN OF TME PROPERTV.AM EXCIUSNELY CONTMCTINO WITH LICENSED CONTMCTORS � TO CANSTRUCT T1E PROJECT(SEG 70t1,BUSINESS M1D PROFESSIONS CODE:THE WMRACTORS LI- V31Ue110f1 ADJ.AREA 111 CENSEU�MDOESNOTMPLYTOANOVYNEROFAPROPERTYWMOBUILDSORIMPROVESTMEREON,AND � NM1pCONTRACTSFORSUCNPR0.IECTSWITHACONTMCTOR�S�LICENSEDVURSUAMTOTHECOMMG QUANTITY DESCRIPTION FEE TORS LIGENSE UW.}. QO IAM D(EMPTUNDER SEC. 8.i P.C.FOR THIS REASON Q � � � U LL � VV DA7E OWNER U � W Fd LICENSED CONTRACTORS DECLARATION W 2 IHEREBVAFFIRA/UNOERPENALiYOFVERRIRYTHATIAMLICENSEDUNOEHPROVI510N50FCHAPTER � p„ •�COMMENCWOWITHSECTqN70o0)OFDM510N]OFTMEBUSiNESSM+DPROFE5510NSCODE,IWD z X MYLICENSEtSNFULLFORCEANOEFFECT. m LL � UCENSE CUSS UC.NO. � V DATE CONiRACTOR d W � WORKERS'COMPENSAT�ON DECLARATION a � INEREBYAFFIq4UNDERPENALTYOFVERNRYONEOFTHEFOLLOWINCUEQAMT10N5: Z ' d -_IHAYEANOWILL4AINTAMIICERT�FIGTEOfCANSENTTOSELF-WSUREFORWOiiKERS" � -- ' - �� "� � � COMPENSAiqN,ASFROV10ED8Y5EG7lON7/o00FTNELABORCODE,FOHTHEPERFORMANCE W OF 1HE WORK FOR MM1IICH THIS GERMIT IS ISSUED. � � �1 HAVE ANO WILL MAINTAM WOHKERS'COMPENSATION INSUMNCE,AS REW�ED BV SFCTIDN Q �7000F iHE LABOR COOE,fOH iME PERFORAAANCE OF iHE WORK FOR NM111CH TMIS PERMIL IS ISSUED.MYYNflKERS'COAIPENSATIONINSUiLWCECARRIERAND70LICYNUMBERARE: CONSTRUCTION J j CAARIER PLAN REVIEW � POLICYM1MBEfl ELECTRIC � Q o masSEcrcNNEEDw78Emr.sLErmoFnEVEwatSroace�Ft�rnr�m0a.tarasR+m)oa�ssl PLUMBING Z ICERTIFYTHAiINT11EVERFORI.�ANCEOF7NEWONNFORWHIC117HISPERIAITI5155UED,1 MECHANICAL (} SMALLNOTEMPLOYANVPERSONWMlYMANNERSOASTOBECOMESU&IECTTOTHE Vj WORKE0.S'CCJdFEN5Ai10NLAWSOFCALIFORNIAJWOAGREETHATIFI5110ULOBECOME INSPECTIONFEE SUBJECT TO TME YARKERS'COMPENSATqN PFOVISIONS OF SECTION 9700 OF 7HE UBOR �j CODE,I SHALI FOHfIMATX CAMVLY WITH THOSE PROVISIONS. ISSUANCE � � SMIP p OATE: APPLICANT: � ENERGY P/C � WARNINO:FAILURETOSEWREWORKEAS'COI.A7ENSATIONCOVERAGEISUNUWFIIL.ANOSNAILBE � SUBJECTANEM7LOYERTOCHIMINALVENRLTIESANDdVILFMESUPTOONEHUNDi7EDT/f0U5AND ENERGYPERMIT DOLLARS�5100,000),IN AD�ITION TO THE COSiOF CpAVENSATION.�AMAGES I15 PNOVIDE�FOR IN � 9ECfION970eOFTHEUBORCO�E,INTEREST,MlDATTORNEYSFEES. RETENT�ONFEE: � a CONSTFUCTION LENDING AGENCY PRE-ALT FEE: a IHEREBVAFFIftMUNDEN7ENALTYOFPEPJURYTHATTHEREISAGONSTHUCT10NlENDIN6AGENCY Zn- FORTHE7ERLORMANCEOFTHEWORKFORWMItl/THI50ERAlITI51SSUED�5E47a97,CIY.G). il l � LEN�ER'SNANE � LENDER'SADDRE55 //�—� d ICERTIFYTMATIIUVEREADMISAPPL�CATIONANDSTATETNATTNEABOVEINFORI/ATIONISCARRECT. TOTAL FEES _��. /D• W I�GREETOCOMiLYWRHALLCITYANDCOUN7YORDINMlCESANOSTATEUWSRElA71NOTOBURDiNO �� CONSTRUCTION,ANDNENEBVAIITIqRIZEREPRESENTATIVESOFiHISCOUNTYTOENTEHUPONTHE Z ABOVE�MENTqNEDVROPERTYFOflINSPECTIONPURPOSES. COMMENTS � � �;)� m "c ¢ VERAIRTEE NAUE(DPltt� � � SiONANHEOfVERMITTEE OAfE � � RECPT.NO. � PAI�BY VALIDATION VJHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENR06—File Copy.GREEN—Applicant's Copy '��'�'.��sd`_ �. �.. - . '.}-- .�. .. �-i ,i %.... . �,..... , _�Lt ..fi.t,• rL:L�E�. T- ..•ic: ,'a.� �1::r.�X,•�,:�. ..,, "... ,.�.r,:iyi... i:''. . . . ... . .i;... ,. , •d+� ��,� c�� i�r��r�� ;� � iP'�Si��i iGf� 6?EC(3�t'?� I►`�-;:1=C,��[i1►y! 4,� �•�. .__ (►�-#.!'ic feJ.� '___ (��}��c,'�Cr.�i�t �l�l��l�� ►`��:��w R!al�� __ .___._.:�___.._.____�.___ . -_.. ----- ---_...._ ___ _ : ___ ______ ._____--:----.�__.._- - -.--_��_�_�. SET BACK j ,_ ��-FLOOR JGI�T' '_�_ . I - FTGS,�FORP�IS/STEEL ; �, i FHA REQPnTS � ELECTRIC GROUND — '�� UNDER,FLOOR.DUCT I . GROUND PLUP�1E31NG U��1DER FLOOR CU�IDUIT 1 � SLAB GRADE � � FIREPLACE FOUNDATION i TEMP POVJER ( I FIREPLACE BOND 6EAM I WATER SERVICE I MID HT. E�OND BEAP�1 ROOF SHEATHING ' 8 F7, BOND BEAM � FRAMINGNENTILIATION I � FINAL BOND BEAM I ROOF COVER PRE-GRADING ROUGH H�ATING BENCHING ROUGH ELECTRIC ROUGN GRI�DING ROUGN PLUiv1BING � FINISH GRADING � SHOWER/TUB TEST ; � POOL ELECTRIC EXT. LATH/SIDIPJG ( I POOL FENCING �"JALL INSULATION POOL FINAL CEILING IN�ULATION � OFF SITE IPAPS. DRYWALL NAILIPJG � DEDICATIQNS SEWER . l FINAL ENG. SEPTIC TANK LANDSCF�PEIIRRIG. SEEP PIT/L.L. O�J SITE IPAPS. GAS AIR TEST FINAL ZONING FINAL CUNST. F!R�DEPT. FINA! FINAL HEl'�TING HEF,LTH DEPT. FINAL FiNAL ELECTRIC � DEV. FEES PAID . FINAL PLU4161NG ENERGY � 1= � .�._.�'��.�.�'.�":��`...��`_._�._._�.�..! COMMENTS _ _ - -- �b_�� C'� v ��' M r�s�_�_�_ —�Z6—�_�'s-� a — �c�Z� 7"t-�-Z �'�-f2�-� �-��-�-7�''�- -.1�� A;,��¢5,� � `/j,''e ! "�_� 1�7�'� � t�:�t')cl e r��'�-�7vF_�l r/� ' t� ` (,�J�1I�2 --__ ��;;;,',;t� � � ��'�' � e�'..�.,� �'.L.c.' �.�i�i�r T�4�,� �!��r��4 ..—..:•.. �� r..� G�3-r�-�.��J �-�,1 �-��c... �'��2. �,, , -...; 1r ,� .� SEPTIC TANK SIZE SEEP PIT/U SIZE �� t�� _ '�, : � . �, ,;,, ; � ; � _ -___.._ . _:'�___.._.___.,......., )