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Home My WebLink About18257 CITY OF DIAMOND BAR --��` ---� DEPARTME?�IT OF COMMUNTfY&�DEVELOPMENT SERVICES �� 21825 E.Copley Drive (909)860-3195 Fex(909)861-3117 �Ir�l„ 1, r� �t�� PRESS ��<�� BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE APPLICATION. PERMIT P/C ADDRESS �• DATE��'/D� NUMBER �' � # d L^2�� I � � ISSUE TYPE OCC APN LOT TRACT DATE Z D�Ir CONSL GROUP p OWNER �' - p ADDRESS ZONING SETBACKS Z CITY ZIP TEL. ' FRONT qyy ❑ � APPLI A TEL. REAR ❑ ¢ SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE p ADDRESS ,�I�r a � CITY ZIP TEL. PROPOSED USE �A'� r c� o ARCH/ENG/ �z DESIGNER NO.DWEL. NO. NO. a ADDRESS � CI7Y ZIP TEL. UNITS STORIES BEDROOMS � N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I NEREBV AFFIRM UNDEF PENALTV OF PERNflV THAT I AM E%EMPT FROM THE CANTRACTORS LI- G9f0g8/C9fpOR W CENSE UW FOR THE FOILOWINO REASON(SEC.�031.5 BUSINESS AND FROFESSIONS CODE:ANV CI7Y OR (n U CWNTVNTIIC}IREOUIRESAPERMITTOCONSTAUCT,ALTEf�IMPROVE.DEMOLISH,ORREPAIRMlYSTqUC- w I� w NRE.PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUpi PERMIT TO FILE A SIGNED W Patio/Deck � STATEMENT THAT HE OR SHE IS LICENSED PUiiSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� . LL CENSE lAW(CHAPTER B(COMMENCINO WITN SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND 7R0- POOUSPB � FESSIONSCODE)ORTHATHEORSHEISE%EMPTTHEREFROMANDTHEBASISFORTHEALLEGEDE%EMP� (� U TION.M1VVqLATIONOFSECTION7o�7.5BYANVAPPIICAN�FORAPERMITSUBJEC�STHEAPPLICANTTO Z Re-Roof i A CI1QLyENALTV OF NOT MOqE THAN FNE HUNDRED DOLLARS(f500�.): Z ]dI,ASONMEROFTHEPROPERTV,OHMVEMPLOYEESWITHWA(1E5A51HEIRSOLECOMPENSATiON, O COrt1rt10fCi81 WII(D�THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OfFERED FOH SALE(SEC.704t,BU51� J � NESS AND PROFESSIONS CADE:THE CANTRACTORS LICENSE LAW DOES NO'APPLV TO AN OWNER OF � PROPERTV WHO BUILDS OR IMPROVES THEREON,ANO WHO DOES SUCN WORN MIMSELF OR HERSELF OR Q THpOUGH HIS OH MER OWN EMPLOVEES.PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m Q OFFEREDFOASALEIF,HOWEVER�IIEBUILDINOORIMPROVEMENTISSOIDWITHINONEYEAROFCOMPLE- Z TqN,TME OWNER�BUIIDER WILL MAVE THE BURDEN OF PROVING'MA1 HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE�. w ❑I,ASOWNEROFTHEPROPERfV,AME%CLUSIVELVIXINTRACTINGWITHUCENSEDCANTRACTORS [[ TO CONSTRUCT THE PRQIECT(SEC.70N,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- V81U3�1Of1 ADJ.AREA � W CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPERTVWM03UII.DSORIMPROVESTMEREON,AND — � = N71000NTRACTSFORSUpiPROJECTSWITHACONTMCTOR�S)LICENSEDPUHSUANTTOTHECONTMG FEE ~ TOFiSIICENSEUW.). OUANTITY DESCAIPTION Y 0 ❑I AM E%EMPT UNDER SFC. B.8 P.C.FOR THIS REASON Q � U � DATE � OWNER '� ~ � Z U � LICENSED CONTRACTORS DECLARATION w � I HEREBV AFFIRM UNDEH PENhLTV OF PERIURV THAT I AM LICENSED UN�ER PROVi510NS OF CHAPTER �. � 9(COMMENCINO WITH SECTION 7000)OF DNISION J OF THE BUSINESS AND PP.OFESSiONS CADE,AND Z �� MY LICENSE IS IN FULL FORCE M1D EFFECT. m � LICENSE CLASS LIC.NO. � V DATE CONTRACTOR d � W . � WORKERS'COMPENSATION DECLARATION a � U � I NEREBY AFFIRM UNDER PENALTY OF PERIURV ONE OF THE FOLLOWING DECLARATIONS: Z � _I HAVE AND WILL 1MINTAIN A CERTIFICATE OF CANSENT TO SELF�INSURE FOF MKIRKERS' _ � Q COMPENSATqN,AS PROVIDED BV SEC710N 37000F THE LABOR CODE,FOR THE PERFORMANCE U OF THE WORK FOR WHICM THIS PERMIT IS ISSUED. W � � Qw _I MAVE AND WILL MAWTAIN WOFKERS'COA/PENSATION INSURANCE,AS REOUIRED BY SECTION 3700 OF THE LABOR CODE,FOP THE PERWRMANCE OF THE WORK FOR NTiICH THIS PERMIT IS '�� Q ISSUED.MV WORKERS'COMPENSATION INSURANCE CARRIER AND POIICV NUMBER ARE: CONSTRUCTION � CARRIEFi PLAN REVIEW �L.5 9 � ZPOLICV NUMBER ELECTRIC Q � (iwSSECfqIJNE�No76E0.�AwiEiEDOFT-EaEw.ii15fORONEHla.OaEDD0uaa5(iloo�oR�Ess). PLUMBING W Z I CEFTIFV THAT IN THE PERFOFMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL C� SHALL NOT EMPLOV ANV PERSON IN ANV MNlNER 50 AS TO BECAME SUBJECT TO THE (/� WORKERS'COMPENSATION UWS OF CALIFORNIA,AND�GHEE THAT IF I SHOULD BECOME INS?ECTION FEE '= SU&IECTTO THE WORNERS'COMPENSATqN PROVISIONS OF SECTION 37oa OF THE LABOR ` CO�E.I SHALL FORTMWITH COMPLY WITH THOSE PROVISIONS. ISSUANCE Q � p DATE: APPLICANT: SMIP W "'� WARNIMO:FAILURE TO SECURE WORICERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C J � SU&IECTAN EMPLOVERTO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDFED THWSAND ENERGY PERMIT y, DOLURS(f10o,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN J SECTION 3708 OF THE LABOR CADE,INTEREST,AND ATTORNEV'S FEES. w RETENTION FEE: � , � O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: " � I HEREBV AFFIqM UNDER PENALTV OF PERJURV THAT THEFE IS A CONSTRUCTION LENDING AGENCV FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.30D1,CIV.C.�. Z W � LENDER'S NAME F— LENDER'SADDRE55 w I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATqN IS CORRECT. TOTAL FE ES � ��e � I AGREE TO COMPLV N7TH ALL GTY AND COUNTV ORDINANCES AND STATE UWS RELATING TO BUILDING . � CONSTRUCTION,AND MEREBV AUTHORIZE REPRESENTATIVES OF 7HIS CWNTY TO ENTER UPON THE Z ABOVE-MENTIONED PROPERTV FOR IN ECTION PURPOSES. COMMENTS 0 J � m PERMITTEE N (P INT) I I Q � UJ � � SIGNATURE ATE � = RECPT.NQ ID BV VAUDATION—"-1 ~ WHITE—DepaAment Copy,YELI.OW—Finance Copy,PINK—Assesso�Copy,GOLDENROD—File Copy,GREEN—Applicant's Co y '7/� � LE��.� �o��r �� o�� l��EC�'80f�f ��F3D IARxJlrtsl."7u4/:✓Uv ' ,-s. �-., x..�; v p ; ��`,.�, p ,O ,:.;: . D:;.,. ��`_J��,��.(.,_.'� X o ° 7 U�.�� s. .� � V �-. ' . _ , . �� . � ., ' - . . ....,,��_.. SET BACK i � FLOOR Jl�lST ---- -- -- — --- — -� - ---- � FTGSiFORMSlSTEEL .___. __-- --- -- �,�jyl I FNA REOMTS ELECTRIC GROUND ` �} UNDER FLOOR DUCI' GR011ND PLUMBING _ i UNDER FLOOR CQ�IDUIT S�AB GRADE ` I FIREPLACE FOUNDATION - TEMP POWER ' ` _� FIREPLACE BOND BEAM WATER SERVICE � ' MID.HT. BONQ BEAM ROOF SHEATHING � 8 FT. BOND BEAM FRAMINGNENTILIATION � � �FINA!_EiOND BEAM ROOF COVER PRE-GRAQING ROUGH HEATING BENCHINCC ROUGH ELECTRfC R�UGH GRADING ROUGH PLUMBtNG � �� I FINISh-I uRADWG ` � � SNOWEF�ffUB TEST � PdOL ELECTRIC EXT. LATH/SIDING POOL FENCING WAL�. INSULATION � PQOL F{NAL CEILING INSULATION OFF SITE IMPS. !� DRYWAL�NAIUNG DEDICATI�NS SEWER FINAI_ENG. � SEPTlC TANK v LANDSCAPE/ir�RiG. SEEP PITlLI�. ' - ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. � � FIR� �EPT, FINRL FINAL HEATING �� HEALTH DEP-`. F(NAL FiNRL ELECTRIC DEV. FEES PAID FINAL P!_UM81NG � ENERGY � ��Lvi�f' � ' , CONiMEfVTS - _ - SEPTIC TANK SIZE SEEP PIT/U SIZE ° _ � � ,�,� _ �_ __ �� , _"'`� �.� --- — — �— o � :,;`� �,o �. �, �; • JJJ'---A�� , S��-.. ' �f* �e�.