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Home My WebLink About18247 (39)vi 4 0 Q 0 0 w z a dz ac O a w 0 z Ln Q O w Z W U O Z W W O Z W ccw FE O Z ¢O Xd W U w Qi Zo Q O W Q 0 Z5 4 LLJ W Z C7 S O In W J cc w LL a Q 10. LL 7 CcF -- Cc LL a L Z C CO JOBSITE ADDRESS I4D� APN LOT TRACT OWNER L ADDRESS CITY ZIP TEL. APPLICANT TEL. CONTRACTOR bnmiiif ADDR SS CIN ZIPI TEL. ARCH/ENG/ DESIGNER 51 i e ADDRESS CITY ZIP L TEL. OWNER -BUILDER DECLARATION 1 HEREBY AFFIRM FROM PENALTY OF PERJURY THAT 1 AM EXEMPT FROTHE CONTRACTORS ll• CENSE LAW FOR THE FOLLOWING REASON (SEC 7001.5 SUSNESSAND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH RECUIRES A PERMIT TO CONSTRUCT, ALTER MDROVE. DEMOLISH• CR REPAIR ANY STRUC. TORE, PRIOR TO ITS ISSUANCE. ALSO REWIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI. CENSE LAW (CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONSCODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7071.S BY ANY APPUCAN: FOR A PERMIT SUBJECTS THE APPLICANT TO A CML PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS ($S03)): O 1, AS OWNER OF THE PROPERTY. OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATIDN, WILL DO THE WORK AND THE STRUCTURE IS NOT IM, ENDCD OR OFFERED FOR SALE (SEC. 7044, BUSK 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 94TENOED OR OFFERED FOR SALE DIN IF, HOWEVER. BUILG OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION, THE OWNER"BUILDER WILL HAVE THE BURDEN OF PROVING THAI HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). ❑ L AS OWNER OF THE PROPERTY. AM EXCIUSIVELYCONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044. BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS V - CENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY VA40 aVA.OS OR IMPROVES THEREON. AND WHO CONTRACTS FOR SUCH PROJECTS WiTHACOINTRACTOR(S) LICENSED PURSUANT TO THE CONTRAG TORS LICENSE LAW). O 1 AM EXEMPT UNDER SEC. B. A P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER P (COMMENCING WITH SECTION 7000) OF DMSION 3 OF THE BUSINESS AND PP.OFESSANS CODE, AND MY LICENSE is IN FULL FORCE AND EFFECT. LICENSE GLASS LIC. NO, Z q DATE /O CONTRACTORJ.Ofllff., 1 r WORKERS' COMPENSATION DECLARATION 1 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 7700 OF THE LABOR CODE. FOR THE PERFORMANCE CIOF THE WORK FOR WHICH THIS PERMIT is ISSUED. HAYE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REWIRED BY SECTION 700 OF 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 �T"Ii'C'1t 1 it ( N POLICY NUMBER (MS SECTION NEED NOTBE COMPLETED OF THE PERMIT B FORONE IA1INDFtEDOOLIARS (6100)OR LESS) I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I SHALL NOT EMPLOY ANY PERSON N ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECTTO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 7700 OF THE LABOR CODE. I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. DATE: iAPPLICANT: WARNING: FALURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 10 ONE HUNDRED THOUSAND DOLLARS (3100,000). IN ADDITION TO THE COSTOF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3708 OFTHE LABOR CODE. INTEREST, ANDATTORNEYS FEES. CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 7097, CIV. C.). LENDERS NAME LENDERS ADDRESS :AGREE THAT I HAVE READ THIS APPLICATION AND STATE THAT TME 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. 4.IAT.FiN I RI j PERMI LE DATE APPLICATI DATE .Z rL ISSUE DATE CITY OF DIAMOND BAR DEVELOPMENT SERVICES C/ RW RW ❑ ❑ ❑ ❑ DEPARTMEN r OF COMMUNITY & NO. BEDROOMS DESCRIPTION SO. FT. S,. c 21825 E. Copley Drive (909) 860-3195 Fax (909) 861-3117 PRESS *� BUILDING PERMIT APPLICATION FIRMLY JOBSITE ADDRESS I4D� APN LOT TRACT OWNER L ADDRESS CITY ZIP TEL. APPLICANT TEL. CONTRACTOR bnmiiif ADDR SS CIN ZIPI TEL. ARCH/ENG/ DESIGNER 51 i e ADDRESS CITY ZIP L TEL. OWNER -BUILDER DECLARATION 1 HEREBY AFFIRM FROM PENALTY OF PERJURY THAT 1 AM EXEMPT FROTHE CONTRACTORS ll• CENSE LAW FOR THE FOLLOWING REASON (SEC 7001.5 SUSNESSAND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH RECUIRES A PERMIT TO CONSTRUCT, ALTER MDROVE. DEMOLISH• CR REPAIR ANY STRUC. TORE, PRIOR TO ITS ISSUANCE. ALSO REWIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI. CENSE LAW (CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONSCODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7071.S BY ANY APPUCAN: FOR A PERMIT SUBJECTS THE APPLICANT TO A CML PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS ($S03)): O 1, AS OWNER OF THE PROPERTY. OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATIDN, WILL DO THE WORK AND THE STRUCTURE IS NOT IM, ENDCD OR OFFERED FOR SALE (SEC. 7044, BUSK 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 94TENOED OR OFFERED FOR SALE DIN IF, HOWEVER. BUILG OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION, THE OWNER"BUILDER WILL HAVE THE BURDEN OF PROVING THAI HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). ❑ L AS OWNER OF THE PROPERTY. AM EXCIUSIVELYCONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044. BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS V - CENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY VA40 aVA.OS OR IMPROVES THEREON. AND WHO CONTRACTS FOR SUCH PROJECTS WiTHACOINTRACTOR(S) LICENSED PURSUANT TO THE CONTRAG TORS LICENSE LAW). O 1 AM EXEMPT UNDER SEC. B. A P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER P (COMMENCING WITH SECTION 7000) OF DMSION 3 OF THE BUSINESS AND PP.OFESSANS CODE, AND MY LICENSE is IN FULL FORCE AND EFFECT. LICENSE GLASS LIC. NO, Z q DATE /O CONTRACTORJ.Ofllff., 1 r WORKERS' COMPENSATION DECLARATION 1 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 7700 OF THE LABOR CODE. FOR THE PERFORMANCE CIOF THE WORK FOR WHICH THIS PERMIT is ISSUED. HAYE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REWIRED BY SECTION 700 OF 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 �T"Ii'C'1t 1 it ( N POLICY NUMBER (MS SECTION NEED NOTBE COMPLETED OF THE PERMIT B FORONE IA1INDFtEDOOLIARS (6100)OR LESS) I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I SHALL NOT EMPLOY ANY PERSON N ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECTTO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 7700 OF THE LABOR CODE. I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. DATE: iAPPLICANT: WARNING: FALURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 10 ONE HUNDRED THOUSAND DOLLARS (3100,000). IN ADDITION TO THE COSTOF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3708 OFTHE LABOR CODE. INTEREST, ANDATTORNEYS FEES. CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 7097, CIV. C.). LENDERS NAME LENDERS ADDRESS :AGREE THAT I HAVE READ THIS APPLICATION AND STATE THAT TME 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. 4.IAT.FiN I RI j PERMI LE DATE APPLICATI DATE .Z rL ISSUE DATE PERMIT I G� P/C NUMBER N TYPE OCC CONST. GROUP ZONING SETBACKS FRONT REAR SIDEISIDE STREET SIDE RW RW ❑ ❑ ❑ ❑ PROPOSED USE NO. DWEL. NO. UNITS STORIES NO. BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREAIVALUATION SFR/ADD/REM Garage/Carport WPatio/Deck LT_ POOVSpa ZRe -Roof Commercial 5 m Valuation ADJ.AREA QUANTITY _pESG_RIPTION FEE J +, (V Czwb IA4 5;w - z &-iit- CIE 11bA a U Z a 2 W CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INS?ECTION FEE ISSUANCE SMTP ENERGY PIC ENERGY PERMIT RETENTION FEE: PRE -ALT FEE: ' TOTAL FEES COMMENTS RECPT NO. PAID BY VALIDATION WHITE—Department Copy, YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN—AppliGaht's Copy CITES` OF DIAMIOND BAR INSPECTION RECORD FIGS/FORP�IS/STEEL I I (FHA REOM1ATS -�� • ELECTRIC GflOUND ( � I UNDER FLOGR QUCI ,_-� GROUfJD PLUMBING SLAB GRADE _ I Uf1DE:R F�OORCOP!DUIT I FIREPLACE FOUNDATION_ i FIREPLACE BOND BEAM TEMP POWER WATER SERVICE MID HT, BOND BEAM !- -- �.1 S FT. BOND B=AM FINAL BOND BEAM ROOF SHEATHING FRAMING/VENTILIATION I ROOF COVER _ L... I PRE -GRADING__ _ ROUGH HEATING ROUGH ELECTRIC _ _ ! BENCHING ROUGH GRADING FINISH GRADING - POOL ELECTRIC I ROUGH PLUMBING SHOWERTFUB TEST EXT. LATH/SIDING j } POOL FENCING INSULATION _ _ I POOL FINAL _WALL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING_ _' DEDICATIONS - SEWER FINAL ENG. SEPTIC TANK _ _ l { LANDSCAPE; IRRIG_ - i SEEP PIT/L.L. ! ON SITE IMPS. GAS AIR TEST FINAL'CONST.' FINAUHEATING �( `�Z�'L FINAL ELECTRIC FINAL PLUMBING I COMMENTS --- t FINAL ZONING -j - FIRE DEPT. FINAL HE&TH DEPT. FINAL !-I - I - ( ! ( DEV: FEES PAID _ ENERGY -- -- - - - -- ---- SEPTIC TANK SIZE SEEP PIT/U SIZE - --- --- - -