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Home My WebLink About18266 ' CITY OF DIAMOND BAR �� D�PARTMENT OF COIvIIvIUNTfY&�bEVELOPMENT SERVICES . I �� 21825 E.Copley Drive (909)860-3I95 Fax(909)861-3117 PRESS �`•� BUILDING PERMIT APPLICATION FIRMLY QJOBSITE /�,�/� ��i��e,`� l�T��,��j� OATE CATION�7,_„� /t"') NUMBER «2 �'� ¢ ADDFiESS— /l/ �� / .r� �� ' � ISSUE TYPE OCC APN LOT TRACT DATE � '�"�� CONST. GFOUP °C OWNER O o ADDRESS � .Y ZONING SETBACKS gCITY/�JS/9�/l{�,�_ ZIP � 7EL. FRONT RW ❑ APPLICANT —T TEL. REAR ❑ � _ SIDEJSIDESTREET RW ❑ � CONTRACTO SIDE ❑ o CDDRES , ZIP � / EL. � PROPOSED USE��L'C��S`ir9'C-� w ARCH/ENG/ r7;.�� /-7 w DESIGNER ��,!��t�l��r NO.DWEL. NO. NO. n. ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS cn cn , DESCRIP710N Sa.FT. FACTOR PSF ADJ.AREANALUATION p� ONMER-BUIIDEH DECLARATION SFR/ADD/REM O p 1 HEREBY AFFIRM UN�ER VENALTY OF PERIURY THAT I/UA E%EMPT FROA1 TME COMiUCTOqS lb G0f898lCefpOR - � W CENSEUWFORT1EiOLLOWINOPEA50N(SEC.7a71.6BU5iNE55ANJiFOFE55iON5CODE:ANYCITVOR (n C� COUNTYMhIICHREOUIRESAPEIUAITTOCONSTRUCT,ALTE0.1MORpyE,Df1AOLISM,ORRFPAIRANYSTRUC- W PatialDeck w TURE,PRqR TO RS ISSUANCE,ALSO REOUIRES THE APVLICINT FOR SUp1 VERMiT TO FILE 11 SiGNED w � STATEMENT THAT NE OR SHE IS LICENSED PURSUAtR TO TME OROVISiONS OF T„E CONiMCiORS LF CENSE UW(G/�7TER Y(LOMMENCINC WiTN SEC710N 7000)OF DIViS�ON 7(�F TME BUSMESS AN�J PR0. � PooVSpa 0 FESSqN5CO0E)ORT/NTNEORSHEISEXEMPTTNEPEFqOMM1pTHE811515FORTHEALLEGEDEXEMP• (� V TION.ANYVKKATqNOFSECT10N70]1.5BVANYAPPLiCAY'FOR�PERMITSUB,;ECTSiNEAPVIICANTTO Z qe_q�� , A CIVIL VfNALTY OF NOT MORE THAN fNE NUNDNED DOLLAHS(l500�.�: • O l AS O`M�EROF TNE GROPERTV.OR Mv EAAPLOVEES WITH WAGES AS iNE:R SOLE COMPENSATAN, Z WILL DO THE WOWf.AND THE STRUCNRE IS NOT INTENOE9 OR OFFEREO fOH SAIE(SEC.70��.BU£4 � COmmCrCi31 N NESS ANO PROFESSIONS COOE:THE CONTRALTORS LICENSE UW DO'cS NO'AVPLY TO Ml OY/NER OF ? FR07ERTY MMO BUM1DS OR IMGROVES MEREON,ANO W710 OOES SUCH WORK MIMSELF OR HERSELF OR CL Tl7q'JUGMMISORMEROYMEA�PL01'EES,PROVIOEUTMA75U�p1MPROYEMENTSAqENOTINTENDE00R m W OiFERE0FOR5KEIF,MOWEVERTME8UIL01N00HIMPROVEMEM,I5501OW1TMNONEYFAROFCOAIVLE• 0 TION.TNE OWNER-BULLDEN WILL HAVE TME BURDEN OF VROVING:HA7 HE OR SHE OID NOT BUIID OR z IMPROVE FORTNE PURPOSE OF SALE� = OI.ASONMEROFTNEPRODEHT`/.A4EXClUSNELYCON7RACTWCWITMUCENSEOCONTRACTORS W � TO CANSiRUtt TME PRO.IECT�SE6 7a�.BUSiNE55 AND PROFESSIONS CODE:THF COMMCTORS l4 Vd�UOtiOf1 � ADJ.AREA � W CENSEUWDOESNOTAPPIYTOANOwNEROFAPROPERTVW�+OaVM.DSORIMPROVESMEREON.AND � WFqCONTRACT5FOR5Ud/FROlECfSW�TMAGONTMGTOF(S�LILEh3EDPUFSUANiTOTMECONTMC• QUANTIN DESCRIPTION FEE . � TORS LICENSE LAW.). �� +� /� p O I AM E%EMPT UNOER SEC. 8.1 D.0.iORTH15 REASON Q ✓ H !+ •OC� � � � �r� � � DATE OwNER V _ Z W a ¢ LICENSED CONTRACTORS DECLARATION W ��}. � � Z r ct IMEREBYJ1FFiRMUKOERVENALiYOFPERJURYMATIMILICENSEDUNOERPROVi510N50FCMAVTER � � Y�COAIMENCW6WITHSECTqN7000)OFONISIONJOFTMEBUSINESSNJ�VPOFESS�ONSCWE.AND Z �� MY LICENSE IS IN FULI FORCE AND EFFECT. m � UCENSE CUS � UC.NO. . �! /O j V OATE� >, CONTRACTOR a W � WORKEflS'COMPENSATION DECLARATION a _ � IHEREBYAiFIRMUNDERVENARYOF0ERIURYONEOFTHEPoLIOW:NGOECUAATIONS: Z � _INAVEMDIMLLMNNTAINACERTIFICATEOFCONSENTTOSELFaNSUREFORWORKERS' _ COM7ENSATqN,ASVROVIOEDB�SECT10N�7000FTHEUBORCOOE.FOHTHEPEFFORMANCE W OF E WORI(iOR WHidI TMIS VERMIT IS ISSUED. � � i w I MAVE AND N1LL MNNTAIN YJOi1KER5'GOMPENSATION INSURANCE.A$REOUIflED BY SECTION Q , �T00 OF THE LABOH CODE,FOfl TME PERFOqMANCE OF TME WORK FOR WMICM 7H15 PERMIT IS ISSUED.MYWORKERS'COMPENSATIONINSURANCEWNRIERANOPOLICYNUMBERARE: CONSTRUCTION ¢ ��TG /�l/it/l5 � GRRiER PLAN REVIEW Z ��^1/AeER ' . ��— ELECTRIC ¢ 0 �nassEcrcNr�mwiBEm.r�ErErooFnEvew.�rsw�wE�oocuuas�s�ooloa�Essl PLUMBING Z I CERTIFv T1uT W iNE 7ERFORA1u10E OF TME WORK FOR WHlqf TMS PERMIT�5 ISSl1ED,I MECHANICAL (,�} SHALLNOTE��LOVANVVERSONWANYMANNERSOASTOBECOIAESUBJEfTTOTHE � WORKERS'COGPENSATqNUWSOFCAUFORNIA,MIOAGREETHATIFISMOUIOBECOME INS?ECTIONFEE S SU&IECTTOTHEWORKERS'COMPENSA1qNCROVISWN^+OFSECTqNJ70oOF7HEU1gpq n^ CODE,ISMAL/L,fONTTM'ITMGOMP�YWITHTMOSEP^ROV)1510N5. ��/ ISSUANCE `W O �J / . �FC<L J !-�lTr(A�/� p OATE: 7 �� APPLICANT: v SMIP J WARNINQ:FA0.URETOSECVREWORKERS'COMVENSATqNCAVERAGEISUNUWFUL.�NO5NKL8E ENERGYPlC � SUBJECTMlEMPLOYERTOCRIMWALPENALTIESAN�CNILFINESUVIOONEHUNDREDTV10U5AN0 ENERGYPERMIT DOlURS{SIOO.00OI.N I1DOI710N TO 7ME COST OF LOAIPENSATION.DAM�GES AS PPOVIOEO iOR IN J SECTION370eOFTNELABORCODE,WTEREST,ANDATTORNEYSFEES. HETENTIONFEE: • `e Q d ��. CONSTRUCTION LENDING AGENCY PREALT FEE: ' O � IHEREBYAFFIRMUNOERPENAL7VOFPERJURVTMATTMEREISACONSTRUCTIONLENOMGAGENCY FOR THE PERFORMANCE O//��F`TXE WORK FOR WHICN TMIS 7ERMIT IS ISSUED(SEC.ioY7,QV.C.j. � LENOEN'$NIVAE,�� F- LENDER'SADDRESS �� } � ILERTIFY7HATIHAVEREADiHISAPPLICATpNMlOSTATETHATTMEABOYEINFORMATqNISCARPEGT. TOTAL FEES f�{.�I�� W IAGREETOCOM7LYWITNALLCRYANDCOUNTYORJINANCESANDSTATEUWSRELA7INGTOBUILOING � � CONSTRUCTIDN,ANOHEREBYAUT1qRIZEREVRESENTATNESOFTHISCOVNiYTOEMERUPONTHE Z ABOVE�MENTqNED 7NDPERTY FOR INSPECTqN PURPOSES. COMMENTS � � ,�/G . J � � PERMI N � az N N �1 JATE � � RECPL NQ PAIO 6Y VALIDATION �, WHITE—Depariment Gopy.YELI.OW—Fnance Copy.PINK—Assessor Copg GOLDENROD—File Copy,GREEN—Applicant's Copy �iT�` C�F E�;,4ftir�P�[� B,4� � i��4��'E��I"l�� e�C0�3D ,.,..,.- .�.�..�...�-.. � _... _., _ �...,_..�..�._,, y � ._.._, �C��-�. �.=�C�a�� ?��= =a_i,►k�:��'�a.'�,..:. ,..��fR��:i�;��`ea�� _'�a�:�.��'�=--=��'.��:�":�� ; � , SET BACK _i_ ;.!�f�LGOR JO�ST �. `� .�' .�. FTGSiF�RMS/STEEL ! � •�i FHP,REQP,ITS ELECTRIG GflOUND � i � � ' Uf�JDER r=LOOR''GUCT�1 �• . GROUND PLUP�1BIf�dG � _ _ ____� ' Uh1�E:R FLOOF;�GOM1!DUIT 'i - � ___ SLAB GRADE _ � _ l:_FIREPLF•_CE FOU�JDATIOfJ -! - TEMP POWER � � _! i FIREPLACE�OND 6EAM I bVATER SERVICE I , I P."ID HT. F30ND BEAh.� � � --�----------------� � - --- _ P,OOF SHEATHING ` 1 ' Fi FT. fOPdi� BEE1�r1' . _ _ FRAMING,NENTILIATION ___ � ~ FIfJAL E30�JD eEAM ROOF COVER ' PRE-GFiADING I _ R�UGH HEATiNG _ _ , BENC:HIhlG I ROUGH ELECTRIC ___ ____� HOUGH GR_�DihJ� 1 ROUGH PLUMBING I � FINISN ��RADING SHOWER,rT'UB TEST —�� i —^i POOL ELECTRIC EXT. UaTH/SIDING � � POOL FENCING � WALL INSUI.ATION i POOL FINAL j CEILIP�G IN�ULATION � OFF SITE IMPS. DRYWALL NAILIP�G t DEDIC�TIO�JS SEVdER FIP�AL ENG. SEPTIC TANK LAhDSCAPElIRRIG. SEEP PITlL.L. OP�SITE It�APS. GAS AIR TEST � .,,� FIPJA�ZO�JING FINAL CONST. _+L�-� ' " ' , ].!' F'.RE DEPT. FiNAL FINAL HEATING _� • ' � ; HEALTtI DEP'f. FINAL � --------t•-_ FiNAL ELECTRIC � � E DEV. �EES PA!D �----- — FI�JAL PLUP�IBING � i ENERGY i ---- - --- -- � � _ . � - - . �1�,q' �Iz'�1 ��. ..b.r�Cr...s:aR.�.��a... COMMENTS - --. ___.._. . __ _ _. _.___ — ----- i-- � SEPTIC TA��lK SIZE SEEP PIT/U 51ZE -- —' ._..__ �________.., .q��' � — -- ---- . � -- -- � - ��. i • I �� ' - , f� ; - * � . �i�"� 1 � ! . .�..�... �.`�',.��..�:, — .