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CTI'Y OF DIAMOND BAR
�----��` -- DEPARTMENT OF COIvA�1UMTY&DEVELOPIviENT SERVICES
21825 E.Copley Drive
- (909)860-3195 Fax(909)861-3117 PRESS
��'%���� BUILDING PERMIT APPLICATION FIRMLY
} JOBSITE ���� APPLICATION 1 �,��,,,_j, PERMIT UP
o ADDRESS_ DATE � � NUMBER��li�
oro ISSUE TYPE OCC
-- APN LOT TRACT DATE CONST. GROUP
p OWNER Pulte Homes
o ADDRESS �840� VOtI Karman St@ 2�� ZONING SETBACKS
z ciTv Irvine ziP�Zfi12E�. 9497974400 FRONT Rw ❑
o APPLICANT TEL. S DE/SIDE STREET RW ❑
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a CONTRACTOR SAME SIDE
� ADDRESS PROPOSED USE - �
� CITY ZIP TEL.
w ARCH/ENG/
z DESIGNER Hove Desi f1
w NO.DWEL. NO. NO.
a ADDRESS 2 � ewport enter Y. UNITS STORIES BEDROOMS
I N ciTv NPwnOrt R�ih-926fi�E�. 949760081
cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
OWNER-BUILDER DECLARATION SFRlADD/REM
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p I HEREBV AFFIRM UNDER PENALTY OF PERIURY THAT 1 NA E%EMPT FROM THE CONTRACTORS LI� G8f890/CBfPOrt
W CENSELAWFOR7HEFOLLOWINGREASON(SEC.7031.58USINESSANDPROFESSIONSCODE:ANYCITYOR (n
U COUNTVWHICHRE�UIRESAPERMITTOCONSTRUCT,ALTEii,IMPROVE,DEMOLISH,ORREPAIRANVSTRUC�
w TURE,PRIOR TO ITS ISSUANCE.ALSO REOUIFES THE APPLICANT FOR SUCM PERMI7 TO FILE A SIGNED w Patio/Deck
STATEMENT 7HAT HE OR SHE IS LICENSED PURSUAN7 TO 7HE PROVISIONS OF THE CONTRACTORS ll-
� CENSE LAW(CHAPTER B(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND PRO- � POOVSPB
FESSIONS CADE)OR THAT HE OR SHE IS EXEMPTTHEREFROM AND THE BASIS FOR THE ALLEGED E%EMP- (�
� TION.ANYVIOLATIONOFSECTION7031.5BVANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof
A CIVIL PENALTV OF NOT MORE THAN FIVE HUNDflED DOLLARS(f500).):
� Z ❑I,ASONRJEROFTHEPROPERTV,ORMVEM7LOYEESWITHWAGESASTHEIRSOLECOMPENSA710N, � Commercial -
WILL DO THE WORK,AND THE STRUC7URE IS NOT IN7ENDED OR OFFERED FOR SALE(SEC.704I,BUSI� J
N NESS AND VROFESSIONS CODE:THE CONTFACTORS LICENSE UW DOES NOT APPLV TO AN OWNER OF �
PROPER7Y Yh10 BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORN HIMSELFOR HERSELF OR
� THROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m
QOFFEHEDFORSALEIF,HOWEVER,THEBUILDINGORIMPfiOVEMEN71S50LDWI7HINONEYEAROFCAMPLE�
Z TION,THE OWNER-BUI�DER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR
� IMPROVE FOR 7HE PURPOSE Of SALE).
w ❑I,ASOWNEROFTHEPROPERTV,AMEXCLUSIVELVCANTRACTINGWITHLICENSEDCONTRACTORS
� TO CONSTRUCT THE PRQIECT(SEC.7014,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- V8IU8�1Of1 ADJ.AREA
W CENSEUWDOESNOTAPPLVTOANOWNEROFAPROPERTYWHOBUILDSORIMPROVES7HEREON,AND
� WHOCANTRACTSFORSUCHPRQIECTSWITHACONTFACTOR(S�LICENSEDPUfiSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE
Y TORSLICENSELAW.).
¢ ❑I AM EXEMPT UNDER SEC. B.6 P.C.FOR THIS REASON Q
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DATE OWNER �
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O W
� LICENSED CONTRACTORS DECLARATION W
� I HEREBY AFFIRM UN�ER PENALTV OF PERIURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTEH �
� Y(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND PROFESSIONS CODE,AND Z
`X MV UCENSE IS IN FUL�FORCE AND EFFECT. m
41 .50
� LICENSE CLASS A ��o.No. 517 5 9 3 j
V DATE E X[� 9 I.��I/O�CONTRACTOR Pu I_te a
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� WORKERS'COMPENSATION DECIARATION a
NI HEREBV AFFIRM UNDER PENAL7Y OF PEfiJURY ONE OF THE FOLLOWING DECLARATIONS: Z
� _I HAVE AND WILL MAIN7AIN A CER7IFICA7E OF CONSENT TO SELF�INSURE FOR WORKERS' _
CAMPENSATION,AS PROVIDED BY SECTION 370o OF THE LABOR CODE.FOR THE PERFORMANCE U
¢ OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. w
� �
w _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION '
Q 3700 0F THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED.MY WORKERS'CAMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION
j CARRIER PaCIfIC Emp �f1S. C�. PLANREVIEW
Z POLICV NUMBER W O R L4 3 011 R 7 A ELECTRIC
¢ 41 .50
p (fHLSSECiIONNE�NOTBECYJMPLEfEDOFTHEPERMfTISFORONEHUrDREDD011AR5(5100)ORLESS). PLUMBING '
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Z I CERTIFY TFiAT INTHE PERFORMANCE OF THE WORK FOH WHICH THIS PERMIT IS ISSUED,I MECHANICAL
(.'} SHALL NOT EMPLOV ANV PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE
� WORKERS'COMPENSATION IAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECAME INSPECTION FEE
= SUBJECi TO THE WORKERS'CAMPENSATION PROVISIONS OF SECTION 37a0 0F THE LABOR �
CADE.I SHALL FORTHWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE
O DATE: S-�O-IYP�LICANT: PUIte HOITIeS SMIP
�
J WARNING:FAILURETO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C
� SUBJECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT
DOLLARS(5100,000),IN ADDI710N TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOF IN
� SECTION 37080F7HE LABOR CODE,IN7EREST,ANDATTORNEV'S FEES. RETENTION FEE:
d CONSTAUCTION LENDING AGENCY PRE-ALT FEE:
O
� I HEREBV AFFIRM UNDER PENALTV OF PERJURV THAT THERE IS ACONSTRUCTION LENDING AGENCV
FOR THE PERFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.C.).
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� LENDER'SNAME None �PLIItP�
F— LENDEfi'SADDRESS
� I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFOfiMATION IS CARRECT. TOTAL F E ES V{7�S O
w I AGREE TO COMPLV WITH ALL pTY AND COUNTV ORDINANCES AND STATE LAWS RELATING TO BUILDING
�
� CONSTRUC710N,AND HEREBV AU7HORIZE REPRESENTA7NE5 OF THIS COUN7V 70 ENTER UPON THE
Z ABOVE�MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS
�
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m PERMITTEE NAME(PRINT)
Q
�
� SIGNATURE OF PERMITTEE DATE
= RECPT.NO. PAID BY VALIDATION
~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy
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SET BACK ' FLOOR JOIST �
FTGS/FORMS/STEEL FHA REQMTS �-�
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------ ` �_ _._ _ ___..'_.___ __. �__ ___—j _____-- ---
ELECTRIC GROUND I UNDER FL�OR DUC� 4 _
__ ___.
GROUND PLUMBING � _ ___ _____ i UNDER FLOOR CC�I�!C�UIT__ i '
, __._.__.............----
SLAB GRADE i FIREPLACE FOUNDATION ; _ _
TEMP POWER I FIREPLACE BOND BEAM _ ___
WATER SERVICE __ �___ � MID HT. B�ND BEAM _ ______ ______
ROOF SHEAI'HING � � �_8 FT_SOND BEAM__ . �_ _____._!.
_ _.._..___ �.._ _ _.__.__ --___....
FRAMINGNENTILIATION FINRL BOND BEAM �
--- -----t---- ---------
ROOF COVER PRE-GRAQING i �
ROUGH HEATING BENCNING �
ROUGH ELECTRIC , RQUGH GRADING
- --------�---- -_.___ ---- ---_-- --- ----.__.
ROUGH PLUMBING ; FINiSF-I uRADINC
- - ----- � -- --......--- ---._..___--- ______._.._.._.
SHOWER�fU6 TEST ,_�_ POOL ELECTRIC_ _ _
EXT. LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL ;
-- ---
CEILIiVG IN�ULATION , OFF SITE IMPS.
- - ---._..___ _.._..._._.._ -_._. ._---------..___ _---
DF�YWALL NAIUNG j DEDICATiONS
SEWER � FINAL ENG. �
SEPTIC TAIVK LANDSCAPE/IRRIG.
SEEP PITIL.L. ON SITE IMPS.
GAS AIR TEST FINAC.ZONING
FINAI.CONST. FlRE DEPT. FINA� � �
FINAL HERTING HEALTN DEPT. FINAt
FINAL ELECTRIC � DEV. FEES PAID
FIiVAL PLUMBIfJG I ' ENERGY
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SEPTIC TAiV4C SIZE �
SEEP PIT/U SIZE -
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