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Home My WebLink About15954 _ ___�.,� CITY dF DIAMOND BAR f � � - I7EPARTMENT OF CQMMUNTTY&DEVELOPMENT SERVICES �' �. ,.; ai�aE.c��y�v�s,��a , `�� _ PRESS ��%A�`��w BUILDINGPERMITAPPLICATION "Estates" Plan 3AR FIRMLY � JOBSITE APPLICATION ,,, c„'`_,t `y L PERMIT �(�; �„ P/C � AQDRESS 75�I CY0StV1�W DATE � �} �-�1 NUMBER�.� tS �� APN �OT g"�� TRAGT 5�ZE7 ISSUE TYPE OCC D0.TE. CONST. GROUP � owNER Pulte Hornes Corp, p ADDRES5__1.$4_,Q1 Van Karman ZONING SEBACKS ++� ��y Irv�ne zi� 92612TE�. 949797�400 FRa�v�r aw ❑ � APP�ICANT ____ .� TEL. REAR f�7 SIDE/3IQE STREET RW (�1 � C4N7RACTC7Ft SIpE ❑ q� ADQRESS '"' PROP(JSEDUSE SFWER�.,ATERAL � �(�y 2IP TE�. � ARCHlENG/� %R,,r.�L_ rl�"'F'�4j '¢"Fl^+aI'�/E' , DESIGNER � !ll L NO.DWEL NO. NO. ADDfiESS NE7g STORIES BEDROOMS � CITY ZIP��-�fE � y DESCFiIPTIdN SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDEp DECLARATION SFRtADOtREM O � I NEREBY AFfIRM UNDER PENALiV OF PERri1flY THAT I AM EXEMPT FRqM THE CONTRACTORS U� Gdl849/Cdtp0lt t1I CNREUWFOR7HEFq.IUWiNGNEASON{SEC.Taa�v9U51NE55ANDPFCFES510NSCODE:ANYG7YOR {j} S,.) GOVNTYMAIIGMNEWIRES�PENMRTOc7DNSTqUCT,ALTEN,I1dPROVE,DEMOUSH,ORREPAIRANYSTRUG W P8�10/D6Ck ZTURE,PRIOH TO ITS ISSUANCE.AlSO REOUIRES THE APFLICANT FOfi SUCH PERMIT TO FILE A SiGNED � � 5TA7EMENT 7NAT HE 6R SF�IS tIt£NSE6 PUF$tlAN7 tQ THE PFi0Vi5ioplS OF 7iVE COt�iTRa+�T4Rs 4b (L poOUS fl CENSE 4AW(p1APTER 9(CAMMENCINO WITH SEC710N�dlo)oF DNISION 3 OF THf BUSINESS qND VRO- � P F£SSIONS CWE)�R THAT HE Oft SHE IS EXEMPT THEREFAOM AND THE BASIS FOR?ItEAILEGEO E%EMp- TpN_ANVYKN.ATiC)NOFSECTKNi�83Y.58YANYAGPIiGAN7F6flAPERMIT5U8JEC7STHEAFPLICANTTO Z R@-ROO� � AdVIi.PENAL7V OF NOT MORE THAN FNE HUNDFE��OLUIflS(5500�.)�. � OI.ASOWNEROFTNEPROPERTY,ORMYEMPlOYEESW1ThtWACaE5A5it4EiR50lEWMPEN$ATqN. � �pmmgrC�Bl � YALLOb THE WORK,ANO"�'FiE STRUCTURE i5 NOi INTENDED OR OFFEfiEO FOR SAlE(SEC.7�44,BUSI� J � NE55 AND PROFE$SIONS CODE:TME(:ONTflACTOHS LICENSE LAW DQES NO7 APP4�TO AN ON/NER Of � —i� PR�ERTI`WNOBUKDS C1R&APROYES 7NEflEON.At�}NMO DOE5 SUCN WOftK HIFdSE�F OR HERSEtF OA ..., � 7NROlYGM HI5 0R MEF OWN EMPLOVEES,7{i4VIDEp THAT SUqi IMPR4VEMENTS ARE NOT INTENbED OR m � OFFEflEDFORSPLE.If,HpWEYERIHE8U11DWGORIMPROVEMENT1550LDWITHINONEYEAROFCX?MVLE� � 7qN,7NE OWNER�BUItDER WiI.L ttAVE THE BURdEN OF PROYMtG TNAT HE bR SNE OIO NOT BUItD Oti IMVW}VE FOR THE PURPOSE OF SALE). ❑I,ASOWNERQF THE PRpPERTY.AM EXCIVSNEIY CANTRACTMG WiTN llCENSED CqNTRACToq3 � ia cousTaucr TNE aaw�ct isEc.�au,e�s�uEss nroc�PAot�ssicr�s ceoe:rHe cowTw�cTorss u� Vatuaiion ADJ.AREA � CENSELAWWESNOTAPPLVTKIANONMEROFAPR'JPERTYWI'�09UIWSORIMP%4VESTHEREOIV.ANP �-� wNocoeaTrancTseonsucrevrjwscTswan+�coriT�ncroa{s�ucEtiseovuruuurrTorHEcaroTkac- p�ANTiTY OESCRIPTIOFt FEE � TORSUC[NSEUW.). � . Y-- J C7 IMf EXEMPT Ut�Efl 5£C. 8.d P.C.FOR THIS REASQN � � LL OATE _ OWNE(i_'.__ _ ,-.... V � W __. LICENSED CONTRACiORS 6ECLARATION w � IHEHE811fFiflM UNDER PENAI'fY 4F QEPJ�AY TN/*�T 1AM tlGENSEO VNQEA PPOYiStt�NS 4F GMAPTeR � � p(COMYAENQINO WiTM SEG710N 7000�pF OIViSiON J OF THE BUSINESS PJ'7D PHOFcS5fONi CODE,AND Z ?[ �IY LICENSE�S IN FULL FORC AND EFFECT. �^`j�j � �11� J/.�,/ //y y�%��d+�+`/'+^- � UCENSE CIASS �} LIC.NO._ � U DATE f�� v.� _...._ GtJNTRACTOR��ey�;r�L� `Z I llJ /� //"� � `"` � � WORKEfiS'COMPEFISATIC)NDECtARATi6N a � U � ItiEftEB AFFlRMUM�ERPENN,TY4�PEflJURY{N7EOFTNEF-0ltOWiNG�ECtAftATRXtS�. SJJ Z � ¢ ' IMAYEhNDWILtMA1NTAMACFRFIFICATE4'rCONSENT7QSEl.F-WSUREFOfiYK7RKERS' _ CdAPEN^>ATqN.A�PNOViDF:D OV SECTION 3�0o OF i}iE LABOR CODE.TOR TME PERFGRMANCE W f TME WQiiK FON WMICH THIS PERMIT IS ISSUEp, � C3 _. W I HAVE M1b WILL MAINTAIN WORKER$'CAMPENSArION INSUPANCF,AS REU{��pED 6V SECTION '�Q 37CQ DF THE LAHOP�C1E.FbR THE PERFClPMANCE OF 7HE WORK FpR WMCHTNlS PE(iM{T IS ��..1 t55UE0.MY WORN,EAu^'C6IAPENSAT�6N INCURANCE CARPoEH AND PpLtCY Nt1M8ER ARE: �ONSTFSUC.T�ON _, ,,,_ -_..,_�..__.._... .. y c,wtuEfl---._.. -- -- PtANftEVlEW _...._ .—._ � POLICV NUMBEF_ ��__ ELEL�TRIC _ _ ..._..... --�—�?� � (fH4SSECfIC:MdNECflraTBE�MftETEDOFTHEPEPo.MiISFOfioNEwxJORmoa.uaS(i�co)4a�E55b PLUMBING � _._ r`u ��V W I CERTIGY 7HAT IN THE PEFF6iiMRNCE OF TNE NORK FOR WHICH TIifS PEi1MR i5 ISSUECI.1 �EI`+HA1`��{.'A� .� .�_,__ . � - � SHAlL NOT EM?l0�'ANY PEFs"ON IN ANV MANNER SO A$TO BECAME SUBJECT Tp THE �NSPECTlON FEE {�j WQRKfRB'CL�MPEP75AT�ONtAW50FGKtWRNiA,ANDAGREEfHA71F�5HWlD8ECQME �--��-��----� SU&7ECTT07MF.WOHKERS'GOMPENSATM7N PFOJIS!(NJS OF SECT N 37000f THE R _— ��v� = GODE,ISHAIL�bNTHWITHCOMPLYWITH�T�f`E(ra7�ov.,i,ssaNs. ISSUANCE �._. a �ATE��-��- APPLICANT: _,��„""'_�'___�•� SMIP �_ C] � ENERGY AtC J WARNIN(i:FMLURETOSECUREWORKERS'COMPENSATIONGOVERAGEISUNLAWFUL.ANUSHALLHE - �� ` � � SU&IECTANEM%.OYEFTdGRIMINAI.PENPLTIESANOCIVILFINESUPTOONEMUNOflED7HWSAND ENERGYPERMIT _^_,. _.. COli.ARS{FtVO.voU).�t AD6tTFIX�i TO T4iE CQST OF COMPENSATfOPk,6AAIAGES AS PflOVipEO fOR IN ' -� J SECTION37080FTHElABORCODE,IN7ERE5T,ANDATTORNEV'SFEE3. RETENTIONFEE: `.._ ._.... -- Q W CONSTRUG710N LEND�NG AGENCY PflE-ALT FEE: � —. O � INER£BYAFf1ftFAtklDEftPENALTYDFPEFUURYTFiATTH£REISACONSSRUCitON�ENDit�A6ENGY _ , „ FOR THE PF.Pf-0RMANCE OF'HE WONK FOR WHICH THIS F IS IS 11E�(SEC. OB7.CIV,C.). � LENbEN'SNAME ��•`�..�.--.--.�� .�— .. � .. F_ IENDEft'SAD6RES5� _—.. _......_ . — y� �� / �n S"°� � t C[FiTiFY THAT i NAYE REAQ THIS tPPItCRTK#i ANO STATE TtiAT THE ABOYE INFOflMATiON i5^,.t3RREC f. TIlTA�F E ES L��jt �� `1 � I AGflEE TO COMP4.1'W1TM RLL CITV AND CIXINTY OPOINANGES pN0 STA7 E LAWS FELATIN4 TO 6UILDMG � CON5TRUCTION,AND HEHEBY AUTHOH1IE NEPFES"cN7ATIVES OF THIS COUNTY TO ENTER UPON THE � ABCrYE�MENSiO�."EO PROPERTY FOR INS CTIIN�7 PVRPQSES. COMMENTS_....._... d �� Kn � PEftMITTE NAME(�RI ! ^� �-' (n f .e(/"�� . . �} SIGNA F rERwn'e �� oa7E �,��„_.__pAIU BY J_� J�-�VALIDAT{ON�'` � RECPT.NO. WNITE-Department Copy,YELLOIN-Fina�e Copy.P�NK-Rssessor Copy,GOLDENR4Q-Fiie Copy,GftEEN-Applicant's Cppy ��.a� � �� ...�� f`�."-u-�- L��a�>��,w� P"� .au..a c�,a ��a��:� �a�a�� s"��:�.x��,}�� r� � � : ��^r�� ' k�� .� �� 4 � pa� �. �� m� . � � � � F �� ,� � ",�� ,` �,�,�^�:�� _ � ��, f�. , _ _ __ . . : �.; �. , �_ , _ _ � -- --� � __, : - F�= _s . _ . � � — —_. . _ , , � � r � � y - -- _ -_ _ � . _ � _ r:-�o ,� ,.r. - � _ _ _ ,_ , ��r � � e _ � � � ,.��. .��,��=_ � L- � ,�1 COfF� VMD�RsWD__.dk-- � _ . _ _�,,'��'f PAF_C�SE Gd�'1LiNS_P►�%_APXRrri� BY P�!.�� :rt�� n;;��rC�j _. _ _ _ _ _ . _ _ __ _. ___ _ _ _ _ _ _ _ _ _- �, ,: � . �,� � �.� a�� _ _ _ ' � � �` � �r�a�,��n "��`°��,�` � �� .�, � z^ *x�: rt �"`� a ,� .��"��Aa�"�� _ _ _ __ _ _ _ �� a��,�� — _ _ ,_ _ _ _ _ _ _ ��.�� -�L hfl�'�h ��,�.,,� ,�..M�'" �, '"=,w�R ,'- �✓ '� ��c >�. A e�ro� � �� . ..... . . .. ` �� s��:e`A�a�y�m,-�y� i �=fi ._.,. .... ..._ ._ _. ... ... _... .. .. ... .. ..... �� ,� � � ��i.= ��.;,p;�� m � � t� .. . ... ... ... � � ��» l , � ;�s�*-.��d� �-�. __... . _ . . . . ... . _.. . ._ .... . Y�'Fis" �t,.�a�g's ��:`a3�� s��^� _.._ . i ; 2 �' .. .. _. . ..... . . . .. . u_ ;��:cr.�+s` �'S��+ �^��a#'�-�'�..r ' __ -_. __ . ._ .._ _. ... ...... _ . .. ...... . �� i� ��N '�. . �,�".�� s�.��as� w� � ��. .:,�1 w, . :'.� ,��,.�vv�.�_s,i . �-.� _�___ _ CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 BUILDING PERMIT APPLICATION "Estates"Plan PRESS FIRMLY JOBSITE APPLICATION PERMIT P/C ADDRESS 751 CrestView DATE I .1 1 NUMBER # APN LOT 9-00 TRACT 52267 ISSUE TYPE OCC OWNER Pulte Homes Corp. DATE CONST.GROUP ADDRESS 1$401 Von Karman ZONING SETBACKS CITY Irvine ZIP 92612TEL. 9497974400 FRONT RW L APPLICANT TEL. REAR^ SIDE/SIDE STREET RW CONTRACTOR ^ SIDE ADDRESS CITY ZIP TEL. PROPOSED USE SEWER AT R A I ARCH/ENG/ DESIGNER//'� %L- �5 ADDRESS N0. DWEL. N0. N0. CITY ZIP�E NITS STORIES BEDROOMS OWNER DESCRIPTION SQ. FT. FACTOR PSF ADJ.AREA/VALUATION BUILDER SFR/ADD/RAM DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FOR THE FOLLOWING REASON (SEC.7031.5 BUSINESS AND PROFESSIONS CODE:ANY CITY OR (n Garage/Carport COUNTY WHICH R EQUIRES A PERMIT TO CONSTRUCT,ALTER,IMPROVE,DEMOLISH,OR REPAIR ANY STRUC- W P T LU i / at URE, PRIOR TO ITS ISSUANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED LL o STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTOR Deck I S LI- CENSE LAW(CHAPTER 9(COMMENCING WITH SECTION 7000 L! OF ) DIVISION 3 OF THE BUSINESS AND PRO- 0 PooVSpa FESSIONS CODE)OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THEALLEGED EXEMP- TION.ANY VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO Z Re-Roof ACIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS($500).): D I,AS OWNER OF THE PROPERTY,OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, 0 Commercial WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC. 7044. BUSI- NESS AND PROF ESSIONS 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 INTENDED OR co OFFERED FOR SALE. IF,HOWEVER THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION.THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). D I.AS OWNER OF THE PROPERTY.AM EXCLUSIVELY CONTRACTlNG WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT(SEC. 7044, BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- Valuation ADJ.AREA CENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON,AND WHO CONTRACTS FOR SUCH PROJECTS WITH ACONTRACTOR(S)LICENSED PURSUANT TO THE CONTRAC- QUANTITY DESCRIPTION FEE TORS LICENSE LAW.). D I AM EXEMPT UNDER SEC. B.A P.C. FOR THIS REASON Q J DATE H OWNER U LU LICENSED CONTRACTORS DECLARATION -J W I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 COMMENC � ING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z MY LICENSE IS IN FULL FORC AND EFFECT . co LICENSE CLASS LIC N0. DATE CONTRACTOR a WORKERS a COMPENSATION DECLARATION U IHEREB AFFIRM UNDER PENALTY OF PERJURY ONE.'TIE FOLLOWING DECLARATIONS . Z I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' 2 COMPENSATION,Ar 0 ,P ROVtDPD BY SECTION 3700 OF THE LABOR CODE. FOR THE PERFORMANCE F THE WORK FOR WHICH THIS PERMIT IS ISSUED. L1J I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BY SECTION 3700 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, CONSTRUCTION CARRIER PLAN REVIEW POLICY NUMBER- ELECTRIC (THIS SECTION NEED NOT BE COMPLETED OF THE PERMIT IS FOR ONE HDHDREDDCLIARS($100)OR LESS) PLUMBING ii7 I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT is ISSUED,I MECHANICAL .... SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE SUBJECT TO'rHE WORKERS'COMPENSATION PROVISIONS OF SECT N 3700 OF TH R CODE,I SHALL ORTHWITH COMPLY WITH T E PRO ISSUANCE VI SIONS A IS CATAPPLICANT: �. SMIP WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL.AND SHALL BEf ENERGY P/C SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ENERGY PERMIT DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES. RETENTION FEE: CONSTRUCTION LENDING AGENCY PRE-ALT FEE: I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS ACONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS P MY [IS IS UED(SEC 097 CIV C ,). / ) *IR/ LENDER'S NAME" / LENDER'S ADDRESS I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. TOTAL FEES 1 AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILD ING CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INS ACTION PURPOSES. COMMENTS PERMITTE NAME(PRI ) SIGNAPREM F PERMITTE DATE- RECPT, N0. PAID BY VALIDATION WHITE-Department Copy,YELLOW-Finance Copy, PINK-Assessor Copy,GOLDENROD-File Copy,GREEN-Applicant's Copy ,0),GGgoi t a ?3WB 91, .,-i V(P111-CISE G41%P_-APPR D BY Pt4I Yti„-r ck)S i?"C