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Home My WebLink About14247� _ . - _�_ CITY OF DIAMOND BAR EXPIRED DEPARTMENT OF COMMLJNITY&DEVELOPMENT SERVICES W ai�o E.c�iey vri�e s�c�i90 MAY 0 9 1003 PRESS (909)860-3195 Faz(909)861-3117 ��'� BLTII.DING PERMIT APPLICATION • FIRMLY ¢ ADDRESS �"�� '`�"`'� 4/9'� �� APPLICATION; 2� Q� PERMIT L/1 P/C p DATE � NUMBER �d� 1i � ISSUE TYPE OCC APN LOT��TRA, CT DATE CONST. GROUP p OWNER L 6.."��`�� e.`^'�J l.l �'tl�.�.. �` ADDRESS �-8�q ►�o+'� V� '� �� ZONING SETBACKS Z CITY h� ZIP�,� TEL.t'�g ��-b�l�- FRONT qW ❑ g APPLICANT _ L. REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTOR /✓��'� 5)j�n (s SIDE ❑ c� ADDRE S [�3 � -��'�1 O CITY 6 ti ✓3 t Q�N ZIP Ql� TEL. .3 - 3�6 PROPOSED USE ��'S�A'I I O/� � rQ f �/` G /�'✓�/�GI v s � w ARCH/ENG/ � _ „�� G z DESIGNER NO.DWEL. NO. ~ s J NO. �k� ADDRESS UNITS STORIES BEDROOMS CITY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION Q OWNER-BUILDER DECLARATION � � SFR/ADD/REM p I HER�Y AFFlRM UNDER PENALTY OF PERR1Rv THAT I MI E%EMPT FROM 7NE CONTRACTORS LI- G8�9�Carport p . LiJ CENSE UW FORTHE FOLLOWUIO REASON(SEC.70.71.6 BUSPIESSAND PROFESSIONS CODE:ANV CI7V OR (n U ��W�{Iq1RC-0UIRE8APERMRTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANVSTRUG. w �Z TURE,PRqR TO IT$ISSUANCE,J�LSO REOUIRES THE MPLICANT FOR SUpi PERAl1T TO FILE A SI6NED w P01I0/D9C1( STATEAIOff 7HAT HE OR 9HE IS IICENSED PURSUANT TO THE PROVISIONS OF iHE CONTRACTOR$LI- � CENSE UW(CFIAPTER Y(COMMENCINO WITH 9ECTION 7000)OF DIVISION 3 OF THE BUSINESS M1D PRO� u' PooUSpe � FESSqNS CODE)OR THAT HE OR SHE IS IXEMPTTHEREFROM AND 7HE BASIS FOR 7HEALLEQED E%EAIP- (� TION.AM'VIOLATIONOFSECTION7031.68YANYAPPLIGNTFOHAPERA/ITSU&IECTSTHEMPLIGNTTO Z Re•Roat � A CML PENALTV OF NOT MORE TT1AN FNE HUNDRED OOILAHS(i600�.): , � ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPIOVEESWITHWAQE5A5hIEIRSOLECOMPENSATqN, � CO(flmBfCl81 . - � WRL DO THE WOiiK,M1D THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7aA,BUSI� J � NESS A!ID 7f10FESS10N3 CODE:THE CANTRACTORS LICENSE UW DOES NOT APPLY TO AN OWNER OF j PROPERTY W110 BUp_pS OR IMPROVES THEREON,AND VAiO DOES SUCH WORK HIMSELF OR HERSELF OR ' � � THRODUH HIS OR HER OWN EMPLOVEES,PROVIDEO TFIAT SUCFI WPROVEMENTS ARE NOT WTENDED OR m Q OFFERmFORSALEIF,H�DWEVER,7HEBUlDWCiORIMPROVEMINTI550LDWITMNONEYEAROFCOMRE- Z 'TION,iHE OWNERAUILDER N7LL HAVE THE BURDEN OF PROVINO T1AT NE OH SHE DID NOT BUILD OR � WPROVE FOH 7HE PURPOSE OF SALE� . ❑I,AS OMMER OFTHE PROPERTY,MI EXCLUSNELV COHTMC7ING WITH LICENSED CON7RAC70RS Q TO COHSTRULT THE PROJECT(SEC.70H,BUSINESS AND PROFESSIONS CODE:THE CONTRACTOHS LI- 8tlp� 0 /�J.AREA W C@ISE UW DOES NOTMPLV TOAN OWNER OF A PHOPERTY WHO BUILDS OR IMPROVES THEREON,AND � � WFIOCOHTMCTSFORSUq1PRQIECTSWITIACOHTRACTOR(S)LICENSEDPURSUMITTOTHECOMMG qUANTITY DESCRIPTION FEE 7UR,4 UCENSE UWJ. � O I AM O(EMPT UNDER SEC. B.8 P.C.FOR THIS R Q �S � � 3 � � _ _ � v o�� V^ o � U Z r w F UCENSED CONTRACTORS ECLARATION w � 1 HEREBYAFFIRN UNDER PENALTV Of PERIURV h1AT I AM LICENSED UNDER PROVISIONS OF CHAFTER � � � � Y(COMMENCINCi WR}I SECTION 7000)OF DMSION]OF THE BUSINESS AND PROFESSIDNS CODE,AND Z X. MY LICENSE IS ItJ M.L FORCE AND EFFEC7. �m � � u��«�,� �— `l� ��.No. 6Z�'o f 7 � � 9 ~ DATE�o�Lo�'�'I '�j coNrancToa �/1/T'Neo� S�S� a Tr � I WORKEFiS'COMPENSATION DECLARATION Q u r J�� - QA � I HEREBY AFFIRAI UNDER PENALTV OF PE0.IURY ONE OF THE fOLLOWIN6 DECIARATqNS: Z '+1'fY, • � _I HAVE AND WILL AINNTAIH A CERTIFICATE OF C�ONSENT TO SELHNSURE FOR WORKERS' _ COMPEN9ATION,AS PROVIOED BY SECTION 370a OF THE LABOR CODE.FOR THE PERFORMANCE U O OF 7NE WORK FOR WHldl iH15 PERMR IS ISSUED. � _I MAVE AND WILL MARRAW WORKERS'COMPENSA710N INSURANCE.AS REOUIRED 8V SECTION l� Q 37ao OF hIE L�BOR COOE,FOR THE PERFOfUAANCE OF hIE WORK FOR WHICH 7HI5 PERMIT IS ISSUED.MV VMJRKERS'COMPENSAT�ON IN9UwWJc E CAARIER AND POLICY NUMBEP AAE: CONSTRUCTION jc�wwER �'Q�e �`'��^^ _ _ PLANREVIEW � \ � POLICYNUTABER �S 7S�Q,r— ELECTRIC Q C7 0 (iwesEcinrrriFIDno7eEao�.�a�ErIDOFn�ae�r.�rswqor�M.w��oala�Riro�oq�ssl PLUMBING Z t CERTIFY THAT IN iHE PERFORMANCE Of THE WORK FOR WHIC}i THIS PEPMIT IS ISSUED.I MECHANICAL (� SHALLNOT EMP�OY/WY PERSON IN M1Y MANNER SOAS TO BECAME SU&IECTTO THE /' (/� WORI(ERSCOMPENSATqNUW50FCALIFORNIh�N�AOREE7MA71FI5F10ULDBECOAIE INSPECTIONFEE O V � SU&IECT TO THE M/ORKERS'COMPENSATION PROVISIONS OF S TION�70o OF THE LABOR S cooe,i stuu roAnnvirn coMa�r wi TH0.5E PROVisip � ISSUANCE � SMIP S� p DATE: �� APPLICANT. �— ! w ENERGY P/C � WARNINO:FNLURE TO SECURE WOf1KER5'COMPENSATION COVE� OE IS UNLAWFUL,AN�SHALL BE LL SUBJECTMIEMPLOYERTOCRIMINALPENALTIESANDCMLFMESUPTOONEHUNDREDTTIOUSAND ENERGYPERMIT DOLLAFtS(f100.000),IN/�DDITION TO THE COST OF COMPENSATION,DAMAOES AS PFOVIDED FOR IN � SECTqN 3708 OF THE UBOR COOE,INTEREST,AND ATTOFNEV'S FEES. RETENTION FEE: - �. OCONSTRUCTION LENDING AGENCY PR FE � I HEREBV AFFIRM UNDER PENALTV OF PE0.JURV THAT THERE IS A CONSTRUCTION LENDINO AOENCY Z FOR THE PERFORMANCE OF THE WORK FOF WHIC}i THIS PERMIT IS ISSUED(SEC.7071,CIV.C.�. W � LENDERS NAME ' � LENDER'SADDRESS � TOTAL FEES � � I CERTIFV THAT I HAVE READ THIS APPLICATION M1D STATE THAT THE ABOVE INFORMATION IS CORRECT. � w 1 AOREE TO COMPLY WITH ALL CRV AND CIXINTV ORDINMICES AND STATE UWS REUTWO TO BUILDIN6 � CONSTRUCTqN,AND HEREBV AUTHORRE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE ' � ABOVE�MENTIONED PROPERTV FOR INSPECTION PUqPOSES. COMMENTS � 0 J � � m PERMIT7EE NAME(PRINT) � Q � r � SKiNATUREOFPERMITfEE DATE RECPT.N � pA1D BV � VALIDAT � WHITE—Oepartment Copy,YELLOW—Finence Copy,PINK—Aasessor Copy,GOLDENFO�File Copy,GREEN—ApplicanYs Copy ��.:��L�� CITY �� 0�6lfl�f�� (rt B6�9S�EcC'V'84�f� ��fR� ..-a � t3 U `��j�;, ��I_ �� li ' : � . _ �,e�y�-� .. .. , . n, �� ' 0 '�, .•. p u�n�'�U"l5� ,: '- '�' �� .� ��' or� �rl',�I�A.P:J ' p ' �` � � ' . �IYL.Kl`��W � � SET BACK ' ` ' FLOOR JOIST i . ,� � _ , ., � FTGSJFORMS/STEEL - FHA REQMTS � ELECTRIC GROUND UNDER FLOQR DUCT ' GRC�UND PLUMBING � UNDER FLOOR CUl�iD IT��. � i�. � �, , ,� ;� '�—� � SLAB GRADE � FIREP4�1�;'F�kjUdA�"ION :� �;�; :,. ,.; � � -- TEMP POWER FIREPLACE BOND BEAM � WATER SERVICE - MIQ HT. BOND BEAM '= • ""��` . - ROO��SHEATHiN� '� . ' . � i �.-i :. �. !. 8 FT. BQND B,�AM, ;: ' •,'. �• .'` , =}' } , FRAMING/VENTIUATION,'; ' ' � `� ''' 't - �' FINAL BOND BEAM � � • � ROOF COVFR �� PRE-GRADING ROUGH HE,4TlNG • BENCHING ROUGH ELECTRIC � ROUGH GRADING FiC�UGH PI.UMBING '�• FINISH GRADING SHOWER�UB TEST - � • POOL ELECTRIC � EXT. LATH/SIDING POOL FENCING WALL INSULATION � POOL FINAL � CEILlI�lG IRSULATION OFF SITE IMPS. DRYWALI NA{LIlVG � DEDICATIONS � � SEV�IER F(NAL ENG. � � � SEPTIC TANK LANDSCAPE/IRRIG. � SEEP G►T/LL -, - , ��'. �,'` �N SITE IMPS. - �c.�;�.S A!R TEST FINAL Z�NING �lN�`-,i_t:,(�NST,. • _ FIRE QEPT. FINAL - �R�l:�.t NEATING HEALTH DEPT. FWAL'� �_, _ 1 "-��`•:�, ELECTRIC DEV. FEES PAID �--'_-- �- "�'.. PLUMBING ENERGY � _ � p� p �?o� _ t._ _._ - � � r . � , � � - , , ` CG��I�/iENTS _ - � , � , � � � ) . �- � F - _., � : �. �. � ' � , � . ;- � _,,;�� . SEPTIC TANK S1ZE SEEP PIT/U SIZE : ' �@ `� � � • �:� � p� :� �y � ,� . • +- 'xe Ag� .y g, �t �(.� .. . :�, .,t 9. .. . . UV .. � ... s ..+'t.� - ' . ;4 .#�.`�.a �, �.: .,x '.$ xr'- . . "' c` - � e ,x� ' � . C?J k � ,