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Home My WebLink About17635 (19) � �� C11Y OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES '''� 21825 E.Coplcy Drive '" (909)860-3195 Fax(909)661-3117 PRESS '�%�� BUILDING PERMITAPPLICATION FIRMLY � JOBSRE jI�9 / L��✓ T L�G�� APPLICATION n �NUMB R��6 3 S' �'� Q ADDRESS o OATE �� APN LOT�� TRACT � ISSUE Z� TYPE OCC DATE D CONST. GROUP p OWNE�Q'7�11 '��1.�ua1.D�'�2— ADDRESS —L •�TLC clL �f ZONIN SETBACKS z CITY �l��n�h ��_ ZIP�TEL. ��1 3�l b d FRONT RW O g APPUCANT�r.T2.•Yt '��.�Z��LTEL. REAR ❑ � SIDE/SIDESTREEf RW ❑ � CONTRACTOR 41 !.'YL 4�u t l,i� SIDE ❑ � CITY �SS 21P TEL PROPOSED USE '� � r o ARCH/ENG/ p � DESIGNER NO.DWEL � NO. NO. ADDRESS UNITS STORIES � BEDROOMS�_ � CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALLIATION a OWNER-BUILDER DECLARATION SF � EM O p I HEREBY AFFlRM UNDER PENAITY OF VEFWRY iMAi 1 MI EXEMPi FROM TME CONTMCiORS LI• GefBQe/CafpOR - W CENSEUWFONTHEFq10WINOREA50N�5EC.7o71.SBUSWE53AN0VROfE5510NSCODE:IINYCI7YOH (� U COUNTYWHICNREOU�RESAPERMITT000115TRUCT,ILLTER�PFiWE,DEAA0U5M.ORfiEPAIRANY3THUG W Patio/Dedc � 7URE,PRIOR TO ITS t35UANCE,AL50 REOUIRES THE A7PLIGWT FDR SUCH PERMIT i0 FILE ASIGNEO w � STATEAIEM THAt NE OR SME IS LICENSED VURSUANT TO THE VROVISIONS OF THE COMRACTORS L4 . .� CENSE LAW(CMAPTER 9(COMMENCINO WI7H SEGT�ON 7000)OF DIVISiON]OF THE BUSINE35 AND PHO� u' POOUSPB FESSqNS CODE�OR THA7 HE OH SHE IS EXEMPT TNEFEfROMANO TME BASiS FOR TME UlEGED E%E4P� � TION.ANYVIDlAT10NOF9ECTIIXJ7071.68VANYAPPLIGANTFORAPERMITSUB.IECTSTMEAV%.ICANTTO z Re-Rool F, A CML PEN�LTY OF NOT MORE TMAN FNE NUNDRED OOLURS�f5o0).�: � /D�ASONRJEROFTNEPROPERTY,OFMYEMPLOYEESVATNWAGESASTHEIRSOLECOMPENSATION, � COTR1BfC10I � WILL CO THE WORKl1ND T11E STRUGTURE IS NOT INTENDED OR OFFEHE�FOR S/ilE(SEQ 70u,BUSb J � NESS AND VROFESSIONS COOE TNE GONTRACTORS LICENSE lAN/OOES NOT APPIY TO AN OWNER OF � PROPER7Y NR1O BUILDS OR�MPROVES TNEREON.AND VMO�OES SUCH W'ORK HIMSELf ON XERSELFOR C� TMROIMHHISOqMEROWNEMPLOYEES,VROVIDEDTWRSUp11A1PRO�EAlEMSARENOTINTENDEDOR m � OFFEREDWRSILEIF,MDWEVERINEBULDiNQORMVROVEMENfI550lDWITM�NONEYEAROFCOMPIE• Z TION,TNE OWNER-BNLDER W7LL MAVE TME BURDEN OF PROVIN6 THA1 XE OR SHE DD NOT BUILD pR . = MPROVEfORTNEVURP06EOFSAIE). w OI,ASOMNEROF7HEPROVERTY,AME%CLUSIVELYCOMFUCTINOVATHLICENSEDCOHfMCTOR3 � TO CONSTRUCT THE VROIECT(SEG 70a�.BUSINESS 1WD PROGESSIONS COOE 7NE CONTIiACTORS LL V31U8Si011 ^ ADJ.AREA CENSE UW DOES NOTAPPLY M Ml OWNER OF A PROPERTY Vhq BUILOS Ofl IMPROVES THEREON,ANO � Nrt�OCONT�ttSFORSU0IPROJECTSMniHACONTiUCTOR(SyLICENSEDPURSUANTTO7HECONTRAG QUANTITY DESCRIPTION FEE � TORSUCENSELAWJ. � � ❑I AA1 EXEUPT UNDER SEC. B.i V.G.FOR iH15 REASON Q � � �� r � � " T v � �=" DAtE OWNER � Z yUJ �4 UCENSED CONTRACTORS OECLARATION W . 2 IHEREBVAFFIRMUNDERPENALT/OFPEM1RtlTWlTIAMLICENSEDUNDERPRONSIONSOFCHAPTER V. � Y(COMMENCWOWfiMSECTI0N70o0)OFDIYISIONJOFTHEBUSINESSANDFROFESSIONSCOOE,ANU Z �� AIYLICENSEISWFULIFOR EANOEfFECi. m 0 LICENSE CUSS LIC.N0. J V pATE CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION 4 � U � IXEREBYAFFIRMUNDERVENILiYOFPEfWRYONEOFiHEFOLIOVnN60EGLAMTIONS: � Z Q � _IHAVEANDWILtIMINTM1AtfRTIflCATEOFCONSEMTOSELF-INSUREGOpWORKERS' S � " � COMPENSATIaN,1l5PRW10EDBYSEC710NA000FTMEtA80RG00EFORTMEPERFONMANCE W OF TME WORK FOF WHICH TM�S PERMIT IS�53UED. .� G �INAVEANOVALLAIARITAINWORKENS'CqAPENSATIONINSVMNCE,ASREOVIRED81'SECTION �� 3700 0F iHE LABOR CO�E.FOR iHE PER W fWANCE OF THE WORK fOR WHICNTMS PERMIT 15 O ISSUED.MYWORKERSCOMP�S�TIONINSURANCECARRIERANDPOLICYMIMBERME: CONSTRUCTION j w�wEq PLAN HEVIEW Z vaicri+uueEa ELECTRIC �� Q � �nussecra+ru��r+oreem�ErEooFn+erEp.�rsronor��oou�nsK+rol«+�ss} PLUMBING Z ICENTIFYTHATNiNEGERFORAIANCEOFTHEWORNiORWHICHTMISPEflMITI5155I1ED,1 MECHAN�CAL C7 SMALLNOTEMPIOYANI'FERSON�NANYMPNNERSOASTOBECOMESUBIECTTOTNE � WORNERSCOMPENSATqNUWSOFCAL�FORNIhµ�AGREETNATIfISF10UlOBECOME INSPECT�ONFEE S SIIBJECiTOTMEMIORNERS'COMPENSATIONPROVISIONSOFSECTION77000FTNELA60R � � CODE,1 SHALL FOR7NY7iTH CG.�PLY WITH THOSE PROVIS�ONS. ISSUANCE � pAiE: APPLICANT. SMIP ��7� J ENERGY P/C WApNIN4 FNLURE TO SECURE WOHKERS COMCENSI.iION COVEMGE 45 UNUWFUL.AND SHALL BE � SU&7ECTANEMPLOYERTOCRIMINALPENiLLTIESANDCIViLFWESUPTOONEHUNDREDhfOUSAND ENERGYPERMIT DOI.UFiS(lIOO,Ooa),INADOI710NTOTHEC0.STOFCOAIPENSATION.DAA/AGESASiROVIDEDFOHW � �- � SECT�ON]TOlOfTNEUBONCO0E,P17EflE5T,ANDATfORNEPSFEES. RETENTIONFEE: �•,��- a CONSTRUCTION LENOING AGENCY PRE•ALT FEE: � � IHEREBVAFFIRMUNOERVENKTYOFPEfWRYTNATTMEREISACONSTRUCTIONLENDWOAGENCV Z iOR THE PERFORAIANCE OF TNE WOFK iOR WHiCH iHiS DENMiT IS ISSUED(SEG 7097,G¢G). lil � LEN�ER'S N�E � LEN�EHSAOOFE55 � ICERTIFYTHATIHAVEPEADiH15APPLICATIONANDSTATEiFUTiHEA80VENFORMA710NISCORRECi TOTAL FEES � IAGREETOCOLIPLYMATMALLCITYANOCOUNTVORDINANCESANOSTA7EUw5REUTINOTOBVRGINO �.�ry CONSTRUCTION.AND MEREBYAUi'VIORIZE REPRESENTATIVES OF THIS COUNTV 70 ENTfR UPON TNE �`y.O Z ABO �YENfI0NE0GROPER7YFORINSPECTIONFURV0.SES. COMMENTS '� � �/�i�s� �,LYL��..�� sZ_ _ m PERMtTTEE N (PRI n ) . Q ��j�C tn N 6iG u EN.9 E DAT � RECPT.NO. PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessar Copy.GOLDENROD—File Copy,GREEN—ApplicanCs Copy ...� , r r .. ' '�'1 . 'J..�.. . . . .. • . : . � , .. . , �.�n._Y � . '..i� ."t.-.'�"• ,. --•. �y.,� . ..-,. . ..r... •T:� . -. . ... ., .�.� � ��.�.� CITY OF �IA��OND BAR �NS�'EC s iON RECUf�D R��' �. '.':'��I�►�... ��' ` � � l ��-�+. +[��.�.��r� �,1��C�.1�k . �; �oy��. il►��-��.� ._ __ �...__._�.�. __ .,�__.__.��_.__�.:u._. .,_�_4.._. SET BACK FLOOR J015T ' _�L�� .� -. - FTGS!FORMS/STEEL . � ._ FHA REaMTS � ELECTRIC GROUND � UNDER FLOOR DUCT C,AOUND PLUMBING I UNDER FLOOR CU�IDUIT � I SLAB GRADE 1 FIREPLACE FOUNDATIOP� I ' TEMP POWER I i FIREPLACE BOND BEAM WATER SERVICE I MID HT.BOND BEAM ROOF SHEATHING � 8 FT. 60ND BEAM � FRAMINGNENTILIATION� - � � FINAL BOND BEAM ROOF COVER I \ PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC I - ROUGH GRADING ROUGH PLUMBING ' FINISH GRADING SHflWER/TUB TEST � P00�ELECTRIC EXT.LATH/SIDING �Z UZ _ � POOLFENCING WALL INSULATION ; POOL FINAL CEILING INSULATION ' OFF SITE IMPS. - DRYWALL NAIUNG � ' DEDICATIONS • SEWER � FINAL ENG. SEPTICTANK � _ _ LANDSCAPE/IRRIG. ' SEEP PIT/L.L. . - I ON SITE IMPS. GAS AIR TEST � I, FINAL ZONING FINAI.CONST. . ��Z _ ! F!RE DEPT.FINAL � FINAL HEATING � HEALTH DEPT. FINAL FINAL ELECTRIC ��I_�` DEV. FEES PAID FINAL PLUMBING � � � ENERGY I , . _. _ _. r ,,,.��.;o' _c�e�c� _: : + COMMENTS ' SEPTIC TANK SIZE SEEP PITIU SIZE I�y�_ ''�� . ,�i . ; , _ _ � � . _ _ � , �� ...�.i.........�........�.y�..:...Y.�.._..�.�.. .. • . . . . --„" .. . � � .