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Home My WebLink About17459 . . =�i C1TY OF DIAMOND BAR �� ---��--- DEPARTIvIENT OF COMMUNITY&DEVELOPMENT SERVICES ��w �� 21825 E.Copley Drive - (909)860-3195 Fax(909)861=3117 • ' /�"': PRESS ��%��" BLTILDING PERMIT APPLICATION '�'�' FIRMLY � JOBSITE � � t APPLICATION PERMIT I� � P/C I y1 ' o ADDRESS �I9Sf�j�'c�i�8l�N�/Ic,_� /i�,'� DATE I+�I•L7j NUMBER # — I � APN S7'/I•��'L I lo TRACT GY.`�CO ISSUE /9^ �Y� i TYPE OCC DATE / �� 1 CONST. GROUP p OWNER cv o ADDRESS r C � '' ZONING SETBACKS RW ❑ z CITY f �.ZIP �XloLfa TEL. � _b � FRONT ❑ o APPLI ANT �v , � TEL. `K � ' REAR � r• � SIDE/SIDE STREET RW ❑ � CONTRACTOR =G• � ' '—.� . SIDE ❑ ADDRESS 7 / / � CITY/1'Lb.�.�� ZIP gle!!n TEL.�26�.�5�-�td PROPOSED USE �tt�� lbBt�'j' �f'i� l�i�•/p1vN'�.i I��S�de� w ARCH/ENG/ ./ e�.�.��+b.�� c,�c�r al,pn...�{. z DESIGNER��T7� �Yr�l�'I1@� w NO.DWEL. NO. NO. a, ADDRESS 2 �Vet+/f7�i� Lt.i-�.k 2�G � CITY ,CvinL ZIP UNITS STORIES BEDROOMS �_ TEL. 4'14.gS b�r.�Z$ v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBV AFFIRM UNDER PENALTY OF PE0.NRV THAT I AM E%EMPT FFOM THE CONTRACTORS LI� G0f096/C9fPOR W CENSEUWFORTHEFOLLOWINOREASON(SEC.7031.6BUSINESSANDPROFESSIONSCODE:ANYCITVOR (n U COUNTVWHIqIREQUIRESAPERMITTOCANSTRUCT,ALTER,IMPROVE.DEMOLISH,OHREPAIRANYSTRUC- w 7URE,PRIOR TO RS ISSUANCE,PLSO REOUIRES THE APPUCANT FOR SUCH PERMIT TO FILE A SIQNED w Patio/Deck � � STATEMENT TFIAT HE OR SHE IS IJCENSED PURSUANT TO 7HE PROVISIONS OF THE CONTRACTORS ll- � � CENSE lAW(CHAPTER e(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO� POOUSPe � FESSIONSCODE)ORTNATHEORSHEISE%EMPTTHEREFROMANDTHEBASISFORTHEALLEOEDE%EMP� (3 TION.ANY VqLAT10N OF SECTION 7031.5 BV ANV APPLICANT FOR A PERMIT SU&1ECTS THE APPLICANT TO Z Re-Raof A CML PENALTY OF NOT MORE THMI FNE HUNDRED DOLLARS(f500).): 0 �I,ASONRJEROF7HEPROPER7Y,ORMVEMPLOVEESWITH:WAGESASTHEIRSOLECAMPENSATION, 0 COfi1R18fClel - Z WILL DO THE WORK�ND THE STRUCTUFE IS NO71N7ENDED Ofl OFFEFED FOR SALE.(SEC.7ou,BUSI� J � NESS AND PROFESSIONS CODE:THE CANTRACTOF75 LICENSE LAW DOES NOT APPLV YO AN OWNER OF � PROPERTY WHO BUILDS OR IMPROVES THEfiEON,AND WHO DOES SUCN WORK HIMSELF OR HERSELF OR Q THROUGH HIS OR HER OH?J EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT IN7ENDED OR m Q OFFEREDFORSKEIF,HOWEVERTMEBUILDINDOfiIMPROVEMENTI550LDWRMINONEYEAROFCOMPLE- Z TqN,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVINO THAT ME OR SHE DID NOT BUILD OR � UAPROVE FOR THE PURP0.5E OF SALE). w ❑I,ASOWNEROFiHEPROPERTV.AMEXp.USIVELVCANTRACTINOWITHLICENSEDCONTRACTORS Q TO CONSTRUCT THE PROJECT(SEC.70N,BUSINE55 AND PROFESSIONS CODE:THE CONTRACTORS LI� VBIUe�lOf1 L}Q�� ADJ.AREA W CENSELAWDOESNOTMPLVTOANONRJEROFAPROPERNWHOBUILDSORIMPROVESTHEREON,AND � N?10CANTRACTSFORSUCHPRQIECTSWITHACONTRACTOR�S)LICENSEDPURSUANTTOTHECONTRAG QUANTITY DESCRIPTION FEE Y TORS LICENSE LAWJ. � ❑I AM E%EMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q I �'J� � Z � DATE OWNER H � �v��1 ��S �� ' �� w / "R–..� �,t�c.7�T � � � . LICENSED CONTRACTORS DECLARATION W - � I HEREBY AFFIRM UNDER PEN/�LTV OF PERIURV THAT I AM LICENSED UNDER PROVISIONS Of CHAPTER/ � d B(COMAIENCINO WITH SECTION 7000)OF OIVISION 3 0F THE BUSINESS AND PROFESSIONS C0 E, Z X MY LICENSE IS IN FUL�FORCE AND EFFECT. { m �� - LLI 2 � � LICENSE CLASS LIC.NO. � ' U DATE � CONTRACT R-' a W � WORKERS'COMPENSATION D CLARATION Q � ' U N I HEREBV AFFIRM UNDER PENALTV OF PERJURV ONE OF THE FOLLOWIN(3 DECLARATIONS: Z � _IHAVEMIDWILLAIAINTAINACERTIFICATEOFCANSENTTOSELF-INSUREFORWORKERS' _ Q COMPENSATION,AS PROVIDED BV SECTION 370a OF THE LABOR CODE,FOP THE PERFORMANCE U Q ` �F THE WORN FOF WHICH THIS PERMIT IS ISSUED. � � QW �' I HAVE AND WILL MPJNTAIN WORKERS'CAMPENSATION INSURANCE,AS REIXIIRED BV SECTION w � 37o00F THE LABOR CODE,FOR THE PERFORMANCE OF THE WOflK FOR WHICH 7HI5 PER/AIT IS '/ / l ISSUED.MY WORKERS'COMPENSATION INSURANCE C�iRIER AND POLICV NU BER ARE: CONSTRUCTION � �•�V J j cu�AiER � PLAN REVIEW Z POLICYNUMBER 0 ELECTRIC Q � (iHI55ECiXXJNE�NOTBEODMPLEfmOFTEPERMTISfi�RONEMApF7EppqlqRS(f100IORLESS} PLUMBING W Z I CERTIFV THAT W THE PERFORMANCE OF THE WOR1C FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL �"'�- _ � SHALL NOT EMPLOV ANV PERSON IN ANV MANNER 50 AS TO BECAME S TO THE � j'' ''^�� (/� WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGRE THAT SHO D BECAME INSPECTION FEE �� /��\ �I �� l l � SU&IECT TO THE M/ORKERS'CAMPENSATION PROVISIONS E ON 37 OF TNE LABOR I =� CADE,IS ALLFOR HWITHCOMPLVWITHTFIOSEPROVIS S. ISSUANCE (�q O r � '7 ll l �• SC� p DATE: /APPLIC SMIP w ENERGY P/C I ' J WARNINO:FAILURETOSEWFEWORKERS'COMPENSAT COVERAGEISUNLAWFUL,ANDSHALLBE ' J SU&IECTANEMPLOVERTOCRIMINAIPENALTIESANDCI �FINESUPTOONEHUNDREDTHOl15AND �T � � DOLL�A3�f100,000),INADDITIONTOTHECOSTOFCOMPENSATqN,DAMAGESASPROVIDEDFORIN ENERGYPERMIT I�Y � J SECTION 37oe OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. ��"�—.--._ OC RETENTION FEE: - �� . OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � I HEREBV AFFIH/A UNDER PENALTV OF PERIURV THAT THERE IS A CONSTRUCTION LENDING AGENCY F-0R THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.30Y7,CIV.CJ. Z W � LENDER'S NAME F— LENDERSADDRESS /� w ICERTIFYTHATIHAVEREADTHISAPPUCATIONANDSTATETMAThIEABOVEINFORMATqNISCORRECT. TOTAL FEES '�,r�7 �� ` /_� �J� � I AGflEE TO COMPLY WITH ALL CfTY AND COUNTV ORDINANCES AND STATE LAWS RELATINO TO BUILDING `C V J(/ � CONSTRUCTION,AND HEREBV AU7/10RIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE Z ABOVE-MENTIONED PROPERTV FOR INSPECTqN P.URPOSES. COMMENTS � � � w.�vb. � m PERMfTTEE NAME(PRINT) � � � V �L � • �� 51 ATU E DATE 1` �� RECPT.NO. PAID BY V VALIDATION . WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy .� (C��f'� �(� B��l�1�filQ�l�� 1�1�10� o��-o��a �r�� 0 ° ��C�u—� 1�Ga r� L�� ° ��. DG� 0�� u� � � � S�BA��: ' FLOOR JOIST FTGS/FORMS/STEEL V � FHA REC�MTS � ELECTRIC GROUND ! ` UNDER FLOOR DUCT GR�UND PLUMBING UNDER FLOOR CUhIDUIT • SLAB GRADE FIREPLACE FOUNDATIQN ' ' TEMP POWER _ FIREPLACE BUND BEAM • . WATER SERVICE MID HT. BONQ BEAM ROOF SHEATHING ' 8 FT. BdND BEAM FRAMINGNENT(LIATIORt � � _ FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUNIBING FINISH GRADING SNOWERITUB TEST POOL ELEGTRIC EXT. LATH/SIDING PO�L FENCING WALL INSULATIC7iV POOL FINAL CEILIt�lG INSUI.ATION OFF SiTE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TA(VK LANDSCAPE/IRRIG. �, SEEP PIT/L.L. ON SITE iMPS. GAS AIR T�S7 FINAL ZONlNG FINAL CONST. , FIRE DEPT. FINA� FINAL HEATING ' HEALTH DEPT. FINAL FINAL ELECTRIC I �� Q �� ---,T DEV. FEES PAID FINAL PLUMBING � � ENERGY -- - --�------ ---- _.-�.__�_�_.�,��__.___ _ _�__.��._.._—.._ _ o � ,� �.��a,. —�— _ CiQ��Ts �k 'Ta �1cJ.A-� �Q- P1.�.1.1�L(f� �� U�{j ' ' , SEPTIC TANK SIZE SEEP PIT/U SIZE — --- � � . . [� � { � __1�` CTTY OF DIAMOND BAR - DEPARTMENT OF CONIIvIUNITY 8c DEVELOPMENT SERVICES 21g25 E.Cop�ey Driv� EXPBR�D (909)860-3195 Fax(909)861-3117 PRESS '""'. BUILDINGP APPLICATION . , FIRMLY � JOBSITE APPLICATION PERMIT (� Y� P/C � '' ¢ ADDRES�� .�� I/ - +-►�•. ..�� p DATE I NUMBER # � APN LO TRACT ISSUE r.��.� �PE OCC DATE CONST. GROUP p OWNE� p ADDR S O ZONING SETBACKS Z CITY ZIP9 TEL. `-IOdQ R�RT RW O g APPLICANT TEL. SIDE/SIDE STREEf RW ❑ � CONTRACTOR % SIDE ❑ ADDRE S ' � CITY TEL. PROPOSED USE w ARCH/ENG/ � � .- � z DESIGNER w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STOAIES BEDROOMS � cn DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLAHATION SFR/ADD/REM O p I HEREBV AFFlRM UNDER PENALTV OF PEfiIURV THAT I AM E%EMPT FHOM THE CONTRAC70R5 U� Q8f9f�8/C8fP0lI W CEHSEUWFORTHEFOILOWWORFA50N(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANVCI7YOR (n U COUNTYWHKx{qEpUIRESAPERMRTOCONS7RlK7,ALTER,IMPROVE,DEMOIJSH,ORREPNPANY57RUC� W palb/DBCk I � 7URE,PRIOR TO 1T9 159UANCE.ALSO REOUIRES 7HE MPLICANT f-0R SUpi PERMR 70 FlLE A SIONED W � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO 7HE PROVISIONS OF THE CONTRACTORS LI� � � CENSE UW(CHAPTER Y(COMMENCINO WI7H SEC710N 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- POOYSpe � FESSIONS CODE)OR TiAT HE OR SHE IS E%EMP77HEREFROM AND 7HE BA515 FOR hiE ALLEOED EXEMP� C7 . TION.ANVVIOLATIONOFSECTION7031.6BYANVMPIICMlTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof A CIVIL PENAL7Y OFlpT MORE THAN FIVE HUNDRED OOLLAHS(i600).): � ❑I,hSOWNEROFTHEPROPER7V,ORMYEMPLOVEESMATMWAOESASTHEIRSOLECOMPENSATION, � COmm6fCI81 � Z WILL DO 7HE WOPoL AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70N,BUSI- � � NESSMID PROFES310NS CODE:THE CONTRAC70R3 LICENSE UW DOES NOTAPPLV 70 Ml OWNER OF � �ROPEATV NTiO BUILOS OR IMPROVES THEREON,ANO NM1iO DOES SUqI WORK HIMSELF OR HERSELF OR S wTHROUGH HIS OR HER OWN EMPLOVEES,VROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OF Q OFFEREDFORSALEIF,FpH�EVER7ME8lALDWOORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE- Z TION.THE OWNER�BUILDEA WILL HAVE TME BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR � tdPROVE FOR THE PURPOSE OF SAL�. � _ O 4�OMMER OF THE PROPEHfV,AM IXQUSIVELV CONTMCT W O WRH LICENSED CONTRACTORS TO CONSTRUCT THE PRQIECT(SEC.7011,BUSINE59 NJD PROFESSIONS CODE THE CONTMCTORS U- VHIUHIIOfI fl�,J.pREA W CENSEUWDOESNOTAPPLYTOMIOWNEROFAPROPERTYWFqBU0.D50RIMPROVESTHEREON,AND � WHOCONTMCTSFORSUCHPRO.IECTSNAhIACONTRACTOR(5)LICENSEDPURSUANT70THECONT{UG QUANTITY DESCRIPTION Y TORS LICENSE LAW.). �E ' � O I AM D(EMPT UNDER SEC. B.6 P.C.FOR THIS REASON Q � � U � � DATE OWNER H � � �¢ UCENSED CONTRACTORS DECLARATION , w 2 I HEREBY AFFlRM UNOEP PENALTY OF PE0.IURY THAT I MI LICENSED UNDER PROVISIONS OF CHAPTER � � Y(COMMENCINO WfTH SECTqN 7000)OF DMSION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z X. MY LICENSE t5 PI FULL FORCE M!D EFFECT. m LLI � LICENSE CLASS LIC.NO. � j V DATE cONTRAc70R d W � . ORKERS'COMPENSATION DECLARATION � � � I HEREBV AFFIRM UNDER PENALTV OF PERRIRY ONE OF 7HE FOLLOW WO DECIARAT 5: Z � _IHAVEANDWILLMAINTAINACEqTIFICATEOFCONSENTTOSELFaNSUREFORWORKERS' a � PENSATION,AS PROVIDED BV SECTION 37a0 OF THE LABOR CODE,FOR THE PERFORAIANCE U Q 1HE WORK FOH N7ilpi 7HI3 PERMI7 IS ISSUED. � � 1 HAVE AND WILL MAINTAIN WOPo(ERS COMPENSATION INSURANCE,AS REWIRED BV SECTION O Q OF 7HE LABOR CODE,FOR hIE PERFORMANCE OF hIE WOR!(FOR WHICH 7HI5 PERMR IS ISSUED.MY WORKER$'COAIPENSATION INSU�MNCE/c�a RI Y NUMBEH AAE: CONSTRUCTION � CARRIER yT// J PIAN REVIEW �Z POLICV NUAIBER�,�✓y� � _ ELECTRIC � Q p (fHssEcflONNEIDHo78E0t7APLE7IDOFnfpEFi�IrsFOqoPElM�fiE7DpOliARSKtao�oaLESS�, PLUMBING Z I CER7IFV THAT W THE PERFORMANCE OF THE WOFiK FOR MMICH TMIS PERMI715 ISSl1ED,I MECHANICAL C.�J SWLLL NOT EMPLOY ANY PERSON IN ANV MANNER SO AS TQ B COME SU&IECT TO THE (n WORKERS'COMPEN TION UWS OF CAIIFORNIA,AtJD AQH�E�TMAT IF I SHOULO BECOME INSPECTION FEE S SU&IECT OTHE ERS'COMPENSA VISIO 60 SECTq J7000F ��!� E i n�coMP�r win� se i"s. ISSUANCE w O p DATE: PLICANP. �SMIP . � ♦ W � WARNINO: ARURE 70 SECURE wORKERS'COMPENSA N COVERAOE IS UI L.AND SMALL BE ENERGY P/C � LL SUBJECTANEMPLOVERTOCRIMWA�PEIULTIESANDC LFINESUPTOONE NEDTHOUSAND ENERGVPERMIT OOLURS(f100.000�,W ADDITION 70 hiE COST OF COMPENSATpN,DAMAOES ROVIDED f-0R IN J SECTIDN 37oe OF TME LABOR CODE,INTEREST,AND ATfORNEV'S FEE3. � `c` OC RETENTION FEE: " � v v OCONSTRUCTION LENDING AGENCY � PRE-ALT FEE: � I HEREBV AFFlRAI UNOER PENALTV OF PERNRY TMAT THERE IS A CONSTRUCTION LENDINO AOENCV FOR THE PERFORMANCE OF THE WORN FOR WHICH h115 PERMIT IS ISSUED(SEC.�OW,CIV.CJ. Z W � LENDEH'S NAME H LENDER' HESS /'� � ICERT THA HAVEREADTHISMPIJCATIONANDSTATEhUThIEA80VEINFORMATqNISCORAECT. TOTAL FEES � —1 �� I AO T PLV WITH AL�CITY AND COUNTV ORDWNICES AND STATE UWS REUTINO TO BUaDINO � � � CONS T ,AND HEREBY AUTHORIZE REPRESENTATNES OF THIS COUNTY TO ENTER UPON hiE � Z ABO ROPERTV FOR INSPECTION PURP0.S S. COMMENT " � J ' � � m PERMI E � ¢ /� � � SIONA O E DATE � � RECPT.NO. PND BY VALIDATION WHITE-0epartment py,YELLOW--Finence Copy,PINK—Assessa Copy,GOLDENROD--File Copy,GREEN—AppllcanCs Copy 1 I �. fn�i � . � . _ ��f �I� �B�6�d�� ff� -. . . G��'s�'[��YO�� fF8[��C�� . u o Dp`� � . °� o � �� j o ' D�L�C�U� "�=�-� SET BACK - - FLOOR JOIST FTGS/FORMS/STEEL ' � FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CO�IDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE � r � MID HT. B�ND BEAM ROOF SHEATHING �4 8 FT. BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING , ROUGH ELECTRIC ROUGH GRADING ROUGH PLUfV1BING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION PO�L FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAfLING DEDICATIONS SEWER FINAL ENG. SEPTlC TANK LANDSCAPE/IRRlG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINA�PLUMBING ENERGY ��o. COf1�NiEfVTS SEPTIC TANK SIZE SEEP PIT/U SIZE � � ,[ � �� - .