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Home My WebLink About11707 �� ` CITY OF DIAMOND BAR I DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ., G(� ' w 21660 E.Copley Drive Suite 190 �U� t�>sbo-si9s F�t9o9�e6i-3ii� •�� PRESS �s�'� BUII.DING PERMTI'APPLICATION FIRMLY y JOBSITE ,��/ /� APPLICATION (�� (� Q� U PERMIT � P/C � 4 AODRESS � l_.�Q��/� �� J � ` ` ' �+ O� p —/---E--, � DATE NUMBER p� � ISSUE TYPE OCC APN L�T TRACT DATE � L�fo I��_CONST. GROUP p OWNER ' � � ADDRESS ' � ZONING SETBACKS Z CITY��Q� ZIP�� TE = p3 FRONT RW Q g APPl.ICANT TEL. , REAR ❑ � — 3 SIDFJSIDESTREET RW ❑ � CONTRACTO G SIDE � ADDRESS � CITY ZI� TE <�pR�Ie�� PAOPOSED USE C�" G o ARCH/ENG! � � � � DESIGNER NO.DWEL. NO. NO. ADDRESS � UNITS STORIES BEDROOMS � CITY��t�`/—C�,ZI I�7 7E . ' .i iv� cn DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-6UILDER DECLARATION SFR/ADD/REM O 1 HEREBY AFFlRM UNDER PENAUY OF PERJURV THAT I AM EXEMPT FROM TNE CANTRACTORS LI- G5feJ0/C01POfI W CENSEUWFORTHEFOLUJWWGNEASON(SEC.7031.5BUSINESSANOPHOFESSIONSCADE:ANYCIiYOfi (f� U COUNTYMMICHREOUIRESAPERMRTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,OPREPAIRANYSTRUC- z NRE,PRIOR TO ITS ISSWINCE.ALSO REW IRES THE MPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck w STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF iME CONTRACTORS ll- W � CENSE LAW(CHAPTER G(IXJMMENCINO WITH SECTION 7W0)OF OIVISION 3 OF THE BUSINE55 AN�PRO- � Pool/Spa fE3SIONSCODE)OqTHATNEORSHEISE%EMP7T-IEflEFROA1qNDTNEBA515FORTHEALIEGEDE%EMP- (� TION.MIYVql.AT10HOFSECT10N703t.58vANVAP7LICANTFORAPERMITSU&IECTSTHEPPPLICANTTO Z Re-Roof � ACINL VFNALiY OF NOT NIORE THAN FIVE HUNDNED DOLLARS(f500).): � ❑I.ASOWNEHOFTHEPHOPEF7Y,ORMYEMPLOYEESWIiHWAGESA57HE1R50LECAMPENSATION, � CORIffIBfCi81 WILL DO THE WONK,AND TME STRUCTURE IS NOT INTENDED OR OFFEHED FOR SPLE(SEC.�040,BU51� J � NESS AND PiqFESS10N5 CODE:THE CONTRACTORS LICENSE UW DOES NOT APPLY TO MI OWNER OF � PRDI+ENTY WF10 BUILDS OR IMPROVES THEREJN,MIO VMOOOES SUCH WORK MIMSELF OR HERSELF Ofl � TMROUGH HIS OR NER ONTI EMPLOYEES,PROVIDED TH�T SUCM IMPROVEMENTS ARE NOT INTENDED OR m QOFFEREDFORSAlE1F,HOWEYEATMEBUILDMGORIMPROVEMENTIS50lDWITMINONEVFAROFCOMPIE� Z TqN,THE OWt�R-BUILD{iR WILL H�VE iHE BURDEN OF PROVING TMAT HE OR SHE DID NOT BUILD OR � IMPROVE PoH 1HE PURK�SE OF SALE). O 1,AS ONMEfi OFTHE PROFEHTY,AA1 EXCLUSIVELYCONTRACTING WITH LlCENSED CONTMC70A5 � TO CONSTRVCT THE PROJECT(9EC.7oH,BUSINE55 AND PROFESSIONS CODE THE CANTRACTORS U� Valuetl0fl ADJ.AREA W CENSEUWDOESN0T/1PPLVTOANOWNEROFAPROP&RT'Yh10BVILOSORIMPROVESTHER�ON,AND � WIIOCONTMCTSFORSUCHPRQIEGTSWITHACONTflACTOR(S)UCENSEOPU(iSV0.NTTOiHECONTRAG QUANTITY D SCRIPTION FEE � T01i5 LICENSE LAW.). O ❑1 AM EXEMPT UNOER SEC. B.a P.C.FOR THIS REASON Q 3 � � � OATE OWNER U � w q ''LICENSED CONTFACTORS DECLARATION W OC I HEREBY AFFIRM UNDER PENALTV OF PERIUNv THA71 AM LICENSED UNDER PftOVI5loN5 oF CHaP7Ep � � Y(COAIMENqNO WITM SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND PROFF,SSIONS CODE,AND Z �� MV LICENSE IS IN FULL FbpCE AND EFFECT, m � LDIA�SE C�� CON7RAC70R O�G��/�� a W � 1NORKERS'COMPENSATION DECLARATION a � I HEREBY AFFiR�I UNDEP�.VEN4LTV OF PE0.IURV ONE OFTHE FOLLOWING DEGUIRATIONS: Z � _IHAVEMlDWILIMAIN7AINACEflTIFICATEOFGbN5EN7TOSELF-!NS[1REFORWOq1(ERS' _ COMPENSATION.AS PROVIDEO BY SECTION 3�0o OF TNE LABOR CODE,FOR THE PERFORMANCE W O � /OF 7HE WORK FOR WHICH THIS PERMIT IS ISSUED. � w E I HAVE ANO WILL MAINTAIN WORKERS'COIAPENSATION INSURANCE,AS RE�UIRED BY SECTION Q �T 3�0o OF THE LAflOF WOE,FOFi iHE PERWRMANCE oF iNE WORX FOR WHICH THIS AEAMIT IS /� ,�� ISSUm.MV WOHKERS'COMVENSRTION INSURANCE CAARRIER�_POLICY NUM�RE�. CONSTRUCTION �-' j . CAaRIER.__��//�}LE' ��C"+�A/��' �/t✓S �"t1�1� PLANREVIEW � _�.__ n � POLICYNUMBEFl �'1'l �1 ��,��3.�f�� ELECTRIC � —o�J'"—T�3 � --- 0 (fHlSSECiqNNE�N0T0ECq.�LEfIDOFhE7ERMTISFORONEHUt�DREDDOLL4FlS($100)OFiLE55� PLUMBING w Z I CERTIFY THAT IN THE PERFORMANGE OF THE WOFK FOR WHICH THIS PERMIT IS ISSUED,I MECHANIGAL C�} SHALL NOT EMFLOV qNY PERSON IN ANY MANNER 50 AS TO BECAME SUBJECT TO THE (ry WORKERS'COAqPENSATKKJ UW$OF CALIFORNIA,AND AGREE THAT IF I SHOUL�OECOME INSPECTION FEE ? SU&IECTTOTHEWORNERS'COMPENSATIONPROVISIONSOFSECTION3]ooOFTMELAeOR ^ CODE.ISHALLI�ORTHwITHCOMPLYWI7NTHO5EPAOYISIONS. �SSUANCE ! �O'„/ � SMIP I .7�O p DATE: _ APPLICANT. _ _ J WARNING:FMLURETO iECURE WOFKERS'COMPENSATION GOVERq6E IS UNLAWFUL,AND SHALIBE ENERGY P/C LL SUBJECT4NEMPLDYER70CRIMINALPENALTIESAN�qVILFWESUPTOONEHUN�REDTHOUSAND ENERGYPERMIT DO�LARS(f1o0.000�.IN A�DITION TO THE COST OF CAMPENSATION,OAMRGES AS PROVIDED FpR IN � SECTION aloB OF THE IABOa CODE.MTEFEST.AND ATTOFiNE1^S FEES. RETENTION FEE: ^ OGONSTRUCTION LENDING AGENCY PHE-ALT FEE: _ � 1 HER��AFFIRM UND{li PENALTV OF PERJURV THAT THERE IS A GGNSTRUGTION LENDINO A4ENCV FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEG,3oe],CN.C.�. Z W � LENDERS NAME� F'- LENDER'3.1DDftESS � ICERTIFYTHATIHRVEREADTHISAPPUCATIONANDSTATETNATTMEnBOVEINFORM�TIONISCORRECL TOTAL FEES �3 y. �� w I AGREE TO CAMPLV WITH ALLCITV AND COUNTY ORDINANCES PN�STATE UWS RELATING TO BUILDING � ixNSTAUC710N.AND IiEREeYAU7FIDRIZE REPqE5EN7ATIYES OF THIS COUNTY TO ENTER UPON TME ZRBOVE-MEMIONED PFIOVERTY FOq INSPECTION PURPOSES. 0 � COMMENTS J __� C � ,�'�5"..S�G � m PEftM1TTEEN Nn Q / � �� SIONA PERI�+IF�EE—� DA�� _ � " RECPT.NO. �PAID BY � � '� � VALIDATION ~ WHITE—DepaAment Copy.YELLOW—Finance Copy,PINK--Assessor Copy,GOLOENROD--File Copy,GREEIJ— Applicant's Copy CITY OF DIl�iVIC)ND BAR �NSPEGTlC?N RECO�iD • , y s � • r � � � � � SEl"BACK ' '� ' � � FLOC}R JOIST � ' , �_______� _. _�_�__.._____ ____ _ i i t�S/F�F�N9S,S�� , � �HA REQMTS t __.�__,_.. � �_�.__ ___. _ _.______ .�._ _� _ _________ ___ , _ � , - ------- -�-- �Lc�'TRIt�,C':��t�U''JC? 1 ( � ��' � UR3laER FLt1t3Ft�L�UCT � �_ ! --_ _� ___ - ti �� _ . . __� .,_ --� - - - � � _�_ . . -� _ ' �_.__ _ . . t��+�'J�'E�? �`" �,�dvtt��Vt� ! 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"_ . _. _.. ��•,d q�c.t.��`v��a�t��. � i 4.�'a! � 3�'� � �..�.�_._....� -- � �. ..�.. ,_.._ ._.. .. _._ -.-.-.� �. _ _�. .-a a—__ . _ . ....�...__ __...._. �.__..�._��.. �� ' � .,7-- _� 7 ,`,, 5 _ i /Cc. ��.._._ , �.__ - ;��---.-,..________. �a__ _ _ � _ _� �_�....� ��: __n _ �__ � � � - ._ .__� a�___---�___ __., ._ � �_.__�__� _�_ .__. .�_ __ ____ _ _._�..__— � { ��'��"�� ___�.�_.�a___.___�___�.___�_____� �___� �� b�._— ----_�_..______�_--_______ ._._______ .�__ _ _ _m __ ___—.. _ _._. _____.� _ __.____._ _— _e_ , �__._.. ��..___ �� __ __� . � . �_�._ _.._� __.._ ___ _ ..___ _ ____ _____ . _____ _��____ _____.___. _____________�_ __________._�_ _._ � _ -� s � . _ ...� . e __.__� �.�_ ,__ ._____ -- ---______________�__________.- --- - — - ; �_._ _ ...�_� ,._. __ . —.__ a � __�_.__ _ __._ �.�.__.�_,__._.�_____,.�.____._ _ ___.__��..��__ �._.� - � �__v — —__. . . __ _. ___._ _ __, �..___ m_ � .�_��_�._ __.__ __ ___ � __ �____.� _�_ �.��____ _ �.__.� _ — ; �_.__ # r—__ .__ � _ __._ �__ _ _ . _. _ _� — __ ____ ___ ..- _a a ( _��___ __ . � — _ �. __.. � �"�Cx ,��v'6�:�(� t= _—_ _ _ �� ,��r'� �e�� _____..._� ____�__� ___._.._.._�___ __ __ _w____._ �_� , __ __.______ , �,�� , ,��p , ��+"r__..'______� _�_.__�.. ��._ _�.�_�.. __.______ --- ---._____ � ___.__ __�______ ��____ ._�____.�_ —_ _ _.__________v_-- . . __' € i __ ___�_ _ . __ . ___� �__ _.�____ � _ _____�______.v�_� �_.... _.___ . __._ . _--� � , . , � . � , _ , , CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E. Copley Drive Suite 190/ .t' 909 860 195 F 09 861 3 7 � ) -3 ax(9 ) 11 BUILDING PERMIT APPLICATION PRESS FIRMLY JOBSITE ADDRESS C-s 4' APN LOT TRACT OWNER Y,A-040414 ADDRESS CITY ZIP 9/'TI/TE-G14 APPLICANT TEL.-,3 CONTRACTO C ADDRESS CITY ZIPQg TE ARCH/ENG/ DESIGNER ADDRESS CITY 4 4 f Lt7 4s ZI 9f7 TE E Mu OWNER-BUILDER DECLARATION 1 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 COUNTY WHICH REQUIRES A PERMTTTOCONSTRUCT,ALTER IMPROVE, DEMOLISH,OR REPAIR ANY STRUC- TURE. PRIOR TO ITS ISSUANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE LAW(CHAPTER 0(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONS CODE)OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION.ANY VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS($500).): ^ I.AS OWNER OF THE PROPERTY,OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION. WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC. 7044,BUSI- NESS AND PROFESSIONS(ODE: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 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). 0 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- 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- TORS LICENSE LAW.). ^ 1 AM EXEMPT UNDER SEC. B.&P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER Y(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND MY LICENSE IS IN FULL FORCE AND EFFECT. SE C �� DATE CONTRACTOR WORKERS'COMPENSATION DECLARATION I HEREBY AFFIRM UNDEP, PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' COMPENSATION AS PROVIDED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BY SECTION 3700 OF THE LAEIOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS OF THE LAEIOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMA RE: A 1 Z- 14 CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE COMPLETED OF THE PERMIT IS FOR ONE HUNDRED DOLLARS($100)OR LESS) I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I 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 SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR CODE,I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. DATE: -APPLICANT: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 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. CONSTRUCTlON LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC. 3087,CIV.C.). LENDER'S NAME LENDERS ADDRESS I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. PERMITTEE 0 SiGNATUSE-OF PER E DATE APPLICATION PERMIT /C. UMBER 0 7 # DATE N ISSUE TYPE OCC FST DATE CONST.GROUP ZONING SETBACKS FRONT RW^ REAR^ SIDE/SIDE STREET RW^ SIDE^ PROPOSED USE 4 N0. DWEL. N0. N0. UNITS STORIES BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ.AREANALUATION SFR/ADD/REM U) Garage/Carport W Patio/Deck LL Pool/Spa Z Re-Roof 0 Commercial 5 m Valuation ADJ.AREA QUANTITY D SCRIPTION FEE U IY U W J W CD Z a U Z 2 W CONSTRUCTlON to 0 PLAN REVIEW 021 's, ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMIP . ENERGY P/C ENERGY PERMIT RETENTION FEE: PRE-ALT FEE: TOTAL FEES 131 ?i,> COMMENTS RECPT. N0. d 7 PAID BY VALIDATION WHITE-Department Copy,YELLOW-Finance Copy, PINK-Assessor Copy,GOLDENROD-File Copy,GREEN-Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD ys�s� � r� � it ',� � „ � FLOOR JOIST r r� FHA REQMTS r I UNDER FLC3'OR DUCT ' I'NDER FLOCIR GC}�(�UIT FIREPLAGE FOU{UDATfON --- � FIREPLACE BONES REAM - - rt tvIID HT. BOND REAf�i � �� F�, ��n,�- R�A�n - . �FINAL�30ND REAM PRE-CRAE.�ING – —–y--�.. f E3ENCHING L i�i f r��C,� '!�, -- � . .t. – �---- 7 M - z � � - �C�RIC ----- FCC FENCING w 3-- �� ; NAL ----j '_,J ^'C�r 1M4'S. ��I �SONS � .--- . m - –• – •--•---- -- — — — � ,,,, V..a. ...�....� ...v m - .. .. ... .�..,—�•– — –._ ....._.._.��........ �. . , ._.�-.,...._. � . . . �u... . .. .. .. – • – --•�• • – – – --- – .. .,,_re_��. � .. ........ � - � ��,-� ..�.. .... ...� .�. ..,._.._..-...,.._ 1 – – – —