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Home My WebLink About16577 ------�� — CTTY OF DIAMOND BAR DEPARTIvIENT OF COMMLINITY&DEVELOPMENT SERVICES 21825 E.Copley Drive (909)860-3195 F�(909)861-3117 • PRE$$ "'%9��' BUILDING PEY2A�dIT APPLICATION • F MLY o� JOBSITE APPLICATION � I o PERMIT 1I r, P/C ADDRESS DATE NUMBER rw �1 # � ISSUE `.-(�'� TYPE OCC APN�_ LO TR�A-C�T,�� a DATE V CONST. GROUP p OWNER f"If=S� E'I(' ��—L�j p ADDRESS ZONING SETBACKS z CITY ZIP TEL. FRONT Ryy p o APPLICANT TEL. REAR p zd SIDE/SIDE STREET RW ❑ � CONTRACT V� 0� � Yri �S � SIDE � ADDR SS � CITY ZII�,171 TEL. PROPOSED USE oARCWENG/ l.� l� / �z DESIGNER NO.DWEL. NO. NO. a ADDRESS = CITY ZIP TEL. UNITS STORIES BEDROOMS � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM I O � p I HEREBV AFFIRM UNDER PEN/�LTV OF PERNRV THAT I AM D(EMPT FROM THE CONTRACTORS LI� G8f9(JB/COfPOR W CENSEUWFORTHEFOLLOWINOREASON(SEC.7031.5BUSINESSMIOPROFESSIONSCODE:ANVCITVOR (n U COUNTVWHICHilEWIHESAPERMITTOCONSTRUCT,ALTERIMPROVE,DEMOUSH,ORREPAIRWfYSTAUC- W PatiWDeck w TURE,PRIOR TO ITS ISSUANCE,ALSO REOUIRES hiE MPUCANT FOR SUCH PERMIT TO FILE A SI6NED w � STA7EMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� � CENSE UW(CHAPTER e(COMMENCINO WITH SECTION 7000)OF DIVISION�OF THE BUSINESS AND PRO� � PooUSpa � FESSIONSCOOE)ORTHATHEORSHEISE%EMPTTHEREFROMANDTHEBASISFORTHEAILEOEDE%EMP- (� V TION.ANY VqLATION OF SECTION 7031.6 BV ANY APFLICANT FOR A PERMIT SUBJECTS THE APPUCANT TO Z Re-Roof A CML PENALTY OF NOT MORE THAN FNE HUNDRED DOlLARS(f500).): � ❑I.ASONMEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, � COrt1R19fCi8I � Z WILL DO 7HE WORK,AND THE STRUC7URE IS NO7 INTENDED OR OFFERED FOR SALE(SEC.7a4,BUSI� J � � NESS/WD PROFESSIONS COOE:THE CONTRACTORS LICENSE UW DOES NOT APPLV TO AN OWNER OF � PROPERTV NRiO BUILDS OR IMPROVES THEREON,AND WHO OOES SUCH WORK HIMSELF OR HERSELF OR 2 THROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUpi IMPROVEMEMS ARE NOT INTENDED OR m � OFFEREDFORSALEIF,MOWEVERTNEBUILDINQORIMPROVEMENTISSOLDWITHINONEVEAROFCOMFLE- Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVIN(i THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). ' �,y� ❑I,ASOWNEROFTHEPROPERTY.AAIEXCLUSNELVCANTRACTINOWITHLICENSEDCONTRACTOFlS � TO CANSTRUCT TFiE PRQIECT(SEC.70M,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI� VBllle(IOf1 ADJ.AREA W CENSE LAW DOES NOTAPPLV TOlJJ OWNER OF A PROPERTV WHO BUILDS OR IMPROVES THEREON,AND � NRIOCANTRACTSFORSUCHFR0.IECTSWITHACONTRACTOq(S)LICENSEDPURSUANTTOTHECANTRAG QUANTITY DESCRIPTION FEE Y TOfLS LICENSE UW.). � ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON � I � U � � DA7E OWNER ¢ �. 1 � LICENSED CONTRACTORS DECLARATION w �G 1 � I HEREBV AFFIFM UNDER PENALTY OF PERIURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � B(COMMENCINO WITH SECTION 7000)OF DNISION 3 OF THE BUSINESS AND PROFESSIONS CADE,AND Z �� MV IICENSE IS IN FULL FORCE EFFEC7. m � LICENSE C SS v LIC.NO. _ � � / � U DATE � � — CONTRACTOR d �� W �Yt " � WORKERS'COMPENSATION DECLARATION Q -� N U � I HEREBV AFFIRM UNDER PENALTV OF 7ERIURV ONE OF THE FOLLOWINO DECLAPATIONS: Z � _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CANSENT TO SELF�INSURE FOR WORKERS' _ '� Q COMPENSATION,ASPROVIDEDBYSECTION37o00FTHElABORCODE,FORTHEPERFORMANCE U A � OF TME WORK FOR WHICH THIS PERMIT IS ISSUED. w 0 � Qw _I HAVE AND WILL M/UNTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTKKJ r �„, _ _�/ y"� _ / 370o OF hiE LABOR CODE,FOR THE PERFORMANCE OF THE WORN FOR WHICH 7HI5 PERMIT IS 1 ��li"'"" 1�✓"� � ISSUED.MY WORKER�S'C'qOM�PE!NSATqN If�IyJ�R.ANIC,lE CARRIER AND POLICY NUMBER ME CONSTRUCTION � CARRIER S li'k"1�.=. . .�lA1V� PLANREVIEW � �Z POIICY NUMBER -'��(7 ELECTRIC Q � (IVCSSECTIONNE�NOTBEOOMiLEfmOFTFEPEMttISFOqONEM1�DF7EDD0UAHS(f10oIORLESSy PLUMBING � ) � W � Z I CERTIFV 7HAT IN THE PERFORMANCE OF THE RK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL G�J SHALL NOT EMPLOV ANV PERSON IN ANY MANNER AS TO BECAME SU&IECT TO THE (/� WORKERS'COMPENSATION UWS OF CPLIFORNIA, D AGREE THAT IF 1 SHOULD BECAME INSPECTION FEE = SU&IECT TO THE WORKERS'COMGENSATION PROVIS S OF SECTION-700 OF THE LABOR � CODE. HALL FORTHWITH COMPLV WITH TFIOSE PRO I ISSUANCE 1 � p DA7E�1 qPpLICANT: SMIP W J WAANING:FAILURE TO SECURE WORKERS'COMPENSATIO E IS UNLAWFUI,AND SHALL BE ENERGY P/C J � SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FINES UP TOONE HUNDRED THOUSMID ENEFGY PERMIT DOLLARS(SI00.000),IN ADDI770N TO 7HE COST OF CAMPENSATION,DAMA6E5 AS PROVIDED FOR IN J SECTION 3700 OF THE LABOR CADE,INTEREST,AND ATTORNEV'S FEES. OC RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFIqM UNDER PENALTV OF PERIUFV THAT THERE IS A CONSTRUCTION LENDING AGENCV FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.CJ. Z W � LENDER'S NAME � LENDER'SADDRE55 J� w ICERTIFVTHATIHAVEREADTHISAPPLICATqNAtJDSTATETMATTHEA80VEINFORMATIONISCORRECT. TOTAL FEES (�,/U � I AGREE TO CAMPLV WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS REUTINO TO BUILDING � CONST UCTION,AND HEREBV AUTHORIZE REPRESENTA7NES OF THIS COUNTV TO ENTER UPON THE � Z ABOVE� ENTIONED PROPERTV FOR INSPECT`ON PURPOSES. COMMENTS � �iwt (�4 cu _ ¢ PERMITTEE NAME INn � !� '� � + ! � SIONATUREOFPERMITT DATE _ ' RECPT.NO. PA1D BY VALIDATION ~ WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy �I�B'�f �� (��1�1P��6l9�D I��(F$ D�I�I�f��iTB��9 [��DIt�� 0� v a DGJ r51� 0� r a ' �� DGJ`u�- O[��G�G3 SET BACK � ; � FLOOR JOIST - � FTGS/FORMS/STEEL �-{,-�j � ' . : FNA REOMTS ELECTRIC GROUND ' UNDER FLOOR DUCT GROUND PLUMBING �-b-n�_, UNDER FLOOR CU�IDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM � WATER SERVICE MID HT. BOND BEAM - ROOF SHEATHING 8 FT. SOND BEAM FRAMING/VENTILIATION FINAL BOND 8EAM ROOF COVER PRE-GRADING ROUGH FiEATItVG BENCFi1NG R�UGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. IATH/SIDING POOL FENCING WALL If�SULATION POOL FIRAL CEILIPJG li�lSULATION QFF SITE iMPS. DRYWALL NAIUNG aEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRfG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST � FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FlNAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUM81(VG ENERGY ' C�G�O� o �o _ _. _ _ _ . . ._ -- - . . . � co�iME�lTs 6-�� cU�:�,.c-s w F►G� . �� c,GT l�a.��Ls�i� �f �..:ru,�� G��;h1 r� �s�;r3�, - - - SEPTIC TANK SIZE SEEP PIT/U SIZE � � � � � o , < � ' i`��J