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Home My WebLink About17344 (26) � �> _�� _ CITY OF DIAMOND BAR DEPARTMENT OF COIvIIvIUNITY&DEVELOPMENT SERVICES c�/ 21825 E.Copley Drive C/�P�R E� (909)860-3195 Fax(909)861-3117 PRESS � �"�9�^� BUILDING PERMIT APPLICATION � FIRMLY � JOBSITE � y.� � APPLICATION PERMIT P/C o ADDRESS�,]_J� �.� �� ,...,� C�� DATE ��/G � NUMBER �734�- # � � ISSUE TYPE OCC APN LO� TRACT DATE ��" I" a� CONST. GROUP p OWNER � � � p ADDRESS � ZONING SETBACKS z CITY ZIP TEL. �C� �a7 FRONT qyy p � APPLICANT � " �, REAR � �� . SIDE/SIDE STREET RW ❑ CONTRACTOR SIDE p o ADDRESS ,� , PROPOSED USE o CITY ZIP TEL. �Of St�S w ARCH/EN - z DESIGNER w NO.DWEL. O. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES � BEDROOMS cn N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREFWALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBV AFFIRM UNDER PENALTV OF PERJURV i}IAT I AM E%EMPT FROM THE CONTRACTORS LI- G8f8CJ0/CBfPOfi W CENSE UW FOR THE FOLLOWMG REASON(SEC.70.31.6 BUSW ESSAND PROFESSIONS CODE:ANY CITV OR (n V COUNTVNM1i1CHRE0UIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANVSTRUC� W Patio/Deck Z TURE,PflIOR TO ITS ISSUANCE.ALSO RC-0UIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIONED w w STATEMENT TiAT HE OR SHE IS LICENSED PURSUANi TO THE PROVISIONS OF THE CONTRACTORS LI� � CENSE LAW(CHAPTER B(COMMENCINO WITH SECTION 7000)OF�NISION 3 OF THE BUSINESS AND PRO� � PooUSpa �� FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTMEBASISFORTHEALLEOEDE%EMP- (� TION.ANY VIOLATION OF SECTION 7031.5 BV ANV�PPLICANT FOR A PERMIT SU&IECTS TFIE APPUCANT TO Z Re-Roof Q� A CIVIL PENALTV OF NOT MORE THAN FIVE HUNDRED DOLLAqS(f500)J: � ❑I,ASONRJEROFTHEPROPERTV,OFMVEMPLOVEESWITH.WAGESASTHEIRSOLECOMPENSATION, � COrtIfilBfC18I Z WILL 00 THE WORK,AND THE STRUCNRE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70N,BU51� J l � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNEfi OF � VROPEHTV Nhq BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORN HIMSELF OR HERSELF OR wTMROUGH HIS OR HER OWN EMPLOVEES.PROVIDED TFUT SUCN IMPROVEMENTS AqE NOT INTENDED OH m . � OFFEREDFORSALEIF,HOWEVERTMEWILDINGORIMPROVEMENTISSOLDWITHINONEYEqAOFCOMPLE- Z TION.THE OWNER�BUILDER WII.L HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR . � UAPROVE FOR THE PURPOSE OF SALE). w ❑I,ASOWNEHOFTHEPROPERTV,AMEXCLUSIVELVCANTRACTINGWITHUCENSEDCONTRACTORS � Q TO CONSTRUCT THE PROJECT(SEC.70N,BUSINE55 AND PROFESSIONS CODE:THE CANTRACTORS LI� V81U8}lOf1 ' ADJ.AREA W CENSE LAW DOES NOTAPPLV TOAN OWNER OF A PROPEflTV WFIO BUILDS OR IMPROVES THEHEON,AND � WFIOCANTRACTSFORSUCNPRQIECTSWITHACONiRACTOR(S)LICENSEDPURSUMITT07HECONTRAG QUANTITY DESCRIPTION Y TORS lJCENSE LAW.). FEE � ❑I AM E7(EMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � U LL DATE OWNER F- Z U � � LICENSED CONTRACTORS DECLARATION w � I HEREBY AFFIRM UNDER PENALTV OF PERIURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � e(COMMENCINO WITH SECTqN 7000)OF DMSION 7 OF THE BUSINESS AND PROFESSIONS CODE.AND Z �� AIY LICENSE IS IN FULL FORCE AND EFFECT. m ✓ j0 ( '7 � LICENSE CLASS � .J/ LIC.NO. � ✓ / � ` � wDATE �f��r CONTRACTOR a � WORKERS'COMPENSATION DECLARATIO � Q � U � 1 HEREBY AFFIRM UNDER PENALTV OF PERIURV ONE OF THE FOLLOWING DECUMTIONS: Z � _I f1AVE AND WILL A/AINTAIN A CERTIFICATE OF CONSENT TO SELF�INSURE FOR WORKERS' = i Q COMPENSATION,AS PROVIDED BV SECTION 370o OF 7HE LABOi7 CODE,FOR THE PERFOqMANCE U OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. W � � l w _I HAVE AND WILL MAIMAIN WORKERS'COMPENSATION INSUiLWCE,AS RE�UIRED BV SECTKKJ ( Q3700 OF 7HE LABOF CODE,FOR THE PERFORMANCE OF THE WORIC FOR WHICH THIS PERMIT IS �O(^� r��( ISSUED.MY WORKERS'COMPENSATION INSURANCE C ER AND POLICV NUMBER ARE: CONSTRUCTION -i J j CMRIER PLAN REVIEW � Z aoucrr�uMeEq ELECTRIC � ¢ � (rtussecfaNME�rq76EUJNPLErIDOFn�EpEpl,vrlSFOqoNEMJWREppp�uRS(tloo)pqLESS} PLUMBING W Z I CERTIFY THAT IN THE PERFOfiMM10E OF THE WOqK FOR WHICH THIS PERMIT IS ISSUEO,I MECHANICAL U' SHALL NOT EMPLOV ANV PERSON IN ANY MANNER 50 AS TO BECOME SU&IECT TO THE � (/J WORKERS'COMPENSATION LAWS OF CALIFORN10.�NO AQHEE THAT IF I SHOULD BECOME INSPECTION FEE � = SU&IECTTOiHEWORNERS'CAMPENSATIONPROVISIONSOFSECT N37000FTHELABOR CODE.I SHALL FORTHWITH COMPLV WITH TH SE PROVISIONS. ISSUANCE 0 p DATE:��l"G�aipPLICANT: SMIP Q W J WARNING FAILURE TO SECURE WORKERS'CAMPENSATION COVER E IS UNLAWFUL,AND SHALL BE ENERGY P/C J '�7� �� SU&IECTAN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES P TOONE HUNDRED THOUSAND ENERGY PERMI� � 1 I J J J DOLURS(f100,000),IN/�DDITION TO THE COST OF COMPENSATION,DAMAOES AS PROVIDED FOq IN �,, J SECTION 3]oe OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. ' � � -� OOC RETENTION FEE: 9 n q CONSTRUCTION LENDING AGENCY � PRE-ALT FEE: �v Q 1 �ll O I � 1 HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT THERE IS A CONSTRUCTION LENDIN�AGENCV FOR THE PERFORMANCE OFTHE WORK FOR WHICN THIS PERMIT IS ISSUED(SEC.30Y7,CIV.C.�, i Z W � LENDER'S NAME �� _ 1-- LENDER'SADDRESS w I CERTIFV THAT I HAVE READ 7HI5 APPLICATION AND STATE THAT TFIE ABOVE INFORMATqN IS CARRECT. TOTAL F E ES �L• v V � I AOREE TO COMPLV WITH ALL CITV AND COUNTY ORDINANCES AND STATE UWS RELATING TO BUILDING G � CONSTRUCTION,AND HEFEBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO EMER UPON THE Z ABOVE-MENTIONED PR07ERTV FOR INSPECTION PURPOSES. COMMENTS 0 J v c � � S 7-��Q s - m PERMITTEEN INT) ' � • /-/�G � SIONAT E F P I EE DATE � RECPT.NO. PAID BY VALIDATION WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLAENROD—File Copy,GREEN—Applicant's Copy (�G�t'�P �f� �G��Il�� [�I�� ls�1�L�1�(�`�9�6� ��t�� "�`.��I ° �� G`a� OG.`�G�G r� 3 , . .� �u Oa o � !i� ' �� SET BACK FLOOR JOIST I � ' ' F'f'GSlFORMS/STEEL , FHA REC�MTS ELECTRIC GROUND � I UNDER FLQOR DUCT �� ' � �__ -- —U— GROUND PLUMBING UNDER FLOOR CC��IDUIT . - SLAB GRADE FIREPLACE FOUNDATION TEIVIP POWER FIREPLAGE BQND BEAM � WATER SERVICE - Mlp HT. BOND BEAM ROOF SNEATHING ��rs b� ��s,^^ 8 FT. BOND BEAM — . FRAMINGNENTILIATtON 1 FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHItJG ROUCH ELECTRlC ROUGH GRADING � ROUGH PLUNIBING FINISH GRADING ^ SHOWER/TUB TEST � � POOL ELECTFiIC EXT. IATH/SIDING POO�FENCING WALL INSULATION • � POOL FINAL CEiLING {NSULATION QFF SITE IMPS. � ��YWALI.NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TAIVK LAh1D5CAPE/IRRIG. SEEP PIT/LL. � ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. �IRE DEPT. FINAL FIhJAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV FEES PAID FINAL PLUMBING ENERGY _��::�o � , � .r - . , . -- V�SVIIYI�IV 1 S � �. SEPTIC TANK SIZE SEEP PIT/U SIZE „ � ,q , — � � � � , �� 43 �