The URL can be used to link to this page

Home My WebLink About18326 _J�,� CTI'Y OF DIAMOND BAR - DEPARTIvIENT OF COrRvIUM'I'Y 8c DEVELOPMENT SERVICES �� 21825 E.Coplcy Drive (909)8603195 Fax(909)861-3117 PRESS �'^�'� B[nLnnvG rE�'r apr�Cn'riolv FIRMLY � ADDRESS �r IJ r � � DATECA�_T'�� NUMB R �� #/C1��r�, � ISSUE ,// TYPE OCC � APN L T TRACT DATE� /fCT��`CONST. GROUP p OWNER o ADDRESS ZONING SETBACKS Z CITY ZIP TEL. FRONT qyy ❑ o APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ � CONTRACTO � .J - S P� SIDE i ❑ ADDRESS PROPOSED USE ll � e� � CITY ZIP�l� TEL. - � o ARCH/ENG/ � � z DESIGNER w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS_ STORIES �_BEDROOMS � cr� DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM � O � I HEREBV AFFIRM UNDER PENALTV OF PEFLIURV THAT I AM E%EMPT FROM THE COHTRACTORS LI- G8ffi9B/C9fPOff W CENSEUWFOR7HEFOLLOWINOREASON(SEC.7o31.68U51NE5SANDPROFESSIONSOODEANYCI7YOR (n U pDUNTYWHICI{qEpUIRESAPERMRTOCONSTRUCT,ALTER�MPROVE.DEMOLISH,ORREPAIRANY57RUG W pg(10/DBCI( � � TURE,PRIOR 70 I7S ISSUANCE.ALSO REW IRE9 7HE APPLICANT FOR SUCH PERMIT 70 FILE A SIONED w � STATEMENT THA7 HE OR SHE 13 LICENSED PURSUANT 70 7HE PROVISIONS OF hiE CON7RAC70RS L7- � C CENSE UW(C?1AFTER Y(COMMENCWO WITH SECTqN 7000)OF DMSION 3 OF THE BUSINESS AND PRO- POOUSPB � FESSqN5CO0E)ORTHATHEORSHEISO(EMPT7MEREFROMANDTIEBASISFORTHEALLEOEDEXEMP- C7 �� T10N.ANYVIOLATIONOFSECTION7W7.6BYMlVAPPLICANTFORAPERMITSUBJECTSTHEAPPLM./�NTTO Z Re-Roof A CIVIL PENAL7V OF NOT MORE THAN FIVE HUNDRED DOLURS(i600�.): � ❑I,ASOVlNEROFTHEPROPERTY,ORMVEMPLOVEESWITHWAOESASTNEIHSOLECOMPENSATqN, � COR1rt10fCI81 � Z NRLL DO THE WORI(,AND THE STRUCNRE IS NOT INTENDED OR OFFERED f-0R SALE(SEC.70/1,BUSI- J � � NE55 AMD�ROFESSIONS CODE:THE CONTRAC70RS LICENSE uW DOES NO7 MPLV 70 Ml OWNER OF � CROPEHfY WHO BUpDS OR IMPROVES THERC-0N,M1D WHO OOES SUCH Y/ORK HIMSEIF OR HERSELF OR Q THROUGHHISORHEROWNEMPLOVEES,VROVIDEDTHATSUp1IMPROVEMENTSARENOTINTENDEDOR m Q OFFERIDPDRSALEIF,HOWEVER71iEBU0.DINOORIMPROVEMENTISSOtDWfT}ANONEYEAROFCOM7LE- 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} 2 �yJ ❑4�.+`ONRIEROFTHEPROPEHTV.MIE%CLUSNELVCONTMCTPIOWfTHLICENSmCOHTRACTOR3 [[ TO CONSTRUCT THE PROJECT(SEC.70N,BUSINESS ANO PROFESSIONS CODE TNE CONiMCTORS Ll- V8IU6lI0f1 Ap�.AqE,q � W CENgE LAW DOES NOTMPLV TO AN OWNER OF A PROPERTV WFq BUlLDS OR IMPROVES THEREON,AND � W//OCOMRACTSFORSUp1PRQ1ECTSWITNACONTRACTOR(S)LICENSEDPURSUANlTOTHECONiMG pUANTITY DESCRIPTION roris uca+se uw.�. FEE . � O I AA1 D(EMPT UNDER SEC. B.6 P.C.FOR THIS REASON � � � U � � DATE OMMER' H � � W � LICENSED CONTRACTORS DECLARATION W � 1 HEREBV AFFIHI,1 UNDER PENALTY OF PERIURY THAT I AM LICENSED UNDER PROVISqNS OF CHAGTER � � Y(COMMENCYJ(!WfTH SECTION 7000)OF DMSION 3 OF THE BUSINE59 AND PROFESSqNS CODE,AND Z - �� MY IICENSE IS P!FULL FORCE AND EFFECT. m 0 LICENSE C �S LIC.NO. '� � V DATE CONTMCTOR d W � WORKEAS'COMPENSATION DECIARATION � NI HEREBY AFFIRM UNDER PEN�LTV OF PERIURY ONE OF 7HE FOLLOW WO DECUHATpNS: Z , � _I HAVE AND WILL MAWTAIN A CERTIFlCATE OF CONSENT TO SELF-INSURE FOR VARKERS' a COAIPENSATION,AS PROVIDED BV SECTION 37000F THE LABOR CODE,FOR THE PERFORMANCE U Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � I HAVE AND WILL MAINTAW WORI(ERS'COMPENSA710N INSURANCE,AS FEWIRED BV SECTION + � Q 3700 OF THE LABOR CODE,FOR 7HE PERFORMANCE OF THE WOH!(FOR WHICH hil5 PERMIT IS � ISSUED.MVWORKERS' OMPE ATIO N�URM/ AARIERAND LICV uMeEanae: CONSTRUCTION ] CARNIER ,� PLAN REVIEW �Z POLICV NUMBER ti ��•��Z ELECTRIC � Q - p (n�s�crpr+r�wTe�oo�,�rIDOFTr�aEw.arswaa��na�000uusK�ao�oaLEss} PLUMBING Z I CER7IFV THAT W THE PERFORMANCE OF THE WOiiK FOR NM111CH 7HI5 PERMIT IS ISSUED,I MECHANICAL C� SHALL NOT EMPLOY ANV PERSON IN ANV MANNER 50 AS TO BECOME SUBJECT TO THE (�j WOR!( S' VENSATION LAWS OF CALIf-0RNIA,AND AOREE 7NAT IF I SHDULD BECOME INSPECTION FEE S SUBJE TO WORKERS'COMPENSATION P VIS S OF SECTION 3 OF THE LABOR ,�+ CODE. SHALL ORTHMA7HCOAIPLVWITH PRON S ISSUANCE � � O C�, m� p DATE: APRICANT: �SMIP � w ENERGY P/C � WAHNIN�:FAILURE TO ECURE MIORKERS'COMPENSATION COVERAOE IS UNLAWFUL, BE . � SUBJEC7AHEMPLOVERTOCRIMINALPENALTIESANDClVILFWESUP700NEHUNDREDTMOU D ENERGYPERMIT DOLLARS(5700.000�.W ADDITION TO THE COST OF COMPENSATION,DAMAOES AS VROVIDED FOR IN J SECTpN J7oe OF THE LABOR COOE,INTEREST,AND ATTORNEYS FEES. � p� RETENTION FEE: � OCONSTRUCTION LENDING AGENCY � PRE-ALT FEE: � � 1 HEREBV AFFIRM UNDER VENALTV OF PERIURV THAT THERE IS ACONSTRUCTION LENDWO AGENCV FOR THE PERFORAIANCE OF THE WORN FOR NM1i1CH THIS FERMIT IS ISSUED(SEC.30Y7,CIV.C.). _ Z W � � LENDERS NAME H LENDERSADDRESS /� p w I CERTIFY TNAT I HAVE RF1D THIS APPLICATION AND STATE TMAT THE ABOVE INFORAIATqN IS CORRECL TOTAL FE ES LI�2� // ](�7� ' /� � I A6REE TO COMPLY WfTM ALL CfTV AND COUNTV ORDINANCES AND STATE UWS REUTINO TO BURDINO � �� •��p b CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF 7HI5 COUNTV TO ENTER UPON THE ' V ZABOVE-MENTIONED PROPERTY FOfi INSPECTION PURPOSES. 9 _� COMMENTS ' _ � ►'� 1-� ��-- (�C' �. m PERMI E RI � /� ¢ // � � SIONANREOFP RMITfEE DATE �. � ' � RECPT.NO. PAID BY � VALIDATION : WHITE—Depar4nent Copy,YELLOW—Finence Copy,PINK—Assessa Copy,GOLDENROD—Flle Copy,6REEN—Appl{canYs Copy �04� �'�' - - - cG6��f OI� �D�f�il�� 1��1�$ Vf�Sf�[�(C�'O�fDf� [�fc��f��D 0 0 . D ' 1� r U o � � QyJ ° o _ o ' !l� �� OGr 'C�`r'�-iU� ��: SET BAC.K ' FLOOR JOIST FTGS/FORMS/STEEL - FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CO��DUIT SLAB GRADE FIREPLACE'FOUNDATION TEfviP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT, BOND BEAM ROOF SHEATHlNG 8 FT. BOND BEAM FRAPVUNGNENTILIATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING � ROUGH ELECTRIC ROUGH GRADING ROUGH PLUNIBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALI.IfVSULATION PO�L FINAL CEIIIfVG iNSULATION OFF SiTE IMPS. DRYWALL IVAILING DEDtCATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST F�NAL ZONING FINAI.CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FIPJAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY �o ,/�`.i�4 ♦L, � - �� d �o co��wE�Ts _ � _ � � SEPTIC TA(VK SIZE SEEP PIT/U SIZE � , � '[� � . � .