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Home My WebLink About16899 (40) __ . _ _- - -- - - -_.____-...--_:._. .i--- .._. .---- ._ �� C1TY OF DIAMOND BAR DEPARTMENT OF COMMUNTTY 8c DEVELOPIv�NT SERVICES �21825 E.Copley Drive '"'" (909)860.3195 Fax(909)861-3117 PRESS �`'-:�»'� BUILDINGPERMITAPPLICATION FIRMLY o ADDRIESS 1i1 D� �� Wl SAh T ��t� APPLICATION � �q O` NUMB R #, �� DATE c� ISSUE � I TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER �''' ADDR SS � . ZONING SETBACKS g CITY • ZI TEL�,.��- "1�1\ FRONT RW ❑ APPUCANT T . � REAR ❑ SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ ADDRE S ' � CITY ZIP 0 TE f a � PROPOSED USE � DESIGNEFi, �Mr,'$ �r � ADDRESS N0.DWEL. NO. Na. - � CITY ZIP TEL UNITS STORIES BEDROOMS � DESCAIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OOVJNER-BU�LDER DECLARATION SFR/ADDIREM � p I HEREBY AFFIAM UNDER PENAITY OF FE0.NRY THAT I AM E%EMPT FHOA1 THE CON7MCTOR3 4• � GeIe09/CBryOR W CENSEUWFOR7HEFOlLOW�NOREA50N(SEC.70.11.68USINESSiINDPROFESSKKJSCODE:ANYGTYOR � COLNT'YVHIQIHEOUINESAVERMRTOCONSTRUCT.ALTEfLIMFflOVE,DEMOUSH.ONREPAINANYSiAUC- W patfdDeck � NRE PRqR TO 1T9 ISSUNIGE AL50 IIEOUIRES TME APPUCANT iOR SUCH PERMIT TO FlLE A SIONED � .� STATEMEHT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTMCTORS U- � CENSEUW�PTERO(C04MENCClUMIITMSECTION7m0)OrDIVL510N70FTME8USINESSANOPRO• u' PooVSpa FESSpNS CODt1 OR hUTNE OR SHE IS EJ(EMPT THEREFROM AND TNE BA513 fOR iHE�LLEOED EXEMP• � TION,AN'/VIOLA710NOF6ECTION70J1.6BV�NVAPPLICANTFORAVEiWRSUBJECTSTHEMPUCAMTO Z Re-Fioo1 � A GVIL VENpLTY OF NOT A10RE TIIAN FIVE INNDRE�DOLU{LS(5500)J: ZOLIISOWNEROFiHEPROPERTY.ORMYEMPIOYEESMAMWA6E3ASTXE1H30LECOMPENSATqN, 0 COTR10fClel �� • - W�LL D�iHE WORK AND iHE 6TiU1CTURE IS NOT IMENDED OR OFFERED FOR SALE(SEC.7oIt,BU51- J � NESS AND VROFESSIONS CODE:TNE CANiMCTORS LICENSE LAW UOES NOY IIPPLY TO AN OWNER OF � � � VROPERT'f WMO BUILDS OR IMPROYES iMEREON,INO YMODOES SUp1 wOfiK HIMSEIFOR NERSELF OR CL MiIOUCHMI50RHEFOWNEMPLpYEES,FpOVIDEDTMATSUCHYdPpOVEMENTSAqENOTIN7EN0EDOR m QOFFEREUFONSALEIF.MOWEVER7MEBU0.OMOORMPfiOVEMEMI550LDWfi1MNONEYEAqOFCOMPLE Z TbN.THE OWNER�BURDER WILL NAYE 7HE BURDEN OF PROVWO THAT HE OR SHE DID NO7 BUItD OR = µ1PR0VEFORTMEWRPoSEOFSALE� ❑4�OWNEROF iHE VROPERTY.AM E%CLUSIVELV COfITMCTPI6 WfTM UCENSED CONTMCTORS � TO OONSTHUCT iHE PROJECT(SEG 7a�,BUSMESS AND PROFESSIONS CODE:THE C�NTMC70R5 LI- V31UeSi0f1 ADJ.AREA ' W CENSEUIWDOESNOTMPLYiOM10WNEROFAPFOPER7VWNOBUItA50HIuvROVES7HEREON.u.'D � W11000NTiUGTSFORSUCHVR0.IECTSMA771ACONiMCTOi1(5)LICENSEDPURSUIWiiO7MELONTMG. QUANTITY DESCRIPTION FEE Y TOIiuUCENSEUW.�. � ❑I/u1 EXEMPT UNDER SEG B.a P.G FOR TNIS REASON U L LL' OATE OWNER � _ ��_. Z � W .._ _ —._– _ .--�– �. � ��Q LICENSED CONTRACTORS DECLAFlATION w 2 1 HEREBYAFFlRM UNDEN PENALTY OF PER0.IRY TNAT I AM LICENSED UNDER PROVISIONS OF q1APTER � Y(COMMENpNOYATHSEGT10N7oo0)OFDMSqNJOFTHEBU5iNE55ANDVROFE5510N5CDDE,AND Z '�� A 4Y UCENSE IS N fULL FOFlCEAND EFFER. LLl ] � V Q- � LICENSE GASS��LIC.NO. � J V DATE,� �+'��_COMMCTOR, 0- W � WORKERS'COMPENSATION DECURATION a = U N 1 HEFEBYAFFIqM UHDER PENALTV OF PERIUR`/ONE OFTHE FOLLOWINO DECUIRATIONS: N 4 � �IHAVEANDWIIIYAMTAMACERTIf7GTEOFCONSENTTOSELFdNSUREFORYJO(iKERS' S � COMPENSAiqN.ASPROV10E0BY5ECTION97ooOFTNEUBORC00EFOiiTNEPEHFOpMANCE �U OF TNE YlOR1C FOR WHIp17M13 PEFlAIIT IS ISSUEO. � � �IMAVEANDVALLMAMJUNWORKERS'COMPENSATIONINSURANCE,ASREOUIREOBYSECTqN Q �7000FTHEUBORCWEiORTHE�ERFORMIwCE�FTMEWORKFOHWNICH7111SPERMITIS ISSUm.MY NE SCO PENSAtr�pp�INSURAJptCEGRRIERAN�POLICYNUMBEHME: CONSTRUCTION � �j c�wacn ��+�� r'�Y10� PLANREVIEW � P0.ICYNUMBEN �^��.�YAV� _ –.. 1 ELECTR�C � �ssEcriorvr�mraree�oFnf�n�rsFaaa+eru�000wwsR+ao�ar�t�. PLUMBING Z 1 CERTIFYTH�7 N THE PERFORMANCF OFTHE V/ONK FOR WMICH THIS CERA1tT i5 t55UED,1 MECHANICAL (7 SM�LLNOTEMPLOYANViE0.5IXJINANYMANNEF5011STOBECOMESUBJECTTOTME � WOHKERS'GOMVENSATqN(AWSOFGILIFORNIA,ANDAOREETHATIFIS/tlULDBECOME INSPECTIONFEE � 6UBJECTtOTHEWOHKERS'COMPENSA7qNPFOViSiON50FSECTiON17oo0i7MEUBOR CODE.ISHALLFOpTHWITHCO�AttYwI7NTHo5EVROVI$iONS � ISSUANCE pDATE:� 'D !-('�( AVPI�CANT ��_��1 P.r,S SM�P �'--�� •'� .- � W —i— Ll - ENERGY P!C `J'}. � W�NO:FNLURE TO SE WRE WORKERS'COIAOENSATqN COVERAGE IS UNUWFUL,AND SMALL BE 6U&IECiANEMR0IERTOCfUMINALPENALTIESANDGMLiWESUPTOONEHUNDREDTIIWSANO ENERGYPERMIT DOlURS(f I Oa,0o0),W ADDIT�ON TO THE COST OF COAIPENSATION,DNMGES AS PRONDFD LOR�N a6ECTqN770lOFTHEL�BORCOOE,IN7ERESi,ANOATTORNEY5FEE5. RETENTIONFEE: � a CONSTRUCTION LENDING AGENCY pqEALT FEE: � � IHEREBYAFFIRMIAAEAPENALTYOFPE0.IURVTIUTTMEREISACONSiRUCTIONLENOW6AGENCY 1�i_ S � FORTHEVERFORMANLEOFTNEYVORKFORWMICNTNISVERMITISISSUED�SEC.i0Y7,CIV.CJ. �---_�� t W � LENDEH'SNNAE • . � lEN0ER5ADDRE55 /� � WICEH71FYT/NTIMAVEHEADTMi3AFPl TqNANDSTATETMiTHEABOYEINFORMAT10NISCORRECL TOTALFEES�X`�� p_ IAGREETOCOMPLVWR/IN.ICfTYAN WNTVORDWANCES�NDSTATEUWSREUTWOTOBUILDiNO V- V � STRUCfION.AND HERE AUf410R :REPRESENTATIVES OF iHIS COUNTY i0 ENTER UVON TME Z EdAENTqNEO VROFE Y FOR W ECTION 7URVO5E5. COMMENTS = t Q I �S -- Gi nPvUl� m PER N P Q �� V � S t E�ERMI EE; DATE � RECPT.NO. PAID BY VAL�DATION WHITE—Department Copy,YELLOW—Finencre Copy.P�NK—Assessor Copy.(30LDENROD—File Copy,GREEN—P.pplicant'a Copy �✓�. e . .,t! .'r��.HYv.a .. . �.>Y�.�., �.Y' .r y, ...n , �.}r� � r'+�dr{iC:1.��...,s.:S�,J::c"biv7'..,.,�,��'r,r " � " . _ 1 ' . �., . .-o�. �q•-....n•'•y• v 7• K..�-- •.i�r CITi Y OF [71AiVi011d'D BAR It�S��CT10N RECORD • °��=�a�K.��' ',�-�c�.: -�1��6��r� :, ';.1�'�-�ra��C�� '��i�� .. ;il��;�� - --�__�-�� --_ --__�--- - SET BACI: �, ' `�. � ' FLOOR J015T • . '1 FTGS/FORMS/STEEL ��-l��p�� FHA REQti1TS � ELECTRIC GROUND L� � ; I UNDER FLOOR DUCT • - GROUND PLUMBING I UNDER FLOOR COhIDUIT. . - �' ' �►' SLAB GRADE I FIREPLAGE FOUNDATION ' ` "� ' TEMP POWER I FIREPLACE BOND BEAM -. " � ' � - WATER SEFiVICE � • MID HT. E30ND BEAM' • � ' ROOF SHEATHING -'� �-f} �7' � �t'/_t�-�'� � � 8 FT.BOND BEAM•. �•': � � ' �.`. . I•. FRAMINGNEN7I�IL1��7cC. � �,-�7��' FINAL BOND BEAM � I • • ROOF COVER t � PRE-GRADING ROUGH HEATING �� +�i BENCHING f ROUGH ELECTRIC ;� � _ '• ROUGH GRADING ` ROUGH PLUMBING �� _ �� i FINISH GRADING ; SHOWERlTUB TEST � POOL ELEC7RIC EXT.LATH/SIDWG i�Z o�I POOL FENCING , WALL INSULATION ' POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING 1��2_0 ( DEbICATIONS SEWER FINAL ENG. SEPTIC TANK � . . 11�1NDSCAPEIIRRIG. SEEP PIT/L.L. � i ON SITE IMPS. GAS AIR TEST _ , ,FINAL ZONING � FINAL CONST. • `0'IJ -' ' ',!• FIRE DEPT. F1NAL i FINAL HEATING J " HEALTH DEPT.FINAI iFINAL ELECTRIC � _ DFV. FEES PAID FINAI.PLUMBING ',ENERGY . . - ;- . !c : �:+c� �i�� c'. � _ � ' — --- --- -- — ' COMMENTS - — '� � � _ , ,, . , _ , . ,.�' �, . i � ; � � • , , - . , 1 i . _ I � SEPTIC TANK SIZE ' SEEP PITIU SIZE i�� _ j , '�'� '�f _. __. . . __ .r ��. . . : . . ; - , . . ,. ,� ._ . . . _ �:, _ . �� , , , , . � . . . - -- . •�- •�� .