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Home My WebLink About17001 (25) CITY OF DIAMOND BAR �--�---�`` ---- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��RED I „ � 21825 E.Copley Drive '� (909)860-3195 Fa�c(909)861-3117 JUN 19 1�r? PRESS I ��'%��w BUYLDINGPERMITAPPLICATION FIRMLY ' o� JOBSITE =�3 /;G Tu BL/�� r ��e�v�D APPLICATION PERMIT �) U� P/C ADDRESS ��T J DATE ,� "'Zt-- �' NUMBER � � # � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER MY'�. LI.I CI O o ADDRESS 2 E� I .�'L�13 L /�E LiS/- ZONING SETBACKS Z CITY _[�Ifi M v N U K3 R(Z,ZIP C� �. 4 /�I �" FRONT RW ❑ p APPLICANT TEL. S DE/SIDE STREET RW ❑ z Q CONTRACTOR D �'I n!V D �-�U�/�'V(�'Y SIDE p � ADDRESS �3 �1T� ' °' � ROPOSED USE R e��t''� W ��I S N �I.K � � CITY ZIP�/��TEL. y�% � � ' w ARCH/ENG/ ' " � '— ('hs• b � S' • Q L z DESIGNER —��-'"--�� _ `"' TF�-�=� e°'�f�� `f�"" a ADDRESS NO.DWEL. NO. NO. ��,� �� CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O I HEREBV AFFIFM UNDER PENAL7V OF PERIURY 7HA71 AM EXEMPT FROM THE CON7MCTORS ll� G8f2JB/C8lPOA W CENSELAWFORTHEFOLLOWINGREASON(SEC.7o37.5BUSINESSANDPROFE5510NSCADE:ANYCI7VOR (n I U COUNT/WHICHREOUIRESAPERMITTOCANSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUG � w TURE,PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck STA7EMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CANTRACTORS LI- � CENSE LAW(CFiAP7ER B(CAMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOUSP3 � FESSIONSCADE)ORTHATHEOfiSHEISEXEMPTTHEREFROMANDTHE8A515FORTHEALLEGEDExEMP- (� U TION.ANYVIOUTIONOFSECTION7031.SBYANVAPPUCANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roaf � � A CIVIL 7ENALTV OF NO7 MORE 7HAN fIVE HUNDRED DOLLARS(5500).): ZOI,ASONRJEROFTHEPROPERTV,ORMVEMPLOYEESWITHWAGESAS7HEIRSOLECOMPENSA710N, � COrt1rtIBfCi81 - WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7044,BU51� J � NESS AND PROFESSIONS CODE:7HE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF � PROPERTV WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR � 7HROUGHHISORHEROWNEMPLOVEES,PROVIDED7HATSUCHIMPROVEMENTSARENOTINTENDEDOR m � OFFEREDFORSl�IE.IF,HOWEVER,THEBUILDINGORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE- Z 710N,7HE OWNER�BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE�ID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF 5/�LE). w ❑I,ASOWNEROFTHEPROPEFTV,AMEXCLUSIVELYCONTRACTINGWITHLICENSEDCONTRACTORS � TO CANSTRUCT THE PFi0.1EC7(SEC.70�1,BUSINE55 AND PROFESSIONS CADE:THE CONTFiAC70R5 LI- V31U3�1Of1 ADJ.AREA W CENSE LAW DOES NOTAPPLV TOAN OWNER OFA PROPERTV WHO BUILDS OR IMPROVES THEREON,AND � NMOCONTRACTSFORSUCHPRQIECTSWITHACANTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE Y TORS LICENSE UW.). _ � ❑I AM EICEMPT UNDEH SEC. � B.8 P.C.FOR THIS REASON Q � U � � DATE OWNER U Z W � LICENSED CONTRACTORS DECLARATION w • � I HEREBV AFFIRM UNDER PENALTY OF PERIURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � d e(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND PROFESSIONS CODE,AND Z X MV LICENSE IS IN FULL FORCE AND EFFECT. u' � 3 v I �2 � � LICENSE CLASS ��3 Y LIC.NO. � . � U DATE �'�Z-Z- �V � CONTRACTOR °'�n d W � WORKERS'COMPENSATION DECLARATION Q � I HEREBV AFFIRM UNDER PENALTV OF PERJURV ONE OF THE FOLLOWING DECLARATIONS: Z Z �IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUREFORWORNERS' _ ¢ CAMPENSATION,AS PROVIDED BV SECTION 37000FTHE 1A80R CODE,FOR THE PERFORMANCE w OF THE WORN FOR WHICH 7HIS PEFMIT IS ISSUED. � � w I HAVE AND WILL MAINTAIN WORKERS'CAMPENSATION INSURANCE,AS REOUIRED BV SECTION n /� Q 37000F THE LABOR CODE,FOR THE PEFiFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ��/ �' \ ISSUED.MY WORKERS'COMPENSATION INSURANCE CARFIER AND POLICY NUMBER ARE: CONSTRUCTION O. �J � CARRIER �TA'T� �u� � PLAN REVIEW Z POLICV NUMBER ELECTAIC Q � (IHl55ECTpNNE�NOTBEGOMPLEfEDOFiHEPERMfTISFORONEMII�DFEDDOLINLS(E100)ORLESS). PLUMBING W Z I CERTIFV THA71N THE PEfiFOFMANCE Of THE WORK FOR WHICH THIS PERMI715ISSUED,I MECHANICAL �� !�" T�I (f SHALLNOTEMPLOYANVPERSONINANVMANNERSOASTOBECOMESUBJECTTOTHE '1.r.��I � WORKERS'CAMPENSA710N LAWS OF CALIFORNIA,AND AGREE THA71F I SHOULD BECOME �INSPECTION FEE ' / K ! = SUBJECTTO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 37000F THE LABOR /� (� CQDE,I SHALL FORTHWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE ' I .-Y_�.�V � SMIP i n n� �z � `11 I d I : l;i> p DATE: APPLICANT: -�� ENERGY P/C I J WARNING:FAILUFIE TO SECUFE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE - , SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FMES UP TO ONE HUNDRED THOUSAND �-1 r � 1.-�,� it""j_�I � DOLLARS(5700,000),INADDITIONTOTHECOSTOFCAMPENSATION,DAMAGESASPROVIDEDFOqIN ENERGYPERMIT�r I" ��.�' �.� . _ � SECTION37080FTHELABORCODE,IN7EFiEST,ANDATTORNEV'SFEES. RETENTIONFEE: pw.. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIRM UNDER PENALTV OF PERJURV 7HA77HERE IS ACONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOF WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.C.). . Z W � LEN�ER'S NAME H LENDER'SADDRE55 � /�� I CERTIFY THAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. TOTAL FE ES � � � w I AGFEE TO COMPLY WITH ALL GTY AND COUNTV ORDINANCES AND STATE UWS RELATING TO BUILDING � � � CANSTRUC710N,AND HEflEBV AU7HORIZE REPRESENTATIVES OF 7HI5 COUNTV 70 EN7ER UPON THE { � ABOVE�MENTIONED PROPERTV FOR INSPECTION PURPOSES Z r�_ „ � () J� ( �q�j COMMENTS � ` vv�� . J V �{ � m PEf1Ml E AME(PRI /� - � L /�A�"/�� .t .7 1 n � SIGNATUREOFPERMITTE DA7E ( � �� = RECPT.NO. (1_ PAID BY`� � VALIDATION w / ~ WHITE—Department Co YELLOW—Finance Co PINK—Assessor Copy,GOLDENROD—File Co GREEN—A licant's Co PY. PY. PY. PP PY . . . , . ..4 . . .. ... , .. . ,r.;.. ,g., .. . �� . . . . .. . . . . �� Il�tl�l�"'��U �l1�UC1 ��t� �G'1�G� U � �'ts� , �� 7, m 0 � °�.��ti a � �r q�,� p '`� =w: � T 0 e ;;�. SET BACK ---j-- ^ �- FLOOR JUIST� • � _ ____ _..._ �.__ _.__ _._..._- ------- --_._ _._ --- - -- ----..-- -- -_ FTGS/FORMS/STEEL ' FHA REC�MTS ' _ ELECTRIC GROUND � _' i_UNDER FLCOR G�UC?" — � i _ -- - — -- GRQUNQ P�UMBWG __ __Y_ UNDER FLOOR GU��DUIT I i -- ---- - ....__. ......__ 1—_______�'�---- -- __.. ...._ SLAB GRADE , FIREPLACE FOUNDATI4N ___ TEMP POWER ! _ _;. FIREPLACE BON�J BE�4M _�_ W,4TER SERVICE ,___._ I _ _ I __M!D HT. B�ND BEAM .__..._ I _.�.,_,.__._ ,.....�._._._.._._.._._._. .,_..,...._..�_ ROOF 5HEATHING ; 8 Ff. BONb BEAM ; FRAMIiVGNENTILIATION ; FINAL BOND BEAM � ____ - --- -; — _i._.--- ' -- - ROOF COVER � PRE-GRADING � ' --- -..__ �. ------ ----;_---- —___—._ ROUGH HEATING BENCHING � ROUGH ELECTRIC ; __� ROUGt-I GRADING ____� _ ROUGH P�UMBING __ � ! FINISH GRAQING -- _... ..._,_ .�. _ ...-------... .________� __._. _.. SHOWER/TUB TEST � POOL ELECI"RIC EXT. LATH/SIDING I I POrJL FENCING i WALL IiVSULATION i POOL FINAL '; --- ---- -_._..__._ ____--- —..._._. CEILING IN�ULATION � OFF SITE IMPS. __ DRYWALL NAIUNG i DEQICATIUNS SEWER FINAL ENG. ! _ __ _ �.__� SEPTIC TANK LANDSCAPE11RR3G. � � � � �v SEEP PIT(LL. ' dN��T� ��'�• GAS AIR TE5T � FIf�A�ZONING � _ A _ _ FINAL CO�lST. j � � F!RE DEPT. FIIVA� _ FINAL HEATING i HEALTH DEPT. FINAL FIfVAL ELECTRIC �- DEV. FEES PAID ' ----- ---- ----.._`_ _ �_.—. FINAL PLUMBIMG � ENERGY i , r �t � a � . — COiVlNiEfVl'S SEPTIC TAfVK SIZE SEEP PIT/U SIZE � � � � __---- ,, . � � ` — ------