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Home My WebLink About17418 (26) \� CTI'1'OF DIAMOND BAR EXPIRED --- --1�` -- DEPARTMENT OF COMMiJNTI'1'&DEVELOPMENT SERVICES � � JUN 19 2002 21825 E. apleyIhive '"� (909)860-3195 Faic(909)861-3117 PRESS �`'%��*�� BUILD��NGPERMITAPPLICATION FIRMLY o� APPLICAT PERMIT P/C i DDRIESS 23 K��.� ��Z, ��MO �k DATE �� ' � NUMBER� # � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER LA ( (—T�{ ' � •ShYAQ.�T IJ� o ADDRESS ZONING SETBACKS Z CITY `,�1�'MOI�D �Q ZIP _CJk TEL. �4 S6 - � FRONT RW ❑ � APPLICANT T��'3 TEL. REAR ❑ Z SIDE/SIDE STREET RW ❑ ¢ CONTRACTOR ' SIDE ❑ iI � ADDRESS "� /� � CITY ZIP TEL. PROPOSED USE ,� • � /1�1� ,D�.v�/✓. o ARCH/ENG/ z DESIGNER w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS I STORIES �2 BEDROOMS b� � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION 0 SFR/ADD/REM p I HEREBY AFFIRM UNDER PENALTV OF PERJURY 7HAT I AM E7(EMP7 FROM THE CON7RAC70RS LI� G8f8(JB/CBfpOA Q W CENSELAWFORTHEFOLLOWINGREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANYCI7YOR (n U CAUNTVWHICHREOUIRESAPERMITTOCANSTRUC7,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- W PdliO/DBCk 4. w TURE,PRIOR TO ITS ISSUANCE,ALSO REQUIRES 7HE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w � STATEMENT 7HA7 HE OR SHE IS LICENSED PURSUANT TO THE PfiOVI510N5 OF 7HE CONTMC70R5 LI- � � CENSE UW(CHAP7ER e(COMMENCING WI7H SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO� POOVSPe �..� O FESSIONSCADE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDE7(EMP- (� V TION.ANVVIOLATIONOFSECTION7031.58VANVAPPLICANTFORAPERMI75U&IECTSTHEAPPLICAN770 Z Re-Roof Z�� A CIVIL PENALTV OF NOT MORE 7HAN FIVE HUNDRED DOLURS(S50o�.): Z ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOYEESWITHWAGESAS7HEIRSOLECAMPENSA710N, � COmmBfCi21 - WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFEFED FOR SALE(SEC.7014,BU51- J � NESS AND PROFESSIONS CODE:THE CON7RAC70RS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � — PROPERTYNRiOBUILDSORIMPROVESTHE(iEON,ANDWHODOESSUCHWORKHIMSELFORHERSELFOR � 7HROUGHHISOFHEROWNEMPLOYEES,PROVIDED7HA75UCHIMPROVEMENTSARENOTIN7ENDEDOR m � OFFEREDFORSALEIF,HOWEVER,THEBUILDINGORIMPROVEMENTISSOLDWI7HINONEYEAROFCOMPLE- Z TION,THE OWNER-BUILOER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). ❑I,AS OWNER OF THE PROPERTY.AM EXCLUSIVELY CONTHAC7ING WI7H LICENSED CONTRACTORS R y� � TO CANSTRUCT THE PR0.1EC7(SEC.7a�4,BUSINESS AND PROFESSIONS CADE:THE CONTRAC70R5 LI� V21U2l1Of1�.dO � �U ADJ.AREA W CENSELAWDOESNOTAPPLVTOANOWNEROFAPROPERTYWHOBUIIDSORIMPROVESTHEREON,AND = NMOCANTRACTSFORSUCHPROJECTS T A �N RAC70R ICENSEDPURSUANTTOTHECON7RAC� QUANTITY DESCRIPTION FEE YTORS LICENSE LAW.). �� /O I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � /\ V Z DATE � OWNER LI�LLT�I Sk7ARhT1J� � � LICENSED CONTRACTORS DECLARATION w J � I HEREBV AFFIfiM UNDER PENALTV OF PERJURY THA71 AM LICENSED UNDER PROVISIONS OF CHAPTER � � 9(COMMENCING WITH SECTION 7000)OF DIVISION 30F THE BUSINESSAND PROFESSIONS CODE,AND Z �X AIY LICENSE IS IN FULL FORCE AND EFFECT. m - , � � LICENSE CIASS LIC.NO. � � J V DATE CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION Q � I HEHEBY AFFIfiM UNDEfi PENALTV OF PERJURV ONE OF THE FOILOWING DECIARATIONS: Z , , � , ' � Z _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' _ Q CAMPENSATION,AS PROVIDED BV SEC710N 370o OF 7HE LABOR CODE,FOR THE PERFORMANCE �U Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � � � _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BV SECTION �S � O 3700 OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.MV WORKERS'CAMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION J j CARRIER PLAN REVIEW Z POLICY NUMBER ELECTRIC Q � (I}IISSECfKXJNE�NOT8E00f.1PLEfEDOFTHEPEPMfTISFORONEHUI�DREDDOLIARS(E10D)ORLESS). PLUMBING —� ___ W � 1 _ .,� � '�� -- Z I CERTIFY THAT IN THE PERFORMANCE OFTHE WOHK FOF WHICH THIS PERMIT IS ISSUED,I MECHANICAL � � � (,'} SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE '� ' ' ' J (/� WORKEF75'COMPENSATION LAWS OF CAUFOflNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE � (� [� SUBJECT TO 7HE WORKERS'CAMPENSATION PROVISIONS OF SECTION 370o OF THE LABOR r N l J II /. ! �n n� �' � CODE,I SHALL FOiiTHWITH COMP�V WITH THOSE PROVISIONS. ISSUANCE ` • � SMIP' j . �� p DATE: APPLICANT J WARNING FAILURE TO SECURE WORKERS'COMPENSATION CAVERAGE IS UNUWFUL,AND SHALL BE ENERGY P/C �'^•„+- LL SUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT �.��'` � � DOLURS(ft00,000),IN ADDI710N TO7HE COST OF COMPENSATION,DAMAGES AS PqOVIDED FOR IN - . _ 0 � SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTOHNEV'S FEES. RETENTION FEE: �� a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBVAFFIRM UNDER PENAL7V OF PERJURV THAT THERE IS ACONSTRUCTION LENDING AGENCV n- FORTHE PERFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.C.). . Z W � LENDER'S NAME 1_ LENDER'SADDRE55 � I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. TOTAL F E ES ' 'I �, �� w I AGflEE TO COMPLV WITH ALL CITV AND COUNTV ORDINANCES AND STATE LAWS REUTING TO BUILDING � CONSTRUCTION,AND HEREBV AUTHOR2E REPRESENTATNES OF THIS COUNTV TO ENTER UPON THE Z ABOVE-MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS � J � m PEf1MIT7EE NAME(PRINT) - Q C/� � SIGNATUREOFPERMITfEE DATE RECPT.�'O. �3 PAIDBY C� VALIDATION 2 ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy �� .. , � , ..<�" � .� , . . �t�e'.�r� .�, w . ,..� ,�-+r..Hi� . . Y � �.x . r . . . � .. ., ... .... . .. . . ... .. .. � �� o�� r��r�c�� 0 ° �C� D/��r 0�� 0 ° � tr o DQ� 0 ° �� SET BACK , FLOOR JOIST � -- i-- ---- -----�— --------- FTGS/FORMS/STEEL � ' FHA REQMTS ' ;__,_ __— - -- � ...---- --- ELECTRIC GROUND i ' UNDER FLOOR DUCT � _ _ . ._. ..._. _. _._.___ __ ----- - GROUND PLUMBING� ___ _ _ __ '; UNDER FLOOR CU�IpI�IT � - --,�--- - — -�--�- ----- �----_.__ � - --�-- SLAB GRADE I _,___�___ °' FI��F'LAC�_FQUNDATIC3N � � -----� __._ .__— _ —� TEMP POWER I __ � i FIREPLACE BUND BEAM _. _t.... _ 1 _.__ ----- _--- WATER SERVICE __ _ + 1 MID HT. BOND BEAM ROOFSHEATHING �_u_o� ,�� ---;-; & FT. BOND BEAM ------------- __I --- ---- FRAMINGNENTI�IATION ! FINAL BOND BEAM __ ___ j _ _ __ ROOF COVER I � PRE-GRAQING ; ROUGH HEATIfVG BENCHING � ROUGH E�ECTRIC I ROUGH GRADING --. ..------ --- -...----- ROUGH PLUiVIBING � ' FINISH GRADING -----�- --- ---_____--- ----- SHOWER/TUB TEST � POOL ELECTRIC ______ ' ---- -- EXT. LATH/SIDING � j t�POOL�ENCING -- --- - ____.____ _........-- , ----------_...---- WALL INSULATION ; POC?L FINAL —�------ ._...__..— —_........._. __....---- ' --.__.._---- CEILING WBULATION ; CJFF SITE IMPS. ' DRYWA�L�IAIUNG --- � DEDICA710NS ----- --------.--- - SEWER FINAL ENG. I -� --- SEPTIC TANK LANDSCAPElIRRIG. SEEP PIT/L.L. � ' '" ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. i �'IRE DEPT. FIf�AL FINAL HEATIfVG i HEALTH DEPT. FiNAL '�------ - FINAL ELECTRIC ; DEV. FEES PAID _ � __ FINAL PLUMBING � 'ENERGY � -------- ----_= __ _____ _____---.--- -- --........ — - �; i --- ..�in l�N�o�. � ---- �✓01��'J SEPTIC T�N6( SIZE SEEP PIT/U SIZE t�� -- �il'l � ______.____ — �— ___..__.._..... ___._.--- �