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Home My WebLink About13369 CITY OF DIAMOND BAR r �--�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 �W (909)860-3195 Fax(909)861-3117 PRESS I �� BUILDING PERMTT APPLICATION FIRMLY o DDRIESS �� //'t �� 'i" ' DATE CATION � /[�_C1'� NUMBER�`� �� #/C :/ � I ! ISSUE �/ TYPE OCC � APh LOT T�R1ACT DATE �� / CONST. GROUP °C OWNER �7 D �t. O ADDRESS L� UV � ZONING SETBACKS Z CITY ZIP TEL. REART RW ❑ g APPLICANT �nn ND Cdf�1 TE SIDE/SIDE STREEf RW ❑ � CONTRACTOR SIDE ❑ Q ADDRESS PROPOSED USE L► W N�?W S o CITY ZIP TEL. �.�� _ �' �� wo ARCH/ENG/ � DESIGNER J•� • NdVI� �� NO.DWEL. � NO. 2 NO. ADDRESS � UNITS STORIES BEDROOMS y CITY ZIP� TEL N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER D�CLAFiATION SFR/ADD/REM - O 0 1 HEREBY AFFlRM UNDER PEHALTY OF PERIURY THAT I AM E%EMPT FROM 7HE CONTRACTORS Lt- GefBgB/C2IPOR W CENSEUWFORTHEFOILOWINOREASON(SEC.7031.5BUSINESSANDPROFESSIONSCADE:ANVCITYOR (n U COUHT'/WHH�MREOUIRESAVERMR7000NSTAUCT,ALTERIMPROVE,DEMOLISH,ORREPAIRANI'S7AUC- W P8t10/DBCk � u� TURE,PRIOR TO RS ISSUANCE.ALSO HC-0UIRES hIE APPLICANi FOR SUCH PERMIT TO FILE A SIONED w � STATEMEM 7HAT HE Ofl SHE IS LICENSED PURSUAHT TO THE PpOV1510NS OF THE CONTMCTORS LI- � CENSE UW(CHMTER Y(COAIMENCINO VATH SECTION 7000)OF DIVISqN 3 OF THE BUSINESS AND PRO � PooUSpa FESSIONS COD�OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR 7HE ALLEOED EXEMP- TqN.ANVV10U710NOF5ECTIOH7031.68VANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Raof � A CML VENALTY OF NOT MORE 7HAN FNE HUNDRED DOLUAS(t5oo).): � ❑I,/�SOMMEROFTHEPROPERTV,ORMVEMPLOYEESWITHWAGESASTHEIRSOIECOMPENSATION, ❑ Commercial . – YALL DO THE WORIC AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7011,BUSI- J � NESS AND PROFESSIONS COOE:iHE CONTMCTORS LICENSE UW DOES NOT APPLY TO AN OWNER OF � I PROPEHfY WHO BUILDS OR IMPROVES THEREON,AND YhiO OOES SUCH WORK HIMSELF OR HERSELF OR Q THiqUGH HIS OH HER ONM EMPLOYEES,PROVIDED THAT SUCH IMPROVEMEN7S ARE NOT INTENDED OR m ' W OFFEpmFOpSALEIF,HOWEVER7ME8UILDINGORIMPROVEMENTI550tDWfTHINONEVEAROFCOMPLE- Z ��TION,THE OWNER�UILDER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID.NOT BUILD OR � WPROVEFORTN=PURPOSEOFSALE). ❑I,RS ONTIEROF THE PROPEHTI;AM El(CLUSIVELY CONTMCiING N7T}I LICENSED CONTRAC70RS Q TO COHSTAUCT THE PRQIECT(SEC.7oH,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- V81U8fI0f1 ADJ.AREA � W CENSE UW DOES NOTAPPLV TOAN OVMER OFA PROPERTV NRiO BUILDS OR IMPROVES 7HEHEON,AND � NTiOCONTMCTSFORSUp1VROJECTSMATHACONfRACTOR(5)LICENSEDPURSUAHTTOTHECONTMG pUANTITY ESCRIPTION FEE � � 70fiS UCENSE UW.). � ❑I AM EXEMPT UNDER SEC. B.6 P.C.FOR THIS REASON U 3 F ' l;�':: t:n 3 LL o�rE owr�ea - Z W F LICENSED CONTRACTORS DECLARATION W � I HEREBY AFFIRM UNUER PENALTV OF PERIURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTEH �r {�y�� U � I�� Y(COMMENCIlq WfTH SECTION 7000)OF OMSpN 3 OF THE BUSINESS AND PROFESSIONS CODE.AND MY LICENSE IS IN FULL FORCE MID EFFECT. z L1J � �r.�-I�'I' U1E'l�Z,�1y��1 p t�i7 R R � UCENSE CUSS LIC.NO. J fy.�{�,J��1fA7G A ATY�,C+A I:C•71�yy LLV L"►1tldJ JAl'diJl Jl V DATE CONTRACTOR a W � WOFKERS'COMPENSATION DECLARATION Q � U N I HEREBV AFFIRM UNDER PENALTY OF PERIURV ONE OF THE FOLLOWING DECURATIONS: � Z � _1 HAVE AND WILL MAINTAIN A CERfIFICATE OF COHSENTTO SELF-INSURE FOR WORNERS' 2 � COAIPENSATION,AS PROVIDED BV SECTON 37000F TME LABOR CODE,FOR THE PERFORMANCE W OF TME WORK FOR NR11q1 THIS PERMIT IS ISSUED. � � W _I HAVE/WD WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SEC710N Q 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORN FOR WHICH iH15 PERMIT IS T ISSUED.MY WORKERS'CONPEHSATION INSUFiANCE CARflIER AND POLICY NUMBER ARE: CONSTRUCTION lJ jc�qqiEq PLAN REVIEW � POLICY NUMBER ELECTRIC 1 � 0 (fW65ECilONNE�NOTBE00tiPLEfEDOFl1EPEfMT�SFORONEHIN�DfimDOLUAS(5100)ORLESS� PLUMBING w MECHANICAL Z 1 CERTIFV THAT IN hIE PERFORMANCE OF 7HE NK7RK FOR WHICH THIS PERMIT IS ISSUED,I V' SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE � WORKERS'COMPENSATION LAWS OF CJLIFOpNIA.AND AGREE THA71F I SHOULD BECOME INSPECTION FEE S SU&IECT 70 THE WORKERS'COMPENSATION PROVISIONS OF SECTION 370o OF THE LABOR � S CODE,I SHALL FOfiTHWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE � p DATE: � APRICANT. - SMIP /� � ENERGY P/C J WARNINO:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNUWFUL.AND SHILL BE � SU&IECTANEMPLOYERTOCHIMINALPENALTIESANOCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOILARS(iloo,o00).IN ADDITION 70 THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN � SEC7qN 37oe OF lNE UBOR CODE.INTEREST.AND ATTORNEY'S FEES. � RETENTION FEE: �. � a CONSTRUCTION LENDING AGENCY P ALT FE�E:n,^� � 1 HEREBYAFFIRM UNDER PENAL7Y OF PERIURV 7HAT 7HERE IS ACONSTRUCTION LENDING AGENCV //�J�' FOR hIE PERFORMANCE OF THE WORK FOR WHICH 7HI5 VERMIT IS ISSUED(SEC.�OW,CIV.C.). Z W � LENDER'S NAME H LENDER'SADDRE55 w I CERTIFV THAT I HAVE READ T11S APPLICA710N AND STATE THA7 THE ABOVE INFORMATION IS CORRECT. TOTAL FE ES � I AGREE TO COMPLY N7TH ALL CRY AND COUNTV ORDINANCES AND STATE UWS REUTINO TO BUILDING CONSTRUCiION,AND MEREBV AUTHORIZE REPRESEN7ATIVES OF THIS COUNTY TO EHTER UPON THE ZABOVE-MEHTIONE�ERTY FOR INSPEC ruRPosEs. COMMENTS �- � / / _ / v m PERMITTEE NAME RI ' N ,} 3 N SIONATURE OF DATE ,e� � RECPT.NO. . PAID BY �/ � VALIDATION VYHITE—DepeAment Copy,YELLOW�inance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY OF DIAMOND BAR II�SPEC�'IOfV F�EC�RC9 ,...,�._ < �, � � � �� e e � � j • � ■ �;SIE�, �SET BACK ' � • � � �;� FLOOR JOIST . , � .�. s ;y �"� ' � FTGS/FORMS/STEEL �. � �.' . ' :�� FHA REQMTS ELECTRIC GROUND � � � UNDER FLOOR DUCT. �� ...; ,,.., :. ,, , ,.,,.; ; GROUND PLUMBING UNDER FLOOR CU�IDUhT '� - ;�;•► +'�__` •.ti'�•' :"�c= SLAB GRADE FIREPL , , FQ,IJND TION ��-',��` ' `�' �'� TEMP POWER FIREPLAC�B'(��1D EAM ' � ' WATER SERVICE MID HT. BOND BEAM ' ,,;. , -.,{ .,.' Y,.: ;•. i ROOF S1�Ea�'HINCi.'"';•;'_,'�:. .�,-; .. , •;- 8 FT. BOND BEAM � FRAMINGNENTILIATION � � � ^ � � FINAL BOND,BEA ., +... ;�+. � �, ,� , , � ROOF COVER `� � �?=— PRE-GRAQIM;G � :►_". ��.:; ��.�.a:', .;�_;::J,;;�;,. ROUGHHEATING BENC �� C�'' '�' ''�'�' � "' '' �� ._.ci:_,s � ROUGH ELECTRIC � ROUGH GRADING ROUGH PLUfVIBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRlC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL � � CEIL.ING INSUTATION OFF SITE IMPS. DRYWALL NAIUNG DEDICATIONS . SEWER FINAL ENG. SEPTIC TANK ___ _;� LANDSCAPEIIRRIG. SEEP PIT/L.L. � � �.�� N SITE IMPS. ' GAS AIR TEST FINAL ZONING FINAL CONST. � �� i FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAC ELECTRIC DEV. FEES PAID FIfVA�PLUMBING ENERGY � ,� *�� R:� .�E :9��n COiViMEfVTS - . -t - - � � � � � i s SEPTIC TANK SIZE SEEP P!T/U SIZE . �.� � � � � "� � t,��,�� ., � � � � '. `, �� .��"��'+ ��s ; :� ,�� _� '� �i�' �t' �,°-' Sr M ��4 i�� fi��`�' � '' i � �� '�"�+��'�ay'r��` .�"+� ,,�,.� '},r �i . , t ' :\ , � - ��.._ . � � � '.1 � ��'d� �p:�'�� '�t�'�?��,*�s : � . . . _. . . ` `' Yr ��'�.,1 I : •� ` •`. p�� 1��,4y�b�,�i�,� .3'v�� k . ! - ♦ . . v' jr �� .k' � ° _ . A"� � . �� • _�, , A�1'^� � �'�. .� <'��