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Home My WebLink About17615 (25) CITY OF DIAMOND BAR �--- -� -- DEPARTIv1ENT OF COMr�IUNTTY&DEVELOPMENT SERVICES �� 21825 E.Copley Drive '� (909)860-3195 Fax(909)861-3117 J U N 19 2062 PRESS '"-.��' BUILDING PERMIT APPLICATION FIRMLY ! o� JOBSITE � GO� i N ' S� APPLICATION � �"�Cl��NUMB R�� #/C ADDRESS DATE �..✓ � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP °C OWNER� O p ADDRESS.2 I s ZONING SETBACKS Z CITY� + P EL,S��Z FRONT RW ❑ o APPUCANT`�j�� M✓�A S��! TEL.(f V�4_(`R�TI S DE/SIDE STREET RW O � CONTRACTOR � t_C � � SIDE p � ADDRESS . � CITY ZIP��TEL.�Cf�j -S'C-Ir�J PROPOSED USE o ARCWENG/ T�^ �� z DESIGNER w NO.DWEL. NO. NO. a ADDRESS = CITY ZIP TEL. UNITS STORIES �_ BEDROOMS�_ � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFWADD/REM I O I HEREBV AFFIRM UNDER PENALTY OF PERJURV THAT I AM E%EMPT FROM THE CON7MCTORS LI- GflfeQE/CBfPOR W CENSEUWFORTHEFOLLOWINGREASON�SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANVCITVOR (n U COUNTVWHICHREQUIRESAPERMITTOCONS7RUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANVSTRUC- W TURE,PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT 70 FILE A SIGNED w Patio/Deck STATEMEN7 7HAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CON7RAC70R5 LI� � CENSE LAW(CHAPTEH e(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AN�PRO- � POOUSPB FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDEXEMP� (� � TION.ANV VIOLA710N OF SEC710N 7031.5 BV ANV APPLICAN7 FOR A PERMIT SUBJECTS THE APPLICAN7 T0 Z Re-Roat � A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLIARS(5500).): � ❑I,ASONMEROFTHEPROPERTV,ORIAVEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, 0 Commercial - Z WIIL 00 THE WORK,AND THE STRUCTURE IS NOT IN7ENDED OR OFFERED FOR SALE(SEC.7041,BUSI- J � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NO7 APPLV 70 AN OWNER OF � � 7ROPERTV WHO BUILOS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR � THROUGH HIS OR HER OWN EMPLOYEES,PROVIDED 7HAT SUCH IMPROVEMENTS AHE NOT INTENDED OR m QOFFEREDFORSPLE.IF,HOWEVERTMEBUILDINGORIMPROVEMENTISSOLDWI7HINONEYEAROFCOMPLE- Z 710N,7HE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). w ❑I,ASOWNEROFTHEPROPERTV,AMEXCWSNELVCONTRACTINGWITHLICENSEDCONTRACTORS ,� . Q TO CANS7RUCT THE PRQIECT(SEC.70�1,BUSINESS AND PROFESSIONS CADE:THE CONTMCTORS ll- ValU2li0f1 ADJ.AREA � W CENSELAWDOESNOTAPPLVTOANOWNEROFAPFiOPERTVWHOBUILD50RIMPROVESTHEREON,AND � VAiOCONTRACTSFORSUCHPROJECTSWITHACQNTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE �, Y TORS LICENSE LAW J. I � ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON � Y(/ � Q � � LL DATE OWNER U Z w � LICENSED CONTRACTORS DECLARATION W � I HEREBY AFFIRM UNDER PENALTY OF PERJURV 7HAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � e(COMMENCING WITH SECTION 7000)OF DIVISION 30FTHE BUSINESS AND PROFESSIONS CADE,AND Z X MY UCENSE IS IN FULL FORCE AN^D EFFECT. � L�CENSE CLASS l�`�J / LIC.N0. j V DATE � " � Z CONTRACT a � ��/WO S'C MPENSATION DECLARATION Q � I HEREBV AFFIRM UNDER PENALTY OF PERJUPY ONE OF THE FOLLOWING DECURATIONS: Z � _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSEN7705ELF�INSUREFORWORKERS' _ Q CAMPENSATION,AS PROVIDED BY SECTION 3700 OF THE LABOR CODE,FOR THE PERFORMANCE w Q OF THE WORK FOR WHICH THIS PEHMIT IS ISSUED. � w I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BY SECTION Q 370o OF 7HE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH 7HIS PERMIT IS � ISSUED.MY WORK S'CO PENSATION IN RANCE RRIER AND POIICV NUMBER ARE: CONSTRUCTION � � Q � CARqIER�� ✓ir /� PLAN REVIEW ZPOLICYNUMBER l�7'N�L'`f��/ ELECTRIC Q � (IHISSECTqNNE�NOTBEOJNREfEDOFTI-IEPERMfTISFORONEHUPDREDDOl1ARS(f100)OqLESS1 PLUMBING Z I CERTIFVTHAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICA� (,'} SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE N WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECAME INSPECTION FEE ? SU&lEC7T0 THE WORKERS'COMPENSA710N PROVISIONS OF SECTION 37000F THE LABOR ' CADE,I SHALL FORTHWITH COMPLV WITy�o SE Pgo Vys IONS. ' ISSUANCE � �— (/�0�- MT1C/ j/,��/� SMIP ��Q DAT ` APPLICA wWARNIFG�ILOR TO S C E WORKERS'COMPENSATION COVEflAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C LL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TOONE Hl1NDRED THOUSAN� ENERGY PERMIT �OLIARS(f700.o00�,IN ADDITION TO 7HE COS70F COMPENSATION,DA1.IAGES AS PROVIDED FOR IN � SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTOHNEV'S FEES. RETENTION FEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIRM UNDER PENALTV OF PENURV THAT THERE IS A CONSTRUCTION LENDING AGENCV � FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.). Z W � LENDER'S NAME � LENDER'S ADDRESS ��y � TOTAL FEES Q � I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. w I AGREE TO COMPLV WITH ALL CITY AND COUNTV ORDINANCES AND STATE LAWS REUTIN�TO BUILDING � CANSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE Z ABOVE-MENTIONED PflOPERTV FOfl INSPECTION PURPOSES. COMMENTS � � `� �� _ ��, �� m PER NAME(P MT) � � '_ �4 � . � � G EOF RMITTEE DATE . = RECPT.NO. PAID BY VALIDATION / ~ WHITE—Department Copy,YEILOW—Finance Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy , . _ .:. . .._. ,.. _ ,.�,.,. ,..�:, .,, - .. . . +��`P� �� D�fi��t�9� �� (��f�� f�� °� 0� U a �� DGJ`�� • 0 ��o �� ,,, �°�D[��-�� A, ap�,:. n�, -��: ��0�� a�� ' ° a' SET BACK � I FL�C3R JOIST - -- ---- —�--. ._. _...... _._---.__�� _ __.___.. _----- FTGSlFORMS/STEEL ; ; FHA REQMTS — -- ----- ; --_. :.-,---- --- -- ELECTRIC GROUND ' ; ; UNDER FLUOFi DUCT � - ---•— -- -- ---- ----- GR(JUND PLUMBING ; �� _.___ _�_ ____ ' UNQER FLOOR GU��DUIT � _� -1— ---. ._._......._. SLAB GRADE � FIREPLACE FOUNDATIC3N _ TEM!' POWER ' I FIREPLACE BOND BEAM i ^. �___� ---a---- ___..--_,.--------__ ___.___. W,4TER SERVICE I _ _ ; MID HT. BOND SEAM ROOF SMEATHING ��1/ZI � ! 8 FT. BOND BEAM I r. _ .�__ �� ------ �-- --- - -_____ FRAMINGNENTILIATIOiV ___ ' FINAL BOND BEAM ____ _ 1 —-�-- --------- ROOF COVER PRE-GR�DING � ROUGH HEATING BENCHING i ROUGH ELECTRIC � i RQUGN GRADlNG ' ROUGH PLUMBING ; FINISH GRAQING -- ---- ' --........._� -------�- __ __.......___ ___...----------- ---...._._......_ SHOWER/TUB TEST � POOL ELECTRIC � - — ----- EXT. LATH/SIDING � j PDOL FENCING - —• ------__ ----- WAL�INSULATION j—POOL_FINAL _ ___ CEILING IN�ULATION � OFF SITE IMPS. DRYWALL N,41LIhIG _ DEDICA,TIOPJS ' �_ —�------------r - SEV�lEF{ FINAL ENG. � SEPTIC TANK , LANDSCAPE/IRRIG. � ----�-- ; ON SITE iMPS. ----- ---------........--.. SEEP PIT/LL. GAS AIR TEST �� FINAL ZGNING ' FINAL CONST. � . �'!RE DEPT. FINA�_. FINAL HEATING � H�AL7F-f DEPT. FINAL FINAL ELECTRIC ' � i DEV. FEES PAID FINAL PLUMBIt�G � � � � ENERGY ��--- �-�---- � =-- ' -._..._..__A -- �l ��o � CD��5 SEPTIC TA�lK SIZE ^ SEEP PIT/U SIZE � ---" ----�- � -- �'IA C� _ ---_. _-_______ � --