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Home My WebLink About17509 CITY OF DIAMOND BAR EX P I R E D -----��` -- DEPARTIv1ENT OF COMMUNTI'Y&DEVELOPMENT SERVICES I 21825 E.Copley Drive - (909)860-3195F�(909)861-3117 JUN 19 2002 PRESS ' ��'�� BUILDING PERMIT APPLICATION FIRMLY � JOBSITE �/j��7 � ,��yJ� � %L J/ /`�, APPLICATION ( �� y►�� PERMIT �{�� P/C o ADDRESS �/ '/ /�i��r TJ// �/ DATE �"/" NUMBER v # � issuE TYPE occ APN LOT��'�n, �,� TRACT DATE CONST. GROUP p OWNER �i U /7W/�N(� � ADDRES ZONING SETBACKS Z CITY ZIP J� TEL JD'�/ 9 FRONT RW ❑ o APPLICANT TEL. SIDE/SIDE STREET RW ❑ z Q CONTRACT� i • � SIDE ❑ ADDRES � CITY ZIP TE PROPOSED USE o ARCH/ENG/ �z DESIGNER NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O 1 HEREBV AFFIqM UNDER PENALTV OF PERJURY THAT 1 AM EXEMPT FROM 7HE CON7RACTORS LI- Gef290/CflfPOR W CENSEUWFORTHEFOLIOWINGREA50N(SEC.7o31.5BUSINESSANDPROFESSIONSCODE:ANVCITVOR (n U COUNTVWHICHREOUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANVSTRUC- W TURE,PRIOR TO ITS ISSUANCE,AL50 REQUIRES 7HE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W Patio/Deck STATEMENT THAT HE OR SHE IS LICENSE�PURSUANT TO 7HE PROVISIONS OF THE CONTRAC70RS LI� � � CENSE UW(CHAPTER B(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOVSPB � FESSIONSCODE)ORTHA7HEORSHEISEXEMP77HEREFqOMANDTHEBASISFORTHEALLEGEDEXEMP� (� V TION.ANVVIOLATIONOFSECTION7031.58VANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re•Roof � A CIVIL PENALTV OF NOT MORE THAN FIVE HUNORED DOLLARS(SSoO).): Z ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOYEESWITHWAGESAS7HEIRSOLECOMPENSATION, � CORIrtIBfCi81 - WILL DO THE WORK,AND THE STRUC7URE IS NO7 IN7ENDED OR OFFERED FOR SALE(SEC.70I�,BUSI� J N NESS AND PROFESSIONS CADE:THE CANTRACTORS LICENSE UW DOES NOT APPLV TO AN OWNER OF � — PROPERTVWHOBUILDSORIMPROVES7HEFiEON,ANDWHODOESSUCHWORKHIMSELFOHHERSELFOR � THROUGH HIS OR HER OWN EMPLOYEES,PROVIDED THA7 SUCH IMPROVEMENTS ARE NOT INTENDED OR m Q OFFEREDWRSALE.IF,HOWEVERTHEBUILDWGORIMPROVEMENTISSOLDWI7HINONEVEAROFCOMPIE� Z TION,7HE OWNER-BUILOER WILL HAVE THE BURDEN OF PROVING 7HAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR 7HE PURPOSE OF SALE). W ❑I,ASOWNEROFTHEPROPERTV,AME%CLUSNELYCAN7RAC71NGWI7HLICENSEDCONTRACTORS � TO CONSTFUC7 THE PRQIECT(SEC.70/�,BUSINESS AND PROFESSIONS CODE:THE CON7fiAC70RS LI- Vdll18t10l1 ADJ.AREA W CENSELAWDOESNOTAPPLYTOANONTJEROFAPROPER7YWHOBUILDSORIMPROVESTHEREON,AND � WHOCONTRACTSFORSUCHPROJECTSWITHACONTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAC- �UANTITY DESCRIPTION FEE Y 70RS LICENSE LAW.J. � J � ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � U l� ¢ DA7E OWNER � Z w � LICENSED CONTRACTORS DECLARATION W � I HEREBY AFFIRM UNDER PENALTV OF PERJURV THA7 I AM LICENSED UNDER PROVISIONS OF CHAPTER � I ) � 4(COMMENCING WITH SECTION 7oao)OF DIVISION 3 0F THE BUSINESS AND PROFESSIONS CODE,AND Z � V MV LICENSE IS IN FULL FOpCE AND EFFEC7. y� � UCENSE CLASS / LIC.NO. ��"� j ~ DATE IZ CONTRACTOR d U w � WORKERS'COMPENSATION DECLARATION a � 1 HEREBY AFFIRM UNDER PENALTY OF GERJURV ONE OF THE FOLLOWING DECLARATIONS: Z Z _IHAVEANDWILLMAINTAINACERTIFICATEOFCANSENTTOSELF-INSUREFORWORKERS' _ ¢ CqMPENSATION,AS PROVIDED BV SEC710N 3700 OF 7HE LABOR CODE,FOR THE PERFORMANCE w � OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � � w I HAVE AND WILIMAINTAIN WORKERS'COMPENSATION INSURANCE,AS RE�UIRED BV SECTION Q 37o00FTHELABORCODE,FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERM1T15 ISSUED.MY WO KER'COMPENSA71 N INSURANCE CARRIER AND POLICY NUMBERARE: CONSTRUCTION ¢ ��,�r��u CARRIER PLAN REVIEW ZPOLICY NUMBER � ELECTRIC ¢ r . I.� � (iHISSECIXJNNEmNOTBE00MREfEDOFTHEPERMfTISFORONEHUPDREDD0I.LPAS�f10U)ORLESS} PLUMBING Z 1 CERTIFV THAT IN THE PERFORMANCE OF THE WORK fOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL C7 SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECAME SUBJECT TO THE �/j WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGflEE THAT IF 1 SHOULD BECOME INSPECTION FEE SUBJECT TO THE WORKERS'CAMPENSATION Pfl ONS OF SECTION 9700 OF THE LABOR �� I � CODE.I HALL F RTHWITH COMPLV WITH THO VISI NS. ISSUANCE � � SMIP p DATE: APPLICANT. J WARNING FAILURE TO SECURE WORKERS'COMPENSATION CAVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C ,. � SUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND I DOLURS(S1a0,000),INADDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPHOVI�EDFORIN ENERGYPERMIT c � � SECTION 37o80F THE LABOR CODE,INTEREST,ANDATTORNEV'S FEES. RETENTION FEE: I . V I d CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � O I � I HEREBY AFFIRM UNDER PENAL7V OF PERIURV THAT THERE IS A CONSTiiUCTION LENDING AGENCV n- FOFi THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3U87,CIV.C.). . Z W � LENDER'S NAME � LENDER'SADDRESS w TOTAL FEES �� '�.,' � , SL� � I CERTIFV THAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. � I AGREE TO COMPLY WI7H ALL CITY AND COUNTY ORDINANCES AND S7A7E LAWS RELA7ING TO BUILDING � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE Z ABOVE-MEN NED PROPERTV FOR INSPECTION PURPOSES. COMMENTS � �l/ � m PERMITTEE NA ( IN7) � /.�// /�/ � SIGNATUREOFPERMITTEE DA7E = RECPT.NO. PAID BY VALIDATION ~ WHITE—De artment Co YELLOW—Finance Co PINK—Assessor Copy,GOIDENROD—File Co GREEN—A IicanYs Co P PY, PY. PY, PP PY ,,.: .,. ,: . ,, .. ,.. , , . .:_ ,. .- ., ., . ,..: . .. . . .. , , . . �a�� Q�� f� �I��f�[��''��Ir� ��c�C4`�[�� 0�� t100O G�J DD Q� r � G�G� 0� ° (�`�OO a DD/�1� � o '.. , ° 5ET BACK , FLOOR JOIST , I --- ---- - -- - ------___--- FTGSlFORMS/STEEL , FHA REQMTS I ELECTRIC GROUND I UNDER FLOQR DUCT i . - -- ,-- -.._..- ---------- --- GROUND PLUMBING i __ __„___ � UNDER FLflOR CUt�IDUIT . ; _ -_._-- --- ---_.__......_..---- SLAB GRADE ' _ _ FIREPLAGE FOUNDA710N ' -----f---- _.-- TEMP POWER _ ---- I - -- __FIREPLA��BC�ND B�AM ___..._.------___._____ ___._ ...,.._____ WATER SERVICE ! �------ -Mif3 HT. �C7ND BEAM __ _....._ ---._._....__------_--;- -___ ROOF SHEATHING 8 FT. BdNi� BEA(�i ______ ____i___ --- _*_ ---...._._.._._. FRAMING/VENTILIATION ! FINAL BOND BEAM ; - — - -------------- ----- ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADIIVG ROUGH PLUNIBING ; i FINISH GRADING SHOWER�fUB TEST POOL ELECTRIC EXT. LATH/SIDING , POOL FENCING WALL If�SULATIOIV � POO�FINAL _ CEILIfVG INSULATION OFF SITE IMPS. -- — �._...- --------- --- DRYWALL NAIUNG DEDIGATIONS - ----- �__-- ---._._......_-----_ .--- -- SEWER FINAL Et�G. SEPTIC TANK �ANDSCAPEIlRRIG. �� --_---- - _ - --- ---- _.._._._� �—_____.._....� SEEP PIT/L.L. ' ON S{TE IMPS. GAS AIR TEST � FINAL ZONING FINAL CO(JST. �lRE DEPT. FINA:. FINAL HEATING I HEALTH DEPT. FINA� FINAL ELECTRIC DEV. FEES PAID FIIVAL PLUNIBING ENE�GY � . � I ��o � - CUiVINiEi�TS - —— - - -- — -- SEPTIC TANK SIZE � SEEP PIT/U SIZE -- �- - --� � -- --- — -_.._...----- � � w � ,