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Home My WebLink About17693 (42) CITY OF DIAMOND BAR '�f `----l�` -- DEPARTMENT OF COMMUNTI'Y&DEVELOPMENT SERVICES � 21825 E.Copley Drive - (909)860-3195 Fax(909)861-3117 PRESS '"%�� BUII.DING PERMIT APPLICATION FIRMLY o� JOBSITE APPUCATION PERMIT '�'�/� P/C I ADDRESS ' DATE " NUMBERI IIDI C�� # � ISSUE TYPE OCC � APN LOT TRACT DATE CONST. GROUP p OWNER p ADDRESS ZONING SETBACKS FRONT RW ❑ o A P I I �� , REAR ❑ Z SIDE/SIDE STREET RW ❑ m CONTRACTOR � SIDE ❑ � ADDRES ' PROPOSED USE � CITY P , "T ,` o ARCH/ G/ t �z DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDEFi DECLARATION SFR/ADD/REM O I HEREBV AFFIRM UNDER PENALTV OF PERIURY THAT I AM E%EMPT FiiOM THE COMRACTORS LI� G8f09B/C2fpOR W CENSELAWFORTHEFOLLOWINGREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANVCI7VOR (n U COUNTYWHICHREOUIRESAPERMITTOCqNSTRUC7,ALTER,IMPROVE,DEMOLISH,ORREPAIRANVSTFUC- w TURE,PRIOR TO ITS ISSUANCE,ALSO RE�UIfiES THE APPLICANT FOR SUCH PERMI7 TO FILE A SIGNED w Patio/Deck STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� � CENSE LAW(CHAPTER B(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � PooUSpa . FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFFOMANDTHEBASISFORTHEALLEGEDEXEMP- (� � TION.ANYVIOLATIONOFSECTION7031.58YANYAPPLICANTFORAPERMITSU&IECTS7HEAPPLICANTTO Z Ra-Roo( A CIVIL PENALTV OF NO7 MORE THAN FIVE HUNDRED DOLLARS(f500).): i Z ❑I,ASOWNEfiOFTHEPROPERTY,ORMVEMPLOVEESWITHWAGESAS7HEIR50lECOMPENSATION, ❑ COrtlfil8fdfll � WILL DO THE WORN,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.704I,BU51- J � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF � PROPERTV VhiO BUILDS OR IM PROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR � THFiOUGMHI50RHEROWNEMPLOVEES,PROVIDEDTHATSUCHIMPROVEMENTSARENOTINTENDEDOR m w OFFEREDFORSALE.IF,HOWEVER.hiEBUILDINGORIMPROVEMENTISSOLDWITHINONEVEAROFCOMPLE- 0 TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE OID NOT BUILD OR Z IMPROVE FOR THE PURPOSE OF SALE). _ ❑I,ASOWNEROFTHEPROPERTV,AME%CLUSIVELYCONTRACTINGWITHLICENSEDCONTRACTORS W � 70 CONS7RUC7 THE PqOJEC7(SEC.7014,BUSINE55 AND PROFESSIONS CODE:THE CONTRACTORS LI� ValUetlOfl ADJ.AREA W CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPERTYWHOBUILDSORIMPROVESTHEFIEON,AND � WHOCANTRACTSFORSUCHPR0.IECTSWITHACONTRACTOR(S)LICENSEDPURSUANT70THECONTRAG OUANTITY DESCRIPTION FEE Y 70RS LICENSE LAW.). / � ❑1 AM EXEMPT UNDER 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 PER.IURY THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER � � Y(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z . �X MV LICENSE IS IN FULL FORCE AND EFFECT. m . � LICENSE CLASS �' 7� LIC.NO. ? 7 7�� j V DATE�� CONTRACTOR W � WORKERS'COMPENSATION DECLA ION � � � Q � 1 HEREBY AFFIRM UNDER PENALTY OF PERIURY ONE OF THE FOLLOWING DECLARATIONS: Z Z _I HAVE AND WILL MAINTAIN A CER7IFICATE OF CONSEN7 TO SELF�INSURE FOR WORKERS' _ � ¢ COMPENSATION,AS PROVIDED BY SECTION 37000F THE LABOR CODE,FOR THE PERFORMANCE W OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � 0 w I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BY SECTION Q 370o OF THE IABOR CODE.FOR TH PERFORMANCE OF THE RK FOR WHICH THIS PERMIT IS ISSUED.MY WORKERS'CO NS ON INSURA CARRI ND POLICY NUMBER ARE: CONSTRUCTION Q > cARRiER \C� � d� �/ PLAN REVIEW ZPOLICV NUMBE ELECTRIC � Q � (iHISSECIqNNE�NOTBE00MPLEfEDOFTHEPEHMRISFORONEHUI�DREDDOlV�1LS(f100)ORL65} PLUMBING Z I CEHTIFY THAT IN THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL O (} SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE � N WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD B OME INSPECTION FEE = SUBJECT TO THE WOFKERS'COMPENSATION PROVISIONS OF SECTION 37000F E BOR CADE,I SHALLFORTHWITHCOMPLV WITHTHOSE P SIONS. ISSUANCE � SMIP p DATE:�Z�'Q�P1.ICAN: � J WARNING FAILUFiE TO SECURE WORKERS'COMPENSATION C ERAGE IS UNLAWFUL,AND SHA E ENERGY P/C � SUBJECTANEMPLOVERTOCRIMINALPENALTIESANDCIVIL ESUPTOONEHUNDREDTHOU ND ENERGYPERMIT DOLLARS(f 7 00.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOF IN � SECTION37080FTHELABORCODE,MTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIRM UNDEFi PENALTY OF PERJUi7V THAT THERE IS A CONSTRUCTION LENDING AGENCV ' FOR THE PERF-0RMANCE OF 7HE WOPK FOR WHICH 7HI5 PERMI7IS ISSUED(SEC.3087,CIV.C.�. . Z W � LENDER'S NAME � LENDER'SADDRESS (((^�/� � I CERTIFV THAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. TOTAL FE ES �V�/ w I A�REE TO COMPLV WITH ALL CITV AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING d � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE�MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS 0 � � � ¢ PERMITTEE (PRIN /9,��j/�-�-� ' G �� SIGNATUHEOFPERMI � = RECPT.NO. PAID BY VALIDATION ~ WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy . ' . . ., . .;.. .. . . .; ...,.. � ,.. � .. . ..n. �{..n4:r1.•�:._ .. �.�.. ."�t•w �"."_.f.- ... .� �. , . . , T . .. .. . . . . �yP�� U \.i'll �LbNUtlY�� lL1l(t-3Y LL � Bl�l��r�{��6��! f��L�B�D ��(��C��.° � ,`U� �: i��G�� o �,3� 0�;�� ': � ��o . a�� n.� �m. . , _._._�— ___ ; SET BACK ; , � FLOOR JOIST i FTGS/FORMS/STEEL �- FNA REQMTS ---�—� -- -._.._ - ' -------_.__ _--:.. .___— _..---- - ______�- ------ ---- ELECTRIC GROUNQ ' ' j UNDER FLOOR DUCT ; — --_ -- -----.------ ------- GRDUND PLUMBING __ � UNQER FLOOR CUhIDU�T i — .— � ----._.__...--- SLAB GRADE ___ . _FIREPLA��_FOUNL�ATION ___i�___ � �__�—_._ ----_.___ TEMP POWER ; , FIREPLACE BOND BEAM _ ____ WATER SERVICE ___ I ___ _ I MID HT. BDND BEAM __ _______ __ —. _._ . ROOF SHEATHING 8 Ff. BOND BEAM � -- — _. _., ____--- --.._-------..____:. _._.------...... FRAMLfVG/VENTILIATION � FINAL BOND BEAM � ROOF COVER PRE-GRAaING j RUUGH HEATING E3ENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUfUIBING ! FINISH GRADING — -- ----- ---....--- _______ ___ ��___. _......__.._._...._ SHOWER/TUB TEST PC70L EL�CTRIC � EXT. LATH/SIDING i PaOL FENCING WALL IIVSULATlON � POQL FIRlAL � CEILING IN�ULATION OFF SITE IMPS. ' � � DRYV�/ALL NAIUNG DEDICATIONS - -- - -- - SEWER ------- FINAL ENG. —1------------- SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/�.L. dN SITE IMPS. �AS AIR TEST FINAL ZONiNG FINAL COfVST. F�RE DEPT. FIh1A�_. FINAL HEATING � ' HEAL-T.H QEPT. FINAL • �� __-- ----__ �INAL ELECTRIC � DEV. FEES PAID FINAL PLUMBING � ENERGY ; ^_ ____ �;�---- ,� � _._.._._. _ � C�. �a CUiViNIE�1TS _ ___ _ __ SEPTIC TANK SIZE � SEEP PIT/U SIZE — -- � — - ---------- - ______---- � � � , ' � . �_ _�.------- ___.----