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Home My WebLink About17949 (32)� EXPIRIED CITY OF DIAMOND BAR �----J�`` ---- DEPARTIvIENT OF CONA�IUNTI'Y&DEVELOPMENT SERVICES JUN 18 2001 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS "'�»�� BUILDING PERMIT APPLICATION FIRMLY � o DDRIESS ��P 1`1�'K�J'�/ �lJ«/� � DATE CATION i � IT L I P/C 30� NUMBER�_ # � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER 1,✓VE Z- o ADDRESS 1� � EFC"(D /L�) ZONING SETBACKS Z CITY �4� al 1 V EL. ��D ( '(o'7S I FRONT RW ❑ � APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ z Q CONTRACTOR � �A �-- SIDE ❑ ADDRES • fa (.�'i-�t r � CITY � ZIP��'�O EL� � PROPOSED USE o ARCH/ENG/ z DESIGNER w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O I HEREBV AFFIRM UNDER PENALTV OF PERIURY THAT I AM E%EMP7 FF70M THE CONTRACTORS LI- Gef892/CBfpOR W CENSEUWFORTHEFOLLOWINGREASON(SEC.7o31.5BU51NE5SANDPROFESSIONSCODE:ANYCITYOR (n U COUNTVWHICHREOUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANVSTRUC- W TURE,PRIOR TO I7S ISSUANCE,ALSO RE�UIRES THE APPLICANT FOH SUCH PERMIT TO FILE A SIGNED w Patio/Deck STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CANTRACTORS LI� � CENSE LAW(CHAPTER 9(CAMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOVSpB � FESSIONSCADE)OFTHA7HEORSHEISExEMP7THEREFROMANDTHEBA5ISFORTHEALLEGEDEXEMP� (� V TION.ANY VIOUTION OF SECTION 7031.5 BV ANY APPLICANT FOR A PERMIT SU&IECTS THE APPLICANT TO Z Re•Roof � A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS(f5oo).): Z ❑I,ASONMEROFTHEPROPERTY,ORMYEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, � COrt1rtI0fCi21 - WIIL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7o4I,BU51� J N NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPERTY WHO BUILDS OR IM7ROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR � THROUGH HIS OR HER ONM EMPLOYEES,PROVIDEO THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m � OFFEREDFORSALEIF,HOWEVER,hiEBUILDINGORIMPROVEMENTIS50lDWI7HINONEYEAROFCAMPLE- Z TION,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,ASOWNEROFTHEPROPERTY,AMEXCLUSIVELVCON7RACTINGWITHLICENSEDCONTRACTORS , � TO CANSTRUC7 THE PR0.IECT(SEC.7041,BUSINESS AND PROFESSIONS CODE:7HE CONTRAC70Fi5 LI- V31U2�1On ADJ.AREA W CENSELAWDOESNOTAPPLY70ANOWNEROFAPROPER7YWHOBUILDSORIMPROVESTHEREON,AND � NM1iOCON7RAC7SFOR5UCHPR0.IECTSWITHACANTRACTOR(S)LICENSEDPUPSUAN770THECONTRAC- QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.). �� ❑I AM EXEMPT UNDER SEC. 8.8 P.C.FOR THIS REASON Q U � � DATE OWNER � Z w � LICENSED CONTRACTORS DECLARATION W � I HEREBV AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � d 9(COMMENCING WITH SEC710N 7000)OF DIVISION 9 OF THE BUSINESS AND PROFESSIONS CODE,AND Z X AIY LICENSE IS IN FULL FORCE AND EFFECT. � LICENSE CLASS ✓" LIC.NO.�'�S �� j U DATE � � '� CONTRACTOR�C.(/"�/`y� d W � WORKERS'COMPENSATION DECLARATION Q I ` �� NI HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: Z O Z _I HAVE AND WI�L MAINTAIN A CERTIFICATE OF CONSENT 70 SELF-INSURE FOR MIORKERS' _ ¢ CAMPENSA710N,ASPROVIDEDBYSEC710N37ooOFTHEU80RCODE.FORTHEPERFORMANCE `U Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � w I HAVE AND WILL MAIN7AIN WORKERS'COMPENSATION INSURANCE,AS RE�UIRED BV SECTION Q 3700 0F THE IABOR CADE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED.MY WORNERS'CAMPEN TION INSURANCE CARRI�AND POLICY NUMBER ARE: CONSTRUCTION j CARRIER (� � �� PLAN REVIEW Z POUCYNUMBER_� �P ��D ELECTRIC Q � (fHISSECfKXJNE�NOTBEOJFAPLEfEDOF7}IEPERMfTISFORONEFiIMDREDDOLIl�RS(f100)ORLESS} PLUMBING W Z I CERTIFYTHAT IN THE PERFORMANCE OF 7HE WORK FOR WHICH THIS PERMI7151SSUED,I MECHANICAL C.'} SHALL NOT EMPLOV ANV PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE � � WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE SUBJECTTO THE WORKEfiS'COMPENSATION PROVISIONS OF SECTION 37000F THE LABO � CADE,ISHALLFORTHWITHCOMPLVWITHTHOSEPROVSIONS. ISSUANCE 0 ,T p DATE: W �0'��PLICANT: SMIP J WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAG I UNLAWFUL,AND SH LL E ENERGY P/C � SU&IECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUS ENERGYPERMIT DOLLARS(5700,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVI�ED FOR IN ¢ SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE: d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIRM UN�ER PENALTY OF PERJURV THAT THERE IS ACONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.). Z W � LENDER'S NAME ' F=- LENDER'SADDRESS � TOTAL FEES ��+� � I CERTIFV THAT I HAVE FiEAD THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. w I AGREE TO COMPLV WITH ALL CITV AND COUNTV ORDINANCES AND STATE LAWS REUTING TO BUILDING � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE Z ABOVE-MEN710NED PROPEf1TV FOR INSPECTION PUR OSES. COMMENTS � �� m PEHMITTEE NAM PRINT) �- � '7 D '" a 2 � SIGNA7UR F PERMITT DATE = RECPT.�0. PAID BY VALIDATION ~ WHITE—De artment Copy.YELLOW—Finance Co PINK—Assessor Co OL ENRO File Co GREEN—A licant's Co P PY. PY. PY. PP PY , , � . . . .�.,., . : . .. , . . ..-'-'�, .'.�..,..._.JI.� . , ....i...r......,, ..."i.� .. ... .l :r. . .. � . . ... ♦ . . . . ��U �� ulY�u�f�l�!�� l�/��f~: ��L`�(��f� ��'.`�� 0��y� � �� p G 0 D ,.. �yy�� p `V'U uL/t1�J : �L:.1� � `a Q � �'�� . �� iA.R.K�.xrls� _...._�� SET BACK � -�� FLOOR JOIST ` � -- --- -------_------ - ----- -�--- ---- __ � FTGS/FORMSlSTEEL �____�_ �HA REQMTS � - - - } ---- -- ELECTRIC GROUND ------ ---- - ---.----!-UNDER FLOOR QUCT��_ i ....__..__ �, _ _.____ ��. _----- GROUND PLUMBING , , UNDER FLOOR CU��DUIT - -- - _ ___ ----� '- - _.... -- SLAB GRADE � FIREPLACE FOl1NDATIOiV __ TEMP POWER � � FIREPLACE BONa BEAM `' _ — ------T-----.___ -..�_ __ ---- _.-------- -.---- WATER SERVICE � _ � MID H7. BOND BEA�J! - ------ -._._.._.....---- --_.---- ROOF SHEATHIfVG , 8 FT. BOf�D BEAM _ j ___ -- - _ FRAMINGNENTILI,4TION i ____ �_FINAL BOND BEAM _ ,____ __ i ----- - - - - - ROOF COVER � , _ ' PRE-GRAl�ING -_- ------ - -- ROUGH HEATING BE(VCHING � ROUGH ELECTRIC ROUGH GRADING � --- - -- __ _. ----- _..------ ROUGH PLUiv1BING � �(NlSH GRADWG -- ---- -- --- -_._.....- ---- ------- _ __.._._._... SHOWER�fUB TEST POOL ELEC"rRIC EXT. LATH/SIDING i ; PUOL FENCING ---._...--- _- ---......._. WALL INSULATION � �'OOL FINAL -- --- �-------- --_. ___ --___._ CEILIiVG INSULATION __� OFF SITE lMPS. _ _ _ -- DRYWALL hIAILING � DEDICATIONS i - ---�--------___._---- --- SEWER FINAL ENG. � - -- ---- - --- --+,------______.__..___--� _ SEP i IC TANK . LANDSCAPE/IRRIG. ; SEEP PIT/L.L. ON SITE IMPS. - --- --- GAS AIR TEST FINAL ZQNWG � FIN,4L CONSL -- - �!RE DEPL FiNA!. ��_._�i_.__ -_.._._.____ FINAL HEATING HEALTH DEPT. FiNAL _._._ FINAL ELECTRIC _ � � DEV. FEES PAID --- - -�_..._--- _..__�..----- FIPJAL PLUMBING � � ENERGY ; ------ --- � --.. �G�� < <. : __ � CUfViMENTS � ' ---- - --_.- ----- � --___. - ( ---- _ � _. _-- SEPTIC TANK SIZE SEEP PIT/U SIZE - � ��__� _.____. -------�--�_ _...---.._.__._. � � ---------- � — --- ------ ; ----