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Home My WebLink About17743 CITY OF DIAMOND BAR ---�� --- DEPARTMENT OF COMMLJNTI'1'&DEVELOPMENT SERVICES 21825 E.Copley Drive �� (909)860-3195 Fax(909)861-3117 PRESS ��"%��+ BUILDINGPERMITAPPLICATION J;�,� � �S LOOU FVRMLY � JOBSITE � APPLICATIO PERMIT P/C o ADDRESS DATE � �Z NUMBER L17�3 # � ISSUE TYPE OCC � APN � TRACT DATE CONST. GROUP p OWNER � o AD SS � ./ 1 ZONING SETBACKS Z CI ZI T . FRONT RW ❑ o APPLICANT T S DE/SIDE STREET RW ❑ z Q CONTRAC �t' SIDE ❑ , � ADDRE PROPOSED USE A r� - /��,�/� �^ � CITY ZIP E� - w ARCWENG/ wDESIGNER NO.DWEL. NO. NO. a ADDRE S � UNITS STORIES BEDROOMS � CITY _ ZIP TEI� � cn DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O I HEREBV AFFIRM UNDER PENALTY OF PERJURV THAT I AM EXEMPT FPOM THE CON7RAC70RS LI� G8f899/COfPOft W CENSELAWFORTHEFOLLOWINGREASON(SEC.7031.5BUSINESSANDPROFESSIONSCODE:ANYCITVOR (n U COUNTYWHICHREOUIRESAPERMITTOCANSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- w TURE,PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICAN7 FOR SUCH PERMIT TO FILE A SIGNED W Patio/Deck STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CAN7RACTORS LI� � CENSE LAW(CHAPTER Y(CAMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO� � POOVSPB FESSIONSCADE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISfORTHEALLEGEDExEMP- (� � 710N.ANVVIOUTIONOFSECTION7031.5BYANYAPPLICAN7FORAPERMITSU&IECTSTHEAPPLICAN770 Z Re-Root � A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS(5500).): Z ❑I,ASON?JEROFTHEPROPERTY,ORMVEMPLOYEESWITHWAGESASiHEIRSOLECAMPEN5A710N, � COmmBtCiel - WIIL DO 7HE WORK,AND THE STRUCTURE IS NO7 INTENDED OR OFFERED FOR SALE(SEC.7oa4,BUSI- J � NESS AND PROFESSIONS CODE:THE CANTRACTORS LICENSE LAW DOES NOT APPLV 70 AN OWNER OF � PfiOPER7V NMO BUILDS OR IMPROVES 7HEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR CC THROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m QOFFEREDFORSALE.IF,HOWEVERTNEBUILDINGORIMPROVEMENTISSOlDWI7HINONEYEAROFCAMPLE- 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,AS ONTJER OF 7HE PROPER7V,AM E7(CLUSIVELY CAN7RAC71NG WITH LICENSED CONTRACTORS � TO CANSTRUCT THE PR0.IECT(SEC.7oa4,BUSINESS AND PROFESSIONS CODE:THE CCNTRAC70R5 LI- V81U0SIOf1 ADJ.AREA W CENSEUWDOESNOTAPPLVTOANOMMEROFAPROPERTYWHOBUILDSORIMPROVESTHEREON,AND � WHOCANTRACTSFORSUCHPROJEC75WITHACONTRAC70R�5)LICENSEDPURSUAN7TOTHECONTRAC- OUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.�. � ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � U LL � DATE OWNER U Z W � LICENSED CONTRACTORS DECLAAATION w � I HEREBY AFFIRM UNDER PENALTV OF PERJURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � Y(COMMENCING WITH SECTION 7000)OF DIVISION 30F THE BUSINESS AND PROFESSIONS CODE,AND Z X MY�ICENSE IS IN FULL FORCE AND EFFECT. m L1J � LICENS LASS�' ~��LIC.NO. / j V DATE � CONTRACTO � a � W � WORKERS'COMPENSATION DECLARATION -� Q NI HEREBYAFFIRM UNDER PENALTV OF PERJURV ONE OFTHE FOLLOWING DECLARATIONS: Z Z _I HAVE AND WILL MAIN7AIN A CER7IFICA7E OF CANSENT TO SELF�INSURE FOR WORKERS' _ , Q CAMPENSATION,AS PROVIDED BV SECTION 37000F THE LABOR CO�E.FOP THE PERFORMANCE W OF THE WORK FOR WHICH 7MI5 PERMIT IS ISSUED. � � w _I HAVEAND WILL MAINTAIN WORKEf15'COMPENSATION INSURANCE,AS REOUIRED BY SECTION Q 3700 OF THE LABOR CADE,FOR THE PERFORMANCE OF 7HE WORK FOR WHICH THIS PERMI715 ISSUE�.MY WORKEFiS'COMPENSATION INSURANCE CARRIER M1D POLICV NUMBER ARE: CONSTRUCTION J � CARRIER PLAN REVIEW Z POUCYNUMBER ELECTRIC Q � (IFiISSEC�IONNEmNOTBEOJMPLEfEDOFTHEPERMfTISFORONEHUI�DRED00UARS(5100)ORlE55). PLUMBING ��'-- - ---.- w ��'='� I I 1; Z ICERTIFYTHATINTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERMI7151SSUED,1 MECHANICAL �� C7 SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECAME SUBJECT TO THE I � WORKEHS'COMPENSA710N LAWS OF CALIFORNIA,AND AGREE 7HAT IF I SHOULD BECAME INSPECTION FEE - . � SUBJECTTOTHEWORKERS'CAMPENSA710NPFOVI510 OFSEC 37000F NENBOR � K � l CODE,ISHALLFORTHWITHCOMPLVWITHT PH wNs. �SSUANCE I /► �� S � E�� SMIP I // p DAT • APPLICANT: = �. I JENERGY P/C ��• WARNING:fAILURE TO SECURE M/ORKERS'COMPENSATION CAVERAGE IS UNIAWFUL,AND SHALL BE - � SU&IECTANEMPLOYER70CHIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT ` -��' " '-- " DOLURS(5700.000).IN ADDITION TO THE COST OF CAMPENSATION,DAMAGES AS PROVIDED FOR IN J SECTION 3708 OF THE LABOR CADE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE: � � Q d CONSTRUCTION LENDiNG AGENCY / PRE-A T FEE: " � I HEREBV AFFIRM UNDER PENALTV OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCV �� FOR TNE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.30B7,CIV.C.�. Z W � LENDER'S NAME O F- LENDEfl'SADDRESS ' n � I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE TMAT THE ABOVE INFORMATION IS CARRECT. TOTAL F E ES r�� v • � w I AGREE TO CAMPLV WITH ALL CITV AND COUNTV ORDINANCES AND STATE LAWS RELATING TO BUILDING � NSTRUCTION,AND HEREBV AUTHORIZE PRESENTA71VE5 OF 7HI5 COUN7V TO ENTER UPON THE � Q^.�� ZA E-MENTIONED PRO RTV FOR INSPEC oN vuavosEs. COMMENTS �� 0 ' � / m PER �A RINT) r�� N �� SIGNATUREOFPERMITTEE DATE r� = RECPL N0. PAID BY C �Ci VALIDATION ~ � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—ApplicanYs Copy , „ ,. � . ,, . . , • . , , . " . . ' . � ' . . 1 '" ... � ... 5♦ ` . ..t . . � "1' �f 1 �. .1,�, .Y'. . . . . .. . . .. . • �lO��U �� W��Y 4� �411Y L' o��c��u�� O[`r ° � v o DD GJ`� OG�� O�C�is�a�J �a�GJ`u��, �L°�� o � _gfr;� SET BACK FLOOR JOIST I _._ ----- - ------ FTGS/FORMS/STEEL ; I FHA REQMTS +----_ _..-- ---._.___..._...--- ----------- ELECTRIC GROUND ' ; tJNQER FLO�R DUCT GROUND PLUMBING ; UNQER,FLOOR CUf�IQUIT�� ' �__ ______ --- ____ SLAB GRADE FIREPLACE FOUNDATIOiV __� - � _... TEMP POWER FIREPLACE BOND BEAM � WATER SERVICE _ _MID HT. BOND BEAM ' ' _ �__.....__ _--- -- ROOF SHEATHIIVG i 8 FT'. BOND BEAM __ � __ FRAMINGNENTILIATION ' FINAL BOtJD BEAM __ _ ROOF COVER PRE-GRADING � _ __� ROUGH HE,4TING BENCHING • ROUGH ELECTRIC ROUGH GRADING --- -- -- — ROUGH PLUNIBING ; � FINISH GRADING ______ SHOWER/TUB TEST POOL ELECTRIC EXT. �ATH/SIDING POOL FENCING ---.--- -_ _.- WALL INSULATION � POOL FINAL � CEILING INBULATION OFF SITE IMPS. pRYWALL NAILING DEDICATIONS - ------..__ �_ �_._ SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. � GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAl� FINAL HEATING HEALTH DEPT. FINAL v� FItJAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY - , — --- -------- i ��a C��5 SEPTIC TANK SIZE SEEP PIT/U SIZE � � � _. � ------- ��