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Home My WebLink About15299 CITY OF DIAMOND BAR I --1�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 I (909)860-3195 Fax(909)861-3117 PRESS `'��' � BUILDING PERMTI'APPLICATION FIRMLY a� JOBSITE 2�C J� ��h�i'^��r DATEICATION' / Z�J NUMB R J� #/C�� " 1 ADDRESS � / � $ ISSUE TYPE OCC � APN LOT TRACT DATE CONST. GROUP p OWNER o ADDRESS 2 6 S S 9 6�-C��^� �r ZONING SETBACKS "' cirv D�u'�'"�^`� t�' ZIP TEL. FRONT RW ❑ � APPLICAN�o//wn Ptr�L TEL.�GZ 6 9/-0 5Y F7 REAR ❑ � SIDE/SIDE STREET RW ❑ � CONTRACTOR A��I�JGNc e F�'✓'c ro��G+�� SIDE ❑ ADDRESS 4''� / Lu�"' e a � CITY �� '�a y,rS ZIP �106�1 TELSG7 -o4f8 PROPOSED USE � �<<e Rt ro�� 3 SPr�n 1Cl�r oARCH/ENG/ ¢G'�S z DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O I HEREBY AFFIRM UNDER PENALTV OF PERNRV THAT I MI EXEMPT FROM THE CONTRACTOHS LI� GdfB(JB/CBryOff W CENSELAWFORTHEFOLLOWINGREASON(SEC.7031.SBUSINESSMIDPROFESSIONSCADE:ANYCITVOR (n U COUHTYYhiICNREWIRESAPERMRTOCONSTRUCT,ALTERIMPROVE,DEMOLISH.ORREPAIHANVSTRUC- W Patio/Deck � NflE.PRIOR TO ITS ISSUANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W STATEMENT THAT HE OR SHE IS LICENSED PUiiSUANT TO h1E PHOVISIONS OF THE COHTRAC70RS LI� � CENSE UW(pUPTER Y(COMMENCINO WITM SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- LL' PooVSpa FESSqNS CODE)OR THAT HE OR SHE IS EXEMPT iNEREFROM AND THE BA515 FOH THE ALLEGED EXEMP- TION.AHYVIOLATIONOFSEC710N7o37.58YANYAPPLICANTFORAVERMITSUBJECTSTHEAPPLICANTTO Z Re-Roat � A CML PENALTY OF NOT MORE h1AN FNE HUNORED DOLURS(i5ao).): � ❑1.0.SOWNEROFTHEPROPER7Y,ORMYEMPLOVEESWITHWAOESASTHEIRSOLECOMPENSA710N, � COfi1ff10fC181 � YALL DO THE WORK,AND THE STRUCTU{iE IS NOT INTENDED OR OFFERED FOR SALE(SEC.701/,BUSI� J � NESS AND PROFESSIONS CODE:7HE CONTMC70H5 UCENSE UW DOES NO7 APPLY TO AN OWNER OF � (� PROPEHfY N?IO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCN WORK HIMSELF OR HERSELF OR t� Q THiqU(3H HIS OR HER OWN EMPLOYEES,PROVIDEO THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m QOFFEAEDFORSALE�FHOWEVERTMEBUIIDINGORIMPROVEMENTIS50lDWRHINONEYEAqOFCOMPLE• Z ��T10N,THE OWNERAUILDER WILL HAVE THE BURDEN OF PROVINO TNAT HE OF SHE DID NOT BUILD OH = IMPROVE FOR THE PURPOSE OF SALE). w ❑I,ASOWNEROFTHEPROPEHTY,AME7(CLUSIVELYCONTMCTINOWfTHUCENSEDCONTRAC70RS � TO CONSTRUCT THE PRQIECT(SEC.7041,BUSINESS AND PROFESSIONS CODE:THE CONTMCTORS LI- VelUe110 �SO• C'� ADJ.AREA W CENSELAWDOESNOTAPPLYTOANOVMEROFAPHOPERTYMRiOBUILD50RIMPROVESTHEREON,AND � MM1iOCONTMCTSFORSUCHPH0.1ECT5WITHACOHfiUCTOR(S)LICENSEDPURSUAMTOTHECONTMC pUANTITY DESCRIPTION FEE � � TORS LICENSE LAW.). 0 ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q 3 � � � DATE OWNER � Z W � LICENSED CONTRACTORS DECLARATION W � 1 HEHEBY AFFIRLI UHDER PENALTY OF PEfLIURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER Ur . d Y(COMMENCIHO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CADE.AND Z X MV LICENSE IS IN NLL FORCE AND EFFECT. � � UCENSE CLASS � '� LIC.NO. `��e �� ,,�""�� j V DATE .��2�" `�� CONTRACTOR/4G(II�l N�t'.F��L a�{- Bt d W � � WOAKERS'COMPENSATION DECLAFiATION Q � I HEREBV AFFIRM UNDER PENALTY OF PERIURY ONE OFTHE FOLLOWING DECURA710N5: Z � _IHAVEANDWILLMAIN7NNACER7IFICATEOFCONSENTTOSELF-INSUHEFORWORKERS' _ COMPENSATKKJ,AS PROVIDED BV SEC710N 970o OF 7HE LABOH CODE,FOR THE PERFORMANCE U Q OF THE WORK FOR NM1iICH THIS PERMIT IS ISSUED. � � �I HAVE AND WILL MAINTNN WORKERS'COMPENSA710N INSURANCE,AS REQUIRED BY SECTION � Q 370o OF THE U80R CODE,f-0R THE PERFORMANCE OF THE WORK WR WHICH THIS PEiiM1T IS ISSUED.MY WO�gjK S'COMPENSATION INSURANCE CARq1ER AND POLICY NUMBER ARE: CONSTRUCTION / � � CARRIER /�k'�� V °�� PLAN REVIEW �+ � POLICYNUMBER 'i 6 J�S ELECTRIC / � � � (i1�5ECfqNNE�NOTBE�LEiIDOFTFEPEPo.Rt5FOi1aNEFiIR�OREDDOLI/3LS(f10D)ORLESS} PLUMBING n Z I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOH WHICH THIS PEHMIT IS ISSUED,I MECHANICAL � I , (} SHALL NOT EMPIOY ANY PERSON IN ANY MANNER SOAS TO BECAME SU&IECT TO THE N WORKERS'COMPENSATION LAWS OF CALIFORNIq AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE l S SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 770o OF THE UBOR CODE,1 SHALL FORTHWITH COMPIV WI7H THOSE PROVISIONS. ISSUANCE p DATE: ��Z/�� APPLICANT: I�'�I L D�✓� P�Y�L SMIP ^�+� � ENERGY P/C 1 1 OF I�I a MnNTI�A D J WARNINO;FAILURE TO SECURE WORKERS'CAMPENSATION CAVERAGE IS UNLAWFUL,AND SHALL BE �� -�-- � SU6IECTMlEMPLOVEHTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOLLARS(f7oo,000),IN ADDI710N TO THE COST Of COMPENSATION,DAMAGES AS PROVIDED FOR IN � � SECTpN 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. RETENTION FEE: ` � a CONSTRUCTION LENDING AGENCY PRE•ALT FE1E: 'J yr � 1 HEREBV AFFIRM UNDER 7ENALTV OF PER.IURV THA77HERE IS A CONSTRUCTION LENDING AGENCY �' �_ 1��{(�1 FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMI7 1S ISSUED(SEC.3087,CIV.CJ. . � Z W � LENDEF'S NAME � . F- LENDER'SADORESS � TOTAL FEES � LJ�� I CERTIFV THA71 HAVE READ THIS APPLICA710N AND STATE THAT THE�BOVE INFORMATION IS CARRECT. w I AGREE 70 COMPLV N7TH ALL CliY AND COUNTY ORDINANCES ANO STATE LAWS REUTING 70 BUILDING � CONSTRUC710N,M1D HEREBV AUTHOFIZE REPRESENTATIVES OF 7HI5 CAUNTY TO EMER UPON 7HE � ZABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. COMMENTS �� ,/J /� � �"I�t�C a/� f�/'cz � m PE EE NAME(PRIHT) ' can ��`�t'�-- /�'� �..2?-� v � SIGNATURE OF PERMI7TEE DATE = RECPT.NO. PAID BY VALIDATION ~ WHITE—Oepartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Apqlicant's;C9pY � ITC� L . : . , ' e;1. ,:a,*!.:1•ya�•+.,;e . ,..,.�.vf. . .. .........y. .. . . •vy;,l�rtf:•rvnmar.��T'i�-r.. ,��: ;a�,F,�'�S"�fiiy�'�.'a',rJ...^'f'f .sF��;.r+t+urt'ti`;"vi r.y`::�...�a,, �f,Y • ., • �- .�� i.�� Y Y �r ��6�41tlY�Utl� �11''i� �ICI��II ��Iltl ��'1�� , �;,�. :., . .... .� .. > �;-... . _ . . ..;.., � �--� � . ,D ...� �;�Y � �.� r�e`b O ��{[YL . •p FF Q�� 'h"��'4 Q ty � �, . � � P � ' � � ' , ��C r �. -� _ r .. .s �� + + . . x .. ..ti a. ; .. , - ., � � -r�- � , _.. , . , .• ,,� , � � , � . . .- ' '. . -. SET BACK ! � ' . FLOOR JOIST -- — — ---- -- — — ---...— ----- PTGSlFORMS/STEEL � FHA REC�MTS ELECTRIC GROUNQ � UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CUMDUIT __ SLAB GRADE FIREP�ACE FOUNDATION _ TEMP POWER � FIREPLACE BOND BEAM _ WATER SERVICE � MID HT. BOND BEAM — -- --- — , ROOF SHEATNIf�lG j 8 FT. BOND BEAM � FRAMINGNENT'{LIATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATiNG BENCHING ROUGH ELECTRIC I ROUGH GRADiNG ROUGH PLUNIBING ! � FINISH GRADING _ SHOWEI�/TUB TEST POOL ELECTRIC EXT. LATH/51DING POOL FENCING WALL INSULAl'lON .,,..,�:_',', +•-' POOL FINA� CEILING WSULATION � �� QFF SITE IMPS. DRYWAL.L NAIUNG �� 't 's�' DEDICATIONS _ SEWER `1�, ' FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PITlL.L, ON SITE IMPS. ' GAS AIR TEST ' F(NAL ZONING ---_�_ — �_.� FINAL CONST. FIRE DEPT. FINAL FINAL HEATING I HEALTH DEPT. FINAL �iNAL ELECTNIC ! DEV. FEES FAID _` � f=1NAL PLUMBlNG j ENERGY _v j------- � � � '� � ��'r..�.s�.�•� -- __._ � �_. _ — � COMfiii'IEN�"S , ., �. .�- - ��' � ----- -- - ---__ SEPTIC TAf�lK S1ZE � ' � SEEP PiT/C! SIZE � � --- �__-- ----._----..-- ;; o �� rs . � — �� ,,_ �` 1 t . "s� - � ,, � � ., �, �\��y}5) �� -� �lj 'a a �ti�`b t. bf __ _ _ —_`_____.__ t � `;¢ i.�� x� '+? ¢'� i�. k' . F k �j P t� i ".d �'ar' ° .k `�7 fj '��' �",�f� -.___._._._-._ � �� '� ,