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Home My WebLink About17197 (25) 0 _�� _ CITY OF DIAMOND BAR DEPARTMENT OF COMMUNTI'Y&DEVELOPMENT SERVICES EXPI F�ED �y 2 i a2s E.copi�n��e J U N 19 2002 '"W PRESS (909)860-3195 Fax(909)861-3117 ��'�Y��' B�JY�,IDYNGP�Y2MITAPPLICA'�ION FIRMLY y JOBSITE � APPLICATION � ` PERMIT o ADDRESS z�iq presado dr-� diQmond bar DATE o � � NUMBER �� #/C � issuE rrPE occ APN G LOT TRACT DATE CONST. GROUP p OWNER 0 o ADDRESS � Q ZONING SETBACKS Z CITY � ZIP � TEL� ' rj FRONT RW ❑ o APPLICANT TEL. S DE/SIDE STREET RW ❑ z ¢ CONTRACTOR U I, n�c SIDE ❑ � CITY EWa IJ.'�Vt O ZIP TEL O � �, PROPOSEDUSE��,r O�L � reO�QLP �� o ARCH/ENG/ I.J ''j0 .il'7 t7vhb �z DESIGNER NO.DWEL. NO. rr O. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBY AFFIRM UNDER PENALTY OF PERJURV THA71 AM E%EMP7 FROM 7HE CONTRACTORS LI� G8f8QB/CBfpOR W CENSELAWFORTHEFOLLOWINGREASON(SEC.7031.SBUSINESSANDPROFESSIONSCADE:ANYCITVOR (n U COUNTVWHICHREOUIRESAPERMIT7000NSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYS7RUC� I W NRE,PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICAN7 POR SUCH PERMIT TO FILE A SIGNED w Patio/Deck STATEMENT THAT HE OR SHE IS LICENSEO PURSUANT TO THE PROVISIONS OF THE CAN7RACTORS LI� � CENSE UW(CHAPTER B(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � PooUSpa FESSIONS CADE)OR THAT HE OR SHE IS EXEMPT THEREFFOM ANO THE BA515 FOR THE ALLEGED EXEMP- (� � TION.ANV VIOLATION OF SECTION 7031.5 BV ANY APPLICANT FOR A PERMIT SU&IECTS THE APPLICANT TO Z Re-Roof A CIVIL PENALTV OF NOT MORE THAN FIVE HUNDRED DOLLARS(S5oo).�: ❑I,ASOWNEROFTHEPROPERTY,ORMVEM7LOVEESWITHWAGESASTHEIRSOLECAMPENSA710N, Q O Commercial Z WILL DO THE WORK,AND THE STRUC7URE IS NOT INTENDED OH OFFERED FOR SALE(SEC.7odl,BU51- J N NESS AND PROFESSIONS CODE:THE CONTFACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPERTY MRiO BUILDS OR IMPHOVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR � 7HROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NO7INTENDED OR m QOFFEREDFORSALEIF,HOWEVERTMEBUILDINGORIMPROVEMEN71550LDWITHINONEYEAROFCAMPLE- Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NO7 BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). w ❑I,ASOWNEROFTHEPROPERTV,AME%CUISIVELYCONTRACTINGWITH�ICENSEDCONTRACTORS � TO CONS7RUCT THE PRQIECT(SEC.70/4,BUSINESS AND PROFESSIONS CODE:THE CONTRACTOqS LI- V81U0(i0f1 ADJ.AREA W CENSELAWDOESNOTAPPLYTOANONRJEROFAPROPERTYWHOBUILDSORIMPROVESTMEREON,AND � WHOCONTRACTSFORSUCHPRQIECTSWITHACANTRACTOR(S)LICENSEDPURSUANTTOTHEfANTMC- QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.). � ❑I AM EXEMPT UNDER SEC. B.6 P.C.FOR THIS REASON Q � U � ¢ DATE OWNER U Z W � LICENSED CONTRACTORS DECLARATION W � I HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER V. � Y(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z X MY UCENSE IS IN FULL FORCE AND EFFECT. m � LICENSE CLASS rl��%�%�1 1�I v UC.NO. �O/��/�^ � j � U DATE I D� �O I CONTRACTOR_�_�_.O� D S � d W � WORKERS'COMPENSATION DECLARATION Q NI HEREBV AFFIRM UNDER VENALTV OF PERIURV ONE OFTHE FOLLOWING DECLARA710N5: Z I � _IHAVEANDWILLMAWTAINACERTIFICA7EOFCONSENT70SELF-INSUREFORWORKERS' 2 'I Q CAMPENSA710N,AS PROVIDED BY SECTION 3700 OF THE LABOH CODE,FOR THE PERFORMANCE w Q OF THE WORK FOR WHICH 7HIS PERMI7IS ISSUED. � w I HAVE AND WILL MAINTAIN WORKERS'CAMPENSA710N INSURANCE,AS REQUIRED BV SEC710N /� •/�1 Q Q 370o OF THE LABOR CODE,FOR THE PERFOR ANCE OF THE WORN FOR WHICH THIS PEFMI7IS �/ I, U�{I � ISSUED.MY WORN CO}ry�P/EJNSA I N I SU NCE CARRIER AND POLICV NUMBERARE: CONSTRUCTION � ¢ CARRIER �A 1 G �V� PLAN REVIEW I � Z POLICV NUMBER��I G�� ELECTRIC Q 0 (IHISSEC�qNNEmNOTBEQ'7MPLEfEDOF7HEPERMfTISFORONEHUPDREDDOl1MS(f100)ORLESS� PLUMBING Z I CEATIFY THAT IN THE PERFORMANCE OF THE WOHK FOR WHICH THIS PE ISSUED,I MECHANICAL U' SHALL NOT EMPLOY ANV PERSON IN ANY MANNER SO AS TO BECOME 5 JECT THE �� '- � � � � WORKERS'COMPENSATIONLA CAL ,AND REETHA HOULD ECOME INSPECTION FEE � E_�'�� \\ '� � ll = SUBJECTTO THE WORKEFS'COMPENSATION PR I510 OF SE 10 3 OOF T E LABO I o • � � • � • �^`�r� CADE.I SHALL FORTHWITM COMPLV WI H THOSE P OV io . ISSUANCE � . p DATE: �_ _U � APPLICANT: SMIP I . `. . J WARNING FAIWRE TO SECURE WORKER ENSA710N COVERAGE IS FUL,AND LL BE ENERGY P/C ' i � SUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDT AND ENERGYPERMIT DOLLARS(f100,000�,IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDE R IN ' J SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. RETENTION FEE: ��"'- � ' _ a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIRM UNDER PENALTY OF PERJURV THAT THERE IS ACONSTRUCTION LENDING AGENCY � FOR 7HE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097.CIV.C.). Z W � LENDER'S NAME H LENDER'SADDRESS /'� ¢ I CERTIFY THAT 1 HAVE READ THIS APPIICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. TOTAL FE ES I ' 1 �� w I AGREE TO COMPLV WITH ALL CITV AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING O� � � CANS7RUCTION,AND HEREBYAUTHORIZE REPRESENTATIVES OF THIS COUNTV 70 ENTER UPON THE � � ABOVE-MENTIONED PROPERN FOR INSPEC710N PURPOSES. Z COMMENTS � n � m PE ITTEE ME(RI ) ¢ 0- -0 � • � SIG ATU OF PE EE DA E = RECPT.NO. PAID BY VALIDATION ~ WHIT De artment Co YELLOW—Finance Co PINK—Assessor Co GOLOENROD—File Co GREEN—A licant's Co P PY� PY, PY. PY. PP PY ,.� ..... . . . .. . . ..r •..:. .�a�.,t�: �.�..:: �f.. ..�.... . . ., _ .. . . . . . .. . . ... . . . �/� U L� V.i� �4k'UUtlll lad'�� /N� , �� m O�Y ° U o A DQ� OG�[',�� OG�° �Ca�C)G� ,�G`Q� 0� �:o � _ _ a�,� �� . SET BACK �—�� FLOOR JOIST s•,. , . . � ' •� FTGS/FORMSlSTEE� � � FHA REQMTS - — ---- --_.. --+---.__._. _.__ -- - - ___.._--- :—,--:----- ELECTRIC GROUND � UNDER FLOOR DUCT ., ,. GROUND PLUMBWG ___ � UNDER �LOOR CUI�IDUIT ' � ' - =:-- ---_.� . _ . —__ _ _..._:_ SLAB GRADE FIREPLACE'�FOUND"ATION ` ' ' ' ' • TEMP POWER _ _FIREPLACE BOND BEAM _� _ , .A ___ _ _____ WATER SERVICE ,_ _� MID HT. BOND BEANI � ` '` ROOF SHEATHING ,LL' ��s� /c -j�s9-�� 8 Fi'. BQN�;B�AM . . � ' : �_ ____L� —_._._-- FRAMING/VENTILIATION ' FfNAL BOND BEAM � � ROOF COVER PRE-GRADINC _ _�_ _,_ _ ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRAdING - ROUGH PLUfVIBING FINISH uRADING � � �� SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL IiVSULATIOIV POOL FINAL CEILING INSULATION OFF SITE IMPS. �^ DRYV�/ALL NAILING DEDICATIONS SEWER FINAL ENG. --___.__ _ SEPTIC TANK LANDSCAPE/IFIRIG. SEEP PIT/L.L. � � dN SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FIPJAL PLUMBING ENERGY C�G�O[� o � o '• . . — GOMi�iENTS SEPTIC TAi�K SIZE SEEP PIT/U SIZE - ��" ----- ------- � � � � , , ______.