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Home My WebLink About11064 (5)JOBSITE ADDRESS 37 S �tusPet{x�� {� /74,rill APNLOT TRACT OYJNER ADDRESS _ _4 c o — 3 `7_y S • ros Ile C- 'IT �1 CITY Dib • ZIP T . APPLICANT'Zl'?%•_k Q.jrt0, TEL Lel �2L:/.f� CONTRACTOR u V[ a-YL.�•• ADDRESS 17 CITY, {. ZIP oizr1. YE 4I g!�2- 0755 _ ARCF6'ENG/ DESIGNER A ✓ (3 /F to ! lG%r Co Ir. ADDRESS_/V-:L. ey _ . CITY �. i%. ZIP �l�/21 TEL4y_,-,__421_-_')l_0 OI NER-BIYLDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJ'RY THAT I AM EXEMPT FROM THC CONTACTORS LI- CENSE LAW FOR THE FOLLOW. NO REASON (SEC. 7031 S BUS NESS 113 PROFESSIONS CODE ANY CITY OR COUNTY WHIG I P.EOUIRESA PERMIT TO CONSTRUCT. ALTER IMPROVC. CCMOLISII.OR REPA'R ANY STAUC' TUBE. Pn'OR TO ITS ISSLIA.NCE. ALSO REOU:nES THE M PLICANT FOR SUCH PERMIT TO FILE A S.GNCD STATEMENT TUT HE 011 SIZE IS LICENSED PJRS'.imr TO THE PIIOV SIGNS OF THE CONTRACTOf15 LF CENSE LAN (^CHAPTER Y (COMMENCING WITH SECTION 700,) OF DIVISION 7 OF THE BUS NESS AND I;RO- FESS:ONS CODE! On THAT HE OR SI -17. IS EXEM7T THEREFROM AND THE BASIS FOR THE ALLF.GEO EX[MP- TION ANY VCLAT ION OF SECTION TC31.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVILPENALTY OF NOT MORE THAN FWE HUNDRED DOLLARS (SSM) )' Cl l AS dA.ER OF THE P'70PER T Y.OR MY EM+LOYEES WITH WAG -S AS TI IE'n SOLE CCMPCNSATION• WILL DO THE WORK. AND THE STRICTURE IS NOT INTENDLD On OFFER[ D FOR SALE (SEC. 70A4. BJSI. HESS AND PnOFESS:ONS CODE. THE CONTRACTORS LICENSE LA'N DOCS NOT APPLY TO AN OWNER Of PROPERTY WTIO BUILDS OR IMPROVES THCn'ON. AND ALIO DOES SUCH WOR{ HIMSELF On HERSELF OR TII'IODCii 1 ;s On HER dAN EMPLOYEES. PnoL".OFD THAT SUCH IMPROVEMENTS ARr NOT INTE %BCD OR OfFEri.D FCRSALE. IF.HDW'EV'ER TIE BD'LIXNG OR IMPROVEMENT IS SOLD WITH[ ONE YEAR OF COM E. NI TK, THE CYIIEROJ:LCER WILL HAVE THE BURDEN OF PFOV:NS THAT HE OR SIZE D'D NOT 09':D OR IMPROVE FOR THE PURPOSE Or SALE). CT I. AS OW'NCR OR THE PROPEnTY, AM E XCLUS WELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PRO-'ECT (SEC. 7044. SUS:Nr55 ANO PROF[SS:ONS CODE THC COtiTPACTCRs LI- TO LAW DOESFYJTAPPLY TOA\ dA:VrriOFA PIiCPERTY W'O EUlOS On IM'ROVES TIIrnroN AND Wn IOCONTRACTS FCR BCCI I PRCiECTS W TII A CCW TRACTORS) LICCN SEC P,;nSJANT TO TEIE CONTRA,. TORS LICENSE LAW) O I All EXEMPT UN.^.ER SEC. B 8 PC FOR THS REASON CATE Dw%rn LICENSED CONTRACTORS DECLARATION I HEPLBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICCN SCD UNDER PROVISIONS OF CIUPTER V (COM V ENC'N G W TH SECTION 700.) OF C7.r.SIDN 7 CF THE E'>;'NESS A%D PROFESSON S COCE. A1D MY LICENSE IS IN ML FORCE AND EFFECT /�� LICENSE CLASS _•7� '� LIC. NO. OV -710 ,ATC j Z_ — f ` c7 r7 CCNTRACTOIT �� -j �� V:ORKERS' COMPENSATION DCCLARKNON I HEREDY ArF.nM UNDEn PENALTY OF PERJURY ONE OF THE FOLLOW:NG CCCLARATIONS I HA'JC ASD WILL MAINTAN A CERTIFICATE Or CONSENT TO SELF,INSURE FOR WJRKEPIS' COMPENSATION. AS PROVIDED BY SECTION 3770 OF THE LADCn CODE. FOR THE PERFORMANCE OF THE WORK FDn WHKYI THIS PER V IT IS ISSUED _I NAVE AND W LL MA'NTA.N W09KER5' COMPrNSATICN INSURANCE. AS RFWIRED E• SCCTAN 7700 OF THE LABOR CODE. FOR THC PEnFCRMANCE OF THE WORK FOR YMISH TIr.S PERMITIS ISSUED. MY YYo;Mr. S' CW]CNSATKYd' 4\CC CAR n ANO POLICY NUM3ER ARE: CArin:En L POLICYKUM.fe , r �— InsSEGTONNEMNOTBEMAILETEDOFTEPCRUF715FORKNEr4UND fDtXAWIs(5'001onLESS[ 1 CERTIFYTHAT N TI•E PCnrORMANOr OF THE WOPK Fon VP -.04 THIS PERU[' IS ISS CO. I SHALL NOT EMPLOYAYY PERSON N ANY MAN! --R 50 AS TO BCCCLIL SUB;CCT TO THE WORKER COMPENSATION LA'ASOF CALirom-OAA.ND AGREE THAT IF I SIIMD BECOME SU0.,CCT TO THE WCRKSRS' COMPENSATION PROVISIONS OF SECTION 3730 OF THC LABOR CODE. I SHALL FORTH V l T H COMPLY WITH 7I105E PROVISK)NS. DATE. APPLMAW. WARdNG. FAILURE TO SECURE WOnKER COMPENSATION COVERAGE IS UNLA'A'FLL. AND SHALL BE SUTMEC7 AY EMPLOYER TO CR MI1AL PENALTIES AND CIVIL FINES UP TO ONE MJNDnrD TmourANL) DOLLARS (5100.000;. N ACDKTION 70 THE COST Or CCMPCNSA'ION. DAMAGES AS PROV'DLa Fort IN SECTION 3708 OF THE LABOR COLE. INTEREST. ANDA: TOR:rY'S FEES CONSTRUCTION LENDINGAGENCY I HEnr.BYAFFIRM U\CER PENALTY OF PE RAJnY THAT THEnr IS A CONSTRUCT:ON LCN)I%G ACCN'OY FOf t THE PEnrORMANCE OF THE WORK FOR W'ma I THIS PCB1.':T IS ISSUCO (SEC. 3.i7. CIV G I LENDEn S NAME. LENDCfrS ADDRESS 1 CERTIFY THAT I HAVE READ TH:S APPLICATIONAND STATE THAT THE ABOVE NFCPMA'*N IS CORRECT. I AGREE TO COMPLY W'TH ALL CITY AND COUNTY ORDINANCES AND STA: E UNS FELA'ING TO PU:LD NS CONSTRUCTION. ANO HEnCBYAUTHOFI:E REPRESENTATIVES Cr 7H:5 COUNTY TO EN'ER UPON THE Allo`!C MCHTIONED PROPEFITY FOn INBPECTrY P'RPOSCS. ,b i,, (O5del PE ITT r n�M.E KPR N7)� S GN SPC i IL�%— CA7E PRESS FIRMLY JI / P/C APPLICATION ERMITER CITY Or DIAMOND BAR I I I COMMUNITY DEVELOPMENT DEPARTMENT • � 21660 E. Copley Drive Su tc 190 •� (909) 860-3195 Fax (909) 861-3117 '•�' BUILDING PERMIT APPLICATION JOBSITE ADDRESS 37 S �tusPet{x�� {� /74,rill APNLOT TRACT OYJNER ADDRESS _ _4 c o — 3 `7_y S • ros Ile C- 'IT �1 CITY Dib • ZIP T . APPLICANT'Zl'?%•_k Q.jrt0, TEL Lel �2L:/.f� CONTRACTOR u V[ a-YL.�•• ADDRESS 17 CITY, {. ZIP oizr1. YE 4I g!�2- 0755 _ ARCF6'ENG/ DESIGNER A ✓ (3 /F to ! lG%r Co Ir. ADDRESS_/V-:L. ey _ . CITY �. i%. ZIP �l�/21 TEL4y_,-,__421_-_')l_0 OI NER-BIYLDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJ'RY THAT I AM EXEMPT FROM THC CONTACTORS LI- CENSE LAW FOR THE FOLLOW. NO REASON (SEC. 7031 S BUS NESS 113 PROFESSIONS CODE ANY CITY OR COUNTY WHIG I P.EOUIRESA PERMIT TO CONSTRUCT. ALTER IMPROVC. CCMOLISII.OR REPA'R ANY STAUC' TUBE. Pn'OR TO ITS ISSLIA.NCE. ALSO REOU:nES THE M PLICANT FOR SUCH PERMIT TO FILE A S.GNCD STATEMENT TUT HE 011 SIZE IS LICENSED PJRS'.imr TO THE PIIOV SIGNS OF THE CONTRACTOf15 LF CENSE LAN (^CHAPTER Y (COMMENCING WITH SECTION 700,) OF DIVISION 7 OF THE BUS NESS AND I;RO- FESS:ONS CODE! On THAT HE OR SI -17. IS EXEM7T THEREFROM AND THE BASIS FOR THE ALLF.GEO EX[MP- TION ANY VCLAT ION OF SECTION TC31.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVILPENALTY OF NOT MORE THAN FWE HUNDRED DOLLARS (SSM) )' Cl l AS dA.ER OF THE P'70PER T Y.OR MY EM+LOYEES WITH WAG -S AS TI IE'n SOLE CCMPCNSATION• WILL DO THE WORK. AND THE STRICTURE IS NOT INTENDLD On OFFER[ D FOR SALE (SEC. 70A4. BJSI. HESS AND PnOFESS:ONS CODE. THE CONTRACTORS LICENSE LA'N DOCS NOT APPLY TO AN OWNER Of PROPERTY WTIO BUILDS OR IMPROVES THCn'ON. AND ALIO DOES SUCH WOR{ HIMSELF On HERSELF OR TII'IODCii 1 ;s On HER dAN EMPLOYEES. PnoL".OFD THAT SUCH IMPROVEMENTS ARr NOT INTE %BCD OR OfFEri.D FCRSALE. IF.HDW'EV'ER TIE BD'LIXNG OR IMPROVEMENT IS SOLD WITH[ ONE YEAR OF COM E. NI TK, THE CYIIEROJ:LCER WILL HAVE THE BURDEN OF PFOV:NS THAT HE OR SIZE D'D NOT 09':D OR IMPROVE FOR THE PURPOSE Or SALE). CT I. AS OW'NCR OR THE PROPEnTY, AM E XCLUS WELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PRO-'ECT (SEC. 7044. SUS:Nr55 ANO PROF[SS:ONS CODE THC COtiTPACTCRs LI- TO LAW DOESFYJTAPPLY TOA\ dA:VrriOFA PIiCPERTY W'O EUlOS On IM'ROVES TIIrnroN AND Wn IOCONTRACTS FCR BCCI I PRCiECTS W TII A CCW TRACTORS) LICCN SEC P,;nSJANT TO TEIE CONTRA,. TORS LICENSE LAW) O I All EXEMPT UN.^.ER SEC. B 8 PC FOR THS REASON CATE Dw%rn LICENSED CONTRACTORS DECLARATION I HEPLBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICCN SCD UNDER PROVISIONS OF CIUPTER V (COM V ENC'N G W TH SECTION 700.) OF C7.r.SIDN 7 CF THE E'>;'NESS A%D PROFESSON S COCE. A1D MY LICENSE IS IN ML FORCE AND EFFECT /�� LICENSE CLASS _•7� '� LIC. NO. OV -710 ,ATC j Z_ — f ` c7 r7 CCNTRACTOIT �� -j �� V:ORKERS' COMPENSATION DCCLARKNON I HEREDY ArF.nM UNDEn PENALTY OF PERJURY ONE OF THE FOLLOW:NG CCCLARATIONS I HA'JC ASD WILL MAINTAN A CERTIFICATE Or CONSENT TO SELF,INSURE FOR WJRKEPIS' COMPENSATION. AS PROVIDED BY SECTION 3770 OF THE LADCn CODE. FOR THE PERFORMANCE OF THE WORK FDn WHKYI THIS PER V IT IS ISSUED _I NAVE AND W LL MA'NTA.N W09KER5' COMPrNSATICN INSURANCE. AS RFWIRED E• SCCTAN 7700 OF THE LABOR CODE. FOR THC PEnFCRMANCE OF THE WORK FOR YMISH TIr.S PERMITIS ISSUED. MY YYo;Mr. S' CW]CNSATKYd' 4\CC CAR n ANO POLICY NUM3ER ARE: CArin:En L POLICYKUM.fe , r �— InsSEGTONNEMNOTBEMAILETEDOFTEPCRUF715FORKNEr4UND fDtXAWIs(5'001onLESS[ 1 CERTIFYTHAT N TI•E PCnrORMANOr OF THE WOPK Fon VP -.04 THIS PERU[' IS ISS CO. I SHALL NOT EMPLOYAYY PERSON N ANY MAN! --R 50 AS TO BCCCLIL SUB;CCT TO THE WORKER COMPENSATION LA'ASOF CALirom-OAA.ND AGREE THAT IF I SIIMD BECOME SU0.,CCT TO THE WCRKSRS' COMPENSATION PROVISIONS OF SECTION 3730 OF THC LABOR CODE. I SHALL FORTH V l T H COMPLY WITH 7I105E PROVISK)NS. DATE. APPLMAW. WARdNG. FAILURE TO SECURE WOnKER COMPENSATION COVERAGE IS UNLA'A'FLL. AND SHALL BE SUTMEC7 AY EMPLOYER TO CR MI1AL PENALTIES AND CIVIL FINES UP TO ONE MJNDnrD TmourANL) DOLLARS (5100.000;. N ACDKTION 70 THE COST Or CCMPCNSA'ION. DAMAGES AS PROV'DLa Fort IN SECTION 3708 OF THE LABOR COLE. INTEREST. ANDA: TOR:rY'S FEES CONSTRUCTION LENDINGAGENCY I HEnr.BYAFFIRM U\CER PENALTY OF PE RAJnY THAT THEnr IS A CONSTRUCT:ON LCN)I%G ACCN'OY FOf t THE PEnrORMANCE OF THE WORK FOR W'ma I THIS PCB1.':T IS ISSUCO (SEC. 3.i7. CIV G I LENDEn S NAME. LENDCfrS ADDRESS 1 CERTIFY THAT I HAVE READ TH:S APPLICATIONAND STATE THAT THE ABOVE NFCPMA'*N IS CORRECT. I AGREE TO COMPLY W'TH ALL CITY AND COUNTY ORDINANCES AND STA: E UNS FELA'ING TO PU:LD NS CONSTRUCTION. ANO HEnCBYAUTHOFI:E REPRESENTATIVES Cr 7H:5 COUNTY TO EN'ER UPON THE Allo`!C MCHTIONED PROPEFITY FOn INBPECTrY P'RPOSCS. ,b i,, (O5del PE ITT r n�M.E KPR N7)� S GN SPC i IL�%— CA7E PRESS FIRMLY JI / P/C APPLICATION ERMITER / Ul DATE NUMB7 p ISSUE TYPE OCC DATE CONST. GROUP ZONING SETBACKS FRONT RIN ❑ REAR ❑ SIDEJSIDE STREET RW ❑ SIDE ❑ PROPOSED USE NO. DWEL. NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREAIVALUATION SFR'ADD.'REM In Gararr..'CaTcrl LU Pao,'Deck LL PccVSpa 0 Z ne-Rccl Cemmorcial ED Va'K;al� ADJ AREA QUANTITY DESCRIPTION FEE J C U F- U W W :i• E CC d ULUIz lqql ti U CONSTRUCTION PLAN REVIEW ELECTRIC PLU :!B:ING MECIIAN!CAL INSPECTION FEE ISSUANCE SMIrl % E; ENERGY PIC ENERGY PERMIT RETENTION FEC: PRE -ALT FEE: !� TOTAL FEES COI:!+,NTS RECPT. NO. �_PAID BY VALIDATION WHITE-0epaP.men! Copy. YELLOW—Finance Copy, PINK—Assessor Copy GOLDENROD—FIIe Ccpy. GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR SET BACK I I 11 FLOOR JOIST 1 FTGS!FOR.LIS.!STEEL I FHA REOMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING' _ UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TENPIP POWER I FIREPLACE BOND BEAM WATER SERVICE ROOF SHEATHING FRAMI JGA/ENTILIATION I I Q I MID HT. BOND BEAM I ' a FT. BOND BEAM FINAL BOND BEAM ROOF COVER I PRE -GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC I ROUGH GRADING ROUGH PLUI:IBING I FINISH GRADING SHOWER/TUB TEST I POOL ELECTRIC I EXT. LATH,!SIDING POOL FENCING WALL INSULATION I POOL FINAL CEILING INSULATION I I OFF SITE Ih1PS. DRYWALL NAILING I ( DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPEIIRRIG. I SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. �� I FIRE DEPT. FINAL FINAL HEATING ! , HEALTH DEPT. FINAL FINAL ELECTRIC :' I DEV. FEES PAID FINAL PLUMBING I ENERGY COMMENTS l • SEPTIC TANK SIZE SEEP PIT/U SIZE