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Home My WebLink About16701 �x�i��D CITY OF DIAMOND BAR �- --��` --- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �, � JUN 19 2001 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS �`'%��^�� B�JIILDIIVG PEI2I1�4IT APPLICATION FVRMLY o� JOBSITE ��n� �S�/�'� /7��e /�, APPLICATION � D NUMB R #/C ADDRESS �,� C �'� �� DATE °r APN LOT TRACT �SSUE TYPE OCC -�} DATE D CONST. GROUP p OWNER /JUGJ ,/�-� �Z�/ �/ , o ADDRESS LONING SETBACKS Z CITY ZIP TEL. FRONT RW ❑ o APPLICANT TEL. S DE/SIDE STREET RW ❑ z m CONTRACTOR � /Lije t'/�, SIDE ❑ � ADDRESS • ��C 7�rL �/J'I��/(y S�/��JCSb/J�� - � CITY ZIP TEL. PROPOSED USE oARCWENG/ �z DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O I HEREBY AFFIRM UNDER PENALT/OF PERJURV THA7 I AM ExEMPT FFOM THE CONTRACTORS LI- G8f890/C2fPOR W CENSELAWFORTHEFOLLOWINGREASON(SEC.7a31.5BU51NE55ANDPNOFE5510N5CODE:ANVCITYOR (n U COUNTYWHICHREOUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,OHREPAIRANYS7RUC- w TURE,PRIOFi TO ITS ISSUANCE,AL50 REQUIRES THE APPLICAN7 FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck � STATEMENT THAT HE OR SHE IS IICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- � CENSE LAW(CHAPTER 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO� V' PooUSpa FESSIONSCODE)ORTHATHEOqSHEISEXEMPTTHEREFROMANDTHEBA515FORTHEALLEGEDEXEMP- (� � TION.ANVVIOLATIONOFSECTION7031.SBVANVAPPLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z Re-Roof A CIVIL PENALTV OF NOT MORE THAN FIVE HUNDRED DOLLARS(f5o0).): Q ❑I,ASOWNEROFTHEPROPERTY,OFMVEMPLOYEESWITH�WAGESASTHEIRSOLECOMPENSATION, 0 COR1RIBfCi31 � Z WILL DO THE WORK,AND THE STRUC7URE IS NOT IN7ENDED OR OFFERED FOR SALE(SEC.7044,BUSI- J � NE55 AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNEP OF � PROPEFiTY WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR Q THROUGHHISORHEROWNEMPLOVEES,PROVIDEDTHA7SUCHIMPROVEMENTSARENOTINTENDEDOR m w OFFEREDf-0RSALE.IF,HOWEVER,THEBUILDINGORIMPROVEMEN71550LDWITHINONEYEAFOFCOMPLE- 0 TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUIID OR Z IMPROVE fOR THE PURPOSE OF SALE). � OI,ASOWNEfiOFTHEPROPERTY,AMEXCLUSIVELYCONTRACTINGWITHLICENSEDCONTRAC70RS W � 70 CONS7RUCT THE PRQIEC7(SEC.70/4,BUSINESS AND PROFESSIONS COOE:7HE CONTRACTORS LI- V81U8�1Of1 ADJ.AREA W CENSELAWDOESNOTAPPLVTOANOWNEROFAPROPERTYWHOBUILDSORIMPROVESTHEREON,AND � WHOCANTRACTSFORSUCHPRQIECTSWITHACONTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE Y 70RS LICENSE LAW.). � ❑I AM E%EMPT UNDER SF_C. B.8 P.C.FOR THIS REASON Q � U � � DATE OWNER � Z W � LICENSED CONTRACTORS DECLARATION W � I HEREBV AFFIqM UNDER PENALTY OF PEFJURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER Z � C�A"G� d 9(COMMENCINGWITHSECTION700o)OFDIVISION30FTHEBUSINESSANDPROFESSIONSCODE,AND s/J'�� X MV LICENSE IS IN FULL FORCE AND EFFECT. �1 � LICENSE CLASS(^�5!�/�� LIC.NO. ��/`n/� j U DATE (Q��f��D J CONTRACTOR /U�VlL /, / 7��, a W � WORKERS'COMPENSATION DECLARATION � Q � I HEREBV AFFIRM UNDER PENAL7Y OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: Z Z _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CANSENT TO SELF-INSURE FOR WORKERS' _ Q CAMPENSATION,ASPROVIDEDBVSECTION370aOFTHEUBORCODE,FORTHEPERFORMANCE W OF 7HE WORK FOR WHICH THIS PERMIT IS ISSUED. � � w _I HAVE AND WILL MAIN7AIN WOFiKERS'CAMPENSATION INSURANCE,AS RE�UIRED BY SECTION Q 370o OF 7HE LABOH CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.MY WORKERS'COMPENS TION INSUR�E CARR AND POLI NUMBER ARE: CONSTRUCTION ¢ / CAFRIER ��J� �� PLAN REVIEW � � /1y Z POLICY NUMBER � �(,/ 6�� ELECTRIC Q � � (iHISSECf10NNEmNOTBE00MREfEDOFTHEPERMffISFORONEHU1�Df7ED00LLARS(E10D)ORLESS). PLUMBING Z I CEFITIFV THAT M THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL C} SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE � WORKERS'COMPENSATIONIAWSOFCALIFORNIA,ANDAGREETHATIFISHOULDBECOME INS?ECTIONFEE � SUBJECTTO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 37000F THE LABOR v DO CADE,I SHALLFORTHWITHCOMPLV WITH THOSE PROVISIONS. ISSUANCE � SMIP p DATE: APPLICANT: J WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALLBE ENEAGY P/C � SUBJECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFWESUPTOONEHUNDREDTHOUSAND ENERGYPEFiMIT DOLLARS(5700,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTION37080FTHELABORCODE,M7EREST,ANDATTORNEY'SFEES. RETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIRM UNDEfl PENALTV OF PERJURV THAT THERE IS A CONSTRUCTION LENDING AGENCV � FOR THE PERF-0RMANCE OF THE WOflK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.C.). Z W � LENDEH'S NAME H LENDER'SADDRESS � I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. TOTAL F E ES ,� ,S w I AGREE TO COMPLV WITH ALL CITV AND COUNTV ORDINANCES ANO STATE LAWS RELATING TO BUILDING � CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATNES OF THIS COUNTV TO ENTER UPON THE � ABOVE�MENTIONED PROP TV FOR INSPECTION PURPOSES. Z COMMENTS � J � m PERMI E T) ¢ S 0- � . ,- N N E ITT DAT = RECPT.NO. PAID BY VALIDATION ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy :_ � ... ,...., ,.. �,.. .. ;,.. _ , . . . ��`� C�f�DQ�Ii�I(�9� C�r,��$ a�I��C��`��1 G�3��[� oa ° �c�ooa oa� oa�c� o�� a� oa� o � . SET BACK FLOOR JOIST '� � FTGSIFORMS/STEEL � FHA REC�MTS � ELECTRIC GROUND UNDER FLOQR,DUCT � GROUND PLUMBING � UiVDER FLOOR CU�IDUIT_� ________ --- -- ' SLAB GRADE FIREPLACE FOUNDATION ____ TEMP POWER FIREPLACE BOND BEAM � __„___ WATER SERVICE MID H7.\BOND BEAM _,_ _. - ---- -- ROOF$HEATHING `---� - 8 FT. BOND BEAM_ _� _____�___ � r---- I ___.______. FRAMlNGNENTILIATION I FINAL BOND BEAM ROOF COVER ,- -- -PRE-GRADfNG � --____ �____��-._.��_�_ ROUGH HEATING BENGHING __ __ ROUGH ELECTRIC ROUGH GRADING __ ROUGH PLUfVIBING FINISH GRADING • ___ SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATIOIV OFF SITE IMPS. . DRYWALL NAILING DEDIGATIO(VS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRlG. � SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZC7NING ' FINAL COiVST. .� FIRE DEPT. FINAL FItVAL HEATING i HEALTH DEPT. FI�lAL FINAL ELEGTRIC � I DEV. FEES PAID FINAL PLUMBIMG \ ENERGY � , C�G�t Oo`� o < a COiViNiENTS .� ,;_� ,.. ;. SEPTIC TAfVK SIZE SEEP PIT/U SIZE ---�- � �/ � �� - � �