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Home My WebLink About16502 (37) ` -,__ --- -- � CITY OF DIAMOND BAR _ -_ ,.... _ . DEPARTMENT�OF COMMLJNITY&DEVELOPMENT SERVICES W 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 ' PRESS .��+�',.: BUII.DING PERMTI'APPLICATION �,� �/4ee. FIRMLY } JOBSITE �3�q � �,�� APPLICATION �,_,j'g��1 NU B R�O�#/C LJ 1`1� a ADDRESS � DATE � ISSUE � TYPE OCC � APN LpT �` TRACT �Z��07 DATE CONST. GROUP p OWNER V l �h r �` ADDRESS Y ,D I ZONING SETBACKS Z CITY - ZIP9,7� TELGj�L17g�S� FRONT � RW ❑ g APPLICANT TEL. REAR ❑ � SIDE/SIDE STREEi RW ❑ CONTRACTOR SIDE ❑ � ADDRESS � PROPOSED USE � CITY ZIP TEL w ARCH/ENG/ �- ' � DESIGNER L' S �D� ADDRESS NO.DWEL. NO. NO. NITS STORIES BEDROOMS � CITY ZI TEL. � � DESCRIPTION SQ.FT. ACTOR P F ADJ.AREANALUAT ON Q OWNER-BUILDER DECLARATION SFR/ADD/REM � O p I HEREBV AFFlRAI UNDER VENALTY OF PERNfiV 7HA7 I AM E%EMPT FAOM THE CONTfUC70RS U- Gefe B/Ce L{J CENSEUWFORhiEFOLLOWINOREA.90N(SEC.7W1.6WSwESSANOPROFES510NSCODEANYCIT'OR (n g �� i � V COUNTVNR11q/REWIRE3APERAIRTOCONS7RUC7,ALTERIAIPROVE,DEMOLISH,ORREPAIRANV57AUG W P0f10/DBCk O u� NRE,PRqR TO RS ISSUANCE.AL50 REWIAES THE APPLICANT FOR SUCH PERMR TO FILE A SIONED w � STATEMENT THAT HE OR 9HE 19 LICENSED PURSUAHi TO hIE PROVISIONS OF THE CONTRACTORS U- � C CENSE UW(CHAPTER Y(COMMENGNO WITH SECTION 70D0)OF DMSION J Of THE BUSINESS AND PR6 POOI/SP8 1E FE9SIONSOOOE)ORTHATHEORSHEISEXEMPT7HEREFROMANDTIEBASISFORTHEALLEaEDIXEMP• C7 V TION.ANV VIOLATION OF SECTION 7031.6 BY ANYAYPLICANT FOR A PERMIT SUBJECTS THE APPIICANT TO Z Re-Roof � A CML PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLAHS(i600).): � ❑1,ti40WNEROF7HEPROPERiY,ORMVEMPIOVEESWITHWAOESASTHEIRSOLECOMPENSATION, � COmfflBfCl81 � WILL 00 TME WORK,AND THE S7RUCTURE IS NOT IHTENDED OR OFFERED FOH SALE(SEC.7W1,BU51- J � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICEN3E UW DOES NOT APPLY TO AN OWNER OF � PROPERTY WFp BU�LDS OR IMPROVES THEREON.AND W/i0 DOES SUQ1 WORK HIMSELF OR MERSELF OR Q iHROUGH HIS OR HER ONN EM%.OYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m , � OFFERmiY7RSALEIF,/10WEYER7MEBULL.D�NOORIMPROVEAIENTISSOLDWITl9NONEYEAROFCOMP�E- Z �'710N,THE ON7/ER�UILDER WILL HAVE THE BURDEN OF PRONNO TUT NE OR SHE DID NOT BUILD OR . � IMPROVE FOR THE PURPQSE OF SALE�. ./ � ❑1.AS OWNER OFTHE PROPEHTI;AM IXClU3NELV CONTMC7INO WfTH LICENSED CONTAACTORS � � TO CONSTRUCT THE VRO,IEC7(SEC.70sa,BUSINESS�ND PROFESSIONS CODE hIE CONTMCTORS LI- V81U8t1Of1 ADJ.AREA � CENSE UW DOE9 NOTMPLY TOAN OYMER OFA PROPERTY HRiO BU0.DS OR IMPROVES THEREON.AND WlqCONTMCT5FOR5UGiPR0.1ECT5W17HACON7RACTOR�S)LICENSEDPURSUAN7TOTHEOOMTRAG QUANTITY DESCRIPTION FEE � � TOR.4 LICENSE LAW.). ❑I AM E%EAIPT UNDER SEC. B.6 P.C.FOR 7HIS REASON � y 6 � Q � � � DATE OWNER V 2 w �Q. LICENSED CONTRACTORS DECLARATION W S I HEREBYAFFIRN UHDER PENALTV OF PEFLIURV THAT I MI LICENSED UNDER PFiOVIS10NS OF CHAPTER , M� ��J s Y(OOMUENCPI(i WITM SECTION 7000)OF DIVISION]OF THE BUSINE55 AND PROFESSIONS CODE,AND � ��'/`' _iJ X, MY UCEN3E IS W FULL FORCE AND EFFECT. Z � UCENSE CUSS LIC.NO._ � S �' � . r, � J V pATE CONTRAC70R � � W � WORKERS'COMPENSATION DECLARATION Q c. J � I HE AFFIRM UNDER PENALTY OF OEFiIURV ONE OF THE FOLLONANO DECIARATIONS: Z I • � I HAVE AND WILI MAMTAIN A CEHTIFICATE OF CONSENT TO SELF-INSURE FOR VNHKERS' _ / \'� r t-� � COMPQISATqN,AS PRONDED BV SECTION 370o OF THE U�BOR CODE.FOR THE PEFFORMANCE �U ZS 1�� O OF iHE WORK FOR WHICH THIS PERMIT IS ISSUED. � � 1 HAVE MID WILL IMIHTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BY SECrION Q 37000F THE LABOR COOE.FOH THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS J ^ ISSUEO.MYM/��J�/ERS'LOMP,EpHSATION INSU �p( RIER AND PoLIC�Y N^UM/B�EwR ARE//L,� CONSTRUCTION . � Q CARRIER YA�/��V '�_�5��'-E�iI��J�fl/! VC/ � ��_ PLAN REVIEW �Z �J��cY rruMBER ELECTRIC � Q "'v � sEcnONt�ID 7eE�7IDOFi�a�mrrswaorlE�oalusKiao�oq�ss1 PLUMBING Z I CERTIFY THAT IN 7HE PERf-0RMANCE OF THE WORK f-0R WHICH THIS PERMIT IS ISSUED,I MECHANICAL C} SHALL HOT EMPIOY ANY PERSON IN ANY MANNER SO AS TO BECOME SU&IECT TO THE �.�+ �/j WORKER5COMPENSATIONUWSOFCALIFORNIA,ANDAOREETHATIFISHOULDBECOME INSPECTIONFEE � SU&IECT TO THE NIORKERS'C0IAPENSATqN PROVISIONS OF SECTION 3700 OF THE LABOR (\ ocooe,i sw�u wRr�nwn�cw�a�v wirr�T�se rao�nsaNs. ISSUANCE L) � 'p DATE:��r�7��/APPIICANT. ��/�,�_�� SMIP `. � , , � WARN� O:FAILUFiE TO SECURE WOW(ER5 COMPENSATION CAVEMGE IS UNUWFUL,AND SHALL BE ENERGY P/C LL SUBJECTANEMPLOVEHTOCRIMWALPEW�I.TIESANDCMLFWESUPTOONEHUNDREDTHWSAND ENERGYPEFMIT � DOLURS(i100.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAOES AS PROVIDED FOR IN � SECTqN 3708 OF iHE LABOR CODE,WTEREST,AND ATTORNEV'S FEES. � RETENTION FEE: y�� OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: W � I HEREBV AFFIRM UNOER PENALTV OF PERIUfiV THAT THEHE IS A CONSTRUCTION LENDINO AOENCV � � FOP THE PERFORMANCE OF 7HE WORK FOR WHICH TNIS GERMR I5 155 D(SEC.�7,CIV.CJ. + � . . Z �/l�N{� �Pv�7�� w � LENDER'S NAME � � , ' . H LENDER'9ADDRE55 � TOTAL FEES � � � � I CERTIFY 7HAT I HAVE READ THIS APPLIC�TION AND STATE THAT 7HE ABOVE INFORMATpN IS CORRECT. d I AOREE TO COMPLY WfTH ALL CfTY AND COUNTY ORDINANCES AND STATE UWS RELATWO TO BUILDINO ', � � CONSTRUCTION,AND HEREBV AUTHORI E REPRESENTATNES OF 7HI5 CWNTY TO ENTER UPON TME ' ' i ABOVE�MEM10NE0 PHOPERTV FOR I EC710N PURPOSES. COMMENTS ' � , � , m PERMITTEE NAME(7HI ' - � ' � Q N � :� • Uj S E OF PERM D E ^ . � FECPT.NO. PAID BY ( VALIDATION ' WHITE—Department Copy,YELLOW�inence Copy,PINK—Assessa Copy,GOLDENROD--File Copy,aREEN—Applicant's Copy � . '� 4!�B,.11'='i7� ILlBd'110dC�1'tlll.d..lf7�`'��, . 0ltl..7"�"��Itl �IG'�+d0�.lLN 't � . �� - � . . �' � M . - d.� . .,�. . ,' • ,. b i�.`��- 1" �� O �� a .. ..- . .... . . O � .D � �:,3 0 � 0 0 "� `p , r;: (�7��y\�y�'�'y��e ��. � ' .L._ _ - ` ��,"r . f.vuvl:/4 l��/u�/U U 5ET BACK - FLOOR JOIST - FTGS/FORMS/STEEL �� C7 , FNA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING �'�j-OI �UNQER FLOOR CU�IDUIT . SLAB GRADE � /-� _ FIREP,L'ACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE ` MID HT. BOfVD BEAM ROOF SHEATHiNG , O� � 8 FT. BOND BEAM FRAMINGNENTiLtATION = ?-o� FINAL BOM1lD BEAM ROOF COVFR PRE-GRADING. . ROUGH HEA7WG BENCHlNG ;' '. ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING � • FINISN GRADING SNOWER/TUB TEST y' POOL ELECTRIC EXT. LATH/SIDING • POOL FENCING �^� WAL�itdSULATION �.j POOL FlNAL CEIUNG INSULATION t "� OFF SITE IMPS. DRYWALI.lVAILING ,DEDlC,4T(C7NS SEWEFl ' ' FINAL ENG. ��. SEPTIC TANK ' � ` LAI�tDSCAPE/IRRlG. SEEP PIT/LL. "� ON SITE IMPS. GAS RIR TEST FINAL ZONI�JG � FINAL CONST. � FIRE DEPT. FINAL ^ �� - FINAL H�ATING � HEALTH DEPT. �INAL FfNAL ELECTRIC � . • D�V. FEES �AI� — 1=1EVA�PLUMBING � ENERGY -��• � �, ��, �- . � � � �� •Y---�- : � a ,o � , a-��,, . ,'__�: . - ------,------ COMNIENTS �� . , _ SEPTICTANK S1ZE � —'� �--^- SEEP PIT/U SIZE -- "�u*� '' � �a��sr s` _ _ �°�'�.�iY��,� ,��;��` ' � � . / ; `��'?�� °�� . �-� ' ' ^ /, �ra� -S�� . ��y�� +r." -e �� } -c ,d ,� y�rj:��}r��#�� f � � � � � �� W�L.;,n.Yj '�.k31r'� �,. ��r . .. . . ys � � � �� 'y��ri� � � }•,;�A`�'i� '�5,��W '(��' ..f�i�`�'q ',]' ��`� � . ' . . s �� 1' 1 �