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Home My WebLink About13480CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY do DEVELOPMENT SERVICES 21660 E. Copley Drive Suite 190 (909) 860-3195 Fax (909) 861-3117 BUIIAING PERMIT APPLICA DATE NUMBER �'j V0 N JOBSITE 1�4 h e ��, DATE CONST. GROUP ADDRESSSa&h.n FRONT RW ❑ REAR ❑ 3 APN L T _L;Z TRACT 2—!Ko 0 PROPOSED USE OWNER F UNITS STORIES BEDROOMS ADDRESS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREAIVALUATION CITY ZIPf2-" TEL. I SFRIADDIREM APPLICANT TEL. Garage/Carport CONTRACTOR Patlo/Deok A I ADDRESS n2gokg�� % O POOVSpa � CITY ZIP f"I TEL -Roof ARCWENG/ Ul s: DESIGNER ADDRESS CITY ZIP TEL. Valuation ADJ.AREA = OWNER -BUILDER DECLARATION U_ I HEREBY AFFWM PENALTY PERJURY THAT I EXEMPT FROM THE CONTRACTORS LLUNDER S R CENSE LAN' FOR THE FOLLOWING REASON (9EC. 7041.8 BUSNE49AND PROFESSIONS CODE: ANY CITY OR I COMMWMICHREQUNESA PERMITTO CONSTRUCT,ALTER, IMPROVE. DEMOLISH. ORREPAIRANYSTRUC- TURE, PFSOTi 1D ITS184UANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS U- C CENSE LAW (CHAPTER 8 ICOMME NCNG WITH SECTION 7000) OF DIVISION 4 OF THE BUSINESS AND PRO- r FESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFRDMANDTHE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7041.8 BYANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO ACIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS 18600).1: O L ASOWJNER OF THE PROPERTY, ORMY EMPLOYEES WITH WAOESAS THEIR SOLE COMPENSATION, 12 WILL DO THE WORK. AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC, 7044, BUSI- NESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF y PROPEATYWHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTSARE NOT INTENDED OR OFFEREDFORSLEIF. HOWEVER THEBUILDING ORIMPROVEMENT SSW WITHIN ONE YFAROFCOMPLE- TION, THE OWNERAIJILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DO NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). O L AS OWNER OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS CONSTRUCTION To CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PFIOR53IONS CODE: THE CONTRACTORS LI- PLAN REVIEW CENSE LAW DOES NOTAPPLY TOAN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON. AND ELECTRIC W HOOONTRACTS FOR SUCH PROJECTS WITHACOMMCTOR(S) LICENSED PURSUANTTOTHE CONTRAC- PLUMBING - s TORS LICENSE LAW.). MECHANICAL O 1 AM EXEMPT UNDER SEC. B. S P.C. FOR THIS REASON =' DATE OWNER ISSUANCE E ° '' ` d'•' ^ rl I SMIP CIT;, _ LICENSED CONTRACTORS DECLARATION 1 L I HEREBY AF'FSIM TINDER PENALTY OF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER ENERGY PERMIT" 0 (COMMENCING WITH SECTION 7000) OF DIVISION 3 O THE BUSINESS AND PROFESSIONS CODE, AND K MY LICENSE IS IN FULL FORCE AND EFFECT. LICENSE CLASS LIC. NO. 6 k 07-1 / PRE -ALT FEE: DATE 1 ' / 1" QQ CONTRACTORRAI &I,f . ^ WORKERS' COMPENSATION DECLARATION COMMENTS 'n (A I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: RECPT. NO. PAID BY VALIDATION I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' C COMPENSATION. AS PROVIDED BY SECTION 9TOD OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMTT 19 ISSUED. -94� HAVE AND WILL MAINTAIN WORKERSOOMPENSATION INSURANCE, AS REQUIRED BY SECTION 3700 OF THE LABOR COOS FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS O 159UEO. MY NO__ j;' C7�IPEN IN9U CAr AND POLICY NUMBER ARE: CARRIER 1/ 17 v IF G�.1i 4 POLICY NUMBER ui 4_(- ! ti M488GCTICINWM NOT BEmLRETEDOFTHE PERMIT IS FORCNE FUFDR EDLKUARS MMORLFS4 W Z I CERTIFY THAT N THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS IRSUEO, I SHALL NOT EMPLOY ANY PERSON N ANY MANNER $O AS TO BECOME SUBJECT TO THE N WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROWSIONSOF SECTION 3700 OF THE LABOR S 0 CODE• I SHALL FO WITH COMPLY WITH THOSE PIIOVISIOMS. ��,Q„d Midden DATE: APPLICANT: F q- WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL_ AND SHALL BE lJ.. SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP 70 ONE HINDRED THOUSAND .r DOLLARS (6100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CL CONSTRUCTION LENDING AGENCY O CC 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS ACONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. SGPT, CIV. C.). 63 LENDERS NAME LE•NDERSADDRESS [= CL I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THEABOVE INFORMATION 13 CORRECT. CL I AGREE TO COMPLY WITH ALL CT' AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND NEREBYAUTHORIZE REPRESENTATIVES OF THIS COUNTYTO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. 9 9, ctrl ar-d A. /Mg -O" m Q PERMTTTEENAM 41 D BKLNATUREOF ERMITTEE DATE TION PRESS FIRMLY APPLICATION PERMIT(fir I Qll PIC DATE NUMBER �'j V0 N ISSUE `4_ CjLl TYPE OCC ��, DATE CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ PROPOSED USE NO. DWEL. NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREAIVALUATION SFRIADDIREM U3 Garage/Carport W Patlo/Deok V- POOVSpa ZRe -Roof J Commercial CD Valuation ADJ.AREA QUANTITY DESCRIPTION FEE U_ fE U J W c� 2 r � a _U Z Q 2 W CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING - s MECHANICAL INSPECTION FEE ISSUANCE E ° '' ` d'•' ^ rl I SMIP CIT;, _ ENERGY P/G ENERGY PERMIT" RETENTION FEE: PRE -ALT FEE: ^ TOTAL FEES COMMENTS RECPT. NO. PAID BY VALIDATION WHITE --Department Copy, YELLOW—Finenoe COW PINK—Assessor Copy, GOLDENROD --File COW GREEN=Applicetnt's Copy CITY OF DIAMOND BAR INSPECTION RECORD 7E. i F<ACI ELECTRIC GROt °ND --.-------.._.__! r k0UN', PLUN iMRt�c� ! � I Sl F: :P ° F 0WF R% ----- � __-; FLOOR JOIST FHA REQMTS _UNDER FLOOR DUCT UNDER FLOOR CONDUIT FIREPLACE FOUNDATION FIREPLACE BOND BEAha ----------- •- ----r Lv TERSERVICE � .. - — _ 1 MID HT. BOND BEAM _ _ — - — --- -- ----- _ P!." `1' S{EATFiItaG F 8 i. BOND BEAM FINAL BOND BEAM PRE -GRADING � RIO 1 ,F HEA ING - R0�.JGH ELEC iRIC ! j ROUGH GRADING Rl,) .'(.!1 i PLUMBING 1_ I ! FINISH GRADING S iO ER`l UP TEST i_. �POOL ELECTRIC-- _ -- -- -- t POOL FENCING 4h L. L It S POOL FINAL. { C::.°. INE ^ INSULATION ! j OFF SITE IMPS. ; j ' s RY U t r r yt � r eft l a.DEDICATIONS� ..... . . DEDICATIONS E_ FINAL ENG. ':i'. i.tNIS j i ' LANDSC,APE/IRRIG. ON SITE, {MPS. ----------_ ._ ._ ---_ - r} FINAL. ZCNIIN t d I FIR'- 1 F"T FINAL Dr -%I FEES PAID i -- _.. — — ! ENERGY _ ----- — ..—---------- .. N t .