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Home My WebLink About14563 (32)t redCITY OF DIAMOND BAR -- DEPARTMENT OF COMMUNJ & DEV LOP SERVICES 21660 E. Copley Drive Strite 190 WOW (909) 960-3195 Fax (909) 961-3117 BUILDING PERMIT APPLIC) DATE NUMBER # q SEA ao DDREE a 05 ADDRE ASS a R fr::4 2. FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ PROPOSED USE LOT TRACT RAPN- OWNER ED� f ![� B ADDRESS CITY ZIP TEL. (13 Garaga/Carport APPLICANT TEL. Patio/Deck CONTRACTOR g ADDRESS POOVSpa CITY ff&jWjeL ZIP EL. B ARCH/ENG/ $(� g Q Commercial DESIGNER v ADDRESS CITY ZIP TEL. t/J Q OWNER -BUILDER DECLARATION O U_ 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AA EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FORTHE FOLLOWING REASON (SEC. 7031 A BUSINESSAND PROFESSIONS CODE:ANYCITYOR COUNTYWHICH REQUIRESAPERMRTOLIONSTRUCT ALTER IMPROVE, DEMOLISH, OR REPAIRANY STRUC. TURE• PRIOR TO ITS ISSUANCE. ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE WI SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS UO CENSE LAW (CHAPTER 0 (COMMENCING WITH SECTION 7000) OF OVLSION S OF THE BUSINESS AND PRO- FESSIONS OWE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7031.0 BYANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO u A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (3000).): O L ASOW HERO°THE PROPERTY, OR MY EMPLOYEES WATH WAGESASTHEIR SOLE COMPSNSATION, WALL 00 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 PROPERTY WHO BUIDSOi IMPROVES THEREON. AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HEROWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED RDRSALE IF, HOWEVER THE BUILDING OR IMPROVEMENT IS SOD WITHIN ONE YEAR OF COMPLE- TION. THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR CONSTRUCTION IMPROVE FOR THE PURPOSE OF SALE). PLAN REVIEW O LAS OWNERO'THE PROPERTY, ALM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ELECTRIC TO CONSTRUCT THE PROJECT (SEC. 7044. BUSINESS AND PROFESSIONS OWE: THE CONTRACTORS U - PLUMBING 1 CENSE LAW DOES NOTAPPLYTD AN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON, AND I MECHANICAL WHO CONTRACTSFOR a"PROJECTS W ITHAOOKTRACTOR(S) LICENSED PURSUANT TO THE CONTRA(_ INSPECTION FEE TORS LICENSE LAW.). ISSUANCE 1 AM EXEMPT UNDER SEC. B. S P.C. FOR THIS REASON I+- DATE OWNER 1r ENERGY P/C `��i1iY /lr� ENERGY PERMIT �r1 TL zve LICENSED CONTRACTORS DECLARATION ss[[ rL 1 THEREBY AFFIRM UNDER PENALTY OF PERJURY THAT IAN LICENSED UNDER PROVISIONS OF CHAPTER PRE -ALT FEE: 3 (COMMENCING WITH SECTION TOM) OF DIVISION 3 O THE BUSINESS AND PROFESSIONS WOE. AND LL�sCI MY LICENSE 18 N FLAN. FORCE AND EFFECT. LICENSE r5 LIC. NO. DATE ,CONTRACTOR DATE P COMMENTS WORKERS' COMPENSATION DECLARATION �r%J AFFIRM TINDER PENATY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: RECPT. NO. PAID BY VALIDATION 7Y IIIAVE AND WILL MNNTNN ACERTIFiCATE OF CONSENT TO SELFNNBURE FOR WORKERS' COAPENBATION, Aa PROVIDED BY SECTION 37000E THE LABOR CODE, FOR THE PERFORMANCE THE WORK FOR WHICH THIS PERMIT 6 ISSUED. _ NAVE AND WILL MAINTAIN WOR .- COMPENSATION INSURANCE, AS REOUMED BY SECTION G 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, MYTRO PI1CC--MPENSAT INSURANC//E►►CARRIER AND BE E: CARRIER .lif. lns [] L /�7 �f/ POLICY NUMBER I v LQJ PHIS SECTION NEEDNCTBE CORPLETEDOF71fPEFTLRBFORONEFMOREDOOU/RS(5+00)ORL�T. Z 1 CERTIFY THAT N THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SP SHALL NOT EMPLOY ANY PERSON N ANY MANNER SO AS TO BECOME SUBJECT TO THE N WORKERS' COMPENSATION LAWS OF CALIFORNIA. AND AGREE THAT IF 1 SHOULD BECOME SUBJECT TO THE WORKERS'COMPENSAT PROVISIONS OF SECTION 7700 OF TME LABOR CODE, 1 SHALL FOF r..,H COMPLY W BE PRO�WSSIONS T�/T DATE: I. 3�PPLICANT: I 1 J [ ►7 WARNING: FAILURE TO SECURE WORKERS' OOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL BE SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND r sJ DOLLARS (3 100,000), N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR K SECTION 37DI OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY O EEI HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 3007, CIV C.I. LENDERS NAME LENDERSADDRESS 1 CERTIFYTHAT 1 HAVE READ THIS APPUCATIONAND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL CITY AND COUNTYORDINANCES AND STATE MWS RELATING TO BUILDING CONSTRUCTKNI,AND HEREBYAUTi/ORZE REPRESENTATIVES OF THIS COUNTY TD ENTER UPON THE ABOVE-MENTIONED PROPERTY WR INSPECTION PURPOSES. PE fTT NATE (P 1 �- FA • NA OF P R IT I GATE TION EXPIRED OCT 0 3 2000 PRESS FIRMLY APPLICATION �.O PERMIT /C DATE NUMBER # ISSUE 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 SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFRIADDIREM (13 Garaga/Carport W Patio/Deck LL POOVSpa ZRe -Roof 9 Commercial rn Valuation ADJ.AREA QUANTITY DESCRIPTION FEE U_ J W Z u U Z x W CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING 1 I MECHANICAL INSPECTION FEE ISSUANCE V� !' SMTP —,7T 1r ENERGY P/C `��i1iY /lr� ENERGY PERMIT �r1 TL zve RETENTION FEE: �U■T��u�:`-`.e .,y PRE -ALT FEE: TOTAL FEES COMMENTS RECPT. NO. PAID BY VALIDATION WHITE—Department Copy, YELLOW—finance COW PINK—Assessor Copy, GOLDENROD --Fila Copy, GREEN—Applicant's Copy ;1OA�stMOND BAR INS :CTION RECORD. SNS dr °£' LNP.ETtQNI _- A'C INSPECTOR SET BACK FLOOR JQIS�T FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND _ FLOOR DUCT PLUMBING _- _ _ _UNDER UNDER FLOOR CONDUIT _GROUND -SLAB GRADE_----•- FIREPL&E'izOtJFlDF1TION`fy TEMP POWER _ - FIREPLACE BOND BEAM .. WATER SERVICE_- I MID HT. B614D-B AM'.; ROOF SHEATHING _ i 8 FT. 130 1kD FRAMING/VENTILIATION i FIN_ALAOND••BEAM___ ROOF COVER----��--- PRE -GRADING - ROUGH HEATINGi ROUGH ELECTRIC I ; BENCHING ROUGH GRADING ROUGH PLUMBING _--I _ _ -_-- I FINISH GRADING SHOWERITUB TEST -_� _ OOL ELECTRIC EXT. LATH/SIDING_ -- j POOL FENCING WALL INSULATION - 1 POOL FINAL CEILING INSULATION ( OFF SITE IMPS. DRYWALL- NAILING SEWER DEDICATIONS �- FINAL ENG. _�- ---- I _ _ SEPTIC TANK _ j. - i...j LANDSCAPE/IRRIG__ -- SEEP PIT/L.L. �� ----_ i ON SITE IMPS. GAS AIR TEST_-- I i FINAL ZONING FINAL CONST. - __- _ _- _ 11 FIRE DEPT. FINAL FINAL HEATING i HEALTH DEPT. FINAL - - _ FINAL ELECTRIC-� -_ 1 DEV. FEES PAID FINAL PLUMBING - _ _ - -- ENERGY -N 4_. COMMENTS _---- r -- SEPTIC TANK SIZE --_-� SEEP PIT/U SIZE