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_�� CITY OF DIAMOND BAR x���� �� �
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21660 E.Copley Drive Suitc 190
� (909)860-3195 Faz(909)861-3117 �RES$
`����� BUILDING PERNiIT APPLICATION FIRMLY
� JOBSITE APPLICATION PERMIT � � P/C
o ADDRESS 2OOH S11Ver Hawk Drive ZLtri1tS DATE ��22�99 NUMBER # I
� APN LOT TRACT 3JO26 ISSUE TYPE OCCR-3 &
, DATE CONST. UN GROUP ,T i
� p OWNER Silver Hawk �-
o ADDRESS ' • ZONING SETBACKS �1St S2e Pla
Z C�Ty D13Ii1011 B3'L' ZIP TEL. FRONT �iW ❑
g APPLICANT _.J_M_ Nal�, TEL..$�.$_��/._/9 1 REAR ❑
� SIDE/SIDE STREET RW ❑
� CONTRACTOR T1Iri er arid SIDE ❑ _
, O ADDRESS 9f1� Satiirn Street �'�F Same
CITY Rr� ZIP�} TEL �i i.��,7,�
PROPOSED USE
w ARCH%ENG/ J. �I. Nolan
z DESIGNER NO.DWEL. NO. NO.
a ADDRESS UNITS 2 STORIES 2 BEDROOMSSee Pl T!
� �iTy Ca a asas ZiP TE� -2 - 96-1
N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION
�
OOWNER-BUILDER DECLARATION SFR/ADD/REM
p I MEREBY AFFlRAI UNDER PENALTY OF PERNRY THAT I AM EXEMPT FROM THE CONTRACTORS LI- � Garage/Carport
W CEHSEUWFORhIEFOLLOWINOREASON(SEC.7037.5BUSINESSANDPROFESSIONSCODE:ANYCI7VOR �
U COUNTYWHICHREWIRESAPERMRTOCONSTRUCT,�LTERIMPROVE,DEMOLISH.ORREPAIRANVSTRUC- W P8I10/DBCk
w NRE,PRIOR TO ITS ISSUANCE,/�LSO REOUIHES THE APPLICANT FOR SUCH PERMIT 70 FILE A SIGNED W
� S7ATEIAEHT THAT HE OR SHE IS LICENSED PURSUAN7 TO THE PROVISIONS OF 7ME CONTRACTORS LI�
� CENSE UW(CHAPTER 9(COMMENCIN4 WI7H SECTION 7000)OF DIVISION 7 OF THE BUSINESS AND PRO� � POOUSpe
FESSpNS CODE)OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEaED EXEMP�
TION.AHY VIOLATION OF SECTION 70.11.6 BY ANV APPLICMIT FOH A PERMI7 SUAIECTS THE APPLICANT T0 Z Re-Roof
� ACML PENAL7Y OF NOT MORE THAN FIVE HUNDRED DOLURS(S5o0).):
i � ❑I,ASOWNEROFTHEPROPERTV.ORMYEMPLOVEESWITHWAGESASTHEIRSOIECOMPENSATION, � COfnmOfClel �
WILL DO THE WORK,AND THE STRUCTUHE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7011,BUSI- J
� NESS/WD PROFESStONS CODE:THE CANTRACTORS LICENSE UW DOES NO7 APPLV 70 AN OWNER OF �
PIiOPEHTVVhiOBUILDSORIMPROVESTHEREON,ANDMMODOESSUCHWORKHIMSELFORHERSELFOR m
Q THROUGH HIS OR HER ONRJ EMPLOYEES,VROVIDED THAT SUCH IMPROVEMEN7S AHE NOT INTENDED OR —
u1 OFFEREDPDRSALEIF,HOWEYEF�T/EBUILDINGORIMPROVEAIENTISSOIDWITHINONEYEAROFCOMPLE� ' - _
� �'TqH,THE OWNER�BUILDER VALL HAVE THE BURDEN OF PROVINO THA7 HE OR SHE DID NOT BUILD OR
� IMPROVE FOR THE PURPOSE OF SALE). '� ^
� w ❑I,AS OVMER OF 7HE PROPEHfY,MI E%CLUSIVEIV CANTMCTINO N7TH LICENSED CONI'RACTORS �
� TO CONSTRUCT THE PRQIECT(SEC.7oa1,BUSINESS AND PqOFES510N5 CODE:THE CONTRAC70RS LI- V81118I1Of1 AdJ.AREA
W CENSEUWDOESNOTAPPLYTOANONMEROFAPNOPERTYNRiOBU1LO50RIMPROVE^,THEREON,AND
� N'IiOCONTMCTSFORSUCHPR0.1ECT5WITHACONTMCTOR(S)LICENSEDPUHSUM7TTOTHECONTMG QUANTITY DESCRIPTION FEE
Y TORS LICENSE LAW.). -
� J
� ❑I AM EXEMPT UNDER SEC. B.d P.C.FOH THIS REASON �
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� DATE OWNER _ V
W
� LICENSED CONTRACTORS DECIARATION w
� I HEREBY AFFIRAI UNDER PENALN OF PERIURV THAT I MI LICENSED UNOER PROVISIONS OF CHAPTEH �
d 0(COMMENCIN(i WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PFiOFE5510N5 CODE,AND Z
X MV LICENSE IS IN FULL FORCE AND EFFEC7.
LLJ �-/7 m
� UCENSE CLASS � LIC.NO. 7 D �� � �
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'^ V DATE�� CONTRACTOR .,
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� WORKERS'COMPENSATION DECl.ARATION ��3 � Q
� U
' � 1 HEREBY AFFIRM UNDER PENALTV OF PERIURV ONE OF THE FOLLOWING DECURATIONS:
CA � �'.�' Z - �
0 IHAVEANDWILIMAINTAINACEFtTIFICATEOFCANSENTTOSELF-INSUREFORWORKERS:�" ' �S � '�� ' � - • '� ' " � " � ' `
� COIIPENSATION,AS VROVI�ED BV SECTION�37000FTHE LABOR CWE,FOR THE PERFORMANCE U
OF THE WORK FOR WHICH THIS VERMIT-IS ISSUED. � � - . . � . D
O ; ' .� . ' � � : ' .. :,'''- .��� .
W I HAVE ANU WILL MAINTNN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BY SECTION
O �370o OF THE LAk30R COOE.FOR THE VERFORMANCE 0F.THE WORK FOR WHICH TNIS PERMIT 15 , ' � ,
ISSUED.MYwr��p KE,.R, ' MPENSATIONI SU CE ERAND POLICY NUMBERARE: CONSTRUCTION � � � �1
� CARRIER vv��� �U PLAN REVIEW
ZPOLICV NUMBER � � � � 'Y , � �� ELECTRIC • � ��
¢ ' '-� �
0 (MISSECfqNNE�NDTBE001.�LETmOFT�PERMT6Fi�RONEF0.R�OFimD01J.A0.S(ft )or�tFss} PLUMBING ,..e��� ,
w MECHANICAL
Z I CERTIFY THAT IN THE PERFORMPNCE OF THE WORK FOR WHICH THIS PEHMIT IS ISSUED,I -
(,� SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SU&lEC7 TO THE
� WORKERS'CAMPENSATION UWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE - � �/
SUBJECT TO TNE WORNERS'COMPENSA710N PROVISIONS OF SECTION 3700 OF THE UBOR �
� CADE�.I�SHA�LL/¢�OR�T.HWITH COMPLY WI i0 PR VISIO�NS^. /1 ISSUANCE ��1 � ��'�-
� DATE1��`��/�(�j�/ / APPLICANT: _�i(��I �� liV{�7/[ SMIP �I.IT�-.�L'TT e�r.......� , _
p � a .ii�_.:L�.� .
w �_+ 7„ ENERGY P/C �Li�7 Ylr�•�� ,•.. .• .
J WARNING: AILURETOSECUREWORKERS'CAMPENSATIONCAVERAGEISUNLAWFUL,ANOSHALLBE ���+ru�;��r�;_,�_ �
� SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ENEFiGY PERMIT
DOLLARS(S70o.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN �
� SECTION 37oe OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE:
d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I
� I HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT 7HERE IS A CONSTRUCTION LENDING AGENCY
� FOR THE PERFORMANCE OF 7HE WORK FOR WHICH 7HI5 PERMIT IS ISSUEO(SEC.3087,CIV.C.�.
W � ,
� LENDER'S NAME
F- LENDER'SADDRESS
� I CEfiTIFY THAT I HAVE READ THIS APPLICATION AND STATE THA7 THE ABOVE INFORMATION IS CARRECL TOTAL�FE ES
w I ACREE TO COMP�Y WITH ALL CI1V AND COUNTY ORDINANCES AND STA7E LAWS REUTING TO BUILDING
� CONSTRUCTION,AND HEREBV AU7HOFIZE REPRESENTATIVES OF THIS COUNtt TO ENTER UPON THE
ZABOVE-MEN710NED PHOPERTV FOR INSP CTION PURPOSES. COMMENTS �
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m MITiEE NAME(PRIHT)
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� SIGNATURE OF PERMITTEE DA7E �
, = RECPT.NO. PAID BY VALIDATION
~ WHITE-0epertment Copy,YELLOW�inance Copy,PINK—Assessor Copy,GOI.DENRO�File Copy,GREEN—Applicant's Copy
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SET BACK � i • FLOOR JOIST �
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FTGS/FORMS/STEEL FHA REaMTS �
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TEMP POWER FIREPLAGE'BOND BEAM - �
WATER SERVICE MIQ HT. BOND BEAM
ROOF SHEATHIPVG 8 FT. BOND BEAM
FRAMINGNENTILIATION FINAL BOND BEAM
ROUF COVF_R PRE-GRADING i '
� ROUGH HEATING BENCHING �
ROUGH ELECTRIC ROUGH GRADING �
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CEILiNG IPlSULATION QFF SITE IMPS. `
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