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..__1�� C1TY QF DL4MOND BAR ; ' `
DEPAR'TIvIENT OF COMM[fiTTY&DEVELOPMENT SERVICES :
� � 21825 E.Coplay Driv¢ ` P�E$S
.,..•. (909)860-3195 Fe�(909)861-31 T7� ° _ , �
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PRESS FIRMLY
CITY OF DIAMOND BAR
DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES 21825 E. Copley Drive
(909)860-3195 Fax(909)861-3117
BUILDING PERMIT APPLICATION
JOBSITE le 4r$C-, ".
ADDRESS ---le-- * L'4' '%..-
APN LOT TRACT
OWNER'444>5;...". in..,4 VI is-
ADDRESS C -- .'..--. %,... ft,..jit....
CITY.1!"';'# Sr.,* 'II'" k"'-�. ta:47. ..r-
TEL. -t-'
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APPLICAI^17 li A.,' --'4c tja,,, . , TZIL•1 - -,,,--z L .
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coNTRAcToR.:O,ti-3-1,t.....yr t-,,,c
ADDRESS 4= C:As; -"') i.....A. iqs•.,,, .4 A k.....- ..,.
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CITY i.t i., ZIP"L•i.L.,TEL.
ARCH/ENG/ - .:. .c.'t 4. 1 t 7.,
DESIGNER "--------���1,���� �1- C�7--,• '.......�.:4^',
•-• IA
ADDRESS 'k C.:-, 1 kl,t . i ..4..,,, .
CITY A-ISO k•r/..k ft 4,_,, - .. ZIP TEL. el ' !,�?7 i
OWNER-BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTy OF PEFUURY THAT i AM 6cEMPT FROM THE CONTRACTORS LF
CENSE LAW FOR THE FoLLOWING REAsoN isEc.Tams BUSINESS AND PROFESSIONS CODE ANY CITY OR
COUNTY WHIGH REQUIRES A PERMIT TO cONSTRUCT.ALTER iMPROVE DETAOuSH,OR REPAIR ANY STRUC-
TURE,PRIOR TO ITS ISsUANCE,ALSO REQUIRES THE APPLICANT FOR SuCH PERmiT TO FILE A SiGNED
STATEMENT THAT HE OR SHE IS UCENsED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS Li-
CENSE LAW(CHAPTER 9(OOMMENCING WITH SECTION 70001 OF DIVISION 3 OF THE BUSINESS AND PRO-
FESSIONS CODE)OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASis FOR THE ALLEGED EXEMP.
DON.ANY VIOLATION OF SECTION 7031 5 BY ANY APPLIcANT FOR A PERMIT SuBJECTS THE APFLGANT TO
A CIVIL PENALTY OF NOT MORE THAN FIVE HuNDREO DOLLARS(sooty
0 I,AS°INNER OF THE PROPERTY. OR MY EMPLOYEES WITI4tVAGES AS THEiR SOLE COMPENSATTON,
WILL DO THE WORK.AND GTE STRUCTuRE G NOT WENDED OR OFFERED FOR SALE(SEC.Tom.SUSi-
NESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF
PROPERTY WHO BUILDS OR IMPROVES THEREON.AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR
THROUGH HIS OR HER OWN EMPLOYEES. pROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED O11
OFFERED FOR S^LE IF, HOWEVER.THE BUILDING OFI iMPROVETAENT IS SOLD WiTHIN ONE YEAR OF COmPLE-
TION.THE OWNER-BUILDER WILL HAvE THE BURDEN OF PROViNG THAT HE oR SHE DID NOT BUILD OR
IMPROVE FOR THE PURPOSE OF SALE).
0 1.AS OWNER OF THE PROPERTY,AtA EXCLUSiVELy CONTRACTING WITH LICENSED CONTRACTORs
TO CONSTRUcT THE PRoJECT(SEC. 7044. BUSINESS AND PROFESSIONS CODE.THE CONTRACTORS U.
CENSE LPN'4 DOES NOT APPLY TO AN oWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON.AND
WHO CONTRACTS FOR SucH PROJECTS WITH A CONTRACTOR(S)LICENSED PURSUANT TO THE CONTRAC-
TORS UCENSE LAW.)
0 I MA EXEMPT UNDER SEC. B.a PC. FOR THIS REASON
DATE OWNER
LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER pENALTY OF PEFUURY THAT i AM LiCENSED UNDER PROvISIONS OF CHAPTER
9(COMMENCINO WITH SECTioN 7000)OF DIMON 3 OF THE BUSINESS AND pROFESSIONS CODE,AND
MY LICENSE IS IN FULL. FORCE AND EFFECT
r ,e-; ,..,, I L„--,
UCENSE CLASS .- LIC NO
DATE CONTRACTOR 1.4 1 att." ' t-.3?4- .
WORKERS COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PEFUURY ONE OF THE FOLLOWNG DECLARATIONS.
I HAVE AND WILL MAINTAINA CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS'
COMPENSATION,AS pROVIDED By SECTION 9700 OF THE LABOR CODE, FOR THE pERFORMANcE
• OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.
I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIFIED BY SECTION
3700 OF THE LABOR CODE. FOR THE PEFIFORMANCE OF THE WORK FOR WHICH THIS PERMIT LS
ISSUED. MY WORKERS'COMPENSATOR INSURANCE CARRIER AND pOUCY NUMBER ARE
CARRIER ..44:1424'
POLICY NUMBER 1., .--,•cz.,—s--41_t
...:1,...
. RHISSECRONNEEDNDTBECOMPLETEDOCTHEPERMTISP3RONEHUIVREDOOLLARS(siomonisssi.
I CERTIFY THAT iN THE PERFoRmANCE oF THE WORK FOR WHICH THIS PERMIT is ISSUED.I
SHALL NOT EmpLOy ANY PERSON IN ANY MANNER SO AS TO BEcOmE SUBJECT TO THE
WORKERS'COMPENSATION LAWS OF CALIFORNIA.AND AGREE TKAT IF i SHOuLD BECOME
SUBJECT TO THE WORKERS'COMPENSATION PROVISO.*OF ECTiON 3700 OF THE LABOR
I CODE,I SHALL FORTHWITH coMPLY WITH THOSE PROMS 1�
1 „
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....., .,... ,�. ......., .. .
. :0 ..(.. /E.'
I DATE: • -APPLICANT 41k... N_ ,....-u....................
I
1 .N.T..N.N .I ••...I....., .1 ..: .....74 AV... • .., .,MI,14 ale: 41 . ,..;A• ...; ......0.,. ^AN, ...A"
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ri,,...-. ,s.,,.. ,.. ..4 I, Ea.: N I 3 rm.; : ...I .• .0.44. .:4,•.+:. e•Am.." 4 .....,L Ei. ..,,A..
i SECTION 3305 OF THE LABOR CODE,INTEREST.AND ATIOFINEY'S PEES.
i
CONSTRUCTION LENDING AGENCY
i
- I 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. 3097,CIV. OF
1
- LENDER'S NAJAE
. LENDERS ADDRESS
F.
i 1 GE RT.ry ri,AT I HAVE READ TH.S APPL^cA MN ANC)STATE MA 1 THE ABOvE tNI,OAmAT oN .s oORRE c r
. I AGREE 10 CiAlf•L^ml,..ALL CITY 4510 W.A.,NrY Coni^NANCES ANDM SI E LAWS RELADNG 10&AMA/0
.. CONS1AuC I AIN A/d131.lEAES v Aui NOM/E RE PRE SE h TAT^V ES oF rN*CouN rY TO ENT E A uPON 11..E
if. AfiOyE mENT(NEL PROF E A T+ FOR INSPECTION PthIPOSES
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3 PERMITTEE NAME(PRI , .. .
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, SIGNATURE OPPERM E ° DATE
APPLICATION
DATE
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• c P/C ' -
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- -:."7-' I 0 (\.1.7)*')f
,:pIUMBER
ISSUE
DATE
4 TYPE OCC
121 I re) CONST. GROUP
FRONT SEfBACKS
ZONING REAR
SIDE RW 0
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SIDE/SIDE STREET RW o
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UNITS
USE
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STORIES BEDROOMS
DESCRIPTION SQ. FT. FACTOR PSF ADJ.AREANALUATION
SFR/ADD/REM
Garage/Carport .
CD -
1-li
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0
Z Patio/Deck
8
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5
03
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Valuation 1-) ",\I 0 ri ADJ.AREA
QUANTITY DESCRIPTION FEE
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RETENTION FEE: ,-.
PRE-ALT FEE: I
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TOTAL FEES -,
COMMENTS
RECPT. N0. PAID BY VAUDATION
WHITE-Department Copy,YE ance Copy. -sseasor Copy, e ,-
CITY OF DIAMOND BAR INSPECTION F ECORD
INSPICTI
INSPECTOR
FLOOR JOIST FHA REOMTS UNDER FLOOR DUCT UNDER FLOOR CONDUIT FIREPLACE FOUNDATION FIREPLACE BOND BEAM
MID HT. BOND BEAM
8 Ff. BOND BEAM
SEf BACK
L_FTGS/FORMS,'STE.EL ELECTRIC GROUND GROUND PLUMBING
-+
A/61-
FINAL BOND BEAM
PRE-GRADING
BENCHING
SLAB GRADE TEMP POWER WATER SEFIVICE ROOF SHEATHING FRA.MING/VENTILIATION ROOF COVER ROUGH HEATING
ROUGH ELECTRIC
ROUGH GRADING
ROUGH PLUMBING SHOWER/TUB TEST EXT. LATH/SIDING WALL INSULATION CEILING INSULATION DRYWALL N.AILING
SEWER
SEPTIC TANK
SEEP PIT/L.L.
FINISH GRADING POOL ELECTRIC
POOL FENCING
POOL FINAL
OFF SITE IMPS.
DEDICATIONS
FINAL ENG.
LANDSCAPE/IRRIG.
ON SITE IMPS.
Me A
FINAL CONST.
FINAL ZONING
GAS AiR TEST
FIRE DEPT. FINAL
FINAL HEATING
HEALTH DEPT. FINAL
FINAL ELECTRIC
DEV. FEES PAID
FINAL PLUMBING
ENERGY
COMMENTS
EPT1C TANK SIZE
SEEP PIT/li SIZE