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Home My WebLink About16925 (19) ` , , CITY OF DIAMOND BAR � —�--��`"-- DEPARTIv�NT OF COMMUNTTY&DEVELOPIvIENT SERVICES 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS ��'��M�+ BUILDINGPERMITAPPLICATION FIRMLY ¢ ADDRESS 2Z s (�'��.� ' / APPLICATION PERMIT P/C �j o � � �' "I—��G�('7/� � DATE 7/� /D� NUMBER O "'�c/ ISSUE g� �,��, ONST. V '- i � OCC n_.3 ' � APN� 6 T TRACT DATE �-r GROUP �� p OWNER l �LD�I� '�1�-�� p ADDRESS 22- �-_� � � ZONING SETBACKS z CITY ZIP TEL. FRONT q�y p I o APPUCANT 7�0� TEL.`�'a -t1� REAR p zd SIDE/SIDE STREET RW ❑ � CONTRACTOR QL S � GO � SIDE ❑ ADDRESS � CITY ZIP TEL. PROPOSED USE G�v '�� Q w ARCF�f', o z DESIGNER C- L � � ADDRESSZ� o L o NO.DWEL. NO. � CITY L.� U 1 ZIP TEL. a UNITS STORIES BEDROOMS � N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION O OWNER-BUILDER DECLARATION . SFR/ADD/REM S p I HEREBV AFFIRM UNDER PENALTV OF PERNRY THAT I AM E7(EMPT FROM THE CONTRACTORS LI� Geldg6/CBfpOR W CENSELAWFORTHEFOLLOWINGREASON�SEC.7031.6BUSINESSANDPROFESSIONSCODE:ANYCI7YOR (n U COUNTVWHICHREWIRESAPERMITTOCONSTRUCT,ALTEH,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- w w TURE,PRIOR TO ITS ISSUANCE,�L50 REIX11RE5 7HE APPUCANT FOR SUCH PEFMIT TO FILE A SIGNED w Patio/Deck � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF iHE CONTRACTORS LI� � CENSE UW(CHAPTER e(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- V' POOUSpB � FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEHEFROMANDiNEBASISFORTHEALLEOEDEXEMP� (� TqN.ANYVq�ATIONOFSECTION7031.5BVANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z RaRoof A CIVIL PENALT/OF NOT MORE THAN FIVE HUNDRED DOLLARS(f5oD).): � ❑I,ASONTJEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATqN, � CORIrtIBfCI01 Z WIIL DO THE WORN,AND THE STRUC7URE IS NO7 IN7ENDED OR OFFERED FOR SALE(SEC.70a�,BUSI- J � NE55 AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNEF OF � 7ROPEPTY VAiO BUILDS OR IMPROVES THEREON,ANO WHO DOES SUCN WORK HIMSELF OR HERSELF OR wTHHOUGH HIS OR HER ON?J EMPLOYEES,PROVIDED THAT SUpi IMPROVEMENTS ARE NOT INTENDED OR LO Q OFFEREDF-0RSALEIF,HOWEVER,TiEBUILDINGORIMPROVEMENTISSOLDWfTHINONEVEAROFCOMPLE- Z T10N,THE OWNER�BUILDER WILL HAVE THE BURDEN OF PROVINQ TFIAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SAL�. w ❑I,ASOWNEROFTHEPROPERTY,AME%CLUSNELVCANTRACTINOWITHLICENSEDCONTRACTORS � TO CONSTRUCT THE PRQIECT(SEC.70M,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI� VBIUe�IOf1 A J.AREA W CENSEUWDOESNOTAPPLVTOANOWNEROFAPROPERTYWFIOBUIL�SORIMPROVESTHEREON,AND � WFIOCOMRACTSFORSUCHPR0.IECTSWITHACONTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAG QUANTITY DESCRIPTI N TORS LICENSE UW.). FEE � ❑I AM E%EMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q ?� U � DATE ONTlER ¢ Z U � LICENSED CONTFACTORS DECLARATtON W � � 1 HEREBV AFFIRM UNDER PENALTY OF PER1l1RV THAT I AM LICENSED UNDER PfiOVI510NS OF CHAPTER � Y(COMMENCINO WITH SECTKKJ 7000)OF DIVISION 3 0F THE BUSINESS AND PROFESSIONS CODE.AND Z �� MY UCENSE IS IN FULL FORCE AND EFFECT. m � LICENSE CLASS�� LIC.NO. � V DATE ��2} CON7RACTOR C' �.l N-r�1 (T�ti Q. W � WORKERS'COMPENSATION DECLARATION a � I HEREBY AFFIRM UNDER PENAL7V OF PERIURV ONE OF THE FOLLOWING DECLAMTION U � 0 �I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FO RKERS' a � COMPENSATION,AS PROVIDED BY SECTION 37000F THE LABOR CODE, THE PERFORMANCE - � OF THE WOqK FOR WHICH THIS PERMIT IS ISSUED. � � w _I HAVEAND WILL MAIMAIN WORKERS'CAMPENSATION INSURANCE,AS REWI D BV S TqN v� Q 3700 0F THE UBOFi CODE,FOR THE PEFFORMANCE OF THE WOR1C FOR WHICH IS RMIT IS — ISSUED.MY WORKERS'CAMPENSATION INSURANCE CARRIER AND POLICV NUMBE RE: CONSTRUCTION J j CARRIEH ��G" PLAN REVIEW �x � POLICYNUMBER Za ELECTRIC 0 (n�uSSE(,'f10DlNE�NO7BECOf�.wLE7IDOFhiEpEpAaiISFOqoNEFAR�Ofi��olLWS(f�oo)oqLESSA PLUMBING W Z I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSl1ED,l MECHANICAL C,7 SHALL NOT EMPLOV ANY PERSON IN ANV MlWNER 50 AS TO BECOME SUBJECT TO THE (/) WORKERS'CAMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOAIE INSPECTION FEE ? SUBJECT TO THE MIOF7KERS'CAMPENSATION PROVISIONS OF SECTION 3700 OF THE IABOR CODE.ISHALLFORTHWITHCOMPLYWITHTHOSEPROVISIONS. ISSUANCE �� T� �� -(�— � 1_ r �� .//—� � l, V' 'p DATE:�_ APPLICANT:CG��-/'L0./ ��/j-►'� C�V J\l.t�.�` SMIP + � `��( J J WARNIN(i:FAILURE TO SECURE WORKERS'CAMPENSATION COVEqA6E IS UNLAWFUL,AND SHALL BE ENERGY P/C /� J SU&IECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFWESUPTOONEHUNDREDTHOUSAND fi � DOIURS(f1a0,o00),INADDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORIN ENERGYPE MIT J SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEVS FEES. OaC RETENTION �EE:� f CONSTRUCTION LENDING AGENCY PRE-ALT FE 1.L..�..,..z�_ . __ ___ - ! � I HEREBV AFFIRM UNDEF PENALTV OF PEFUURV THAT THERE IS A CONSTRUCTION LENDINQ AGENCV FOR THE PERFORMPfICE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3oe7,CIV.C.�. Z W � LENDER'S NAME � LENDER'SADDRESS � /� w I CERTIFV THAT I HAVE READ THIS APPLICATION AtJD STATE TNAT TME ABOVE INFORMATION IS CARRECT. TOTl1 L FE ES � I AGREE TO COMPLV WfTH ALL CITV AND COUNTV ORDINANCES M1D STATE UWS RELATING TO BUILOINO � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS CWN7V TO ENTER UPON THE Z ABOVE-MENTqNED PROPERTY fOR INSPECTION PURPOSES. COMMENTS � 0 J � � m PERMITTEE NAME(PRINn � �— —v \ '— � SIONA RE F PERMITTEE DATE � RECPT.NO. PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—ApplicanYs C py �� (� fl��l�aG�i�[�� [��(f� , , . , @�`s�(�[�(C�'U2�f�9 (�L��fRi�D ' �V�U�J�JI-fV � '�, �� O� ... ., ul(t k�Jt.rl ciV� U lt."JI.Jv �° p .� . " �1�I�JIi'LS'� � o , SET BACK FLOOR JOIST - Fi'GS/F�RMS/STEEL . �-�(o-i�[ � �� FHA REC�MTS ELECTRIC GROUND �� UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CU�IDUIT Sl.A6 GRADE - FIREPLAG�.FOUNDATION� TEMP POWER ' � FIREPLACE BOND BEAM WATER SERVICE � MID HT. BOND BEAM ROOF SHEATHING � 8 FT. BOND BEAM FRAMINGNENTILIATION FINRL BOND BEAM ROOF COVER • ' PRE-GRAD�NG ROUGH HEATING BENCHiNG' ' ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING � SHOWER/TU8 TEST. POOL ELECTRIC EXT. IATH/SIDING POOL FENCING WALL INSULATIOiV POOL FINA� � CEILIt�lG IiV�ULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FI�tAL ENG. SEPTIC TANK � LANDSCAPE/IRRIG. SEEP PIT/L.L. ' ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. �� v� ,� , FIRE DEPT. F{NAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. �EES PAID FINAL PLUMBiNG . ENERGY . - +._ - - _.�_.�- � � 'Q � `�-�3 _._._ _.___ CONiMIENTS ' 14 •1 1�J � SEPTIC TAiVK SIZE ~ SEEP PIT/U SIZE � A�1 .[� _ � , I