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Home My WebLink About17831 (10) �x�p'c v�� CITY OF DIAMOND BAR ------��` --- DEPARTMENT OF COMMIJNITY&DEVELOPIv�NT SERVICES 21825 E.Copley Drive � (909)860-3195 Fax(909)861-3117 PRESS '"��" BLIILDING PERMIT APPLICATION FIRMLY QJOBSITE � � {�/�� ' � DATE CATION L►i..�� NUMBER `�v� #/C a ADDRESS � i � � � ' � ISSUE TYPE OCC -- APN�� T CT DATE CONST. GROUP °C OWNER � O o ADDRESS ZONING SETBACKS I Z CITY " ZIP TEL. FRONT Ryy ❑ � APPLICANT TEL. REAR Z SIDE/SIDE STREET RW ❑ Q CONTRACTOR SIDE ❑ ADDRESS � CITY 3�� US ry • TEL. PROPOSED USE o ARCH/ENG/ Lakewood,�A-9�07�2 �z DESIGNER NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBY AFFIRM UNDER PENALTY OF PERIUHY 7HA7 I AM EXEMPT FROM THE CAN7RAC70RS LI- G8f3 JB/CBfpOft W CENSELAWFORTHEFOLLOWINGREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANVCI7YOR (n U COUNTVWHICHREOUIRESAPERMI770CANSTRUCT,ALTER,IMPROVE,�EMOLISH,ORREPAIRANYSTRUC- W Patio/Deck w 7URE,PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w � STA7EMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� � � CENSE LAW(CHAPTER B(CAMMENCING WITH SECTION 70o0)OF DIVISION 3 OF THE BUSINESS AN�PRO- POOUSPe � FESSIONSCADE)ORTHATHEORSHEISE%EMP77HEREFROMANDTHEBASISFORTHEALLEGEDE%EMP� (� V TION.ANVVIOLATIONOFSECTION7031.SBYANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roaf A CIVIL PENALTV OF NOT MORE THAN FIVE HUNDRED DOLURS(5500).): � OI.ASOWNEROFTHEPROPERTY,ORMVEMPLOYEESWI7HWAGESASTHEIRSOLECOMPENSATION, � COfilrtlBfClel �� Z WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7011,BUSI� J � NESS AND PROFESSIONS CADE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER Of � — PROPERTVWHOBUILOSORIMPROVESTHEFEON,ANDWHODOESSUCHWORKHIMSELFORHERSELFOR � THROUGH HIS OR HER OWN EMPLOVEES,PROVIDED 7HA7 SUCH IMPROVEMENTS ARE NOT IN7ENDED OR m Q OFFERE�FORSILEIF,HOWEVER,THEBUILDINGORIMPROVEMENTISSOLDWI7HINONEYEAROFCAMPLE- Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). w OI,ASOWNEROF7HEPROPERTY,AMEXCLUSIVELVCONTRACTINGWITHLICENSEDCONTRACTORS � TO CANSTRUCT THE PROJECT(SEC.70��,BUSINESS AND PROFESSIONS CODE:THE CONTRAC70R5 LI- V21U2�1Of1 ADJ.AREA W CENSE UW DOES NOTAPPLY TOAN OWNER OF A PROPERTV WHO BUILDS OR IMPROVES 7HEREON,AND � WHOCONTRACTSFORSUCHPROJECTSWITHACANTRACTOR�S)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE Y TORS UCENSE LAW.). � ❑I AM EXEMPT UNDER SEC. B.6 P.C.FOR THIS REASON Q � U � � DATE OWNER U Z w � LICENSED CONTRACTORS DECLARATION w � I HEREBY AFFIRM UNDER PENALTY OF PEiUURV THA7 I AM LICENSED UNDER PROVISIONS OF CHAPTER � d e(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z `X MY UCENSE IS IN L R E AND EFFECT. � m / 0 UCEN C LIC.NO. j � J U DATE CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION l Q � I HEREBV AFFIRM UNDER PENALTV OF PE{LIURV ONE OF THE FOLLOWING DECLAFATIONS: Z ZI HAVE AND WILL MAINTAIN A CERTIFICATE OF CANSENT TO SELF-INSURE FOR WORKERS' _ ¢ CqMPENSATION,AS PROVIDED BY SECTION 37000FTHE LABOR CODE.FOR THE PERFORMANCE w O THE WORK FOR WHICH THIS PERMIT IS ISSUED. � 0 w _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BY SECTION Q 3700 OF THE 1A80R CODE.FOR THE P FORMANCE OF THE WORK FOR WHICH THIS PEHMIT IS ISSUED.M CERS C PEN TIO INSURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION J � CAFRIER PLAN REVIEW 0 POLICY NUMBER ELECTRIC Q 1� � (fHISSECfqNNE�NOTBECCMPLEfEDOF71-IEPERMfTISFORONEM/MREDDOUl�AS�f10�)ORLESS). PLUMBING _�S l,j W Z 1 CERTIFV THAT M THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL C7 SHAIL NOT EMPLOV ANY PEF150N IN ANY MANNER SO AS TO BECOME SUBJECT TO THE � WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE SU&IECTTO THE WORKERS'COMPENSATION PROVISIONS OF SECTI N 3]OOOf THE LABOR Q �E I FOR�ITH COMPLV W�H s P OVIS yS. � /�� ISSUANCE �.� p ll /14. 1 i 1\/ DATE: �f APPLICANT: I� .�y��V SMIP J WARNING:FAILURE TO SECURE WOFKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C LL SUBJECTANEMPLOYERTOCRIMINALPENALTIESANOCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOLURS(f10o,000),IN ADDITION TO 7HE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTION370BOFTHELABORCODE,INTEfiEST,ANDATTOflNEV'SFEES. FETENTIONFEE: ' •v a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIRM UNDER PENALTY OF PERIURV THAT THERE IS A CONSTRUCTION LENDING AGENCV FORTHE PERF-0RMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.C.�. Z W j LENDER'S NAME � H LENDER'SADDRESS � TOTAL FEES � I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. � � i � w I AGREE TO COMPLV WITH ALL pTV AND COUNTY ORDINANCES AND STA7E LAWS RELA7ING TO BUILDING � CONSTRUCTION,AND HEREBYAUTHORI E REPRESENTATNES OF THIS COUNTV TO ENTER UPON THE � ABO E�MENTIO ED PR PEfiTV F R INS ECTI URPOSES. Z �� COMMENTS � � m P EN (RI �^ ¢ \J / � � SIGNA7 PERMI E DAT � = RECPT.NO. PAID BY VALIDATION ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy -- ... ... . ... . . , _ . ., t'..1�, • . ,,. . . ,., y ,. . . ,. c�6`�i'4� �I� �D�Q[�iC�fr�l� i�l�f� �f��u�C��a��l (��i�D �D ° �� DQ`� �� '�C�� ' DGJ ri� ' 0�'p`-� SET BACK � —� FLOOR J�IST __ � i _ _ - --- F?GS/FORMS/STEEL ', � FHA REQMTS ' - -- - -- --- ___ _;.. ._..._ ___-- -- ------ . _- -- ELECTRiC GR�UND �: ' � t��NDER FLOO� DUCT � � --- —�— ---�---- -- ��-�-- --- _�_ �__ __.__.� __ __._..._ GROUND PLUMBING _ ; UNDER FLOOR CUf�IDUIT � I SLAB GRADE � i FIREPLACE FOUNDATION ; ' TEMP POWER ; FIREPLACE BOND BE,qM I — --- - - ---- ----- -----{----- - WATER SERVICE -- -- ' -------- ---- � tJID HT. BOND �EAM __'_ , __�_�.��___L ___.__ ROOF SHEATHING $ F�. BQNa BEAM � --+--- ------—� - -— FRAMINGNENTILIATION ' FINAL BOND BEAM _ � ___ ROOF COVER PRE-GRADING , _ _ � ROUGH HEATING BENCHING _ I __ ROUGH ELECTRIC 1 RQUGH GRADlNG ---;-- --- —-._...__ ._..---__--- ------------ RaUGH P�UMBING i FINiSH GRADING _____ SHOWER/TUB TEST � P�OL ELECTRIG EXT. LATH/SIDING PQOL FENCING ; WALL IAlSULATION i POOL FINA� Y CEILING INSULATION ^ � OFF SITE IMPS. � _ i DRYWALL NAILItVG DEDICATIONS SEWER FINA�ENG. I ------ SEPTIC TANK LANDSCAPE/IRRiG. r —• -- ___._ r---- -_____..__. SEEP PITIL.L. ON SITE IMPS. GAS AIR TEST FINA�ZONING FINAL CONST. � � ��RE DEPT. FINA� FINAL HE,4TING � � �HEALTH QEPT. FINAL __ FINAL ELECTRIC �__� DEV FEES PAI[� _ FINAL PLUMBING I ENERGY + I -i --- C��O��o i CU�lNiIENTS SE�TIC TAPVK SIZE SEEP PIT/U SIZE --- -- ---..__.__.. _____..__.,_ � � � -- — — � — — -----------___