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Home My WebLink About18117 C1TY OF DIAMOND BAR I, ----�� — DEPARTMENT OF CONIMUNITY&DEVELOPMENT SERVICES 21825 E.Copley Drive '�` (909)860-3195 Fax(909)861-3117 . PRESS ��'�9�� BUILDING PERMIT APPLICATION FIRMLY ¢ ADDRESS 2503 Sunbright APPLICATION PERMIT P/C o DATE O Z.- NUMBER �� # , � APN LOT TRACT 25986 �SSUE TYPE pCC i p OWNER Stan Bieda DATE CONST. GROUP I o ADDRESS ' ZONING SETBACKS z CI'fY Diamon� ar ZIP 1765 TEL. 5 FRONT Ryy p � APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ �� CONTRACTOR SIDE ADDRESS F�ANK 595 27�� CITY ZIP TEL. PROPOSEDUSE R�[�� Permit � Electrical Permit o ARCH/ENG/ , iz DESIGNER NO.DWEL. NO. ( a ADDRESS • cn UNITS STORIES BEDROOMS N CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION p SFR/ADD/REM 354 p I HEREBV AFFIRM UNDER PENAL7V OF PERNRV THAT I AM EXEMPT FROM THE CONTRACTORS U- G9fe B/C0 R W CENSEUWFORTHEFOLLOWINOREASON(SEC.703t.5BUSINESSANDPROFESSIONSCODE:PNVCITYOR (n 9 � U COUNTYWHIp1RE0UIRE5APEHMRTOCON57AUCT,ALTER,IMPFOVE,DEMOL15H2ORREPAIPANVSTRUC� w w NRE,PRIOR TO ITS ISSUANCE,ALSO RC-0UIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck � STATEMENT THAT HE OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� � CENSE LAW(OUPTER o(COMMENCWO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO� � POOVSPB . O FESSIONS CODE�OR 7}WT HE OR SHE IS E%EMPTTHEREFROM AND 7HE BASIS FOR THE ALLEQED E%EMP- (rJ V TION.ANY VIOUTION OF SEC710N 7031.5 BV ANY APPLICANT FOR A PERMIT SU&IECTS THE APPLICANT TO Z qe-Roof A CIVIL PENALTV OF NOT MORE TNAN FNE HUNDRED DOLURS(t5a0)J: � I,ASOYMEROF7HEPROPERTY,ORMVEMPLOVEESWIhIWAOE5A5THEIRSOLECOMPENSATION, � COIf1fTIBfCl31 Z WILL�THE WORV(AND THE STRUC7URE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70M,BUSI� J l � NESS iVlD PROFESSIONS CODE:THE CONTRACTORS UCENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPEHTV NMO BUILDS OR IMPqOVES THEREON,AND VA-10 DOES SUCH WORN HIMSELF OR HEPSELF OR � THROUGH HIS OR HER OMM EMPLOVEES.PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m � OFFEREDFORS�LEIF,HOWEVER711EBUILDWGORIMPROVEMENTISSOLDWITHINONEVEAROFCOMPLE� TION,THE OWNER-BUIIDER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR � IMP�FOR THE PURP0.5E OF S�LE� w I.ASOWNEROFTHEPROPERTY,AME%CLUSIVELVCONTMCTINOWI7HLICENSEDCONTRACTORS � TO TRUCT 7HE PRQIECT(SEC.70N,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS U� V8Ill3llOf1 2 2.2 6 6.O O ADJ.AREA W CENSELAWDOESNOTAPPLYTO/WOWNEROFAPROPERTVWHOBUILDSORIMPROVESh1EREON,/�ND = WHOCONTRACTSFORSUCHPRQIECTSWI7HACONTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAG FEE � roasuceNSEuw.>. OUANTITY DESCRIPTION Y 0 ❑1 AM EJ(EMPT UNDER SEC. B.8 P.C.FOR THIS REASON � �O.S O � U LL DATE OWNER ¢ Z U � LICENSED CONTRACTORS DECLARATION w � I HEREBY AFFIRM UNDER PENA�TV OF 7ERJURV THAT I AM LICENSE�UNDER PROVISIONS OF CHAPTER � � 9(COMMENCINO WfTH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CADE,AND Z �� MV LlCENSE IS IN FULL FORCE AND EFFECT. m � LICENSE CLASS LIC.NO. � V DATE CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION Q � U � 1 HEREBV AFFlRM UNDER PENALTY OF PERILIRV ONE OF THE FOLLOWINQ DECLARATIONS: Z Z0 _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' a Q CAMPENSATION,AS PROVIDED BY SECTION 370o OF THE LABOq CODE,FOR THE PERFORMANCE U OF TME WORK FOF WHICH THIS PERMIT IS ISSUED. w � � � _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION Q 370o OF 7HE UBOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS �7 ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICV NUMBER ARE: CONSTRUCTION 2 H/ �O O � CARRIER PLAN REVIEW � Z POUCVNUMBER ELECTRIC 4O.SO Q � (1}�SEC'IIONNEIDNOTBEOOMPLEfEDOF7HEPERA9T6FORONEM,�DREppqyqRS(f�pp�pqLESS} PLUMBING W �.v� ' Z I CERTIFY THAT IN THE PERFORMANCE OF THE V10RN FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL 1 1_» //�� "T" 'S"j"^"�� C} SHALL NOT EMPLOY ANY PERSON IN ANV MANNER SO AS TO BECOME SU&IECT TO THE (d_L /F—��,, � . � 1 �� (q WORI(ERS'COMPENSATIONLAWSOFCALIFORN10.�NDAOREETHATIFISHWLDBECOME INSPECTIONFEE ""�� = SU&IECT TO THE WORKERS'COMFENSATION PROVISIONS OF SECTION 37000F THE LABOR CODE,I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. ISSUANCE I A 1 7 S O.O O p . .� .� r u� C p DATE: APPLICANT: SMIP � 2.2 p W J WARNINO:F/ULURE TO SECURE WORKERS'COMPENSATION COVEqAGE IS UNLAWFUL,AND SHAIL BE ENERGY P/C J � SU&IECTMI EMPLOVER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUNDRED THOUSAND ENERGY PERMIT �'— DOLLARS(f100,000),IN/�DDITION TO THE COST OF CAMPENSATION,DAMAOES AS PROVIDED FOR IN � � SECTION37080FTHEIABORCODE,INTEREST,ANDATfORNEV5FEE5. RETENTIONFEE: 4 ~�`' !_ � W O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT THERE IS A CqNSTRUCTION LENDING AGENCV FOR THE PERFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.30B�,CIV.C.). Z W � LENDER'S NAME � LENDER'SADDRE55 � C w I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE hIAT THE ABOVE INFORMATqN IS CORqECT. TOTA L FE ES 3 7 9•7 V � I AGREE TO COMPLV WITH ALL CITV AND COUNTV ORDINMlCES AND STATE LAWS RELATINO TO BUILDINO � � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE Z ABOVE-MENTIONED PROPERTV FOR INSPECTqN PURPOSES. COMMENTS � J � m PERMITT E NAME � ` _� Q ( Cn �.1 N SION EO ERMITTE DATE = RECPT.NO. PAID BY e VALIDATION ~ WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDEN O�File Co GREEN— py. Applicant's Copy �G"U`� �1��fl%�1�1�6�9� (��ff� �6�9��"8(�G�9 �f��G�iH� . ,; . � �11 � '� LJLrJ� W\.hJ❑ . ��'n " .. .. n W�A�N�7�1 U�1�.Ji� °� '� ° � ' Q o..,�.,' SET BACK FLOOR JOIST FTGS/FORMS/STEEL FHA REC�MTS ELECTRIC GROUNd E UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CUMDUIT � SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BaNQ B�Ah4 WATER SERVICE MIU HT. BOND REAM ROOF SHEATHING 8 FT. BQND BEAM ' FRAMINGNENTILIATION FINAL BOt�D BEAM ROOF COVER PRE-GRADING ROUGH HE,471NG BENCHING ROl1GH ELECTRIC ROUGH GRADING ROUGH PLUMBING ~ FINISH GRADWG � SHOWER/TUB TEST POOL ELECTRIC EXT. L.ATH/SIDING POOL FENCING WAL�If�SULATION POC?�FINAL CEILING Ih18ULATION QF.F SITE(MPS. RRYWALL NAILING DEDICATIONS- � - - SEWER FIN�L ENG. —��-- SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. C?N SITE IMPS. GAS AIR TEST FiNAL ZONING FINAL COiVST. aZ, FIRE DEPT. FINAL FINAL HEATING ) HEALTH DEPT. FINAI . FINAL ELECTRIG �/�/�� DEV. FEES PAID FIPVAL PLUMBIMG � � ENERGY _ o � � �, --- COMfVIENTS _ SEPTIC TAiVK SIZE SEEP PIT/U SIZE --- � � � �