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Home My WebLink About18140 CITY OF DIAMOND BAR �� ---��-��` --- DEPARTMENT OF COARvfUNTI'Y&DEVELOPMENT SERVICES 21825 E.Copley Drive (909)8603195 Fax(909)861-3117 PRESS '''�.�� ' BUILDING PERMIT APPLICATION FIRMLY o DDRESS�� L S' L V J4N G L t N g APPUCATION � � PERMIT P/C� y DATE NUMBER # � ISSUE �t-7 TYPE OCC APN LOT TRACT DATE� �/� CONST. GROUP p OWNER �UNES , LfJu12�1 � y o ADDRESS Z�12'�'! S4jLU�N GL��tJ ZONING SETBACKS Z CITY p�Qt.�tv..0 (�-�2. ZIP � 6' TEL. �6I Z7�� FRONT RW ❑ o APPLICANT �//F-t_ hltt��N TEL. SIDE/SIDE STREET RW O z , ¢ CONTRACTOR A-�--�� P A'SSO t• SIDE ❑ ADDRE S 7�� A�t�N/� � • o CITY I� KD G�c�•,�.c�9:7 ZIP �bvrj TE�� y�7 �Z�(� PROPOSED USE o ARCH/ENG/ �z DESIGNER NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O I HEREBV AFFIRM UNDER PENAL7Y OF PERJURY THAT I AM EXEMPT FROM THE CANTRACTORS LI� Gef89B/CBfPOR W CENSELAWFORTHEFOLLOWINGREASON(SEC.7o37.5BUSINESSANDPROFE5510NSCODE:ANVCITVOR (n U COUN7YWHICHREOUIRESAPERMITTOCANSTRUCLALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUG � w TURE,PRIOR TO ITS ISSUANCE.ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck STATEMENT 7HAT HE OR SHE IS LICENSED PURSUANT TO THE PfiOVI510NS OF THE CON7RACTORS LI- � CENSE LAW(CHAPTER 9(CAMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO� � Pool/Spa FESSIONSCADEJORTHATHEORSHEISEXEMPTTHEREFROMANOTHEBASISFORTHEALLEGEDExEMP- (� � TION.ANV VIOUTION OF SECTION 7031.5 BY ANV APPLICANT FOR A PERMIT SU&IECTS THE APPLICANT TO Z Re-Roof A CIVIL PENALTV OF NOT MORE THAN fIVE HUNDRED DOLLAHS(SSoo).): � ❑I,ASON?JEROFTHEPROPERTV,ORMVEMPLOYEESWITHWAGESASTHEIPSOIECOMPENSATION, � COmmefCl31 - Z WIIL DO THE WOqK,AND THE STRUCTURE IS NO7 INTEN�ED OR OFFERED FOR SALE(SEC.7oI4,BUSI� J N NESS NID PROFESSIONS CODE:THE CANTRACTORS LICENSE LAW�OES NOT APPLV TO AN OWNER OF � PROPER7Y WHO BUILDS OR IMPROVES 7HEREON,AND WHO DOES SUCH WORK NIMSELF OR HERSELF OR � THROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMEN75 ARE NO7 IN7ENDED OR m QOFFEREDFORSALE.IF,HOWEVER,THEBUILDINGORIMPROVEMENTISSOLDWITHINONEVEAROFCOMPLE- Z TION,THE OWNER-BUILDEFi WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PUfiPOSE OF SALE). w OI,ASOWNEROFTHEPROPER7V,AMEXCLUSIVELYCONTRACTINGWITHLICENSEDCONTRACTOHS [[ TO CANSTRUCT THE PR0.IECT(SEC.7ose,BUSINESS AND PROFESSIONS CODE:THE CON7RAC70R5 LI- V21U2t10l1 ADJ.AREA W CENSEUWDOESNOTAPPLVTOANOWNEROFAPROPERTVWHOBUILDSORIMPROVESTHEREON,AND � WHOCONTRACTSFORSUCHPROJECTSWITHACONTRACTOR(S)LICENSEDPURSUAN7TO7HECONTRAC� OUANTITY DESCRIPTION FEE Y 70R5 LICENSE LAW.). � J � ❑I AM EXEMPT UN�ER SEC. B.8 P.C.FOR 7HI5 REASON Q � U � ¢ DATE OWNER � Z w � LICENSED CONTRACTORS DECLARATION W . � I HEREBY AFFIRM UNDER PENALTV OF PERIURV THAT I AM UCENSED UNDER PROVISIONS OF CHAPTER �r �'�, ��/]-� G D d B(COMMENCING WITH SECTION 7000)OF DIVISION 3 0F THE BUSINESS AND PROFESSIONS CODE,AND Z X MV LICENSE IS IN FULL FOFiCE AND EFFECT. � LICENSE C/LASS �� LIC.NO. ` �� j U DATE 17"`�'L�Z CONTRACTOR •�--- a W � WORKERS'COMPENSATION DECLARATION ¢ � I HEREBV AFFIRM UNDER PENALTY OF PERJURV ONE OF 7HE FOLLOWING DECURATIONS: Z Z _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENTTO SEIF�INSURE FOR WORKERS' _ ¢ COMPENSA710N,AS PROVIDED BY SECTION 3700 OF THE LABOR CODE,FOR THE PERFORMANCE w OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � � w _I HAVE AND WILL MAINTAIN WORKERS'COMPENSA710N INSURANCE,AS FiEOUIRED BY SEC710N Q 370o OF THE LABOfi CODE,fOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.MY WORKERS'CAMPENSATION INS,UnRA-N_CE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION � CARRIEH ��'��- ��"� -�NS��' PLAN REVIEW Z POLICYNUMBER W C rT_�{.A. L�(�I� L� ELECTRIC Q � (fHISSECTIONNEmNOTBE00MREfEDOFTHEPEW.IfTISFOFIXJEHUI�DREDOCILARS(5100)ORLESS). PLUMBING � � � W Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSl1ED,I MECHANICAL . (.r} SHALL NOT EMPLOV ANY PERSON IN ANV MANNER SO AS TO BECAME SUBJECT TO THE N WORKERS'COMPENSATIONLAWSOFCALIFORNIA,ANDAGflEETHATIFISHOULDBECOME INSPECTIONFEE = SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 370o OF THE UBOR / CODE,I SHALL FORTHWITHCOMPLV WITHTHOSE PROVISIONS. ISSUANCE � C O DATE:��Y�U 2 APPLICANT: ��Ci , ✓1`��TSA� SMIP 0 J WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLpWFUL,AND SHALL BE ENERGY P/C � SUBJECTANEMPLOVEHTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNOREDTHOUSAND ENERGYPERMIT DOLLARS(5100,000),IN ADDI710N TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SEC710N 37080F THE LABOR CODE,IN7EREST,ANDATTOHNEV'S FEES. RETENTION FEE: . r a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIRM UNDER PENALTV OF PERJURV THAT THERE IS ACONSTRUCTION LENDING AGENCV FOR 7HE PERFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3o87,CIV.C.). Z W S LENDER'S NAME � H LENDER'SADDRE55 � TOTAL FEES �j�, 'J�� I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. w I AGREE TO COMPLY WITH ALL GTV AND COUNTV ORDINANCES AND STATE LAWS RELATING TO BUILDING d � CANSTRUCTION,AND HEREBV AUTHORIZE REPFESENTATNES OF THIS COUNTV TO ENTER UPON THE Z ABOVE-MENTIONED PROPERTV FOR INSPECTION PURPOSES. ' COMMENTS � V �- / •��/T J �✓=T/- m PERMITT NAME(PRINT) � �� -��. 6-y-c�� SIGNA7UREOFPERMITTE DATE = RECPT.�'O. PAID BY VALIDATION ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy . . .. s,• . ..: 1 .. . .. , .. . , , , „ .... . . , .. - , . . . �� Q�� m � oa�c� on� �c�� . o��oa ,., � 1� .,Po o ° � � - _� _ a�. SET BACK I I ° FLQUR JOIST �' ---__ -- --,--- ----- FfGS/FORMS/STEEL � ' FHA REQMTS - — �- ----- -�-------- -..._ __._..-------- -- ELECTRIC GROUND ; � UNDEf? Fl_OOR l�UCT -- ----------_..--- ---..-- ----- ------- ---... _ _ ____. __ .._� GROUNQ PLUMBING UNDER FLOOR CUI�IDUIT , __ _____ -- - - SLAB GRADE � __;_� FIRERLACE FOUNDATION ±__ � -- - - - TEMP POWER I _i _FIREPLAGE BON� E3EAM W,4TER SERVICE � MID NT BOND BEAM �- --�-_____ --- ROOF SHEATHING _- �I 8 FT. BOND BEAM - --__ ; _..._._.._ FRAMIfVGNENTILIATION , ' FINAL�30PJD BEAM �' _.-- ___.._ __;...— __._.___ __. _.__ ______. ______ --_.. ROOF COVER ' PRE-GRADING ' ROUGH HEATING BENCHING ROUGH ELECTRIC � R�UGN GRAdING ------- ---------- ---.-- -......---- --_ __-__...._____ ROUGH PLUNiBIIVG `: FIRIISH URADING SHOWER/TUB TEST i POOL ELECTRIC EXT. LATH/SIDIfVG � ( POOL FENCING I ---- -----�-r---------- ----....______ ; ��__—._._...____ WALL IIVSULATIOfV � " POOL FINAL CEILING IIV�ULATION _ � �FF SITE IMPS. _ _ _ � DRYWALL NAILING � DEDIGATIONS ' - ------- , _..-- --- __.._______...----- -- SEWER I FINAL ENG. � SEPTIC TAf�K LANDSCAPE/(RRIG. SEE�' PIT/L.L � ON SI?E iMPS. GAS AIR TEST FINAL ZUNING � FINAL CONST. I . �IRE DEPT. FIiVA!. FINAL HEATING � HEALTN DEPT. FIdVAL � .__. � FINAL ELECTRIC i DEV�FEES PAID FINAL PLUMBIMG j I ENERGY : ----�, - ---- -- ---- . --_---- ��e �OMMEIVI�'�'�' _-- ____------ SEPTIC TAPUK SIZE SEEP PIUU SIZE -�— ---- � _.._. � � _ __.. ____. ____.._.__._._________. --- -_._—..--------- � ,