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Home My WebLink About16881 (670) CITY OF DIAMOND.BAR -----��` --- DEPARTMENT OF COMMUNTI'Y&DEVELOPMENT SERVICES 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS �»�� BUILDING PERMIT APPLICATION " FE R M LY � JOBSITE , ��-��"� APPLICATION PERMIT � � g r P/C o ADDRESS�;7�U I W 1��j �� DATE � 2� �� NUMBER � I # � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER ��J .7� I p ADDRE _ ZONING SETBACKS Z CITY� ,��p FRONT RW ❑ o APPLICANT �STEL. S DE/SIDE STREET RW ❑ z ¢ CONTRACTOR SIDE ❑ i o CDDRESS ZIP TEL. PROPOSED USE ��D D 4r '�'p dL � a R- ia�s wo ARCH/ENG/ p�,?Ffl2DDM��,hQ� � A�,LIG n1 iz DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � rn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/AEM D ��.�-� I O I HEREBY AFFIRM UNDER PENALTY OF PEFJURV THAT I AM EXEMPT FROM THE CON7RACTORS LI- GefdJB/CflfpOft W CENSELAWFORTHEFOLLOWINGREASON(SEC.7a31.5BU51NE5SANDPROFES510NSCODE:ANYCITVOR (n U COUNTVWHICHREOUIRESAFERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANVSTfiUC- w TURE,PRIOR TO ITS ISSUANCE,ALSO RE�UIRES 7HE APPLICANT FOR SUCH PERMI7 TO FILE A SIGNED W Patio/Deck � S7A7EMENT 7HAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- � CENSE UW(CHAP7ER e(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOVSPfl O FESSIONSCADE)OFTHATHEORSHEISEXEMP7THEREFROMANDTHEBASISFORTHEALLEGEDExEMP� (� U TION.ANVVIOLATIONOFSECTION7031.5BYANVAPPLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z Re-Root � A CIVIL PENALTV OF NO7 MORE THAN FIVE HUNDRED DOLLARS(5500).): Z ❑I,ASOWNEROFTHEPROPERTY,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, � COrtlfflefCi81 - WILI DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70l1,BUSI� J � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPERTV WHO BUILDS OR IM PROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSEIF OR � 7HROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THA7 SUCH IMPROVEMEN75 ARE NOT.INTENDED OR m � OFFEREDFORSALE.IF,HOWEVERTMEBUILDINGORIMPROVEMENTISSOLDWITHINONEYEAROFCqMPLE� ' Z 710N,7HE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING 7HA7 HE Ofi SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). ❑I,AS OWNER OF THE PROPERTY,AM E%CLUSIVELY CONTRACTING W ITH LICENSED CONTRACTORS � TO CONSTRUCT THE PHOJEC7(SEC,7044,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- VfllllfltlOfl O� � ADJ.AREA W CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPERTVWHOBUILDSORIMPROVESTHEREON,AND , � WHOCANTRACTSFORSUCHPRq1ECTSWITHACON7HAC70R(5)LICENSE�PURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.). ` � O I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � S�� (,� - ,�J � � L� 6 7S � DATE OWNER � w �(�� W � � LfCENSED CONTRACTORS DECLARATION W Q U� t�r � I HEREBV AFFIRM UNDER PENALN OF PERJURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � .�-j � � —� d 9(COMMENCING WITH SECTION 7000)OF DIVISION 30FTHE BUSINESSAN�PROFESSIONS CODE,AND Z �•_ `X MV LICENSE IS IN FULL FORCE AND EFFECT. m v� � LICENSE CLASS LIC.NO. j � t,.i-16...f iT-(� ~ DATE CONTRACTOR a v�v�•v v �� W Z. �-R-U � WORKERS'COMPENSATION DECLARATION a 2 2 l S ��S � � I HEREBYAFFIRM UNDER PENALTV OF PERJURV ONE OF THE FOLLOWING DECLAMTIONS: Z Z _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' _ ¢ CAMPENSATION,AS PROVIDED BY SECTION 3700 OF THE LABOR CODE,FOR THE PERFOHMANCE W OFTHE WORK FOR WHICH THIS PERMI7151SSUED. � � Q _I HAVE AND WILLMAMTAIN WORKERS'COMPENSATION INSURANCE,AS RE�l11RED BV SECTION I ��^� Q 3700 0F THE LABOR CODE,FOR THE PERFOflMANCE OF THE WORK FOR WHICH THIS PERMIT IS I ISSUED.MY WORKERS'COMPENSATION INSUHANCE CARRIER AND POLICY NUMBERARE: CONSTRUCTION J j CARRIER PLAN REVIEW _ � POLICYNUMBER ELECTRIC I� �\ Q \ � (iHI55ECilONNE�NOTBE�MPLEfEDOFTFIEPEW�MISFORONEHUPDREDDOLLAFiS(ftOD)ORLESS} PLUMBING �I•.,� v W /� � ` Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL � l 1`-�� } SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE � WORKERS'COMPENSATION LAWS OF CAIIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE = SU&IECT TO THE WOFKERS'COMPENSATION PROVISIONS OF SEC710N 370o OF THE LABOR ��I\ �� CODE,I SHALL FORTHWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE \) � SMIP I .�� p DATE: APPLICANT: J WARNING:FAILURETO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C � SU&IECTAN EMP�OVER TO CRIMINAL PENALTIES AND CIVIL FMES UP TOONE HUNDRED THOUSAND ENEFiGY PERMIT DOLURS(f100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVI�ED FOR IN P r` � SECTION37oBOFTHELABORCODE,INTEREST,ANDATTORNEV'SFEES. RE�ENTIONFEE: S1 ` v � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIFM UNDER PENALTY OF PERJURY THAT THERE IS ACONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF 7HE WORK FOR WHICH 7HI5 PERMIT IS ISSUED(SEC.3097,CIV.CJ. . Z W ? LENDER'S NAME � � LENDER'SADORESS � � TOTALFEES � I CERTIFV THAT I HAVE FiEAD THIS APPUCATION AND STATE THAT THE ABOVE INFORMATION IS CORFECT. �1 � w I AGREE TO COMPLY WITH ALL CITV AND COUNTV ORDINANCES AND STATE LAWS RELATING TO BUILDING d � CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUN7V 70 ENTER UPON THE Z ABOVE�MENTIONED PROPEFTV FOF IN PECTION PURPOSES. COMMENTS � J � m PERMITT AME(PRIN ¢ � �o� - N 5 RE P�MI E ' TE � = RECPT.NO. PAID BY VALIDATION ~ WHITE—De artment Co YELLOW—Finance Co PINK—Assessor Co GOLDENRO�File Co GREEN—A IicanYs Copy P PY, PY. PY. PY, PP . , , .. . , :. ��:,, ,. ., . �� I`�� V� i�� ` f�]CC�R�1[� �l�a� � ��1��[�C�u O�G�9 f�3l��C�V�3LID ��i�� '��(� 0� �� Q� �� p o SET BACK , FLOOR JOIST i FTGSIFORMSlSTEEL ; ; FHA RE�MTS � ELECTRIC GROUND � ' UNDER FLOOR DUCT , � GROUND PLUMBING j UNDER FLOOR CU�IDUlT t i _____.. SLAB GRADE FIREPLACE FOUNDATION__ _ TEMP POWEFi _ I. ___ _ FIREPLACE BOND BEAM _.�_______ _ WATFR SERVICE � � MID HT. BOND SEAM � -�— ----- —. _._ �— _-�-- -- � _--- ROOF SHEATHING � O/ �_ ______ 8 FT. BOND BEAM ' --- - --—L - - —___ _--- ___ -----�--- -- -__ F R A M I N G/VENTILIATION �_�,�� _ FINAL BOfJD BEAM __ 1 ___ __�_ . --- -- --- -_.... ROOFCOVER _ PRE-GRADING __ __� ROUGH HEATING BENCHING i ROUGH ELECTRIC 8/9/e/ �� ROUGH GRADING ____ ____ ROUGH PLUMBING j �—i- FINISH GRADING __ ________ SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING , P�OL FENCING WALL INSUL.ATION POOL FINAL CEILING INSULATIOfV OFF SITE �MPS. DRYWALL NAIUiVG ��..�-�l_��, DEDICATIONS _ SEWER FINAL ENG. � SEPTIC TANK LA(VDSCAPE(IRRIG. , ' SEEP PIT/I�.L. ON SITE IMPS. � ' GAS pIR TEST FINAL ZONING j �_ FIRlAL.CONST. ' I FlRE UEPT. FIiVAL ^ 1 .�:.��_ _ ..__. __---- — ------ Fl�lAL HEATING ' i • HEALTH DEF'T. F;PJA� � i _- —_ — �- ---_.__ FINAL ELECTRIC � 1,,�I-Cj QEV_FEES PAID___.� _ __ _ FINAL PLUMBING J Z 3►-�,�� ENERGY _ _____ ___ . �� I C�CGt�O� o t o ....___ COi�NiENTS �_��' � - 3�-� � SEPTIC TANK SIZE SEEP PIT/U SIZE -- ----- � � � � -