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• �, _!�� CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES S E P 10 2002
� 21660 E.Copley Drive Suite 190
(909)860-3195 Fax(909)861-3117 PRESS
����+�'� BUILDING PERMTT APPLICATION �IRMLY
o DDRESS I�I y VAILL=`/ V�S�A--��u� DATE CATIOa�� /� NU BER� #/C r�"
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c� ISSUE I� L.� � Q� TYPE OCC
APN LOT TRACT DATE � / CONST. GROUP
p OWNER GAttwAy C�t���_M'�R
o ADDRESS 1 S i�-1 �//lL�.�cy\�9Th Q2+v 6 ZONING SEfBACKS
Z CITY C�,n.MONYa �'�wQ ZIp G1�SC TEL. FRONT RW ❑
g APPUCANT X� �;c� �ctFr�c�nN TEL. `II`1 55v-6/32 REAR ❑
SIDE/SIDE STREET RW ❑
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p� ADDRESS ��-V PROPOSED USE x►J`a�flL�- �.vinl CSiGZK J'A�vc=
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y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
Q OWNER-BUILDER DECLARATION SFR/ADD/REM
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p I HEREBY AfFlRAI UNDER PENALTY OF PERIURY THAT I AM E%EMPT FROM THE CONTMCTORS LI- GgfflgO/C8fp0A
W CEHSELAWFOR7HEFOLLOWINOREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANYCITVOR (n
U COUHfYWHIqiRE0U1RE5APERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- W Patio/Deck
W NRE,PHIOR TO ITS ISSUANCE,ALSO RE9UIRES THE APPLICAHT FOR SUCH PERMIT TO FILE A SIGNED w
STATEMENT THAT HE OR SHE IS LICENSED PU0.SUANT TO THE PROVISIONS OF THE CONTRACTORS LI•
� CENSE LAW(QiAPTER Y(COMMENCiNO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � PooVSpa
FESSpNS CODE)OR THAT HE OR SHE IS EJCEMPT THEREFROM AND hIE BASIS FOR THE ALLEGED EXEMP-
TION.ANYVqIATIONOFSECT10N70J1.5BYANVAPPLICANTFORAPEHMITSU&IECTSTHEAPPLICANTTO Z Re-Raof
F, A CML PENALTV OF NOT MORE THAN FNE HUNDRED DOLLARS(i5oo).�:
� OI,tiSONMEROFTHEPROPERTV,ORMVEMPLOYEESWITHWAGE5A5THEIRSOLECOMPEN5A710N, O COrtIrtIBfCiel �
WILL DO TME WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.701�,BU51- J
NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE UW DOES NOT APPLV TO Ml OWNER OF
� PROPEHTYWF100UILDSOHIMPROVESTHEREON,ANDNMODOESSUCHWORKHIMSELFORHERSELFOR �
Q THipUfW NIS OR HER ON71 EMPLOYEES,PROVIDED 7HAT SUCH IMPROVEMENTS AHE NOT INTENDED OR ' m '
Q ,OFFEREDFORSALEIF,HOWEVERIMEBUILDINOORIMPROVEMENTISSOIDWITHINONEVEAROFCOMPLE-
Z 'TION,THE OWNER�BUIIDER WILL HAVE THE BURDEN OF PROVIN�THAT HE OR SHE DID NOT BUILD OR
� IMPROVE FOH THE PURPOSE OF SALE).
W ❑I,AS ONMEROFTHE PROPEFTV,AM E%CLUSIVELV CAMRACTINO WfTH LICENSED CONTRACTORS
� TO CONSTRUCT THE PRQIECT(SEC.�OW,BUSINESS AND PROFESSIONS CODE:7HE CONTRACTOPS LI- V81U8fI0f1 ��' ADJ.AREA
W CENSEUWDOESNOTMPIYTOANOWNEROFAPROPERTYWHOBUILDSORIMPROVE57HEREON,AND
� WHOCONTRACTSFORSUCHPRO.IECTSWITHACONTRACTOR�S)LICENSEDPURSUMITTOTHECONTRAG QUANTITY DESCRIPTION FEE
� TORS LICENSE UW J.
� O 1 MI EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON �
� �
LL' DATE OVMER �
� W
�Q LICENSED CONTRACTORS DECLARATION W
CL I HEREBY AFFIRAI UNDER PENALTV OF PERIUfiY THAT 1 AM LICENSED UNDEH PROVISIONS OF CHA7TER �
d 0(COAIMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z
X MY LICENSE IS IN NLL FORCE AND EFFECT.
`0 LICENSE CLASS C 1� LIC.NO. ���D O\ j
V DATE IC,��-N�_ CONTRACTOR �PJG� \ d ,
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� WORKERS'COMPENSATIONDECLARATION � y3r�� a
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N I HEREBY AFFIRM UNDER PENALTY Of PE0.IURV ONE OF THE FOLLOWING DECURATIOHS: Z
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� I HAVE AND WILL MAIN7AIN A CEHTIPICATE OF CONSENT TO SELF-INSURE FOR WOHKERS' S . � ` �
� COMPENSATION,AS PROVIDED BV SECTION 970o OF THE UBOR CODE,FOR THE PEHFORMANCE W
OF 7HE WORK FOR NMICH THIS PERMIT IS ISSUED. �
�
w �I HAVE AND WILL MAINTAIN WORI(ERS'COMPENSATION INSURANCE.AS REQUIRED BY SECTION
Q 97ao OF THE LABOR CODE,FOR THE PERFORMANCE OF 7HE WORK FOR WHICH THIS PEHMIT IS �
ISSUED.MV WORKERS'COMPENSATION INSURANCE CARRIER ANO POLICY NUMBER ARE: CONSTRUCTION
� CARRIER FQ��nc�nl �Ccsn�.DENSn'C 7 e�/ ��s PLAN REVIEW �
� POLICV NUMBER V.� �S S�U�/�1C�� ELECTRIC I
0 (fFYSSECfqNNE�NOT8E00MPLETIDOF7FEPERMfLSFaRONEMAi1RmD01.LAR5(L100)ORLESS) PLUMBING
Z I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,.I MECHANICAL
C} SHALL HOT EMPLOV ANY PERSON IN ANY MANNER SO AS TO BECOME SU&IECT TO THE
� WORKERS'CAMPENSATIONUWSOFCALIFORN10.M1DAGREETHATIFISHOULDBECOME INSPECTIONFEE
S SUBJECT TO THE WORKERS'COMPENSA710N PROVISIONS OF SECTION 370o OF THE LABOR Q
CODE,�SHALL FORTHWIhI COMPLV W17H THOSE PROVI510 � ISSUANC
p DATE: I�-?y� APRICANT: ���` �if�?/�" SMIP
� ENERGY P/C
J WARNINO:FAILURE TO SECURE WORKERS'CAMPENSATION COVERAGE IS UNUWFUL,AND SHALL BE A /�
LL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDHED THOUSAND ENERGY PERMIT 11� 1 1 �Q Q Q
DOLLARS(f100.000),IN ADDITON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
J SECTION 3708 OF hiE IABOR CODE,INTEREST,AND ATTORNEI"5 FEES. RETENTION FEE:
" F DIA1VfOND EAR
d CONSTRUCTION LENDING AGENCY R.}F�ALT F E: I_ p+�,� _ �
� I HEREBV AFFIRM UNDEF PENALTV OF PERIURV THAT THERE IS A CONSTRUCTION LENDING AGENCY �T ��S� D�G N�.IV Li� �7 f�r�f�,TV I
n- FOR THE PEfiFORMANCE OF 7HE WORK FOR WHICH THIS VERMIT IS ISSUED(SEC.3007,CIV.C.). �
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� LENOER'S NAME A
- F— LENDERSADDRESS ✓ L/ '
Q ICERTIFVTHA7IHAVEREADhIISAPPLICATIONANDSTATE7HATTHEABOVEINFOHMA710NI5CORRECT. TOTAL FEES ��
W I AOREE TO COMVLV WITH ALl CT'AND COUNTY ORDINANCES AND STATE UWS RELATINO TO BUILDING � �
� CONSTRUCTION,AND HEREBV AU7}IORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE
ZABOVE-MEN710NED PROPERTV FOR INSPECTION PURPOSES. COMMENTS r
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m PERMITTEE NAME(PRIPln
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y SIUNAT OF PERIAITTEE OATE
� RECPT.NO. PAID BY VALIDATION
WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Capy
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� � � SET BACK � � � ' FLOOR JOIST , � �,
FTGS/FORMS/STEEL . � � FHA REQMTS
ELECTRIC GROUND ' UNDER FLOQR DUCT
GROUND PLUMBING UNDER FLOOR CU�IDUIT
SLAB GRADE FIREPLACE FOUNDATION - - �
TEMP POWER FIREPLACE BOND BEAM � -- �
WATER SERVICE MID HT. BOND BEAM
ROOF SHEATHING ` ' - 8 FT. BOND BEAM �
FRAMING/VENTILIATION . FINAL BOND BEAM
ROOF COVER PRE-GRADING �� '
ROUGH HEATING BENCHING
ROUGH ELECTRIC � ROUGH GRADING
ROUGH PLUNIBING FINISH GRADING '
SHOWERlTUB TEST POOL ELECTRIC
EXl'.LATH/SIDWG POOL FENCING
WALL INSULATION POOL FINA�
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK . �ANDSCAPE/IRRIG.
SEEP PIT/L.L. � � '� ON SITE IMPS.
GAS AIR TEST � FINAL ZONING
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FIfVAL ELECTRIC DEV. FEES PAID
FINAL PLUMBING ENERGY .
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