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Home My WebLink About15135 (442)CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY& DEVELOPMENT SERVICES EXPIRED 21660 E. Copley Drive Suite 190 (909) 860-3195 Fax (909) 861-3117 _ PRESS BUHDINGPERMIT APPLICATION JUN 18 1002FIRMLY JOBSITE t 1 ADDRESS 1 V� Q- 13 APN LOT TRACT OWNER ICER- 49-9Z!5 7 Jc 1 ADDRESS. CITY�2- !l aV - ZIP9170r TEL &ol� ll APPLICANT TEL CONTRACTOR L-41 =71J ADDRESS CITY - ZIP TEL �7 ARCFVENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERIURY THAT 1 AM EXEMPT FROM THE CONTRACTORS U• CENSE UW FORTHE FOLLOWING REASON (SEC. 7071.6 BUSNESSAND PROFESSIONS CODE ANY CINOR MUNTYV&1CH REOMESA PERMRTOCONSTRLICT.ALTER BMPROVE,DEMOUSH, OR REPAIRANY STRUC- TURE, PRIOR TO ITS ISSUANCE ALSO REQUIRES THE APPLICANT FOR SACH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS Ls - CENSE UW (CHAPTER P (COMMENCING WITH SECTION 7060) OF DIVISION S OF THE BUSINESS AND PRO- FE55DNS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7071.6 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CML PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS 050(3.k O LAS OWNEROF THE PROPERTKOR MYEMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION. MALL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC 7044, BUST• NESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WINO DOES SUCH WORK HIMSELF OR HERSELF Oft THROLM HS OR HER OWN EMPLOYEES. PROVIDED THAT a" IMPROVEMENTS ARE NOT MENDED OR OFFERED FOR SALE IF HOWEVER,THE BUILDING OR IMPROVEMENT'S SOLD WITHIN ONEYEAROF COMPL6 TION. THE OWNER-0UILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD Oft IMPROVE FOR THE PURPOSEOFSl1LEL O LAS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT ISEC, 7044. BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS U. CENSE UW DOES NOTARPIY TO AN OWNER OFA PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WNDODNTRACTS FOR SUCH PROJECTS WITH A CONTRACTORS) LICENSED PURSUANT TO THE CONTRAG TORS LICENSE LAW). O IAM EXEMPT UNDER SEC. B. L P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFIPM UNDER PENALTY OF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER 1(COM MENCM MM SECTION 7000) OF DIVISION 7 OF THE BUSINESS MIO PROFESSIONS CODE. AND MY LICENSE IS N FULL FORCE AND EFFECT. LICENSE CLASS [ LIC. NO. DATE 4 — �� - (C") L7 CONTRACTOR_ WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENAUY OF PERAJRY ONE OF THE FOUDWNG DECLARATIONS: 11RAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS'' OOMPENSATION, AS PROVIDED BY SECTION 7700 OF THE LABOR CODE FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. _I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE AS REQUIRED BY SECTION 370D OF THE LABOR CODE FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY E COMPENSATION INSURANCE CARRIER AND POLICY HUMBER ARE CARRIER POLICY NUMBER r (DRS SECTION NEEDNOT BE COMPLETED OFTHE PERMIT B FOR ONE IA.17>ED fit ) LESS} I CERTIFY THAT N THE PERFORMANCE OME WORK FOR WHICH THIS PERMIT a ISSUED. I SHALL NOT EMPLOY ANY PERSON N ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS COMPENSATION PROVISIONS OF SECTION 7700 OF THE LABOR CODE, I SMA11 FORTHWITH COMFIT WITH THOSE PROVISIONS, DATE: APPLICANT: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES LP TO ONE HUNDRED THOUSAND DOLLARS 111100,000), N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 77010E THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, CONSTRUCTION LENDING AGENCY I HEREBYAFFIRM LINGER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 7017, C W. CI. LENDERS NAME LENDERS ADDRESS 1 CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. 1 AGREE TO COMPLY WITH ALL CrIYANO COUNTY ORDINANCES AND STATE LAWS RELATING TO WILDING CONSTRUCT)ON, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE -MENTON ED PROPERTY FOR INSPECTION PURPOSES. s v5 l -95 _R' P MTE NAME (P A ERMITTE DATE APPLICATIOty PERMIT P/C DATE - (Q �I .i� NUMBER / ISSUE TYPE OCC DATE CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ PROPOSED USE ' N NO. DWEL NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREANALUATION SFR/ADD/REM Cb Gara9atCarport W Pat)D/Dea LL PooUSpa 0 Z RB -Raaf CDT 0 Commercial - M Valuation ADJ.AREA OUANTITY DESCRIPTION FEE U F -- U W J W a 2 Fn 7 a ¢ i U W CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING LiUrl n MECHANICAL INSPECTION FEE h 1 11)1QllrTrlw7.� ` lNf: ISSUANCE A XT,=.A. SMTP `IIS •� Y �z ENERGY P/C ENERGY PERMIT RETENTION FEE. PRE -ALT FEE: TOTAL FEES Q,! '(/ -0 - COMMENTS Y't� RECPT. NO. PAID BY ' VALIDATION WHITE—Department Copy, YELLOW—Finance Copy. PINK—Assessor Copy, GOLDENROD—File Copy, GREEN—Applicant's Copy CITY OF DIAMONDE3AR,,,, i'-'�l."�'.,'--,",!-j'��.:INSPECTION17RECORD i-,', �xw I SET BACK Ti� rFLOOR JOIST !FTGS/FORtvlS/STEEL FHA REQMT s (ELECTRIC GROUND UNDER FLOOR DUCT - I GROUND PLUMBING --------------- UNDER R FLOOR CONDYIT SLABGRADE---- FIREPLACETOIJNDA�-T,16N V;I 1TEMP POWER FIREPLACE BOND BEAM "WATER SERVICE---- MID HT. BONE? BEAM ROOF SHEATHING :8 FT. BON FRAMING/VENTILIATfON FINALlbOND BEAM % ROOF COVER PRE -GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC -1 ROUGH GRADING ROUGH PLUMBING - FINISH GRADING SHOWER/TUB TEST---;---- POOL ELECTRIC EXT,-LATH/SIDING POOL FENCING 'WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL -NAILING DEDICATIONS SEWER FINAL ENG. 'SEF71CTANK LANDSCAPURRIG. SEEP PIT/LL. N SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST, FIRE DEPT FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC-- 1 DEV. FEES PAID FINAL PLUMBING- ENERGY COMMENTS D Vol SEPTIC TANK SIZE -- SEEP PITIU SIZE - -c: