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Home My WebLink About17990 (4)CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY R, DEVELOPMENT SERVICES 21825 E. Copley Drive (909) 860-3195 Fax (909) 861.3117 BUILDING PERMIT APPLICATION PRESS FIRMLY APPLICATION PERMIT , P/C DATE 5 Z NUMBER 7� Vb m 2 DATE CONST. GROUP ADDRESS 819&4,4, IJ FRONT RW ❑ REAR ❑ SIDEISIDE STREET RW ❑ APN LOT TRACT O j OWNER P j ADDRESS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREANALUATION CITY'('�R YaN �L' ZIPT�fEL,3/ti ;S�iOi SFR/ADD/REM Q Q Garage/Carport APPLICANT TEL. CONTRACTOR L [ L = ADDRESS i,07_21 -Roof CITY ZIPTEL Commercial ARCIVENG/ DESIGNER PyJ �U EJ W SUM- U -ADDRESS z� ADDRESS CITY ZIP TEL All Valuation ADJ.AREA n QUANTITY DESCRIPTION FEE = OWNER -BUILDER DECLARATION . ttG 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI• L CENSE LAW FORTHE FOLLOWING REASON (SEC.7031.5 BUSINESSAND PROFESSIONS CODE: ANY CITY OR i COUNTY WHICH REOUIRESA PERMTTO CONSTRUCT. ALTER. IMPROVE. DEMOUSH,OR REPAIRANIYSTHJC• Z TURF. PRIOR TO ITS ISSUANCE. ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED rL STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS U - J CENSE LAW (CHAPTER 0 ICOMMENCING WITH SECTION 7000) OF DIVISION 3 O THE BUSINESS AND PRO- CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- SFESSIONS TION. ANY VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FORA PERMIT SUBJECTS THE APPLICANT TO a A CML PENALTY OF NOT MORE THAN FINE HUNDRED DOLLARS (SSW)j: Q D I,AS OWNER OF THE PROPERTY,OR MY EMPLOYEES WITH WAGESAS THEIR SOLE COMPENSATION, Z WALL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7041, BUSI- Z NESS AND PROFESSIONS CODE. THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WINO SULDS OR IMPROVES THEREON. AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR = THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTSARE NOT INTENDED OR AJI OFFERED FOR SALE IF. HOWEVER. THE BUILOIN GOR IMPROVEMENT IS SOLD WITHIN ONE YEAROF WMPLE- Z TION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVNG THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE), J.1 O L AS OWNEROF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS U. = CENSE LAW DOES NOT APPLY TO AN OWNER OFA PROPERTY WHO BURRS OR IMPROVES THEREON. AND YAW CONTRACTS FOR SUCH PROJECTS VATHACONTRACTOR(SILICENSED PURSUANTTOTHE COWRAC- 7ORS LICENSE LAW.). ❑ 1 AM EXEMPT UNDER SEC. B. a PC, FOR THIS REASON MECHANICAL DATE OWNER ISSUANCE U= — D LICENSED CONTRACTORS DECLARATION �Q• ENERGY P/C ' Y I HEREBYAFFIRM UNDER PENALTY OF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER 2, 9(COMMENCING WITH SECTION 70001 OF DIVISION 3 OF THE BUSINESSAND PROFESSIONS CODE. AND MY LICENSE IS N FULL FORCE AND EFFECT. _ O LICENSE CLAS • LIC. NO. r U �9 y/ DATE 7 CONTRACTOR -• W WORKERS' COMPENSATION DECLARATION TOTAL FEES 4 I COMMENTS I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: RECPT. NO. PAID BY VALIDATION HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' _I COMPENSATION, AS PROVIDED BY SECTION 3700 OF THE LABOR CODE. FOR THE PERFORMANCE Of THE WORK FOR WHICH THIS PERMIT IS ISSUED. 0 � W _I HAVE AND WILL MAINTAIN WORKERS• COMPENSATION INSURANCE. AS REQUIRED BY SECTION 0 1.700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSILIED.MYWORKERSp IONI ANCECAaIER AND POLICY NUMBER ARE: > CARRIER POLICY NUMBER - d f� jDiSSECnCNNEEDNOr BEOMVETEDOFTNEPDWISFORCNEFIRCOREDWLLAAS;SIMORLESSI. W Z I CERTIFY THAT N THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I [J SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE U3 WORKERTOOMPENSATION LAWS OF CALIFORNIA AND AGREE THAT IF I SHOULD BECOME S SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR CODE, I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. O Q DATE: APPLICANT: W WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVE RAGE IS UNLAWFUL, AND SHALL BE W SUBJECT AN EMPLOYER TO CRIM NAL PENALTIE5 AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 3 DOLLARS (S100.000). N ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 27090F THE LABOR WOE. INTEREST, AND ATTORNEYS FEES. Lu CONSTRUCTION LENDING AGENCY O CC I HEREBYAFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEG 3091, CIV. C.)• Z W LENDER'S NAME F_- LENDERS ADDRESS W TION IS CORRECT I CERTIFY THATCOM d ORDINANCES AND STATE LAWS RELATING IAGREE TO COMPLY WITHALLCITY AND WUNITY ORDINANCESAND STATE LAWS RELATING TO BUILDING COUNTY LY WITH CITY ANDC CONSTRUCTION. AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE Z ABOVE MENTIONED PROPERTY FOR INSPECTION PURPOSES. Brooko QPERMITTEE NA (PRINT) iF IA (XJ (j) SIGNIPERMITTEE DATE PC I PRESS FIRMLY APPLICATION PERMIT , P/C DATE 5 Z NUMBER 7� Vb m ISSUE TYPE OCC DATE CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDEISIDE STREET RW ❑ SIDE ❑ PROPOSED USE ✓ 004 NO. DWEL, NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREANALUATION SFR/ADD/REM Q Q Garage/Carport WPatio/Dock L- POOI/Spa ZRe -Roof 0 Commercial 5 m Valuation ADJ.AREA QUANTITY DESCRIPTION FEE a ,00 A V- . ttG , WA L on W Z U- R o .UO J pp 11 a Q U Z Q S W CONSTRUCTION PLAN REVIEW ELECTRIC r� PLUMBING 1 MECHANICAL INSPECTION FEE ISSUANCE U= — SMIP ENERGY P/C ' ENERGY PERMIT RETENTION FEE: PRE -ALT FEE: TOTAL FEES 4 I COMMENTS RECPT. NO. PAID BY VALIDATION WHITE—Department Copy, YELLOW—Finance Copy. PINK—Assessor Copy, GOLDENROD—File Copy, GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD SET BACK FTGSIFORMSISTEEL ELECTRIC GROUND FLO09 JQI§T FHA REOMTS. UNDER FLOOR DUCT 0 - GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPI-AdE=Fb(JNDATION TEMP POWER I I FIREPLACE BOND BEAM WATER SERVICE I MID HT. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM, FRAMINGNIENTILIATION i FINAL BOND BEAM ROOF COVER PRE -GRADING ROUGH HEATING ----T— BENCHING ROUGH ELECTRIC I I ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT LATH/SIDING j j POOL FENCING WALL INSULATION I POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER j FINAL ENG. SEPTIC TANK j j LANDSCAPE/IRRIG, SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAI FINAL HEATINGHEEALTH FINAL ELECTRIC FINAL PLUMBING DEPT. FINAL FEES PAID ENERGY - - =5 r�lc —7. COMMENTS SEPTIC TANK SIZE SEEP PIT/Ll SIZE