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CITY OF DIAMOND BAR ���`-`
y� ..,+ ; -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
� 21660 E.Copley Drive Suite 190
(909)860-3195 Fa�c(909)g61-3117 "' � , P $S
• . �'� � BUII:DING PERMIT APPI:ICATION MLY
o�' JOBSITE 2883 Water Course Dr. APPLICATIO —�f�' ,lu, pER IT + ' p�p OQ�I
ADDRESS DATE ZS NUMBER�'a�� #
� APN R�CEL C TRACT 47850 issue � ' /t77 TYPE � OCC
�j OWNER Diumond Bar We t, T,T.(' ' DATE ��� CONST. GROUP
o ADDRESS 3480 Torrance BL. Sult2 ��300 ZONING SETBACKS •
� cmr Torrance ziP90503 TEL31O-540-399 ' FRONT qyy ❑
APPLICANT Ric ard Gould TEL.Game above REAR p
� ` SIDE/SIDE STREET : qyy ❑
CONTRACTOR JCC Construction SIDE ❑
Q ADDRESS same aS OWrieI'
� CITY ZIP TEL. PROPOSED USE ' ' '
o ARCH/ENG/
� DESIGNER R. Gould & ASSOC. NO.DWEL. NO. NO.
ADDRESS same as owner
� UNITS STORIES BEDROOMS
� CITY �ZIP TEL.
y - DESCRIPTION SQ.FT. FACT R PSF ADJ.AREANALUATION
. O _ OWNER-BUILDER DECLARATION . SFR/ADD/REM H�Z 7 O
p I HEREBV AFFIRM UNDER PENALTV OF PERNRV THA7 I AM IXEMP7 FROM TiE CONiRAC70ii3 LI� ' . GefB 6/C8 ft p O ,
LLI CENSEUWFORTFiEFOILOWINORE/�SON(SEC.703t.68U5MESSMlDPHOFESSIONSCOOE:ANYC17YOq (n 9 � oo� � I
U COUNTYWHICHREOUIRESA7ERMR7000NSTAUCT,pL7ER,IMPROVE,DEAqLISH,ORFEPAIRANY57RUC� W Pa���� 7 pp
6 TURE,PRIOR TO 1T9 19SUANCE,AL50 REIXIIRES hIE MPLICANT FOR SUCM PERMIT TO FILE A SIONEO W 1(7 O
� STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO hiE PROVISIONS OF THE CONTRAC70R5 LI- .
� CENSE UW(GIAPTER Y(COMMENpNO WI7H SECTION 7000)OF.DIVISION J OF TNE.BU91NE55 AND PRO- � POO�SPB �
FESSIDN9COO�ORTFIA7HEORSHEI9IXEMPTTIEREFROM/WDTHEBASISFOR7HE/iLLEOEDEXEMP- (7
TION.ANYVIOIATqNOFSECT10N7037.6BYANVAPPLICANTF07APERMITSUBIECTSTHEAPPLICANTTO Z Re-Roof
. � ACML PENALT'OF NOT MOqE THAN FNE HUNDRED DOLLAAS(f5ao).):
p ❑l�sOWNEROFhIEPROPERTY,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, � Comme�ciel . � - • -
� N7LL DU TME WOAK ANO THE STRUCTURE IS NOT INTENDm OR OFFERED FOR SALE(SEC.7a/,BU51- �J �
N tiE3S AND PROFESSIONS CODE THE CONTRACTOR4 LtCENSE LAW DOES NOT MPLV TO AN OWNER OF � �
FROPEHTYNM1fOeU1LDSORYFROVES7HEHEON,ANDNMO00E55UCNWOqNHIMSELFORHERSELFOR � Pflrch •. 24� � � ��U�
2 THRDUGH HI9 OR HER ONRI EAIPLOVEE9,PROVIDm 7HAT SUCH IMPqOVEMENTS ARE NOT IN7ENDED OR m �
G ,OFFERmPDR9/LLEIF,IqWEVERTNEBURqNOORIMPROVEAIENTISSOLDWfT}{�NONEYEAROFCOMPLE-
Z TqN.THE OWNERSUILDER WILL HAVE THE BURDEN OF PFOVIN�THAT HE OR SHE DID NOT BUIID OR `/
� UAPROVE FOR THE PURPOSE OF SALE� . , .
�yJ ❑4ti40N�NEROFTHEPROPEHfV,AMIXCLUSNELYCOHTMCTINOWI7HLICENSEDCONTMCTORS
� TO CONSTRUCT THE PRQIECT(SEC.70U,BUSINESS NJD PROFESSIONS CODE:THE CONTRACTORS LI- .VgI�O�jp� A0.1.AREA �
CENSE LAW DOES NOT MPLY TO AN OWNER OF A PROPER7Y WFq BUILOS OR IMPROVE6 THEREON,AND
� \M�OOONTMCTSFORSUCHVROJECTSWITHACOMAAC70R(5)LICENSEDPURSUANTTO7HECONTRAG pUANTITY DES IPTION �E � �
lOFS LICENSE LAWJ.
� ❑I AM DIEMDT UNDER SEC. B.8 P.C.FOR THIS REASON � .
�i U
�Z DATE OWNER � � �
O U
FQ UCENSED CONTRACTORS DECLARATION w _
CL I HEREBY AFFIRM UNDER PENALTY OF PEfiX1flY THAT IAM LICENSED UNDER PROVISIONS OF CHAP7ER �, "
� 0(COMMEHCO�Ki WfTH SEC710N 7000)OF OM810N a OF THE BUSINESS AND PROFESSIONS GODE,AND Z '
MY LIGENSE IS NI FlH.1�FORCE AND EFFECT. m
o ��� B �,�.No. 671982 � -
V DATE �o,.�a,��R Constructio . a .
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� � ,,„ . WORKERS'COMPENSATION DECLARATION . Q �� � .
� I HEREBY AFFIRM UNDER PENAI.TY OF PERtt1RY ONE OF THE FOLLOwWO DECLARATIONS: Z - � � � �
� _I HAVE AND WILL MAMTARI A CERTIFlCATE OF CONSENT TO SELFaNSURE FOR WORNERS' , a � � .
COMPENSA710N,AS PROVIDm BV SECTION 770o OF 7HE U1BOR CODE,FOR THE PERFORMANCE U
Q OF THE WORK FOq WHICFI THI9 PEHMR 19 ISSUED. � • � . � .
i�I HAVE M1D WILL MAIMARI WOPo(ERS'COMPENSATION INSURANCE,A9 REOUIRED BV SECTION ^^ / r /'�.
� Q 970o OF iHE UBOR COOE,FOR THE PEAFORMANCE OF THE WORK WR WHICH THIS PEHA/1T IS . . . ... S U/ �//�
� ISSUED.MY WORI(ER5 COMPEN3ATION INSURANCE CARRIER AND POI.ICV NUMBER ARE: CONSTRUCTION'� /«� ���
jcawaiea_SllT72 '' .�.0_. PLANREVIEW •
� roucv raweE�b��� � ELECTRIC /��'
0 (fFi6&ECf10NP�)N0T8EOOI�PLETIDOF7FEPERAfiBF�fioNEHU1x+IDDOLiP��ttro)ORLE56� PLUMBING - V
Z I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR NM1iICH THI9 PERMIT IS ISSUED,I MECHANICAL 42C��
(,�' SMALL NOT EMPLOV ANY PERSON W ANY MMlNER SO AS TO BECOME SU&IECT TO hIE
(/� WOPoCERS'COMPENSATION LAWS OF CALIFOfUIIA,AIJD AGREE THAT IF I SFIOVID BECOME INSPECTION FEE
SU&IECT TO THE WORKERS COMPENSATION PROVISIONS OF SECTION 7700 OF THE UBOR
� 'rj cooE�stu��warrnnn�coMa�rwirnnasevaovisro�s. ISSUANCE -
� SMIP
� p DATE: APPLICANT: '
� ENERGY P/C .
WARNINO:FA0.URE TO SEWRE WORKERS'COMPENSATION COVERAOE IS UNLAWFUL,MID SHALL BE
LL SU&IECTMIEMPLOVERTOCRIMINALPENALT�ESANDCMLFINESUPTOONEHUNDREDTHIXISAND ENERGYPERMIT
DOLLARS(S1o0.D0o),W ADDITION TO THE COST OF COMPENSATION.DAMII4ES A$PROVIDED FOR IN �-'`'�/
� SECTION37oeOFTiEUBORCODE,INiEREST,ANDATTORNEY'SFEES. RETENTIONFEE: Q��•v v
� CONSTRUCTION LENDING AGENCY PRE-A[/��T F : I )
� I HEREBV AFFlRM UNDER FENALTY OF PERIURV iHAT THERE IS A CONSTRUCTION IEN�fNO��ENCV 1C/
FOR THE PERFORMANCE OF THE WOiiK FOR WHICH 7HI5 PERMIT IS ISSUED(SEC.30D7,CIV.C.). .
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� LENDER'S NAME
I
� LENDERSADDRESS /'�
W I CERTIFV TIiAT I HAVE READ THiS MPLICATION AND STATE TIATTHE ABOVE INFORMATqN IS CORRECT. TOTAL FEES �/ (,J�-� � ���;' r�
� I A4REE 10 COM7LV N7iH Nl CITV AND COUNTV ORDINMICE3 AND STATE LAW9 RELA71N6 TO BUILDIN6 /
� CONSTRUCTION,AND HEREBY AUT1K)RIZE REPRESEHTATIVES OF TNIS COUNTV TO ENTER UPON THE . . . � . � ��
ABOVE�MENTIONED PROPERTV FOR�NSPECTION PUPP09E5.
%� COMMENTS
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� BWNANREOFPERMf1TEE DAT
� . RECPT.NO. PAID BY VALIDATION
WHITE—Depertment Copy,YELLOW�Inence Copy,PINK—Aasessor Copy,GOLDENROD—File Copy,GREEI�Applfcan s Copy
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CI'Tl( OF DIAIVlOND BAR �' �
IiVSPEC�'901V F�ECORD �� ...-
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SE"1�_BACK. ' , ' . i ��� FLOOR JOIST � ' '
FTGS/FORMS/STEEL ' FHA REQMTS
ELECTRIC GROUND ' � ' UNDER FLOOR DUCT
GROUND PLUMBING I D UNDER FLOOR COl�DUIT
SLAB GRADE �Q7 FIREPLACE FOUNDATION
TEMP POWER (-( •d0 FIREPLACE BOND BEAM
WATER SERVICE MID HT. BOND BEAM
ROOF SHEATHING -20•�A - 8 FL BOND BEAM
FRAMINGNENTILIATION FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
� ;R_O GH,ELE�TRIC , -. t �:,,. ROUGH GRADING
� RO 'GN P,`U,MBtNG �, �� ` �'.�. ; � FINISH GRADING
- �Fi,O1N R;lTUB TEST ���'c�. '� + POOL ELECTRIC
� ��X1:�LATH/SIDINCa ' � POOL FENCING
WALL INSULATION - � POOL FINAL
CEI�ING INSULATION . OFF SITE IMPS.
' �RYW7�L�l.:_NAILING �`�•• � +��.bl DEDICATIONS
SEWER ;,.�, FINAL ENG.
SEPTIC TANK �� � .,. , LANDSCAPE/IRRIG.
SEEP PIT/L..L. �� �1,` � � `' ON SITE IMPS. '
GAS AIR TEST FINAL ZONING
FINAL CONST. � U� FIRE DEPT. FINAL '
FIfVAL HEATING ' .� HEALTH DEPT. FINAL
FINAL ELECTRIC ' �` "�'`" DEV. FEES PAID
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FINAL PLUMBING Q ENERGY
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