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Home My WebLink About13397 (14)CITY OF DIAMOND BAR -- DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21660 E. Copley Drive Saito 190 (909) 960-3195 Fax (909) 561-3117 BUILDING PERMIT APPLICATION JOBSITE ADDRESS [-O-ZiZ " NOL L APN LOT 77 TRACT -5A9 41 OWNER ADDRESS. E- CITY ZIP TEL. /- APPLICANT $o! 5 TEL -:,off: / CONTRACTOR z_S ADORES / Alf SA�S1 CITY,9!�7m ZIP TEL s'Fo�S ARCKIENGI r DESIGNER N ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION 1 HEREBY AFFIRM LMER PENALTY OF PERJURY THAT I AI EXEMPT FROM THE CONTRACTORS U - CENSE LAW FORTHE FOLLOW WG REASON ISEC. 7031.8 BUSINESS AND PROFESSIONS CODE: ANYGTYOR COIMTY WHICH REOUIRESAPFRMITTO CONSTRUCT,ALTER, IMPROVE, DEMOUSH,CR REPAIR ANY STRUC- TURE, PRIOR TO ITS ISSUANCE. ALSO REWIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE UW (CHAPTER 9 (COMMENCING WITH SECTION 7808) OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONS CCOE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TON. ANY VIOLATION OF SECTION 7031.8 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO ACRAL PENALTY OF NOT MORE THAN FIVE ANY DOLLARS (ISM).): O LASOWNEROFTHE PROPERTY, OR MY EMPLOYEES WITH WAOESAS THEIR SOLE COMPENSATION, WILL W THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, SU%. NESS AND PROFESSIONS COOS: TIE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHOSUKDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMISELFOR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR EA . OFFEDFORSALE IF, HOWEVER THE BUILDNOOR UPROVEMENTISSOLDWTHINONEYEAROFCOMPLE- TON. THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF BALE). O 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. TCU, BUSINESS AND PROFESSIONS COOP: THE CONTRACTORS U. CENSE LAW DOES NOTAPPLY TORN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO CONTRACTS FOR SUCH PROJECTS WITH AOONTRACTOR(S) LICENSED PURSUANTTO THE CONTRAC- TORS LICENSE LAW). ❑ IAM EXEMPT UNDER EEG S. A P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION 1 HEREBYAFFIRM UNDER PENALTY OF PERJURY THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER *(COMMENCING WITH SECTION TOM) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE. AND MY LICENSE IS N FULL FORCEANDEFFECT. .. LICENSE CLASS �� LIC. NO. DATE 99 CONTRACTOR WORKERS' COMPENSATION DECLARATION 1 HEREBYAFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: - 1 HAVEAW WILL MAINTAIN A CERTIFICATE OF CONSENTTO SELF4NSURE FOR WORKERS' COMPENSATION, AS PROVIDED BYSECiION 37000FTHE LABOR CODE, FORTHE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. __I HAVEAND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SECTION 37000E THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERWCOMPENSATION CA" RIER AND POLICY NUMBER ARE: ER POLICY NUMBER e9/l�,72z (DISSECTION NEED NOT BECONFLEIEDCFTIE PERMIT IS RTRONE W OREDDCUARS MOD) OR LESSL 1 CERTIFY THAT N THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT M ISSUED, I SHALL NOT EMPLOY ANY PERSON IN 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 37x0 OF THE LABOR COOE.1 SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. DATE: APPLICANT. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL BE SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CML FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS (8100,000). N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR N SECTION 3700 OF THE LABOR CODE. MEREST. AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 3097, CIV. C.I. LENDER'SNAME ®UIr LENDER'S ADORES$ I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT TNEABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY MTN ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COLNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. EVAJA4d TSR RAMI D1/� PERM,RVE NAME IPRINi) G TU E OF PERMITTEE DATE ff PRESS FIRMLY APPLICATION PERMIT PERMIT P � DATE ')5�/9% NUMBERI3 « r ISSUETYPE OCC C DATE CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ PROPOSED USE NO. DWEL. NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ.AREANALUATION SFR/ADD/REM C/3 Garage/Carport WPallaMaCk LL POOVSpS ZRe -Roof C1 Commercial m Valuation ADJ.AREA QUANTITY DESCRIPTION FEE POOL f: L c NQtG H P v Poet Q . con]U W J W z 4 -12 'S'T - � P-TrA III I DA eut- (v4t 2 f4earea U W CONSTRUCTION - PLAN REVIEW ELECTRIC PLUMBING MECHANICAL _ INSPECTION FEE ISSUANCE Im 00 SMTP A i . D ENERGY P/C ) ?Tz, _ ENERGY PERMIT IYL� ` - -• ], 7 RETENTION FEE:, - t N �• PRE -A F TOTAL ES COMMENTS A 40 RECPT. NO. PAID BYVALIDATION WHITE—Department Copy, YELLOW—Finsnos Copy, PINK—Assessor Copy, GOLDENROD --File Copy, GREEN—Applicant's Copy M RM- Ik . ... . . ..... 'F -M K S �71E ................. - ------ -- - u,a1-T FLOOR JOIS T IN STEEL, i FHA REQ ATS �-L.E:�: -i PIC GiROUND, UNDER FLOOR DUCT .. . ....... .. 1 1 UNDER FLOOR MADUIT ...... ... . ... A A I E7 . .. . ...... . ...... FIREPLACE -FOUNDATION ... ......... ... .... ... ............ .. - FIRET-iYACE BOND SEAM FR Sc=nvlcp-, MID HT. BOND BEAM . ...... . ..... 1 1 8 FT. BOND BEAM FINAL BOND BPAM . .. . ..... ............... - -------- - - -------- ---- -- PRE GRADING . .......... ... ....... . .... BENCHING-; Go TE LL €-C 'w' T RIC ROL)GH GRADING . . ......... ............ -------------- • 6GH FINISH, GRADING 1WTUB TPG7 POOL ELECTRIC POOL FENCING -1 . .. . .. .... .... .. SU LAI f 0 j OOL FINAL IN'SULATIONOFF SI E INIPS. ----------- I N iL 1 N S DEDICATIONS .. ... . .......... .... ...... ............ ... ...... .... .... .. . . ... .... FINAL ENG, .. ......... . .. .... . . . ......... ------- . ..... . LANDSCt r-E'IRRIG3. ... ON S11 ......... ST . FINAL 'I'411MG, "PT. Fit iAL FIPF DF -ce 1 -T" -�EV. FEES FAH' ... ... ...... . .. . ....... S 1 E �,'E R. Y .. . ........ .. ;A- . .... ... . .. . .. ...... .......--•- . ... . . ..... 'F -M K S �71E ................. - ------ -- -