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HomeMy WebLinkAbout1673 MAPLE HILL RD (3) __�„�_ CITY OF DIAMOND BAR (� �C���`�`U DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES / � 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 I3uilding Inspection Hotline(909)839-7027 PRESS � '°"'� BUILDING PERMIT APPLICATION FIIRMLY � JOBSITE +/�A IO-�� o ADDRESS ��„p� � UV,Ap T I L„� ,�p APPLIC I PERMIT � P/C .—_ DATE NUMBER # � ISSUE TYPE OCC � Ai'N LOT TRACT DATE ���I ,,� CONST. GROUP p OWNER � o ADDRESS �y'"�2 IM P�L.L� �1 L.L ZONING SETBACKS Z CITY�71t�M.D1J(1 �gf� ZIP 1 � TEL. FRONT qyy � o APPLICANT TEL. SIDEISIDE STREET RW ❑ z ¢ CONTRACTOR �'L 1 � SIDE ❑ ADDRESS � CITY ZIP��TEL. PROPOSED USE o ARCH/ENG/ � — z DESIGNER w NO.DWEL. NO. NO. � ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBV AFFIRM UNDER PENAL7V OF PERJURV THAT I AM E%EMPT fROM THE CONTRAC70R5 LI- G8fa9B/C01P0If W CENSELAWFORTHEFOLLOWINGHEASON(SEC.7o37.50U51NE55ANDPROFESSIONSCODE:ANYCITYOR (n U CAUNTYNMICHRE�UIRESAPERMITTOCANSTRUCT,ALTEii.IMPFOVE,DEMOLISH,ORREPAIRANYSTRUG W patio/Deck W TURE,PRIOR TO ITS ISSUANCE,AL50 REQUIRES 7HE APPLICANT FOR SUCH PEFiMIT TO FILE A SIGNED W � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� � � CENSE UW(CHAPTER 9(COMMENCING WITH SEC710N 7000)OF DIVISION 3 OF THE BUSINE55 AND PRO- POOUSpO , 0 FESSIONS CODE)OR THAT HE OR SHE IS EXEMPTTHEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- � V TION.ANVVIOLATIONOFSECTION703t.5BYANVAPPLICAN7FORAPERMITSU&IECTS7HEAPPLICANTTO Z Re-Roof � A CIVIL PENALTV OF NOT MORE THAN FIVE HUNDRED DOLLARS(f50o).): Z ❑I,ASOVMEROFTHEPROPERTY,ORMYEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, � CommBfClel WILL DO THE WORK,AN�THE STRUCTURE IS NOT INTENOED OR OFFERED FOR SAIE(SEC.70d{,BU51- J � NESS AND PROFESSIONS CODE:THE CANTRACTOFS LICENSE UW DOES NOT APPLV TO AN OWNER OF � i PROPERTY NRiO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR � � THROUGH HIS OR HER ONRJ EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT IN7ENDED OR m � OFFEREDFORSALE.IF,HOWEVER,THEBUILDINGORIMPHOVEMENTISSOLDWI7HINONEVEAROFCOMPLE� Z TION,THE OWNER�BUILDER WILL HAVE THE BURDEN OF PROVING THA7 HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). W ❑I,ASOWNEROFTHEPROPERTV,AMEXCLUSIVELVCONTRACTINGWITHLICENSEDCONTRACTORS Q TO CONSTFiUCT 7HE PRQIECT(SEC.7a4,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI� V81U8fI0f1 ADJ.AREA W CENSE UW DOES NOTAPPLY TO AN ONRJER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON,AND � WHOCONTRACTSFORSUCHPROJECTSWITHACONTRACTOR(S)LICENSEDPURSUANTTOTHECANTMG QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.j. � ❑I AM EXEMPT UNDEP SEC. B.8 P.C.FOR THIS REASON Q � � ,� a ' � �2 � ��eT DATE OWNER � Z W � LICENSED CONTRACTORS DECLARATION w � I HEREBY AFFIRM UNDEH PENALTV OF PERJURV THAT I AM LICENSED UNDER PROVISIONS OF CHAP7ER ~ � a, 9(COMMENCING WITH SECTION 7000)OF DIVISION J OF 7HE BUSINESS AND PROFESSIONS CODE,AND Z O AIV LICENSE IS IN FULL FORCE AND EFFEC7. �' �� ? LICENSE CLAS D UC.NO.�I �� � V DATE CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION a � I HE EBY AFFIRM UNDER PENALTY OF PERIURV ONE OF THE FOLLOWING DECURATIONS: Z � �I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOq WORKERS' _ COMPENSATION,AS PROVIDED BY SECTION 3700 OF THE LABOR CODE,FOR THE PERFORMANCE U Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. . � w _1 HAVEAND WILLMAINTAIN WORKERS'COMPENSA710N INSURANCE,AS REQUIRED BV SEC710N Q 370o OF 7HE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMI7 IS I ISSUED.MV WORKERS'CAMPENSATION INS RANCE CARRIER AND POIICY NUMBER ARE: CONSTRUCTION Q /� �y � CARRIER �D C!'L �S-V7" EVIEW I Z POUCY NUMBER f�I D � Q� 2' �f.�G✓� � �3 �� ELECTRIC �r��/1 I ¢ � � (IHLSSECiIONNEmNOTBE�AARETEDOFTHEPERIMISFORONEHUrOFEDDOLt?AS�f100)ORLESS� NG Z I CELiTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.I MECHANICAL � SHALL NOT EMPLOY ANY PERSON IN ANV MANNER SO AS TO BECOME SUBJECT TO THE N WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME N FEE = SU&IECT TO THE WORKERS'COMPENSA710N PROVISIONS OF SECTION 370o OF THE LABOFi CODE,I SHALL FOR7HWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE � SMIP II p DATE: APPLICANT: J WARNING:FAILURETO SECURE WORKERS'CQMPENSATION COVERAGE IS UNLAWFUL,AND SHALLBE ENERGY P/C � SU&IECT AN EMPLOYER TO CFIMINAL PENALTIES AN�CIVIL FINES UP TO ONE HUNDRED THOUSAND IT DOLLAPS(flao,00a),IN ADDI710N TO THE COST OF CAMPENSATION,DAMAGES AS PROVIDED FOH IN � SECTION 3708 OF THE LA80F CODE,INTEfiEST,AND ATfORNEV'S FEES. ETENTION FEE: . � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIRM UNDER PENALTV OF PERJURY THAT THERE IS ACONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED�SEC.3097,CIV.C.). Z W � LENDER'S NAME F— LENDER'SADDRESS � TOTAL FEES � � I CERTIFY THAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFORMATION IS CAHRECT. w I AGREE TO COMPLY WITH ALL qTV AND COUNTY ORDINANCES AND STATE LAWS REUTING TO BUILDING d � CONS7RUC710N,AND HEREBY AUTHORIZE REPRESEN7A71VE5 OF 7HIS COUNTY 70 EN7ER UPON 7HE Z ABOVE�M IONED PROPEH7V FOR INSPEC710N PURPOSES. COMMENTS � 1�11 f�PL � / 1✓ U � m PERMITTEE N (PRMT � � Q � � SIGNATURE FPERMITTEE D � = RECPT.NO. PAID BY t VALIDATION ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENiiOD—File Copy,GREEN—Applicant's Copy ,. , �'G'.. :L:. U'" . .5,,.` , � . .'��r; . d . , t r�:. ;�•L t� T:....-v.,_� ,. � , `•� ��.1,:•,/ni,;�;• "� .� �• :�y-tr;�. ':+/'c°<i '.1„i.:?�; , 'tir w ���+'-u., .-x� . .r. . ' . i.r0� P �� �BMINY�Ytl� I�i�C� ,. � � �OtlJ��6� tl QOOtl ��'1.r��� �����a�pC�400a DQ41� da�pC�G40G� Da�pC�C�400a DQ4G � ��I�PC�G�`=F '.' SET BACK FLOOR JOIST FTGS/FORMS/STEEL ' FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT • GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BQND BEAM WATER SERVICE MID H'L BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM • FRAMINGNENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ( ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWERlTUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POQL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL � FINAL HEATING HEALTH OEPT. FINAL F�NAL ELECTRIC � DEV. FEES PAID FINAI PLUMBING ENERGY C�,��o � — — COIVI M E NTS _—_--_ SEPTIC TANK SIZE SEEP PIT/U SIZE a .r� � — i l�' '$ x __ ��� �. �� . . '