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Home My WebLink AboutHVAC PERMITCITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTME 21660 E.Copley Drive Suite 190 PRESS909)860-3195 Fax(909)861-3117 BUILDING PERMIT APPLICATION IFIRMLY o ADJOBSDRIESSTE PERMIT CqEEtCIdDATE APPLICATION Zlo NUMBER ` APN LOT TRACT ISSUE TYPE OCC DATE CONST,GROUP p OWNER RnL l 1 a .ADDRESS %N% -ZONING SETBACKS EXPIRED z CITY -bIIY1OIv i8 A-R ZIP TEL. FRONT REAR 0-o APPLICANT (SICK 10,11 PA1 R6A Ai SID SIDE STREET p Rohl CONTRACTOR LM SIDE U 1.1 U Li LUUU ADDRESS i O CITY -L_VY1 1 ZIP TEL. PROPOSED USE o ARCH/ENG/17d RF z DESIGNER NO.DWEL NO. NO.a ADDRESS UNITS STORIES BEDROOMS CITY ZIP TEL. trD DESCRIPTION SO.FT. FACTOR PSF ADJ.AREAIVALUATION cc OWNER-BUILDER DECLARATION -- O SFR/ADD/REM 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM EXEMPT FROM THE CONTRACTORS L4 Garage/CarponWCENSELAWFORTHEFOLLOWINGREASON(SEC.70.71.5 BUSINESSAND PROFESSIONS OODE:ANYCITYOR (0 UCOUNTYWHICHREOUIRESAPERMIT TOCONSTRUCT,ALTER.IMPROVE.DEMOLISH,ORREPA:RANYSTRUG W Patio/DeckZTUR[.PRIOR TO ITS ISSUANCE.ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNEDWSTATEMENTTHATHEORSHEISLICENSEDPURSUANTTOTHEPROVISIONSOFTHECONTRACTORSL4- LLSCENSELAW(CHAPTERS(COMMENCING WITH SECTION 7000)OF DIVISION 7 OF THE BUSINESS AND PRO- POoUSpa Q FESS IONS CODE)ORTHAT HE OR SHE IS EXEMPT THEREFROAAND THE BASIS FOR THE ALLEGED EXEMP.C.J TK7N.ANY VIOLATION OFSECTION 7031.5BYANYAPPLICANTFORA PERMIT SUBJECTS THEAPPLICANTTO Z Re-RoofACMLPENALTYOFNOTMORETHANFIVEHUNDREDDOLLARS(1500).): O L AS OWNER OF THE PROPERTY,OR MV EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION.Commercial WILLWILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEG 7044.BUSF J NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF SIM- PROPERTY WHO BUILDS OR IMPROVES THEREON.AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR IS THROUGH HIS OR HER OWN EMPLOYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR D QOFFERED FOR SALE.IF.HOWEVERTHE BUILDING ORIMPROVEMENT ISSOLD WITHIN ONE YEAR OFCOMPLE- Z TION,THE OWNER BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OftIMPROVEFORTHEPURPOSEOFSALE). IyJ OI,AS OWNER OF THE PROPERTY,AME%CLl51VELY CONTRACTING WITH LICENSED CONTRACTORS 2 TO CONSTRUCT THE PROJECT(SEC,7044•BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI.Valuation ADJ.AREA W CENSE LAW DOES NOTAPPLY TOAN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON. WHO CONTRACTS FOR SUCH PROJECTS WITH ACONTRAC7OR(S)LICENSED PURSUANT TO THE CONTRAG QUANTITY DESCRIPTION FEE. Y TORS UCENSE LAW.). cc 01AMEXEMPTUNDERSEC. 0.lP.C.FOR THIS REASON U WIRC FUR LJ..2 CVS 1 DATE OWNER W JHf, Q I M LICENSED CONTRACTORS DECLARATION W o r 1 HEREBY AFFIRM UNDER PENALTYOF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER r rte 9(COMMENCING WITH SECTION TODO)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z X MY LICENSE IS W FULL FORCES AND EFFECT. mIIOJ LICENSE CLASS S LIC.NO. yL/_SV J V DATE 7 "YZC— a CONTRACTORTaoorg RIFLIR W WORKERITCOMPENSATION DECLARATION FLY I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: IHAVEANOWILLMAINTAIN A CERTIFICATE OF CONSENT TO SELFaNSURE FOR WORKERS' y COMPENSATION,AS PROVIDED BY SECTION 3700 OF THE LABOR CODE,FOR THE PERFORMANCE W L L-/ C J0O OF THE WORK FOR YMICH THIS PERMIT IS ISSUED, W I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE.AS REQUIRED BY SECTION O 37000P THE LABOR CODE.FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.MY WORKERS COMPENSATON INSURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION 6 CARRIER C L CC1! PLAN REVIEW POLICY NUMBER G9 ECTRIC a 0 (T/iSSECTKINNEED N0T0[CMT'lE7EDOFhJMPET6i0RCYTEIAlDfiEDDOUMS(Etao)0 PLUMBI WZ I CERTIFY THAT W THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.I M CHANI D SHALLNOT EMPLOYANY PERSON W ANY MANNER SO AS TO BECOME SUB.JECTTO THE Cn WORKERS'COMPENSATION LAWS OF CALIFORNIA.AND AGREE THAT IF 1 SHOULD BECOME INSPECTION FEE S SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR U U CODE,1 SHALLFO TH COMPLY WITH.T,HOSE PROVISIONS. ISSUANCE O 3-ab• N1CK ll l KU1]g SMIP p DATE: APPLICANT: J WARNING:FAILURE TO SECURE WORKERS'COAPENSATON COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY PIC li SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ENERGY PERMITDOLLARS0100.00(0),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN MARwSECTION3708OFTHELADORCODE,NTEREST,ANDATTORNEY5fEE5. RETENTION FEE:cc CL- CONSTRUCTION LENDING AGENCY PRE-ALT FEE: f'` OI'L I HEREBY AF FIRM UNDER PENALTY OF PERJURY THAT THERE 6 A CONSTRUCTION LENDING AGENCY n- FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.G). Zw LENDER'S NAME LENDERS ADDRESS ' L (CERTIFY 71/AT(HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE WFORMATgN IS CORRECT.TOTAL FEESLiFD IAC REE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE Z ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. Q COMMENTS QPERMA :tP 'T) 0-6-9$ Cn 5 NATURE OF PERMITTEE DATE tRECPT.N0. PAID BY VALIDATION yr WHITE--Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—File Copy.GREEN—Applicant's Copy F DIAMOND.BAR ECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR SET BACK 'I FLOOR JOIST FTGS/FORMSISTEEL FHA REQMTS ELECTRIC GROUNQgf• ,} UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE fi:'FIREPLACE FOUNDATION' TEMP POWER - - FIREPLACE BOND BEAM WATER SERVICE - MID HT.--BOND BEAM i ROOF SHEATHING 8 FT.BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC 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. SEPTIC TANK,LANDSCAPEIIRRIG.. SEEP PIT/L.L.ON SITE IMPS. GAS AIR TEST . = ; FINAL ZONING FINAL CONST.' • ' FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT.FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY COMMENTS SEPTIC TANK SIZE RAI . SEEP PIT/U SIZE