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Home My WebLink About1155 DIAMOND BAR BL (16) . _ E�P;.�1 CITY OF DIAMOND BAR �` a "--��— DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21825 Copley Drive,Diamond Bar,CA 917fi5 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS ''^'� BUILDING PERMIT APPLICATION FIRMLY ¢ ADDRESS CI�� ,{/fN� �p �I Z�i �� APPLICATION PERMIT p/C � DATE�� / � TMPE ER[�� # OTG ISSUE OCC APN LOT ACT DATE i � CONST. GROUP p OWNER N '�I p ADDRESS YJ Y� ZONING SETBACKS z CITY llb.I�C)�h �1�IP�j'��TEL. O� ( FRONT Ryy � � APPLICANT U�F.1� TEL. 1 REAR � ¢ SIDE/SIDE STREET pyy ❑ � CONTRACTOR � SIDE � ADDRE S " � �q � � C�IV ZIP�� TEL. PROPOSED USE A/ ^ oARCWENG/ z� DESIGNER NO.DWEL. NO. NO. � ADDRESS v� UNITS STORIES BEDROOMS N CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION ' p SFR/ADD/REM p I HEREBV AFFIRM UNDER PENALTY OF PEH.IVRV THAT I AM E%EMPT FROM THE CANTRACTORS LI� G818gB/COfPOfS W CENSELAWFORTHEFOLLOWINOREASON(SEC.7031.5BUSINESSANDPROFESSIONSCODEANVqTVOR (n ZCOUNTVWHICXREOUIRESAPEAMRTOCONSTRUCT,AITER,IMPROVE.DEMOLISH,ORREPAIRANYSTRUC- W P8fi0/DgCk w NRE,VRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIONED W STATEMENT THAT HE OR SHE IS LICENSEO PURSUAN7 TO THE PROVISIONS OF THE CANTRACTORS ll� � CENSE UW(CHAPTER B(CAMMENCING WITH SECTqN 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOUSPB � FESSIONSCODE)ORTHATHEORSHEISEJ(EMP77HEREFROMANDTHEBASISFOR7HEALLEGEDEXEMV- (� TKKJ.ANV VIOUTqN OF SECTION 7031.6 BV ANY APPLICAM FOR A PERMIT SUBJECTS THE APPLICANT TO Z qe-Roof � A CIVIL PENN.7V OF NpT MORE THAN FIVE HUNDRED DOILAfiS(f5a0).): 0 ❑I,ASOWNEROFTHEPFOPERTV,ORMVEMPLOVEESWI7HWAGESASTHEIRSOLECOMPENSATION, � �COR1ff18fC18I Z WILL DO THE WORK,AND THE STRUCTURE IS NOT IMEN�ED OR OFFERED FOR SALE(SEC.701�,BUSI� J N NESS AND 7ROFESSIONS CADE:THE CONTRACTORS LICENSE UW DOES NOT APPLV TO AN OWNER OF ? PROPERTY WHO BU0.DS OR IMPROVES TMEREON,M1D WHO DOES SUq1 WORK HIMSELF OR HERSELF OR w THROUGH HIS OR HER OWN EMPLOVEES,FROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m Q OFFEREDFORSALEIF,HOWEVER11iEBUILDINGORIMPROVEMENTI550lDWfTHINONEVEAROFCOMPLE- Z TION.THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). � w O L AS ONMER OF THE PROPERTV,AM EJ(CLUSIVE�Y CONTRACTINO WRH LICENSED CONTRACTORS � TO CONSTRUCT THE PROJECT(SEC.701�,BUSINE95 AND PROFESSIONS CADE THE CONTRACTORS LI- V01U8I1Of1 A0.1.AREA W CENSE LAW DOES NOTAPPLV TOAN OWNER OFA PqOPERTY NM1iO BUILDS OR IMPROVES THEREON,AND � WHOCONTRACTSFORSUCHPFOJECTSWITHACONTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAG QUANTITV DESCRIPTION Y 70qS LICENSE LAWJ. FEE � 0 ❑I AM E%EMPT UNDER SEC. B.6 P.C.FOR THIS REASON Q % � � UQ � �� U � LL DATE ONTJER ~ O U � LICENSED CONTRACTORS DECLARATION w � I HEREBY AFFIRM UNOER PENALTY OF PERIUqY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � e(COMMENCINO W!T}i SECTION 7000)OF DNISION 3 OF THE BUSINE55 AND PFOFESSIONS COOE,AND Z LLI MV LICENSE IS IN FUIL FORCE AN�D EFFECT. m � LICENSAE C SS�Lk+'`' LIC.NO. � � U DATEy1 CONTRACTOR a W C/ � WORKERS'COMPENSATION DECLARATION �_ Q � 1 HEREBY AFFIRM UNDER PENALTV OF PERJURV ONE OF THE FOLLOWING DECLAAATIONS: U N Z 0Z _1 HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF�INSURE FOR WORKERS' a Q COMPENSATION,AS PROVIDED BY SECTION 3700 OF THE UBOR CODE,FOH THE 7ERFORMANCE U OF 7HE WORK FOR NM111CH THIS PEHMIT IS ISSUED. W 0 � � _IHAVEANDWIILMAINTAINWORKERS'COMPENSATIONINSURANCE,ASREWIREDBVSECTION � Q 370o OF THE U80R CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS vG ISSUED.MV WORNERS'COMPENSATKKJ INSURANCE CARRIER AND POLICV NUMBER ARE: CONSTRUCTION �� > c'wRiER � PLAN REVIEW .✓ Z POLICV NUMBER ELECTRIC �J Q :� (1HISSECIIONNE�NOTBECOfM.EfEDOFhiEPEPMTISFOqONEHU1�ORm00lLlRS(E�00)OqLESS} PLUMBING W Z I CERTIFV THAT IN THE PERFORMANCE OF THE M/ORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL C�S SHALL NOT EMPLOY ANV PERSON IN ANY MANNER SO AS TO BECAME SU&IECT TO THE � (n WORKERS'COMPENSATION LAWS OF CALIFORNI/�AND AGHEE THAT IF I SFKKILD BECOME INSPECTION FEE S SUBJECTTOTHEWORKERS'CAM7ENSATIONPROVISIONSOFSECTION37000FTHELABOR COD,I SH FORTHWITH COMPLY WITH THOSE PROVISI N5. ISSUANCE � � I p DATE: APPLICANT. _��L� V SMIP � J az7T, w ENERGY P/C 'J WARNINO:FPJLURE TO SECURE WORKERS'COMPENSATION COVERAG��qWFUL,AND SHALI BE J � SU&IECTANEMPLOVERTOCRIMINALPENALTIESA/JDCIVILFME5UP700NEHUNDREDTHOUSMID ENERGYPERMIT DOLLARS(f100,000),IN ADDITION TO THE COST OF CAMPENSATqN,DAMAGES AS PROVIDED FOR IN J SECTbN 3708 OF THE LABOR CODE.INTEREST,AND ATTORNEVS FEES. �/ w AETENTION FEE: � O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBY AFFIRM UNDER PENALTV OF PERJURV iHAT THERE IS A CqNSTRUCTION LENDINO AGENCV FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3oe7,CIV,CJ. Z W � LENDER'S NAME � � , F— LENDER'SADDRE55 � 1 CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. TOTAL FE ES. 0 r � �Z � G I�'I�� u w I AGREE TO CAMPLV WITH ALL CITY AND COUNTV ORDINANCES AND STATE LAWS flELATINO TO BUILDING r � CONSTRUCTlON,AND HEREBY AUTHORIZE REPRESENTATNES OF THIS COUNTY TO ENTEF UPON THE � ABOVE-MENTKKJED PROPERTV FOR INSPECTION PURPOSES. Z COMMENTS � � -N-�� l� �l�'-E v m PERMITTEE NAME(PRIIdT) � ¢ �-r• o � � SIONATUREOFPERMITfEE, ' ``-� DAT � � RECPT.NO. - PAID BY VALIDATION WHITE—Department Copy,VELLOW�Inence Copy,PINK—Assessor Copy,GOLDENRO�FIIe Copy,GREEN—Applicant's Copy CIl'V OF D6�4Ni0�lD �AR 9f�SP�C�'9�i� �iE�ORD � -� �?��I�pC�C�400�1 0 � � � �. �[��3PC,� OL� 01��3pCC4[lOa o �4(� � =��(�pG�G� SET BACK - � FLO�R JOIST FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT • . GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BONO BEAM WATER SERVICE MiD H'T. BOND BEAM ROOF SHEATHING 8 FT BOND BEAM FRAMING/VENTlLATlON 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 INSULATfON OFF SITE(MPS. DRYWALL NA�LiNG DEDICATfONS SEWER �INAI ENG. SEPTIC TANK • LANDSCAPE/IRRlG. SEEP PIT/L.L. ON S1TE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. � ' FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ��o � '. . � COMMENTS SEPTIC TANK SIZE SEEP PfT/U SIZE a e� �� :�� ,. � .._....._..----_ ---` .-. _. ...I „� . . �n �. : , �, � --- �EC E�UE� BY TI�E _ _ � ' _ _... . _. __.._._ - � . t Y C F DIAMOND BAR i ; - , +4��. � � ,�._ �. � �,�� -5 PM�i�� 53 � �� '�� , r � .. _ . _ , _ � ' A�6 � F� ,.�: I � �� ; �.�.�s� � :�;�, . .., o __. __._.___...__ y, .� �u� _.. -o _ ;. _._.� � � ;� � �� .._.___...... _. , ,_._�-- , .�. _, O z O rn s � -I i 'r' ' �,{' CJ_mYh� m _�� t ��'.�.* CJl�i.��a�'��O .r- � ; ^ r t Cnn-c �� — � _-1 __- __ _"' � �� . �? z-1 , r rG�� _. _.._t,��.l . , - , ,II C ¢ � '� � �Za �i�� _ — - —� -� — �'�' � �ET' j�a -- - - ry� I .,.... � � ��n �:�-n � . .._ -`< - - - '_� i ��7� C��-r ;. 1�_ - -i --� — t�= O�ri� ' �' � n� Z�r� m?'�' �-- -c s = — � o �q �=.�� .�v � �• > > _..� ' � �,m� o�� -_......_. _.. . � _.... ! ,•, __._..__...___ , � . � D`'�� cn -- --� I'- �.r �cCn n-�m -�:, - • � cC) z ,�, � nz�� z p ' �p�� _ �'i � 70 �.... • ..J t_ , / � m �_�............. r � Z Oz0 - -- rn � T�a . .. _. . 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