The URL can be used to link to this page

Home My WebLink About10-970 (5) . � _ �`_ CITY OF DIAMOND BAR � 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 '9�'� BUILDING PERMTT APPLICATION FIRMLY � JOBSITE � � APPLICATION I��Q 'PERMIT O�� D #lC Q• ,\ o ADDRESS O� I DATE NUMBER 1 lJ I ISSUE � I _ �� _ D TYpE �Yl OCC � APN LOT TRACT DATE / CONST.��¢�� GROUP p OWNER ' o ADDRESS ZONING SETBACKS z CITY ZIP TEL. FRONT qyy p o APPLICANT TEL. REAR � � SIDE/SIDE STREET RW ❑ � CONTRAC� V ��!1 SIDE � I o ADDRESS � Q- �"Q' _ PROPOSED USE �e'M�de I � �.l 5�1 Ylq �l) � CITY �0. ZIP TEL. o ARC �Z-I a-�I O� V�C0. ��f1Q gC he�,c� DESIGNE�� '�' Q e � ADDRESS , O,<1� � NO.DWEL. � NO. � NO. cn UNITS STORIES BEDROOMS � CITY LQS �J�S ZIP TEI< - � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O I HEREBY AFFIRM UNDER PENALTV OF PERRIRV THAT I AM E%EMPT FROA1 THE CONTRACTORS L6 G8f8gB/CBIPOff W CENSE UW FOq THE FOLLOWINO HEASON(SEC.7031.6 BUSINESSAND PROFESSIONS CODE:ANY CITV OR (n C1 COUNTYWHICHREWIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISii3ORREPAIRANVSTHUC� W P9f10/DBCI( < NRE.PRIOR TO ITS ISSUANCE,ALSO REWIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIONED w � STATEMENT 71iAT HE OR SHE IS LICENSED PURSUANT TO THE GROVISIONS OF THE CqNTRACTORS LI- � CENSE UW(CHAPTER G(COMMENCINO WITH SECTION 7000)OF DIVISIDN 3 OF THE BUSINESS AND PRO� � POOUSPB . FESSIONSCODE)OflTHATHEORSHEISEXEMPTTHEREFROMAND7HE8ASISFORTHEALLEOEDE%EMP• (� TION.ANY VIOLATION OF SECTION 7031.5 BV ANV APPLICAM FOR A PERMIT SU&lECTS THE APPUCANT TO Z Re.Roof A CIVI�PENALTV OF NOT MORE TNAN FIVE HUNDRED DOLLARS(f500).): � ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, � COAIrtIBlClal Z WILL DO THE WORK,M1D THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70N,BUSI� J � � NE55 AND PROFESSIONS CODE:THE CANTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF j PROPEHTV WFIO BUILOS OR IAIPROVES THEREON,AND WHO DOES SUC71 WORK HIMSELF OR HERSELF OR wTHRIXIOH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m Q OFFEREDFORSALEIF,HOWEVERTNEBUILDINGORIMPROVEMENTISSOLDWITHINONEVEAROFCOAIPLE- z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVIMO THAT HE OR SHE DID NOT BUILD OH � IMPROVE FOR THE PURPOSE OF SALE). �,y� ❑1,AS ONRJER OF THE PROPEHTV,AM E%CIUSIVELY CONTMCTINO WITH IICENSED CONTRACTOHS - � TO CONSTRUCT THE Pq0.1ECT(SEC.7oN,BUSINE55 ANO PROFESSIONS CODE:THE CONTRACTOPS LI- V91U9 W CENSEUWDOESNOTAPPLVTOANOWNEROFAPROPERTYWHOBUILDSORIMPROVESTHEREON,AND � MM1IOCONTRACTSFORSUCHPROJECTSWITHACONTRACTOR(5)UCENSEDPURSUANTTOTHECONTRAG QUANTITY DESCRIPTION Y roasucENseuw.�. FEE � O I AM EXEMPT UNDEH SEC. 8.8 P.C.FOR THIS REASON Q S � U � DATE ON?JER � �� Z U �¢ LICENSED CONTRACTORS DECLARATION w 2 I HEREBY AFFIRM UNDER PEN�LTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTEH � � o(G�OMMENCING WITH SECTION 7000)OF DIVISION 7 OF THE BUSINE55 AND PROFESSKKJS CODE,AND Z �� MY UCENSE IS IN FULL FOR ANO EFFEC7. JD�� L�1 � LICENSE LAS$ LIC.NO. i� V DATE �� CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION � � 1 HEREBV AFFIRM UNDER PENALTV OF PERIURV ONE OF THE FOLLOWING DECUMTIONS: Z � • � � � I � � _IHAVEMlDWILLMAINTAINACERTIFICATEOFCONSENT705ELF-INSUREFORWORKERS' _ , Q COIAPENSATION,AS PROVIDED BV SECTION 3100 OF THE IABOR CODE,FOR THE PERFORMMICE U OF THE WORK FOR WHICH THIS PERAl1T IS ISSUED. W � � �I HAVE AND WILL AIAINTAW WORKERS'COMPENSATION INSURANCE.AS REQUIRED BV SECTION Q 37o00FTHEUBORCADE.FORTHEPERWRMANCEOFTHEWORKFORWHICH7HISPEiiMITIS /��O�O ISSUED.MV—�{R��RS'CAMPENSATION INSURANCE CM IER AND POLICV NUMBER AAE: ONSTRUCTIO Q � CARRIER 1 L� \9 , � �S• PLAN REVIEW � I�•-1 S � POLICVNUMBER �� P ECT IC _ �S l �D 0 (1}{�SECiIONNEEDNOTBE07A�PLE7EDOFT}¢PEF0.YTISFORpNEHI.rDREDDOl1AfLS(t100)ORLESSl U BING �5�� Z I CERTIFV hUT IN THE PERFORMANCE OF THE WOR1C FOfi WHICH THIS PERMIT IS ISSUED,I MECHANICAL ' � SHAIL NOT EMPLOY ANV PERSON IN ANY MANNER 50 AS TO BECOME SU&IECT TO THE (n WORKERS'COMPENSATqN LAWS OF CALIFORNIA AND AOREE THAT IF I SHOULD BECOME INSPECTION FEE � SU&IECTTOTHEWOqKERS'COMPENSATIONPROVISIONSOFSECTION77000FTHELABOR . , � E I SHALL THWITM COMPIV WITH TM SE PFOVISIONS. ISSUA • 0 �p DATE: PPLICANT: � MIP� � W ENERGY P/C � WARNING:F URE TO 5 CURE WORKERS'COMPENSATION R E IS UN L D SHALL BE � SU&IECTAN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES P TOONE HUN D TMWSAN� ENERGY PERMIT DOLLARS(f700,000),IN ADDITION TO THE COST OF CAMPENSATqN,DAMNGES AS PROVIDED FOR IN w SECTION37080FTHELABORCODE,INTEREST,ANDATTORNEY'SFEES. �ENTIAN FF� y_ Q�..D� G O CONSTRUCTION LENDING AGENCY pv.�� 1 HEREBV AFFIRM UNDER PENALTY OF PERJURV THAT THERE IS A CONSTRUCTION LENDING AGENCV —/ D D � FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.). / Z W � LENDERS NAME � ! F— LENDEI7SADDRE55 w I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFOqMAT10N IS CORRECT. TOTAL FE ES �(� � I"']�J( �I�,J i �� I AGREE TO COMPLV WITH ALL GTY AND COUNTY ORDINANCES AND STATE UWS REI.ATWO TO BUILDINO ��v � 9�1?IIO � CONSTRUCTION,AND HEREBY AUTHORIZE REPRESEN7ATIVES OF THIS COUNTV TO ENTER UPON THE Z ABOVE�MENTIONED 7ROPERTY FOR INSPECTION PURPOSES. COMMENTS ' � �� m PERM AME(PRIPl7) � � Q � _ � SI�N PE ITTEE ATE � RECPT.NO. PAID BY D VALIDATION WHITE—Department Copy,YELLOW�inence Copy,PINK—Assessor Capy,GOLDENRO�File Copy,GREEN—ApplicanYs Copy � CI�V OF DIAMO�D �AR . INSPEC�101� FdECORD ,. - - � -- . . ��p�c�aoa :, ; �o� �j,� ,ar��a : . : u oa�p�c��oaa � �ca�� : � �.�� 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 BOND BEAM WATER SERVICE MID H'T. BOND BEAM ROOF SHEATHIfVG � 8 FT. BOND BEAM FRAMINGNENTILATION « FINAL BOND BEAM ROOF COVER PRE-GRADI G 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 F!NAL 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 DEPT. FINAL FINAL ELECTRIC �- � DEV. FEES PAID FINAL PLUMBING � _ ENERGY . � ' ��o � �� COMMEfVTS �—�-�.�l�`p�� 3 �ry � �'F �►�.�A ` ►o � vH.T L2��z/ia �- �� z� � " •d �l 27 Z2L o5 : �311 ` / " �Z��( �� ` -T ar�/1 rJ .' �Z��,��.1��K liv► �'��o _ � / SEPTIC TANK SIZE SEEP PIT/U SIZE ° a � a . ;� - �� _