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Home My WebLink About128 PROSPECTORS RD (2) �-""--��— DEPARTMENT OFC OMMUNITY&DEVELOPMENT SERVICES �� W . 21825 Copley Drive,Diamond Bar,CA 91765 r-+�,b (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 - � ' •• PRESS I •`.��. suiLniNG PE�iT arrr.icATioN •- FIRMLY � JOBSITE �1 APPLICATION PERMIT p/C o ADDRESS IZg• �7- P Cb��Q� DATE NUMBER`�� # °r AP�� ' T ACT ISSUE �� J TYPE DATE �QT��CONST. GROUP p OWNER � ADDRESS � ZONING SETBACKS 0 Z CITY � ZIP I TEL. FRONT qyy ❑ ❑ o APPLICANT TEL. � SIDE/SIDE STREET RW ❑ z I � CONTRACTOR � IGLS SIDE ❑ � ADDRESS \ • � CITY � ZIP 9 �n�1 TE�.q�1�qo�i�XS'S7 PROPOSED USE ,Z (� w ARCH/ENG/ �, , �z DESIGNER� � NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF AOJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBV AFFIRM UNDER PENAL7V OF PERIURV THA7 I AM EXEMPT FROM THE CANTRACTORS ll- G2fe9B/C2fpOR W CENSEUWFORTHEFOLLOWINGREASON(SEC.70.31.5BUSINESSANDPROFESSIONSCOOE:ANVCITVOR (n U CpUNryWHICHREOUIRESAPEHMITTOCANSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYST{iUC� W P8110/DBCk 7URE.PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED �W STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CANTRACTORS LI- w CENSE UW(CHAPTER B(COMMENCING WITH SECTION 7000)OF�IVISION 3 OF THE BUSINESS AND PRO- � POOUSPe , � FESSIONS CODE)OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- (� V TION.ANV VIOLATION OF SECTION 703/.5 BV ANV APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO Z Re-Root A CINL PENAL7V OF NO7 MORE THAN FIVE HUNDRED DOLURS(SSao),): Z ❑I,ASOWNEROFTHEPROPERTY,ORMVEMPLOYEESWITH.WAGESASTHEIRSOLECAMPENSA710N, � COrtlrtlefC121 . - Wlll DO THE WORK,ANO THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7ou,BU51- J N NESS M1D PROFESSIONS CADE:THE CANTRACTORS LICENSE lAW DOES NO7 APPLV TO AN OWNER OF � PROPERTY NMO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSEIF OR HERSELF OR CC THROUGHHISORHEROWNEMPLOVEES,PROVIDEDTHATSUCHIMPROVEMENTSARENOTINTENDEDOR m Q OFFEREDFORSALE.IF,HOWEVERTMEBUILDINGORIMPROVEMENTISSOLDWITHINONEVEAROFCAMPLE- z TION,THE OWNEH-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). w ❑I,AS ONMEROF THE PROPEHTV,AM EXCIUSIVELY CONTRACTING WI7H LICENSED CANTMCTORS Q TO CONSTRUCT THE PRQIECT(SEC.7ot�,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- V81U8SIOn ADJ.AREA W CENSE lAW DOES NO7APPLV 70AN OWNER OFA PHOPERTV WHO BUILDS OR IMPHOVES 7HEREON,AND ^ � WHOCAMfRACTSGORSUCHPROJECTSWITHACONTRACTOR�S)LICENSEDPURSUANTTOTHECONTRAG QUANTIN DESCRIPTION . FEE � Y 70RS LICENSE LAW.). �� ❑I AM EXEMPT UNDER SEC. B.d P.C.FOR THIS REASON Q U � � DATE OWNEfi � Z w � LICENSED CONTRACTORS DECLARATION w � 1 HEREBY AFFIRM UNDER PENPLTY OF PERJURV THAT I AM LICENSED UNDER PHOVISIONS OF CHAPTER � � e(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND PflOFES510N5 CODE,AND Z �� MY LiCENSE IS IN FULI F RCE AND EFFECT. m � LICENSE CLASS LIC.NO. j . - � � �j J V DATE(�_� CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION Q , � I HEFiEBY AFFIRM UNDER PENAL7V OF PERJURV ONE OF THE FOLLOWING DECLARA710N5: Z � _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELF�INSUREFORWORNERS' _ COMPENSATION,AS PROVIDED BV SECTION 370o OF THE LABOR CODE,FOR THE PERFORMANCE `U Q HE WORK FOH WHICH THIS PERMIT IS ISSUED. � w I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BY SECTION Q 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WOPK fOR WHICH 7HI5 PERMI715 ��. �� ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION J � CARRIER PLAN REVIEW ZPOLICYNUMBER ELECTRIC Q 0 (fii1SSECiIONNE�NOTBECDfM.EfEDOFTF�PERMfTISFORONEHUt�DREDDOLLARS(S10D)ORLESS} PLUMBING ZI CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUEO,I MECHANICAL (,�} SHALL NOT EMPLOV ANY PERSON IN ANY MANNER SO AS TO BECOME SU&IECT TO THE � WORKERS'COMPENSATION UWS OF CALIFORNIA AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE SU&IECT TO THE WOHKERS'COMPENSATION PROVISIONS OF SECTION 97000F THE LABOR � CODE,I SHALL FORTHWITH COMPLV WITH THOSE PROVISION ISSUANCE .S•�'ul p DATE:�7-6�� APPLICANT: [��X7'�� V7S �SMIP . SV J WARNING:FAILURE TO SECURE WOHKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C � SUBJEC7ANEMPLOVERTOCRIMINALPENALTIESANDCIVILFINESUP700NEHUNDREDTHOUSAND ENERGYPERMIT DOLURS(5100,000),IN ADDITION TO THE COST OF CAMPENSATION,DAMAGES AS PROVIDED FOR IN ¢ SECTION 3)oB OF THE LABOR CODE,INTEREST,AND ATTORNEv'S FEES. RETENTION FEE: I•�J nw. CONSTRUCTION LENDING AGENCY �Pp6ALT FEE: O . . � I HEREBYAFFIRM UNDER PENALN OF PERJURY THAT7HERE IS ACONSTRUCTION LENDING AGENCY ' FOF THE PERFORMANCE OF THE WORK FOR WHICH THIS PEHMIT IS ISSUED(SEC.3087,CIV.C.). Z . W � � LENDER'S NAME F— LENDEfl'SADDRESS � TOTAL FEES � I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. � �/\ w I AGREE TO COMPLV WITH ALL CI7V AND COUN7Y ORDINANCES AND STATE lAWS REUTING TO BUILDING l.W V � CONSTRUCTION,AND HEREBV AUTHORIZE REP{iESENTATIVES OF THIS COUNTV TO ENTER UPON THE � ZABOVE-MENTIONED PROPERTV FOR INSPECTION PURPOSES. Q � COMMENTS 5 � m PE �7TEE NAME(PRI � Q ��_ �_ � ,-> N S NATURE OF PERMITT E DA7E � � r,, I = RECPT.NO. � PAID BY �" VALIDATION ~ WHITE—Department Copy,YELLOW�inence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy � _—_ r,�----, . . ��V �(� �B�aVIlr��l� ��(!� , ' � � , ~. � I(��f�[��I� ff�[��f�� oa�p��400a a�� oa��c��oa aa�p�c��ao� o�a��.' Q�t�r��Q :, SET BACK FLOOR JOIST FTGS/FORMS/STEEL FHA REQMTS �� ELECTRIC GROUND UNDER FLOQR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT. 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 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 LANDSCAPE/IR,RIG. SEEP PIT/L.L. ON SfTE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ---- 1 �Qo[��o r' , -,- :,; --- - ------------ COMiVIEfVTS SEPTIC TANK SIZE �� 1� SEEP PIT/U SIZE � a �� _ �- -�--�r,� '��,-� C`C1-�,d��!1 C� ��''�f �7 � �� ^7�1 � ' �� ' - - - - -- - _ � � , ��,� ��,/'.L�' ,�� , ,C` ._..r . ,