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Home My WebLink About128 PROSPECTORS RD (5) �`_ CITY OF DIAMOND BAR ��y� DEPARTMENT OF COMMUNITY&llEVELOPMENT SERVICES �� y� � ;,,w 21825 Copley Drive,Diamond Bar,CA 91765 b (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 ' � � �'h•, PRESS �`;��•" BuiLnirrc PE�iT ArPLicATiorr '��-` FIRMLY oN JOBSITE �� . c' APPLICATIO� • PERMIT �. P/C ADDRESS (�.'g �� DATE � � NUMBER 2S�i 53 #fl-7• 017'a � issuE TYPE occ � APN lOT TRACT DATE CONST. GROUP p OWNER r �f'. i � ADDR SS �' ZONING SETBACKS w FRONT qyy ❑ Z CITY , ZIP TEL. o APPLICANT ' TEL. �"a1 ��9Fi-S��'j REAR ❑ Z SIDE/SIDE STREET RW O � CONTRACTOR � � �C1 SIDE ❑ ADDRESS '�' i � CITY Vt' �t ZIP 9 ,o� TEL.�S PROPOSED USE � ' � ; �� , o ARCH/ENG/ c �� z DESIGNER w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SU.FT. FACTOR PSF ADJ.AREA/VALUATION p� OWNER•BUILDER DECLARATION SFR/ADD/REM O 1 HEREBV AFFIRM UNDER PENALTY OF PEH.IURV THA7 I AM EXEMPT FROM THE CANTRACTORS LI- GefeJB/C81pOR W CENSEUWFORTHEFOLLOWINGREASON(SEC.7037.SBUSINESSANDPROfESSIONSCODE:ANVCITYOR (n U COUN7YWHICHREOUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYS7RUC� w TURE,PRIOR TO ITS ISSUANCE,ALSO HE�UIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck � � � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CANTRACTORS LI- � � CENSE lAW(CHAP7ER B(COMMENCING WITH SEC710N 7000)OF DIVISION 3 OF 7HE BUSINESS AND PRO- POOVS(10 . FESSIONS CODE)OR THAT HE OR SHE IS E%EMPT THEREFROM AND THE BA515 FOR THE ALLEGED EXEMP- (� � � TION.ANY VIOUTION OF SECTION 7031.5 BV ANV APPLICANT FOH A PERMIT SU&IECTS 7HE APPLICANT TO Z Re-Roof • A CIVIL PENALTY OF NO7 MORE THAN FIVE HUNDRED DOLURS(S5o0).): I Z ❑I,ASONMEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECAMPENSATION, 0 CORIrt18fCiel . - WILL DO THE WORK,AND THE STRUCTURE IS NOT INTEN�ED OR OFFEHEO FOR SALE(SEC.70u,BUSI- J � NE55 AND PROFESSIONS CODE:THE CAN7RAC70H5�ICENSE UW DOES NOT APPLY TO AN OWNER OF � . PROPER7Y NMO BUILDS OR IMPROVES hIEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR Q THROUGH HIS OR HER OWN EMPLOYEES,PROVIDED 7HAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m . w OFFEREDFORSALEIF,HOWEVER,7HEBUILDINGORIMPROVEMENTISSOIDWITHINONEVEAROFCAMPLE- 0 TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING 7HA7 HE OR SHE DID NOT BUILD OR Z IMPROVE FOR THE PURPOSE OF SALE). - Q_ ❑I,AS OWNER OF THE PROPERTV,AM EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS TO CANSTRUCT THE PR0.1EC7(SEC.7oa1,BUSINE55 AND PROFESSIONS CODE:THE CANTMCTOFS LI- V81U81i0f1 ADJ.AREA W CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPERTVWHOBUILDSORIMPROVES7HEREON,AND � NMOCONTMCTSFORSUCHPROJECTSWITHACONTRAC70R(S)UCENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION . . FEE Y TORS LICENSE LAW.). � ❑I AM EXEMPT UNDER SEC. B.6 P.C.FOR THIS REASON Q � U tL � DATE OWNER U � Z W �¢ LICENSED CONTRACTORS DECLARATION W 2 1 HEREBY AFFIRM UNDER PENALTV OF PERJURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � 6(COMMENCING WI7H SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z X MV LICENSE IS IN FU FORCE AN�EFFECT. m LLI ''''f � LICENSE CLAS/S� � UC.NO.� �iwn�� / j . V DATE �I Y '� � I. —1�/� CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION Q � I HEREBV AFFIRM UNDER PENALTY OF PERJURV ONE OF THE FOLLOWING DECLARATIONS: Z z _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CANSENT TO SELF-INSURE FOR WORKERS' _ Q CAMPENSATION,AS PROVIDED BV SECTION 37000F THE IABOR CODE.FOR THE PERFORMANCE �U OF HE WORK FOR WHICH THIS PERMIT IS ISSUED. � � w I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BV SECTION Q 37oa OF THE LABOR CODE,FOR THE PERFORMPNCE OF THE WORK fOR WHICH 7HI5 PERMIT IS � ISSUED.MV WOR ERS'CAMPENS INSUR CE CARRIER AND POLICV NUMBERARE: CONSTRUCTION •Q� a s�� `�'� � > c�aaiEa _ PLAN REVIEW SS• a S Z POIICYNUMBER Z � ELECTRIC Q � (iHISSE(.TqNNE�NOT0EWA1Pl.EfEDOFhiEPEiUMISFORONEHUPDREDDOLLARS(S10D)ORLESS). PLUMBING Z I CERTIFV 7HAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL �J SHALL NOT EMPLOV ANV PERSON IN ANY MANNER SO AS TO BECAME SUBJECT TO TNE ('� � WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IP I SHOULD BECOME INSPECTION FEE �Z�,S . � SUBJECT TO THE WORNERS'COMPENSA710N PROVISIONS OF SEC710N 970o OF THE LABOR /� CADE,I SHALL FORTHWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE �O � SMIP � p DATE: APPLICANT. J WARNING FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C � � SUBJECTANEMPLOVERTOCRIMINALPENAL7IESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOLLARS(5100,000),IN ADDI710N 70 7HE COS7 OF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTION 3708 OF 7HE LABOR CODE.IN7EREST,AND ATTORNEV'S FEES. RETENTION FEE: I � a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: �� 10 � I HEREBV AFFIRM UNDER PENALTY OF PERJURY 7HAT 7HERE IS ACONS7RUC710N LENDING AGENCV , -� ^ "��•w Z FOR THE PERFORMANCE OF 7HE WORK FOR WHICH 7HI5 PERMIT IS ISSUE�(SEC.7097,CIV.C.). '__ '��\ W / � � LENDER'S NAME � . /'� H LENDER'SADDRESS � TOTAL FEES �� - a S � �`�� •� w I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CAHRECT. �f J � I AGREE TO CAMPLY WITH ALL CI7Y AND CAUNTV ORDINANCES AND STATE UWS REIATING TO BUILDING � CANS7RUC710N,AND HEREBY AUTHORIZE REPRESEN7A71VES OF THIS COUN7Y TO ENTER UPON THE Z A VE�MENTIONED GROPERTY FOR INSPECT N PURPOSES. COMMENTS � � � ` �.tl `C> �`------ .-� _ m PE ITTEE NAME(PRIN � Q /V � �M N � F'PEHMITfEE DATE RECPT.N0.£7 �D3� pAID BV �S 1� VALIDATION �� 2 ~ WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--File Capy,GREEN—Applicant's Copy .. ,, -b�a::� �'.0�� t��l�� 1� ' '"� u u • � 0�� Oa�pC�C�400a Dl�4C� .,.,4G�J�G?l�,�40G� . :��l�pC�'4��i o, ��@� , .:��,��4 ��i 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 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/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL F�NAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY . �o � � - - - COMMEfVTS SEPTIC TANK SIZE SEEP PIT/U SIZE a � c� a .