HomeMy WebLinkAbout1188 DIAMOND BAR BL (5)�
` � CITY OF DIAMOND BAR
{ '� ~^--"��`—^ DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
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� 21825 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3ll7 Building Inspection HoNine(909)839-7027 PRESS �
' 'TM'` BUILDING PERMIT APPLICATION FIRMLY �
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� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
p� OWNEA-BUILDER DECLARATION
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� I HEREBV AFFIRAI UNDER PENAL?Y OF PERIURV THAT I AM EXEMPT FROM THE CANTMCTORS LI� G8f8 B/C8 OfI
W CENSE UW FOR THE FOLLOWINO REASON(SEC.7031.5 BUSINESS AND PFOFESSIONS CODE:ANV CfTYOR (n g �
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11J TURE,PRqR TO ITS ISSUMICE,AL50 REQUIRES THE APPUCANT FOR SUCH PERMIT TO FILE A SI�NED w
� STATEMENT THAT HE OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF 7HE CONTMCTORS LI-
� CENSE LAW(CHMTER e(COMMENCINO WITH SECTION 7000)OF OIVISION 3 OF THE BUSINESS AND PR6 � POOUSPB
, � fESS10NSCODE)ORTYINTHEORSHEISE%EMPTTHEREFROA/ANDTHEBASISFORTHEALLE6EDEXEMP� (�
TION.ANVVIOUTqNOFSECTION7031.5BVANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof
A CIVIL PENALTY OF NOT MORE h1AN FIVE HUNDRED DOlURS(f5o0).): �
, � ❑I.ASOWNEROFTHEPROPERTV,ORMVEMPLOVEESWI7HWA(3ESASTNEIRSOLECOMPENSATION, � COffIR1BfC18i c „
. Z WILL DO THE WORK,AND 7HE STRUC7URE IS NOT IN7ENDED OF OFFEFED FOR SALE(SEC.7aa,BU51- J .7 1
� NE55 M1D PROFESSIONS CODE:THE CONTRACTORS UCENSE lAW DOES NOT AVPLV TO N!OWNER OF �
� 7ROPERTVWHOBUILDSORIMPROVESTHEREON,ANDNMODOESSUCHWORKHIMSELFORHERSELFOR
w THROUGH HIS OR HER OWN EMPLOVEES,VROVIDED THAT SUp/W PROVEMENTS ARE NOT WTENDED OR m
� OFFEREDFORSALEIF,F/OWEVERTMEBUILDINOORIMPROVEMENTISSOIDWITHINONEYEAAOFCOM7LE �
Z TION,THE OWNER�BUIIDER WILL HAVE THE BURDEN OF PqOVINO THAT HE OR SHE DIO NOT BUILD OR
� IMPROVE FOR THE PURPOSE OF SAL�. �
❑I,AS ONRJER OF THE PROPEi7rV,AM EXCIUSNELV COMRACTINO WfTH LICENSED CONTRACTORS
� TO CONSTRUCT THE PROJECT(SEC.70N,BUSINESS AND PROFESSIONS CODE:THE CONTRACTOflS LI- V81U81iOf1 J.S YV►1 I I 1 0✓1 qp,J.qqE,q
W CENSEUWDOESNO7APVLv70ANOWNEROFAPROPERTVWMOBUILDSORIMPROVES7HEREON,AND
� N71000NTRACTSFORSUCHPRQIECTSWITHACONTRACTOR(S)LICENSEDPURSUANTTOTHECONTMP QUANTITY DESCRIPTION
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Q ❑I AM EXEMPT UNDER SEC. 8.8 P.C.FOR THIS REASON Q
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�� LICENSEO CONTRACTOFS DECLARATION .. W •
� I HEREBY AFFIRM UNDER PENN.TV OF PERIUFV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER n'
� Y(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND PROFESSIONS CODE.AND Z ' ' �
LLI �LICENSE IS IN FULL FORCE AND EFFECT. m
0 ICENSE CLASS •, . LIC.NO. qZ _ �
U �DATE ��L. ��( CONTRACTOR S�✓"nG��'O'n J
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� . WORKERS'COMPENSATION DECLAFATION � -
� I HEREBYAFFIRM UNDER PENALTV OF PEFJURV OfJE OF THE FOLLOWING OECIARATIONS:\ � / U
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� _I NAVEAND WILL MAINTAIN A CERTIFICATE OF�CONSENTTO SELF-INSURE fOR WORKERS' a
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Q COMPENSATION,AS PROVIDED BY SECTION 3700 OF THE LABOR CODE,FOR THE PEPFORMANCE U
OF TNE WOR)(FOR WHICH THIS PERMIT IS ISSUED. W
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� _I HAVE AND WILLMAINTAIN WORKERS'COMPENSATION INSURANCE,AS REWIRED BV SECTION - ,
� Q 37oa OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS �� ' 1 ,,,r O
ISSUED.MV WORNERS'COAIPENSATION INSURANCE CARRIER AND POLICV NUMBERME: CONSTRUCTION
jc�waiEa �. �..Y'\ '� PLAN REVIEW . � � S'�j�.�J c�a . 4-�
�Z POIICV NUMBER ��� K�9 Z�'I l�(1 O ELECTRIC
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Z 1 CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.1 � MECHANICAL
C} SHALL NOT EMPLOV ANV PENSON IN ANV MANNER 50 AS TO BECOME SU&IECT TO THE j{�'
(/J WORNERS'CAMPENSATION LAWS OF CALIFORNIA,AND AOREE THAT IF I SHOULD BECOME /p INSPECTION FEE
= SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR RYA ,�` `Q
CODE.I SHALL FORTHWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE
' p DATE: APPLICANT: ' SMIP 3�S. Cjp
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"'� WARNINO:FAILURE TO SECURE WORKERS'COMPENSATION CAVERAOE IS UNUWfUL,AND SHALL BE
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� SUBJECTANEMPLOVERTOCqIMWALPENALTIESANOCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT
DOLLARS(5700,000J,IN PDDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN �� ��
J SECTION 3]oe OF THE LABOR(,'OOE,INTEREST,AND ATTORNEV'S FEES. `��, �
w RETENTION FEE:
O CONSTRUCTION LENDING AGENCY � ,� PRE-ALT F,EE:
� 1 HEREBV AFFIRM UNDER PENALTY OF PERJURV THAT THERE IS A CONSTRUCTION LENDING AQENCV �����. � �Q �J
FOR THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED(SEC.30V7,CIV.C.).
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� LENDEH'S NAME ' �
� LENDER'S ADDRE55
� TOTAL FEES �4-15. - '�o �� 1 • ��--
� I CERTIFV THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE WFORMATION IS CARAECT.
w I AOREE TO COMPLV WITH ALL CT'AND CAUN7V ORDINANCES AND STATE LAWS RELATINO TO BUILDINO
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� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV Tp ENTER UPON TME � .
Z ABOVE�MEMIONED PROPERTY FOR INSPECTION PURPOSES. COMMENTS '
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N TbI�UNEOF7ERMITTEE� - + DATE RECPT.NO. �S`� PAID BV V —1� VALIDATION �
� WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy
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FTGS/FORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT � • •
GROUND PLUMBING (( UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION �
TEMP POWER FIREPLACE B�ND BEAM •
WATER SERVICE MID H'L BOND B�AM
ROOF SHEATHING� C �,,�, (, ..� 8 FT. BOND BEAM
FRAMINGNENTlLATION ��116-� FINAL BOND SEAM,
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ROOF C�VER " PRE-GRADING •
ROUGH HEATING �t���,i� BENCHING
ROUGH ELEC7RIC �� �'�J ROUGH GRADING
ROUGH PLUMBING �� (gl� FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC
EXT. LATH/SIDWG � � �� POOL FENCWG
WALL INSULATION Y�1-��t POOL FINA�
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAIUNG kL�� � � DEDICATIONS
SEWER � FINAL ENG.
SEPTIC TANK L.ANDSCAPE/!RRlG.
SEEP PIT/L.L. ON SITE 1MPS.
GAS,41R TEST FINAL ZONING
FINAL CONST. � FIRE DEPT. FINAL
FINAL HEATING �, � HEALTH DEPT. FINAL
FINAL ELECTRIC %' �°;;� DEV. FEES PAID
FINAL PLUMBING ENERGY
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