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Home My WebLink About1050 GRAND AV (9) CITY OF DIAMOND BAR �—� "--��— DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �w 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3ll7 Building Inspection Hotline(909)839-7027 PRESS �'°"' BUILDING PERMIT APPLICATION FIRMLY o DDRESS ��/� 7e (�G�11)�/t"yf/ APPL�CATIPfJ o PERMIT � � p/C �� DATE �I a ' g NUMBER "4=g # issue I� � 9 �� APN LOT �TRACT DATE �� CONST. GROUP p OWNER � � � p ADDRESS � ZONING SETBACKS FRONT z CITY � � ZIP� TEL � RW ❑❑ p APPLICANT� ' �_ TEL. _ S DE/SIDE STREET RW ❑ � CONTRACTOR SIDE � ADDRESS � CITY ' ZIPO�� TE O PROPOSED USE o ARCH/ENG/ iz DESIGNER NO.DWEL. NO. n_ ADDRESS NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS cr� � DESCRIPTION S�.FC FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION �SFR/ADD/REM O � I HER�V AFFlRM UNDER PENALTY OF PERIUPV THAT I AM EXEMPT FAOM THE CONTRACTORS LI� GefBQB/CBfpOh W CENSELAWFORTHEFOLLOWINOREASON(SEC.7031.SBUSINESSANDPROFESSIONSCOOE:ANVCITVOF (n U �JrJJyWF{ICHREQUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTAUG petio/Deck w NRE,PRIOR TO ITS ISSUANCE,AL50 REQUIRES THE APPLICANT FOH SUCH PERMIT TO FILE A SIONED W � STATEMENT hiAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- � CENSE UW(CHAPTER e(CAMMENCWO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND Pq0- � POOVSPB . Q FE5910NSCOOE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALlEOEDEXEMP- C7 V TION.ANV VIOLATION Of SECTION 7031.5 BV ANV APPUCANT FOR A PERMIT SU&lECTS THE APPLICANT TO Z qe-Foof A CIVIL PENALTV OF NOT AbRE hIAN FIVE HUNDRED DOLLARS(SSaO).): � ❑I.ASOWNEROFTHEPROPERTY,ORMVEMPLOVEESWITHWAOESASTHEIRSOLECOMPENSATION, � COrtlfl16fC18I Z WILL DO 7HE WORK,AND THE STRUC7URE IS NOT IN7ENDED OR OFFERED FOR S.LLE(SEC.701t,8U51- J ' � NESS AND PROFESSIONS CODE:THE CONTRACTORS IICENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPERTV N?i0 BUILDS OR IMPROVES THEREON,AND NM170 DOES SUCH WORK HIMSELF OR HERSELF OR w TMROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMEMS ARE NOT INTENDED OR m � OFFEAEDFORSALEIF,HOWEVER,THEBUILAINOORIMPROVEMENTISSOLDWRHINONEVEAROFCOMPLE� Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVWG THAT HE OR SHE DID NOT BUILD OR � IMPROVE F-0R 7HE PURPOSE OF SALE). � �,y,� ❑I,ASOWNEROF7HEPROPERTV,AMEXCIUSIVELYCONTRACTINOWRHUCENSEDCONTRACTORS � TO CONSTRUCT THE PRQIECT(SEC.70/4,BUSINE55 AND PROFESSIONS CODE:THE CONTiiACTORS LI� V9IIlHIlOf1 a. ADJ.AREA W CENSEUWDOESNOTAPPIVTOANONTJEHOFAPROPERTYWHOBUILD50RIMPROVESTHEREON,AND ' � WFIOCANTFiACTSFORSUCHPRQIECTSWI7HACqNTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION Y TORS LICENSE LAW.). FEE 0 ❑I AM EXEMPT UNDEf7 SEC. 8.8 P.C.FOR THIS REASON � �. SO ?� U � DATE OWNER ~ Z U �Q LICENSED CONTRACTORS DECLARATION w 2 I HEREBY AFFIRM UNDER PENALTV OF PENURV THAT I AM LICENSE�UNDER PROVISIONS OF CHAPTEF � e(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS COOE,AND Z � . �J �� MY LICENSE IS IN FULL FORCE AN�EFFECT. /� �j/� m � UCENSE CLASS LIC.NO. V�� 1. L � � ' F— � J V DATE CONTRACTOR ! W P � WORKERS'COMPENSATION DECLARATION � � � I HEREBV AFFIRM UNDER PENALTY OF PERJURV ONE OF THE FOLIOWING DECLARATKKJS: � � Z . � _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELFINSURE FOfl WORNERS' _ Q COMPENSATION,AS FROVIDED BV SECTION 370o OF THE LABOR fADE,FOR THE PERFORMANCE U OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. W � � � _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATlON INSURANCE,AS RE�UIRED BV SECTION Q 3700 OF THE LABOR CADE,FOR THE PERFORMANCE OF THE WORK FOq WHICH 7HIS 7ERMIT IS J ISSUED.MV WORKERS'CAMPENSATION INSURANCE CARRIER AND 70LICV NUMBERAAE: CONSTRUCTION j CARRIER PLAN REVIEW Z0 POLICYNUMBER ELECTRIC 'TV • SO ' Q w (IHLSSECTpNNE�NDTBECOM�EfEDOFTHEPEPMTISWqONEMN�DfiEDDOlLF1iS(t7ao)OqLESS} PLUMBING 4�. SO Z �CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL __ �� CS SHALL NOT EMPLOV ANV PERSON IN ANV MANNER SO AS TO BECOME SU&IECT TO THE (n WORNERS'COMPENSATION LAWS OF CALIFORNIq AND AQHEE THAT IF 1 SHOULD BECAME INSPECTION FEE S SU&IECTTOTHEWORKERS'COMPENSATIONP VISIONSOFSECTION37000FTH LABOR {S C'�J CODE,I HALL F RTHWITH COMPLV WITH THO P SIONS. ISSUANCE 0 DATE: � APPLICANT: � SMIP � y � ENERGY P/C � WARNINQ:FAILURE TO SECUflE WORKERS'COMPENSATION CAVERAOE IS UNLAWFUL,AND SHALL BE � SU&IECTAN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND ENERGY PERMIT DOLLARS(5100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN J SECTION 3708 OF hIE LABOP CODE,INTEREST,AND ATTORNEYS FEES. w RETENTION FEE: I. � O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBY AFFlFM UNDER PENALTV OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AOENCV FOq THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3oB7,CIV.C.). Z W � LENDER'S NAME F— LENDER'SADDqESS � w ICERTIFYTMATIHAVEREADTHISAFPLICATIONANDSTATETHATTHEABOVEMFORMATqNISCAqRECT. TOTAL FEES ��- � � I AGREE TO CAMPLV WITH ALL CITV AND COUNTY ORDINANCES AND STATE LAWS REUTING TO BUILDINO � CONSTRUCTION,AND HEREBV AUTHORIZE FEPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE Z ABOVE-MENTIONED PROPERTV FOR INSPECTION PUflPO5E5. COMMENTS � � , ) - ,rt� J � m PERMI AME(PWNT) . � •� � v p � GNA REOFPEHMITTEE D E � RECPT.NO.O �40�}- pAID BY ��'33<� VALIDATION �Y1 WHITE—Depertment Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Hppl&;anfs Copy C9TY O� DBAV�iCDND 6AR INSP�CTBOi� �i�CORD . � , ,, ._ , , �. �.: ��a�p�c�ooa ,� � � s �. m �?�c�� ;.. aoa �� oa�� , ;�t_ . . � . � o $ SET BACK FLO�R JOIST F-fGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT • GROUND PLUMBING UNDER FLOOR CONDUIT� ' � ' SLAB GRADE FIREPL,4CE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID H'T. BOND BEAM � ROOF SHEATHIN�G 8 FL BOND BEAM ' � � FRAMINGNENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHIfVG 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 FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY C�1�," o ..._ _ COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE Cl �� a �.. ��.; �= . .