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Home My WebLink About1050 GRAND AV (12) ��`_ CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building[nspection Hotline(909)839-7027 PRESS ��'9^' BUILDING PERMIT APPLICATION FIRMLY N JOBSITE /v/^� CGDid..,l� M� �Z� >- APPLICATION PERMIT P�2 p/C o ADDRESS '� � �`�r�� '�V�� DATE II�� I NUMBER 1�- O� # �— �— � APN LOT, TRACT DATE �I S l I� CONST. GROUP p OWNER T o ADDRESS ZONING SETBACKS z CITY S ZIP�i� TEL�ag��• ��'I FRONT qyy � o APPLICANT TE REAR p � SIDE/SIDE STREET qy1/ p � CONTRACTOR SIDE � � CITY E��'"�(,�.��.L ZIP� TEL. � - PROPOSED USE_CBA/JISVLT S�I!�/I"�F T�� /Y D7t�1 I o ARCWENG/ z DESIGNER w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES �_ BEDFi00MS cr� � DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER-BUILDER DECLARATION SFR/ADD/REM O � I HEREBV AFFIRM UNDER PENALTY OF PE0.RIRV THAT I MI E%EMPT FROM THE CON7RACTORS LI- GefBQB/CBfPOf1 W CENSEUWFORTHEFOLLOWIN�flEA50N(SEC.7031.6BUSMESSANOPROFESSIONSCODE:ANVCITYOR (n U COUNTVWHICNREWIRESAPERMRTOCANSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANVSTRUC� W P8�10/DBCI( �� TURE,PRIOR TO ITS ISSUANCE,AL50 REWIRES hiE APPLICANT FOR SUCH PERMIT TO FI�E A SIONED w � STATEMENT THAT HE OR SHE IS LICENSED WRSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� � CENSE UW(CHAPTER e(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND PRO- � POOUSPe FESSIONS CODE)OR THAT HE OR SHE IS E%EMPT THEREFROM AND THE BASIS FOR THE ALLEOED EXEMP- (� TION.M1Y VIOLATION OF SECTION 7031.6 BV ANV APPLICANT FOR A PERMIT SUBJECTS THE APPLICMIT TO Z Re-Roof A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOlURS(f50o).): Q ❑I,ASONRJEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, � COfI1RIBfCI01 Z VALI DO h1E WORY(AND THE STRUCTURE IS NOT INTENDED Oq OFFERED FOR SALE(SEC.7M�,BU51- J � NE59 AND PROFESSIONS CODE:THE CONTMCTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPEHTY WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSEIF OR w TMROUGH HIS OR HER OWN EMPLOVEES,7ROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m Q OFFEREDFOFSALEIF,FIOWEVEi�7HE8UILDINOORIMPqOVEIAENTISSOLDWITHINONEVEAROFCOM7LE- Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVINQ THAT HE OR SHE DID NOT OUILD OR � IMPROVE FOR THE PUqPOSE OF S�LE). ' w ❑I,ASOWNEROF7HEPROPERTY,AME%ClU51VELYCONTRACTINOWITHLICENSEDCONTRACTORS � TO CONSTRUCT THE PROJECT(SEC.7ola,BUSINE55 AND PROFESSIONS CODE:THE CONTMCTORS LI- V8IU8flOf1 ADJ.AREA W CENSE UW DOES NOTAPPLY TO AN ONRJER OF A PROPERTV WHO BUILDS OR IMPROVES THEREON.AND � WFrOCANTRACTSFOR5Uq1PRQ1ECTSWITHACONTRAC70R(S)UCENSEDPURSUANTTOTHECONTRAG QUANTITY DESCRIPTION Y roqs ucENSE�nw.�. ' FEE � ❑I AM E%EMVT UNDER SEC. 8.8 P.C.FOR THIS REASON � � U � DATE OWNER � Z U �¢ LICENSED CONTRACTORS DECLARATION w ¢ I MEREBY AFFIRM UNDER PENALTY OF PERJURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � � D(COMMENCINO WfTH SECTION 7000)OF DIVISION 3 OF 7HE Bl1S W ESS AND PROFESSKKJS CODE,AND Z OMV UCENSE IS IN FULI FORCE AND EFFECT. /y�� LICENSE CLA IIC.NO. V — � V DATE CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION � � � U N 1 HEREBV AFFIRM UNDER PENALTV OF PERIURV ONE OF THE FOLLOWING DECIARATIONS: Z � _I NAVE AND WILL MAINTAIN A CERTIFICATE OF CONSEM TO SELF-INSURE FOR MIORKERS' a 2 Q COMPENSATION,AS PROVIOED BV SECTION 3700 OF THE LABOR CODE,FOR THE PERFORMMICE U OF THE WORK FOR WHICFI THIS PERMIT IS ISSUED. W � � QW _I HAVE AND WILL MAMTAIN WORHERS'COMPENSATION INSURANCE,AS RE�UIRED BV SECTION 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED.MV WORKERS'COMPENSATION INSUHANCE CARRIER AND POLICV NUMBER AAE: CONSTRUCTION jCAqRIER PLAN REVIEW ZPOLICVNUMBER ELECTRIC �-�"��.4-'� ¢ � (RGSSEC�qNNE�NOTBEWI.1PLEfmOFiNEPERMTiSFpqpNEHU1�DFiEppp�WLS(flpp�pqLESS1 PLUMBING 4—S• S� W ��( +� Z I CEHTIFY THAT IN THE PERFOflMANCE OF THE WORN FOR WHIp/THIS PERMIT IS ISSUED,I MECHANICAL "ra�-• � 1 C7 SHAIL NOT EMPLOV ANV PERSON IN ANV MANNER SO AS TO BECOME SU&IECT TO THE i (/) WORNERS'COMPENSATIONLAWSOFCALIFORNIA,ANDAGREETHATIFISHOVLOBECAME INSPECTIONFEE = SU&IECTTOTHEWORNERS'COM7ENSATIONPROVISIONSOFSECTION37ooOFTHELABOR p CODE, 5 FORTHWITHCqAPIVWITHT O PROVI�Sp/r+ C,� r� ISSUANCE �a �,JS � ��N �(/1/�SOL SMIP p DATE: � APPLICANT: w ENERGY P/C � WARNINa:FAIIURE TO SECURE WORKERS'COMPENSATION CAVERAOE IS UNLAWFUL,AND SHALL BE � SU&IECTANEMPLOYERTOCRIMINALPENALTIESANDqVILFWESUPTOONEHUNDREDTHOUSMID ENERGYPERMIT DOLLARS(floo.o00),IN/�DDITION TO THE COST OF COMPENSATION,DAMAGES AS PHOVIDED FOR IN J SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEI^5 FEES. ^-O� w RETENTION FEE: e� O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT THERE IS ACONSTRUCTION LENDINQ AOENCV FOR TME PEFFOFMANCE OF THE WOFK FOR WHICH THIS 7ERMIT IS ISSUED(SEC.3087,CIV.C.�. Z W � LENDER'S NAME f-- LENDER'SADDRESS � �/� w I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT iHE ABOVE INFORMATION IS CORRECT. TOTAL FE ES a a �• ��F� � I AGREE TO COMPLV WITH ALL CITY AND COUNTV ORDINANCES AND STATE UWS REUTINQ TO BUILDINO � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OFTHIS CWNTY TO ENTER UPON THE , Z ABO�ENTIONED PROPEFTY FOR INSPECTION PURPOSES. COMMENTS ' � NJ � m PERM E ¢ �'T �l � / � s DATE RECPT.NO. O�OD~I�J PAID BY V ��- VALIDATION WHITE—Depanment Copy,YELLOW—Finence Copy,PINK—Assessar Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CIT'V O(� DB.�fi�OND �e�,R I�lS�lE�T00i� IRECORD _ . . r,., , .� - ., - - � ., oa�p�c�400a `��;: ° . �c��<<o�� '� B � _ _ � �� 'F�e�h �rir 'ii � SET BACK � FLOOR JOIST � FTGS/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 HT. BOND BEAM ROOF SHEATHING 8 FT.BOND BEAM� � t � • � 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 FINALCONST. � �T �( FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID � FINAL PLUMBING ENERGY 0 o t-;� �� COMMEIVTS SEPTIC TANK SIZE SEEP PIT/U SIZE a .�� _ .. :�� a � �� "' ''' � ` ��i ,� � Q �fhyn��. .