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Home My WebLink About266370 O 0 LU O D Dc O 0 LU 0 z w Cl - Of) U U) rrO W U Z W O U H Z cn cc W 0 Z W Cr W 2 I-- Cr — Q O Z O ax - W OO U w Cr) ZM Q 0 W Q J O Z Q LU W Z 0 Cn F= O M W J LL CC W W CLO CL Z W 2 1— LU W M 0 Z Ei 5 M Q Co Ln 2 DIVIOND BAR 'r•IIS i,4 CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21825 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION JOBSITE 'I— ADDRESS J 1 J li4i (/15, APN LOT TRACT OWNER /')DD M 14CW.t l ADDRESS r Case— v---. CITY -Q1 f ZIP TEL.fO°'i 460`100 APPLICANT TEL. CONTRACTOR � Q- -15 ADDRE SJ4" V CITY ^-J ZIP q1479 TEL.g0q Vq(-q�OI ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS U. CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5 BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE, DEMOLISH, OR REPAIR ANY STRUC- TURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE LAW (CHAPTER B (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS ($Sao).): ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSI. NESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF, HOWEVER THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LI. CENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRAC- TORS LICENSE LAW.). ❑ 1 AM EXEMPT UNDER SEC. B. 8 P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER B (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT. '% '{ [� LICENSE CLAW C LIC. NO. / 3 ` DATE CONTRACTOR WORKERS' COMPENSATION DECLARAT N O I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: k I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE. AS REQUIRED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CARRIER POLICY NUMBER (THIS SECTION NEED NOT BE OJMFLETEDOF THE PERMIT 15 FOR ONE HUNDRED DOLLARS (SIOa) OR LESS). I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS'COMPENSWCOV�AAGEEIS ION 97000F THE LABOR COD , ISSHALL WITH COMPLY WI DATE: g B Cl APPLICANT: WARNING: FAILURE TO SECURE WORKERS' COMNLAWFUL, AND SHALL BE SUBJECT AN EMPLOYER TOCRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 3097, CIV. C.). LENDER'S NAME LENDER'S ADDRESS I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. Lc_— PER� EE N E (PRINT) SIGNA URE OF PERrX DATE PRESS FIRMLY APPLICATION PERMIT 1(60-3-7 P/C DATE NUMBER it ISSUE y. —� L7 TYPE OCC DATE CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ PROPOSED USE W 40,uLt —F 1 r'A , pLl f Z(Lis rj prTT 7 ( L )/.k u A C u,,—y, 7b NO. DWEL. NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREA(VALUATION SFR/ADD/REM U) Garage/Carport WPatio/Deck LL Poovspa 0 Z Re -Roof Commercial co Valuation 2 50 U ADJ.AREA OUANTITY DESCRIPTION FEE J Q U F— U LU W 0 Z E-5 a- a - z Z Q 2 W CONSTRUCTION PLAN REVIEW S- 2S ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE ZS• J SMIP 5 0 ENERGY P/C ENERGY PERMIT RETENTION FEE: PRE -ALT FEE: TOTAL FEES S5- H .-so COMMENTS 47) RECPT NO. PAID BY VALIDATION WHITE—Department Copy, YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN—Applicant's Copy CITY OF DIAMOND BAR INSPECTION RECORD SET BACK a FLOOR JOIST _ FTGS/FORMS/STEEL FHA REOMTS ELECTRIC GROUND j UNDER FLOOR DUCT GROUND PLUMBING SLAB GRADE UNDER FLOOR CONDUIT 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 EXT. POOL ELECTRIC _ POOL FENCING _LATH/SIDING WALL INSULATION _ _ _ POOL FINAL - - CEILING INSULATION _-� OFF SITE IMPS. DRYWALL NAILING _ _ _ DEDICATIONS SEWER _- FINAL ENG. -_--_ SEPTIC TANK - - -_J LANDSCAPE/IRR_IG. _ SEEP PIT/L.L. ON SITE IMPS__ GAS AIR TEST _ FINAL CONST. j7t FINAL HEATING ---I _ _ FINAL ZONING I FIRE DEPT. FINAL HEALTH DEPT. FINAL DEV FEES PAID -- _ _...-. -- ENERGY FINAL ELECTRIC - -- ----- -- --- -- -- - -------- - FINAL PLUMBING COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE _ a Q. a